著者
後飯塚 由香里
出版者
公益社団法人 日本化学会
雑誌
化学と教育 (ISSN:03862151)
巻号頁・発行日
vol.66, no.9, pp.454-455, 2018-09-20 (Released:2019-09-01)
参考文献数
14
著者
岡 孝和
出版者
一般社団法人 日本心身医学会
雑誌
心身医学 (ISSN:03850307)
巻号頁・発行日
vol.60, no.3, pp.234-240, 2020 (Released:2020-04-01)
参考文献数
7

私の行っている心因性発熱ないし機能性高体温症の治療について概説した. 心因性発熱の治療で重要なのは, 見通しのない経過観察や検査の繰り返し, 解熱薬の投与ではなく, 患者の抱えるストレスに対する個別の処方箋である. そのため単一の治療法では不十分で, 多面的なアプローチが必要となることが多い. 具体的には病態説明, 生活指導, 環境調整, 言語的・非言語的心理療法, 精神生理的技法 (リラクセーショントレーニング), 薬物療法, 併存疾患に対する治療, などを必要に応じて組み合わせて行う. 筆者は, まず患者に対して 「体温が上がると, どのようなことで困るのか」 質問し, 高体温に伴って生じる苦痛を理解するようにしている. さらに, 患者が心因を否認したい場合や, 心因性という病名が患者や患者家族のスティグマとなりそうな場合は, 心因性発熱ではなく, 機能性高体温症という病名を用いて, 病状説明をしている.
著者
Takahiro Nakashima Katsutaka Hashiba Migaku Kikuchi Junichi Yamaguchi Sunao Kojima Hiroyuki Hanada Toshiaki Mano Takeshi Yamamoto Akihito Tanaka Kunihiro Matsuo Naoki Nakayama Osamu Nomura Tetsuya Matoba Yoshio Tahara Hiroshi Nonogi for the Japan Resuscitation Council (JRC) Acute Coronary Syndrome (ACS) Task Force and the Guideline Editorial Committee on behalf of the Japanese Circulation Society (JCS) Emergency and Critical Care Committee
出版者
The Japanese Circulation Society
雑誌
Circulation Reports (ISSN:24340790)
巻号頁・発行日
vol.4, no.5, pp.187-193, 2022-05-10 (Released:2022-05-10)
参考文献数
30
被引用文献数
4

Background: To achieve early reperfusion therapy for ST-elevation myocardial infarction (STEMI), proper and prompt patient transportation and activation of the catheterization laboratory are required. We investigated the efficacy of prehospital 12-lead electrocardiogram (ECG) acquisition and destination hospital notification in patients with STEMI.Methods and Results: This is a systematic review of observational studies. We searched the PubMed database from inception to March 2020. Two reviewers independently performed literature selection. The critical outcome was short-term mortality. The important outcome was door-to-balloon (D2B) time. We used the GRADE approach to assess the certainty of the evidence. For the critical outcome, 14 studies with 29,365 patients were included in the meta-analysis. Short-term mortality was significantly lower in the group with prehospital 12-lead ECG acquisition and destination hospital notification than in the control group (odds ratio 0.72; 95% confidence interval [CI] 0.61–0.85; P<0.0001). For the important outcome, 10 studies with 2,947 patients were included in the meta-analysis. D2B time was significantly shorter in the group with prehospital 12-lead ECG acquisition and destination hospital notification than in the control group (mean difference −26.24; 95% CI −33.46, −19.02; P<0.0001).Conclusions: Prehospital 12-lead ECG acquisition and destination hospital notification is associated with lower short-term mortality and shorter D2B time than no ECG acquisition or no notification among patients with suspected STEMI outside of a hospital.
著者
稲本 万里子 加藤 拓也 小長谷 明彦
出版者
一般社団法人 人工知能学会
雑誌
人工知能学会論文誌 (ISSN:13460714)
巻号頁・発行日
vol.36, no.6, pp.F-L12_1-16, 2021-11-01 (Released:2021-11-01)
参考文献数
14

”Phantom Genji Scrolls ”are one of the most debatable artifacts whose painter school is still unknown in the history of art. In this study, the authors have reached a conclusion that the Phantom Genji Scrolls would have been painted by the painters who studied Kyoto-Kano and Tosa painter schools but not Edo-Kano painter school.As a learning data set, more than 1500 face images are extracted from well-known the Tale of Genji pictures painted from Heian (12 Century) to Edo (17 Century) periods whose painter schools are all established in the history of art. The face images are written in typical old painting style so called“line-eye and hook nose (hikime-kagihana)” which often represents the characteristics of the painter schools.The authors not only identified the painter school of the Phantom Genji Scrolls but also discovered the inconsistency in Iwasa painter school by means of artifact-based painter school learning model. The t-SNE scatter plots clearly indicated that the 266 face images extracted from the Phantom Genji Scrolls were surrounded by the Kyoto- Kano painter school learning data sets. It should be also noted that the 266 face images were far from the learning data set of Ujinobu Kano, one of the typical Edo-Kano painter. Interestingly, the Phantom Genji Scrolls and Ujinobu Kano were intercepted by Mitsuyoshi Tosa, one of the typical Tosa painter in scatter plot. This suggests that the painters of the Phantom Genji Scrolls may have been affected by both Kyoto-Kano and Tosa painter schools, instead of Edo-Kano painter school.As for the Iwasa painter school, the authors came across strange behavior that the artifacts of Katsutomo Iwasa were identified as the Tosa painter school, even if the validation data of Katsutomo Iwasa were all included in the learning data set of Iwasa painter school, mostly constituted by Katsutomo Iwasa (244 face images). After careful observation and discussion, the authors have concluded that Matabei Iwasa and Kastutomo Iwasa may be too different to be categorized into the same Iwasa painter school with regards to face characteristics.
著者
Shunsuke Ogata Yoshito Ishi Keiichiro Asano Erena Kobayashi Shun Kubota Keita Takahashi Yosuke Miyaji Yuichi Higashiyama Hideto Joki Hiroshi Doi Michiaki Koga Hideyuki Takeuchi Fumiaki Tanaka
出版者
The Japanese Society of Internal Medicine
雑誌
Internal Medicine (ISSN:09182918)
巻号頁・発行日
pp.8967-21, (Released:2022-03-26)
参考文献数
9
被引用文献数
10

Guillain-Barré syndrome (GBS) has occasionally occurred in people who have received coronavirus disease 2019 (COVID-19) vaccines. Dysgeusia is rare symptom of GBS. We herein report a rare case of sensory ataxic GBS with dysgeusia just after the second dose of the Pfizer-BioNTech COVID-19 vaccine. Although autoantibodies against glycolipids were not detected, immunotherapy with intravenous immunoglobulin and methylprednisolone pulse therapy effectively ameliorated the symptoms. Our report suggests that the COVID-19 vaccine may induce various clinical subtypes of GBS, including a rare variant with sensory ataxia and dysgeusia.
著者
谷中 拓哉 中里 浩介 藤田 善也 石毛 勇介
出版者
一般社団法人 日本体育・スポーツ・健康学会
雑誌
体育学研究 (ISSN:04846710)
巻号頁・発行日
pp.18050, (Released:2019-03-18)
参考文献数
23

Cross-country skiers perform over a long distance using poles and skis. Physical fitness, in terms of factors such as VO2max and muscle strength, skiing technique and race strategy are important for winning competitions. To plan the race strategy, investigations of the course profile and race analysis are needed. The purposes of this study were to investigate cross-country skiing course profiles which were planned for the Winter Olympic Games at Peyongchang, and to analyze the men’s 15km+15km World Cup skiathlon race (SA) as a pre-competition event. A cross-country skier followed the classical and skating courses using a GNSS (Global Navigation Satellite System) antenna. The antenna instantly measured the latitude, longitude and height of the skier on the courses. The coordinate values on a plane were calculated from latitude and longitude, after the inclination was then calculated from the coordinate values and height every 10 m. The overall finish time and transit time at 24 points for 12 skiers in SA were retrieved from the Official Home Page of the International Ski Federation (FIS), and the segment times among the various points were calculated. Three segment times formed a lap, and each segment speed was calculated by dividing the segment distance by the segment time. For the classical course profile, the distance was 3819 m and the maximum inclination was 18.6%. In contrast, for the skating course, the distance was 3777 m and the maximum inclination was 20.6%. No correlation was found between the overall finish time and the segment times for the classical course. This result was attributable to small variations in the lap times for the classical course because of the skiers’ use strategy, checking among competitors, and the mass-start. On the other hand, positive correlations were found between the overall finish time and the segment times on skating. In skating, the segment speeds from the final phase of the 2nd lap to the middle phase of the 3rd lap indicated deceleration relative to the 1st lap. These results suggest that gliding on a skating course in a short time is important for shortening the overall finish-time. Especially, it is important to minimize the deceleration of the 2nd and 3rd lap segment speed. The race pattern for the Olympic Games was similar to that of pre-competition, except for the time taken. These results indicate that pre-competition race analysis is useful for devising a strategy for target competition.
著者
佐藤 德
出版者
日本感情心理学会
雑誌
感情心理学研究 (ISSN:18828817)
巻号頁・発行日
vol.19, no.3, pp.71-80, 2012-05-01 (Released:2012-09-15)
参考文献数
40
被引用文献数
1 4

Writing about traumatic, stressful, or emotional events is known to result in improvements in physical and psychological health. What are the mechanisms that underlie these health benefits? In the present study, undergraduates (n=55) were asked to write about (a) the same traumatic experience, (b) different traumatic experiences, or (c) non-traumatic everyday events, during 3 written disclosure sessions. Results indicated that participants who wrote about the same traumatic experience reported significant reductions in respiratory and neurological symptoms at follow-up assessments compared with the other participants. Moreover, cognitive restructuring contributed to the alleviation of depressive and posttraumatic stress symptoms only when participants wrote about the same traumatic experience. Cognitive restructuring did not have a significant beneficial effect on physical symptoms. These findings suggest that habituation underlies the beneficial effects of expressive writing on physical health, and that habituation is necessary for cognitive restructuring to be effective on psychological health.
著者
Bożena WIELGOSZEWSKA Charlotte BOOTH Michael J GREEN Olivia KL HAMILTON Jacques WELS
出版者
National Institute of Occupational Safety and Health
雑誌
Industrial Health (ISSN:00198366)
巻号頁・発行日
pp.2022-0081, (Released:2022-05-19)
被引用文献数
4

Little is known about the relationship between homeworking and mental health during the Covid-19 pandemic and how it might differ by keyworker status. To understand this relationship, we use longitudinal data collected over three time points during the pandemic from three British cohort studies born in 1958 (National Child Development Study), 1970 (British Cohort Study) and 1989–90 (Next Step) as well as from a population-based study stratified by four age groups (Understanding Society). We estimate the association between life satisfaction, anxiety, depression, and psychological distress and homeworking by key worker status using mixed effects models with maximum likelihood estimation to account for repeated measurements across the pandemic, allowing intercepts to vary across individuals after controlling for a set of covariates including pre-pandemic home working propensities and loneliness. Results show that key workers working from home showed the greatest decline in mental health outcomes relative to other groups. Pre-pandemic homeworking did not significantly change the nature of such a relationship and loneliness slightly attenuated some of the effects. Finally, mental health outcomes varied across age-groups and time points. The discussion emphasises the need to pay attention to key workers when assessing the relationship between mental health and homeworking.
著者
中根 俊成 向野 晃弘 安東 由喜雄
出版者
日本臨床免疫学会
雑誌
日本臨床免疫学会会誌 (ISSN:09114300)
巻号頁・発行日
vol.40, no.5, pp.352-360, 2017 (Released:2017-12-13)
参考文献数
53
被引用文献数
1

神経系と免疫系はヒトを支えるふたつの広大なシステムである.両者の相関はこれまでにも研究がなされてきているが,神経系による免疫系制御が昨今注目を集めている.自律神経系に関してはinflammatory reflex仮説をベースに迷走神経刺激による幅広い抗炎症作用が臨床への応用という視点からも期待されている.また交感神経系によるリンパ球動態制御については,近年その分子基盤が解明され,さらなる研究の進展が期待される.元来,神経系は免疫系の入り込めない隔絶組織であり,生理的には免疫反応は起こり得ないと認識されている.しかし各種の免疫異常とバリアの破綻が相俟って神経免疫疾患が発症する.自律神経系については自律神経節に存在するアセチルコリン受容体は自己免疫の標的となることが知られている.血清中で抗自律神経節アセチルコリン受容体抗体を認め,広範な自律神経障害を呈する疾患,自己免疫性自律神経節障害の臨床的特徴が明らかになりつつある.免疫系と自律神経系の間で「接点」として働く神経伝達物質と受容体,自己抗体について述べ,その「相関」の結果,起こってくるさまざまな変化や臨床的事項について概説した.
著者
Yuki Yoshimatsu Kazunori Tobino Saori Nishizawa Kohei Yoshimine Yoshitaka Oku
出版者
The Japanese Association of Rehabilitation Medicine
雑誌
Progress in Rehabilitation Medicine (ISSN:24321354)
巻号頁・発行日
vol.7, pp.20220007, 2022 (Released:2022-02-17)
参考文献数
19
被引用文献数
2

Objectives: Swallowing function is affected in patients with chronic obstructive pulmonary disease (COPD), putting them at risk of exacerbation of COPD. We previously reported the effectiveness of the repetitive saliva swallowing test (RSST) in screening for patients at risk of COPD exacerbation. However, evidence on how to improve swallowing function in this population is extremely limited. Interferential current transcutaneous electrical sensory stimulation (IFC-TESS) stimulates the larynx and pharynx, thereby improving their sensory function. IFC-TESS is an emerging tool to enhance airway protection and increase swallowing frequency; however, its safety and efficacy in patients with COPD is unknown. Therefore, we performed a preliminary prospective study focusing on stable COPD patients.Methods: Patients with stable COPD who were hospitalized for yearly evaluation were recruited. Patients were included if their RSST was 5 or less. Nurses carried out IFC-TESS twice daily for 10 days. Swallow screening results were compared before and after the 10-day intervention.Results: Ten patients were included in the study. The IFC-TESS intervention was performed safely. Patients and nurses reported no discomfort or concerns regarding the intervention. The EAT-10 and RSST scores improved significantly after the intervention, and tongue pressure also tended to improve.Conclusions: IFC-TESS may be a promising intervention to improve swallowing in patients with COPD who are easily fatigued and struggle to perform swallowing exercises.
著者
Kunio Yufu Tsuyoshi Shimomura Mami Fujinami Tatsunori Nakashima Shotaro Saito Reika Ayabe Kyoko Kawano Yumi Ishii Norihiro Okada Hidefumi Akioka Yasushi Teshima Teruo Sakamoto Mikiko Nakagawa Naohiko Takahashi
出版者
The Japanese Circulation Society
雑誌
Circulation Reports (ISSN:24340790)
巻号頁・発行日
vol.1, no.6, pp.241-247, 2019-06-10 (Released:2019-06-10)
参考文献数
13
被引用文献数
7

Background:The mobile cloud electrocardiography (C-ECG) system is useful for reducing door-to-balloon (DTB) time in patients with acute coronary syndrome (ACS), but few studies have reported the usefulness of the C-ECG system across a wide provincial prefecture, such as Oita, in Japan.Methods and Results:On 17 April 2017, the C-ECG system was integrated into the Oita remote image transmission system, in 10 ambulances of 10 respective fire departments in Oita Prefecture. During 6 months, 162 ECG indicating suspected ACS were transmitted to 18 hospitals using the C-ECG system. Of 162 patients, 17 who received emergency percutaneous coronary intervention (PCI) were assigned to the cloud group (mean age, 71±11 years). The control group consisted of 29 consecutive ACS patients who were transported to Oita University Hospital without using the C-ECG system (mean age, 66±12 years). Another 40 consecutive patients were diagnosed with ACS before transportation to Oita University Hospital, and were assigned to the diagnosed group (mean age, 70±14 years). DTB time (70±26 min vs. 96±24 min, P<0.005) and door-to-catheterization laboratory time (33±20 min vs. 53±22 min, P<0.0001) were shorter in the cloud group than in the control group, respectively.Conclusions:C-ECG system integration in Oita Prefecture was useful to appropriately transfer ACS patients to hospital and to facilitate earlier PCI than in the conventional diagnostic system.
著者
佐藤 拓司
出版者
日本医学哲学・倫理学会
雑誌
医学哲学 医学倫理 (ISSN:02896427)
巻号頁・発行日
vol.23, pp.97-105, 2005-10-26 (Released:2018-02-01)

This paper analyzes the notion of sexual perversion from a philosophical stance. Sexual perversion is difficult to analyze because the notion of sex is itself ambiguous and unclear. Alan Soble identifies five central distinctions within the conceptual philosophy of sex that define the concept of the sexual act as 1) involving contact with a sex organ, 2) serving a procreative function, 3) producing sexual pleasure, 4) relying on intention or purpose, 5) being defined in terms of sexual desire. However, none of these definitions is sufficient. The philosopher Thomas Nagel set out a psychological standard that remains useful today. He defined the purpose of sexual desire as one of communication among the participants. According to Nagel, sex has an overlapping system of sexual perceptions and interactions: it involves a desire that one's partner be aroused by the recognition of one's desire that he or she be aroused. Nagel's theory, known as the "communication model", proposes a purpose for the sexual act and attempts to explain the essence of perversion. It proposes that the act of blocking off the communication results in the perversion. This model has a number of problems, however. For example, it implies that sexual relations between regular partners are inferior to novel encounters because less remains to be communicated sexually. Why is such a conclusion derived? Because the communication model is built up with equivocal and ambiguous structure, it involves both external and internal moral criteria. The coexistence of both types of criteria is the source of the model's problems.
著者
Atsushi Mizuno Kenya Kusunose Takuya Kishi Jeffrey Rewley Chisa Matsumoto Yuki Sahashi Mari Ishida Shoji Sanada Memori Fukuda Tadafumi Sugimoto Miki Hirano Daisuke Yoneoka Masataka Sata Toshihisa Anzai Koichi Node
出版者
The Japanese Circulation Society
雑誌
Circulation Journal (ISSN:13469843)
巻号頁・発行日
vol.86, no.4, pp.715-720, 2022-03-25 (Released:2022-03-25)
参考文献数
13
被引用文献数
1

Background:The impact of promotional tweets from the official journal account (forCirculation JournalandCirculation Reports) on article viewership has not been thoroughly evaluated.Methods and Results:We retrospectively collected journal viewership data forCirculation JournalandCirculation Reportsfrom March 2021 to August 2021. We compared viewership between articles with (n=15) and without (n=250) tweets. After 1 : 4 propensity score matching (15 tweeted articles and 60 non-tweeted matched controls), journal viewership metrics within 7 days of the tweeting date (and the hypothetical tweeting date), was larger in tweeted articles than non-tweeted articles (median [interquartile range] Abstract page views 89 [60–104] vs. 18 [8–41]).Conclusions:This pilot study suggests a positive relationship between journal-posted promotional tweets and article viewership.
著者
木目沢 司
出版者
一般社団法人 情報科学技術協会
雑誌
情報の科学と技術 (ISSN:09133801)
巻号頁・発行日
vol.72, no.2, pp.67-73, 2022-02-01 (Released:2022-02-01)

国立国会図書館(NDL)電子情報部は,NDLにおける情報システムに関連する業務の一元化による効率化及び円滑化を図るため,2011年10月に設置された。以降電子情報部は,NDLの基幹システムである国立国会図書館業務基盤システム等のリニューアルをはじめ多くのシステムの新規開発やリプレースを行ってきた。本稿では2021年10月に設置から10周年を迎えたことを機に,電子情報部が行ってきた情報システム整備の取組について振り返り,その成果を省察する。またNDLにおける今後のシステム整備の方向性と課題について考察する。