著者
渡部 弥栄子 今高 城治 斎藤 祥子 岩波 久威 鈴木 紫布 金谷 英明 桑島 成子 有阪 治 Yaeko Watabe George Imataka Shoko Saito Hisatake Iwanami Shiho Suzuki Hideaki Kanaya Shigeko Kuwashima Osamu Arisaka 獨協医科大学医学部 小児科学 獨協医科大学医学部 小児科学 獨協医科大学医学部 小児科学 獨協医科大学医学部 内科学(神経) 獨協医科大学医学部 内科学(神経) 獨協医科大学医学部 脳神経外科 獨協医科大学医学部 放射線科 獨協医科大学医学部 小児科学 Departments Of Pediatrics Dokkyo Medical University School Of Medicine Departments Of Pediatrics Dokkyo Medical University School Of Medicine Departments Of Pediatrics Dokkyo Medical University School Of Medicine Neurology Dokkyo Medical University School Of Medicine Neurology Dokkyo Medical University School Of Medicine Neurosurgery Dokkyo Medical University School Of Medicine Radiology Dokkyo Medical University School Of Medicine Departments Of Pediatrics Dokkyo Medical University School Of Medicine
雑誌
Dokkyo journal of medical sciences (ISSN:03855023)
巻号頁・発行日
vol.41, no.2, pp.177-181, 2014-07-25

Tolosa-Hunt症候群(THS)は先行する片側眼窩部痛と眼球運動障害を生じ,病態は海綿静脈洞の非特異的炎症性肉芽腫病変と推測されている.発症は年間100万人あたり1人前後で,40歳台の成人に多く小児例は稀である.今回,1カ月続く右眼をえぐられる様な頭痛を主訴とした15歳のTHSを報告する.発症後,各種頭痛薬で改善がなく,各種検査を施行し異常がないため心身症に伴う反復する片頭痛と診断された.当院で脳MRIを施行し右内頸動脈の狭窄を認めTHSと確定診断した.プレドニゾロン(PSL)1?mg/kg/dayを朝1回開始し,翌日頭痛は改善した.以降,半年かけてPSLを漸減し再発はない.Tolosa-Hunt syndrome(THS)is characterized by periorbital pain accompanying opthalmoplegia. The pathogenesis is considered to involve non-specific granulomatous inflammation in the cavernous sinus, and the frequency is around one case per year per million people. Symptoms usually develop in adulthood, and pediatric cases are rare. We report herein a case of THS in a 15-year-old girl whose headache was diagnosed as psychosomatic disease in the early stage of the clinical course. Her chief compliant was headache with strong pain in the right eye, continuing for 1 month. Although several medications were trialed to alleviate headaches, no improvement was achieved. Various physical examinations proved uninformative. Headache was therefore tentatively diagnosed as psychosomatic disease associated with migraine. Brain magnetic resonance imaging in our university hospital revealed strangulation of the internal carotid artery, and headache was diagnosed as confirmed THS. Oral administration of prednisolone was started at 1 mg/kg/day, given once in the morning. Headache improved from the next day. Oral therapy with prednisolone was tapered over the course of 6 months and headache did not recur.

2 0 0 0 きみとぼく

著者
ソニーマガジンズ
出版者
ソニー・マガジンズ
巻号頁・発行日
vol.1(1), no.1, 1994-12
著者
保田 与重郎
出版者
新潮社
雑誌
芸術新潮 (ISSN:04351657)
巻号頁・発行日
vol.24, no.3, pp.89-91, 1973-03
著者
山本 広樹 青島 伸治
出版者
The Society of Instrument and Control Engineers
雑誌
計測自動制御学会論文集 (ISSN:04534654)
巻号頁・発行日
vol.39, no.11, pp.993-1001, 2003 (Released:2009-03-27)
参考文献数
12

In this paper, we propose evaluation indices for grasping the characteristics of measurement signals from three axis sensors. Those evaluation indices are based on signal representation of quaternion and spectral analysis on the form. And, those are led by linking the coefficients of such spectra and the concept of the periodic motion on elliptic orbit in quaternion space. To show the benefit of the method in future use, an model experiment processing the three axis acceleration measurement data, which were recorded by originally developed sensor ball, were carried out. Then, the indices were calculated with the acceleration data given in such manner. As the result, comparing to the complex spectra at each axis, our evaluation indices have some advantages at the point of quick observation and recognition of three dimensional dynamical characteristics. Although the data processing based on quaternion has been widely used among the field of computer graphics or attitude control system of artificial satellite, a few attention are paid to the application for the signal processing of three dimensional measurement signal. On the other hand, in the field of the diagnostics with vibration such as of rotating machine, the spectral analysis which can observe a phase relation between multiple axis may become to be in great demand. So that, our evaluation indices will be a useful mean under such situation.
著者
横山 雄一
出版者
社団法人 日本補綴歯科学会
雑誌
日本補綴歯科学会雑誌 (ISSN:03895386)
巻号頁・発行日
vol.42, no.1, pp.90-101, 1998-02-01 (Released:2010-08-10)
参考文献数
50
被引用文献数
5 9 1

Involuntary clenching is common during physical exercise; therefore, the purposeof this study was to elucidate the relationship between stomatognathic function and physical exercise as well as role and mechanism of involuntary teeth clenching during physical exercise.In 15 healthy, fully dentate males (mean age 26.5±2.1), electromyographic activities from jaw closing (JM), sternocleidomastoid, biceps brachial (BB), and rectus femoral (RF) muscles; mandibular positions; and muscle strength during both isometric elbow flexion and knee extensionexercises were recorded and analyzed.From the analysis of electromyographic activities and mandibular position, the subjects were divided into two groups, Clenching group (n=9) and Non-clenching group (n=6). The subjects in the Clenching group showed involuntary clenching during the exercise and their mandibular positions were located at the inter-cuspal position. The onset of electromyographic activity of JM was earlier than that of the agonist (BB, RF) in the 7 subjectsof the Clenching group. In the Clenching group, both elbow flexion and knee extension strength with involuntary clenching were lowered when voluntary mouth opening was directed during the exercise.These results suggested that stomatognathic function and physical exercise had an interdependent relationship and involuntary clenching during physical exercise could be explained by a so-called feedforward mechanism.
出版者
日経BP社
雑誌
日経情報ストラテジ- (ISSN:09175342)
巻号頁・発行日
vol.20, no.6, pp.70-75, 2011-07

岡山県が地盤の運輸業者である両備ホールディングスが公共交通機関の再生事業で成果を上げている。猫の「たま駅長」が全国的に有名になった和歌山電鉄の再建を皮切りに、赤字体質のバスやタクシー、フェリーなどの立て直しに次々と成功。多能工を生かした人件費削減と地元住民を経営に巻き込む手法が結果を出す秘訣だ。

2 0 0 0 OA 蕃薯考

著者
糸川, 某
出版者
巻号頁・発行日
1823
著者
中島 朱美
出版者
日本介護福祉学会
雑誌
介護福祉学 (ISSN:13408178)
巻号頁・発行日
vol.18, no.1, pp.22-29, 2011-04-01

〔目的〕地域密着型のサービスへの移行に伴い,グループホーム(高齢者認知症対応型共同生活介護)の役割や期待はますます高まっている.しかし,そこには運営する事業所や従事者のかかえている課題が散在すると思われる.そこで,検討すべき課題を明確にすることで環境整備への糸口をみつけ,利用者や家族に望まれる在宅福祉サービスの質の向上と発展に寄与できればと考えた.〔方法〕A県下のグループホームを対象に職員の労働環境などに関する調査を実施した.〔結果〕その結果,以下のことが示唆された.(1)業務から離れての休憩時間や休憩場所については,十分な確保には至っていない.(2)職員研修は,「自己の専門性の不足」を感じている職員にとっては満足のいく実施回数とはなっていない.(3)従事者の悩みとして,「人手不足」「低賃金」「サービス残業が多い」「スタッフの能力のアンバランス」「スタッフ間や管理者との意思統一が図れない」といった課題があり,事業所も同じような課題をかかえていた.〔結論〕処遇面の改善や人材育成の促進による従事者の専門性の向上,事業所内の労働環境の改善や意識統一など,並行して整備することが望まれる.労働環境の改善に向けて早急に手を打たなければ従事者の士気は低下し,十分な介護ができず利用者の自立生活や生活意欲の向上を引き出すことも困難となることが予測される.さらには,利用者の要介護度の重度化やADLの低下へと結びつく可能性も否定できない.