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Purpose: The aim of this study was to compare and contrast the diagnostic accuracy of multiple online symptom checkers when used for the diagnosis of orofacial pain and oral medicine related disease vignettes. The comparison condition used in this study was the diagnostic accuracy achieved by advanced specialty residents on these same vignettes using a virtual patient system. Methods: 27 individual disease vignettes were utilized. These vignettes had a variety of orofacial pain and oral medicine diseases. Post graduate orofacial pain and oral medicine residents at our University of Southern California interacted with their randomly assigned virtual patients were analyzed [n=574]. Virtual patient accuracy was based on whether the user selected the primary diagnosis as one of their top four choices after interviewing. Eleven English-language symptom checkers accuracy was based on whether the vignettes produced the primary diagnosis as one of their top four choices. Using these data, symptom checker and virtual patient accuracy rates were calculated. Results: The primary diagnosis on virtual patient encounters was found within the top four choices a mean of 67.2% of the time. The primary diagnosis for the same vignettes entered into the 11 symptom checkers was found within the top four choices a mean of 5.9% of the time. Conclusions: The accuracy of currently available symptom checkers that patient might use for self-diagnosis of common orofacial pain and oral medicine diseases was low, this result suggest that the improved diagnostic algorithms are needed.

2021-07-27 13:00:28
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1 0 0 0 安全手帳「使用上の注意」を守らず死亡事故に--破砕剤で岩盤を除去していた現場所長ら2人を書類送検

出版者: 日経BP社
雑誌: 日経コンストラクション (ISSN:09153470)
巻号頁・発行日: no.252, pp.100-101, 2000-03-24

道路沿いの法面の岩盤を破砕剤を使用して取り除いている最中に,飛び散った岩石が人に当たって死亡させる——。99年7月,青森県小泊村の国道339号で,このような事故が起きた。事故の原因は,破砕剤のカタログに表示されていた安全対策を,施工者が怠ったことにある。発破に用いる爆薬は火薬類取締法の規制を受けるが,蒸気圧破砕剤は同法の対象外。

2021-07-27 13:00:07
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https://ci.nii.ac.jp/naid/40004814273

1 0 0 0 門闕動物像の左右配置に関する基礎的考察 : 獅子像の雌雄の問題を中心に

著者: 阿部幸信
出版者: 中央大学文学部
雑誌: 中央大学文学部紀要 = Journal of the Faculty of Literature, Chuo University (ISSN:05296803)
巻号頁・発行日: no.281, pp.91-117, 2020-03

2021-07-27 12:59:28
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https://ci.nii.ac.jp/naid/40022200697

1 0 0 0 病と巫 : 「鬼交」を中心に

著者: 孫瑾
出版者: 東洋古典学研究会
雑誌: 東洋古典學研究 (ISSN:13469428)
巻号頁・発行日: vol.49, pp.15-24, 2020-05

2021-07-27 12:58:39
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https://ci.nii.ac.jp/naid/40022267222

1 0 0 0 北斉「恩倖」再考 : 君主家政官としての嘗食典御・主衣都統を中心に

著者: 田熊敬之
出版者: 史学会 ; 1889-
雑誌: 史学雑誌 (ISSN:00182478)
巻号頁・発行日: vol.129, no.7, pp.1085-1120, 2020-07

2021-07-27 12:55:59
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https://ci.nii.ac.jp/naid/40022329335

1 0 0 0 IR 魏文帝の国際秩序構想―「漢代の国際秩序」の継承

著者: 伊藤光成
出版者: 東洋文庫
雑誌: 東洋学報 = The Toyo Gakuho (ISSN:03869067)
巻号頁・発行日: vol.102, no.3, pp.1-29, 2020-12-17

The Cao Wei 曹魏 Dynasty was a polity that faced a contradiction between its standing as a bona-fide Chinese dynasty and the reality of the Three Dynasties Period triumvirate. This article examines the idea of an international order envisioned by the Dynasty's founder Emperor Wen 文帝 (Cao Pi 曹丕) and the background to its conceptualization. To begin with, throughout the Later Han Period the relationship between that Dynasty and the peoples on its periphery had changed. In the north, the decline of the Xiongnu 匈奴 saw the rise of the Wuwan 烏丸 and the Xianbei 鮮卑; in the east, there was the establishment of tributary relations with the "Eastern barbarians" (Dongyi 東夷); and in the west, there was a rupture in relations with the kingdoms of the West (Xiyu 西域). Under such circumstances, newly enthroned Emperor Wen decided to follow the precedents set by the diplomacy practiced by an idealized Han Dynasty, focusing on the eras when that Dynasty was most influential in each of the three peripheral regions. Accordingly, in the north, an equestrian nomadic hierarchical order was established placing the emirs of the Wuwan and Xianbei under the Chanyu 單于 of the Xiongnu, as during the reign of Later Han Emperor Shun 順帝; in the east, a system of receiving tribute was set up by giving special treatment to the Gongsun 公孫 Clan regime in Liaodong, which exerted strong influence on such "Eastern barbarian" tribes as the Fuyu 夫餘, in the tradition of Later Han Emperor Guangwu 光武帝; and in the west, Former Han Emperor Yuan's 元帝 Wuji Xiaowei 戊己校尉 military order was reinstituted and Han Dynasty accomplishments in the region compiled, together with efforts to stabilize relations with the region through special treatment of the oasis city state of Jushi Houbuguo 車師後部國, which had caused the original break with the region during the Xin and Later Han Periods. It was in this way that Emperor Wen devoted himself to inheriting the "Han Dynasty international order," although his policies were often at odds with reality. Consequently, it is difficult to conclude that such diplomacy functioned effectively in the midst of uncertainty on all sides of the periphery. That being said, even if not fully in sync with the realities of the situation, there is no doubt that Emperor Wen attempted to gain legitimacy and authority for his Dynasty by assuming a posture of being the successor to the powerful Han Dynasty.