著者
水野 幸一 仲島 麻里可 足利 光平 中野 恵美 松田 史郎 宮﨑 秀和 佐々木 俊雄 原田 智雄 明石 嘉浩
出版者
公益財団法人 日本心臓財団
雑誌
心臓 (ISSN:05864488)
巻号頁・発行日
vol.45, no.8, pp.972-979, 2013-08-15 (Released:2014-09-17)
参考文献数
13

近年,高齢化に伴い日本人の動脈硬化性疾患が増加してきたが,一方で発症年齢の若年化が問題となっている.特に急性心筋梗塞では,若年期での発症機序や冠危険因子の関与などは現時点で見解が一致していない.当院で2006年2月開院以後2011年1月までの5年間で急性心筋梗塞に対して緊急経皮的冠動脈インターベンション(percut­ aneous coronary intervention;PCI)を施行した218症例中の35歳以下の5症例の臨床的背景,冠危険因子,冠動脈病変背景および臨床経過を今回検討したので報告する.5例とも男性,喫煙者で,4例が夜間から早朝の土木作業や運転などの不規則勤労者であった.4例がBMI 25.0以上の肥満であり,冠危険因子では4例が高血圧,5例ともに脂質異常症があり,1例のみ糖尿病,家族歴があった.臨床的には5例ともに来院時Killip分類Ⅰ,冠動脈1枝病変で,緊急PCIを施行して早期に再灌流が得られ合併症なく退院した.その後5例とも再狭窄を生じず,心血管イベントの再発も認めていない.以上の共通点は,対極的な86歳以上の緊急PCI施行症例と比較することにより一層鮮明になった.今回経験した5症例は,当院の急性心筋梗塞で緊急PCIを施行した症例の3%未満と低頻度であったが,臨床的背景,冠危険因子などで多くの共通点が認められた.臨床経過では,5例とも短期的には予後良好であったが,長期的予後まで考慮すれば生活習慣の改善を中心に,冠危険因子のより厳格な管理が重要と考えられた.
出版者
国立国会図書館
巻号頁・発行日
vol.2019年, no.(704), 2019-12-01

28 0 0 0 OA 百官履歴

著者
修史局 編
出版者
日本史籍協会
巻号頁・発行日
vol.上巻, 1928
著者
ITO Kosuke WU Chun-Chieh CHAN Kelvin T. F. TOUMI Ralf DAVIS Chris
出版者
Meteorological Society of Japan
雑誌
気象集誌. 第2輯 (ISSN:00261165)
巻号頁・発行日
pp.2020-001, (Released:2019-10-08)
被引用文献数
13

While the fundamental understanding of the movement of a tropical cyclone (TC) is fairly mature, there are still notable advancements being made. This paper summarizes new concepts and updates on existing fundamental theories on TC movement obtained from simplified barotropic models, full-physics models, and data analysis particularly since 2014. It includes the recent works on the interaction of the TC with its environment and the fundamental aspects of predictability related to TC movement. The conventional concepts of the steering flow, β-gyre, and diabatic heating remain important. Yet, a more complete understanding of mechanisms governing TC movement serves as an important basis toward the further improvement of track forecasts.
著者
屋良 健一郎
出版者
公益財団法人 史学会
雑誌
史学雑誌 (ISSN:00182478)
巻号頁・発行日
vol.121, no.11, pp.1839-1874, 2012-11-20 (Released:2017-12-01)

The island of Tanegashima, which is located south of the Osumi Pennisula of southern Kyushu is best known as the portal for the initial entry of firearms into Japan and the first manufacturer of Japanese-made firearms and has in the research to date been studied almost exclusively in that light, including studies of the Island's feudal lords, the Tanegashima Clan. Although there is some very specialized research on the Tanegashima Clan as locally based land proprietors (kokujin 国人) who went through a process of subjugation to the Shimazu Clan, the characteristic features of the Tanegashimas have yet to be sufficiently explored. The Tanegashimas, who occupied a territory between the ruling feudal lords of Satsuma Province, the Shimazu Clan, and the kingdom of the Ryukyu Islands, should be considered as having a unique character in the light of such geographical circumstances. The present article is an attempt to place the Tanegashima Clan within the context of the southern Kyushu maritime world as it existed during the late medieval period. By virtue of their military alliance with the Shimazu Clan which resulted in their consequent control of the islands to the south of Kyushu, the Tanegashimas were given the opportunity to engage with merchant ships and Chinese junks and participate in trade with the Ryukyu Kingdom. Consequently, the Tanegashimas were able to obtain foreign manufactures; and following their conversion during the latter half of the 15th century to the Nichiren Sect of Buddhism, came to enjoy personal contact and exchange with figures in the capital region, and in the process of fostering ties of mutual friendship, the leading aristocrats and samurai commanders residing in Kyoto found a new source of foreign goods. It should be specially noted that those who came to the islands from the capital region were enthusiastically recruited as vassals by the Tanegashima Clan. This "Kyoto connection" was invaluable in negotiating and securing Shimazu Takahisa's appointment to the prestigious post of Shuri Daibu (Minister of Public Works) in 1551. In the background to the Tanegashima Clan's intimate "Kyoto connection" and its knowledge and technical know-how regarding arms production lay its close relations to the Shimazu Clan, but such relations were by no mean exclusionary, as the Tanegashimas actively sought contact with other feudal lords. Regarding the Ryukyu Kingdom, it was during the reign of its second king, Shoshin (1477-1526), that the monarch assumed an attitude of superiority over the surrounding islands, but continued to trade with the Tanegashimas, despite their "inferiority". In the background of Tanegashima Tadatoki's trade relations with the Ryukyus probably lay the desire to obtain from that kingdom goods that the Hosokawa Clan was importing to the Ming Dynasty, as evidenced by the alliance formed with Hosokawa Takatoki, who was an important figure in the promotion of Sino-Japanese trade relations. The author is also of the opinion that the socalled attempt by Ouchi Yoshitaka to blockade Tanegashima's ships should rather be interpreted as an attempt to intercept the ships being sent to China by Hosokawa Harumoto. From the standpoint of the family as a force in maritime foreign trade due to its geographical location, the Tanegashima Clan should be considered in the light of its multilateral diplomatic ties to the other powerful players in Japan's southern maritime region.
著者
成田 健太郎
出版者
書論研究会
雑誌
書論
巻号頁・発行日
no.40, pp.78-91, 2014-08

28 0 0 0 OA 人生の幸福

著者
正宗白鳥 著
出版者
新潮社
巻号頁・発行日
1925
著者
寺杣 友秀
出版者
日本評論社
雑誌
数学セミナー (ISSN:03864960)
巻号頁・発行日
vol.43, no.6, pp.53-57, 2004-06
著者
中西 達治
出版者
金城学院大学
雑誌
金城学院大学論集. 国文学編 (ISSN:04538862)
巻号頁・発行日
vol.37, pp.57-79, 1995-03-20