著者

渡部 一宏 戸田 潤

出版者

公益社団法人 日本薬剤学会

雑誌

薬剤学 (ISSN:03727629)

巻号頁・発行日

vol.74, no.3, pp.172-175, 2014 (Released:2014-11-01)

参考文献数

4

著者

河本 光平 坂口 麻理子 島野 卓史 宮本 真 馬場 奨 高田 洋平 濱田 聡子 河内 理咲 尹 泰貴 林 佑伊子 朝子 幹也 友田 幸一

出版者

耳鼻と臨床会

雑誌

耳鼻と臨床 (ISSN:04477227)

巻号頁・発行日

vol.59, no.6, pp.260-274, 2013-11-01 (Released:2014-11-01)

参考文献数

26

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スギ花粉症の患者に対して第 2 世代抗ヒスタミン薬を問診表を用いて選択させた報告では患者満足度はのきなみ高く、患者参加型医療は満足度を向上させ、ひいてはアドヒアランス向上につながることを示唆している。今回われわれは、スギ花粉症の診断から薬剤選択までの作業に患者が参加できるような問診表を作成し、2011 年のスギ花粉症に対して使用し、アンケート調査も行った。実際に鼻アレルギー診療ガイドラインどおりに薬剤が処方されたのは約 55%の患者であった。41.2%の患者はガイドラインの重症度分類を認知しており、35.3%の患者は重症度に応じて推奨薬剤が異なることを知っていた。 64.7%の患者は自分で薬剤を選択できてよかったとした。総合的な満足度では「やや満足」、「満足」以上で 100%という評価であり、このような薬剤自己選択式問診表はスギ花粉症患者の満足度を向上できることが示唆された。

著者

上田 悦紀

出版者

一般社団法人 日本風力エネルギー学会

雑誌

風力エネルギー (ISSN:03876217)

巻号頁・発行日

vol.35, no.4, pp.92-93, 2011 (Released:2013-10-11)

著者

Shigetsugu Tsuji Atsushi Nohara Yoshiaki Hayashi Isao Yoshida Rie Oka Tadashi Moriuchi Tomomi Hagishita Susumu Miyamoto Ayako Suzuki Toshihide Okada Masakazu Yamagishi

出版者

一般社団法人 日本動脈硬化学会

雑誌

Journal of Atherosclerosis and Thrombosis (ISSN:13403478)

巻号頁・発行日

pp.25825, (Released:2014-10-23)

参考文献数

42

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Aim: The role of gastrectomy in glycemic control has been established in the current era of bariatric surgery for obesity. Gastrectomy in obese patients is associated with increased levels of high-density lipoprotein cholesterol (HDL-C). However, limited data on the effects of gastrectomy in nonobese patients are available. We herein investigated the long-term plasma lipid changes in nonobese patients who had undergone gastrectomy. Methods: Patients were enrolled as part of routine healthcare examinations from 1984 to 2003. Preoperative and postoperative data from patients who had undergone curative gastrectomy were analyzed for up to 10 years postoperatively. Three age- and sex-matched controls were assigned to each case. Results: Sixty-four nonobese patients without diabetes mellitus or a history of having taken lipidlowering drugs who underwent curative gastrectomy during the study period were enrolled (60 subtotal gastrectomies, four total gastrectomies). The median follow-up period was 7.6 years. The mean body mass index was 9.6% lower one year after gastrectomy (p<0.01), then plateaued with a slight recovery. Intriguingly, the preoperative HDL-C level was 21% higher one year after gastrectomy (p<0.01), increased by another 30% six years after gastrectomy and remained at this level for the rest of the follow-up period. No significant changes in the HDL-C level were observed in the controls. The degree of HDL-C elevation was consistently significant, irrespective of the baseline triglyceride level, HDL-C level or body weight. Conclusions: Gastrectomy in nonobese patients was associated with consistent and distinct long-term HDL-C elevations and body mass index reductions.

著者

河本 大地

出版者

公益社団法人 東京地学協会

雑誌

地学雑誌 (ISSN:0022135X)

巻号頁・発行日

vol.117, no.3, pp.xiii-xiv, 2008-06-25 (Released:2010-05-14)

著者

建宮 実和

出版者

日本静脈経腸栄養学会

雑誌

静脈経腸栄養 (ISSN:13444980)

巻号頁・発行日

vol.29, no.5, pp.1171-1176, 2014 (Released:2014-10-20)

参考文献数

6

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地域で食支援を行なう訪問看護ステーションを開設した。 「多職種連携」という言葉が聞かれるようになってから久しいが、あなたの住んでいる、もしくは働いている地域で「顔の見える関係」とは、構築されているだろうか。あなたの大切な人が倒れたとき、あなたが老いた時、どんなケアが、どんな場所で、誰に依って提供されるだろうか。地域連携の栄養管理を行う上で、看護師はどのような役割を果たせば良いのだろうか。実践を始めたばかりではあるが、NST専門療法士の資格が、地域連携においてどのようにいかされるか、ステーションでの実践を通して考察する。

著者

関 陽太郎 奥村 公男

出版者

Japan Association of Mineralogical Sciences

雑誌

岩石鉱物鉱床学会誌 (ISSN:00214825)

巻号頁・発行日

vol.60, no.1, pp.27-33, 1968-07-05 (Released:2008-08-07)

参考文献数

8

被引用文献数

4 4

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宮城県鬼首地熱地帯に地熱開発のためにほられたボーリングのコアから湯ケ原沸石が発見された。この地熱地帯は,ボーリングコアでの観察によると,深部から浅部にむかって,ワイラカイト,ワイラカイト・ローモンタイト,ローモンタイト,モルデナイト,および無沸石の5つの帯にわけられる。湯ケ原沸石はローモンタイト帯に存在する。湯ケ原沸石のX線データを記し,あわせて湯ケ原沸石の化学成分についてふれた。

著者

永野 芳夫

出版者

一般社団法人 日本教育学会

雑誌

教育学研究 (ISSN:03873161)

巻号頁・発行日

vol.19, no.3, pp.15-27, 1952 (Released:2009-01-13)

著者

杉野 圭三 沖政 盛治 岡本 英樹 片岡 健 杉 桂二 武市 宣雄 丸林 誠二 八幡 浩 浅原 利正 土肥 雪彦

出版者

Japan Surgical Association

雑誌

日本臨床外科医学会雑誌 (ISSN:03869776)

巻号頁・発行日

vol.58, no.3, pp.502-506, 1997-03-25 (Released:2009-02-10)

参考文献数

15

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過去22年間に10例の若年者甲状腺癌を経験した.これは当科で手術を施行した甲状腺悪性腫瘍610例の1.6%である.年齢は9歳から19歳まで, 9歳の男児を除く9例は女性であった. 2例が濾胞癌, 8例が乳頭癌, T2以上の臨床癌が8例,偶発癌は2例であった.リンパ節転移は4例で, 2例がN1a, 2例がN1b, 6例はN0であった.劇症肝炎で死亡した1例を除き健存中である.

著者

吉村 芳弘

出版者

日本静脈経腸栄養学会

雑誌

静脈経腸栄養 (ISSN:13444980)

巻号頁・発行日

vol.29, no.5, pp.1235-1237, 2014 (Released:2014-10-20)

参考文献数

2

著者

Yuhei Hamasaki Yoichi Kohno Motohiro Ebisawa Naomi Kondo Sankei Nishima Toshiyuki Nishimuta Akihiro Morikawa Japanese Society of Allergology Japanese Society of Pediatric Allergy and Clinical Immunology

出版者

一般社団法人日本アレルギー学会

雑誌

Allergology International (ISSN:13238930)

巻号頁・発行日

vol.63, no.3, pp.335-356, 2014 (Released:2014-09-11)

参考文献数

52

被引用文献数

31

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The Japanese Guideline for the Diagnosis and Treatment of Allergic Diseases 2013 (JAGL 2013) describes childhood asthma after the Japanese Pediatric Guideline for the Treatment and Management of Asthma 2012 (JPGL 2012) by the Japanese Society of Pediatric Allergy and Clinical Immunology. JAGL 2013 provides information on diagnosis by age group from infancy to puberty (0-15 years of age), treatment for acute exacerbations, long-term management by anti-inflammatory drugs, daily life guidance, and patient education to allow non-specialist physicians to refer to this guideline for routine medical treatment. JAGL differs from the Global Initiative for Asthma Guideline (GINA) in that JAGL emphasizes early diagnosis and intervention at <2 years and 2-5 years of age. A management method, including step-up or step-down of long-term management drugs based on the status of asthma control levels, as in JAGL, is easy to understand, and thus the Guideline is suitable as a frame of reference for routine medical treatment. JAGL has also introduced treatment and management using a control test on children, recommending that the physician aim at complete control by avoiding exacerbation factors and by appropriate use of anti-inflammatory drugs.

著者

Azusa SOMEYA Ryuki ITO Akihiko MAEDA Mitsuhiro IKENAGA

出版者

公益社団法人 日本獣医学会

雑誌

Journal of Veterinary Medical Science (ISSN:09167250)

巻号頁・発行日

pp.14-0451, (Released:2014-10-08)

被引用文献数

3 8

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The tick is a well-known vector for arthropod-borne pathogens, such as tick-borne encephalitis, Lyme disease, Japanese spotted fever and severe fever with thrombocytopenia syndrome. It is therefore important to know the tick population and distribution in our environment and wild animals in order to prevent tick-borne diseases. Here, we report the results of tick surveillance from May to September 2011 at 14 geographical points and in 5 wild boars in Kyoto City, Kyoto prefecture, Japan. We collected 3,198 ticks comprising 5 tick species, Haemaphysalis (H.) longicornis, H. flava, H. kitaokai, Amblyomma testudinarium and Dermacentor taiwanensis. Interestingly, the proportion of tick species varied according to geographical region within the city. Ticks collected in the city were reported as potential vectors of pathogens, such as rickettsiosis. We detected rickettsial DNA by PCR in 71.1% of 201 ticks investigated. The ticks detected that carried rickettsiae were distributed across the whole the city. The sequences of PCR-amplified DNA fragments were determined and showed similarities to spotted fever group rickettsiae. Although their pathogenicity for animals including humans is still unclear, it is important to stay alert and pay attention to tick-borne diseases in order to ensure the safety of the citizens of the city as well as that of visitors.

著者

金子 勇

出版者

日本社会学会

雑誌

社会学評論 (ISSN:00215414)

巻号頁・発行日

vol.54, no.2, pp.204-206, 2003-09-30 (Released:2009-10-19)

著者

小泉 達治

出版者

日本フードシステム学会

雑誌

フードシステム研究 (ISSN:13410296)

巻号頁・発行日

vol.18, no.1, pp.2-17, 2011-06-30 (Released:2011-08-26)

参考文献数

20

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The production and utilization of biofuel is promoted in the U.S., and it is estimated that the U.S. biofuel market will continue to expand in the future. The Environmental Protection Agency (EPA) decided partially waiver to allow gasoline that contains up to 15 volume percent bioethanol (E15) for certain motor vehicles on October 13, 2010. EPA approved the waiver for 2007 and newer passenger cars, light trucks including sports utility vehicles (SUV). This study uses dynamic partial equilibrium model to examine how the increasing U.S. bioethanol blend ratio on the world corn market. The baseline projection is based on a series of assumptions about the general economy, agricultural policies, and technological growth in all countries and regions during the projection period. In addition to this, it is assumed that gasoline stations in Mid-West states would install E15 equipments for certain vehicles. This study supposes two scenarios to compare with baseline scenario. If the U.S. government doesn't grant the waiver, world corn price would decrease by 1.10% in 2011/12 and 4.14% in 2020/21. In addition to this, if gasoline stations in all U.S. states install E15 equipments, world corn price will increase by 5.03% in 2011/12 and 14.01% in 2020/21. The results of this study indicate that the increasing of U.S. bioethanol blend ratio will impact on the world corn market and their impact will increase gradually from year to year.

著者

八塚 正晃

出版者

一般財団法人 アジア政経学会

雑誌

アジア研究 (ISSN:00449237)

巻号頁・発行日

vol.60, no.1, pp.37-55, 2014-10-15 (Released:2014-10-25)

参考文献数

58

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Official Chinese Communist Party history simply indicates that Deng Xiaoping launched the open-door policy in 1978, largely discounting international factors, such as China’s joining the United Nations and China-U.S. reconciliation. With regards to the pre-1978 era, most studies focused on inter-Politburo politics, because during the Cultural Revolution power struggles often occurred among the leadership. According to the literature, the political situation after the death of Lin Biao is described as the struggle between Zhou Enlai, who aimed at economic reconstruction, and the radicals such as the “Gang of Four,” but they were under the almost complete dominance of Mao Zedong. Previous studies describe how Zhou’s economic policy was at the mercy of politics, and do not analyze his intention and policy. This article reconsiders the conception and limitation of the open-door policy which was launched as a part of Zhou’s policy, considering the importance of the changing international circumstances through analyzing a project designed to import large industrial plants from Western countries. This project was called the “4-3” development strategy, because its total projected cost was US$4.3 billion.Closer examination reveals that the industrial development strategy underlying the open-door policy was formed gradually in the early 1970s, in association with the change in the leadership’s perception towards new international circumstances. Until then, the Chinese leadership had pursued the construction of “the third front” as a preparation for war, which was a massive construction of defense and heavy industries in inland China. However, the change in the international situation in the early 1970s reduced the necessity of preparing for a war. Zhou Enlai and the bureaucrats therefore proceeded with the “4-3” development strategy as a part of a new national strategy, which included the reorganization of the bureaucracy to support the open-door policy and the shift of investment from military industry to agriculture and light industry and from inland to coastal areas. They implemented these policies through modifications of the 4th Five Year Plan.However, there was a conflict between the open-door policy and Mao’s revolutionary diplomatic strategies, despite Mao’s support for the former. The conflict came to the surface as the U.S.-Soviet détente emerged, and the pursuit of the opening was hampered. However, the open-door policy was gradually transformed into a comprehensive industrial policy. As a result, Hua Guofeng and Deng Xiaoping were able to launch a systematic open-door policy soon after Mao’s death.

著者

平吹 佳世子

出版者

特定非営利活動法人 日本医学図書館協会

雑誌

医学図書館 (ISSN:04452429)

巻号頁・発行日

vol.49, no.2, pp.160-166, 2002-06-20 (Released:2011-09-21)

参考文献数

6

被引用文献数

1 1 1

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The Keio University Library started subscribing electronic journals (e-journals) in 1998, and we had 4, 000 e-journal titles as of December 2001. However, the library has not compiled usage statistics, and the library does not have any manual of e-journals. There are many types of contracts, e. g., package, title by title, etc., and it is difficult to decide between the best choice of new e-journal products. This article describes the number of uses of IDEAL, Synergy, JBC, and PNAS packages, and some disadvantages of package contracts were discovered. The library expected that users would access a great number of titles in the package, but they only accessed a few. The library should aim to contract for titles that users want. Publishers are going to offer new products, and librarians will have to make the best decisions for users.

著者

澤 隆史

出版者

一般社団法人 日本教育心理学会

雑誌

教育心理学年報 (ISSN:04529650)

巻号頁・発行日

vol.44, pp.109-118, 2005-03-30 (Released:2012-12-11)

参考文献数

61

被引用文献数

1

著者

Antonella Paglia Laura Sasso Flora Pirozzi Angela Iannuzzi Angelo Carlomagno Pasquale Abete Mario Petretta Domenico Bonaduce

出版者

一般社団法人 インターナショナル・ハート・ジャーナル刊行会

雑誌

International Heart Journal (ISSN:13492365)

巻号頁・発行日

pp.14-159, (Released:2014-10-16)

被引用文献数

4 13

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Central aortic pressure waveform (AoPW) is the summation of a forward–traveling wave generated by the left ventricle and a backward-traveling wave caused by the reflection of the forward wave. The aim of this study was to evaluate the effect of ventricular-vascular coupling on the morphology of AoPW in chronic heart failure patients with different degrees of left ventricular systolic dysfunction (LVSD) using pulse wave analysis (PWA). PWA of AoPW and left ventricular (LV) function were evaluated by applanation tonometry in 26 control subjects, in 12 patients with left ventricular ejection fraction (LVEF) ≤ 30%, and in 14 patients with LVEF > 30%. Augmentation pressure, augmentation index, wasted energy, and ejection duration were lower in patients with LVEF ≤ 30% than in those with LVEF > 30% and in control subjects. Furthermore, augmentation index showed an inverse correlation with Doppler mitral E-wave amplitude (r = -0.40; P = 0.04) and E/A ratio (r = -0.42; P = 0.03) and a direct correlation with deceleration time of mitral E-waves (r = 0.39; P = 0.04). In patients with severe LVSD (LVEF ≤ 30%), aortic wave reflections negatively interfere with LV function and induce a shortening of ejection duration. In contrast, AoPW is similar in patients with moderate LVSD (LVEF > 30%) and in control subjects.

著者

鈴木 康弘 杉戸 信彦 坂上 寛之 内田 主税 渡辺 満久 澤 祥 松多 信尚 田力 正好 廣内 大助 谷口 薫

出版者

公益社団法人 日本地理学会

雑誌

E-journal GEO (ISSN:18808107)

巻号頁・発行日

vol.4, no.1, pp.37-46, 2009 (Released:2010-02-24)

参考文献数

16

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活断層の詳細位置・変位地形の形状・平均変位速度といった地理情報は,地震発生予測のみならず,土地利用上の配慮により被害軽減を計るためにも有効な情報である.筆者らは糸魚川-静岡構造線活断層帯に関する基礎データと,活断層と変位地形の関係をビジュアルに表現したグラフィクスとをwebGIS上に取りまとめ,「糸魚川-静岡構造線活断層情報ステーション」としてインターネット公開した.本論文は,被害軽減に資する活断層情報提供システムの構築方法を提示する.これまでに糸魚川-静岡構造線北部および中部について,平均変位速度の詳細な分布を明らかにした.この情報は,断層の地震時挙動の推定や強震動予測を可能にする可能性がある.さらに縮尺1.5万分の1の航空写真を用いた写真測量により,高密度・高解像度DEMを作成した.人工改変により消失している変位地形については,1940年代や1960年代に撮影された航空写真の写真測量により再現し,その形状を計測した.写真測量システムを用いた地形解析によって,断層変位地形に関する高密度な解析が可能となり,数値情報として整備された.

著者

Noriaki Moriyama Masaharu Ishihara Teruo Noguchi Michio Nakanishi Tetsuo Arakawa Yasuhide Asaumi Leon Kumasaka Tomoaki Kanaya Tadayoshi Miyagi Toshiyuki Nagai Takafumi Yamane Masashi Fujino Satoshi Honda Reiko Fujiwara Toshihisa Anzai Kengo Kusano Yoichi Goto Satoshi Yasuda Hisao Ogawa

出版者

日本循環器学会

雑誌

Circulation Journal (ISSN:13469843)

巻号頁・発行日

vol.78, no.6, pp.1475-1480, 2014 (Released:2014-05-23)

参考文献数

35

被引用文献数

7 46 1

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Background: Acute kidney injury (AKI) and acute hyperglycemia are associated with unfavorable outcomes. The impact of acute hyperglycemia on the development of AKI after acute myocardial infarction (AMI), however, remains unclear. This study was undertaken to assess the relationship between admission glucose and incidence of AKI after AMI. Methods and Results: This study consisted of 760 patients with AMI admitted to the National Cerebral and Cardiovascular Center within 48h after symptom onset. Blood sample was obtained on admission and repeated sampling was done at least every 1 or 2 days during the first week. AKI was diagnosed as increase in serum creatinine ≥0.3mg/dl or ≥50% within any 48h. Ninety-six patients (13%) had AKI during hospitalization for AMI, and these patients had higher in-hospital mortality than those without AKI (25% vs. 3%, P<0.001). Patients with AKI had higher plasma glucose (PG) on admission than those without (222±105mg/dl vs. 166±69mg/dl, P<0.001). The incidence of AKI increased as admission PG rose: 7% with PG <120mg/dl; 9% with PG 120–160mg/dl; 11% with PG 160–200mg/dl; and 28% with PG >200mg/dl (P<0.01). On multivariate analysis admission PG was an independent predictor of AKI (odds ratio, 1.10; 95% confidence interval: 1.03–1.18, P=0.02). Conclusions: Admission hyperglycemia might have contributed to the development of AKI in patients with AMI.  (Circ J 2014; 78: 1475–1480)