著者
小野寺 克洋 玉田 勉 村松 聡士 村上 康司 奈良 正之 小松 理世 小林 誠 山田 充啓 杉浦 久敏 一ノ瀬 正和
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.105, no.3, pp.540-546, 2016-03-10 (Released:2017-03-10)
参考文献数
8

38歳,女性.多関節痛を自覚後,急速にぶどう膜炎,発熱,咳嗽,体重減少,肺門リンパ節腫脹などを認め,気管支鏡検査,ガリウムシンチなどでサルコイドーシスと診断した.急性サルコイドーシスのLöfgren症候群のうち結節性紅斑を伴わないvariant formが考えられた.全身ステロイド治療を開始し症状は速やかに改善した.本症候群は本邦で稀であり,全身症状の強いサルコイドーシスでは鑑別に挙げる必要がある.
著者
楢原 理恵 島田 凉子
出版者
日本心身健康科学会
雑誌
心身健康科学 (ISSN:18826881)
巻号頁・発行日
vol.8, no.2, pp.124-129, 2012

本研究の目的は,3交代制看護師のバーンアウトの重症度別の心身の症状の違いを明らかにし,看護師のバーンアウトの早期発見および対策についての示唆を得ることである.<br>総合病院の3交代制看護師133名に質問紙調査を実施した.調査項目は,精神健康調査票 (The General Health Questionnaoire以下GHQ30とする),Maslack Burnout Inventoryの日本語版 (以下MBIとする),職務意識の低下度とした.有効回答98名 (73.7%) を分析対象とした.バーンアウトの重症度として,バーンアウトが重症化するに従って職務意識も低下する<sup>1)</sup>との前提に基づいた先行研究での結果を本研究においても検証した上で,職務意識の段階を「バーンアウトの軽度・中等度・重度」と仮定した.バーンアウトの重症度と看護師の心身の症状の関連については,GHQ30下位尺度と情緒的消耗感の得点をピアソンの積率相関係数を算出した.その結果,「バーンアウトの軽度」には「身体症状」と有意な正の相関,「バーンアウトの中等度」にはGHQ30下位尺度全ての心身の症状との有意な正の相関,「バーンアウトの重度」には,「精神・神経症状」のみが有意な正の相関を認めた.よって,バーンアウトの早期発見や離職防止においては,看護師の身体症状に着目することが有効であることが示唆された.
著者
諏訪 仁 大塚 清敏 野畑 有秀 久保 智弘 宮城 洋介 棚田 俊收 中田 節也 宮村 正光
出版者
日本地球惑星科学連合
雑誌
日本地球惑星科学連合2018年大会
巻号頁・発行日
2018-03-14

2014年の御嶽山では死傷者を出す火山噴火が発生し、それを機に火山災害への関心が急速に高まっている。最近でも、草津白根山が小規模噴火を起こし死者が発生した。一方、富士山の宝永噴火のような大規模噴火を想定したとき、火口周辺の噴石などに加えて、降灰が首都圏を含む広範囲に及ぶと予想されている1)。降灰の建物への影響に着目すると、降灰荷重による屋根のたわみや崩落、空調用室外機などの空調効率の低下や腐食、目詰まりによるフィルタの交換時間の短縮など、さまざまな被害状態が懸念される。このため、筆者らは、それらを統合的に評価するため、降灰被害予測コンテンツの開発を行っている2)。本研究では、建物の空調機能を維持するために重要となる空調用室外機を対象に、火山灰の降下直後を想定した実験を行い空調用室外機の稼働状態を検討した。 降灰深が約50mmまでの実験結果をまとめると、降灰深の増加に伴い熱交換器のフィンに火山灰が付着して通風抵抗が増加し、ファン運転電流にわずかな上昇が見られた。しかし、湿潤状態で降灰深が約50mmのケースを除くと、空調用室外機はほぼ正常に稼働することを確認した。今後は、病院、庁舎など重要施設を対象に、降灰深に応じた建物機能への影響事例を作成し、自治体など防災担当者を支援するための情報ツール開発に繋げる予定である。【参考文献】1)富士山ハザードマップ検討委員会、2004、2)文部科学省:次世代火山研究・人材育成総合プロジェクト
著者
長谷川 長一
出版者
日本セキュリティ・マネジメント学会
雑誌
日本セキュリティ・マネジメント学会誌 (ISSN:13436619)
巻号頁・発行日
vol.33, no.1, pp.37-42, 2019-05-31 (Released:2019-12-25)
参考文献数
7

サイバーセキュリティ人材育成は、情報技術の発展等により、その重要性がますます増している。しかし、 サイバーセキュリティ人材といっても、その業務や役割は多種多様である。また、実践的人材を育成するた めには、経験学習や振り返り学習による育成が欠かせない。それらの様々取り組みの実例をもとに、実践的 サイバーセキュリティ人材の育成のありかたや今後の展望について解説していく。

1 0 0 0 OA III.RS3PE症候群

著者
藤尾 圭志
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.106, no.10, pp.2131-2135, 2017-10-10 (Released:2018-10-10)
参考文献数
10
被引用文献数
1

RS3PE(remitting seronegative symmetrical synovitis with pitting edema)症候群は,両手,両足の圧痕性浮腫を最も特徴的な症状とし,突然発症の多関節炎,高齢者,リウマトイド因子(rheumatoid factor:RF)陰性,骨レントゲン上骨びらんを認めない,といった臨床的特徴を呈する疾患である.高齢発症のRF陰性の関節炎を呈する患者の鑑別疾患の1つとして常に挙げられる疾患であるが,明確な分類基準が存在しないために除外診断が中心となる.また,明確なリウマチ性疾患にRS3PE症状が併存した場合には,リウマチ性疾患にRS3PE症状が合併したとする立場もある.本稿では,RS3PE症候群について現況での知見を紹介する.

1 0 0 0

著者
新潮社 [編]
出版者
新潮社
巻号頁・発行日
vol.25(2), no.254, 1991-02
著者
大山 小夜
出版者
京都大学文学部社会学研究室
雑誌
京都社会学年報 : KJS = Kyoto journal of sociology
巻号頁・発行日
no.5, pp.195-214, 1997-12-25

This article deals with one of the major social problems in Japan which sociologists have both individually and systematically paid little attention to: the increase of multiple-debtors, those who borrow money from various kinds of lenders. This article aims to provide a broader contextual picture behind this social problem, from which further empirical investigation can be carried out. I have collected and analyzed the available statistical data from three main sources: creditors, borrowers, and court records. In my conclusion, I suggest that we specify the conditions and processes of the problematic situation. Firstly, I examine the development of the consumer credit market, based on the data from the annual report "Consumer Credit Statistics of Japan", edited by the Japan Consumer Credit Industry Association. Consumer credit institutions have succeeded in granting large sums of credit, particularly since the oil crisis of the mid-1970's, focusing on high-interest consumer finance. As a result, outstanding credit has grown into a large burden of debt on consumers. Secondly, I make a chronological and cross-sectional analysis of borrowers by using the Annual Report on National Accounts and the Annual Report on the Family Income and Expenditure Survey, both published by the Japanese Government. The use of credit has spread rapidly throughout national households, in contrast to the decrease in disposable income and savings. A large propotion of many peoples' income is now used to pay off debt, such as housing loans, loan repayment installments, revolving and lump sum credit, consumer finance and so on. Thirdly, I clarify the recent growth of consumer bankruptcy, referring to the public records from the Annual Report of Judicial Statistics, issued by the Japanese Supreme Court. Using this data, this article shows various trends over the course of the last five decades. It demonstrates for the initial period that the total number of bankruptcy petitions did not pass ten thousand before the early 1980's. By contrast, although a slight decrease can be observed in the data for the mid and late 1980's, the data for the 1990's portrays a steady rise, peaking with the figure for 1996, when more than fifty thousand petitions were filed. Finally, after contextualizing the increase of these multiple-debtors into the three trends as stated above on a macro-quantitative level, I conclude that the research in this area needs to move away from the simple explanation of this social problem in terms of individual skills as regards money management, and move onto the specification of the conditions and processes under which people get into trouble with debt, as well as how the system of credit has developed during the postwar period.
著者
大山 小夜
出版者
京都大学文学部社会学研究室
雑誌
京都社会学年報 : KJS = Kyoto journal of sociology
巻号頁・発行日
no.6, pp.113-137, 1998-12-25

This article is an ethnographic study of the process and structure of the activity of a self-help society. This society is organized by lawyers, judicial scriveners, consumer consultants, and consumers who find it difficult to meet their debts with their income. It was established in 1997 with the aim of helping such debtors clear their debt, in doing so, recovering self-confidence, and restoring the quality of their lives. I discuss the meaning of such self-help activity for debtors, as I specify the historical, interactional and structural features of the society. The first section contextualizes the group concerned within a broader social context, examining how the social movement for debtors has developed in Japan since 1977. The second section describes the interactional processes between people at the "regular meeting". The meeting, which is held from 1 pm to 5 pm twice a month, is composed of four parts: presenting oneself, a lecture, an individual consultation, and the exchange of results and impressions. This section profiles the debtors who come to the society for help, and gives a description of their legal status. The third section analyzes how the people commit themselves to the society, as a social world, from three angles: financial, human, and the practical business information. The financial report informs us that this society is jointly funded by membership fees and contributions collected from experts. Two existing networks of judicial scriveners and consumer consultants form the manpower foundation of the society. All the members work out various strategies to mobilize newcomers. A 'new staff chart' shows the distribution of work, which gives each member a role in the society. Inside and outside the group, experts exchange their knowledge and skills to clear the consumers' debts. They make further requests to the authorities to control creditors in order to allow the smooth settlement of debt. The final section summarizes the characteristics of their activity, and implies that debtors can get the opportunity to reconstruct their everyday reality and to change their lives through participation in the self-help society.
著者
越智 敏之
出版者
英米文化学会
雑誌
英米文化 (ISSN:09173536)
巻号頁・発行日
vol.29, pp.59-72, 1999-03-31 (Released:2017-06-20)

Medical theories during Elizabethan period were based upon the medieval physiological concept of four humors. It was then believed that the macrocosm as well as the microcosm was fundamentally composed of the four elements - air, fire, water, and earth, while the microcosm (human body) had four humors - blood, yellow bile, phlegm, and black bile, each being thought to correspond with each of the four elements: for example, blood corresponds with air. Diseases were thought to be the result of the imbalance of these four humors. The humor doctrine was dominant not only in medical theories, but in the field of culinary art. Every foodstuff, as it is a part of the macrocosm, was also believed to be composed of the same four elements, each of which, when ingested, turn to each of the four humors. Consequently, it was understood that, if a body is short of blood, a foodstuff full of air such as milk should be taken. This tells us that the Elizabethans believed the microcosm could be a part of the macrocosm through the act of eating - you are what you eat. In Macbeth there are so many metaphors expressing inability to eat, and in the 'Banquet Scene' all the guests cannot eat because they are hosted by the mad king. To my thinking, when Macbeth shouts, "let the frame of things disjoint, both the worlds suffer," Shakespear dramatized the total collapse of the two cosmos that was in one through the act of ingestion.
著者
石橋 敬太郎
雑誌
言語と文化 (ISSN:13475967)
巻号頁・発行日
vol.3, pp.1-8, 2001-01-31

Critics tend to examine if witchcraft in Macbeth reflected real 'evil' in Jacobean England. As for this problem, Peter Stallybrass concludes that the witchcraft was not a reflection of a real 'evil' but the social strategy to strengthen the patriarchy of King James. James was a deputy of God, and needed witches as his enemy so that he could control his society. His conclusion seems to be influential in understanding this play. The problem is that Macbeth and Banquo regard witchcraft as an illusion, and are skeptical about witchcraft beliefs. Their skepticism means subversion of the James's constitution. In fact, the development of modern scientific ideas in this period encouraged scientists to subvert the idea of occult philosophy, which supported the politics of Renaissance England. This modern science also threatened the government control over the society. Jean Bodin, a politic theorist, and James found the religious and political subversion in the revolutionary awareness of the scientists, and suppressed them. Two kinds of attitudes to the witchcraft belief conflicted between the government and modern scientists in the period when Shakespeare wrote Macbeth. The dramatist presented this conflict in the play through the action of Macbeth. He questioned the politics of James. The present paper examines the witchcraft belief in Macbeth, considering the development of modern science from empiric science in the 1580s to the experimentalism Francis Bacon proposed in his essay in 1620. It may be given as a conclusion that the play shows that the protagonist always threatened the politics of James by doubting the witchcraft beliefs in the period.
出版者
北方ジャーナル社
巻号頁・発行日
0000
著者
土田 孝之 武田 正之 宮本 達也 小林 英樹 中込 宙史 芳山 充晴
出版者
山梨大学
雑誌
基盤研究(C)
巻号頁・発行日
2011

間質性膀胱炎に対して、ブシ末(トリカブト)中心とした漢方を処方した。3年間継続治療をして、副作用なく効果は持続している。低侵襲性で患者への貢献度は高い。また、ボツリヌス毒素の膀胱筋層内注入療法は10回以上繰り返しても、副作用、効果の減弱は認めない。また膀胱上皮細胞の伸展刺激におけるATP放出の分子メカニズムを、細胞内小胞へのATPの蓄積ならびに開口放出の視点から捉え、ボツリヌス毒素はこのATP放出を抑制する。膀胱痛症候群(PBS)の動物モデルにおいて、脊髄神経膠星状細胞(アストロサイト)の顕著な活性化が示された。マウスの実験でアストロサイトの活性化を漢方のブシによって抑制することが可能。
著者
安東 茂典
出版者
一般社団法人 日本航空宇宙学会
雑誌
日本航空宇宙学会誌 (ISSN:00214663)
巻号頁・発行日
vol.46, no.532, pp.289-295, 1998-05-05 (Released:2010-12-16)
参考文献数
6

This paper is an important supplement of the previous one, titled as “A systematic computation scheme for PAR-WIG cruising design point.” The motive is one point—upper limit of aspect ratio of WIG main wing on which sufficient PAR effect can appear at take-off. Previously this fact was described only qualitatively without any FORTRAN computation, and thus aspect ratio of 6.0 was recommended somewhat arbitrarily. The main purpose of this paper is to clarify this point. Accompanying this, some other requirements on geometry of main wing of WIG are obtained.