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JaLCDOI 10.18926/14941
Title Alternative Analysis of Factors Regarding Spa Therapy in Patients with Rheumatoid Arthritis
FullText URL 070_073_078.pdf
Author Yoshio, Keiko| Taguma, Masae| Noumi, Mayumi| Nakamura, Sumie| Harada, Seishi| Tanizaki, Yoshiro|
Abstract 1998年4月より9月までの6ヶ月間に当院へ入院し温泉療法をうけた慢性関節リウマチ患者6例を対象に,温泉治療経験の有無,年齢,機能障害度(クラス),罹患年数の4項目が温泉療法効果に及ぼす影響につき検討した。温泉治療経験の有無では治療経験を有する患者においてMHAQ(modified health assessment questionnaile),患者による疼痛評価,患者による全般活動性評価に有意な改善が見られ,年齢(75才以上,75才未満)では,75才未満においてMHAQに有意な改善傾向が見られた。機能障害度(クラス3以上,クラス2以下),罹患年数(15年以上,15年未満)においては有意差は見られなかった。温泉の永続効果を保つためには,年1~2回の入院を繰り返すことが効果的であることが示唆された。
Keywords 慢性関節リウマチ 温泉療法
Publication Title 岡大三朝分院研究報告
Published Date 1999-12
Volume volume70
Start Page 73
End Page 78
ISSN 0918-7839
language Japanese
File Version publisher
NAID 120002308424
JaLCDOI 10.18926/OER/14940
FullText URL 40_4_171_188.pdf
Author Yamashita, Miyako|
Publication Title 岡山大学経済学会雑誌
Published Date 2009-03-10
Volume volume40
Issue issue4
Start Page 171
End Page 188
ISSN 0386-3069
language Japanese
Copyright Holders 岡山大学経済学会
File Version publisher
NAID 120002308616
JaLCDOI 10.18926/OER/14939
FullText URL 40_4_159_170.pdf
Author 太田 仁樹|
Publication Title 岡山大学経済学会雑誌
Published Date 2009-03-10
Volume volume40
Issue issue4
Start Page 159
End Page 170
ISSN 0386-3069
language Japanese
Copyright Holders 岡山大学経済学会
File Version publisher
NAID 120002308354
JaLCDOI 10.18926/OER/14938
Title Alternative Note on Gentaro Oe, a JapaneseWorker of the Pacific Northwest Lumbering Industry
FullText URL 40_4_143_157.pdf
Author Kurokawa, Katsutoshi|
Abstract At the mid−1920s, the Japanese exclusion movement by the labor unions, which had been stilled since the late 1910s, resurged in the Pacific Northwest. Disappointedly, many Japanese in the Pacific Northwest lost their respect for the cause of the labor movement of the United States in the late 1920s and 1930s. A few people, however, continued to seek the organization of the Japanese workers and their solidarity with the white labor unions. Gentaro Oe, a Japanese worker of the Pacific Northwest lumbering industry was one of them. There are not many historical documents that mentioned Oe and I can clarify his life and accomplishment very little. He was, however, one of the diligent contributors of the Taihoku Nippo (Great Northern Daily News), one of the vernacular newspapers in Seattle in those days. He gave his comments on the problems concerning the situation of Japanese workers in the lumbering industry of the Pacific Northwest in many articles published in this newspaper. I introduce some of them in this note. From them, it is clear that he was proud of being a sawmill worker in the Pacific Northwest and hoped that the fellow Japanese workers also would respect themselves. For that purpose, he wished the organization of the Japanese workers of the lumbering industry.
Publication Title 岡山大学経済学会雑誌
Published Date 2009-03-10
Volume volume40
Issue issue4
Start Page 143
End Page 157
ISSN 0386-3069
language Japanese
Copyright Holders 岡山大学経済学会
File Version publisher
NAID 120002308192
JaLCDOI 10.18926/OER/14937
FullText URL 40_4_127_142.pdf
Author Morimoto, Tatsuaki|
Publication Title 岡山大学経済学会雑誌
Published Date 2009-03-10
Volume volume40
Issue issue4
Start Page 127
End Page 142
ISSN 0386-3069
language Japanese
Copyright Holders 岡山大学経済学会
File Version publisher
NAID 120002308255
JaLCDOI 10.18926/OER/14932
Title Alternative Laws and Union-Management Relations : Union-Management Agreements and ‘Cadres’ Issue in the French Metal Industry facing the 35-Hour Working Week
FullText URL 40_4_093_114.pdf
Author Shimizu, Koichi|
Abstract In 1998, the French socialist Government stipulated the first law on the 35-hour working week, which fixed the conditions for a company receiving a reduction in social security payments. That is, the company had to conform working hours to the legal 35 hours a week by concluding a union-management agreement. In this paper, we show the strategies of the French Employers’ Association of the Metal Industry (UIMM) facing such a situation by analysing its agreements concluded with unions. The first issue treats the reaction of the UIMM, which aimed to sidestep the impact of the 35 hours law, but had to make a concession facing the critique coming from the socialist Government. Second, we explain what the French ‘cadres’ are, and the UIMM’s strategy to accord a qualification of the cadre to lower hierarchy of managers for assuring sufficient working hours of these people. This is because the 35-hour working week is not applied to the cadres. Third, we show the modifications of the union-management agreement after the right-wing Government amending the working hours laws, stipulated by the left-wing Government. Showing the dynamic relations between laws and union-management agreements, we can explain the dynamics between the law as a rule of the game and the behavior of the players, i.e. the employers’ association and the unions, as well as the importance of the union-management relations in deciding labor conditions even in the France.
Publication Title 岡山大学経済学会雑誌
Published Date 2009-03-10
Volume volume40
Issue issue4
Start Page 93
End Page 114
ISSN 0386-3069
language Japanese
Copyright Holders 岡山大学経済学会
File Version publisher
NAID 120002308575
JaLCDOI 10.18926/OER/14931
Title Alternative Evaluation Criteria for Investment Project − Comparison between Quadratic Utility Function and Other Methods −
FullText URL 40_4_073_091.pdf
Author Koyama, Yasuhiro|
Abstract The purpose of this article is to clarify the usefulness of quadratic utility function in evaluating investment projects. In the field of corporate finance, the standard technique used to evaluate proposed investment projects is capital asset pricing model and its graphed security market line. According to CAPM, the market risk is the risk to be quantified as risk premium in estimating the cost of equity capital. CAPM assumes that marginal and important investors are well−diversified institutional investors like pension funds, insurance companies and investment funds. To such investors, private risk of each project is negligible, because it is diversifiable. However, many top management in Japan believes that other stakeholders like employee, commercial banks, suppliers and etc are equally important. Their loyalty and contribution to the company is a vital factor to the success of company. Their fate or success becomes dependent on the growth and viability of the company, as they often commit their resource to the company for life or for a long period of time. In this case, Japanese top management should try to maintain and strengthen their long−term sustainability, which is more important than the short−term increase of shareholders wealth. In this context, evaluating proposed investment projects, private as well as market risk should be included with equal importance in calculating the total risk. In this article, I tried to compare such technique as SML (CAPM), Capital Market Line and quadratic utility function and clarified their difference in their evaluation results. CML and quadratic utility function are useful in evaluating private and total risk of investment projects, because their formula, different from other utility functions, contain the standard deviation to represent investment risk. Quadratic utility function seems to be a proper method in evaluating the investment project which involves unique or different type of business risk and requires relatively huge amount of investment. Dealing with utility function, I demonstrated to quantify utility value in terms of absolute amount of money rather than indicating the value in commonly used percentage. This would enable us to compare with the other traditional technique of net present value.
Publication Title 岡山大学経済学会雑誌
Published Date 2009-03-10
Volume volume40
Issue issue4
Start Page 73
End Page 91
ISSN 0386-3069
language Japanese
Copyright Holders 岡山大学経済学会
File Version publisher
NAID 120002308573
JaLCDOI 10.18926/OER/14930
Title Alternative Formative Process of Regional Concentration in a JapaneseWhaling Fishing Ground in the Edo Period : Analysis of the Particularity of the SaikaiWhaling Industry Area
FullText URL 40_4_049_072.pdf
Author Sueta, Tomoki|
Abstract The whaling industry in early modern Japan was the greatest fishery in Edo period. At the time, whaling was mainly conducted in four districts (i.e. Kishu, Tosa, Tyosyu, and Saikai). whaling industry was carried on by large−scaled industrial management object which was called “whaling organization (kujira−gumi)”. I have for my object to make the regional concentration process of the whaling fishing ground in Goto Han clear about a whaling industry in Goto Han who didn’t also aim so much in the Saikai area this time. That was separated 3 periods in an extended period from Enpo and a Genroku period to Bunsei and a Tenpo period here in particular, and a change and the development process of the “whaling organization (kujira−gumi)” in Goto Han were considered, also considering a relation with a financial problem of Goto Han. When saying a whaling industry in Saikai area in the Edo Period up to now, I was very strong in an image of an achievement of Fukazawagumi of Omura han and a big “whaling organization (kujira−gumi)” of 3, Nakao, Doi and Mastomi. On the other hand, activity of the Eguchi family of Arikawa village was learned about in Goto Han, too. But development of the “whaling organization (kujira−gumi)” of the former and the latter has been talked on separately without associating. But, the Saikai area “whaling organization (kujira−gumi)”which can have talked on individual “whaling organization (kujira−gumi)” management and its development process independently respectively up to now was intermingled in a whaling fishing ground of Goto Han actually by this analysis. Moreover it was revealed that habitat segregation was done by a fishing ground as for the latter period in the Edo Period. And when it was considered from a geographical side, regional centralization in a whaling fishing ground in Nishiumi area was seen, and moreover it was revealed that a differentiation phenomenon in a winter fishing ground and a fishing ground in spring has formed. It’s understood to be different from a whaling industry area of 3, other Kishu, Tosa and Nagasu from the thing.In other words, it was being enabled that management activity in fishing ground area of sea of a whaling industry in this Saikai area is formed beyond the Han. Development of a whaling industry management was seen aggressively in the the inter−han whaling industry which is the characteristic of the Saikai whaling industry area here. That led to successive development by the “whaling organization (kujira−gumi)” from formation in the first term in the Edo Period in this whaling industry area to the latter period. Above, the geographical angle as well as the historical science−like angle of the ancient document emphasis were taken in by the main subject. And I made it clear about formative process in a whaling industry area in Japan in the Edo Period when I had almost no studies up to now by that. Moreover the local industry as a large− scale whaling industry and concerning in Han fief were made clear.
Publication Title 岡山大学経済学会雑誌
Published Date 2009-03-10
Volume volume40
Issue issue4
Start Page 49
End Page 72
ISSN 0386-3069
language Japanese
Copyright Holders 岡山大学経済学会
File Version publisher
NAID 120002308126
JaLCDOI 10.18926/OER/14929
FullText URL 40_4_115_125.pdf
Author Murai, Joshin|
Abstract In 1993, Menshikov and Zuev introduced ρ−percolation model, in which a path of a graph is ρ−passable in a bond percolation configuration if the concentration of open bonds on it is at least ρ, and concerning this model, they gave four open problems. In this paper, we answer three problems out of them : the first one is whether the ρ−percolation critical probability is equal to the critical probability corresponding to finite/infinite expectation of the number of ρ−connectable vertices from a fixed vertex, the second is whether the 1-p ercolation critical probability is equal to the Bernoulli bond percolation critical probability, and finally the third is whether the probability of the existence of ρ−passable path of length exceeding n starting from a fixed vertex always decays exponentially in the subcritical phase.
Publication Title 岡山大学経済学会雑誌
Published Date 2009-03-10
Volume volume40
Issue issue4
Start Page 115
End Page 125
ISSN 0386-3069
language English
Copyright Holders 岡山大学経済学会
File Version publisher
NAID 120002308476
JaLCDOI 10.18926/OER/14928
Title Alternative The Analysis of the Financial Management of the CooperativeSilk−Reeling Filatures between theWorldWars : The Case of Shimoina County, Nagano Prefecture
FullText URL 40_4_033_048.pdf
Author Tanaka, Masataka|
Abstract The aim of this paper is to analyze the financial management of the cooperative silk−reeling filatures in Shimoina County, Nagano Prefecture between W. W. I and W. W. II. The earlier researches elucidate that the cooperative silk−reeling filatures in the Ina area produced comparatively high grade thread, but those researches have not focused on their managements including the financial conditions. This paper conducts a comparative research on the financial management of five cooperative silk−reeling filatures in the county. Through this research, the following facts are cleared up. First, during the 1920s the sources of capital changed. Local banks had previously supplied capitals for the cooperatives, but during the 1920s the investments in the cooperatives of their members increased and local credit cooperatives, which were their affiliates, injected capital into them. As a result their equity capital was reinforced. Along with the previous loans from local banks, Sangyõ kumiai chuõkinko (the central bank for cooperatives) financed them as a national agricultural policy. During the 1930s, when the Great Depression occurred, their high equity ratios were maintained. Although the investments of their members and the local credit cooperatives declined and the national loans of Sangyõ kumiai chuõkinko started to compose the main portion of their budgets. Second, during that time the spending policy of their budgets was converted. In the early 1920s, when the cooperatives were established, the price of silk cocoons was kept higher than the market price of them to maintain the cocoon supply from the cooperative members. In the late 1920s, when the cooperative achieved high management performance, they started to invest their profits in their production facilities. The cooperatives continued to apply that strategy to a countermeasure against the Great Depression. One of the remarkable examples is Taishõkan filature of Yamabuki Cooperative Association, which introduced multi−ends reeling machines under the economic hardship of the Great Depression. Finally, those cooperatives took various measures to ensure high−quality cocoons for high grade thread. For instances, they standardized the sort of silkworm eggs which they recommended, sent technical supervisors to their members’ houses, and provided extra incentives for cocoons of fine quality.
Publication Title 岡山大学経済学会雑誌
Published Date 2009-03-10
Volume volume40
Issue issue4
Start Page 33
End Page 48
ISSN 0386-3069
language Japanese
Copyright Holders 岡山大学経済学会
File Version publisher
NAID 120002308398
JaLCDOI 10.18926/14927
Title Alternative サーモグラフィーによる体表面温度の測定 3.体表面温度の回復率と末消血流量との相関
FullText URL 070_036_042.pdf
Author Hosaki, Yasuhiro| Takata, Shingo| Mitsunobu, Fumihiro| Mifune, Takashi| Ashida, Kozo| Tsugeno, Hirofumi| Okamoto, Makoto| Harada, Seishi| Tanizaki, Yoshiro| Ochi, Koji| Tsuji, Takao|
Abstract The body surface peripheral circulation in 12 cases, including 9 patients with diabetes mellitus who were suffering coldness, numbness or pain in their feet, and 3 healthy volunteers was examined using Laser-Doppler blood flowmetry. At the same time, the body surface temperature was estimated by thermography. Thermographic results were analyzed quantitatively by calculating a recovery ratio as : Recovery ratio = [Total counts of thermography(Pixels) over temperature (T) after cold loading] ÷ [Initial counts over T before cold loading] x 100(%). The recovery ratio and the blood flow were correlated, r=0.68, p
Keywords サーモグラフィー (thermography) レーザードプラー血流計 (Laser-Doppler blood flowmetry) 糖尿病 (diabetes mellitus) 末梢循環 (peripheral circulation) 冷水負荷 (cold loading)
Publication Title 岡大三朝分院研究報告
Published Date 1999-12
Volume volume70
Start Page 36
End Page 42
ISSN 0918-7839
language English
File Version publisher
NAID 120002308240
JaLCDOI 10.18926/OER/14924
Title Alternative An Introductory Study of Competitive Economics
FullText URL 40_4_019_032.pdf
Author Takemura, Shosuke|
Abstract Many economists have not disputed aggressively ‘competition’ itself. However a few experts have had their own visions of ‘competition and rivalry’. We can understand it best when we catch the seller’s completion and rivalry or firm’s ones as the Hayekian economic process. I explain one continuous and straight numerical value line stretching from the left hand end pole to the right hand end pole. People will have adopted the flexible type as the best in the competitive capitalism the seller had kept in mind. In the ‘process of competition and rivalry’allocated in reverse order there are four requirements and five nodes. Though the firm has larger or smaller power of pricing formation, his budget constraint is apt to be relatively soft or to be relatively hard. The cost−plus principle prevails as a universal experienced rule. Does our process of competition and rivalry converge to the type of the flexible price formation again? In the dynamic process of competition and rivalry the combined values, namely, c, g, m and s give vital effects to the firm’s technical innovation and his efficiency sooner or later. The government’s public policies including deregulation can control the producer’s surplus especially in that process observing the firm’s values. We must think over the visible effects of competition and rivalry before we reap them.
Publication Title 岡山大学経済学会雑誌
Published Date 2009-03-10
Volume volume40
Issue issue4
Start Page 19
End Page 32
ISSN 0386-3069
language Japanese
Copyright Holders 岡山大学経済学会
File Version publisher
NAID 120002308157
JaLCDOI 10.18926/OER/14923
Title Alternative Einige Probleme der Akten der “Kgl. Sächsischen Generalkommission für Ablösungen und Gemeinheitsteilungen”
FullText URL 40_4_001_018.pdf
Author Matsuo, Nobushige|
Abstract (Ⅰ) Vorbemerkung 1990 erschien mein Buch, “Einführung in das Studium der Bauernbefreiung in Sachsen”, Tokyo. In dem Buch werden viele lokalgeschichtliche Aufsätze und Bücher über Bauernbefreiung in Sachsen erörtet. Diese Werken beschreiben nur wenige konkrete und quantitative Tatsachen zu Ablösungsrenten der feudalen Grundlasten. Ein Buch Größels von Entstehung der an die “Kgl. Sächsische Landrentenbank” überwiesenen Landrenten in den einzelnen Orten des “Steuerbezirks Großenhain” läßt viel zu wünschen übrig wie die Statistik von Ablösungsanträgen an die “Kgl. Sächsische Generalkommission für Ablösungen und Gemeinheitsteilungen” und solche von Entstehung der Landrenten im ganzen Königreich. Unter den Akten der “Generalkommission für Ablösungen” (16,788 Rezesse im Ganzen in dem Sächsischen Hauptstaatsarchiv Dresden) meinte der Verfasser, Ablösungrezesse zwischen den Rittergütern und den dazu gehörigen Untertanen zu anlysiern, welche sowohl 1830−1832 als 1848−1849 Petitionen einbrachten. Es waren die Untertanen, welche zu den Rittergütern Limbach, Purschenstein und Wiederoda gehörten, d. i. Bauern, andere Dorfbewohner und nur teilweise Bürger der Stadt Sayda. 17 von ihnen unterzeichnete Petitionen wurden geforscht in meinem Buch, “Studium über die antifeudale Bewegung der ländlichen Bevölkerung in Sachsen in der ersten Hälfte des 19. Jahrhunderts”, Tokyo 2001. Es wurden erstens 8 Ablösungsrezesse zwischen dem Rittergut Limbach und den Untertanen von 12 Dörfern von 1838 bis 1854, zweitens 17 Rezesse zwischen dem Rittergut Purschenstein und den Untertanen von der Stadt Sayda und 13 Dörfern von 1840 bis 1868 und drittens 3 Rezesse zwischen dem Rittergut Wiederoda und den Untertanen von 2 Dörfern von 1839 bis 1851 analysiert in 11 Heften unserer Vierteljahresschrift, 2005−2008. (Ⅱ) Prozentuale Zusammensetzung aller Ablösungskapitalien nach den Arten der feudalen Grundlasten und zeitliche Abfolge der Ablösungen auf den Rittergütern Limbach, Purschenstein und Wiederoda Auf dem westsächsischen Rittergut Limbach nahmen (1) die Geldzinsen 37% von allen in 8 Rezessen vereinbarten Ablösungskapitalien, die Frondienste nahmen 35%(die Spanndienste 19% und die Handdienste 15%), die Lehngelder nahmen 24%, die Naturalzinsen nahmen 3% und die Servituten nahmen 1% ein. (2) Die letztgenannten Ablösungskapitalien (1%) wurden vom Rittergut an 2 Untertanen bezahlt, während die übrigen 99% von den Untertanen an das Rittergut zahlt wurden. (3) Die Ablösungskapitalien von 1838 bis 1840 nahmen 37% unter der ganzen Kapitaliensumme, die Kapitalien von 1838 bis 1848 nahmen 59% und die übrigen 40% wurden 1851 und 1854 abgelöst. Auf dem südsächsischen Rittergut Purschenstein nahmen (1) die Naturalzinsen 6% von allen Ablösungskapitalien, die Frondienste und die Geldzinsen nahmen je 4%, die Hutungsrechte nahmen 2% und die Lehngelder nahmen 0% ein. Unter allen Kapitalien können also nur 17% nach den Arten der feudalen Grundlasten festgesetzt, aber zu den ürigen 83% kann es nicht bestimmt werden, auf welchartigen früheren Grundlasten diese Ablösungskapitalien beruhten. (2) Das Rittergut bezahlte 1% einerseits von allen Ablösungskapitalien an 2 Untertanen, größtens an einen Müller, um Holzdeputate abzulösen. Die übrigen 99% wurden andererseits von den Untertanen an das Rittergut zahlt. (3) Die Ablösungskapitalien im Jahre 1840 nahmen 47% unter der ganzen Kapitaliensumme, die Kapitalien von 1840 bis 1848 nahmen 99% ein und das übrige 1% wurde 1868 abgelöst. Auf dem nordsächsischen Rittergut Wiederoda nahmen (1) die Frondienste 74% (die Spann− und Handdienste der Pferdner 70%) von allen Ablösungskapitalien, die Geldzinsen nahmen 9%, die Hutungsrechte nahmen 8%, die Naturalzinsen nahmen 7% und die Lehngelder nahmen 2% ein. (2) Alle Kapitalien wurden nur von den Untertanen allein getragen. (3) Die Ablösungskapitalien im Jahre 1839 nahmen 98% unter der ganzen Kapitaliensumme ein und die übrigen 2% wurden 1851 abgelöst. Alle oder fast alle Kapitalien wurden auf diesen 3 Rittergütern deshalb von Untertanen auf ihre Schultern genommen. Zwischen diesen Rittergütern war aber prozentuale Zusammensetzung aller Ablösungskapitalien nach den Arten der feudalen Grundlasten nicht gleichmäßig. Auf diesen 3 Rittergütern wurden feudale Grundlasten früh und schnell abgelöst. Dagegen ist das Bild des ganzen Königreichs etwas anderes. Nur 38% aller Ablösungsverfahren wurden im ganzen Sachsen von 1833 bis 1848 von der “Generalkommission für Ablösungen” bestätigt und nur 41% aller Landrenten wurden von 1834 bis 1848 von der “Kgl. Sächsische Landrentenbank” übernommen. 3 Rezesse wurden, wie schon erwähnt, zwischen dem Rittergut Wiederoda und den Untertanen von 2 Dörfern unterzeichnet und von der “Generalkommission für Ablösungen” von 1839 bis 1851 bestätigt. Lösten diese 3 Rezesse alle feudale das Rittergut Wiederoda betreffende Grundlasten vollständig ab? (Ⅲ) Um die das Rittergut Wiederoda betreffenden Akten der “Generalkommission für Ablösungen” Dem Rittergut Wiederoda gehörten 2 Dörfer Liptitz und Mannewitz. Der Rezeß Nr. 8137 der “Generalkommission für Ablösungen” vom Jahre 1851 löste die Lehngelder der Untertanen des Dorfes Mannewitz ab. Aber in den Akten der “Generalkommission für Ablösungen” ist ein Rezeß nicht vorhanden, welcher die Lehngelder der Untertanen des Dorfes Liptitz ablöste. 2 Petitionen der Bewohner von 2 Dörfern Liptitz und Mannewitz behaupteten dagegen. (1) Eine Petition vom 31. 01. 1831 klagte, daß alle Käufer der Grundstücke in den beiden Dörfern die Lehngelder bezahlen müssen. (2) In einer Petition vom 26. 02. 1849 wurde geschrieben : (a) “In dessen Folge sind wir mit unserem Gutsherrn auf Wiederoda in Ablösungsunterhandlungen [der Lehngelder
Publication Title 岡山大学経済学会雑誌
Published Date 2009-03-10
Volume volume40
Issue issue4
Start Page 1
End Page 18
ISSN 0386-3069
language Japanese
Copyright Holders 岡山大学経済学会
File Version publisher
NAID 120002308299
JaLCDOI 10.18926/14912
FullText URL 071_073_075.pdf
Author Ashida, Kozo| Tsugeno, Hirofumi| Hosaki, Yasuhiro| Mitsunobu, Fumihiro| Mifune, Takashi| Nishida, Norikazu| Okamoto, Makoto| Takata, Shingo| Tanizaki, Yoshiro| Tsuji, Takao|
Abstract 症例は80才,女性。76才時[平成7年11月]より肝機能異常[アルカリフォスファターゼ高値]を認め,肝機能異常出現1年7ケ月後,血清学的検索で原発性胆汁性肝硬変症が疑われたが,無治療にて外来で経過を観察を行った。アルカリフォスファターゼ値は漸増傾向を示し,トランスアミナーゼ値の異常も伴ってきたため,平成12年11月精査目的で入院。組織検査等で無症候性原発性胆汁性肝硬変症[PBC]と診断した。PBCは中年・女性に好発する疾患で,高齢【特に後期高齢者]での発症は極めて稀である。4年間の自然経過も含め,興味深いと考えられたので報告する。
Keywords 原発性胆汁性肝硬変症 (primary biliary cirrhosis) 高齢 (elderly) 自然経過 (natural course)
Publication Title 岡大三朝分院研究報告
Published Date 2001-02-01
Volume volume71
Start Page 73
End Page 75
ISSN 0918-7839
language Japanese
File Version publisher
NAID 120002308230
JaLCDOI 10.18926/14904
Title Alternative 高齢者気管支喘息における気道過敏性と温泉療法
FullText URL 071_010_018.pdf
Author Tanizaki, Yoshiro| Mitsunobu, Fumihiro| Mifune, Takashi| Hosaki, Yasuhiro| Ashida, Kozo| Tsugeno, Hirofumi| Okamoto, Makoto| Takata, Shingo| Ochi, Koji|
Abstract Clinical effects of spa therapy were examined in 150 patients with asthma in relation tobronchial hyperresponsiveness and patient age. 1. The efficacy rate of spa therapy was larger as the patient age was higher: the rate was 73.3% in patients under age 49, 81.8% in those between the ages of 50 and 59, 86.4% in those between the ages of 60 and 69, and 90.6% in those over age 70. The mean of efficacy rates was 83.3% in all subjects. 2. The bronchial hyperresponsiveness (BH) was lower as patient age was higher: the BH in patients between the ages of 60 and 69 and in those over age 70 was significantly lower compared to the BH in those under age 49 (p < O.OOl). 3. Clinical effects of spa therapy tended to be lower in patients with increased bronchial hyperresponsiveness. The bronchial hyperresponsiveness showed a tendency to decrease after spa therapy in whom the therapy was effective, however, the BH did not change in patients with slight or no efficacy during spa therapy.
Keywords spa therapy asthma bronchial hyperresponsiveness patient age
Publication Title 岡大三朝分院研究報告
Published Date 2001-02-01
Volume volume71
Start Page 10
End Page 18
ISSN 0918-7839
language English
File Version publisher
NAID 120002308660
JaLCDOI 10.18926/14901
Title Alternative IgG4-related disease
FullText URL 076_060_065.pdf
Author Hiramatsu, Kazuhisa| Asano, Motoi| Matsushita, Koki| Miyoshi, Tomoko| Nakamura, Sukio| Mizushima, Takaaki| Koide, Norio| Kataoka, Hitomi| Ochi, Koji| Mitsunobu, Fumihiro|
Abstract IgG4関連疾患は21世紀になって提唱された新しい疾患である。組織学的にはIgG4陽性形質細胞やリンパ球浸潤が涙腺, 唾液腺, 後腹膜, 膵臓, 胆管などで起こり, 臨床的にはMikulicz病, 後腹膜線維症, 自己免疫膵炎, 糖尿病, 原発性硬化性胆管炎類似の胆管病変などを呈する全身性疾患であり, ステロイド治療に対する良好な反応性を認める。その診断基準は確立されておらず, われわれは, ①血清IgG4の高値, ②本疾患に特徴的な臓器の障害(唾液腺,涙腺, 膵臓, 後腹膜), ③組織学的にIgG4陽性形質細胞とリンパ球の浸潤の確認, の3項目のうち2項目以上認めれば, IgG4関連疾患とするという診断基準を提言する。
Keywords IgG4関連疾患 (IgG4-related disease) 自己免疫膵炎 (autoimmune pancreatitis) Mikulicz病 (Mikulicz's disease) 後腹膜線維症 (retroperitoneal fibrosis)
Publication Title 岡大三朝医療センター研究報告
Published Date 2008-03-01
Volume volume76
Start Page 60
End Page 65
ISSN 1348-1258
language Japanese
File Version publisher
NAID 120002308383
JaLCDOI 10.18926/14900
Title Alternative Fluticasone 投与にもかかわらず症状が軽快ぜすn-3系不飽和脂肪酸強化食による食事療法及びモンテルカストが著効した気管支喘息の1例
FullText URL 076_053_059.pdf
Author Takata, Shingo| Ashida, Kozo| Hosaki, Yasuhiro| Hamada, Masanori| Iwagaki, Naofumi| Kikuchi, Hiroshi| Mitsunobu, Fumihiro|
Abstract A 25-year-old woman had the chief complaint of recurrent episodes of dyspnea and wheeze. Asthma had been diagnosed at infant years and sometimes experienced asthma attacks. She graduated senior high school and entered technical school in Tokyo. She received fluticasone (400μg daily) but exacerbation continued after she became an office clerk. She returned Kurashiki in October 2001 but had wheeze and asthma exacerbations. She was admitted to our hospital for evaluation and treatment of bronchial asthma on August 2, 2002. After admission, her symptoms subsided within some days. She was treated with montelukast and perilla seed oil-rich supplementation . The number of eosinophils decreased, decrease was observed in leukotriene (LT) B4 generation and in LTC4 generation, and pulmonary function improved following montelukast and perilla seed oil-rich supplementation for 4 weeks. The patient had no exacerbation under treatment and was discharged from the hospital on September 2, 2002. For some patients with persistent asthma, inhaled corticosteroids may fail to achieve adequate control possibly because corticosteroids do not completely inhibit the synthesis and release of cysteinyl leukotrienes (cysLTs) in the lung. Montelukast blocks the interaction of cysLTs with their receptor and resulting downstream events and perilla seed oil-rich diet suppresses LT generation. Combination therapy with montelukast and perilla seed oil-rich diet is more effective than montelukast or perilla seed oil-rich diet alone because of additive effects of montelukast with perilla seed oil-rich diet. We suggest that montelukast and perilla seed oil-rich supplementation are effective options when bronchial asthma patients receive inhaled corticosteroid but exacerbation continues.
Keywords モンテルカスト (montelukast) 気管支喘息 (bronchial asthma) ロイコトリエンC4 (leukotriene C4) エゴマ油食 (perilla seed oil-rich supplementation) フルチカゾン (fluticasone)
Publication Title 岡大三朝医療センター研究報告
Published Date 2008-03-01
Volume volume76
Start Page 53
End Page 59
ISSN 1348-1258
language English
File Version publisher
NAID 120002308179
JaLCDOI 10.18926/14898
Title Alternative A case of primary adenosquamous carcinoma of the liver with hepatocellular carcinoma
FullText URL 076_041_048.pdf
Author Takata, Shingo| Ashida, Kozo| Hosaki, Yasuhiro| Hamada, Masanori| Iwagaki, Naofumi| Kikuchi, Hiroshi| Mitsunobu, Fumihiro|
Abstract 症例は74歳男性。慢性C型肝炎にて当院外来通院中であった。肝細胞癌を指摘され1998年7月腹部血管造影, 経皮エタノール注入療法施行した。以後当院外来加療中であったが, 腹部超音波上肝S5に低エコー域を認め, 1999年10月27日精査加療目的で入院となった。入院 後肝S6にも低エコー域を認めた。超音波ガイド下経皮的針生検施行し, S5では中から低分化の腺癌に加え, 部分的に扁平上皮癌が認められ, 腺扁平上皮癌と診断された。S6では中分化, 一部高分化の肝細胞癌を認めた。転移性肝癌の可能性を考え全身検査を行なったが,他臓器に原発病巣は発見されず, 肝細胞癌に肝原発扁平上皮癌を合併したと考えた。経皮的エタノール注入療法施行し12月28日退院となった。その後も外来にて加療されていたが, 2000年3月肝S4を中心に再発し, 9月9日死亡した。肝細胞癌に合併した肝原発腺扁平上皮癌は稀であり, 若干の文献的考察を加えて報告する。
Keywords 肝腺扁平上皮癌 (adenosquamous carcinoma of the liver) 肝細胞癌 (hepatocellular carcinoma) 経皮的エタノール注入療法 (percutaneous ethanol injection)
Publication Title 岡大三朝医療センター研究報告
Published Date 2008-03-01
Volume volume76
Start Page 41
End Page 48
ISSN 1348-1258
language Japanese
File Version publisher
NAID 120002308284
JaLCDOI 10.18926/14897
Title Alternative A case of generalized measles-like erythema induced by ketoprofen
FullText URL 076_035_040.pdf
Author Takata, Shingo| Ashida, Kozo| Hosaki, Yasuhiro| Hamada, Masanori| Iwagaki, Naofumi| Kikuchi, Hiroshi| Mitsunobu, Fumihiro|
Abstract 症例は74歳男性。慢性C型肝炎にて当院外来通院中であった。肝細胞癌を指摘され1998年7月腹部血管造影, 経皮エタノール注入療法施行した。以後当院外来加療中であったが, 腹部超音波上肝S5に低エコー域を認め, 1999年10月27日精査加療目的で入院となった。入院 後肝S6にも低エコー域を認めた。超音波ガイド下経皮的針生検施行し, S5では中から低分化の腺癌に加え, 部分的に扁平上皮癌が認められ, 腺扁平上皮癌と診断された。S6では中分化, 一部高分化の肝細胞癌を認めた。転移性肝癌の可能性を考え全身検査を行なったが,他臓器に原発病巣は発見されず, 肝細胞癌に肝原発扁平上皮癌を合併したと考えた。経皮的エタノール注入療法施行し12月28日退院となった。その後も外来にて加療されていたが, 2000年3月肝S4を中心に再発し, 9月9日死亡した。肝細胞癌に合併した肝原発腺扁平上皮癌は稀であり, 若干の文献的考察を加えて報告する。
Keywords ケトプロフェン (ketoprofen) 喘息発作 (asthma attack) 麻疹様紅斑 (measles-like erythema) リンパ球刺激試験 (lymphocyte stimulating test) 接触性皮膚炎 (contact dermatitis)
Publication Title 岡大三朝医療センター研究報告
Published Date 2008-03-01
Volume volume76
Start Page 35
End Page 40
ISSN 1348-1258
language Japanese
File Version publisher
NAID 120002308527
JaLCDOI 10.18926/14895
Title Alternative 慢性閉塞性肺疾患患者における温泉療法の6分間歩行に対する効果
FullText URL 076_024_030.pdf
Author Takata, Shingo| Ashida, Kozo| Hosaki, Yasuhiro| Hamada, Masanori| Iwagaki, Naofumi| Kikuchi, Hiroshi| Mitsunobu, Fumihiro|
Abstract Our previous studies have shown that subjective symptoms and ventilatory function are improved by spa therapy in patients with chronic obstructive pulmonary disease (COPD). In the present study, we investigated the effects of spa therapy on six-minute walk distance in patients with COPD . Subjects were 10 patients with chronic obstructive pulmonary disease (9 males and 1 female) admitted to our hospital to undergo pulmonary rehabilitation. All patients had complex spa therapy (swimming training in a hot spring pool, inhalation of iodine salt solution, and fango therapy) for 4 weeks. Ventilatory function, six-minute walk distance, oxygen saturation and Borg scale were measured. Vital capacity, forced expiratory volume in one second, sixminute walk distance and oxygen saturation increased, but not significantly. Significant decreases were observed for Borg scale. We found that spa therapy improved ventilatory dysfunction and six-minute walk distance in patients with COPD. The results demonstrated that spa therapy may lead to better disease control and exercise tolerance in patients with COPD.
Keywords Chronic obstructive pulmonary disease (慢性閉塞性肺疾患) Spa therapy (温泉療法) Six-minute walk test (6分間歩行試験) Borg scale (ボルグスケール) Ventilatory function (呼吸機能)
Publication Title 岡大三朝医療センター研究報告
Published Date 2008-03-01
Volume volume76
Start Page 24
End Page 30
ISSN 1348-1258
language English
File Version publisher
NAID 120002308319