著者
Masato Ogawa Tsuyoshi Matsumoto Risa Harada Ryo Yoshikawa Yuya Ueda Daiki Takamiya Yoshitada Sakai
出版者
The Japanese Association of Rehabilitation Medicine
雑誌
Progress in Rehabilitation Medicine (ISSN:24321354)
巻号頁・発行日
vol.8, pp.20230008, 2023 (Released:2023-03-11)
参考文献数
26
被引用文献数
4

Objectives: Measurement of skeletal muscle using ultrasonography (US) has received considerable attention as an alternative method of muscle assessment. However, intra- and inter-rater reliability remains controversial. Furthermore, there is no consensus regarding the relationship between muscle assessment using US and muscle mass or physical assessment. We aimed to verify the validity and reliability of muscle measurements using US and its relationships with muscle strength and physical assessment.Methods: The 22 participants were all healthy men. Quadriceps muscle thickness was measured by US by three different raters. Intraclass correlation coefficient (ICC) was used to assess inter- and intra-rater reliability. The maximum isokinetic strength of the quadriceps and handgrip strength were used as measures of lower and upper muscle strength, respectively. Leg muscle mass was assessed using the leg skeletal muscle index (SMI), measured by body impedance analysis, and calf circumference.Results: The intra-rater reliability was excellent which the ICC(1,1) ranges 0.957-0.993, and ICC(1,3) ranges 0.985-0.998. For inter-rater reliability, the values of 0.904 for ICC(2,1) and 0.966 for ICC(2,3) indicated excellent reliability. Leg SMI was significantly correlated with quadriceps thickness (r=0.36). Maximum isokinetic strength and handgrip strength showed weak but statistically significant correlations with quadriceps thickness (r=0.20, r=0.30, respectively). The correlation between quadriceps thickness and calf circumference was not statistically significant.Conclusions: Quadriceps muscle assessment using US is a valid and reliable technique for healthy individuals. Quadriceps muscle thickness was significantly positively correlated with upper and lower muscle strength and leg SMI. Muscle thickness assessment could replace full body muscle assessment in clinical settings.
著者
岡垣 篤彦 定光 大海
出版者
一般社団法人 日本医療情報学会
雑誌
医療情報学 (ISSN:02898055)
巻号頁・発行日
vol.39, no.4, pp.179-188, 2020-04-20 (Released:2021-04-26)
参考文献数
15

南海トラフ地震は今後30年以内に80%の確率で発生するといわれている巨大地震である.この地震では医療機関も大きな被害を受けることがわかっており,われわれはこれまで医療機関の被災予測とそれに基づいたDMAT派遣計画の立案を行ってきた1,2).医療および介護療養施設の入床者は患者搬送や避難に特別な配慮が必要となるが,これまで療養病床についての分析や避難,搬送対策は行われてこなかった.今回われわれは療養施設における被災予測を作成した.被災が予想される医療,介護施設の病床数の約20%を療養病床が占めることが明らかとなった.被災率の少ない自治体では近隣への移送が可能と考えられるが,被災すると予測される病床が40%を越えると予測される県が8つに及んでおり,これら甚大な被害を受ける地域では遠距離への移送を行う必要があることが分かった.療養病床は制度の変更に伴い再編成が進んでいるが,引き続き療養施設の動向を把握し,避難対策を立案しておく必要があると考える.
著者
篠 力 伊藤 信一
出版者
Meeting of Osaka Dermatological Association
雑誌
皮膚 (ISSN:00181390)
巻号頁・発行日
vol.21, no.3, pp.309-318, 1979 (Released:2010-06-04)
参考文献数
9

非炎症性疾患の正常部位に2, 3の界面活性剤を生検, 切除前にclosed patch testを行い, 組織学的観察を行った。アニオン活性剤ラウリル硫酸ナトリウムはその強い角層親和性により, 低濃度では表皮, 真皮への影響は少いが, 5%の高濃度では細胞障害がおこる。ポリペプタイドヤシ脂肪酸力リウムは高濃度でも皮膚に影響がない。カチオン活性剤ベンザルコニウムクロライドは強い障害を皮膚にあたえる。非イオン活性剤ポリオキシエチレンラウリルエーテルは表皮細胞の障害は少いが, 真皮の血管に影響があり, その強い滲透性を暗示する。両性活性剤2ウンデシル1-ハイドロキシエチルイミダゾリンベタインは表皮表層に極めて軽度の影響をみるが, 炎症反応は見られなかった。以上反応にニュアンスの違いはあるが, いづれも一次刺激反応のカテゴリーに入るものであった。
著者
Yuji Okura Kazuyuki Ozaki Hiroshi Tanaka Tatsuya Takenouchi Nobuaki Sato Tohru Minamino
出版者
The Japanese Circulation Society
雑誌
Circulation Journal (ISSN:13469843)
巻号頁・発行日
pp.CJ-19-0426, (Released:2019-09-18)
参考文献数
98
被引用文献数
10 10

Onco-cardiology, a new academic field, aims to improve the quality of life and prognosis of cancer patients and survivors with cardiovascular diseases (CVD). With the aging of the population, an epidemic of cancer with CVD is emerging in developed countries. Cancer and CVD share risk factors, pathophysiology, treatments, and preventive and rehabilitative measures. A multidisciplinary team-based approach is needed to support cancer treatment to maximize its effectiveness and minimize its cardiotoxic potential. Basic and clinical onco-cardiology are already being practiced harmoniously. However, systematization in academia and clinical practice and accumulation of evidence have just started. In this review, we present the epidemiology, common risk factors between cancer and CVD, future epidemic of CVD in patients with cancer, and the necessity for an onco-cardiological approach to managing the burden of CVD in cancer patients and survivors.
著者
鄭 雅誠 森 恵莉
出版者
公益社団法人におい・かおり環境協会
雑誌
におい・かおり環境学会誌 (ISSN:13482904)
巻号頁・発行日
vol.53, no.3, pp.178-182, 2022-05-25 (Released:2022-05-26)
参考文献数
30

本邦の嗅覚診療で現在保険適応となっている嗅覚検査は基準嗅力検査と静脈性嗅覚検査の2つである.静脈性嗅覚検査は1960年に提唱され,世界でも最古の部類に属する長く続けられている嗅覚検査であり,静脈ににおい物質を注入する,日本独自の検査方法である.これに対してにおい物質を嗅がせる嗅覚検査は,長らく各施設ごとに独自の形式が取られており,1956年に統一された聴力検査法と比較して,嗅覚検査の統一は遅れていた.嗅覚検査の統一基準を作るべく,1971年に研究班が設置され,日本人になじみのある「基準臭」が1973年に発表された.1978年には今日臨床で使用されている基準嗅力検査が制定され,以降40年以上にわたって静脈性嗅覚検査とともに,嗅覚の保険適応検査として使われ続けている.その後,基準嗅力検査の問題点である室内空気の汚染の改善や検査の定量化を目的に噴射式基準嗅力検査が1996年に発表されたが,検査装置製造中止のため現在は入手困難である.また,海外では検査手順簡略化や室内空気汚染対策としてマイクロカプセル技術を用いた嗅覚検査UPSITが1984年に発表され,本邦でも同技術を使用したスティック型嗅覚同定検査が2006年に発表された.スティック型嗅覚同定検査はマイクロカプセルに内包されたにおい物質をスティック状に加工し,パラフィン紙にその都度塗布して検査を行うが,その煩雑性と不定性,冷蔵保存の必要があったことから,2008年には紙を擦るだけのカード型嗅覚同定検査が発表された.このような嗅覚検査を組み合わせて臨床では嗅覚診療を行うが,嗅覚検査結果と患者本人の自覚的な嗅覚症状が乖離することも多く,嗅覚専門外来では自覚症状の評価のためにVAS : visual analogue scaleや日常のにおいアンケートも併用されることが多い.近年では好酸球性副鼻腔炎やCOVID-19の増加から,嗅覚診療の注目度や重要性も上がってきている.
著者
松永 寛明
出版者
日本犯罪社会学会
雑誌
犯罪社会学研究 (ISSN:0386460X)
巻号頁・発行日
vol.25, pp.86-102, 2000

This study analyzes the relationship between the abolition of punishment in public space and social changes in Japan. Penal system in Edo period functioned to maintain the status order and then punishing people in public was indispensable to restore broken status order because symbolic event of violence to the offender's body revived social consciousness of the large social distance between offender and victim. Modernization and collapse of status order in Meiji period forced feudal penal system changed. Punishment vanished from public place because of Ritsu-ryou system introduced. The system was soft on criminals but it is not very important. Behavior and consciousness of intellectuals and statesmen who aspire to rationalize penal system represented a more important factor that they reflected changing social order; punishment in public space had been invested with a "punishment" meaning for rigid status order existing and it became a cruel behavior when status order collapsed. As a consequence, the feudal relics had been abolished in twelve years.
著者
根占 献一
出版者
イタリア学会
雑誌
イタリア学会誌 (ISSN:03872947)
巻号頁・発行日
no.43, pp.1-27, 1993-10-20

Il mio saggio presenta, per la prima volta in giapponese, il contenuto quasi intero del dialogo De libertate, molto important e tipicamente rinascimentale, che fu scritto nel periodo del passaggio dal comune al principato. L'autore, Alamanno Rinuccini(1426-1499), visse nella societa fiorentina molto complessa, 'come ci insegnano vari studi recenti. Allievo dell'Argiropulo(l'esule greco e professore di filosofia greca nello Studio fiorentino) e notevole studioso dei greci, tradusse in latino e dedico a Cosimo, Piero e Lorenzo de'Medici le Vite di Plutarco. Ebbe importanti incarichi pubblici e diplomatici : gonfaloniere veduto di Giustizia nel'71, ufficiale dello Studio a Firenze nel '73 e ambasciatore a Roma presso Sisto IV nel '75-'76. Cercando cosi 'duplex foelicitatis genus', fu amico dei letterati e filosofi intorno agli uomini potenti e collega dei magistrati illustri al servizio dello stato. Nel '78 ci fu la congiura dei Pazzi. In questo momento esplose anche il suo malcontento di molti anni per il sorgere della signoria medicea e spero fervidamente nel loro successo. L'anno seguente scrisse il De libertate ed espresse le sue idee antimedicee. Nel dialogo discorrono i tre interlocutori, Aliteo (il veridico), Eleuterio (l'uomo libero, Rinuccini stesso) e Microtoxo (di poco ingegno, non si accorge della perdita della liberta), in una villa fuori dalla Citta di Firenze, dei congiurati antichi e contemporanei. Per natura, Aliteo e l'esaltatore della liberta e dell'attivita pubblica e politica. Ma deve riconoscere le ragioni dell'Eleuterio, che lo invita a considerare l'unica liberta che sia attualmente possibile, cioe quella della vita solitaria. Innamorato dei classici da Platone e Aristotele a Cicerone a Plutarco, il Rinuccini fu uno dei testimoni piu malinconici della crisi della Florentina libertas a causa dello svuotamento delle istituzioni tradizionali.