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JaLCDOI 10.18926/AMO/65493
フルテキストURL 77_3_281.pdf
著者 Mukai, Yuko| Taira, Naruto| Kajiwara, Yukiko| Iwamoto, Takayuki| Kitaguchi, Yohei| Saiga, Miho| Watanabe, Satoko| Shien, Tadahiko| Doihara, Hiroyoshi| Kimata, Yoshihiro|
抄録 Although immediate breast reconstruction following mastectomy has become increasingly common, its oncological safety has been debated. We enrolled patients with breast cancer who underwent surgery at Okayama University Hospital between 2007 and 2013. The primary outcome was relapse-free survival (RFS). Secondary outcomes were overall survival and the duration from the surgery to the initiation of adjuvant chemotherapy. We divided into immediate breast reconstruction, mastectomy alone, and breast conservative surgery groups. Outcomes were compared using Cox’s regression analysis. A total of 614 patients were included (reconstruction: 125, mastectomy: 128, breast conservative surgery: 361). The median follow-up duration was 79.0±31.9 months. The immediate-reconstruction patients were younger, had more lymph node metastases, and more often received postoperative chemotherapy. The RFS was better after the breast conservative surgery compared to after reconstruction (hazard ratio 0.33, 95% confidence interval: 0.144-0.763). The proportion of local recurrence was highest in the reconstruction group. No patients in the reconstruction group underwent postoperative radiation therapy. However, reconstruction did not affect overall survival or the time to the initiation of adjuvant chemotherapy. Surgeons should explain the risks of breast reconstruction to their patients preoperatively. Careful long-term follow-up is required after such procedures.
キーワード immediate breast reconstruction oncological safety local recurrence postoperative radiation therapy time to initiation of adjuvant chemotherapy
Amo Type Original Article
出版物タイトル Acta Medica Okayama
発行日 2023-06
巻 77巻
号 3号
出版者 Okayama University Medical School
開始ページ 281
終了ページ 290
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 英語
著作権者 Copyright Ⓒ 2023 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 37357629
Web of Science KeyUT 001026279600006
JaLCDOI 10.18926/AMO/65492
フルテキストURL 77_3_273.pdf
著者 Shimizu, Yudai| Kuroda, Masahiro| Nakamitsu, Yuki| Al-Hammad, Wlla E.| Yoshida, Suzuka| Fukumura, Yuka| Nakamura, Yoshihide| Kuroda, Kazuhiro| Kamizaki, Ryo| Imajoh, Satoshi| Tanabe, Yoshinori| Sugimoto, Kohei| Oita, Masataka| Sugianto, Irfan| Bamgbose, Babatunde O.| Yanagi, Yoshinobu| Asaumi, Junichi|
抄録 Diffusion kurtosis (DK) imaging (DKI), a type of restricted diffusion-weighted imaging, has been reported to be useful for tumor diagnoses in clinical studies. We developed a software program to simultaneously create DK images with apparent diffusion coefficient (ADC) maps and conducted an initial clinical study. Multi-shot echo-planar diffusion-weighted images were obtained at b-values of 0, 400, and 800 sec/mm2 for simple DKI, and DK images were created simultaneously with the ADC map. The usefulness of the DK image and ADC map was evaluated using a pixel analysis of all pixels and a median analysis of the pixels of each case. Tumor and normal tissues differed significantly in both pixel and median analyses. In the pixel analysis, the area under the curve was 0.64 for the mean kurtosis (MK) value and 0.77 for the ADC value. In the median analysis, the MK value was 0.74, and the ADC value was 0.75. The MK and ADC values correlated moderately in the pixel analysis and strongly in the median analysis. Our simple DKI system created DK images simultaneously with ADC maps, and the obtained MK and ADC values were useful for differentiating head and neck tumors from normal tissue.
キーワード simple diffusion kurtosis imaging mean kurtosis clinical trial head and neck tumor magnetic resonance imaging
Amo Type Original Article
出版物タイトル Acta Medica Okayama
発行日 2023-06
巻 77巻
号 3号
出版者 Okayama University Medical School
開始ページ 273
終了ページ 280
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 英語
著作権者 Copyright Ⓒ 2023 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 37357628
Web of Science KeyUT 001026279600005
JaLCDOI 10.18926/AMO/65491
フルテキストURL 77_3_263.pdf
著者 Guo, Yusheng| Kosaka, Junko| Morimatsu, Hiroshi|
抄録 Continuous renal replacement therapy (CRRT) is widely used to control fluid balance, but the optimal fluid balance to improve the prognosis of patients remains debated. Appropriate fluid management may depend on hemodynamic status. We investigated the association between 90-day mortality and fluid balance/mean arterial pressure (MAP) in patients receiving CRRT. This single-center retrospective study was conducted between May 2018 and March 2021. Based on the cumulative fluid balance at 72 h after initiation of CRRT, the cases were divided into negative (< 0 mL) and positive (> 0 mL) fluid balance groups. Ninety-day mortality was higher in the positive fluid balance group (p=0.009). At 4 h before and after CRRT initiation, the mean MAP was lower in the positive fluid balance group (p<0.05). After multivariate cox adjustment, 72-h positive fluid balance was independently associated with 90-day mortality (p=0.004). In addition, the cumulative fluid balance was associated with 90-day mortality (p<0.05) in cases without shock, high APACHE II score, sepsis, dialysis dependence, or vasopressor use. A 72-h positive fluid balance was associated with 90-day mortality in patients receiving CRRT.
キーワード fluid management continuous renal replacement therapy mortality mean arterial pressure daily cumulative fluid balance
Amo Type Original Article
出版物タイトル Acta Medica Okayama
発行日 2023-06
巻 77巻
号 3号
出版者 Okayama University Medical School
開始ページ 263
終了ページ 272
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 英語
著作権者 Copyright Ⓒ 2023 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 37357627
Web of Science KeyUT 001026279600004
JaLCDOI 10.18926/AMO/65490
フルテキストURL 77_3_255.pdf
著者 Fukushima, Shinnosuke| Hagiya, Hideharu| Uda, Kazuhiro| Gotoh, Kazuyoshi| Otsuka, Fumio|
抄録 Antimicrobial resistance is an emerging global threat that must be addressed using a multidisciplinary approach. This study aimed to raise awareness of high-level antimicrobial-resistant (AMR) pathogens in Japan by comparing their recent prevalences among prefectures, particularly Okayama. Data for the isolation proportions of meropenem-resistant Pseudomonas aeruginosa, methicillin-resistant Staphylococcus aureus, vancomycin-resistant Enterococcus faecium, cefotaxime-resistant Escherichia coli and Klebsiella pneumoniae, and levofloxacin-resistant E. coli and K. pneumoniae were collected from the Japan Nosocomial Infections Surveillance, a national database sponsored by the Japanese Ministry of Health, Labour, and Welfare, between 2018 and 2021. The average isolated proportions of the seven AMR pathogens were higher in Okayama compared to other prefectures: the worst (19.9%) was meropenem-resistant P. aeruginosa, the sixth worst (57.2%) was methicillin-resistant S. aureus, the eighth worst (3.3%) was vancomycin-resistant E. faecium, the second (37.8%) and fifth worst (17.6%) were cefotaxime-resistant E. coli and K. pneumoniae, respectively, and the fourth (49.9%) and third worst (8.7%) were levofloxacin-resistant E. coli and K. pneumoniae, respectively. Our study highlights the notably high prevalences of representative AMR pathogens in Okayama, suggesting the need for fundamental infection prevention and control by healthcare professionals, promoting antimicrobial stewardship, and educating undergraduates and postgraduates in Okayama.
キーワード antimicrobial resistance antimicrobial stewardship epidemiology infection prevention and control Japan Nosocomial Infections Surveillance
Amo Type Original Article
出版物タイトル Acta Medica Okayama
発行日 2023-06
巻 77巻
号 3号
出版者 Okayama University Medical School
開始ページ 255
終了ページ 262
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 英語
著作権者 Copyright Ⓒ 2023 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 37357626
Web of Science KeyUT 001026279600003
JaLCDOI 10.18926/AMO/65489
フルテキストURL 77_3_243.pdf
著者 Shibata, Yusuke| Eguchi, Jun| Wada, Jun|
抄録 Brown adipose tissue (BAT) plays a critical role in metabolic homeostasis. BAT dysfunction is associated with the development of obesity through an imbalance between energy expenditure and energy intake. The nuclear receptor peroxisome proliferator-activated receptor gamma (PPARγ) is the master regulator of adipogenesis. However, the roles of PPARγ and thiazolidinediones (TZDs) in the regulation of BAT metabolism remain unclear. TZDs, which are selective PPARγ activators, improve systemic insulin resistance in animals and humans. In the present study, we generated brown adipocyte-specific PPARγ-deficient mice (BATγKO) to examine the in vivo roles of PPARγ and TZDs in BAT metabolism. In electron microscopic examinations, brown adipocyte-specific PPARγ deletion promoted severe whitening of brown fat and morphological alteration of mitochondria. Brown adipocyte-specific PPARγ deletion also reduced mRNA expression of BAT-selective genes. Although there was no difference in energy expenditure between control and BATγKO mice in calorimetry, norepinephrine-induced thermogenesis was impaired in BATγKO mice. Moreover, pioglitazone treatment improved diet-induced insulin resistance in the control mice but not in the BATγKO mice. These findings suggest that BAT PPARγ is necessary for the maintenance of brown adipocyte function and for the insulin-sensitizing action of TZDs.
キーワード PPARγ brown adipose tissue thiazolidinediones
Amo Type Original Article
出版物タイトル Acta Medica Okayama
発行日 2023-06
巻 77巻
号 3号
出版者 Okayama University Medical School
開始ページ 243
終了ページ 254
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 英語
著作権者 Copyright Ⓒ 2023 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 37357625
Web of Science KeyUT 001026279600002
JaLCDOI 10.18926/AMO/65488
フルテキストURL 77_3_235.pdf
著者 Kuraoka, Sakiko| Iwamuro, Masaya| Satomi, Takuya| Yamazaki, Tatsuhiro| Hamada, Kenta| Kono, Yoshiyasu| Kanzaki, Hiromitsu| Kato, Hironari| Otsuka, Fumio| Okada, Hiroyuki|
抄録 Changes in hormone levels in patients with cancer cachexia after anamorelin administration have not been fully investigated. This study aimed to determine how anamorelin affects the endocrine system in patients with gastrointestinal cancer and cachexia. We prospectively enrolled 13 patients and comprehensively investigated their body weight and levels of serum albumin, hemoglobin A1c (HbA1c), and hormones before (week 0) and 3 and 12 weeks after anamorelin administration. The variables were evaluated at week 3 in 9 patients and at week 12 in 5 patients. At week 3, anamorelin administration resulted in body weight gain and increased the levels of growth hormone and HbA1c, as well as insulin-like growth factor-1 standard deviation scores (IGF-1 SD scores). At the same time, negative correlations were observed between ΔIGF-1 SD score and Δthyroidstimulating hormone (TSH) and between ΔIGF-1 SD score and Δfree testosterone. ΔBody weight and ΔIGF-1 SD score correlated positively at week 12. These results suggest that TSH and free testosterone levels can be affected 3 weeks after anamorelin administration; however, those variables tend to return to a state of equilibrium, and anabolic effects of anamorelin appear in long-term (≥ 12 weeks) users.
キーワード anamorelin body weight cancer cachexia endocrine system
Amo Type Original Article
出版物タイトル Acta Medica Okayama
発行日 2023-06
巻 77巻
号 3号
出版者 Okayama University Medical School
開始ページ 235
終了ページ 241
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 英語
著作権者 Copyright Ⓒ 2023 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 37357624
Web of Science KeyUT 001026279600001
フルテキストURL fulltext.pdf
著者 Inaba, Mototaka| Naito, Hiromichi| Yorifuji, Takashi| Nakamichi, Chikaaki| Maeyama, Hiroki| Ishikawa, Hideki| Shime, Nobuaki| Uemori, Sadayori| Ishihara, Satoshi| Takaoka, Makoto| Ohtsuka, Tsuyoshi| Harada, Masahiro| Nozaki, Satoshi| Kohama, Keisuke| Sakurai, Ryota| Sato, Shuho| Muramatsu, Shun| Yamashita, Kazunori| Mayumi, Toshihiko| Aita, Kaoruko| Nakao, Atsunori| the LIFE Study Investigators|
備考 The version of record of this article, first published in Scientific Reports, is available online at Publisher’s website: http://dx.doi.org/10.1038/s41598-023-32519-2|
発行日 2023-04-03
出版物タイトル Scientific Reports
巻 13巻
号 1号
出版者 nature portfolio
開始ページ 5433
ISSN 2045-2322
資料タイプ 学術雑誌論文
言語 英語
OAI-PMH Set 岡山大学
著作権者 © The Author(s) 2023
論文のバージョン publisher
PubMed ID 37012346
DOI 10.1038/s41598-023-32519-2
Web of Science KeyUT 000984090500023
関連URL isVersionOf https://doi.org/10.1038/s41598-023-32519-2
フルテキストURL fulltext.pdf
著者 Takata, Jun| Kiura, Katsuyuki| Nakasuka, Takamasa| Hirabae, Atsuko| Arimoto-Kobayashi, Sakae|
キーワード Anti-mutagenesis Signal transduction Lung tumorigenesis DNA methylation Tobacco-specific nitrosamine Glycine betaine
備考 The version of record of this article, first published in Genes and Environment, is available online at Publisher’s website: http://dx.doi.org/10.1186/s41021-023-00276-3|
発行日 2023-06-07
出版物タイトル Genes and Environment
巻 45巻
号 1号
出版者 BMC
開始ページ 19
ISSN 1880-7046
資料タイプ 学術雑誌論文
言語 英語
OAI-PMH Set 岡山大学
著作権者 © The Author(s) 2023.
論文のバージョン publisher
PubMed ID 37280663
DOI 10.1186/s41021-023-00276-3
Web of Science KeyUT 001002195100001
関連URL isVersionOf https://doi.org/10.1186/s41021-023-00276-3
タイトル(別表記) ERRATA: FDM simulation of long-period ground motions around Oita Prefecture, Japan, using a land-ocean unified 3D structure model
フルテキストURL esr_029_065_066.pdf
著者 奥仲 達也| 小松 正直| 竹中 博士| 吉見 雅行| 中村 武史| 岡元 太郎|
出版物タイトル Okayama University Earth Science Report
発行日 2023-03-31
巻 29巻
号 1号
開始ページ 65
終了ページ 66
ISSN 1340-7414
言語 日本語
著作権者 © 2023 by Okayama University Earth Science Reports Editorial Committee All Rights Reserved
論文のバージョン publisher
JaLCDOI 10.18926/ESR/65481
タイトル(別表記) Onset time and location of the main rupture of the 2018 Hokkaido Eastern Iburi, Japan, earthquake
フルテキストURL esr_029_049_063.pdf
著者 小割 啓史| 小松 正直| 竹中 博士|
抄録 The rupture process at the beginning stage of the 2018 Hokkaido Eastern Iburi, Japan, earthquake (MJ 6.7) is investigated by analyzing P-wave records from local strong-motion stations. The records show about 3 s of small amplitude arrival (so-called "initial rupture phase") followed by the onset of the main energy release ("main rupture phase"). In this paper we address the issue: where the seismic energy release corresponding to the main rupture phase started at the primary stage of the main rupture, by locating the main rupture onset position. For this aim we applied the 2D and the 3D search methods to estimate the relative location of the onset of the main rupture with respect to the hypocenter, and the time difference between them. The 2D method assumes a plausible initial fault plane and locates the main rupture onset position on the initial fault plane, while the 3D method does not require such assumed fault planes. In the 2D method we employed each of the nodal planes of the first-motion focal mechanism as the initial rupture plane. The 3D method was able to give a better solution than the 2D one. It suggests that the main rupture initiation point might not be on the same fault plane as the hypocenter is. The solution shows that the main rupture onset point is 5.8 km southward and 2.5 km upward from the hypocenter, with the rupture time of 3.3 s from the origin time. It is consistent with the previous studies on the relationship between the magnitude and the initial rupture duration.
キーワード 2018 Hokkaido Eastern Iburi earthquake fault plane initial rupture strong motion
出版物タイトル Okayama University Earth Science Report
発行日 2023-03-31
巻 29巻
号 1号
開始ページ 49
終了ページ 63
ISSN 1340-7414
言語 日本語
著作権者 © 2023 by Okayama University Earth Science Reports Editorial Committee All Rights Reserved
論文のバージョン publisher
JaLCDOI 10.18926/ESR/65480
タイトル(別表記) Summary of our activities toward development of the ESD interdisciplinary study plans on climate and cultural understanding education with attention to the seasonal cycle and “seasonal feeling” around Japan and Europe
フルテキストURL esr_029_029_048_rev.pdf
著者 加藤 内藏進| 加藤 晴子| 赤木 里香子|
抄録 We have continued the interdisciplinary integration of the knowledge on climate and music and have developed the crosscutting study plans on the climate and cultural understanding education. A part of these results had been summarized in a Japanese book titled “Climate and music (Cultural understanding and ESD spreading from the “Doors of Song”)” (Kato and Kato 2019), building mainly our papers written in Japanese. This article will re-integrate our above study results, mainly for the climate and songs/traditional seasonal events around Germany, Northern Europe and Japan, with special attention to (A) asymmetric seasonal progression from autumn to next spring around Japan, (B) winter climate around Germany in association with the seasonal feeling on the traditional events “Fasnacht” for driving winter away and (C) climate around Northern Europe in association with the seasonal feeling on the summer solstice festival “Juhannus” with comparison to the summer climate around Japan.
キーワード climate and music interdisciplinary climate and cultural understanding education seasonal cycle around Japan and Europe seasonal feeling ESD comparative climatology
出版物タイトル Okayama University Earth Science Report
発行日 2023-03-31
巻 29巻
号 1号
開始ページ 29
終了ページ 48
ISSN 1340-7414
言語 英語
著作権者 © 2023 by Okayama University Earth Science Reports Editorial Committee All Rights Reserved
論文のバージョン publisher
JaLCDOI 10.18926/ESR/65479
タイトル(別表記) Geology of the Paleogene to Neogene successions and gentle upwarping of the Kibi Plateau Surface, surrounding area of Kibichuou Town, Okayama Prefecture, Southwest Japan
フルテキストURL esr_029_001_027.pdf
著者 田中 元| 鈴木 茂之|
抄録 The Paleogene to Neogene successions which are composed of the Paleogene Kayo Formation, the late Oligocene to earliest Miocene Yagane Formation and the middle Miocene Ukan Formation are sporadically distributed in the Kibi Plateau region, surrounding area of Kibichuou Town, Okayama Prefecture, Southwest Japan. The gravel of the Kayo Formation occupied paleo-valley of Pre-Paleogene basement. The Yagane and Ukan formations unconformably overlay Pre-Paleogene rocks and occupy the gentle valley on the Kibi Surface as valley fill deposits.
The fluvial of the Kayo Formation is mainly composed of conglomerate with minor amount of sandstone and mudstone. The fluvial Yagane Formation is mainly composed of conglomerate and associated with sandstone, mudstone and coal beds. The marine Ukan Formation is subdivided into 3 members, the Yamagata Muddy sandstone Member (YMM), the Shimoyokomi Sandstone Member (SSM) and the Tsuneyama Mudstone Member (TMM) in ascending order. The YMM is characterized by the bio-disturbed very poorly sorted muddy sandstone with frequent burrows, which indicate tidal flat deposits. The SSM is mainly composed of parallel bedded well-sorted sandstone with occasional burrows, which suggest near shore deposits. The TMM is composed of homogeneous clay rich mudstone, which implies off shore deposits.
The boundary between the SSM and TMM (the contact of the sandstone and mudstone) is distinctive and correlative throughout the study area. The boundary is considered to be formed under similar water depth. The variations of the boundary height indicate a later ground movement. From the north to the south in about 25km distance, the height of the boundary changes 260m (in Ukan), 300m (in Takeshou), 360m (in Kibikogentoshi) and 260m (in Nichiouji). It indicates that a very gentle upwarping of the Kibi Plateau Surface was formed after the deposition of the Miocene.
キーワード Kibi Plateau Surface Upwarping Miocene Ukan Formation
出版物タイトル Okayama University Earth Science Report
発行日 2023-03-31
巻 29巻
号 1号
開始ページ 1
終了ページ 27
ISSN 1340-7414
言語 日本語
著作権者 © 2023 by Okayama University Earth Science Reports Editorial Committee All Rights Reserved
論文のバージョン publisher
フルテキストURL fulltext.pdf
著者 Fujita, Kana| Otsuka, Yuki| Sunada, Naruhiko| Honda, Hiroyuki| Tokumasu, Kazuki| Nakano, Yasuhiro| Sakurada, Yasue| Obika, Mikako| Hagiya, Hideharu| Otsuka, Fumio|
キーワード COVID-19 aftercare clinic (CAC) headache quality of life (QOL) long COVID post COVID-19 condition (PCC)
発行日 2023-05-18
出版物タイトル Journal of Clinical Medicine
巻 12巻
号 10号
出版者 MDPI
開始ページ 3533
ISSN 2077-0383
資料タイプ 学術雑誌論文
言語 英語
OAI-PMH Set 岡山大学
著作権者 © 2023 by the authors.
論文のバージョン publisher
PubMed ID 37240639
DOI 10.3390/jcm12103533
Web of Science KeyUT 000997859300001
関連URL isVersionOf https://doi.org/10.3390/jcm12103533
フルテキストURL fulltext.pdf
著者 Lu, Yifu| Shimizu, Hiroko| Nakamura, Ryu| Li, Yaqiang| Sakamoto, Risa| Omori, Emiko| Takahashi, Toru| Morimatsu, Hiroshi|
発行日 2023-03-16
出版物タイトル Scientific Reports
巻 13巻
号 1号
出版者 Nature Research
ISSN 2045-2322
資料タイプ 学術雑誌論文
言語 英語
OAI-PMH Set 岡山大学
著作権者 © The Author(s) 2023
論文のバージョン publisher
PubMed ID 36927753
DOI 10.1038/s41598-023-31483-1
Web of Science KeyUT 000984357200057
関連URL isVersionOf https://doi.org/10.1038/s41598-023-31483-1
フルテキストURL fulltext.pdf
著者 Iwamuro, Masaya| Tanaka, Takehiro| Okada, Hiroyuki|
キーワード Diagnosis Diffuse large B-cell lymphoma Duodenal neoplasms Esoph-agogastroduodenoscopy Follicular lymphoma Gastrointestinal lymphoma
発行日 2023-03-28
出版物タイトル World Journal of Gastroenterology
巻 29巻
号 12号
出版者 Baishideng Publishing Group
開始ページ 1852
終了ページ 1862
ISSN 1007-9327
資料タイプ 学術雑誌論文
言語 英語
OAI-PMH Set 岡山大学
著作権者 © The Author(s) 2023.
論文のバージョン publisher
PubMed ID 37032723
DOI 10.3748/wjg.v29.i12.1852
Web of Science KeyUT 000982154800007
関連URL isVersionOf https://doi.org/10.3748/wjg.v29.i12.1852
JaLCDOI 10.18926/interdisciplinary/65464
タイトル(別表記) Historical Analysis of Medical Artificial Intelligence Development in China: Research Centered on the expert system of traditional Chinese medicine
フルテキストURL interdisciplinary_3_51.pdf
著者 秦 嶺|
抄録 This study is based on a historical analysis of the technological development and introduction of artificial intelligence for medical use in China, based on the progress of application of artificial intelligence technology development to the medical field of traditional Chinese medicine and the experience of many experts in clinical practice. Through the application history of Traditional Chinese Medicine(TCM)expert systems technology, we will review its historical characteristics and the necessity of TCM expert system technology. By examining the application cases of TCM expert systems, we can find that Traditional Chinese Medicine(TCM)expert systems play an important role as an auxiliary means of diagnosis and treatment for doctors. This paper finds that the development of Traditional Chinese Medicine(TCM)expert systems is directly related to the change of Chinese government's science and technology policy through the investigation of the application history of Traditional Chinese Medicine(TCM)expert systems. At the same time, because the science and technology policy directly related to the traditional Chinese Medicine(TCM)expert systems appeared late, so the implementation technology of the traditional Chinese Medicine(TCM)expert systems is still insufficient. The technical level adopted in the implementation of the existing traditional Chinese Medicine(TCM)expert systems is still in a relatively low state. Therefore, whether in hardware or software, we should develop a new integrated traditional Chinese Medicine(TCM)expert systems based on the treatment theory of many Traditional Chinese Medicine(TCM)expert systems, so as to meet the needs of modern Traditional Chinese Medicine(TCM)expert systems diagnosis, people's need for healthy life, and medical care. Finally, when studying the historical issues of Traditional Chinese Medicine (TCM)expert systems, the Chinese government's science and technology policy changes are also an integral part.
出版物タイトル 統合科学
発行日 2023-03-31
巻 3巻
開始ページ 51
終了ページ 60
ISSN 2436-3227
言語 日本語
論文のバージョン publisher
JaLCDOI 10.18926/interdisciplinary/65463
タイトル(別表記) Types of feelings of "Meiwaku/Burden": Through the analysis of examples of "Meiwaku/Burden" in Une mort très douce
フルテキストURL interdisciplinary_3_39.pdf
著者 田中 菜摘|
抄録 In contemporary Japan, the elderly often say that they do not wish to be a burden on anyone, and they make important decisions with this motivation (here called feelings of "Meiwaku/Burden"). This paper seeks to categorize feelings of "Meiwaku/Burden" according to its relationship to the type of motivation they express. For this purpose, we focused on feelings of "Meiwaku/Burden" of elderly people in France. As there is no easily corresponding phrase in French for our word "Meiwaku/Burden", the French use several different words to express this sense "Meiwaku/Burden". Here we draw examples from Une mort très douce by Simone de Beauvoir, as well as her La Ceremonie des adieux.
The analysis of examples given in these books indicates that "Meiwaku/Burden" of the elderly is motivated by three factors: relationships (déranger), emotions (ennuyer), and body/physical (gêner). In this paper, according to these three motivations we categorize feelings of "Meiwaku/Burden" three types: the feelings of "Meiwaku/Burden" about relationships, the feelings of "Meiwaku/Burden" about emotions, and the feelings of "Meiwaku/Burden" about bodily/physical things.
キーワード Meiwaku burden elderly people French analysis of example
出版物タイトル 統合科学
発行日 2023-03-31
巻 3巻
開始ページ 39
終了ページ 49
ISSN 2436-3227
言語 日本語
論文のバージョン publisher
JaLCDOI 10.18926/interdisciplinary/65462
タイトル(別表記) Feelings of “Meiwaku/Burden” and Autonomy: Through an Examination of Studies on Spiritual Pain and Self-Perceived Burden
フルテキストURL interdisciplinary_3_29.pdf
著者 日笠 晴香|
抄録 This study aimed to clarify the meaning of feelings of “Meiwaku/Burden” in Japan, which is expressed as “I do not want to bother others” or “I do not want to be a burden.” This is examined specifically in the context of medical care for the terminally and chronically ill. The first section of this paper reviews the core meaning of autonomy and the situations in which feelings of “Meiwaku/Burden” is focused in Japan. Section 2 examines the meaning of “Meiwaku” and “burden,” which is understood in regards to “autonomy,” particularly in the context of patients’ terminal suffering and spiritual pain in palliative care in Japan. Section 3 verifies that “Meiwaku” and “burden” in Japan are sometimes understood as “self-perceived burden (SPB).” Section 4 examines the meaning of “burden” in the discussion of SPB. Section 5 attempts to clarify the meaning of feelings of “Meiwaku/Burden” in medical care, specifically in the context of “autonomy.”
キーワード feelings of "Meiwaku/Burden" autonom independence spiritual pain self-perceived burden (SPB)
出版物タイトル 統合科学
発行日 2023-03-31
巻 3巻
開始ページ 29
終了ページ 38
ISSN 2436-3227
言語 日本語
論文のバージョン publisher
JaLCDOI 10.18926/interdisciplinary/65461
タイトル(別表記) Feelings of "Meiwaku / Burden" as a Interaction: A Reflection Based on a Gift-giving Theoretic Approach
フルテキストURL interdisciplinary_3_15.pdf
著者 鈴木 亮三|
抄録 This paper examines elderly people’s Feelings of "Meiwaku / Burden" from the perspective of the act of gift-giving. In Japanese, the word "Morau" is used not only in receiving a concrete object, but also in having something done by someone. Both acts lead to the human relationship and the reciprocity. Both cases can cause a burden on receivers and others. We use then “Sumimasen”. This is not as the same as English words “Thank You”. But this usage of Japanese can be explained from a Gift-giving-theoretic point of view. Because, in terms of the outcome, they are the same thing from this theory. Therefore, we will examine the meaning of the word "receive" based on discussions by Kunio Yanagida, Michizo Toida, Ruth Benedict, Marcel Mauss, and others. We hope to clarify what is elderly people’s Feelings of "Meiwaku / Burden" by analyzing the meaning of human relationships brought about by the act of gift-giving in general.
キーワード gift-giving theory Feelings of "Meiwaku / Burden" human relationships
出版物タイトル 統合科学
発行日 2023-03-31
巻 3巻
開始ページ 15
終了ページ 27
ISSN 2436-3227
言語 日本語
論文のバージョン publisher
タイトル(別表記) Introduction to Special Feature
フルテキストURL interdisciplinary_3_11.pdf
著者 本村 昌文|
抄録 This special feature is based on the symposium ,"Feelings of "Meiwaku/Burden" in Modern Japan’s Super-aging Society,” which was held on Monday, September 19, 2022. This symposium was sponsored by JSPS KAKENHI Grant Number JP20A00007. This project focuses on the fact that when people think about aging, end-of-life care, and death in modern Japan, many feel that “they do not want to be a burden to others.” The project is divided into three research groups: historic studies, studies of contemporary Japan, and field research. The symposium reported the results of the contemporary Japan research group, which is halfway through its research. The symposium consisted of two sessions, and this special feature is based on the three participants in the session titled “Feelings of"Meiwaku/Burden" : A Comparison with Other Countries.” Ryozo Suzuki’s study focuses on “the giving of gifts as being mutual actions of giving and receiving” to understand the elderly’s feelings of meiwaku and analyzes the significance and complex structures of the feeling of “being a burden to others” at the end of one’s life. Haruka Hikasa’s study considers the feelings of meiwaku in relation to the subject’s autonomy in the context of medical care provided to people with terminal or chronic illnesses. Natsumi Tanaka’s study examines the feelings of meiwaku among the elderly in France and is based on the work of Simone de Beauvoir. She determines the motivations behind the elderly’s feelings of meiwaku and categorizes them. The abovementioned studies present important research results and facilitate future comparative research on the feelings of meiwaku between Japan and other countries.
出版物タイトル 統合科学
発行日 2023-03-31
巻 3巻
開始ページ 11
終了ページ 13
ISSN 2436-3227
言語 日本語
論文のバージョン publisher