著者
八木原 俊克
出版者
特定非営利活動法人 日本小児循環器学会
雑誌
日本小児循環器学会雑誌 (ISSN:09111794)
巻号頁・発行日
vol.28, no.2, pp.81-88, 2012 (Released:2012-11-15)
参考文献数
28

修正大血管転位は房室錯位を伴い, かつ解剖学的右室が体心室に, 解剖学的左室が肺心室になっている特徴がある. 最終目標になる外科手術は, 解剖学的右室を体心室としたまま種々の合併する形態異常を修復して血流動態を機能的に回復させる“機能的修復手術”と, 同時に解剖学的左室を体心室に変換する“double switch手術”とに分けられる. 前者は心室中隔欠損閉鎖, さらに肺動脈弁狭窄解除ないし左室-肺動脈流出路再建を加える手術, 三尖弁逆流に対する弁置換/形成, などが主なものであり, 後者は心房スイッチを行うことで, いわば修正大血管転位を完全大血管転位に変換したうえで, 同時に動脈スイッチ, または心室大血管スイッチ(Rastelli手術)を行う手術で, それぞれにさまざまなオプションがある. 近年, 両者の手術成績は著明に向上しているが, 特にdouble switch手術の長期遠隔予後にはまだ不明な点があり, その適応, 術式選択などには課題が残されている.
著者
吉沢 晋 菅原 文子
出版者
一般社団法人 日本建築学会
雑誌
日本建築学会計画系論文報告集 (ISSN:09108017)
巻号頁・発行日
vol.391, pp.32-38, 1988-09-30 (Released:2017-12-25)
被引用文献数
1 1

In order to estimate and control the contamination by the airborne particles through the mechanism of settlement it is necessary to analyze the mechnism of falling particles in the atmosphere indoor as well as outdoor. The quantity of settled particles depend upon the concentration, exposure time and terminal velocity which are the function of aerodynamic diameter of the particle, and consequently the size distribution of the settled particles greatly differ from the original ones. In case of outdoors, the quantity of settled particles are obtained by the integral of product of partial distribution and terminal velocity of the particle using particle size distribution. The calculated values were fairly close to those experimentally obtained. In case of indoors, the authors analyzed the relation of quantity of settled particles and the airborne concentration and obtained the general equation which shows that the settled contamination is dependant on the concentration, particle size distribution which determin the terminal velocity, the ceiling height, and the air change rate which is the reciprocal of the time length of particles' stay within the room. Experiments were performed using model chamber of 30 ×30×30 cm in size with known ventilation rate. Theoretical values coincided with the results of experiment very well.
著者
中村 優花 上田 留梨子 河村 美奈
出版者
公益社団法人 日本農芸化学会
雑誌
化学と生物 (ISSN:0453073X)
巻号頁・発行日
vol.48, no.11, pp.791-793, 2010-11-01 (Released:2011-11-01)
被引用文献数
1

本研究は,平成20(2008)年度日本農芸化学会大会(開催地 名古屋)において開催された高校生による第4回「ジュニア農芸化学会」で“優秀賞”を受賞した.多くの伝統的な発酵食品は,乳酸菌と酵母を核とした多種多様な微生物が複雑に相互作用した環境の中で生み出される.糠床を利用した糠漬けも,その例に漏れない.本研究は,糠床のもつ抗菌機能に焦点を当て,糠床の特性解明とその文化的背景の理解を内容としている.
著者
秋元 良仁
出版者
社団法人 日本写真学会
雑誌
日本写真学会誌 (ISSN:03695662)
巻号頁・発行日
vol.79, no.1, pp.10-15, 2016 (Released:2017-03-22)
参考文献数
14

デジタルアーカイブにおいて,データを効率的に管理・運用するためには,メタデータ(データを説明するデータ)の活用が必要不可欠である.本解説では,平成27年度日本写真学会画像保存セミナーのテーマである 「保存のための管理運用保存」 の観点から,具体的なメタデータ活用事例として,文化財・出版物・Webコンテンツのメタデータを取り上げ,その現状を概観する.
著者
長沢 有恒
出版者
Japan Ergonomics Society
雑誌
人間工学 (ISSN:05494974)
巻号頁・発行日
vol.4, no.1, pp.57-63, 1968-01-30 (Released:2010-03-11)
参考文献数
6
著者
大井 将生 渡邉 英徳
出版者
デジタルアーカイブ学会
雑誌
デジタルアーカイブ学会誌 (ISSN:24329762)
巻号頁・発行日
vol.4, no.s1, pp.s69-s72, 2020 (Released:2020-10-09)
参考文献数
25

本稿の目的は、初等中等教育におけるデジタルアーカイブを活用したハイブリッド型学習のあり方を提示することである。そのために、遠隔オンライン授業をめぐる社会的背景とこれまでの動向を整理し、遠隔オンライン授業の課題について議論する。本研究ではその課題を解決するための学習デザインとして、デジタルアーカイブを活用した遠隔オンデマンド型授業と対面授業の組み合わせによる、探究的キュレーション授業を提案する。デザインした授業で2020年4月より小学校と中学校で年度を通して授業実践を行い、児童生徒の認識変容を検証する。この手法により、学習指導要領で掲げられたICT・MLA資料の活用や探究的な学びを実現するとともに、休校という社会的要請が生じる感染症や災害等の不測の事態、地方と都市の教育格差、不登校による学習機会の喪失など、社会的諸課題の解決にも寄与することができると考える。
著者
仲 真紀子 上宮 愛
出版者
心理学評論刊行会
雑誌
心理学評論 (ISSN:03861058)
巻号頁・発行日
vol.48, no.3, pp.343-361, 2005 (Released:2019-04-12)
被引用文献数
4
著者
Yutaro Akiyama Shinichiro Morioka Yuji Wakimoto Akira Kawashima Kohei Kanda Ayako Okuhama Tetsuya Suzuki Yusuke Miyazato Hidetoshi Nomoto Satoshi Ide Takato Nakamoto Keiji Nakamura Masayuki Ota Yuki Moriyama Saho Takaya Kota Yamada Maho Taguchi Erika Sugito Shinji Izuka Kenji Ishiguro Toshiaki Kobayashi Wataru Miyake Shuji Kubota Masahiro Ishikane Noriko Kinoshita Kei Yamamoto Mugen Ujiie Satoshi Kutsuna Kayoko Hayakawa Sho Saito Norio Ohmagari
出版者
The Japanese Society of Internal Medicine
雑誌
Internal Medicine (ISSN:09182918)
巻号頁・発行日
pp.5614-20, (Released:2020-11-02)
参考文献数
7
被引用文献数
2

Objective In fever clinics screening coronavirus disease (COVID-19), there could be patients with life-threatening diseases that physicians should not overlook. We exploratorily investigated the final diagnosis among non-COVID-19 hospitalized patients who visited the fever clinic. Methods This was a retrospective, observational, and single-centered study conducted in the National Center for Global Health and Medicine (NCGM), Tokyo, Japan. We conducted a retrospective chart review of patients who visited the fever clinic in the NCGM from 11 March 2020 to 24 April 2020. Patients Patients who met the following clinical criteria visited the fever clinic in the NCGM: (1) body temperature >37.5°C, (2) any symptoms consistent with COVID-19 or (3) referral from local healthcare facilities. In the fever clinic, all patients who met the above criteria had severe acute respiratory syndrome coronavirus 2 polymerase chain reaction test with nasopharyngeal swab specimens. Patients with severe symptoms or an unstable condition were sent to an outpatient clinic for infectious diseases for further evaluation and treatment. Results Among 1,470 patients who visited the fever clinic, 84 patients were hospitalized, and 45 of them were diagnosed as having COVID-19. Among the remaining 39 non-COVID-19 patients, there were nine patients with life-threatening diseases. The life-threatening diseases included acute heart failure, septic shock, pneumocystis pneumonia, peritonsillar abscess, and necrotizing fasciitis. Conclusion Physicians should evaluate each patient carefully while considering other life-threatening conditions even in such a COVID-19 pandemic era.
著者
牧野 遼作 古山 宣洋 坊農 真弓
出版者
日本認知科学会
雑誌
認知科学 (ISSN:13417924)
巻号頁・発行日
vol.22, no.1, pp.53-68, 2015-03-01 (Released:2015-09-15)
参考文献数
21
被引用文献数
1

This study addresses how environments for specialists reciting a narrative are estab-lished when they (e.g., science communicators) need to give an explanation to non- specialists (e.g., visitors). To analyze the videotaped data, we employed the notion of spatial-orientation behavior (proposed by Adam Kendon). Spatial orientation com-prises two formation types: F-formation and H-formation. The F-formation is when the participants stand in an O-space, and everyone has an equal right to speak. The H-formation includes head position as a factor of the study; where, a single participant faces the rest of the participants that are typically lined-up in a row. The single par-ticipant has more rights to speak than the rest. This study focuses on the H-formation with the hypothesis that it is one way to signal readiness to start a narrative, i.e.,establishes the environment to recite a narrative. Two case studies are provided in this study. Case Study I gives an example of the H-formation, wherein the specialist exerts a privileged right to talk to the novices. Case Study II illustrates an example of the F-formation, with the specialist ending up with starting the narrative to the novices, which acts as an excuse, as the specialist does not have the privileged right to talk to the novices. For one thing, the reciting of the narrative in this example only started as a response to a question from one of the novices. Additionally, the narrative including with the contraction structures by gestures giving novice the chance to notice the answer for his/her question. The results demonstrate how the type of formation relates to the construction and presentation of the specialist’s narrative. The results of the two analyses demonstrate that the formation consisted of the two types, and that participants use H-formation as a resource for establishing the environment for reciting the narrative.
著者
石丸 紀興 李 明 岡河 貢
出版者
日本建築学会
雑誌
日本建築学会計画系論文集 (ISSN:13404210)
巻号頁・発行日
vol.67, no.557, pp.339-345, 2002-07-30 (Released:2017-02-04)
参考文献数
21
被引用文献数
1 4

The activities of Kenzo Tange and their contribution to the reconstruction of Hiroshima in the period right after the war is studied in this paper. It is well known that lots of discussion about Kenzo Tange can be found so far beginning from the Peace Park of Hiroshima. Most of those discussions about Kenzo Tange were introducing his respective works or analyzing his design from a view point of the context of the history of architecture of Japan or the world. The architectural activities of Kenzo Tange in the period of reconstruction of Hiroshima are studied in this research, and not from view point of Japan or the world, his contribution to proposition of reconstruction plan and design activities is discussed considering the development of the reconstruction in that period. As the first one of a serial research, more detailed discussion about the land use plan proposed by Kenzo Tange is performed in this paper based on investigation of the literatures. Firstly, the decision process of the reconstruction plan of Hiroshima is studied and some confirmation and complementation about the contribution of Kenzo Tange to this plan are presented. Secondly, as for the discussion about the proposition of Kenzo Tange to the reconstruction plan, his contribution to the Functional Area Principle is studied.
著者
亀井 昌代 桑島 秀 片桐 克則 平海 晴一 佐藤 宏昭 小田島 葉子
出版者
一般社団法人 日本耳鼻咽喉科学会
雑誌
日本耳鼻咽喉科学会会報 (ISSN:00306622)
巻号頁・発行日
vol.123, no.7, pp.580-585, 2020-07-20 (Released:2020-08-06)
参考文献数
13

集音器はあくまで「家電製品」として販売されており, 管理医療機器である補聴器とは異なる. われわれは, 補聴器2機種と通信販売されている集音器2機種の4機種について周波数特性を測定し, 20~22歳の若年者と41~55歳の壮年者の健聴被験者に対して客観評価, 印象評価について検討した. その結果, 集音器の周波数特性は, 語音聴取に必要な特性ではなく, リニア増幅で出力も 100dB SPL を超えるため短時間の会話でも聴取時間によっては騒音性難聴の危険があることが分かった. 補聴器の周波数特性は各種聴力検査の結果を基に調整を行い, また出力制限は症例に応じて調整可能で騒音性難聴の危険はない. 雑音下語音明瞭度は, 補聴器が集音器に比較し有意に高値であったが, 印象評価では集音器が良い傾向であった. したがって, 補聴器は印象評価が集音器に比較し低い傾向があるが, 十分な調整と補聴リハビリテーションをすることにより聞き取れ, 集音器は聞き心地がよく聞こえた感じはあるが聞き取れているわけではないことが分かった.
著者
Kyosuke Kawano Ryoko Oda Atsushi Inagaki Makoto Nakayoshi
出版者
Meteorological Society of Japan
雑誌
SOLA (ISSN:13496476)
巻号頁・発行日
vol.16, pp.192-197, 2020 (Released:2020-10-29)
参考文献数
23

The thermal stress along a marathon course in Tokyo is evaluated using a radiation balance model. The wet-bulb globe temperatures (WBGTs) for runners and spectators are calculated based on the surrounding building and tree geometries using the Solar LongWave Environmental Irradiance Geometry model. Analysis is conducted in terms of summer days in August 2018, which was during the hottest summer in the past 5 years. The WBGT classification for runners along the outward leg (until around 14 km) reaches the “Warning” level (WBGT = 26.5°C) despite of the many shadows on the street in the early morning (until 0645 JST). The WBGT increases around the Imperial Palace because the road has a sky view factor of over 95%, and no obstacles to make shadows on the street at around 0750 JST. The WBGT classification for runners reaches the level of “Severe warning”. For spectators, the difference of average WBGT from the runners are about 0.1°C although the difference could be significant locally due to partial shading on a road side.
著者
Hiroshi G. Takahashi Takuya Yamazaki
出版者
Meteorological Society of Japan
雑誌
SOLA (ISSN:13496476)
巻号頁・発行日
vol.16, pp.206-211, 2020 (Released:2020-11-04)
参考文献数
15
被引用文献数
2

This study investigated the impact of sea surface temperature (SST) on a snowfall event of late January 2018 on Kanto, Honshu, Japan, associated with an extratropical cyclone (south-coast cyclone) along the Pacific side, during the Kuroshio large meandering period by a regional atmospheric model. We addressed SST impacts on the snowfall event under almost the same synoptic-scale conditions, such as extratropical cyclone, in a framework of lateral boundary forcing. We conducted control experiments (KLM) with SST of the Kuroshio large meandering, and sensitivity experiments (NKLM) prescribed non-Kuroshio large meandering SSTs. Observational results showed that SST anomalies south of Tokai, and east of northern Kanto and Tohoku could be candidates to modify a snowfall event. As simulated results, timings of snowfall and precipitation associated with the extratropical cyclone was reproduced. Unlike what has been suggested, the SST impact south of Tokai on snowfall was not clear. However, the SST east of northern Kanto and Tohoku showed a significant impact. This impact was explained by southward advection of modified air-mass from east of northern Kanto and Tohoku. Additional sensitivity experiments supported this result. This study implies the importance of the SST anomaly east of northern Kanto and Tohoku for snowfall in Tokyo.
著者
望月 眞弓 初谷 真咲 六條 恵美子 有田 悦子 橋口 正行 清水 直容 竹内 正弘 山本 信夫 秋葉 保次
出版者
公益社団法人 日本薬学会
雑誌
YAKUGAKU ZASSHI (ISSN:00316903)
巻号頁・発行日
vol.124, no.12, pp.989-995, 2004 (Released:2004-12-01)
参考文献数
24
被引用文献数
7 18

We conducted a randomized, controlled study to evaluate whether pharmacists' advice on smoking cessation would result in a higher smoking cessation rate using Nicorette (nicotine gum preparation). Fourteen pharmacies in Tokyo, Kanagawa, and Nagano participated. Smokers who visited pharmacies to buy Nicorette from March 1, 2002, through August 31, 2002, were recruited and randomly assigned to two groups. For the intervention group (A), pharmacists provided both regular instructions on Nicorette use and smoking cessation advice at the first sale and then gave follow-up advice just before starting a cessation and 1, 3, and 8 weeks and 3 months thereafter. For the control group (B), pharmacists provided regular instructions alone. The primary outcome measure was the self-reported smoking cessation rate and the secondary outcome measure was the relationship between the smoker's egogram and effectiveness of intervention. Twenty-eight smokers were enrolled and randomized into group A (n=11) or group B (n=17). The absolute abstinence rate in groups A and B at 3 months was 45.5% and 31.2%, respectively. The odds ratio was 1.83, which was not statistically significant. There was no difference in egogram score between absolute abstinence subjects and nonabstinence subjects in group A. The egogram scores in Adapted Child of absolute abstinence subjects in group B were significantly higher than in nonabstinence subjects. In conclusion, instructions and advice given by pharmacists may improve the smoking cessation rate in smokers receiving nicotine replacement therapy.
著者
谷口 正実
出版者
一般社団法人 日本内科学会
雑誌
日本内科学会雑誌 (ISSN:00215384)
巻号頁・発行日
vol.95, no.1, pp.148-157, 2006-01-10 (Released:2008-12-12)
参考文献数
33
被引用文献数
3 4 2

NSAID不耐症は, 気道型と皮膚型に分かれる. 前者は, いわゆるアスピリン喘息 (NSAID過敏喘息) であり, プロスタグランディン合成酵素であるシクロオキシゲナーゼ (COX) 阻害作用を持つNSAIDsにより, 強い喘息発作と鼻症状をきたし, 成人喘息の約10%を占める. 一方, 皮膚型は, 慢性蕁麻疹患者に合併しやすい. NSAID過敏喘息の典型的臨床像は, 成人後に発症する非アトピー型重症喘息で, 好酸球性鼻茸副鼻腔炎を合併し, 嗅覚低下を伴うことである. また好酸球浸潤性の中耳炎や胃腸炎を合併することもある. その特徴的病態として, システイニルロイコトリエンの過剰産生があり, 鼻茸副鼻腔がその産生源として重要である. またCOX2阻害薬は安全に使用できることが多くの報告で確認され, 本症の本態は, COX1阻害薬過敏と考えられつつある. 臨床上注意すべき点として, 問診にてもNSAIDs誘発歴の無い症例が少なくないこと, 発作増悪しうるNSAIDsは, あらゆる剤型 (内服や坐薬だけでなく, 貼付, 塗布薬など) が含まれること, 静注用ステロイドの急速静注で発作が増悪しやすいこと, などが挙げられる.