start-ver=1.4 cd-journal=joma no-vol= cd-vols= no-issue= article-no= start-page=161 end-page=167 dt-received= dt-revised= dt-accepted= dt-pub-year=2023 dt-pub=20231128 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Evaluation of Effectiveness of MAC Systems Based on LSM for Protecting IoT Devices en-subtitle= kn-subtitle= en-abstract= kn-abstract=Numerous active attacks targeting Internet of Things (IoT) devices exist. They exploit the latest vulnerabilities discovered in IoT devices. Therefore, Mandatory Access Control (MAC) systems based on Linux Security Modules (LSM), such as SELinux and AppArmor, are effective security features for IoT devices because they can mitigate the impact of attacks even if software vulnerabilities are discovered. However, they are not adopted by most IoT devices. The existing approaches are insufficient for investigating the causes of this problem.In this study, we comprehensively investigated what factors can affect the applicability of MAC systems based on LSM in IoT devices. We focused on how frequently cases can occur where they cannot be adopted, owing to each factor. To increase the comprehensiveness of the factors affecting the adoption of MAC systems in IoT devices, we investigated the kernel version, CPU architecture, and support for BusyBox in addition to the investigation of resources, which conducted in previous studies. We also conducted simulated experiments based on the attack method of Mirai to investigate whether MAC systems can protect against IoT malware. Finally, we discuss the impact of a combination of these factors on MAC system adoption. en-copyright= kn-copyright= en-aut-name=MikiMasato en-aut-sei=Miki en-aut-mei=Masato kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=YamauchiToshihiro en-aut-sei=Yamauchi en-aut-mei=Toshihiro kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=KobayashiSatoru en-aut-sei=Kobayashi en-aut-mei=Satoru kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= affil-num=1 en-affil=Graduate School of Natural Science and Technology, Okayama University kn-affil= affil-num=2 en-affil=Faculty of Environmental, Life, Natural Science and Technology, Okayama University kn-affil= affil-num=3 en-affil=Faculty of Environmental, Life, Natural Science and Technology, Okayama University kn-affil= en-keyword=Mandatory Access Control System kn-keyword=Mandatory Access Control System en-keyword=IoT Security kn-keyword=IoT Security en-keyword=Linux Security Modules kn-keyword=Linux Security Modules END start-ver=1.4 cd-journal=joma no-vol=79 cd-vols= no-issue=2 article-no= start-page=93 end-page=100 dt-received= dt-revised= dt-accepted= dt-pub-year=2025 dt-pub=202504 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Lower Work Engagement Is Associated with Insomnia, Psychological Distress, and Neck Pain among Junior and Senior High School Teachers in Japan en-subtitle= kn-subtitle= en-abstract= kn-abstract=School teachers are subject to both physical and mental health problems. We examined cross-sectional relationships between work engagement and major health outcomes among junior and senior high school teachers in Japan via a nationwide survey in 2019-2020. A total of 3,160 respondents were included in the analyses (19.9% response rate). Work engagement was assessed with the Utrecht Work Engagement Scale-9 (UWES-9), and we thus divided the teachers into quartiles according to their UWES-9 scores. Based on validated questionnaires, we assessed insomnia, psychological distress, and neck pain as health outcomes. A binomial logistic regression adjusted for age, gender, school type, teacher’s roles, involvement in club activities, division of duties, employment status, and whether they lived with family demonstrated that the teachers with lower UWES-9 scores had higher burdens of insomnia, psychological distress, and neck pain (odds ratios [95% confidence intervals] in 4th vs. 1st quartile, 2.92 (2.34-3.65), 3.70 (2.81-4.88), and 2.12 (1.68-2.68), respectively; all trend p<0.001). There were no significant differences in these associations between full-time and part-time teachers. Our findings indicate that low work engagement may contribute to physical and mental health issues among junior and senior high school teachers, thus providing insights for preventing health problems in this profession. en-copyright= kn-copyright= en-aut-name=TsuchieRina en-aut-sei=Tsuchie en-aut-mei=Rina kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=FukudaMari en-aut-sei=Fukuda en-aut-mei=Mari kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=TsumuraHideki en-aut-sei=Tsumura en-aut-mei=Hideki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=KinutaMinako en-aut-sei=Kinuta en-aut-mei=Minako kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= en-aut-name=HisamatsuTakashi en-aut-sei=Hisamatsu en-aut-mei=Takashi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=5 ORCID= en-aut-name=KandaHideyuki en-aut-sei=Kanda en-aut-mei=Hideyuki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=6 ORCID= affil-num=1 en-affil=Department of Public Health, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=2 en-affil=Department of Public Health, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=3 en-affil=Department of Psychology, Graduate School of Technology, Industrial and Social Sciences, Tokushima University kn-affil= affil-num=4 en-affil=Department of Public Health, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=5 en-affil=Department of Public Health, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=6 en-affil=Department of Public Health, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= en-keyword=work engagement kn-keyword=work engagement en-keyword=school teachers kn-keyword=school teachers en-keyword=insomnia kn-keyword=insomnia en-keyword=psychological distress kn-keyword=psychological distress en-keyword=neck pain kn-keyword=neck pain END start-ver=1.4 cd-journal=joma no-vol=75 cd-vols= no-issue=2 article-no= start-page=100016 end-page= dt-received= dt-revised= dt-accepted= dt-pub-year=2025 dt-pub=202507 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Changes in adrenoceptor expression level contribute to the cellular plasticity of glioblastoma cells en-subtitle= kn-subtitle= en-abstract= kn-abstract=Glioblastoma cells are known to regulate their cellular plasticity in response to their surrounding microenvironment, but it is not fully understood what factors contribute to the cells' changing plasticity. Here, we found that glioblastoma cells alter the expression level of adrenoreceptors depending on their differentiation stage. Catecholamines are abundant in the central nervous system, and we found that noradrenaline, in particular, enhances the stemness of glioblastoma cells and promotes the dedifferentiation potential of already differentiated glioblastoma cells. Antagonist and RNAi experiments revealed that signaling through alpha 1D-adrenoreceptor is important for noradrenaline action on glioblastoma cells. We also found that high alpha 1Dadrenoreceptor expression was associated with poor prognosis in patients with gliomas. These data suggest that glioblastoma cells increase the expression level of their own adrenoreceptors to alter the surrounding tumor microenvironment favorably for survival. We believe that our findings will contribute to the development of new therapeutic strategies for glioblastoma. en-copyright= kn-copyright= en-aut-name=AsakaYutaro en-aut-sei=Asaka en-aut-mei=Yutaro kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=MasumotoToshio en-aut-sei=Masumoto en-aut-mei=Toshio kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=UnedaAtsuhito en-aut-sei=Uneda en-aut-mei=Atsuhito kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=ChinVanessa D. en-aut-sei=Chin en-aut-mei=Vanessa D. kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= en-aut-name=OtaniYusuke en-aut-sei=Otani en-aut-mei=Yusuke kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=5 ORCID= en-aut-name=PenaTirso en-aut-sei=Pena en-aut-mei=Tirso kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=6 ORCID= en-aut-name=KatayamaHaruyoshi en-aut-sei=Katayama en-aut-mei=Haruyoshi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=7 ORCID= en-aut-name=ItanoTakuto en-aut-sei=Itano en-aut-mei=Takuto kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=8 ORCID= en-aut-name=AndoTeruhiko en-aut-sei=Ando en-aut-mei=Teruhiko kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=9 ORCID= en-aut-name=HuangRongsheng en-aut-sei=Huang en-aut-mei=Rongsheng kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=10 ORCID= en-aut-name=FujimuraAtsushi en-aut-sei=Fujimura en-aut-mei=Atsushi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=11 ORCID= affil-num=1 en-affil=Department of Cellular Physiology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences kn-affil= affil-num=2 en-affil=Division of Health Administration and Promotion, Department of Social Medicine, Faculty of Medicine, Tottori University kn-affil= affil-num=3 en-affil=Department of Neurosurgery, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences kn-affil= affil-num=4 en-affil=UMass Chan Medical School, UMass Memorial Medical Center kn-affil= affil-num=5 en-affil=Department of Pathology, Beth Israel Deaconess Medical Center, Harvard Medical School kn-affil= affil-num=6 en-affil=Department of Pathology, Beth Israel Deaconess Medical Center, Harvard Medical School kn-affil= affil-num=7 en-affil=Department of Orthopaedic Surgery, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences kn-affil= affil-num=8 en-affil=Department of Orthopaedic Surgery, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences kn-affil= affil-num=9 en-affil=Department of Orthopaedic Surgery, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences kn-affil= affil-num=10 en-affil=Department of Trauma Orthopedics, The Second Hospital of Dalian Medical University kn-affil= affil-num=11 en-affil=Department of Cellular Physiology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences kn-affil= en-keyword=Adrenoceptors kn-keyword=Adrenoceptors en-keyword=Glioma stem-like cells kn-keyword=Glioma stem-like cells en-keyword=Differentiated glioma cells kn-keyword=Differentiated glioma cells en-keyword=Noradrenaline kn-keyword=Noradrenaline en-keyword=Cellular plasticity kn-keyword=Cellular plasticity END start-ver=1.4 cd-journal=joma no-vol=67 cd-vols= no-issue=1 article-no= start-page=133 end-page=147 dt-received= dt-revised= dt-accepted= dt-pub-year=2025 dt-pub=202501 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Tsetlin library on p-colored permutations and q-analogue en-subtitle= kn-subtitle= en-abstract= kn-abstract=K. Brown [1] studied the random to top shuffle (the Tsetlin libary) by semigroup method. In this paper, (i) we extend his results to the colored permutation groups, and (ii) we consider a q-analogue of Tsetlin library which is different from what is studied in [1]. In (i), the results also extends those results for the top to random shuffle [4],[5], [6] to arbitrary distribution of choosing cards, but we still have derangement numbers in the multiplicity of each eigenvalues. In (ii), a version of q-analogue of derangement numbers by Chen-Rota [3] appears in the multiplicity of eigenvalues. en-copyright= kn-copyright= en-aut-name=NakagawaYuto en-aut-sei=Nakagawa en-aut-mei=Yuto kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=NakanoFumihiko en-aut-sei=Nakano en-aut-mei=Fumihiko kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= affil-num=1 en-affil=Mathematical Institute, Tohoku University kn-affil= affil-num=2 en-affil=Mathematical Institute, Tohoku University kn-affil= en-keyword=Tsetlin library kn-keyword=Tsetlin library en-keyword=Left Regular Band kn-keyword=Left Regular Band en-keyword=colored permutation group kn-keyword=colored permutation group END start-ver=1.4 cd-journal=joma no-vol=59 cd-vols= no-issue= article-no= start-page=25 end-page=44 dt-received= dt-revised= dt-accepted= dt-pub-year=2025 dt-pub=20250328 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=A Study on the Relationship between Kazuo Inamori's Philosophy, the Teachings of Nanshu Saigo, and the Iroha Poem by Prince Jisshin kn-title=稲盛和夫のフィロソフィーと西郷南洲翁遺訓及び日新公いろは歌の連関についての考察 en-subtitle= kn-subtitle= en-abstract=Kazuo Inamori is a rare business leader who founded DDI, the predecessor of Kyocera and KDDI, in one generation, and grew it into a trillion-yen company. He also rebuilt the bankrupt Japan Airlines (JAL) in three years and led it to relisting. He has not only led tens of thousands of people with his unique management method called amoeba management, but also with management principles. What are the roots of the way of life that a manager of a small and medium-sized business has derived from management? What is the Goju education that is the foundation of Satsuma, where he was born and raised? From the perspective of business management, it is interesting to know what it is like.
How is it related to Saigo Nanshu Ikun, the record of the words and deeds of Saigo Takamori, a local hero whom Kazuo Inamori met after founding Kyocera and used as the basis of his own management philosophy, and Shimazu Nisshin Iroha Uta, left by Shimazu Tadayoshi (Nissin), the father of Shimazu Takahisa, the 15th lord of the Shimazu clan who unified southern Kyushu, including Satsuma and Hyuga, in the 16th century? First of all, I am interested in the relationship between the ideas of the three men born in Satsuma. In this study, we used the grounded theory approach, a qualitative research method, to analyze the correlation between Kazuo Inamori's philosophy, the teachings of Nanshu Saigo, and the Nisshin Iroha Uta. As a result, the analysis revealed that the three concepts are related across 400 years of time. In particular, Kazuo Inamori's philosophy is not only positively influenced by the teachings of Nanshu Saigo, which are the words and deeds of Takamori Saigo, whom Kazuo Inamori admires, but also by the Nisshin Iroha Uta, which dates back 400 years, due to his education in Satsuma. It is believed that the ideals that the people of Satsuma have inherited for 400 years contain concepts that should be the foundation for people's lives, or that should be important core ideas and qualities in life, regardless of the era. kn-abstract= 一代で京セラやKDDIの前身となる第二電電(DDI)を創業し、合計数兆円企業に育て、倒産した日本航空(JAL)を3年で再建し、再上場に導いた稀代の経営者稲盛和夫は、アメーバ経営という独自の経営手法だけでなく、理念経営により数万人を導いてきた。中小企業の一経営者が経営の中から導き出した人生成功の処世術のルーツは何処にあるのか。生まれ育った薩摩の基礎となる郷中(ごじゅう)教育とは何か、などについて経営学の観点から関心が湧く。
 稲盛和夫が京セラ創業以降に出会い、自ら経営理念の基礎とした地元の偉人である西郷隆盛の言行録である西郷南洲翁遺訓及び16世紀に薩摩や日向など南九州を統一した島津家第15代領主島津貴久公の実父島津忠良(日新)が残した、島津日新公いろは歌とどのように連関があるのか。そもそも薩摩生まれの3名の思想にどのような連関があるのか、についても関心が湧く。この研究では、質的研究法であるグラウンデッド・セオリー・アプローチを援用して、稲盛和夫のフィロソフィーと西郷南洲翁遺訓及び日新公いろは歌の連関について分析した。結果的に3つの概念は400年の時代を超えて、連関していることが分析により明らかになった。特に稲盛和夫のフィロソフィーが稲盛和夫が敬愛する西郷隆盛の言行録である西郷南洲翁遺訓に正の影響を受けているだけでなく、薩摩での教育を背景に、400年前に遡る日新公いろは歌からも正の影響を受けていることが明らかになった。400年に渡り薩摩の人々が受け継いできた理念には、時代を超えても人が生きていく中で基礎とすべき、もしくは人生で重要なコアな思想・資質とすべき概念があると考えられる。 en-copyright= kn-copyright= en-aut-name=MACHIDAHisashi en-aut-sei=MACHIDA en-aut-mei=Hisashi kn-aut-name=町田尚史 kn-aut-sei=町田 kn-aut-mei=尚史 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学教育推進機構 en-keyword=稲盛和夫 (Kazuo Inamori) kn-keyword=稲盛和夫 (Kazuo Inamori) en-keyword=フィロソフィー (philosophy) kn-keyword=フィロソフィー (philosophy) en-keyword=西郷隆盛 (Takamori Saigo) kn-keyword=西郷隆盛 (Takamori Saigo) en-keyword=西郷南洲翁遺訓 (the teachings of Nanshu Saigo) kn-keyword=西郷南洲翁遺訓 (the teachings of Nanshu Saigo) en-keyword=島津忠良(日新) (Tadayoshi Shimazu (Nissin)) kn-keyword=島津忠良(日新) (Tadayoshi Shimazu (Nissin)) en-keyword=日新公いろは歌 (Nisshin Iroha Uta) kn-keyword=日新公いろは歌 (Nisshin Iroha Uta) en-keyword=グラウンデッド・セオリー・アプローチ (grounded theory approach) kn-keyword=グラウンデッド・セオリー・アプローチ (grounded theory approach) END start-ver=1.4 cd-journal=joma no-vol=19 cd-vols= no-issue= article-no= start-page=1551700 end-page= dt-received= dt-revised= dt-accepted= dt-pub-year=2025 dt-pub=20250305 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Acetoacetate, a ketone body, attenuates neuronal bursts in acutely-induced epileptiform slices of the mouse hippocampus en-subtitle= kn-subtitle= en-abstract= kn-abstract=The ketogenic diet increases ketone bodies (beta-hydroxybutyrate and acetoacetate) in the brain, and ameliorates epileptic seizures in vivo. However, ketone bodies exert weak or no effects on electrical activity in rodent hippocampal slices. Especially, it remains unclear what kinds of conditions are required to strengthen the actions of ketone bodies in hippocampal slices. In the present study, we examined the effects of acetoacetate on hippocampal pyramidal cells in normal slices and epileptiform slices of mice. By using patch-clamp recordings from CA1 pyramidal cells, we first confirmed that acetoacetate did not change the membrane potentials and intrinsic properties of pyramidal cells in normal slices. However, we found that acetoacetate weakened spontaneous epileptiform bursts in pyramidal cells of epileptiform slices, which were acutely induced by applying convulsants to normal slices. Interestingly, acetoacetate did not change the frequency of the epileptiform bursts, but attenuated individual epileptiform bursts. We finally examined the effects of acetoacetate on excitatory synaptic barrages during epileptiform activity, and found that acetoacetate weakened epileptiform bursts by reducing synchronous synaptic inputs. These results show that acetoacetate attenuated neuronal bursts in epileptiform slices, but did not affect neuronal activity in normal slices, which leads to seizure-selective actions of ketone bodies. en-copyright= kn-copyright= en-aut-name=WenHao en-aut-sei=Wen en-aut-mei=Hao kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=SadaNagisa en-aut-sei=Sada en-aut-mei=Nagisa kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=InoueTsuyoshi en-aut-sei=Inoue en-aut-mei=Tsuyoshi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= affil-num=1 en-affil=Department of Biophysical Chemistry, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University kn-affil= affil-num=2 en-affil=Department of Biophysical Chemistry, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University kn-affil= affil-num=3 en-affil=Department of Biophysical Chemistry, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University kn-affil= en-keyword=epilepsy kn-keyword=epilepsy en-keyword=ketone body kn-keyword=ketone body en-keyword=ketogenic diet kn-keyword=ketogenic diet en-keyword=hippocampus kn-keyword=hippocampus en-keyword=slice physiology kn-keyword=slice physiology en-keyword=patch-clamp recording kn-keyword=patch-clamp recording END start-ver=1.4 cd-journal=joma no-vol=15 cd-vols= no-issue= article-no= start-page=133 end-page=145 dt-received= dt-revised= dt-accepted= dt-pub-year=2025 dt-pub=20250328 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=The Image of Mushroom Created by Junior High School Science Textbooks: Suggestions for Learning about Mushroom from Diachronic Surveys kn-title=中学校理科教科書がつくり上げてきたきのこ像 ―通時的調査から得るきのこを巡る学習への示唆― en-subtitle= kn-subtitle= en-abstract= In this paper, we examined the image of mushroom in postwar junior high school science textbooks from four perspectives: (1) which species of mushroom were covered, (2) whether they were classified as plants or not, (3) what makes up the body of a mushroom, and (4) how they functioned in an ecosystem. The 47 species were identified through a periodic survey. Although a total of 47 species have appeared in science textbooks, we pointed out that in recent years, the focus has shifted to the role of mushroom as decomposers, rather than to species awareness. We also pointed out that although mycorrhizal fungi have been discussed in textbooks, there was no reference to the perspective in a plant-fungal symbiosis, which raises the possibility of developing learning that aims to understand symbiosis/interactions within a nature ecosystem. kn-abstract= 本稿では,戦後中学校理科検定教科書におけるきのこの扱われ方,すなわち学習者が受け取ることになるきのこ像について,①どのようなきのこが扱われてきたのか,②植物に分類されているか否か,③きのこのからだは何で形成されているのか,④生態系における働きの四つの観点から,通時的な調査によって明らかにした。全47種がこれまでの理科教科書で登場してきたが,近年は種への意識というよりも,きのこが分解者としての役割を持つことにのみ焦点が当てられてきていることを指摘した。また,これまで教科書においては菌根性のきのこ自体について取り上げられつつも,その生態系における相利共生の観点への言及はないことから,相利共生の理解を目指す学習の開発が可能性として浮かび上がってくることも指摘した。 en-copyright= kn-copyright= en-aut-name=TAKAGIRisa en-aut-sei=TAKAGI en-aut-mei=Risa kn-aut-name=髙木里彩 kn-aut-sei=髙木 kn-aut-mei=里彩 aut-affil-num=1 ORCID= en-aut-name=IKEDAMasafumi en-aut-sei=IKEDA en-aut-mei=Masafumi kn-aut-name=池田匡史 kn-aut-sei=池田 kn-aut-mei=匡史 aut-affil-num=2 ORCID= en-aut-name=YAMAMOTOMasaya en-aut-sei=YAMAMOTO en-aut-mei=Masaya kn-aut-name=山本将也 kn-aut-sei=山本 kn-aut-mei=将也 aut-affil-num=3 ORCID= affil-num=1 en-affil=Graduate School of Education (Professional Degree Corse), Okayama University kn-affil=岡山大学大学院教育学研究科大学院生 affil-num=2 en-affil=Faculty of Education, Okayama University kn-affil=岡山大学学術研究院教育学域 affil-num=3 en-affil=Hyogo University of Teacher Education kn-affil=兵庫教育大学大学院学校教育研究科 en-keyword=菌類 (Fungus) kn-keyword=菌類 (Fungus) en-keyword=菌根菌 (Mycorrhizal Fungi) kn-keyword=菌根菌 (Mycorrhizal Fungi) en-keyword=腐生菌 (Saprobic Fungi) kn-keyword=腐生菌 (Saprobic Fungi) en-keyword=相利共生 (Symbiosis) kn-keyword=相利共生 (Symbiosis) en-keyword=教材史 (History of teaching materials) kn-keyword=教材史 (History of teaching materials) END start-ver=1.4 cd-journal=joma no-vol=15 cd-vols= no-issue= article-no= start-page=119 end-page=132 dt-received= dt-revised= dt-accepted= dt-pub-year=2025 dt-pub=20250328 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=The Development of Thoughts on the Effective Use of School Libraries and Collaboration with Teacher-Librarians and School Librarians in Japanese Language Arts: From a Survey of the Journal Kyoiku Kagaku Kokugo Kyoiku kn-title=学校図書館の活用と司書教諭・学校司書との協働をめぐる国語教育思潮の展開 ―『教育科学国語教育』誌の調査から― en-subtitle= kn-subtitle= en-abstract= School libraries are mentioned by government guidelines for teaching, and it is also closely related to Japanese language arts. Previous studies have reported the necessity of collaboration with teacher-librarians and school librarians. However, there has been no study of what kind of collaboration has been conducted in Japanese language arts to date. Therefore, the purpose of this study is to examine how school libraries are utilized in Japanese language arts based on a survey of educational journals, and to organize references to teacher-librarians and school librarians. As a result, we pointed out that while school libraries have been utilized in Japanese language arts in elementary and junior high schools, the collaboration with teacher-librarians and school librarians may not have been focused on, and that the reason for this is the lack of human resources, while some valuable collaborations can be found. kn-abstract= 学校図書館は,学習指導要領でも触れられており,国語科との関連も深い。また先行研究では,司書教諭や学校司書との協働の必要性が訴えられている。しかしこれまでの国語教育では,どのような協働がなされていたのかという検討がなされていない。そこで,本研究では,教育雑誌の調査をもとに,国語科においては,学校図書館がどのように活用されてきたのか,司書教諭や学校司書との協働はどのような態度がとられてきたのかを明らかにすることを目的とした。調査では,図書館に言及している論文や学校図書館を活用した実践・指導例を抽出し,分析した。実践・指導例の分析からは,小・中学校の国語科において学校図書館は活用されてきた一方で,司書教諭や学校司書との協働には着目が及んでいない状況が明らかになった。また,司書教諭や学校司書に関する言及からは,人的リソースにその原因を求める思潮が窺えたものの,価値ある協働も見受けられることを指摘した。 en-copyright= kn-copyright= en-aut-name=SAISHOYumi en-aut-sei=SAISHO en-aut-mei=Yumi kn-aut-name=最相有未 kn-aut-sei=最相 kn-aut-mei=有未 aut-affil-num=1 ORCID= en-aut-name=IKEDAMasafumi en-aut-sei=IKEDA en-aut-mei=Masafumi kn-aut-name=池田匡史 kn-aut-sei=池田 kn-aut-mei=匡史 aut-affil-num=2 ORCID= affil-num=1 en-affil=Graduate School of Education(Professional Degree Corse),Okayama University kn-affil=岡山大学大学院教育学研究科大学院生 affil-num=2 en-affil=Faculty of Education,Okayama University kn-affil=岡山大学学術研究院教育学域 en-keyword=雑誌調査 (survey of journals) kn-keyword=雑誌調査 (survey of journals) en-keyword=読書指導 (reading instruction) kn-keyword=読書指導 (reading instruction) en-keyword=探究的な学習 (inquiry-based learning) kn-keyword=探究的な学習 (inquiry-based learning) en-keyword=国語教育史 (history of Japanese Language Arts) kn-keyword=国語教育史 (history of Japanese Language Arts) END start-ver=1.4 cd-journal=joma no-vol=56 cd-vols= no-issue=3 article-no= start-page=15 end-page=33 dt-received= dt-revised= dt-accepted= dt-pub-year=2025 dt-pub=20250321 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Survival, Creation, and Disappearance of Manufacturing Firms in the First Stage of Regional Revitalization kn-title=地方創生第1期における製造事業所の存続,発生,消失 en-subtitle= kn-subtitle= en-abstract= In many local municipalities, in addition to revitalizing existing businesses and creating new businesses, attracting manufacturing plants remains an important policy for regional development. Today, unlike the attraction of heavy, large-scale industries during the period of high economic growth, there is a trend to attract companies by making the most of the region's advantages. Although the job creation effect has become smaller than in the past, many manufacturing industries remain positioned as core industries in the region. During the first period of regional revitalization, we identify what manufacturing firms have disappeared, withdrawn, appeared, or survived in what regions, and analyze the factors behind those.
 Comparing manufacturing firms in 2014 and 2019, the average of value-added and the distribution of that shows that manufacturing firms that existed in both 2014 and 2019 had the highest labor productivity. The next highest was manufacturing firms that existed in 2019, and the lowest was manufacturing firms that existed in 2014 but did not exist in 2019. In addition, the results of the logit analysis suggest that manufacturing firms with high productivity and large size tend not to disappear, and that manufacturing firms with a high degree of urbanization tend to disappear. On the other hand, a regression analysis at the city/town/village level using industry concentration by industry and urban concentration measured by population size as explanatory variables showed a positive effect on the number of manufacturing firms that had been established. kn-abstract= 地方に位置する多くの自治体においては,従来からある事業所の活性化や新規事業所の誕生に加えて,製造工場の誘致は地域振興にとっていまも重要な政策となっている。今日,高度経済成長期における重厚長大型の産業の誘致とは異なり,地域優位性をできるだけ活用した企業誘致の傾向になっている。雇用創出効果は昔に比べて小さくなっているとはいえ,製造業の多くにおいて,地域の基盤産業としての位置づけは残っている。第1期の地方創生の期間で,どのような地域において,どのような製造工場が消失,撤退や出現,存続しているのかを識別し,それらの要因を分析する。
 2014年と2019年の事業所の比較において,付加価値生産性の平均と分布を見ると2014年,2019年ともに存在する事業所の労働生産性が最も高い。次いで高いのが2019年に存在する事業所で,最も低かったのが2014年には存在したが2019年には存在していない事業所であった。またロジット分析の結果から,生産性が高く事業所規模が大きいと消滅しない傾向があり,また都市化の程度が高いと消滅傾向にあることが推定された。他方,発生した製造事業所について,産業別に同業種集積と人口規模で測った都市集積を説明変数とした市町村単位の回帰分析からは正の効果が示された。 en-copyright= kn-copyright= en-aut-name=NakamuraRyohei en-aut-sei=Nakamura en-aut-mei=Ryohei kn-aut-name=中村良平 kn-aut-sei=中村 kn-aut-mei=良平 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学 END start-ver=1.4 cd-journal=joma no-vol=79 cd-vols= no-issue=1 article-no= start-page=31 end-page=37 dt-received= dt-revised= dt-accepted= dt-pub-year=2025 dt-pub=202502 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Retrospective Analysis of the Safety of High-Volume Dental Articaine Preparations for Japanese Patients en-subtitle= kn-subtitle= en-abstract= kn-abstract=We retrospectively analyzed the safety of the use of articaine, an amide-type local anesthetic, in Japanese dental patients (n=300) treated in Thailand in 2015-2017. The dosage, adverse events (AEs) caused by local anesthesia, and treatment efficacy were examined. Articaine, which is safe for patients with liver impairments due to its unique metabolism, has not been thoroughly tested in Japan for doses above 5.1 mL. Eighty of the present patients had undergone root canal treatment (RCT), 71 underwent tooth extraction, and 149 underwent implant-related surgery. More than three articaine cartridges were used in 41 patients, and no AEs occurred in these cases. The only AE occurred in a 52-year-old woman who was treated with three cartridges and presented with what appeared to be hyperventilation syndrome; she later recovered and received her dental treatment as scheduled. Most treatments were completed with three or fewer cartridges, suggesting that this number is generally sufficient. Our findings, particularly the low AE risk even with doses exceeding three cartridges, support the potential applicability of the overseas recommended maximum dose of articaine (7 mg/kg) in Japanese patients. This conclusion is significant for advancing dental anesthetic practices and ensuring patient safety and treatment efficacy in Japan. en-copyright= kn-copyright= en-aut-name=MaedaShigeru en-aut-sei=Maeda en-aut-mei=Shigeru kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=PimkhaokhamAtiphan en-aut-sei=Pimkhaokham en-aut-mei=Atiphan kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=YoshidaMichihiro en-aut-sei=Yoshida en-aut-mei=Michihiro kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=HosoiHiroki en-aut-sei=Hosoi en-aut-mei=Hiroki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= en-aut-name=OhshimaAyako en-aut-sei=Ohshima en-aut-mei=Ayako kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=5 ORCID= en-aut-name=KurisuRyoko en-aut-sei=Kurisu en-aut-mei=Ryoko kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=6 ORCID= en-aut-name=UtsumiNozomi en-aut-sei=Utsumi en-aut-mei=Nozomi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=7 ORCID= en-aut-name=HiguchiHitoshi en-aut-sei=Higuchi en-aut-mei=Hitoshi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=8 ORCID= en-aut-name=MiyawakiTakuya en-aut-sei=Miyawaki en-aut-mei=Takuya kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=9 ORCID= affil-num=1 en-affil=Department of Dental Anesthesiology, Graduate School of Medical and Dental Sciences, Institute of Science Tokyo kn-affil= affil-num=2 en-affil=Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Chulalongkorn University kn-affil= affil-num=3 en-affil=Data Science Division, Center for Innovative Clinical Medicine, Okayama University Hospital kn-affil= affil-num=4 en-affil=Data Science Division, Center for Innovative Clinical Medicine, Okayama University Hospital kn-affil= affil-num=5 en-affil=Data Science Division, Center for Innovative Clinical Medicine, Okayama University Hospital kn-affil= affil-num=6 en-affil=Department of Dental Anesthesiology, Graduate School of Medical and Dental Sciences, Institute of Science Tokyo kn-affil= affil-num=7 en-affil=Department of Dental Anesthesiology, Graduate School of Medical and Dental Sciences, Institute of Science Tokyo kn-affil= affil-num=8 en-affil=Department of Dental Anesthesiology and Special Care Dentistry, Okayama University Hospital kn-affil= affil-num=9 en-affil=Department of Dental Anesthesiology and Special Care Dentistry, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= en-keyword=dental anesthesia kn-keyword=dental anesthesia en-keyword=local anesthesia kn-keyword=local anesthesia en-keyword=drug-related side effect kn-keyword=drug-related side effect en-keyword=adverse reaction kn-keyword=adverse reaction END start-ver=1.4 cd-journal=joma no-vol=4 cd-vols= no-issue= article-no= start-page=53 end-page=63 dt-received= dt-revised= dt-accepted= dt-pub-year=2025 dt-pub=20250325 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=What is education for sustainable development?: From the perspective of international legal history kn-title=持続可能な開発のための教育とは―国際法制史の視点から― en-subtitle= kn-subtitle= en-abstract= kn-abstract=Throughout the history of international law, sustainable development has always been acknowledged as a global responsibility. In recent years, as global environmental concerns have escalated, this responsibility has become increasingly crucial. To fulfil this mandate, education policies must transcend national boundaries. Specifically, in light of pressing global environmental issues such as climate change, education on sustainable development is pivotal for the well-being of future generations. To delve deeper into this significance, the author examines the emergence of ESD (Education for Sustainable Development), its accomplishments, and the challenges the world is currently grappling with. en-copyright= kn-copyright= en-aut-name=KAWAKAMIYoko en-aut-sei=KAWAKAMI en-aut-mei=Yoko kn-aut-name=川上陽子 kn-aut-sei=川上 kn-aut-mei=陽子 aut-affil-num=1 ORCID= affil-num=1 en-affil=Ph.D in law, Université Toulouse Capitole kn-affil= en-keyword=ESD kn-keyword=ESD en-keyword=SDGs kn-keyword=SDGs en-keyword=international environmental law kn-keyword=international environmental law en-keyword=international law kn-keyword=international law en-keyword=human rights kn-keyword=human rights END start-ver=1.4 cd-journal=joma no-vol=18 cd-vols= no-issue=3 article-no= start-page=769 end-page=774 dt-received= dt-revised= dt-accepted= dt-pub-year=2023 dt-pub=20230519 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Review: Nicotinic acetylcholine receptors to regulate important brain activity—what occurs at the molecular level? en-subtitle= kn-subtitle= en-abstract= kn-abstract=Herein, we briefly review the role of nicotinic acetylcholine receptors in regulating important brain activity by controlled release of acetylcholine from subcortical neuron groups, focusing on a microscopic viewpoint and considering the nonlinear dynamics of biological macromolecules associated with neuron activity and how they give rise to advanced brain functions of brain. en-copyright= kn-copyright= en-aut-name=NaraShigetoshi en-aut-sei=Nara en-aut-mei=Shigetoshi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=YamagutiYutaka en-aut-sei=Yamaguti en-aut-mei=Yutaka kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=TsudaIchiro en-aut-sei=Tsuda en-aut-mei=Ichiro kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= affil-num=1 en-affil=Graduate School of Natural Science and Technology, Okayama University kn-affil= affil-num=2 en-affil=Faculty of Information Engineering, Fukuoka Institute of Technology kn-affil= affil-num=3 en-affil=Chubu University Academy of Emerging Sciences/Center for Mathematical Science and Artificial Intelligence, Chubu University kn-affil= en-keyword=Neuromodulator kn-keyword=Neuromodulator en-keyword=Nichotinic kn-keyword=Nichotinic en-keyword=Acetylcholine kn-keyword=Acetylcholine en-keyword=Receptors kn-keyword=Receptors en-keyword=Brain activity kn-keyword=Brain activity END start-ver=1.4 cd-journal=joma no-vol=187 cd-vols= no-issue= article-no= start-page=145 end-page=151 dt-received= dt-revised= dt-accepted= dt-pub-year=2024 dt-pub=20241206 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=What Is “Meaning” ? kn-title=意味づけするとは何か en-subtitle= kn-subtitle= en-abstract= kn-abstract= 人間はコミュニケーションの動物であると言われる。しかしその対象についての解釈(意味)が異なればコミュニケーションは成立しない。本論では意味づけするとはどういうことなのかについて考える。 en-copyright= kn-copyright= en-aut-name=MIYAZAKIHiroshi en-aut-sei=MIYAZAKI en-aut-mei=Hiroshi kn-aut-name=宮﨑宏志 kn-aut-sei=宮﨑 kn-aut-mei=宏志 aut-affil-num=1 ORCID= en-aut-name=SOBUKAWATakuya en-aut-sei=SOBUKAWA en-aut-mei=Takuya kn-aut-name=曽布川拓也 kn-aut-sei=曽布川 kn-aut-mei=拓也 aut-affil-num=2 ORCID= affil-num=1 en-affil=Faculty of Education, Okayama University kn-affil=岡山大学学術研究院教育学域 affil-num=2 en-affil=Global Education Center, Waseda University kn-affil=早稲田大学グローバルエデュケーションセンター en-keyword=素象 kn-keyword=素象 en-keyword=コミュニケーション kn-keyword=コミュニケーション en-keyword=意味づけ kn-keyword=意味づけ END start-ver=1.4 cd-journal=joma no-vol=5 cd-vols= no-issue= article-no= start-page=1251 end-page=1273 dt-received= dt-revised= dt-accepted= dt-pub-year=2024 dt-pub=2024 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Skewing Technology for Permanent Magnet Synchronous Motors: A Comprehensive Review and Recent Trends en-subtitle= kn-subtitle= en-abstract= kn-abstract=This article gives a comprehensive overview of the current research trends in the skewing technique for permanent magnet synchronous motors (PMSMs). The skewing technique has been widely used in many applications to reduce the cogging torque and torque ripple in PMSMs. There are many ways to implement the skew, and new techniques are continually being developed. First, this article summarizes the types of skew structures and presents a survey of existing techniques. Specific emphasis is placed on what kind of skew structure is selected depending on the PMSM configuration. Second, the optimal value of the skew angle for each structure is comprehensively explained, and the discrepancy between theory and finite element analysis is discussed. The definition of skew angle varies across the literature, and one of the purposes of this article is to organize the definition in an easy-to-understand manner. In addition, this article offers three-dimensional finite element analysis (3D-FEA) results of various PMSMs employing the skew for quantitative comparison. Then, this article discusses the properties of PMSMs using the skew by structure and the latest trends, and finally describes future prospects. en-copyright= kn-copyright= en-aut-name=TsunataRen en-aut-sei=Tsunata en-aut-mei=Ren kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=TakemotoMasatsugu en-aut-sei=Takemoto en-aut-mei=Masatsugu kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= affil-num=1 en-affil=Graduate School of Environmental, Life, Natural Science and Technology, Okayama University kn-affil= affil-num=2 en-affil=Graduate School of Environmental, Life, Natural Science and Technology, Okayama University kn-affil= en-keyword=Additive manufacturing (AM) kn-keyword=Additive manufacturing (AM) en-keyword=axial leakage flux kn-keyword=axial leakage flux en-keyword=cogging torque kn-keyword=cogging torque en-keyword=electrical machine kn-keyword=electrical machine en-keyword=finite element analysis (FEA) kn-keyword=finite element analysis (FEA) en-keyword=induction motor (IM) kn-keyword=induction motor (IM) en-keyword=interior permanent magnet synchronous motor (IPMSM) kn-keyword=interior permanent magnet synchronous motor (IPMSM) en-keyword=noise kn-keyword=noise en-keyword=patents kn-keyword=patents en-keyword=permanent magnet synchronous motor (PMSM) kn-keyword=permanent magnet synchronous motor (PMSM) en-keyword=skew kn-keyword=skew en-keyword=surface permanent magnet synchronous motor (SPMSM) kn-keyword=surface permanent magnet synchronous motor (SPMSM) en-keyword=torque ripple kn-keyword=torque ripple en-keyword=total harmonic distortion (THD) kn-keyword=total harmonic distortion (THD) en-keyword=traction motor kn-keyword=traction motor en-keyword=transportation kn-keyword=transportation en-keyword=vibration kn-keyword=vibration END start-ver=1.4 cd-journal=joma no-vol=12 cd-vols= no-issue=16 article-no= start-page=1621 end-page= dt-received= dt-revised= dt-accepted= dt-pub-year=2024 dt-pub=20240814 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Postgraduate Year Two Medical Residents' Awareness of Personal Development as a Physician during the Management of Inpatients: A Qualitative Study en-subtitle= kn-subtitle= en-abstract= kn-abstract=Clinical experiences, helping relationships, and reflection are key factors for personal development for physicians. However, few studies have shown which experiences are important for personal growth and how medical residents specifically use their experiences for personal growth. The aim of this study was to identify from the medical residents' perspective which clinical experiences contribute to their personal development. We employed a qualitative design, conducting semi-structured interviews with ten postgraduate year two medical residents at a Japanese teaching hospital. The interviews were transcribed in interview memos, anonymized, and subjected to reflective thematic analysis to generate themes relevant to personal and professional development. Successful clinical experiences with autonomy and responsibility in clinical management were shown to be essential points for personal development as a physician. Autonomy in this study was the attitude of making one's own choices when managing patients. Responsibility was the obligation of the resident to take charge of a patient. Instructing junior trainees, appreciation received from patients, and approval granted by attending physicians reinforced their feelings of personal growth. The realization of what experiences and concepts influence medical residents' personal growth and development will make their professional development more effective. en-copyright= kn-copyright= en-aut-name=TokumasuKazuki en-aut-sei=Tokumasu en-aut-mei=Kazuki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=ObaraHaruo en-aut-sei=Obara en-aut-mei=Haruo kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=HirosawaTakanobu en-aut-sei=Hirosawa en-aut-mei=Takanobu kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=OgawaHiroko en-aut-sei=Ogawa en-aut-mei=Hiroko kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= en-aut-name=OtsukaFumio en-aut-sei=Otsuka en-aut-mei=Fumio kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=5 ORCID= affil-num=1 en-affil=Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=2 en-affil=Department of General Internal Medicine, Okinawa Chubu Hospital kn-affil= affil-num=3 en-affil=Department of Diagnostic and Generalist Medicine, Dokkyo Medical University kn-affil= affil-num=4 en-affil=Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=5 en-affil=Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= en-keyword=autonomy kn-keyword=autonomy en-keyword=personal development kn-keyword=personal development en-keyword=personal growth kn-keyword=personal growth en-keyword=qualitative study kn-keyword=qualitative study en-keyword=responsibility kn-keyword=responsibility END start-ver=1.4 cd-journal=joma no-vol=121 cd-vols= no-issue=25 article-no= start-page=e2322765121 end-page= dt-received= dt-revised= dt-accepted= dt-pub-year=2024 dt-pub=20240612 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Argonaute-independent, Dicer-dependent antiviral defense against RNA viruses en-subtitle= kn-subtitle= en-abstract= kn-abstract=Antiviral RNA interference (RNAi) is conserved from yeasts to mammals. Dicer recognizes and cleaves virus-derived double-stranded RNA (dsRNA) and/or structured single-stranded RNA (ssRNA) into small-interfering RNAs, which guide effector Argonaute to homologous viral RNAs for digestion and inhibit virus replication. Thus, Argonaute is believed to be essential for antiviral RNAi. Here, we show Argonaute-independent, Dicer-dependent antiviral defense against dsRNA viruses using Cryphonectria parasitica (chestnut blight fungus), which is a model filamentous ascomycetous fungus and hosts a variety of viruses. The fungus has two dicer-like genes (dcl1 and dcl2) and four argonaute-like genes (agl1 to agl4). We prepared a suite of single to quadruple agl knockout mutants with or without dcl disruption. We tested these mutants for antiviral activities against diverse dsRNA viruses and ssRNA viruses. Although both DCL2 and AGL2 worked as antiviral players against some RNA viruses, DCL2 without argonaute was sufficient to block the replication of other RNA viruses. Overall, these results indicate the existence of a Dicer-alone defense and different degrees of susceptibility to it among RNA viruses. We discuss what determines the great difference in susceptibility to the Dicer-only defense. en-copyright= kn-copyright= en-aut-name=SatoYukiyo en-aut-sei=Sato en-aut-mei=Yukiyo kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=KondoHideki en-aut-sei=Kondo en-aut-mei=Hideki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=SuzukiNobuhiro en-aut-sei=Suzuki en-aut-mei=Nobuhiro kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= affil-num=1 en-affil=Institute of Plant Science and Resources, Okayama University kn-affil= affil-num=2 en-affil=Institute of Plant Science and Resources, Okayama University kn-affil= affil-num=3 en-affil=Institute of Plant Science and Resources, Okayama University kn-affil= en-keyword=RNAi kn-keyword=RNAi en-keyword=Argonaute kn-keyword=Argonaute en-keyword=Dicer kn-keyword=Dicer en-keyword=fungal virus kn-keyword=fungal virus en-keyword=chestnut blight kn-keyword=chestnut blight END start-ver=1.4 cd-journal=joma no-vol=78 cd-vols= no-issue=3 article-no= start-page=227 end-page=235 dt-received= dt-revised= dt-accepted= dt-pub-year=2024 dt-pub=202406 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Effect of Lipopolysaccharide on the Duration of Zolpidem-Induced Loss of Righting Reflex in Mice en-subtitle= kn-subtitle= en-abstract= kn-abstract=Zolpidem, a non-benzodiazepine hypnotic, is primarily used to treat insomnia. In a previous study, pior treatment with non-benzodiazepine receptor agonists was associated with inflammation. The present study aimed to clarify the association between the effects of zolpidem and inflammation in mice treated with lipopolysaccharide (LPS), a known model of inflammation. We assessed the zolpidem-induced loss of righting reflex (LORR) duration 24 h after LPS treatment in mice. Additionally, the expressions of γ-aminobutyric acid (GABA)A receptor subunit and K+-Cl− cotransporter isoform 2 (KCC2) mRNA in the hippocampus and frontal cortex were examined in LPS-treated mice. Pretreatment with LPS was associated with significantly prolonged duration of zolpidem-induced LORR compared to control mice. This effect was significantly attenuated by administering bicuculline, a GABAA receptor antagonist, or flumazenil, a benzodiazepine receptor antagonist, in LPS-treated mice. Compared to controls, LPS-treated mice showed no significant change in the expression of GABAA receptor subunits in the hippocampus or frontal cortex. Bumetanide, an Na+-K+-2Cl− cotransporter isoform 1 blocker, attenuated the extended duration of zolpidem-induced LORR observed in LPS-treated mice. LPS significantly decreased Kcc2 mRNA expression in the hippocampus and the frontal cortex. These findings suggest that inflammation increases zolpidem-induced LORR, possibly through a reduction in KCC2 expression. en-copyright= kn-copyright= en-aut-name=WadaYudai en-aut-sei=Wada en-aut-mei=Yudai kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=UshioSoichiro en-aut-sei=Ushio en-aut-mei=Soichiro kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=KitamuraYoshihisa en-aut-sei=Kitamura en-aut-mei=Yoshihisa kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=ZamamiYoshito en-aut-sei=Zamami en-aut-mei=Yoshito kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= en-aut-name=SendoToshiaki en-aut-sei=Sendo en-aut-mei=Toshiaki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=5 ORCID= affil-num=1 en-affil=Department of Clinical Pharmacy, Okayama University, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=2 en-affil=Department of Pharmacy, Okayama University Hospital kn-affil= affil-num=3 en-affil=Department of Clinical Pharmacy, Okayama University, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=4 en-affil=Department of Clinical Pharmacy, Okayama University, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=5 en-affil=Department of Clinical Pharmacy, Okayama University, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= en-keyword=lipopolysaccharide kn-keyword=lipopolysaccharide en-keyword=zolpidem kn-keyword=zolpidem en-keyword=GABAA receptor kn-keyword=GABAA receptor en-keyword=K+-Cl− cotransporters kn-keyword=K+-Cl− cotransporters END start-ver=1.4 cd-journal=joma no-vol=78 cd-vols= no-issue=3 article-no= start-page=215 end-page=225 dt-received= dt-revised= dt-accepted= dt-pub-year=2024 dt-pub=202406 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Assessment of a New Elbow Joint Positioning Method Using Area Detector Computed Tomography en-subtitle= kn-subtitle= en-abstract= kn-abstract=We propose a sitting position that achieves both high image quality and a reduced radiation dose in elbow joint imaging by area detector computed tomography (ADCT), and we compared it with the ‘superman’ and supine positions. The volumetric CT dose index (CTDIvol) for the sitting, superman, and supine positions were 2.7, 8.0, and 20.0 mGy and the dose length products (DLPs) were 43.4, 204.7, and 584.8 mGy • cm, respectively. In the task-based transfer function (TTF), the highest value was obtained for the sitting position in both bone and soft tissue images. The noise power spectrum (NPS) of bone images showed that the superman position had the lowest value up to approx. 1.1 cycles/mm or lower, whereas the sitting position had the lowest value when the NPS was greater than approx. 1.1 cycles/mm. The overall image quality in an observer study resulted in the following median Likert scores for Readers 1 and 2: 5.0 and 5.0 for the sitting position, 4.0 and 3.5 for the superman position, and 4.0 and 2.0 for the supine position. These results indicate that our proposed sitting position with ADCT of the elbow joint can provide superior image quality and allow lower radiation doses compared to the superman and supine positions. en-copyright= kn-copyright= en-aut-name=AkagawaTakuya en-aut-sei=Akagawa en-aut-mei=Takuya kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=FukuiRyohei en-aut-sei=Fukui en-aut-mei=Ryohei kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=KidaKatsuhiro en-aut-sei=Kida en-aut-mei=Katsuhiro kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=MatsuuraRyutaro en-aut-sei=Matsuura en-aut-mei=Ryutaro kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= en-aut-name=ShimadaMakoto en-aut-sei=Shimada en-aut-mei=Makoto kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=5 ORCID= en-aut-name=KinoshitaMitsuhiro en-aut-sei=Kinoshita en-aut-mei=Mitsuhiro kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=6 ORCID= en-aut-name=AkagawaYoko en-aut-sei=Akagawa en-aut-mei=Yoko kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=7 ORCID= en-aut-name=GotoSachiko en-aut-sei=Goto en-aut-mei=Sachiko kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=8 ORCID= affil-num=1 en-affil=Department of Radiological Technology, Tokushima Red Cross Hospital kn-affil= affil-num=2 en-affil=Department of Radiological Technology, Faculty of Health Sciences, Okayama University kn-affil= affil-num=3 en-affil=Department of Radiological Technology, Faculty of Health Sciences, Okayama University kn-affil= affil-num=4 en-affil=Department of Radiological Technology, Faculty of Health Sciences, Okayama University kn-affil= affil-num=5 en-affil=Department of Radiology, Osaka International Cancer Institute kn-affil= affil-num=6 en-affil=Department of Radiology, Tokushima Red Cross Hospital kn-affil= affil-num=7 en-affil=Department of Radiology, Tokushima Red Cross Hospital kn-affil= affil-num=8 en-affil=Department of Radiological Technology, Faculty of Health Sciences, Okayama University kn-affil= en-keyword=area detector computed tomography kn-keyword=area detector computed tomography en-keyword=elbow joint kn-keyword=elbow joint en-keyword=sitting position kn-keyword=sitting position en-keyword=dose reduction kn-keyword=dose reduction en-keyword=image quality assessment kn-keyword=image quality assessment END start-ver=1.4 cd-journal=joma no-vol=78 cd-vols= no-issue=2 article-no= start-page=185 end-page=191 dt-received= dt-revised= dt-accepted= dt-pub-year=2024 dt-pub=202404 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Reduced Immunogenicity of COVID-19 Vaccine in Obese Patients with Type 2 Diabetes: A Cross-Sectional Study en-subtitle= kn-subtitle= en-abstract= kn-abstract=The global pandemic of coronavirus infection 2019 (COVID-19) was an unprecedented public health emergency. Several clinical studies reported that heart disease, lung disease, diabetes, hypertension, dyslipidemia, and obesity are critical risk factors for increased severity of and hospitalization for COVID-19. This is largely because patients with these underlying medical conditions can show poor immune responses to the COVID-19 vaccinations. Diabetes is one of the underlying conditions most highly associated with COVID-19 susceptibility and is considered a predictor of poor prognosis of COVID-19. We therefore investigated factors that influence the anti-SARS-CoV-2 spike IgG antibody titer after three doses of vaccination in patients with type 2 diabetes. We found that obesity was associated with low anti-SARS-CoV-2 spike IgG antibody titers following three-dose vaccination in type 2 diabetics. Obese patients with type 2 diabetes may have attenuated vaccine efficacy and require additional vaccination; continuous infection control should be considered in such patients. en-copyright= kn-copyright= en-aut-name=TakahashiHiroko en-aut-sei=Takahashi en-aut-mei=Hiroko kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=EguchiJun en-aut-sei=Eguchi en-aut-mei=Jun kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=WatanabeMayu en-aut-sei=Watanabe en-aut-mei=Mayu kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=NakayamaMasanori en-aut-sei=Nakayama en-aut-mei=Masanori kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= en-aut-name=WadaJun en-aut-sei=Wada en-aut-mei=Jun kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=5 ORCID= affil-num=1 en-affil=Department of Nephrology, Rheumatology, Endocrinology, and Metabolism, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=2 en-affil=Department of Nephrology, Rheumatology, Endocrinology, and Metabolism, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=3 en-affil=Department of Nephrology, Rheumatology, Endocrinology, and Metabolism, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=4 en-affil=Office of Innovative Medicine, Organization for Research Strategy and Development, Okayama University kn-affil= affil-num=5 en-affil=Department of Nephrology, Rheumatology, Endocrinology, and Metabolism, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= en-keyword=obesity kn-keyword=obesity en-keyword=type 2 diabetes kn-keyword=type 2 diabetes en-keyword=COVID-19 kn-keyword=COVID-19 en-keyword=vaccination kn-keyword=vaccination END start-ver=1.4 cd-journal=joma no-vol=78 cd-vols= no-issue=2 article-no= start-page=135 end-page=142 dt-received= dt-revised= dt-accepted= dt-pub-year=2024 dt-pub=202404 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Photon-Counting Detector CT: Potential for 75% Reduction in Contrast Medium Amount: A Phantom Study en-subtitle= kn-subtitle= en-abstract= kn-abstract=This study aimed to evaluate the potential reduction in contrast medium utilization using photon-counting detector computed tomography (PCD-CT). One PCD-CT scan (CT1) and three conventional (non-PCD-CT) CT scans (CT2-CT4) were performed using a multi-energy CT phantom that contained eight rods with different iodine concentrations (0.2, 0.5, 1, 2, 5, 10, 15, and 20 mg/ml). The CT values of the seven groups (CT1 for 40, 50, 60, and 70 keV; and CT2-4) were measured. Noise and contrast-to-noise ratio (CNR) were assessed for the eight rods at various iodine concentrations. CT2 and CT1 (40 keV) respectively required 20 mg/ml and 5 mg/ml of iodine, indicating that a comparable contrast effect could be obtained with approximately one-fourth of the contrast medium amount. The standard deviation values increased at lower energy levels irrespective of the iodine concentration. The CNR exhibited a decreasing trend with lower iodine concentrations, while it remained relatively stable across all iodine levels (40-70 keV). This study demonstrated that virtual monochromatic 40 keV images offer a similar contrast effect with a reduced contrast medium amount when compared to conventional CT systems at 120 kV. en-copyright= kn-copyright= en-aut-name=HigakiFumiyo en-aut-sei=Higaki en-aut-mei=Fumiyo kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=MorimitsuYusuke en-aut-sei=Morimitsu en-aut-mei=Yusuke kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=IguchiToshihiro en-aut-sei=Iguchi en-aut-mei=Toshihiro kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=SaitoHayato en-aut-sei=Saito en-aut-mei=Hayato kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= en-aut-name=TakakiHaruhiko en-aut-sei=Takaki en-aut-mei=Haruhiko kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=5 ORCID= en-aut-name=NakagoshiAyako en-aut-sei=Nakagoshi en-aut-mei=Ayako kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=6 ORCID= en-aut-name=WadaMaki en-aut-sei=Wada en-aut-mei=Maki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=7 ORCID= en-aut-name=UkaMayu en-aut-sei=Uka en-aut-mei=Mayu kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=8 ORCID= en-aut-name=AkagiNoriaki en-aut-sei=Akagi en-aut-mei=Noriaki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=9 ORCID= en-aut-name=MitsuhashiToshiharu en-aut-sei=Mitsuhashi en-aut-mei=Toshiharu kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=10 ORCID= en-aut-name=MatsuiYusuke en-aut-sei=Matsui en-aut-mei=Yusuke kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=11 ORCID= en-aut-name=HirakiTakao en-aut-sei=Hiraki en-aut-mei=Takao kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=12 ORCID= affil-num=1 en-affil=Department of Radiology, Okayama University Hospital kn-affil= affil-num=2 en-affil=Department of Radiological Technology, Okayama University Hospital kn-affil= affil-num=3 en-affil=Department of Radiological Technology, Faculty of Health Sciences, Okayama University kn-affil= affil-num=4 en-affil=Department of Radiological Technology, Okayama University Medical School kn-affil= affil-num=5 en-affil=Department of Radiological Technology, Okayama University Medical School kn-affil= affil-num=6 en-affil=Department of Radiological Technology, Okayama University Medical School kn-affil= affil-num=7 en-affil=Department of Radiological Technology, Okayama University Medical School kn-affil= affil-num=8 en-affil=Department of Radiology, Okayama University Hospital kn-affil= affil-num=9 en-affil=Department of Radiological Technology, Okayama University Hospital kn-affil= affil-num=10 en-affil=Center for Innovative Clinical Medicine, Okayama University Hospital kn-affil= affil-num=11 en-affil=Department of Radiology, Okayama University Faculty of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=12 en-affil=Department of Radiology, Okayama University Faculty of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= en-keyword=photon-counting detector CT kn-keyword=photon-counting detector CT en-keyword=energy integrating detector CT kn-keyword=energy integrating detector CT en-keyword=computed tomography kn-keyword=computed tomography en-keyword=contrast medium amount kn-keyword=contrast medium amount en-keyword=reduction kn-keyword=reduction END start-ver=1.4 cd-journal=joma no-vol=78 cd-vols= no-issue=2 article-no= start-page=95 end-page=106 dt-received= dt-revised= dt-accepted= dt-pub-year=2024 dt-pub=202404 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=The Roles of Neuropeptide Y in Respiratory Disease Pathogenesis via the Airway Immune Response en-subtitle= kn-subtitle= en-abstract= kn-abstract=The lungs are very complex organs, and the respiratory system performs the dual roles of repairing tissue while protecting against infection from various environmental stimuli. Persistent external irritation disrupts the immune responses of tissues and cells in the respiratory system, ultimately leading to respiratory disease. Neuropeptide Y (NPY) is a 36-amino-acid polypeptide and a neurotransmitter that regulates homeostasis. The NPY receptor is a seven-transmembrane-domain G-protein-coupled receptor with six subtypes (Y1, Y2, Y3, Y4, Y5, and Y6). Of these receptors, Y1, Y2, Y4, and Y5 are functional in humans, and Y1 plays important roles in the immune responses of many organs, including the respiratory system. NPY and the Y1 receptor have critical roles in the pathogenesis of asthma, chronic obstructive pulmonary disease, and idiopathic pulmonary fibrosis. The effects of NPY on the airway immune response and pathogenesis differ among respiratory diseases. This review focuses on the involvement of NPY in the airway immune response and pathogenesis of various respiratory diseases. en-copyright= kn-copyright= en-aut-name=ItanoJunko en-aut-sei=Itano en-aut-mei=Junko kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=KiuraKatsuyuki en-aut-sei=Kiura en-aut-mei=Katsuyuki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=MaedaYoshinobu en-aut-sei=Maeda en-aut-mei=Yoshinobu kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=MiyaharaNobuaki en-aut-sei=Miyahara en-aut-mei=Nobuaki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= affil-num=1 en-affil=Department of Hematology, Oncology and Respiratory Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=2 en-affil=Department of Allergy and Respiratory Medicine, Okayama University Hospital kn-affil= affil-num=3 en-affil=Department of Hematology, Oncology and Respiratory Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=4 en-affil=Department of Allergy and Respiratory Medicine, Okayama University Hospital kn-affil= en-keyword=neuropeptide y kn-keyword=neuropeptide y en-keyword=Y1 receptor kn-keyword=Y1 receptor en-keyword=airway immune response kn-keyword=airway immune response en-keyword=bronchial epithelial cells kn-keyword=bronchial epithelial cells en-keyword=respiratory disease kn-keyword=respiratory disease END start-ver=1.4 cd-journal=joma no-vol=14 cd-vols= no-issue= article-no= start-page=207 end-page=221 dt-received= dt-revised= dt-accepted= dt-pub-year=2024 dt-pub=20240329 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=The Analysis of Bullying Questionnaires to Identify the Problems using Teachers’ Recognitions about What Are Serious for Students kn-title=現行いじめアンケートの妥当性と課題 ―教師の「いじめの深刻さ認識」を指標として― en-subtitle= kn-subtitle= en-abstract=Questionnaires designed to detect bullying early are administered by the board of education in Japan. However, despite these efforts, the total number of bullying cases is not decreasing. This study aims to enhance the effectiveness of the questionnaires. Fourteen bullying questionnaires developed by the board of education were collected and analyzed. We found they used very similar definitions about actions as bullying. However, Miyagawa and Aoki (2023) suggested the possibility that the most serious forms of bullying for students involve actions from which they could not do the same action at the same time. Therefore, we investigated whether teachers recognized the seriousness of such actions. Seventyfive teachers from high school to elementary school participated in this study. Consequently, we found that teachers recognized bullying that “could not return back” as more serious than actions that “could return back.” Based on these results, it would be possible to say that “the actions of bullying,” as using the questionnaires by the board of education now are adequate for a survey. However, these findings also imply limitations in the effectiveness of early bullying detection by the questionnaires. Potential modifications to the questionnaires were discussed to address these limitations and take precautions against such possibilities. kn-abstract= いじめ早期発見を目的としたアンケートが全国で実施されているが,いじめの認知件数は減少していない。そこで,全国14都道府県のいじめアンケートを集計し,内容を分析した。加えて,このいじめアンケートが「いじめに該当する」としている行為に着目し,いじめ行為に対する,教師の「いじめに対する深刻さの認識」を調査した。その際,宮川・青木(2023)が示した「いじめの深刻度」に関する知見を用いた。分析の結果,教師は「やり返せる行為」よりも,「やり返せない行為」をより深刻と捉えていることがわかった。つまり,教師は「深刻と捉えられるべきいじめ行為」を深刻だと捉えており,現行いじめアンケートが「いじめに該当する」としている行為は妥当であると考えた。このことは,現行いじめアンケートでは早期発見が難しいことを示唆している。よって,早期発見と言うよりは,未然防止につながる新しいアンケートの開発の必要性について考察した。 en-copyright= kn-copyright= en-aut-name=MIYAGAWASena en-aut-sei=MIYAGAWA en-aut-mei=Sena kn-aut-name=宮川世名 kn-aut-sei=宮川 kn-aut-mei=世名 aut-affil-num=1 ORCID= en-aut-name=AOKITazuko en-aut-sei=AOKI en-aut-mei=Tazuko kn-aut-name=青木多寿子 kn-aut-sei=青木 kn-aut-mei=多寿子 aut-affil-num=2 ORCID= affil-num=1 en-affil=Graduate School of Education,Okayama University (Master Degree Course) kn-affil=岡山大学大学院教育学研究科大学院生 affil-num=2 en-affil=Faculty of Education,Okayama University kn-affil=岡山大学学術研究院教育学域 en-keyword=いじめアンケート (questionnaire to detect bullying early) kn-keyword=いじめアンケート (questionnaire to detect bullying early) en-keyword=いじめ未然防止 (preventing bullying in advance) kn-keyword=いじめ未然防止 (preventing bullying in advance) en-keyword=いじめに該当する行為 (what are the ser ious actions of bullying) kn-keyword=いじめに該当する行為 (what are the ser ious actions of bullying) en-keyword=教師の認識 (recognition of bullying by teachers) kn-keyword=教師の認識 (recognition of bullying by teachers) END start-ver=1.4 cd-journal=joma no-vol=14 cd-vols= no-issue= article-no= start-page=119 end-page=133 dt-received= dt-revised= dt-accepted= dt-pub-year=2024 dt-pub=20240329 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Study on the Process of Formation of Elementary School Teachers’ perspective on Social Studies -Focusing on rookie teachers- kn-title=小学校教師の社会科観の形成過程に関する研究 ―初任期教師に着目して― en-subtitle= kn-subtitle= en-abstract=The purpose of this study is to clarify what rookie elementary school teachers rely on to form their perspectives on social studies and how they try to develop their own perspectives on social studies. I conducted interviews with rookie elementary school teachers hearing their own views on social studies and the process of forming their perspectives on social studies. As a result of the survey, it was revealed that the perspective of social studies held by rookie elementary school teachers is in the process of forming their own view of social studies while filling in the gaps through encountering new experiences and values, such as observing children in daily classes, researching teaching materials, and experiencing student guidance, based on what they learned in the seminar they belonged to in order to write their graduation thesis in college. In addition, with regard to the image of children that they want to nurture through social studies, teachers' aspirations for a better future society are at the core of their thinking about the role of social studies, and they recognize that social studies is a subject that is closely related to student guidance and life guidance. kn-abstract= 本研究は,初任期の小学校教師が何を拠り所として社会科観を形成しているのか,また自身の社会科観をどのように発展させていこうとしているのかを明らかにしようとするものである。調査の結果,初任期小学校教師は,大学時代の卒業論文を書くために所属したゼミでの学びが核となり,日々の授業での子供観察や教材研究,生徒指導の経験など,新しい経験や価値観に出会うことを通して不足している部分を補いながら自身の社会科観を形成しており,社会科観は流動的であることが明らかになった。また,社会科を通して育てたい子供像については,教師のよりよい未来社会への志向が,社会科の役割に対する考えの核となっており,社会科を生徒指導や生活指導と密接に関連する教科であると認識していた。 en-copyright= kn-copyright= en-aut-name=FUKUTAYuka en-aut-sei=FUKUTA en-aut-mei=Yuka kn-aut-name=福田友香 kn-aut-sei=福田 kn-aut-mei=友香 aut-affil-num=1 ORCID= en-aut-name=KUWABARAToshinori en-aut-sei=KUWABARA en-aut-mei=Toshinori kn-aut-name=桑原敏典 kn-aut-sei=桑原 kn-aut-mei=敏典 aut-affil-num=2 ORCID= affil-num=1 en-affil=Graduate School of Education, Okayama University kn-affil=岡山大学大学院教育学研究科大学院生 affil-num=2 en-affil=Faculty of Education, Okayama University kn-affil=岡山大学学術研究院教育学域 en-keyword=小学校教師 (elementary school teacher) kn-keyword=小学校教師 (elementary school teacher) en-keyword=社会科観 (social studies perspectives) kn-keyword=社会科観 (social studies perspectives) en-keyword=インタビュー (interview) kn-keyword=インタビュー (interview) en-keyword=初任期教師 (rookie teacher) kn-keyword=初任期教師 (rookie teacher) en-keyword=教師のゲートキーピング (gatekeeping role of teacher) kn-keyword=教師のゲートキーピング (gatekeeping role of teacher) END start-ver=1.4 cd-journal=joma no-vol=78 cd-vols= no-issue=1 article-no= start-page=29 end-page=36 dt-received= dt-revised= dt-accepted= dt-pub-year=2024 dt-pub=202402 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Regression of Necrotic Lesions after Methotrexate Withdrawal in Patients with Methotrexate-Associated Lymphoproliferative Disorders: A Retrospective CT Study en-subtitle= kn-subtitle= en-abstract= kn-abstract=This retrospective study investigated whether necrotic lesions detected on a computed tomography (CT) scan are more regressive than non-necrotic lesions after methotrexate withdrawal in patients pathologically diagnosed with methotrexate-associated lymphoproliferative disorders (MTX-LPD). In total, 89 lesions extracted from 24 patients on CT scans were included in the analysis. All patients had been evaluated for the presence of necrosis within lesions via CT scan upon first suspicion of MTX-LPD (baseline CT scan). The percentage lesion size reduction between the baseline and initial follow-up CT scan was calculated. The association between necrosis within lesions and size changes was estimated via linear regression analyses using both crude and adjusted models. Necrosis was significantly more common in extranodal lesions (27 out of 30 lesions, 90%) than in nodal lesions (9 out of 59 lesions, 15%, p<0.001). In the crude model, the regression of necrotic lesions was 58.5% greater than that of non-necrotic lesions; the difference was statistically significant (p<0.001). Additionally, the longest diameter of necrotic lesions at the baseline CT scan was significantly greater than that of non-necrotic lesions (p<0.001). Based on the adjusted model, necrotic lesions showed 49.3% greater regression than non-necrotic lesions (p=0.017). Necrosis detected on a CT scan was found to be an independent predictor of regression after MTX withdrawal in patients with MTX-LPD. en-copyright= kn-copyright= en-aut-name=KitayamaTakahiro en-aut-sei=Kitayama en-aut-mei=Takahiro kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=TanakaTakashi en-aut-sei=Tanaka en-aut-mei=Takashi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=KanieYuichiro en-aut-sei=Kanie en-aut-mei=Yuichiro kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=MarukawaYohei en-aut-sei=Marukawa en-aut-mei=Yohei kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= en-aut-name=KojimaKatsuhide en-aut-sei=Kojima en-aut-mei=Katsuhide kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=5 ORCID= en-aut-name=TanakaTakehiro en-aut-sei=Tanaka en-aut-mei=Takehiro kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=6 ORCID= en-aut-name=TakaoSoshi en-aut-sei=Takao en-aut-mei=Soshi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=7 ORCID= en-aut-name=HirakiTakao en-aut-sei=Hiraki en-aut-mei=Takao kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=8 ORCID= affil-num=1 en-affil=Department of Radiology, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University kn-affil= affil-num=2 en-affil=Department of Radiology, Okayama City Hospital kn-affil= affil-num=3 en-affil=Department of Radiology, Okayama University Hospital kn-affil= affil-num=4 en-affil=Department of Radiology, Okayama Saiseikai General Hospital kn-affil= affil-num=5 en-affil=Department of Radiology, Okayama University Hospital kn-affil= affil-num=6 en-affil=Department of Pathology, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University kn-affil= affil-num=7 en-affil=Department of Epidemiology, Faculty of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University kn-affil= affil-num=8 en-affil=Department of Radiology, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University kn-affil= en-keyword=methotrexate kn-keyword=methotrexate en-keyword=lymphoproliferative disorder kn-keyword=lymphoproliferative disorder en-keyword=computed tomography kn-keyword=computed tomography en-keyword=necrosis kn-keyword=necrosis END start-ver=1.4 cd-journal=joma no-vol=3 cd-vols= no-issue= article-no= start-page=290 end-page=298 dt-received= dt-revised= dt-accepted= dt-pub-year=2024 dt-pub=20240325 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=A Meiji person's impression of the petition: What the postscript tells kn-title=建白書ヲ読ミテ ―識語の語るもの― en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=YAMASHITAHiroshi en-aut-sei=YAMASHITA en-aut-mei=Hiroshi kn-aut-name=山下洋 kn-aut-sei=山下 kn-aut-mei=洋 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil= END start-ver=1.4 cd-journal=joma no-vol=16 cd-vols= no-issue= article-no= start-page= end-page= dt-received= dt-revised= dt-accepted= dt-pub-year=2023 dt-pub=2023 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Optimal liver drainage rate for survival in patients with unresectable malignant hilar biliary obstruction using 3D-image volume analyzer en-subtitle= kn-subtitle= en-abstract= kn-abstract=Background: Drainage exceeding 50% of total liver volume is a beneficial prognostic factor in patients with unresectable malignant hilar biliary obstruction (UMHBO). However, it is unclear what threshold percentage of total liver volume drained ('liver drainage rate') significantly improves survival in patients with UMHBO who received systemic chemotherapy.
Objectives: We aimed to assess the optimal liver drainage rate that improves survival in patients with UMHBO receiving chemotherapy using a three-dimensional (3D)-image volume analyzer.
Design: This study was a single-center retrospective cohort study.
Methods: Data from 90 patients with UMHBO who received chemotherapy after endoscopic biliary drainage using metal stents at Okayama University Hospital from January 2003 to December 2020 were reviewed. The liver drainage rate was calculated by dividing the drained liver volume by the total liver volume using a 3D-image volume analyzer. The primary endpoint was overall survival by liver drainage rate. The secondary endpoints were time to recurrent biliary obstruction (TRBO) and prognostic factors.
Results: The median total liver volume was 1172 (range: 673-2032) mL, and the median liver drainage rate was 83% (range: 50-100). Overall survival was 376 (95% CI: 271-450) days, and patients with >80% drainage (n = 67) had significantly longer survival than those with <80% drainage (n = 23) (450 days versus 224 days, p = 0.0033, log-rank test). TRBO was 201 (95% CI: 155-327) days and did not differ significantly by liver drainage rate. Multivariate Cox proportional hazards regression analysis revealed >80% liver drainage [hazard ratio (HR): 0.35, 95% CI: 0.20-0.62, p = 0.0003] and hilar cholangiocarcinoma (HR: 0.30, 95% CI: 0.17-0.50, p < 0.0001) as significant prognostic factors.
Conclusion: In patients with UMHBO scheduled for chemotherapy, >80% drainage is associated with improved survival. Further prospective multicenter studies are needed to verify the results of this study. en-copyright= kn-copyright= en-aut-name=MorimotoKosaku en-aut-sei=Morimoto en-aut-mei=Kosaku kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=MatsumotoKazuyuki en-aut-sei=Matsumoto en-aut-mei=Kazuyuki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=ObataTaisuke en-aut-sei=Obata en-aut-mei=Taisuke kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=OdaTakashi en-aut-sei=Oda en-aut-mei=Takashi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= en-aut-name=MiyamotoKazuya en-aut-sei=Miyamoto en-aut-mei=Kazuya kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=5 ORCID= en-aut-name=MatsumiAkihiro en-aut-sei=Matsumi en-aut-mei=Akihiro kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=6 ORCID= en-aut-name=TerasawaHiroyuki en-aut-sei=Terasawa en-aut-mei=Hiroyuki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=7 ORCID= en-aut-name=FujiiYuki en-aut-sei=Fujii en-aut-mei=Yuki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=8 ORCID= en-aut-name=YamazakiTatsuhiro en-aut-sei=Yamazaki en-aut-mei=Tatsuhiro kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=9 ORCID= en-aut-name=HoriguchiShigeru en-aut-sei=Horiguchi en-aut-mei=Shigeru kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=10 ORCID= en-aut-name=TsutsumiKoichiro en-aut-sei=Tsutsumi en-aut-mei=Koichiro kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=11 ORCID= en-aut-name=KatoHironari en-aut-sei=Kato en-aut-mei=Hironari kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=12 ORCID= en-aut-name=OtsukaMotoyuki en-aut-sei=Otsuka en-aut-mei=Motoyuki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=13 ORCID= affil-num=1 en-affil=Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=2 en-affil=Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=3 en-affil=Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=4 en-affil=Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=5 en-affil=Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=6 en-affil=Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=7 en-affil=Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=8 en-affil=Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=9 en-affil=Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=10 en-affil=Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=11 en-affil=Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=12 en-affil=Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=13 en-affil=Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= en-keyword=biliary obstruction kn-keyword=biliary obstruction en-keyword=chemotherapy kn-keyword=chemotherapy en-keyword=CT volumetry kn-keyword=CT volumetry en-keyword=endoscopic biliary drainage kn-keyword=endoscopic biliary drainage en-keyword=self-expandable metal stent kn-keyword=self-expandable metal stent END start-ver=1.4 cd-journal=joma no-vol=55 cd-vols= no-issue=2 article-no= start-page=1 end-page=14 dt-received= dt-revised= dt-accepted= dt-pub-year=2023 dt-pub=20231124 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Building a perspective on the innovation process of local public services kn-title=地方公共サービス革新プロセスの視座の構築 en-subtitle= kn-subtitle= en-abstract= kn-abstract= When local governments develop public services, they often experience innovation processes. More often, the innovation processes referred to here seem to be the perceived needs for transformation faced with external pressures and the purposive responses to them. This article tries to depict this discourse from a different viewpoint. One of the perspectives that has been proposed so far is that the external environments are made up of multiple actors, and that the historical backgrounds and the relationships between these actors affect the structure of administrative organizations and the methods of providing public services. The transformation processes could be one-time events no matter how long the processes may take, but this article tries to argue they may connote a circular mechanism where both of the administrative organizations and the external actors feedback to each other. In order to elaborate this direction of theorizing, three steps are employed by applying existent literature of various types developed in rather a broader context of social sciences. First, if one of the goals of postmodern theorization is liberating the psychological energies of actors from the cramped social reality that structuralists postulated, then Actor-Network-Theory may be useful. Second, according to Sarasbathy’s research on entrepreneurial behaviors, the view that we effectuate our future through what we can do now is attractive in order to create a new discourse of social innovations, where we appreciate them as not springing out of nowhere all of sudden. Third, once this article accepts polyphonic views on social realities where congested discourses interact during abovementioned process, the role of civic entrepreneurs on the frontline can never be overstated enough. This is because such civic entrepreneurs could cooperate with minority opinions and raise them into broader contexts of dialogues within societies. en-copyright= kn-copyright= en-aut-name=FujiiDaiji en-aut-sei=Fujii en-aut-mei=Daiji kn-aut-name=藤井大児 kn-aut-sei=藤井 kn-aut-mei=大児 aut-affil-num=1 ORCID= en-aut-name=KanajiHiroshi en-aut-sei=Kanaji en-aut-mei=Hiroshi kn-aut-name=金治宏 kn-aut-sei=金治 kn-aut-mei=宏 aut-affil-num=2 ORCID= affil-num=1 en-affil= kn-affil=岡山大学学術研究院ヘルスシステム統合科学学域 affil-num=2 en-affil= kn-affil=京都光華女子大学キャリア形成学部 en-keyword=local government kn-keyword=local government en-keyword=public services kn-keyword=public services en-keyword=innovation process kn-keyword=innovation process END start-ver=1.4 cd-journal=joma no-vol=77 cd-vols= no-issue=5 article-no= start-page=479 end-page=490 dt-received= dt-revised= dt-accepted= dt-pub-year=2023 dt-pub=202310 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Childcare and Child Development in Japan en-subtitle= kn-subtitle= en-abstract= kn-abstract=For decades, the notion has persisted in developed countries that exclusive care by the mothers is best for the development of children up to 3 years of age. To examine the veracity of this “myth of the first three years” in Japan, we examined the effects of childcare facility use for children younger than 3 years on their development using the cohorts of the Longitudinal Survey of Newborns in the 21st Century conducted in Japan. Of the 47,015 respondents to the survey, we studied the children of 5,508 mothers with university/professional education to evaluate the relationships between primary early (< 2.5 years) childcare providers during weekday daytime hours and specific development indices for the ages of 2.5, 5.5, and 8 years. At the age of 2.5 and 5.5 years, children attending childcare facilities were judged as having more advanced developmental behaviors by their parents, such as being able to compose a two-word sentence (adjusted odds ratio [aOR]: 0.22) or to express emotions (aOR: 0.81), compared with those cared for by mothers. However, at the age of 8 years, children who attended childcare facilities as infants < 2.5 years showed more aggressive behavior in interrupting people (aOR: 1.20) and causing disturbances in public (aOR: 1.26) than those cared for by mothers (after adjustment for numerous child and parental factors). Although these results are generally consistent with previous studies, issues potentially involved with problem behavior such as quality of childcare require further investigation, as does the case of children of mothers with more modest educational attainment. en-copyright= kn-copyright= en-aut-name=MurataAkiko en-aut-sei=Murata en-aut-mei=Akiko kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=MatsumotoNaomi en-aut-sei=Matsumoto en-aut-mei=Naomi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=MiyajiChikara en-aut-sei=Miyaji en-aut-mei=Chikara kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=TakaoSoshi en-aut-sei=Takao en-aut-mei=Soshi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= en-aut-name=YorifujiTakashi en-aut-sei=Yorifuji en-aut-mei=Takashi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=5 ORCID= affil-num=1 en-affil=Department of Epidemiology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=2 en-affil=Faculty of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University kn-affil= affil-num=3 en-affil=Department of Epidemiology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=4 en-affil=Faculty of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University kn-affil= affil-num=5 en-affil=Faculty of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University kn-affil= en-keyword=“myth of the first three years” kn-keyword=“myth of the first three years” en-keyword=childcare kn-keyword=childcare en-keyword=child development kn-keyword=child development en-keyword=problem behavior kn-keyword=problem behavior en-keyword=educational attainment kn-keyword=educational attainment END start-ver=1.4 cd-journal=joma no-vol=77 cd-vols= no-issue=5 article-no= start-page=451 end-page=460 dt-received= dt-revised= dt-accepted= dt-pub-year=2023 dt-pub=202310 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=An Assessment Rubric for a Resident Training Program in Surgery: A Single-Institution Experience en-subtitle= kn-subtitle= en-abstract= kn-abstract=Using a Collaborative Action Research model, our research team established a one-month clinical resident training program for first- and second-year clinical residents. We created and implemented an assessment rubric to assess the residents’ progress toward independent practice in surgery, and thereby, to evaluate the program itself. The program included training in three areas: basic techniques and procedures in the operating room, surgical ward management, and academic activities. The rubric measured the residents’ performance according to three achievement levels: Level 1 (demonstration), Level 2 (active help) and Level 3 (passive help). The program and rubric implementation began in June 2019 and continued until March 2020, when the program outcomes and shortcomings were analyzed. Among nineteen clinical residents, a total of nine clinical residents participated in the study. Most participants reached achievement Level 3 for their performance of basic techniques in the operating room. Finally, we discussed ideas for improvement and drafted plans for an improved rubric to complete the action research cycle. Our research team found the rubric to be a useful tool in evaluating the status of the new clinical resident training program. en-copyright= kn-copyright= en-aut-name=OkitaAtsushi en-aut-sei=Okita en-aut-mei=Atsushi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=TsukudaKazunori en-aut-sei=Tsukuda en-aut-mei=Kazunori kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=InoHideo en-aut-sei=Ino en-aut-mei=Hideo kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=MitsuiEma en-aut-sei=Mitsui en-aut-mei=Ema kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= en-aut-name=IkeyaNanami en-aut-sei=Ikeya en-aut-mei=Nanami kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=5 ORCID= en-aut-name=YamamotoSumiharu en-aut-sei=Yamamoto en-aut-mei=Sumiharu kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=6 ORCID= en-aut-name=YokoyamaNobuji en-aut-sei=Yokoyama en-aut-mei=Nobuji kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=7 ORCID= en-aut-name=BulinAubra en-aut-sei=Bulin en-aut-mei=Aubra kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=8 ORCID= affil-num=1 en-affil=Department of Surgery, Okayama City Hospital kn-affil= affil-num=2 en-affil=Department of Surgery, Okayama City Hospital kn-affil= affil-num=3 en-affil=Center for Education in Medicine and Health Science, Okayama University kn-affil= affil-num=4 en-affil=Department of Surgery, Okayama City Hospital kn-affil= affil-num=5 en-affil=Department of Surgery, Okayama City Hospital kn-affil= affil-num=6 en-affil=Department of Surgery, Okayama City Hospital kn-affil= affil-num=7 en-affil=Department of Surgery, Okayama City Hospital kn-affil= affil-num=8 en-affil=Discovery Program for Global Learners, Okayama University kn-affil= en-keyword=resident program kn-keyword=resident program en-keyword=rubric assessment kn-keyword=rubric assessment en-keyword=general surgery kn-keyword=general surgery en-keyword=action research kn-keyword=action research END start-ver=1.4 cd-journal=joma no-vol= cd-vols= no-issue= article-no= start-page= end-page= dt-received= dt-revised= dt-accepted= dt-pub-year=2005 dt-pub=20051231 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=社会階層と禁煙の関係を説明する要因は何か? パス分析の結果から kn-title=What accounts for the relationship between social class and smoking cessation? Results of a path analysis en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name= en-aut-sei= en-aut-mei= kn-aut-name=本庄かおり kn-aut-sei=本庄 kn-aut-mei=かおり aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学 END start-ver=1.4 cd-journal=joma no-vol=10 cd-vols= no-issue=1 article-no= start-page=825 end-page=846 dt-received= dt-revised= dt-accepted= dt-pub-year=2023 dt-pub=20230809 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Data-driven evolutionary computation for service constrained inventory optimization in multi-echelon supply chains en-subtitle= kn-subtitle= en-abstract= kn-abstract=Supply chain digital twin has emerged as a powerful tool in studying the behavior of an actual supply chain. However, most studies in the field of supply chain digital twin have only focused on what-if analysis that compares several different scenarios. This study proposes a data-driven evolutionary algorithm to efficiently solve the service constrained inventory optimization problem using historical data that generated by supply chain digital twins. The objective is to minimize the total costs while satisfying the required service level for a supply chain. The random forest algorithm is used to build surrogate models which can be used to estimate the total costs and service level in a supply chain. The surrogate models are optimized by an ensemble approach-based differential evolution algorithm which can adaptively use different search strategies to improve the performance during the computation process. A three-echelon supply chain digital twin on the geographic information system (GIS) map in real-time is used to examine the efficiency of the proposed method. The experimental results indicate that the data-driven evolutionary algorithm can reduce the total costs and maintain the required service level. The finding suggests that our proposed method can learn from the historical data and generate better inventory policies for a supply chain digital twin. en-copyright= kn-copyright= en-aut-name=LiuZiang en-aut-sei=Liu en-aut-mei=Ziang kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=NishiTatsushi en-aut-sei=Nishi en-aut-mei=Tatsushi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= affil-num=1 en-affil=Faculty of Environmental, Life, Natural Science and Technology, Okayama University kn-affil= affil-num=2 en-affil=Faculty of Environmental, Life, Natural Science and Technology, Okayama University kn-affil= en-keyword=Evolutionary algorithm kn-keyword=Evolutionary algorithm en-keyword=Inventory management kn-keyword=Inventory management en-keyword=Data-driven kn-keyword=Data-driven en-keyword=Supply chain kn-keyword=Supply chain en-keyword=Digital twin kn-keyword=Digital twin END start-ver=1.4 cd-journal=joma no-vol=77 cd-vols= no-issue=4 article-no= start-page=395 end-page=405 dt-received= dt-revised= dt-accepted= dt-pub-year=2023 dt-pub=202308 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Association of Tumor Necrosis Factor-Alpha with Psychopathology in Patients with Schizophrenia en-subtitle= kn-subtitle= en-abstract= kn-abstract=We investigated the relationship between serum tumor necrosis factor-alpha (TNF-α) levels and psychopathological symptoms, clinical and socio-demographic characteristics and antipsychotic therapy in individuals with schizophrenia. TNF-α levels were measured in 90 patients with schizophrenia and 90 healthy controls matched by age, gender, smoking status, and body mass index. The Positive and Negative Syndrome Scale (PANSS) was used to assess the severity of psychopathology in patients. No significant differences in TNF-α levels were detected between the patients and controls (p=0.736). TNF-α levels were not correlated with total, positive, negative, general, or composite PANSS scores (all p>0.05). A significant negative correlation was observed between TNF-α levels and the PANSS cognitive factor (ρ=−0.222, p=0.035). A hierarchical regression analysis identified the cognitive factor as a significant predictor of the TNF-α level (beta=−0.258, t=−2.257, p=0.027). There were no significant differences in TNF-α levels among patients treated with different types of antipsychotics (p=0.596). TNF-α levels correlated positively with the age of onset (ρ=0.233, p=0.027) and negatively with illness duration (ρ=−0.247, p=0.019) and antipsychotic treatment duration (ρ=−0.256, p=0.015). These results indicate that TNF-α may be involved in cognitive impairment in schizophrenia, and would be a potential clinical-state marker in schizophrenia. en-copyright= kn-copyright= en-aut-name=PavlovicMarko en-aut-sei=Pavlovic en-aut-mei=Marko kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=BabicDragan en-aut-sei=Babic en-aut-mei=Dragan kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=RastovicPejana en-aut-sei=Rastovic en-aut-mei=Pejana kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=ArapovicJurica en-aut-sei=Arapovic en-aut-mei=Jurica kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= en-aut-name=MartinacMarko en-aut-sei=Martinac en-aut-mei=Marko kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=5 ORCID= en-aut-name=JakovacSanja en-aut-sei=Jakovac en-aut-mei=Sanja kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=6 ORCID= en-aut-name=BarbaricRomana en-aut-sei=Barbaric en-aut-mei=Romana kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=7 ORCID= affil-num=1 en-affil=University Hospital Center Mostar, University of Mostar kn-affil= affil-num=2 en-affil=University Hospital Center Mostar, University of Mostar kn-affil= affil-num=3 en-affil=University Hospital Center Mostar, University of Mostar kn-affil= affil-num=4 en-affil=University Hospital Center Mostar, University of Mostar kn-affil= affil-num=5 en-affil=Health Care Center Mostar, University of Mostar kn-affil= affil-num=6 en-affil=University Hospital Center Mostar, University of Mostar kn-affil= affil-num=7 en-affil=University Hospital Center Mostar, University of Mostar kn-affil= en-keyword=tumor necrosis factor-alpha kn-keyword=tumor necrosis factor-alpha en-keyword=schizophrenia kn-keyword=schizophrenia en-keyword=psychopathology kn-keyword=psychopathology en-keyword=immune system kn-keyword=immune system END start-ver=1.4 cd-journal=joma no-vol=37 cd-vols= no-issue=6 article-no= start-page=1772 end-page=1787 dt-received= dt-revised= dt-accepted= dt-pub-year=2023 dt-pub=20230713 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Anti-oppressive global citizenship education in English language teaching: a three-pillar approach en-subtitle= kn-subtitle= en-abstract= kn-abstract=Anti-oppressive global citizenship education (GCE), a specific strand of critical GCE, is a new field, especially concerning empirical studies within English classrooms. Based on an anti-oppressive GCE framework and the research question, “what does anti-oppressive theory look like in practice in English classrooms and how can this be woven into GCE?”, this paper explains the results of a project which used a portraiture methodology to collect and analyze approximately 6 hours of semi-structured interviews, detailed impressionistic records, and several lessons collected with one secondary school English teacher in Ontario, Canada. The portrait showcases how the educator implements a three-pillar approach to anti-oppressive GCE language education and the need to shine light on minoritized identities, create healthy soil for the foundation of learning about systemic oppression, and give the proper amounts of water/support to each student. en-copyright= kn-copyright= en-aut-name=CarrollShawna M. en-aut-sei=Carroll en-aut-mei=Shawna M. kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= affil-num=1 en-affil=Graduate School of Education, Okayama University kn-affil= en-keyword=Anti-oppression education kn-keyword=Anti-oppression education en-keyword=global citizenship education kn-keyword=global citizenship education en-keyword=language teaching kn-keyword=language teaching en-keyword=portraiture kn-keyword=portraiture END start-ver=1.4 cd-journal=joma no-vol=77 cd-vols= no-issue=3 article-no= start-page=301 end-page=309 dt-received= dt-revised= dt-accepted= dt-pub-year=2023 dt-pub=202306 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Associations between Comorbidities and Acute Exacerbation of Interstitial Lung Disease after Primary Lung Cancer Surgery en-subtitle= kn-subtitle= en-abstract= kn-abstract=Acute exacerbation (AE) of interstitial lung disease (ILD) is a severe complication of lung resection in lung cancer patients with ILD (LC-ILD). This study aimed to assess the predictive value of comorbidities other than ILD for postoperative AE in patients with LC-ILD. We retrospectively evaluated 68 patients with LC-ILD who had undergone lung resection. We classified them into two groups: those who had developed postoperative AE within 30 days after resection and those who had not. We analyzed patient characteristics, high-resolution computed tomography findings, clinical data, pulmonary function, and intraoperative data. The incidence of postoperative AEs was 11.8%. In univariate analysis, performance status (PS), honeycombing, forced vital capacity (FVC), and high hemoglobin A1c (HbA1c) levels without comorbidities were significantly associated with postoperative AE. Patients were divided into two groups according to cutoff levels of those four variables as determined by receiver operating characteristic curves, revealing that the rates of patients without postoperative AE differed significantly between groups. The present results suggested that preoperative comorbidities other than ILD were not risk factors for postoperative AE in patients with LC-ILD. However, a high preoperative HbA1c level, poor PS, low FVC, and honeycombing may be associated with postoperative AE of LC-ILD. en-copyright= kn-copyright= en-aut-name=KatoTakahide en-aut-sei=Kato en-aut-mei=Takahide kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=MiyoshiSeigo en-aut-sei=Miyoshi en-aut-mei=Seigo kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=HamadaChizuru en-aut-sei=Hamada en-aut-mei=Chizuru kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=SanoYoshifumi en-aut-sei=Sano en-aut-mei=Yoshifumi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= en-aut-name=NogamiNaoyuki en-aut-sei=Nogami en-aut-mei=Naoyuki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=5 ORCID= en-aut-name=YamaguchiOsamu en-aut-sei=Yamaguchi en-aut-mei=Osamu kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=6 ORCID= en-aut-name=HamaguchiNaohiko en-aut-sei=Hamaguchi en-aut-mei=Naohiko kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=7 ORCID= affil-num=1 en-affil=Department of Cardiology, Pulmonology, Hypertension and Nephrology, Ehime University Graduate School of Medicine kn-affil= affil-num=2 en-affil=Department of Cardiology, Pulmonology, Hypertension and Nephrology, Ehime University Graduate School of Medicine kn-affil= affil-num=3 en-affil=Department of Cardiology, Pulmonology, Hypertension and Nephrology, Ehime University Graduate School of Medicine kn-affil= affil-num=4 en-affil=Department of Cardiovascular and Thoracic Surgery, Ehime University Graduate School of Medicine kn-affil= affil-num=5 en-affil=Department of Community Medicine, Pulmonology and Cardiology, Ehime University Graduate School of Medicine kn-affil= affil-num=6 en-affil=Department of Cardiology, Pulmonology, Hypertension and Nephrology, Ehime University Graduate School of Medicine kn-affil= affil-num=7 en-affil=Department of Cardiology, Pulmonology, Hypertension and Nephrology, Ehime University Graduate School of Medicine kn-affil= en-keyword=lung cancer kn-keyword=lung cancer en-keyword=interstitial lung disease kn-keyword=interstitial lung disease en-keyword=acute exacerbation kn-keyword=acute exacerbation en-keyword=comorbidity kn-keyword=comorbidity END start-ver=1.4 cd-journal=joma no-vol=77 cd-vols= no-issue=3 article-no= start-page=243 end-page=254 dt-received= dt-revised= dt-accepted= dt-pub-year=2023 dt-pub=202306 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Brown Adipose Tissue PPARγ Is Required for the Insulin-Sensitizing Action of Thiazolidinediones en-subtitle= kn-subtitle= en-abstract= kn-abstract=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. en-copyright= kn-copyright= en-aut-name=ShibataYusuke en-aut-sei=Shibata en-aut-mei=Yusuke kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=EguchiJun en-aut-sei=Eguchi en-aut-mei=Jun kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=WadaJun en-aut-sei=Wada en-aut-mei=Jun kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= affil-num=1 en-affil=Department of Nephrology, Rheumatology, Endocrinology and Metabolism, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=2 en-affil=Department of Nephrology, Rheumatology, Endocrinology and Metabolism, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=3 en-affil=Department of Nephrology, Rheumatology, Endocrinology and Metabolism, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= en-keyword=PPARγ kn-keyword=PPARγ en-keyword=brown adipose tissue kn-keyword=brown adipose tissue en-keyword=thiazolidinediones kn-keyword=thiazolidinediones END start-ver=1.4 cd-journal=joma no-vol=3 cd-vols= no-issue= article-no= start-page=15 end-page=27 dt-received= dt-revised= dt-accepted= dt-pub-year=2023 dt-pub=20230331 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Feelings of "Meiwaku / Burden" as a Interaction: A Reflection Based on a Gift-giving Theoretic Approach kn-title=相互行為としての〈迷惑〉意識:贈与論的アプローチからの考察 en-subtitle= kn-subtitle= en-abstract= kn-abstract=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. en-copyright= kn-copyright= en-aut-name=SUZUKIRyozo en-aut-sei=SUZUKI en-aut-mei=Ryozo kn-aut-name=鈴木亮三 kn-aut-sei=鈴木 kn-aut-mei=亮三 aut-affil-num=1 ORCID= affil-num=1 en-affil=Graduate School of Interdisciplinary Science and Engineering in Health Systems, Okayama University kn-affil=岡山大学大学院ヘルスシステム統合科学研究科 en-keyword=gift-giving theory kn-keyword=gift-giving theory en-keyword=Feelings of "Meiwaku / Burden" kn-keyword=Feelings of "Meiwaku / Burden" en-keyword=human relationships kn-keyword=human relationships END start-ver=1.4 cd-journal=joma no-vol=18 cd-vols= no-issue=3 article-no= start-page=e0283701 end-page= dt-received= dt-revised= dt-accepted= dt-pub-year=2023 dt-pub=20230331 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Identification of illness representational patterns and examining differences of self-care behavior in the patterns in chronic kidney disease en-subtitle= kn-subtitle= en-abstract= kn-abstract=Self-care behavior is considered important for preventing the progression of chronic kidney disease (CKD). Although lifestyle interventions are popular, they have not been sufficiently effective. According to studies on other chronic diseases, illness representation has been found to formulate a pattern, and self-care behavior could differ depending on the pattern, which suggests difference in self-care behavior based on illness representation. This study examined what kind of illness representational patterns exist among CKD patients and whether there is a difference in self-care behavior depending on the pattern. A survey was conducted from the beginning of June to the end of October 2019 on 274 CKD patients who were either outpatients or hospitalized at general hospitals in Western Japan. The Illness Perception Questionnaire-Revised was used to assess illness representation and the Japanese Chronic Kidney Disease Self-Care scale was used to assess self-care behavior. Two-stage cluster analysis was used to identify clusters. Cluster features were examined using analysis of variance and Tukey HSD tests. Differences in self-care behavior scores among identified clusters were investigated. Two hundred and forty-four questionnaires were received, and 212 were analyzed. Participants were aged 64.9 +/- 12.9, and the estimated glomerular filtration rate was 33.7 +/- 15.8. Three clusters were identified: Cluster 1 represented the difficulty of making sense of the changed condition caused by the disease and easily falling into misunderstanding; Cluster 2 represented patients with disease conditions that impacted their daily life and emotional responses; Cluster 3 represented the controllability and understandability of the disease. Total self-care behavior scores indicated a significant difference between Cluster 1 (52.1 +/- 9.7) and Cluster 3 (57.7 +/- 8.2). In conclusion, we showed that three representational patterns exist among CKD patients. In addition, a difference was found in self-care behavior depending on the illness representational pattern, suggesting the need to focus on illness representation. en-copyright= kn-copyright= en-aut-name=KajiwaraYuki en-aut-sei=Kajiwara en-aut-mei=Yuki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=MorimotoMichiko en-aut-sei=Morimoto en-aut-mei=Michiko kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= affil-num=1 en-affil=Faculty of Health Sciences, Okayama University kn-affil= affil-num=2 en-affil=Faculty of Health Sciences, Okayama University kn-affil= END start-ver=1.4 cd-journal=joma no-vol=77 cd-vols= no-issue=2 article-no= start-page=139 end-page=145 dt-received= dt-revised= dt-accepted= dt-pub-year=2023 dt-pub=202304 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Prolonged Sedentary Bouts Are Critically Involved in All-Cause Mortality in Patients on Chronic Hemodialysis: A Prospective Cohort Study en-subtitle= kn-subtitle= en-abstract= kn-abstract=We investigated the link between prolonged sedentary bouts and all-cause mortality in patients on chronic hemodialysis, using a prospective cohort. A total of 104 outpatients on chronic hemodialysis from 2013 to 2019, aged 71.4±11.4 years, were enrolled. Prolonged sedentary bouts (≥ 30 min and ≥60 min) (min and bouts) and relative prolonged sedentary bouts (≥ 30 min and ≥ 60 min) (%) on the patients’ non-hemodialysis days were measured by a tri-accelerometer, and we also analyzed the patients’ clinical parameters. The relationship between prolonged sedentary bouts and all-cause mortality was evaluated by a survival analysis and the Cox proportional hazard model. Thirty-five patients died during the follow-up period. A Kaplan-Meier analysis detected significant differences in the survival rate between two groups stratified by the median for all prolonged sedentary-bout parameters. After the adjustment for confounding factors, all of the prolonged sedentary-bout parameters were determinant factors for all-cause mortality. These results indicate that prolonged sedentary bouts on non-hemodialysis days were closely related to all-cause mortality in the patients on hemodialysis. en-copyright= kn-copyright= en-aut-name=NamioKeiichi en-aut-sei=Namio en-aut-mei=Keiichi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=KondoTakashi en-aut-sei=Kondo en-aut-mei=Takashi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=MiyatakeNobuyuki en-aut-sei=Miyatake en-aut-mei=Nobuyuki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=HishiiShuhei en-aut-sei=Hishii en-aut-mei=Shuhei kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= en-aut-name=NishiHiroyuki en-aut-sei=Nishi en-aut-mei=Hiroyuki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=5 ORCID= en-aut-name=KatayamaAkihiko en-aut-sei=Katayama en-aut-mei=Akihiko kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=6 ORCID= en-aut-name=UjikeKazuhiro en-aut-sei=Ujike en-aut-mei=Kazuhiro kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=7 ORCID= en-aut-name=SuzukiHiromi en-aut-sei=Suzuki en-aut-mei=Hiromi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=8 ORCID= en-aut-name=KoumotoKiichi en-aut-sei=Koumoto en-aut-mei=Kiichi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=9 ORCID= affil-num=1 en-affil=Department of Hygiene, Faculty of Medicine, Kagawa University kn-affil= affil-num=2 en-affil=Innoshima General Hospital kn-affil= affil-num=3 en-affil=Department of Hygiene, Faculty of Medicine, Kagawa University kn-affil= affil-num=4 en-affil=Department of Hygiene, Faculty of Medicine, Kagawa University kn-affil= affil-num=5 en-affil=Innoshima General Hospital kn-affil= affil-num=6 en-affil=Faculty of Social Studies, Shikokugakuin University kn-affil= affil-num=7 en-affil=Innoshima General Hospital kn-affil= affil-num=8 en-affil=Department of Hygiene, Faculty of Medicine, Kagawa University kn-affil= affil-num=9 en-affil=Innoshima General Hospital kn-affil= en-keyword=sedentary bout kn-keyword=sedentary bout en-keyword=mortality kn-keyword=mortality en-keyword=hemodialysis kn-keyword=hemodialysis en-keyword=survival analysis kn-keyword=survival analysis END start-ver=1.4 cd-journal=joma no-vol=13 cd-vols= no-issue= article-no= start-page=233 end-page=244 dt-received= dt-revised= dt-accepted= dt-pub-year=2023 dt-pub=20230330 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Characteristics of Music Teachers’ Eyes on Recorder Performance -A Preliminary Experiment Using a Video Survey with an Eye Tracker- kn-title=リコーダー演奏に対する音楽教師の視線の特徴 ―アイトラッカーを用いた動画調査による予備実験― en-subtitle= kn-subtitle= en-abstract=This study clarified the characteristics of what expert music teachers see in learners through an analysis of the teacher's gaze when the learners are playing the recorder. In this preliminary experiment, 20 subjects (10 music specialists, 2 elementary school teachers specializing in music, and 8 university students) were fitted with an eye tracker and asked to watch a video of a recorder playing scene as a stimulus. The results showed that (1) the subjects tended to pay attention to inexperienced performances, (2) music specialists and elementary school teachers tended to focus their gaze on the "hand" or "face," and (3) although the gaze of music specialists and elementary school teachers was focused on the "hand" or "face," the contents of the instructional advice included many other contents. It was also suggested that the gaze may not be dominant when capturing the performer. kn-abstract=本研究は,音楽熟達教師は学習者の何をいかに見ているのか,リコーダー演奏場面に対する教師の視線分析を通してその特徴について明らかにしたものである。今回は予備実験として,リコーダー演奏場面の動画を刺激として用い,被験者20 名(音楽専門家10 名,音楽専門の小学校教師2名,大学生8名)を対象にアイトラッカーを装着して動画の視聴調査を実施した。その結果,(1)被験者は未熟な演奏に対して注視する傾向にあること,(2)音楽専門家と小学校教師は「手元」または「顔」に視線が集中する傾向があること,一方で(3)音楽専門家と小学校教師の視線は,「手元」または「顔」に視線が集中するものの,指導助言の言及内容にはそれ以外の内容も多く含まれていることが明らかとなった。また,演奏者を捉えるときには,視線が優位ではない場合があることが示唆された。 en-copyright= kn-copyright= en-aut-name=HayakawaRinko en-aut-sei=Hayakawa en-aut-mei=Rinko kn-aut-name=早川倫子 kn-aut-sei=早川 kn-aut-mei=倫子 aut-affil-num=1 ORCID= en-aut-name=ImotoMiho en-aut-sei=Imoto en-aut-mei=Miho kn-aut-name=井本美穂 kn-aut-sei=井本 kn-aut-mei=美穂 aut-affil-num=2 ORCID= en-aut-name=KoyamaNoriko en-aut-sei=Koyama en-aut-mei=Noriko kn-aut-name=古山典子 kn-aut-sei=古山 kn-aut-mei=典子 aut-affil-num=3 ORCID= en-aut-name=OgawaYoko en-aut-sei=Ogawa en-aut-mei=Yoko kn-aut-name=小川容子 kn-aut-sei=小川 kn-aut-mei=容子 aut-affil-num=4 ORCID= en-aut-name=SasakuraMariko en-aut-sei=Sasakura en-aut-mei=Mariko kn-aut-name=笹倉万里子 kn-aut-sei=笹倉 kn-aut-mei=万里子 aut-affil-num=5 ORCID= affil-num=1 en-affil=Faculty of Education, Okayama University kn-affil=岡山大学学術研究院教育学域 affil-num=2 en-affil=Faculty of Education, Okayama University of Science kn-affil=岡山理科大学教育学部 affil-num=3 en-affil=Faculty of Education, Fukuyama City University kn-affil=福山市立大学教育学部 affil-num=4 en-affil=Faculty of Education, Okayama University kn-affil=岡山大学学術研究院教育学域 affil-num=5 en-affil=Faculty of Natural Science and Technology, Okayama University kn-affil=岡山大学学術研究院自然科学学域 en-keyword=リコーダー指導 kn-keyword=リコーダー指導 en-keyword=音楽教師 kn-keyword=音楽教師 en-keyword=ワザ kn-keyword=ワザ en-keyword=視線解析 kn-keyword=視線解析 en-keyword=身体知 kn-keyword=身体知 END start-ver=1.4 cd-journal=joma no-vol=182 cd-vols= no-issue= article-no= start-page=1 end-page=11 dt-received= dt-revised= dt-accepted= dt-pub-year=2023 dt-pub=20230224 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=The Impact of Team Leadership in University Club Activities: What Leaders Can Do to Create Vibrant Teams kn-title=大学部活動におけるチームリーダーシップの影響―“ 活気あるチームづくり”のためにリーダーにできること ― en-subtitle= kn-subtitle= en-abstract= kn-abstract=本研究では,学生が主体的に参加・運営する大学部活動をチームととらえ,その活性化に寄与するチームリーダーシップの影響を検討した。リーダーシップの発揮主体として,部長・キャプテン等の役職者に着目し,先行研究の議論を参考に測定項目を作成した。また“活気あるチーム”の状態をとらえる指標として,Hackman(1987)のチームの効果性の枠組みを基に,集団効力感,心理的安全性,活動意欲,活動満足感の4つを採用した。質問紙調査により,部活動に所属する大学生109名から有効回答が得られた。分析の結果,チームリーダーシップの「建設的な後押し」は集団効力感と活動満足感,「メンバーの意見尊重」は全ての指標を促進する効果を示した。また,「コミュニケーションの促進」は,「メンバーの意見尊重」が集団効力感と心理的安全性を高める機能の下支えをしていることが示唆された。 en-copyright= kn-copyright= en-aut-name=MisawaRyo en-aut-sei=Misawa en-aut-mei=Ryo kn-aut-name=三沢良 kn-aut-sei=三沢 kn-aut-mei=良 aut-affil-num=1 ORCID= en-aut-name=NishiYoko en-aut-sei=Nishi en-aut-mei=Yoko kn-aut-name=西陽子 kn-aut-sei=西 kn-aut-mei=陽子 aut-affil-num=2 ORCID= affil-num=1 en-affil=Faculty of Education, Okayama University kn-affil=岡山大学学術研究院教育学域 affil-num=2 en-affil=株式会社ドコモCS中国 総務部 kn-affil= en-keyword=大学部活動 kn-keyword=大学部活動 en-keyword=チームリーダーシップ kn-keyword=チームリーダーシップ en-keyword=チームの効果性 kn-keyword=チームの効果性 en-keyword=活気あるチームづくり kn-keyword=活気あるチームづくり END start-ver=1.4 cd-journal=joma no-vol=13 cd-vols= no-issue=8 article-no= start-page=5367 end-page=5381 dt-received= dt-revised= dt-accepted= dt-pub-year=2023 dt-pub=20230213 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Convergent evolution of animal and microbial rhodopsins en-subtitle= kn-subtitle= en-abstract= kn-abstract=Rhodopsins, a family of photoreceptive membrane proteins, contain retinal as a chromophore and were firstly identified as reddish pigments from frog retina in 1876. Since then, rhodopsin-like proteins have been identified mainly from animal eyes. In 1971, a rhodopsin-like pigment was discovered from the archaeon Halobacterium salinarum and named bacteriorhodopsin. While it was believed that rhodopsin- and bacteriorhodopsin-like proteins were expressed only in animal eyes and archaea, respectively, before the 1990s, a variety of rhodopsin-like proteins (called animal rhodopsins or opsins) and bacteriorhodopsin-like proteins (called microbial rhodopsins) have been progressively identified from various tissues of animals and microorganisms, respectively. Here, we comprehensively introduce the research conducted on animal and microbial rhodopsins. Recent analysis has revealed that the two rhodopsin families have common molecular properties, such as the protein structure (i.e., 7-transmembrane structure), retinal structure (i.e., binding ability to cis- and trans-retinal), color sensitivity (i.e., UV- and visible-light sensitivities), and photoreaction (i.e., triggering structural changes by light and heat), more than what was expected at the early stages of rhodopsin research. Contrastingly, their molecular functions are distinctively different (e.g., G protein-coupled receptors and photoisomerases for animal rhodopsins and ion transporters and phototaxis sensors for microbial rhodopsins). Therefore, based on their similarities and dissimilarities, we propose that animal and microbial rhodopsins have convergently evolved from their distinctive origins as multi-colored retinal-binding membrane proteins whose activities are regulated by light and heat but independently evolved for different molecular and physiological functions in the cognate organism. en-copyright= kn-copyright= en-aut-name=KojimaKeiichi en-aut-sei=Kojima en-aut-mei=Keiichi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=SudoYuki en-aut-sei=Sudo en-aut-mei=Yuki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= affil-num=1 en-affil=Faculty of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University kn-affil= affil-num=2 en-affil=Faculty of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University kn-affil= END start-ver=1.4 cd-journal=joma no-vol=62 cd-vols= no-issue=3 article-no= start-page=365 end-page=371 dt-received= dt-revised= dt-accepted= dt-pub-year=2023 dt-pub=20230201 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Actual Telemedicine Needs of Japanese Patients with Neurological Disorders in the COVID-19 Pandemic en-subtitle= kn-subtitle= en-abstract= kn-abstract=Objective During the coronavirus disease 2019 (COVID-19) pandemic, many social activities have moved online using applications for digital devices (e.g. computers, smartphones). We investigated the needs of telemedicine and trends in medical status and social care situations of Japanese patients with neurological disorders in order to estimate their affinity for an online telemedicine application. Methods We designed an original questionnaire for the present study that asked participants what problems they had with hospital visits, how the COVID-19 pandemic had affected their lives, and whether or not they would like to receive telemedicine.Patients The present study included volunteer caregivers, participants with Parkinson's disease (PD), epiamyotrophic lateral sclerosis (ALS), headache, myopathy, and other neurological diseases from Okayama University Hospital. Results A total of 29.6% of patients wanted to use telemedicine. Patients with ultheadaches (60.0%) and epilepsy (38.1%) were more likely to want to use telemedicine than patients with PD (17.8%) or stroke (19.0%). Almost 90% of patients had access to a digital device, and there was no association between favoring telemedicine, ownership of a digital device, hospital visiting time, or waiting time at the hospital, although age was associated with motivation to telemedicine use (52.6 vs. 62.2 years old, p < 0.001). Conclusion We can contribute to the management of the COVID-19 pandemic and the medical economy by promoting telemedicine, especially for young patients with headaches or epilepsy. en-copyright= kn-copyright= en-aut-name=SasakiRyo en-aut-sei=Sasaki en-aut-mei=Ryo kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=YunokiTaijun en-aut-sei=Yunoki en-aut-mei=Taijun kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=NakanoYumiko en-aut-sei=Nakano en-aut-mei=Yumiko kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=FukuiYusuke en-aut-sei=Fukui en-aut-mei=Yusuke kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= en-aut-name=TakemotoMami en-aut-sei=Takemoto en-aut-mei=Mami kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=5 ORCID= en-aut-name=MoriharaRyuta en-aut-sei=Morihara en-aut-mei=Ryuta kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=6 ORCID= en-aut-name=AbeKoji en-aut-sei=Abe en-aut-mei=Koji kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=7 ORCID= en-aut-name=YamashitaToru en-aut-sei=Yamashita en-aut-mei=Toru kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=8 ORCID= affil-num=1 en-affil=Department of Neurology, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University kn-affil= affil-num=2 en-affil=Department of Neurology, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University kn-affil= affil-num=3 en-affil=Department of Neurology, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University kn-affil= affil-num=4 en-affil=Department of Neurology, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University kn-affil= affil-num=5 en-affil=Department of Neurology, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University kn-affil= affil-num=6 en-affil=Department of Neurology, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University kn-affil= affil-num=7 en-affil=Department of Neurology, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University kn-affil= affil-num=8 en-affil=Department of Neurology, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University kn-affil= en-keyword=telemedicine kn-keyword=telemedicine en-keyword=neurological disorder kn-keyword=neurological disorder en-keyword=COVID-19 kn-keyword=COVID-19 en-keyword=headache kn-keyword=headache en-keyword=epilepsy kn-keyword=epilepsy END start-ver=1.4 cd-journal=joma no-vol=16 cd-vols= no-issue= article-no= start-page=960607 end-page= dt-received= dt-revised= dt-accepted= dt-pub-year=2023 dt-pub=20230112 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=A method for reconstruction of interpretable brain networks from transient synchronization in resting-state BOLD fluctuations en-subtitle= kn-subtitle= en-abstract= kn-abstract=Resting-state (rs) fMRI has been widely used to examine brain-wide large-scale spatiotemporal architectures, known as resting-state networks (RSNs). Recent studies have focused on the temporally evolving characteristics of RSNs, but it is unclear what temporal characteristics are reflected in the networks. To address this issue, we devised a novel method for voxel-based visualization of spatiotemporal characteristics of rs-fMRI with a time scale of tens of seconds. We first extracted clusters of dominant activity-patterns using a region-of-interest approach and then used these temporal patterns of the clusters to obtain voxel-based activation patterns related to the clusters. We found that activation patterns related to the clusters temporally evolved with a characteristic temporal structure and showed mutual temporal alternations over minutes. The voxel-based representation allowed the decoding of activation patterns of the clusters in rs-fMRI using a meta-analysis of functional activations. The activation patterns of the clusters were correlated with behavioral measures. Taken together, our analysis highlights a novel approach to examine brain activity dynamics during rest. en-copyright= kn-copyright= en-aut-name=NoroYusuke en-aut-sei=Noro en-aut-mei=Yusuke kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=LiRuixiang en-aut-sei=Li en-aut-mei=Ruixiang kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=MatsuiTeppei en-aut-sei=Matsui en-aut-mei=Teppei kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=JimuraKoji en-aut-sei=Jimura en-aut-mei=Koji kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= affil-num=1 en-affil=Department of Biosciences and Informatics, Keio University kn-affil= affil-num=2 en-affil=Department of Physiology, The University of Tokyo School of Medicine kn-affil= affil-num=3 en-affil=Department of Biology, Okayama University kn-affil= affil-num=4 en-affil=Department of Informatics, Gunma University kn-affil= en-keyword=resting-state fMRI kn-keyword=resting-state fMRI en-keyword=task fMRI kn-keyword=task fMRI en-keyword=temporal dynamics kn-keyword=temporal dynamics en-keyword=individual difference kn-keyword=individual difference en-keyword=Human Connectome Project kn-keyword=Human Connectome Project END start-ver=1.4 cd-journal=joma no-vol=24 cd-vols= no-issue= article-no= start-page=1 end-page=15 dt-received= dt-revised= dt-accepted= dt-pub-year=2022 dt-pub=202212 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Comment on Case ― What is the Serious Illegality ? ― kn-title=緊急逮捕手続書の虚偽記載が重大な違法にあたるとされた事例 ―山形地裁令和4年2月21日判決― en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=KouraMiho en-aut-sei=Koura en-aut-mei=Miho kn-aut-name=小浦美保 kn-aut-sei=小浦 kn-aut-mei=美保 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学学術研究院法務学域 END start-ver=1.4 cd-journal=joma no-vol=126 cd-vols= no-issue=38 article-no= start-page=7212 end-page=7228 dt-received= dt-revised= dt-accepted= dt-pub-year=2022 dt-pub=20220915 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Roles of the Flexible Primary Coordination Sphere of the Mn4CaOx Cluster: What Are the Immediate Decay Products of the S-3 State? en-subtitle= kn-subtitle= en-abstract= kn-abstract=The primary coordination sphere of the multinuclear cofactor (Mn4CaOx) in the oxygen-evolving complex (OEC) of photosystem II is absolutely conserved to maintain its structure and function. Recent time-resolved serial femtosecond crystallography identified large reorganization of the primary coordination sphere in the S-2 to S-3 transition, which elicits a cascade of events involving Mn oxidation and water molecule binding to a putative catalytic Mn site. We examined how the crystallographic fields, created by transient conformational states of the OEC at various time points, affect the thermodynamics of various isomers of the Mn cluster using DFT calculations, with an aim of comprehending the functional roles of the flexible primary coordination sphere in the S-2 to S-3 transition and in the recovery of the S-2 state. The results show that the relative movements of surrounding residues change the size and shape of the cavity of the cluster and thereby affect the thermodynamics of various catalytic intermediates as well as the ability to capture a new water molecule at a coordinatively unsaturated site. The implication of these findings is that the protein dynamics may serve to gate the catalytic reaction efficiently by controlling the sequence of Mn oxidation/reduction and water binding/release. This interpretation is consistent with EPR experiments; g similar to 5 and g similar to 3 signals obtained after near-infrared (NIR) excitation of the S-3 state at 4 K and a g similar to 5 only signal produced after prolonged incubation of the S-3 state at 77 K can be best explained as originating from water-bound S-2 clusters (S-total = 7/2) under a S-3 ligand field, i.e., the immediate one-electron reduction products of the oxyl-oxo (S-total = 6) and hydroxo-oxo (S-total = 3) species in the S-3 state. en-copyright= kn-copyright= en-aut-name=IsobeHiroshi en-aut-sei=Isobe en-aut-mei=Hiroshi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=ShojiMitsuo en-aut-sei=Shoji en-aut-mei=Mitsuo kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=SuzukiTakayoshi en-aut-sei=Suzuki en-aut-mei=Takayoshi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=ShenJian-Ren en-aut-sei=Shen en-aut-mei=Jian-Ren kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= en-aut-name=YamaguchiKizashi en-aut-sei=Yamaguchi en-aut-mei=Kizashi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=5 ORCID= affil-num=1 en-affil=Research Institute for Interdisciplinary Science, Okayama University kn-affil= affil-num=2 en-affil=Center for Computational Science, University of Tsukuba, kn-affil= affil-num=3 en-affil=Research Institute for Interdisciplinary Science, Okayama University kn-affil= affil-num=4 en-affil=Research Institute for Interdisciplinary Science, Okayama University kn-affil= affil-num=5 en-affil=Institute for NanoScience Design, Osaka University kn-affil= END start-ver=1.4 cd-journal=joma no-vol=76 cd-vols= no-issue=5 article-no= start-page=577 end-page=584 dt-received= dt-revised= dt-accepted= dt-pub-year=2022 dt-pub=202210 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Hip Function Was Not Associated with the Incidence of Preoperative Deep Vein Thrombosis in Patients Undergoing Primary Total Hip Arthroplasty en-subtitle= kn-subtitle= en-abstract= kn-abstract=The prevalence of preoperative deep vein thrombosis (DVT) has been reported to be relatively high in patients undergoing total hip arthroplasty. We investigated the prevalence of DVT, the association between hip function and preoperative DVT, and the effect of a history of surgery in patients who underwent primary total hip arthroplasty. We retrospectively analyzed the cases of the patients who underwent primary total hip arthroplasty between April 2013 and February 2020 at our institution. We evaluated the prevalence of preoperative DVT based on the results of the patients’ ultrasound screening. We performed univariate and multivariate analyses to investigate the association between the incidence of DVT and patient factors including age, sex, hip function, medical histories, and American Society of Anesthesiologists Physical Status classification. We analyzed 451 patients (494 hips). The prevalence of DVT was 14.2% (64 patients). The multivariate analysis demonstrated that increased age was an independent significant risk factor for DVT. The prevalence of preoperative DVT was relatively high among patients who underwent primary total hip arthroplasty. Preoperative DVT tended to be more prevalent in older patients. Hip function was not associated with the incidence of DVT. en-copyright= kn-copyright= en-aut-name=OkutaniYuki en-aut-sei=Okutani en-aut-mei=Yuki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=FujitaHiroshi en-aut-sei=Fujita en-aut-mei=Hiroshi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=HaradaHideto en-aut-sei=Harada en-aut-mei=Hideto kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=KataokaMasanao en-aut-sei=Kataoka en-aut-mei=Masanao kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= en-aut-name=MurotaniYoshiki en-aut-sei=Murotani en-aut-mei=Yoshiki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=5 ORCID= en-aut-name=ShimizuYu en-aut-sei=Shimizu en-aut-mei=Yu kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=6 ORCID= affil-num=1 en-affil=Department of Orthopaedic Surgery, Kyoto Katsura Hospital kn-affil= affil-num=2 en-affil=Center for Hip and Knee reconstruction, Rakuyo Hospital kn-affil= affil-num=3 en-affil=Department of Orthopaedic Surgery, Kyoto Katsura Hospital kn-affil= affil-num=4 en-affil=Department of Orthopaedic Surgery, Kyoto Katsura Hospital kn-affil= affil-num=5 en-affil=Department of Orthopaedic Surgery, Faculty of Medicine, Kyoto University kn-affil= affil-num=6 en-affil=Department of Orthopaedic Surgery, Kyoto City Hospital kn-affil= en-keyword=total hip arthroplasty kn-keyword=total hip arthroplasty en-keyword=deep vein thrombosis kn-keyword=deep vein thrombosis en-keyword=hip function kn-keyword=hip function en-keyword=ultrasound screening kn-keyword=ultrasound screening END start-ver=1.4 cd-journal=joma no-vol=76 cd-vols= no-issue=5 article-no= start-page=557 end-page=564 dt-received= dt-revised= dt-accepted= dt-pub-year=2022 dt-pub=202210 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Correlation between Mean Arterial Pressure and Regional Cerebral Oxygen Saturation on Cardiopulmonary Bypass in Pediatric Cardiac Surgery en-subtitle= kn-subtitle= en-abstract= kn-abstract=Some pediatric cardiac patients might experience low regional cerebral oxygen saturation (rSO2) during surgery. We investigated whether a pediatric patient’s mean arterial pressure (MAP) can affect the rSO2 value during cardiopulmonary bypass (CPB). We retrospectively analyzed the cases of the pediatric patients who underwentcardiac surgery at our hospital (Jan. –Dec. 2019; n=141). At each MAP stage, we constructed line charts through the mean of the rSO2 values corresponding to each MAP and then calculated the correlation coefficients. We next divided the patients into age subgroups (neonates, infants, children) and into cyanotic congenital heart disease (CHD) and acyanotic CHD groups and analyzed these groups in the same way. The analyses of all 141 patients revealed that during CPB the rSO2 value increased with an increase in MAP (r=0.1626). There was a correlation between rSO2 and MAP in the children (r=0.2720) but not in the neonates (r=0.06626) or infants (r=0.05260). Cyanotic CHD or acyanotic CHD did not have a significant effect on the rSO2/MAP correlation. Our analysis demonstrated different patterns of a correlation between MAP and rSO2 in pediatric cardiac surgery patients, depending on age. MAP was positively correlated with rSO2 typically in children but not in neonate or infant patients. en-copyright= kn-copyright= en-aut-name=PanYu en-aut-sei=Pan en-aut-mei=Yu kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=SongQingqing en-aut-sei=Song en-aut-mei=Qingqing kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=KanazawaTomoyuki en-aut-sei=Kanazawa en-aut-mei=Tomoyuki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=MorimatsuHiroshi en-aut-sei=Morimatsu en-aut-mei=Hiroshi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= affil-num=1 en-affil=Department of Anesthesiology and Resuscitology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=2 en-affil=Department of Anesthesiology and Resuscitology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=3 en-affil=Department of Anesthesiology and Resuscitology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=4 en-affil=Department of Anesthesiology and Resuscitology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= en-keyword=mean arterial pressure kn-keyword=mean arterial pressure en-keyword=cerebral oxygen saturation kn-keyword=cerebral oxygen saturation END start-ver=1.4 cd-journal=joma no-vol=76 cd-vols= no-issue=5 article-no= start-page=503 end-page=510 dt-received= dt-revised= dt-accepted= dt-pub-year=2022 dt-pub=202210 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Viral Sequences Are Repurposed for Controlling Antiviral Responses as Non-Retroviral Endogenous Viral Elements en-subtitle= kn-subtitle= en-abstract= kn-abstract=Eukaryotic genomes contain numerous copies of endogenous viral elements (EVEs), most of which are considered endogenous retrovirus (ERV) sequences. Over the past decade, non-retroviral endogenous viral elements (nrEVEs) derived from ancient RNA viruses have been discovered. Several functions have been proposed for these elements, including antiviral defense. This review summarizes the current understanding of nrEVEs derived from RNA viruses, particularly endogenous bornavirus-like elements (EBLs) and endogenous filovirus-like elements (EFLs). EBLs are one of the most extensively studied nrEVEs. The EBL derived from bornavirus nucleoprotein (EBLN) is thought to function as a non-coding RNA or protein that regulates host gene expression or inhibits virus propagation. Ebolavirus and marburgvirus, which are filoviruses, induce severe hemorrhagic fever in humans and nonhuman primates. Although the ecology of filoviruses remains unclear, bats are believed to be potential reservoirs. Based on the knowledge from EBLs, it is postulated that EFLs in the bat genome help to maintain the balance between filovirus infection and the bat’s defense system, which may partially explain why bats act as potential reservoirs. Further research into the functions of nrEVEs could reveal novel antiviral systems and inspire novel antiviral approaches. en-copyright= kn-copyright= en-aut-name=OgawaHirohito en-aut-sei=Ogawa en-aut-mei=Hirohito kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=HondaTomoyuki en-aut-sei=Honda en-aut-mei=Tomoyuki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= affil-num=1 en-affil=Department of Virology, Faculty of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University kn-affil= affil-num=2 en-affil=Department of Virology, Faculty of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University kn-affil= en-keyword=EVE kn-keyword=EVE en-keyword=nrEVE kn-keyword=nrEVE en-keyword=bornavirus kn-keyword=bornavirus en-keyword=filovirus kn-keyword=filovirus en-keyword=antiviral kn-keyword=antiviral END start-ver=1.4 cd-journal=joma no-vol=28 cd-vols= no-issue= article-no= start-page=29 end-page=38 dt-received= dt-revised= dt-accepted= dt-pub-year=2022 dt-pub=20220322 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=算数の事象を統合的•発展的に捉えて問題設定する方略一What if Not方略の援用を通して一 en-subtitle= kn-subtitle= en-abstract= kn-abstract=変動の激しい時代を見据えて算数科では「数学的な見方・考え方を働かせ、数学的活動を通して、数学的に考える」という方向性が示されている。その実現に向け「事象を数理的に捉え、数学の問題を見いだし、自立的、協働的に解決し、解決過程を振り返る」という問題発見・解決の過程が提言されている。変革の時代では、変化し続ける事象で何が問題かを見つける力が重要であり、算数の授業においても、問題発見力を育むことが不可欠である。ところが問題発見は軽視されがちで、問題設定は、教師主導で教科書通りの日常事象を数理化する問題設定が大半で、子どもが「算数の事象を統合的•発展的に捉えて問題発見する」という授業研究は進んでいない。算数は指導の系統性を重視する教科である。ゼロベースではなく、既習事項を基礎にして算数の事象を統合の観点から発展的に関わり、子ども自らが「問題発見・設定する授業」を探究することが喫緊の課題である。 en-copyright= kn-copyright= en-aut-name= en-aut-sei= en-aut-mei= kn-aut-name=黒崎東洋郎 kn-aut-sei=黒崎 kn-aut-mei=東洋郎 aut-affil-num=1 ORCID= en-aut-name= en-aut-sei= en-aut-mei= kn-aut-name=杉能道明 kn-aut-sei=杉能 kn-aut-mei=道明 aut-affil-num=2 ORCID= en-aut-name= en-aut-sei= en-aut-mei= kn-aut-name=宮崎唯 kn-aut-sei=宮崎 kn-aut-mei=唯 aut-affil-num=3 ORCID= affil-num=1 en-affil= kn-affil=岡山大学名誉教授 affil-num=2 en-affil= kn-affil=ノートルダム清心女子大学 affil-num=3 en-affil= kn-affil=岡山大学教育学部附属小学校 en-keyword=統合的・発展的 kn-keyword=統合的・発展的 en-keyword=問題設定 kn-keyword=問題設定 en-keyword=足場作り kn-keyword=足場作り en-keyword=what if not方略 kn-keyword=what if not方略 END start-ver=1.4 cd-journal=joma no-vol=180 cd-vols= no-issue= article-no= start-page=69 end-page=80 dt-received= dt-revised= dt-accepted= dt-pub-year=2022 dt-pub=20220826 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Five-year-old children growing indigo plant and dyeing with the indigo as daily activity at a certified child center ―What children and childcare workers have learned through the activity associated with the “Environment”― kn-title=認定こども園5歳児学級における藍の栽培と染色による保育実践―領域「環境」に関わる子どもの学びと保育者の捉え― en-subtitle= kn-subtitle= en-abstract= kn-abstract=本論では,天然素材(植物染料)の藍を園内で子どもが栽培する活動や,藍染めの驚きや感動,面白さを味わいながら制作物を生活に取り入れる保育実践を行うとともに,その教育的な意義や価値を検討した。その結果,子ども自らが藍を育て,育てた藍葉を用いた藍染め活動を行うことは,領域「環境」や,「幼児期の終わりまでに育ってほしい姿」の「自然との関わり・生命尊重」の観点から見て,子どもにいくつもの感動や学びを与え,保育の教材として大きな価値を持つと考えられた。今後も,草木染めの中でも,藍染めにしかない魅力や特性に着目した保育実践の意義について検討し,保育現場に発信していきたい。 en-copyright= kn-copyright= en-aut-name=BabaNoriko en-aut-sei=Baba en-aut-mei=Noriko kn-aut-name=馬場訓子 kn-aut-sei=馬場 kn-aut-mei=訓子 aut-affil-num=1 ORCID= en-aut-name=TakahashiKei en-aut-sei=Takahashi en-aut-mei=Kei kn-aut-name=髙橋慧 kn-aut-sei=髙橋 kn-aut-mei=慧 aut-affil-num=2 ORCID= en-aut-name=WatanabeYuzo en-aut-sei=Watanabe en-aut-mei=Yuzo kn-aut-name=渡邊祐三 kn-aut-sei=渡邊 kn-aut-mei=祐三 aut-affil-num=3 ORCID= affil-num=1 en-affil=Faculty of Education, Okayama University kn-affil=岡山大学学術研究院教育学域 affil-num=2 en-affil=The Faculty of Childhood Education, Kurashiki Sakuyo University kn-affil=くらしき作陽大学子ども教育学部 affil-num=3 en-affil=Minan Manmaru childcare center kn-affil=御南まんまるこども園 en-keyword=保育施設 kn-keyword=保育施設 en-keyword=5歳児学級 kn-keyword=5歳児学級 en-keyword=藍 kn-keyword=藍 en-keyword=染色 kn-keyword=染色 en-keyword=領域「環境」 kn-keyword=領域「環境」 END start-ver=1.4 cd-journal=joma no-vol=76 cd-vols= no-issue=4 article-no= start-page=423 end-page=428 dt-received= dt-revised= dt-accepted= dt-pub-year=2022 dt-pub=202208 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Effects of Exercise Therapy and Nutrition Therapy on Patients with Possible Malnutrition and Sarcopenia in a Recovery Rehabilitation Ward en-subtitle= kn-subtitle= en-abstract= kn-abstract=We compared the effects of an exercise intervention with that of exercise combined with nutrition therapy in patients with possible malnutrition and sarcopenia admitted to a recovery rehabilitation ward, and we examined the differences in the patients’ physical function and activities of daily living (ADLs). There were 16 patients in the Exercise group with exercise therapy and ADL exercises, and 14 patients in the Combined intervention group with exercise therapy, ADL exercises, and nutrition therapy. The survey items were body weight, body mass index, grip strength, lower-leg circumference, gait speed, and ADLs, each of which was measured at the baseline and at 2 weeks, 4 weeks, and at discharge. Significant improvements in grip strength were observed in the Combined intervention group as follows: at 4 weeks>at 2 weeks (p<0.05), and at discharge>baseline and 2 weeks (p<0.05). There were no significant changes in the Exercise group, and an interaction was recognized in both groups. Comprehensive rehabilitation including nutrition therapy is necessary for patients with possible malnutrition and/or sarcopenia, as our results indicate that nutrition therapy in addition to exercise therapy has the effect of promoting improvements of physical function in such patients. en-copyright= kn-copyright= en-aut-name=TakahashiSatoshi en-aut-sei=Takahashi en-aut-mei=Satoshi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=KushibeTakuya en-aut-sei=Kushibe en-aut-mei=Takuya kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=AkezakiYoshiteru en-aut-sei=Akezaki en-aut-mei=Yoshiteru kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=HoriikeNorio en-aut-sei=Horiike en-aut-mei=Norio kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= affil-num=1 en-affil=Department of Rehabilitation Medicine, Saiseikai Imabari Daini Hospital kn-affil= affil-num=2 en-affil=Department of Rehabilitation Medicine, Saiseikai Imabari Daini Hospital kn-affil= affil-num=3 en-affil=Division of Physical Therapy, Kochi Professional University of Rehabilitation kn-affil= affil-num=4 en-affil=Department of Internal Medicine, Saiseikai Imabari Daini Hospital kn-affil= en-keyword=sarcopenia kn-keyword=sarcopenia en-keyword=rehabilitation kn-keyword=rehabilitation en-keyword=exercise therapy kn-keyword=exercise therapy en-keyword=nutrition therapy kn-keyword=nutrition therapy en-keyword=grip strength kn-keyword=grip strength END start-ver=1.4 cd-journal=joma no-vol=76 cd-vols= no-issue=4 article-no= start-page=409 end-page=414 dt-received= dt-revised= dt-accepted= dt-pub-year=2022 dt-pub=202208 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Postoperative Urinary Retention in Japanese Elderly Males with a Femoral Neck or Trochanteric Fracture en-subtitle= kn-subtitle= en-abstract= kn-abstract=We assessed risk factors for postoperative urinary retention (UR) in elderly males with femoral bone fractures: 169 Japanese males (mean age 81.95 ± 1.19 years) who had undergone hip surgery at a municipal hospital (Toyama, Japan). A multiple logistic regression analysis was used to test possible risk factors for UR: age, body mass index, serum albumin, cognitive impairment, activities of daily living (ADL), and history of diabetes mellitus (DM). UR occurred in 24 (14.2%) of the 169 patients. A multivariate logistic regression analysis with age adjustment showed that ADL (odds ratio [OR] 3.88; 95% confidence interval [CI]: 1.2-12.5, p=0.023) was significantly associated with the development of UR, and a history of DM showed marginal significance for UR occurrence (OR 0.36, 95%CI: 0.11-10, p=0.064). These results suggests that ADL is a risk factor for UR development in elderly males who have undergone surgery for femoral neck or trochanter fractures. en-copyright= kn-copyright= en-aut-name=HigashikawaToshihiro en-aut-sei=Higashikawa en-aut-mei=Toshihiro kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=ShigemotoKenji en-aut-sei=Shigemoto en-aut-mei=Kenji kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=GoshimaKenichi en-aut-sei=Goshima en-aut-mei=Kenichi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=IwaiShintarou en-aut-sei=Iwai en-aut-mei=Shintarou kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= en-aut-name=MoriyamaManabu en-aut-sei=Moriyama en-aut-mei=Manabu kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=5 ORCID= en-aut-name=UsudaDaisuke en-aut-sei=Usuda en-aut-mei=Daisuke kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=6 ORCID= en-aut-name=HangyouMasahiro en-aut-sei=Hangyou en-aut-mei=Masahiro kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=7 ORCID= en-aut-name=InujimaHiromi en-aut-sei=Inujima en-aut-mei=Hiromi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=8 ORCID= en-aut-name=NozakiKakeru en-aut-sei=Nozaki en-aut-mei=Kakeru kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=9 ORCID= en-aut-name=YamaguchiMiyako en-aut-sei=Yamaguchi en-aut-mei=Miyako kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=10 ORCID= en-aut-name=UsudaKimiko en-aut-sei=Usuda en-aut-mei=Kimiko kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=11 ORCID= en-aut-name=NakahashiTakeshi en-aut-sei=Nakahashi en-aut-mei=Takeshi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=12 ORCID= en-aut-name=MatsumotoTadami en-aut-sei=Matsumoto en-aut-mei=Tadami kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=13 ORCID= en-aut-name=TakashimaShigeki en-aut-sei=Takashima en-aut-mei=Shigeki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=14 ORCID= en-aut-name=KandaTsugiyasu en-aut-sei=Kanda en-aut-mei=Tsugiyasu kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=15 ORCID= en-aut-name=HoriiTakeshi en-aut-sei=Horii en-aut-mei=Takeshi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=16 ORCID= en-aut-name=OkuroMasashi en-aut-sei=Okuro en-aut-mei=Masashi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=17 ORCID= en-aut-name=SawaguchiTakeshi en-aut-sei=Sawaguchi en-aut-mei=Takeshi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=18 ORCID= affil-num=1 en-affil=Department of Geriatric Medicine, Kanazawa Medical University Himi Municipal Hospital kn-affil= affil-num=2 en-affil=Department of Orthopedics and Joint Reconstructive Surgery, Juntendo University Nerima Hospital kn-affil= affil-num=3 en-affil=Department of Orthopedics and Joint Reconstructive Surgery, Juntendo University Nerima Hospital kn-affil= affil-num=4 en-affil=Department of Orthopedics and Joint Reconstructive Surgery, Juntendo University Nerima Hospital kn-affil= affil-num=5 en-affil=Department of Urology, Kanazawa Medical University Himi Municipal Hospital kn-affil= affil-num=6 en-affil=Department of Emergency and Critical Care Medicine, Juntendo University Nerima Hospital kn-affil= affil-num=7 en-affil=Toyama Municipal Hospital kn-affil= affil-num=8 en-affil=Toyama Municipal Hospital kn-affil= affil-num=9 en-affil=Toyama Municipal Hospital kn-affil= affil-num=10 en-affil=Toyama Municipal Hospital kn-affil= affil-num=11 en-affil=Toyama Municipal Hospital kn-affil= affil-num=12 en-affil=Department of Geriatric Medicine, Kanazawa Medical University kn-affil= affil-num=13 en-affil=Department of Orthopedic Medicine, Kanazawa Medical University kn-affil= affil-num=14 en-affil=Kanazawa Medical University kn-affil= affil-num=15 en-affil=Kanazawa Medical University kn-affil= affil-num=16 en-affil=Department of Orthopedics and Joint Reconstructive Surgery, Juntendo University Nerima Hospital kn-affil= affil-num=17 en-affil=Department of Geriatric Medicine, Kanazawa Medical University kn-affil= affil-num=18 en-affil=Department of Orthopedics and Joint Reconstructive Surgery, Juntendo University Nerima Hospital kn-affil= en-keyword=elderly kn-keyword=elderly en-keyword=femoral bone fracture kn-keyword=femoral bone fracture en-keyword=albumin kn-keyword=albumin en-keyword=urinary retention kn-keyword=urinary retention en-keyword=activities of daily living kn-keyword=activities of daily living END start-ver=1.4 cd-journal=joma no-vol=76 cd-vols= no-issue=3 article-no= start-page=265 end-page=271 dt-received= dt-revised= dt-accepted= dt-pub-year=2022 dt-pub=202206 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=The Impact of Medical Students Teaching Basic Life Support to Laypersons en-subtitle= kn-subtitle= en-abstract= kn-abstract=Basic life support (BLS) courses for laypersons, including cardiopulmonary resuscitation (CPR) training, is known to improve outcomes of out-of-hospital cardiac events. We asked medical students to provide BLS training for laypersons as a part of their emergency medicine education and evaluated the effects of training on the BLS skills of laypersons. We also used a questionnaire to determine whether the medical students who provided the BLS training were themselves more confident and motivated to perform BLS compared to students who did not provide BLS training. The proportions of laypersons who reported confidence in checking for a response, performing chest compressions, and automated external defibrillator (AED) use were significantly increased after the BLS training. The proportions of medical students who reported increased confidence/motivation in terms of understanding BLS, checking for a response, chest compression, use of AED, and willingness to perform BLS were significantly greater among medical students who provided BLS instructions compared to those who did not. BLS instruction by medical students was associated with an improvement in laypersons’ CPR accuracy and confidence in responding to cardiac arrest. The results indicate that medical students could gain understanding, confidence, and motivation in regard to their BLS skills by teaching BLS to laypersons. en-copyright= kn-copyright= en-aut-name=KosakiYoshinori en-aut-sei=Kosaki en-aut-mei=Yoshinori kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=NaitoHiromichi en-aut-sei=Naito en-aut-mei=Hiromichi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=IidaAtsuyoshi en-aut-sei=Iida en-aut-mei=Atsuyoshi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=IhoriyaHiromi en-aut-sei=Ihoriya en-aut-mei=Hiromi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= en-aut-name=NojimaTsuyoshi en-aut-sei=Nojima en-aut-mei=Tsuyoshi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=5 ORCID= en-aut-name=YamadaTaihei en-aut-sei=Yamada en-aut-mei=Taihei kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=6 ORCID= en-aut-name=YamamotoHirotsugu en-aut-sei=Yamamoto en-aut-mei=Hirotsugu kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=7 ORCID= en-aut-name=NakamuraShunsuke en-aut-sei=Nakamura en-aut-mei=Shunsuke kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=8 ORCID= en-aut-name=MandaiYasuhiro en-aut-sei=Mandai en-aut-mei=Yasuhiro kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=9 ORCID= en-aut-name=NakaoAtsunori en-aut-sei=Nakao en-aut-mei=Atsunori kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=10 ORCID= affil-num=1 en-affil=Department of Emergency, Critical Care, and Disaster Medicine, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences kn-affil= affil-num=2 en-affil=Department of Emergency, Critical Care, and Disaster Medicine, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences kn-affil= affil-num=3 en-affil=Department of Emergency Medicine, Japanese Red Cross Okayama Hospital kn-affil= affil-num=4 en-affil=Department of General Medicine, Okayama University Hospital kn-affil= affil-num=5 en-affil=Department of Emergency, Critical Care, and Disaster Medicine, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences kn-affil= affil-num=6 en-affil=Department of Emergency, Critical Care, and Disaster Medicine, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences kn-affil= affil-num=7 en-affil=Department of Emergency, Critical Care, and Disaster Medicine, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences kn-affil= affil-num=8 en-affil=Department of Emergency, Critical Care, and Disaster Medicine, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences kn-affil= affil-num=9 en-affil=Department of Emergency Medicine, The JIKEI University kn-affil= affil-num=10 en-affil=Department of Emergency, Critical Care, and Disaster Medicine, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences kn-affil= en-keyword=BLS kn-keyword=BLS en-keyword=medical education kn-keyword=medical education en-keyword=emergency medicine kn-keyword=emergency medicine en-keyword=resuscitation kn-keyword=resuscitation END start-ver=1.4 cd-journal=joma no-vol=76 cd-vols= no-issue=3 article-no= start-page=235 end-page=245 dt-received= dt-revised= dt-accepted= dt-pub-year=2022 dt-pub=202206 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Roles of Transmembrane Protein 97 (TMEM97) in Adipose Tissue and Skeletal Muscle en-subtitle= kn-subtitle= en-abstract= kn-abstract=The combination of sarcopenia and obesity (sarcopenic obesity) is associated with the development of metabolic syndrome and cardiovascular events. The molecular pathways that develop sarcopenic obesity have studied intensively. Transmembrane protein 97 (TMEM97) is 176 amino acids conserved integral membrane protein with four transmembrane domains that is expressed in several types of cancer. Its physiological significance in adipose tissue and skeletal muscle has been unclear. We studied TMEM97-transgenic mice and mice lacking TMEM97, and our findings indicate that TMEM97 expression is regulated in adipose tissue and skeletal muscle from obesity. TMEM97 represses adipogenesis and promotes myogenesis in vitro. Fat-specific TMEM97 transgenic mice showed systemic insulin resistance. Mice overexpressing TMEM97 in skeletal muscle exhibited systemic insulin resistance. Mice lacking TMEM97 were protected against diet-induced obesity and insulin resistance. These phenotypes are associated with the effects of TMEM97 on inflammation genes in adipose tissue and skeletal muscle. Our findings indicates that there is a link between TMEM97 and chronic inflammation in obesity. en-copyright= kn-copyright= en-aut-name=TentaMasafumi en-aut-sei=Tenta en-aut-mei=Masafumi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=EguchiJun en-aut-sei=Eguchi en-aut-mei=Jun kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=WadaJun en-aut-sei=Wada en-aut-mei=Jun kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= affil-num=1 en-affil=Department of Nephrology, Rheumatology, Endocrinology, and Metabolism, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=2 en-affil=Department of Nephrology, Rheumatology, Endocrinology, and Metabolism, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=3 en-affil=Department of Nephrology, Rheumatology, Endocrinology, and Metabolism, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= en-keyword=adipose tissue kn-keyword=adipose tissue en-keyword=skeletal muscle kn-keyword=skeletal muscle en-keyword=obesity kn-keyword=obesity END start-ver=1.4 cd-journal=joma no-vol=76 cd-vols= no-issue=2 article-no= start-page=195 end-page=202 dt-received= dt-revised= dt-accepted= dt-pub-year=2022 dt-pub=202204 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Safety and Effectiveness of Perospirone in Comparison to Risperidone for Treatment of Delirium in Patients with Advanced Cancer: A Multicenter Prospective Observational Study in Real-World Psycho-Oncology Settings en-subtitle= kn-subtitle= en-abstract= kn-abstract=The clinical benefit of perospirone for treatment of delirium in patients with advanced cancer is not sufficiently clear. The objective of this study was to compare the safety and effectiveness of perospirone to those of risperidone for the treatment of delirium in patients with advanced cancer. This is a secondary analysis of a multicenter prospective observational study in nine psycho-oncology consultation services in Japan. The study used the Delirium Rating Scale (DRS) Revised-98 to measure effectiveness and the CTCAE (Common Terminology Criteria for Adverse Events) version 4 to assess safety. Data from 16 patients who received perospirone and 53 patients who received risperidone were analyzed. The mean age was 70 years in the perospirone group and 73 years in the risperidone group. Both groups showed a significant decrease in the total score of DRS-R-98 after three days of treatment (perospirone: 11.7 (7.9-15.4) to 7.0 (3.3-10.7), difference −4.7, effect size=0.72, p=0.003; risperidone: 15.5 (13.6-17.4) to 12.2 (10.1-14.2), difference −3.3, effect size=0.55, p=0.00). The risperidone group showed significant improvements in sleep-wake cycle disturbance, orientation, attention, and visuospatial ability. In the perospirone group, there was a significant improvement of sleep-wake cycle disturbance. The median daily dose of perospirone was 4 mg/day. There were fewer episodes of somnolence as an adverse event in the perospirone group. Low-dose perospirone was thus found to be effective for the treatment of delirium in patients with advanced cancer and may be associated with fewer episodes of over-sedation as an adverse event. en-copyright= kn-copyright= en-aut-name=InoueShinichiro en-aut-sei=Inoue en-aut-mei=Shinichiro kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=MaedaIsseki en-aut-sei=Maeda en-aut-mei=Isseki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=OgawaAsao en-aut-sei=Ogawa en-aut-mei=Asao kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=YoshiuchiKazuhiro en-aut-sei=Yoshiuchi en-aut-mei=Kazuhiro kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= en-aut-name=TeradaSeishi en-aut-sei=Terada en-aut-mei=Seishi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=5 ORCID= en-aut-name=YamadaNorihito en-aut-sei=Yamada en-aut-mei=Norihito kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=6 ORCID= affil-num=1 en-affil=Department of Neuropsychiatry, Okayama University Hospital kn-affil= affil-num=2 en-affil=Department of Palliative Care, Senri-Chuo Hospital kn-affil= affil-num=3 en-affil=Department of Psycho-Oncology Service, National Cancer Center Hospital East kn-affil= affil-num=4 en-affil=Department of Stress Sciences and Psychosomatic Medicine, Graduate School of Medicine, The University of Tokyo kn-affil= affil-num=5 en-affil=Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=6 en-affil=Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= en-keyword=delirium kn-keyword=delirium en-keyword=cancer kn-keyword=cancer en-keyword=perospirone kn-keyword=perospirone en-keyword=risperidone kn-keyword=risperidone END start-ver=1.4 cd-journal=joma no-vol=12 cd-vols= no-issue= article-no= start-page=359 end-page=373 dt-received= dt-revised= dt-accepted= dt-pub-year=2022 dt-pub=20220330 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=A Study of Online Practice Teaching in a Japanese Teacher Training Course: Developing Pedagogical Knowledge and Competence Required in Japanese Teaching kn-title=日本語教育副専攻コースにおけるオンライン実習の試み ―日本語教師に求められる資質・能力の養成を目指して― en-subtitle= kn-subtitle= en-abstract=This paper reports on a study of an online practice teaching course to develop pedagogical knowledge and competence required in teaching Japanese as a foreign language. The researcher analyzed reflective reports of Japanese teacher-trainees to examine 1)what they were aware of and learned from the online teaching practice, 2)what problems and issues there were that needed to be improved by utilizing the KJ method. The analysis shows that the teacher-trainees’ awareness and learning could be divided into six categories: 1)skills for designing lessons and teaching materials; 2)communication skills adjusted to the situation and the learner; 3)understanding learners' perspectives and backgrounds; 4)attitude as a language educator; and 5)mental self-control. In addition, difficulties and problems in implementation of the online practice teaching were also observed in t he same five categories. kn-abstract=本稿は,日本語教育副専攻コースにおいて,日本語教師に求められる資質・能力を養うことを目的とし行ったオンラインによる教育実習の実践報告である。オンライン実習において,1)実習生がどのような気づきや学びを得たか,2)問題点や改善すべき課題は何か,の2 点について考察するため,実習生の振り返りレポートをKJ 法を用いて分析した。その結果,①授業・教材作りに関する技術,②状況・相手に応じたやり取りの技術,③学習者の視点・背景の理解,④言語教育者としての態度,⑤精神面のセルフコントロールの5つのカテゴリーに関する気づき・学びならびに実施上の問題が観察されることが分かった。 en-copyright= kn-copyright= en-aut-name=SueshigeMiwa en-aut-sei=Sueshige en-aut-mei=Miwa kn-aut-name=末繁美和 kn-aut-sei=末繁 kn-aut-mei=美和 aut-affil-num=1 ORCID= affil-num=1 en-affil=Institute for Education and Student Services, Okayama University kn-affil=岡山大学 全学教育・学生支援機構 en-keyword=日本語教育副専攻コース(Japanese teacher training course) kn-keyword=日本語教育副専攻コース(Japanese teacher training course) en-keyword=教育実習(practice teaching) kn-keyword=教育実習(practice teaching) en-keyword=オンライン(online) kn-keyword=オンライン(online) en-keyword=振り返りレポート(reflective reports) kn-keyword=振り返りレポート(reflective reports) en-keyword=気づきと学び(awareness and learning) kn-keyword=気づきと学び(awareness and learning) END start-ver=1.4 cd-journal=joma no-vol=12 cd-vols= no-issue= article-no= start-page=329 end-page=341 dt-received= dt-revised= dt-accepted= dt-pub-year=2022 dt-pub=20220330 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Practical report of “Technical subject Teaching Methodology (Advanced I, Advanced II)” in Reiwa 3 kn-title=令和3年度「工業科教育法(応用Ⅰ,応用Ⅱ)」の実践報告 en-subtitle= kn-subtitle= en-abstract=The "Technical subject Teaching Methodology (Advanced Ⅰ , Advanced II)" had students for the first time in the 3rd year of Reiwa, and two teachers gave classes. The purpose of this class is to equip students with the ability to teach subjects and to cultivate a wide range of knowledge about industry. For this reason, "what can be done", "what to learn", "how to learn", "how to support the development of each person", "what has been learned", and "implementation". We aimed to develop the ability to create lessons from the six perspectives of "what is needed for this". I would like to clarify the results and issues through the practice report and make improvements to imp rove the les sons from next year onwards. kn-abstract=「工業科教育法(応用Ⅰ,応用Ⅱ)」は令和3年度に初めて受講生があり,2名の教員で授業を行った。この授業では,学生に教科指導力を身に付けさせるとともに,幅広く工業に関する知識を養うことを目的としている。このため,「何ができるようになるのか」「何を学ぶのか」「どのように学ぶのか」「一人一人の発達をどのように支援するのか」「何が身に付いたのか」「実施するために何が必要か」の6つの観点で,授業をつくり上げる力の育成を目指した。実践報告を通じて成果と課題を明確にし,改善を図ることで来年度以降の授業の充実に繋げたい。 en-copyright= kn-copyright= en-aut-name=KobayashiSeitaro en-aut-sei=Kobayashi en-aut-mei=Seitaro kn-aut-name=小林清太郎 kn-aut-sei=小林 kn-aut-mei=清太郎 aut-affil-num=1 ORCID= en-aut-name=AkagiKyogo en-aut-sei=Akagi en-aut-mei=Kyogo kn-aut-name=赤木恭吾 kn-aut-sei=赤木 kn-aut-mei=恭吾 aut-affil-num=2 ORCID= affil-num=1 en-affil=Center for Teacher Education and Development, Okayama University kn-affil=岡山大学教師教育開発センター affil-num=2 en-affil=Okayama University Academic Research Institute Education Department (Practice of teaching profession) kn-affil=岡山大学学術研究院教育学域(教職実践) en-keyword=何ができるようになるのか(What you will be able to do) kn-keyword=何ができるようになるのか(What you will be able to do) en-keyword=何を学ぶのか(what you will learn) kn-keyword=何を学ぶのか(what you will learn) en-keyword=どのように学ぶのか(how you will learn) kn-keyword=どのように学ぶのか(how you will learn) en-keyword=一人一人の発達をどのように支援するのか(how you will support the development of each student) kn-keyword=一人一人の発達をどのように支援するのか(how you will support the development of each student) en-keyword=何が身に付いたのか(what you have learned) kn-keyword=何が身に付いたのか(what you have learned) END start-ver=1.4 cd-journal=joma no-vol=12 cd-vols= no-issue= article-no= start-page=257 end-page=269 dt-received= dt-revised= dt-accepted= dt-pub-year=2022 dt-pub=20220330 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=What are Relater with Subjective Well-being? The Relationship between Empathy and Self-acceptance to Make a Better Relationship with Others. kn-title=主観的幸福感を高める共感性と自己受容性の関係 -他者とのよりよい関わりとは- en-subtitle= kn-subtitle= en-abstract=This study focused on empathy as a facilitator of relationships with others. Empathy has multiple aspects, such as being self-directed or other-directed. Previous research has shown that subjective well-being differs based on these directions. We considered whether self-acceptance is related to empathy, which increases subjective well-being. Therefore, we examined the relationship between empathy, self-acceptance, and subjective well-being among high school and college students. This multi-population analysis showed that, among college students, the willingness to understand others and empathize with them influenced subjective well-being. Furthermore, selfunderstanding of self-acceptance among high school students affected their ability to empathize, consequently increasing subjective well-being. In contrast, among college students, self-acceptance had no effect on empathy. These results are considered to be related to the differences in environment and development between high school and college students. kn-abstract=本研究では他者との関わりを円滑にするものとして共感性に着目した。共感性には,自己指向的な共感,他者指向的な共感といった複数の側面がある。先行研究から,この指向性の違いにより主観的幸福感が違ってくることが示されている。本研究では,主観的幸福感を高める共感性に,自己受容性が関わっているのではないかと考えた。そこで,本研究では,共感性,自己受容性,主観的幸福感の関連を高校生と大学生を調査対象に検討した。分析の結果,高校生は,他者理解への意欲,他者への感情移入が主観的幸福感に影響していた。大学生は,他者理解への意欲が主観的幸福感に影響していた。さらに,主観的幸福感を高めるこれらの共感性に,高校生は自己受容性のうち自己理解が影響していた。一方,大学生は主観的幸福感を高める共感性に,自己受容性は影響していなかった。これらの結果には,高校生と大学生の環境の違いや発達差が関わっていることが考えられた。 en-copyright= kn-copyright= en-aut-name=UmemotoNao en-aut-sei=Umemoto en-aut-mei=Nao kn-aut-name=梅本菜央 kn-aut-sei=梅本 kn-aut-mei=菜央 aut-affil-num=1 ORCID= en-aut-name=AokiTazuko en-aut-sei=Aoki en-aut-mei=Tazuko kn-aut-name=青木多寿子 kn-aut-sei=青木 kn-aut-mei=多寿子 aut-affil-num=2 ORCID= affil-num=1 en-affil=Graduate School of Education,Okayama University (Master Degree Course) kn-affil=岡山大学大学院教育学研究科 affil-num=2 en-affil=Graduate School of Education, Okayama University kn-affil=岡山大学学術研究院教育学域 en-keyword=共感性(Empathy) kn-keyword=共感性(Empathy) en-keyword=自己受容性(Self-acceptance) kn-keyword=自己受容性(Self-acceptance) en-keyword=主観的幸福感(Subjective Well-being) kn-keyword=主観的幸福感(Subjective Well-being) en-keyword=高校生(High-school Students) kn-keyword=高校生(High-school Students) en-keyword=大学生(College Students) kn-keyword=大学生(College Students) END start-ver=1.4 cd-journal=joma no-vol=12 cd-vols= no-issue= article-no= start-page=243 end-page=255 dt-received= dt-revised= dt-accepted= dt-pub-year=2022 dt-pub=20220330 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Research Trends and Issues Concerning Childcare Teachers’ Views on Childcare With a Focus on Differences in Childcare Experiences as Kindergarten Teachers and Nursery Teachers kn-title=保育教諭の保育観に関する研究動向と課題―幼稚園教諭・保育所保育士としての保育経験の違いに着目して― en-subtitle= kn-subtitle= en-abstract=After the revision of the Act on Child Education and Childcare Support, certified centers for early childhood education and care are increasing significantly, result in more cases of childcare teachers with various childcare experiences (kindergarten teachers and nursery teachers) working at the same center. With a focus on the differences in childcare experience among childcare teachers, this study discussed the research trends and issues concerning the views on childcare. An overview of previous researches categorized by content suggests that kindergarten teachers tend to emphasize educational elements and nursery teachers tend to emphasize nurturing elements in their views on childcare, whereas it became clear that there has not been sufficient study of what content and situations in different childcare experiences lead to differences in views on childcare. Since the sharing of views on childcare leads to the improvement of the quality of childcare, the aim of further studies is to clarify more detailed differences in the views of childcare teachers based on their childcare experience. kn-abstract=『子ども・子育て支援法』改正以降,認定こども園は大幅に増加し,それに伴い様々な保育経験(幼稚園教諭・保育所保育士)をもった保育教諭が同じ園で勤務する状況も増えている。そこで本論では,保育教諭の保育経験の違いに着目し,保育観に関する研究動向と課題について考察した。先行研究を内容ごとに分類して概観すると,幼稚園教諭は教育的要素を,保育所保育士は養護的要素をもつ保育観をそれぞれに重視する傾向が示唆された。しかし,保育経験の違いがどのような保育内容や保育場面において保育観の相違をもたらすかについて十分な検討がされていないことが明らかになった。保育観の共有が保育の質の向上に繋がることから,保育経験による保育教諭の保育観の詳細な相違点を明らかにすることが今後の課題である。 en-copyright= kn-copyright= en-aut-name=HasuiKazuya en-aut-sei=Hasui en-aut-mei=Kazuya kn-aut-name=蓮井和也 kn-aut-sei=蓮井 kn-aut-mei=和也 aut-affil-num=1 ORCID= en-aut-name=NakahiraAyako en-aut-sei=Nakahira en-aut-mei=Ayako kn-aut-name=中平絢子 kn-aut-sei=中平 kn-aut-mei=絢子 aut-affil-num=2 ORCID= en-aut-name=TakahashiToshiyuki en-aut-sei=Takahashi en-aut-mei=Toshiyuki kn-aut-name=高橋敏之 kn-aut-sei=高橋 kn-aut-mei=敏之 aut-affil-num=3 ORCID= en-aut-name=KatayamaMika en-aut-sei=Katayama en-aut-mei=Mika kn-aut-name=片山美香 kn-aut-sei=片山 kn-aut-mei=美香 aut-affil-num=4 ORCID= affil-num=1 en-affil=Kojo Certified Center for Early childhood Education and Care, Okayama City kn-affil=岡山市興除認定こども園 affil-num=2 en-affil=Kojo Certified Center for Early childhood Education and Care, Okayama City kn-affil=岡山市興除認定こども園 affil-num=3 en-affil=Graduate School of Education, Okayama University kn-affil=岡山大学学術研究院教育学域 affil-num=4 en-affil=Graduate School of Education, Okayama University kn-affil=岡山大学学術研究院教育学域 en-keyword=認定こども園(certified center for early childhood education and care) kn-keyword=認定こども園(certified center for early childhood education and care) en-keyword=保育教諭(childcare teacher) kn-keyword=保育教諭(childcare teacher) en-keyword=保育観(view on childcare) kn-keyword=保育観(view on childcare) en-keyword=相違(difference) kn-keyword=相違(difference) en-keyword=保育経験(childcare experience) kn-keyword=保育経験(childcare experience) END start-ver=1.4 cd-journal=joma no-vol=12 cd-vols= no-issue=1 article-no= start-page=2185 end-page= dt-received= dt-revised= dt-accepted= dt-pub-year=2022 dt-pub=20220209 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Current status of delirium assessment tools in the intensive care unit: a prospective multicenter observational survey en-subtitle= kn-subtitle= en-abstract= kn-abstract=Delirium is a critical challenge in the intensive care unit (ICU) or high care unit (HCU) setting and is associated with poor outcomes. There is not much literature on how many patients in this setting are assessed for delirium and what tools are used. This study investigated the status of delirium assessment tools of patients in the ICU/HCU. We conducted a multicenter prospective observational study among 20 institutions. Data for patients who were admitted to and discharged from the ICU/HCU during a 1-month study period were collected from each institution using a survey sheet. The primary outcome was the usage rate of delirium assessment tools on an institution- and patient-basis. Secondary outcomes were the delirium prevalence assessed by each institution's assessment tool, comparison of delirium prevalence between delirium assessment tools, delirium prevalence at the end of ICH/HCU stay, and the relationship between potential factors related to delirium and the development of delirium. Result showed that 95% of institutions used the Intensive Care Delirium Screening Checklist (ICDSC) or the Confusion Assessment Method for the ICU (CAM-ICU) to assess delirium in their ICU/HCU, and the remaining one used another assessment scale. The usage rate (at least once during the ICU/HCU stay) of the ICDSC and the CAM-ICU among individual patients were 64.5% and 25.1%, and only 8.2% of enrolled patients were not assessed by any delirium assessment tool. The prevalence of delirium during ICU/HCU stay was 17.9%, and the prevalence of delirium at the end of the ICU/HCU stay was 5.9%. In conclusion, all institutions used delirium assessment tools in the ICU/HCU, and most patients received delirium assessment. The prevalence of delirium was 17.9%, and two-thirds of patients had recovered at discharge from ICU/HCU. en-copyright= kn-copyright= en-aut-name=IshiiKenzo en-aut-sei=Ishii en-aut-mei=Kenzo kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=KurodaKosuke en-aut-sei=Kuroda en-aut-mei=Kosuke kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=TokuraChika en-aut-sei=Tokura en-aut-mei=Chika kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=MichidaMasaaki en-aut-sei=Michida en-aut-mei=Masaaki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= en-aut-name=SugimotoKentaro en-aut-sei=Sugimoto en-aut-mei=Kentaro kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=5 ORCID= en-aut-name=SatoTetsufumi en-aut-sei=Sato en-aut-mei=Tetsufumi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=6 ORCID= en-aut-name=IshikawaTomoki en-aut-sei=Ishikawa en-aut-mei=Tomoki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=7 ORCID= en-aut-name=HagiokaShingo en-aut-sei=Hagioka en-aut-mei=Shingo kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=8 ORCID= en-aut-name=ManabeNobuki en-aut-sei=Manabe en-aut-mei=Nobuki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=9 ORCID= en-aut-name=KurasakoToshiaki en-aut-sei=Kurasako en-aut-mei=Toshiaki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=10 ORCID= en-aut-name=GotoTakashi en-aut-sei=Goto en-aut-mei=Takashi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=11 ORCID= en-aut-name=KimuraMasakazu en-aut-sei=Kimura en-aut-mei=Masakazu kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=12 ORCID= en-aut-name=SunamiKazuharu en-aut-sei=Sunami en-aut-mei=Kazuharu kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=13 ORCID= en-aut-name=InoueKazuyoshi en-aut-sei=Inoue en-aut-mei=Kazuyoshi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=14 ORCID= en-aut-name=TsukijiTakashi en-aut-sei=Tsukiji en-aut-mei=Takashi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=15 ORCID= en-aut-name=YasukawaTakeshi en-aut-sei=Yasukawa en-aut-mei=Takeshi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=16 ORCID= en-aut-name=NogamiSatoshi en-aut-sei=Nogami en-aut-mei=Satoshi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=17 ORCID= en-aut-name=TsukiokiMitsunori en-aut-sei=Tsukioki en-aut-mei=Mitsunori kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=18 ORCID= en-aut-name=OkabeDaisuke en-aut-sei=Okabe en-aut-mei=Daisuke kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=19 ORCID= en-aut-name=TaninoMasaaki en-aut-sei=Tanino en-aut-mei=Masaaki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=20 ORCID= en-aut-name=MorimatsuHiroshi en-aut-sei=Morimatsu en-aut-mei=Hiroshi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=21 ORCID= affil-num=1 en-affil=Department of Anesthesiology and Resuscitology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=2 en-affil=Department of Anesthesiology and Resuscitology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=3 en-affil=Department of Anesthesia, Kagawa Rosai Hospital kn-affil= affil-num=4 en-affil=Department of Anesthesiology and Intensive Care Medicine, Kawasaki Medical School General Medical Center kn-affil= affil-num=5 en-affil=Department of Anesthesia, Chikamori Hospital kn-affil= affil-num=6 en-affil=Department of Anesthesia and Intensive Care, National Cancer Center Hospital kn-affil= affil-num=7 en-affil=Department of Anesthesia, Okayama Red Cross General Hospital kn-affil= affil-num=8 en-affil=Department of Anesthesia, Tsuyama Chuo Hospital kn-affil= affil-num=9 en-affil=Department of Anesthesia, Saiseikai Imabari Hospital kn-affil= affil-num=10 en-affil=Department of Anesthesiology, Japanese Red Cross Society Himeji Hospital kn-affil= affil-num=11 en-affil=Department of Anesthesia, Hiroshima City Hiroshima Citizens Hospital kn-affil= affil-num=12 en-affil=Department of Anesthesia, Okayama City Hospital kn-affil= affil-num=13 en-affil=Department of Internal Medicine, Okayama Kyoritsu Hospital kn-affil= affil-num=14 en-affil=Department of Anesthesia, Kagawa Prefectural Central Hospital kn-affil= affil-num=15 en-affil=Department of Anesthesia, Takasago Municipal Hospital kn-affil= affil-num=16 en-affil=Department of Anesthesia, Okayama Kyokuto Hospital kn-affil= affil-num=17 en-affil=Department of Anesthesia, National Hospital Organization Okayama Medical Center kn-affil= affil-num=18 en-affil=Department of Anesthesia, Onomichi Municipal Hospital kn-affil= affil-num=19 en-affil=Department of Anesthesia, Himeji St. Mary’s Hospital kn-affil= affil-num=20 en-affil=Department of Anesthesiology and Intensive Care Medicine, Kawasaki Medical School Hospital kn-affil= affil-num=21 en-affil=Department of Anesthesiology and Resuscitology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= END start-ver=1.4 cd-journal=joma no-vol=76 cd-vols= no-issue=1 article-no= start-page=57 end-page=62 dt-received= dt-revised= dt-accepted= dt-pub-year=2022 dt-pub=202202 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=In Vivo Microwave Ablation of Normal Swine Lung at High-power, Short-duration Settings en-subtitle= kn-subtitle= en-abstract= kn-abstract=To evaluate the volume and heat-sink effects of microwave ablation (MWA) in the ablation zone of the normal swine lung. MWA at 100 W was performed for 1, 2, and 3 min in 7, 5, and 5 lung zones, respectively. We assessed the histopathology in the ablation zones and other outcome measures: namely, length of the longest long and short axes, sphericity, ellipsoid area, and ellipsoid volume. The mean long- and short-axis diameters were 22.0 and 14.1 mm in the 1-min ablation zone, 27.6 and 20.2 mm in the 2-min ablation zone; and 29.2 and 21.2 mm in the 3-min ablation zone, respectively. All measures, except sphericity, were significantly less with 1-min ablation than with either 2- or 3-min ablation. There were no significant differences between the 2- and 3-min ablation zones, but all measures except sphericity were larger with 3-min ablation. Although there were no blood vessels that resulted in a heat-sink effect within the ablation zones, the presence of bronchi nearby in 5 lung ablation zones resulted in reduced ablation size. In high-power, short-duration MWA, the lung ablation volume was affected by ablation time. Some ablations showed that a heat-sink effect by a neighboring bronchus might occur. en-copyright= kn-copyright= en-aut-name=IguchiToshihiro en-aut-sei=Iguchi en-aut-mei=Toshihiro kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=HirakiTakao en-aut-sei=Hiraki en-aut-mei=Takao kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=MatsuiYusuke en-aut-sei=Matsui en-aut-mei=Yusuke kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=TojiTomohiro en-aut-sei=Toji en-aut-mei=Tomohiro kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= en-aut-name=UkaMayu en-aut-sei=Uka en-aut-mei=Mayu kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=5 ORCID= en-aut-name=TomitaKoji en-aut-sei=Tomita en-aut-mei=Koji kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=6 ORCID= en-aut-name=KomakiToshiyuki en-aut-sei=Komaki en-aut-mei=Toshiyuki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=7 ORCID= en-aut-name=UmakoshiNoriyuki en-aut-sei=Umakoshi en-aut-mei=Noriyuki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=8 ORCID= en-aut-name=MitsuhashiToshiharu en-aut-sei=Mitsuhashi en-aut-mei=Toshiharu kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=9 ORCID= en-aut-name=KanazawaSusumu en-aut-sei=Kanazawa en-aut-mei=Susumu kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=10 ORCID= affil-num=1 en-affil=Department of Radiology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=2 en-affil=Department of Radiology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=3 en-affil=Department of Radiology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=4 en-affil=Department of Pathology, Okayama University Hospital kn-affil= affil-num=5 en-affil=Department of Radiology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=6 en-affil=Department of Radiology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=7 en-affil=Department of Radiology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=8 en-affil=Department of Radiology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=9 en-affil=Center for Innovative Clinical Medicine, Okayama University Hospital kn-affil= affil-num=10 en-affil=Department of Radiology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= en-keyword=microwave ablation kn-keyword=microwave ablation en-keyword=lung kn-keyword=lung en-keyword=ablation zone kn-keyword=ablation zone en-keyword=heat-sink effect kn-keyword=heat-sink effect en-keyword=swine kn-keyword=swine END start-ver=1.4 cd-journal=joma no-vol=76 cd-vols= no-issue=1 article-no= start-page=7 end-page=15 dt-received= dt-revised= dt-accepted= dt-pub-year=2022 dt-pub=202202 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Aging-related Characteristics of Subclinical Hypothyroidism Detected in General Practice en-subtitle= kn-subtitle= en-abstract= kn-abstract=Subclinical hypothyroidism (SCH) is diagnosed when serum thyrotropin (TSH) is elevated despite a normal thyroxine level and is known to increase the risk of metabolic disorders. This study was conducted to identify potential laboratory markers suspicious for latent SCH. We retrospectively reviewed 958 outpatients in whom thyroid functions had been examined. Eighty-five (9.1%) of the 939 analyzed subjects had SCH (73% females). In the SCH group, median serum TSH and FT4 levels were 5.04 μU/ml and 1.19 ng/dl, respectively, and auto-thyroid antibodies were detected in 53.8% of patients. SCH group patients were significantly older than patients in the euthyroid group, while there was no intergroup difference in BMI. However, 56.5% of the SCH patients were asymptomatic. In the SCH group, serum aspartate aminotransferase and low-density lipoprotein cholesterol (LDL-C) levels were significantly higher, and the estimated glomerular filtration rate (eGFR) was significantly lower than in the euthyroid group. Among patients less than 65 years of age, SCH patients tended to have lower eGFR and higher LDL-C than euthyroid patients. Age-dependent reductions of red blood cells and serum albumin were more prominent in the SCH than the euthyroid group. Biochemical changes with aging are useful as potential clues for suspecting latent SCH. en-copyright= kn-copyright= en-aut-name=TakamiMasao en-aut-sei=Takami en-aut-mei=Masao kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=YamamotoKoichiro en-aut-sei=Yamamoto en-aut-mei=Koichiro kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=HanayamaYoshihisa en-aut-sei=Hanayama en-aut-mei=Yoshihisa kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=NakanoYasuhiro en-aut-sei=Nakano en-aut-mei=Yasuhiro kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= en-aut-name=HasegawaKou en-aut-sei=Hasegawa en-aut-mei=Kou kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=5 ORCID= en-aut-name=ObikaMikako en-aut-sei=Obika en-aut-mei=Mikako kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=6 ORCID= en-aut-name=HagiyaHideharu en-aut-sei=Hagiya en-aut-mei=Hideharu kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=7 ORCID= en-aut-name=FurukawaMasanori en-aut-sei=Furukawa en-aut-mei=Masanori kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=8 ORCID= en-aut-name=OtsukaFumio en-aut-sei=Otsuka en-aut-mei=Fumio kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=9 ORCID= affil-num=1 en-affil=Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=2 en-affil=Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=3 en-affil=Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=4 en-affil=Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=5 en-affil=Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=6 en-affil=Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=7 en-affil=Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=8 en-affil=Department of Laboratory Medicine, Okayama University Hospital kn-affil= affil-num=9 en-affil=Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= en-keyword=aging kn-keyword=aging en-keyword=renal function kn-keyword=renal function en-keyword=cholesterol kn-keyword=cholesterol en-keyword=subclinical hypothyroidism kn-keyword=subclinical hypothyroidism en-keyword=thyroid function kn-keyword=thyroid function END start-ver=1.4 cd-journal=joma no-vol=12 cd-vols= no-issue= article-no= start-page=740610 end-page= dt-received= dt-revised= dt-accepted= dt-pub-year=2021 dt-pub=20211006 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Comprehensive Comparative Genomics and Phenotyping of Methylobacterium Species en-subtitle= kn-subtitle= en-abstract= kn-abstract=The pink-pigmented facultative methylotrophs (PPFMs), a major bacterial group found in the plant phyllosphere, comprise two genera: Methylobacterium and Methylorubrum. They have been separated into three major clades: A, B (Methylorubrum), and C. Within these genera, however, some species lack either pigmentation or methylotrophy, which raises the question of what actually defines the PPFMs. The present study employed a comprehensive comparative genomics approach to reveal the phylogenetic relationship among the PPFMs and to explain the genotypic differences that confer their different phenotypes. We newly sequenced the genomes of 29 relevant-type strains to complete a dataset for almost all validly published species in the genera. Through comparative analysis, we revealed that methylotrophy, nitrate utilization, and anoxygenic photosynthesis are hallmarks differentiating the PPFMs from the other Methylobacteriaceae. The Methylobacterium species in clade A, including the type species Methylobacterium organophilum, were phylogenetically classified into six subclades, each possessing relatively high genomic homology and shared phenotypic characteristics. One of these subclades is phylogenetically close to Methylorubrum species; this finding led us to reunite the two genera into a single genus Methylobacterium. Clade C, meanwhile, is composed of phylogenetically distinct species that share relatively higher percent G+C content and larger genome sizes, including larger numbers of secondary metabolite clusters. Most species of clade C and some of clade A have the glutathione-dependent pathway for formaldehyde oxidation in addition to the H4MPT pathway. Some species cannot utilize methanol due to their lack of MxaF-type methanol dehydrogenase (MDH), but most harbor an XoxF-type MDH that enables growth on methanol in the presence of lanthanum. The genomes of PPFMs encode between two and seven (average 3.7) genes for pyrroloquinoline quinone-dependent alcohol dehydrogenases, and their phylogeny is distinctly correlated with their genomic phylogeny. All PPFMs were capable of synthesizing auxin and did not induce any immune response in rice cells. Other phenotypes including sugar utilization, antibiotic resistance, and antifungal activity correlated with their phylogenetic relationship. This study provides the first inclusive genotypic insight into the phylogeny and phenotypes of PPFMs. en-copyright= kn-copyright= en-aut-name=AlessaOla en-aut-sei=Alessa en-aut-mei=Ola kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=OguraYoshitoshi en-aut-sei=Ogura en-aut-mei=Yoshitoshi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=FujitaniYoshiko en-aut-sei=Fujitani en-aut-mei=Yoshiko kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=TakamiHideto en-aut-sei=Takami en-aut-mei=Hideto kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= en-aut-name=HayashiTetsuya en-aut-sei=Hayashi en-aut-mei=Tetsuya kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=5 ORCID= en-aut-name=SahinNurettin en-aut-sei=Sahin en-aut-mei=Nurettin kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=6 ORCID= en-aut-name=TaniAkio en-aut-sei=Tani en-aut-mei=Akio kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=7 ORCID= affil-num=1 en-affil=Institute of Plant Science and Resources, Okayama University kn-affil= affil-num=2 en-affil=Division of Microbiology, Department of Infectious Medicine, Kurume University School of Medicine kn-affil= affil-num=3 en-affil=Institute of Plant Science and Resources, Okayama University kn-affil= affil-num=4 en-affil=Atmosphere and Ocean Research Institute, The University of Tokyo kn-affil= affil-num=5 en-affil=Department of Bacteriology, Graduate School of Medical Sciences, Kyushu University kn-affil= affil-num=6 en-affil=Egitim Fakultesi, Mugla Sitki Kocman University kn-affil= affil-num=7 en-affil=Institute of Plant Science and Resources, Okayama University kn-affil= en-keyword=Methylobacterium kn-keyword=Methylobacterium en-keyword=comparative genomics kn-keyword=comparative genomics en-keyword=methylotroph kn-keyword=methylotroph en-keyword=methanol dehydrogenase kn-keyword=methanol dehydrogenase en-keyword=Methylorubrum kn-keyword=Methylorubrum END start-ver=1.4 cd-journal=joma no-vol=75 cd-vols= no-issue=6 article-no= start-page=705 end-page=711 dt-received= dt-revised= dt-accepted= dt-pub-year=2021 dt-pub=202112 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Testosterone Recovery after Neoadjuvant Gonadotropin-Releasing Hormone Antagonist versus Agonist on Permanent Iodine-125 Seed Brachytherapy in Prostate Cancer Patients: A Propensity Score Analysis en-subtitle= kn-subtitle= en-abstract= kn-abstract=Optimal neoadjuvant hormone therapy (NHT) for reducing prostate cancer (PC) patients’ prostate volume pre-brachytherapy is controversial. We evaluated the differential impact of neoadjuvant gonadotropin-releasing hormone (GnRH) antagonist versus agonist on post-brachytherapy testosterone recovery in 112 patients treated pre-brachytherapy with NHT (GnRH antagonist, n=32; GnRH agonists, n=80) (Jan. 2007-June 2019). We assessed the effects of patient characteristics and a GnRH analogue on testosterone recovery with logistic regression and a propensity score analysis (PSA). There was no significant difference in the rate of testosterone recovery to normal levels (> 300 ng/dL) between the GnRH antagonist and agonists (p=0.07). The GnRH agonists induced a significantly more rapid testosterone recovery rate at 3 months post-brachytherapy versus the GnRH antagonist (p<0.0001); there was no difference in testosterone recovery at 12 months between the GnRH antagonist/agonists (p=0.8). In the multivariate analysis, no actor was associated with testosterone recovery. In the PSA, older age and higher body mass index (BMI) were significantly associated with longer testosterone recovery. Post-brachytherapy testosterone recovery was quicker with the neoadjuvant GnRH agonists than the antagonist, and the testosterone recovery rate was significantly associated with older age and higher BMI. Long-term follow-ups are needed to determine any differential effects of GnRH analogues on the quality of life of brachytherapy-treated PC patients. en-copyright= kn-copyright= en-aut-name=IwataTakehiro en-aut-sei=Iwata en-aut-mei=Takehiro kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=MaruyamaYuki en-aut-sei=Maruyama en-aut-mei=Yuki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=KawadaTatsushi en-aut-sei=Kawada en-aut-mei=Tatsushi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=SadahiraTakuya en-aut-sei=Sadahira en-aut-mei=Takuya kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= en-aut-name=KatayamaSatoshi en-aut-sei=Katayama en-aut-mei=Satoshi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=5 ORCID= en-aut-name=TakamotoAtsushi en-aut-sei=Takamoto en-aut-mei=Atsushi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=6 ORCID= en-aut-name=SakoTomoko en-aut-sei=Sako en-aut-mei=Tomoko kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=7 ORCID= en-aut-name=WadaKoichiro en-aut-sei=Wada en-aut-mei=Koichiro kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=8 ORCID= en-aut-name=EdamuraKohei en-aut-sei=Edamura en-aut-mei=Kohei kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=9 ORCID= en-aut-name=KobayashiYasuyuki en-aut-sei=Kobayashi en-aut-mei=Yasuyuki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=10 ORCID= en-aut-name=ArakiMotoo en-aut-sei=Araki en-aut-mei=Motoo kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=11 ORCID= en-aut-name=WatanabeMasami en-aut-sei=Watanabe en-aut-mei=Masami kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=12 ORCID= en-aut-name=WatanabeToyohiko en-aut-sei=Watanabe en-aut-mei=Toyohiko kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=13 ORCID= en-aut-name=NasuYasutomo en-aut-sei=Nasu en-aut-mei=Yasutomo kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=14 ORCID= affil-num=1 en-affil=Department of Urology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=2 en-affil=Department of Urology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=3 en-affil=Department of Urology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=4 en-affil=Department of Urology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=5 en-affil=Department of Urology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=6 en-affil=Department of Urology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=7 en-affil=Department of Urology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=8 en-affil=Department of Urology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=9 en-affil=Department of Urology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=10 en-affil=Department of Urology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=11 en-affil=Department of Urology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=12 en-affil=Department of Urology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=13 en-affil=Department of Urology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=14 en-affil=Department of Urology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= en-keyword=testosterone recovery kn-keyword=testosterone recovery en-keyword=GnRH antagonist kn-keyword=GnRH antagonist en-keyword=GnRH agonist kn-keyword=GnRH agonist en-keyword=brachytherapy kn-keyword=brachytherapy en-keyword=prostate cancer kn-keyword=prostate cancer END start-ver=1.4 cd-journal=joma no-vol=75 cd-vols= no-issue=5 article-no= start-page=601 end-page=609 dt-received= dt-revised= dt-accepted= dt-pub-year=2021 dt-pub=202110 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=The Effect of Peer Instruction Lectures on Learning Attitudes in Epidemiology Education en-subtitle= kn-subtitle= en-abstract= kn-abstract=Research suggests that the fundamental concepts of epidemiology cannot be sufficiently learned in traditional lectures, and interactive learning is necessary. However, few studies have investigated interactive epidemiology education in general, or peer instruction (PI) in particular. This study investigated the effect of PI. Study par-ticipants were fourth-year medical students. The attitude of participants in regard to PI learning was examined in a non-PI and a PI group. The Survey of Attitudes Toward Statistics (SATS) (containing six sub-categories) was conducted as a learning-attitudes index. The pre- and post-lecture scores were compared between the non-PI and PI groups using double robust (DR) estimation. The non-PI and PI groups consisted of 20 and 121 student participants, respectively. In DR estimation, affect exhibited the lowest SATS score changes, at −0.51 (95% confidence interval −0.78 to −0.24; p-value < 0.001), whereas effort exhibited the highest score changes of 0.01 (95% confidence interval −0.30 to 0.32; p-value = 0.952). The epidemiology lecture with PI did not increase the SATS scores. This might be due to issues related to the experimental design. Further research investigating the effects of interactive epidemiology education, it will be necessary to develop tools for assessing the learning of epidemiological concepts and to improve the research design. en-copyright= kn-copyright= en-aut-name=MitsuhashiToshiharu en-aut-sei=Mitsuhashi en-aut-mei=Toshiharu kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= affil-num=1 en-affil=Center for Innovative Clinical Medicine, Okayama University Hospital kn-affil= en-keyword=medical students kn-keyword=medical students en-keyword=peer instruction kn-keyword=peer instruction en-keyword=epidemiological education kn-keyword=epidemiological education en-keyword=learning attitude kn-keyword=learning attitude en-keyword=double robust esti-mation kn-keyword=double robust esti-mation END start-ver=1.4 cd-journal=joma no-vol=75 cd-vols= no-issue=5 article-no= start-page=585 end-page=593 dt-received= dt-revised= dt-accepted= dt-pub-year=2021 dt-pub=202110 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Factors for Acute Kidney Injury Following Total Arch Replacement and Association with Temperature Management During Cardiopulmonary Bypass: A Single-center Retrospective Observational Study en-subtitle= kn-subtitle= en-abstract= kn-abstract=Many patients develop acute kidney injury (AKI) after vascular surgery. In this retrospective observational study, we investigated the risk factors for AKI defined using the Kidney Disease Improving Global Outcomes criteria after total arch replacement (TAR). Additionally, we investigated the influence of temperature manage-ment during cardiopulmonary bypass (CPB) on postoperative renal function by propensity score-matched anal-ysis. We retrospectively analyzed 161 consecutive patients who underwent TAR between 2016 and 2019. Postoperative AKI occurred in 48.7% of the patients. In the multivariate analysis, male sex (odds ratio [OR] 3.95, 95% confidence interval [95%CI] 1.56-8.27, p = 0.002), ACE inhibitors/ARB medication (OR 3.19, 95%CI 1.49-6.82, p = 0.003), preoperative chronic kidney disease (OR 2.47, 95%CI 1.17-5.23, p = 0.02), pro-longed CPB time (OR 2.36, 95%CI 1.05-5.34, p = 0.04), and lower body ischemic time during CPB (OR 2.20, 95%CI 1.05-4.46, p = 0.04) were identified as independent risk factors for AKI. Propensity score-matched anal-ysis showed no significant difference in the risk of AKI following TAR between mild hypothermia or normo-thermia and moderate hypothermia (37.2% vs. 41.9%, p = 0.83). In conclusion, modifiable risk factors for AKI included prolonged CPB time and lower body ischemic time. Temperature management during CPB had no clear effect on outcomes. en-copyright= kn-copyright= en-aut-name=OmiyaHiroki en-aut-sei=Omiya en-aut-mei=Hiroki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=TakatoriMakoto en-aut-sei=Takatori en-aut-mei=Makoto kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=YunokiKeiji en-aut-sei=Yunoki en-aut-mei=Keiji kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=MorimatsuHiroshi en-aut-sei=Morimatsu en-aut-mei=Hiroshi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= affil-num=1 en-affil=Department of Anesthesiology and Critical Care Medicine, Hiroshima Citizens Hospital kn-affil= affil-num=2 en-affil=Department of Anesthesiology and Critical Care Medicine, Hiroshima Citizens Hospital kn-affil= affil-num=3 en-affil=Department of Cardiovascular Surgery, Hiroshima Citizens Hospital kn-affil= affil-num=4 en-affil=Department of Anesthesiology and Resuscitation, Okayama University Hospital kn-affil= en-keyword=acute kidney injury kn-keyword=acute kidney injury en-keyword=total arch replacement kn-keyword=total arch replacement en-keyword=cardiopulmonary bypass kn-keyword=cardiopulmonary bypass en-keyword=lower body ischemic time kn-keyword=lower body ischemic time END start-ver=1.4 cd-journal=joma no-vol=75 cd-vols= no-issue=4 article-no= start-page=431 end-page=437 dt-received= dt-revised= dt-accepted= dt-pub-year=2021 dt-pub=202108 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Differences in Attitudes and Practices of Cancer Pain Management between Medical Oncologists and Palliative Care Physicians en-subtitle= kn-subtitle= en-abstract= kn-abstract=This study aimed to evaluate whether there are differences in the attitudes and practices of cancer pain manage-ment between medical oncologists and palliative care physicians. An online nationwide survey was used to collect responses from board-certified medical oncologists and palliative care physicians in Japan. The survey questionnaire comprised 30 questions. The differences in responses between medical oncologists and palliative care physicians were examined. Out of the 1,227 questionnaires sent, 522 (42.5%) were returned. After apply-ing the exclusion criteria, 445 questionnaires (medical oncologists: n = 283; palliative care physicians: n = 162) were retained for analysis. Among the questions about potential barriers to optimal cancer pain man-agement, both medical oncologists and palliative care physicians considered the reluctance of patients to take opioids due to fear of adverse effects as the greatest barrier. Significantly different ratings between medical oncologists and palliative care physicians were observed on 5 of the 8 questions in this area. Significantly differ-ent ratings were observed for all questions concerning pain specialists and their knowledge. For effective cancer pain management, it is important to account for differences in attitudes and practice between medical oncolo-gists and palliative care physicians. en-copyright= kn-copyright= en-aut-name=KunitomiToshiki en-aut-sei=Kunitomi en-aut-mei=Toshiki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=NasuJunichirou en-aut-sei=Nasu en-aut-mei=Junichirou kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=MinamiDaisuke en-aut-sei=Minami en-aut-mei=Daisuke kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=IwamotoTakayuki en-aut-sei=Iwamoto en-aut-mei=Takayuki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= en-aut-name=NishieHiroyuki en-aut-sei=Nishie en-aut-mei=Hiroyuki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=5 ORCID= en-aut-name=SaitoShinya en-aut-sei=Saito en-aut-mei=Shinya kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=6 ORCID= en-aut-name=FujiwaraToshiyoshi en-aut-sei=Fujiwara en-aut-mei=Toshiyoshi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=7 ORCID= en-aut-name=MatsuokaJunji en-aut-sei=Matsuoka en-aut-mei=Junji kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=8 ORCID= affil-num=1 en-affil=Department of Gastroenterological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=2 en-affil=Department of Internal Medicine, Okayama Saiseikai General Hospital kn-affil= affil-num=3 en-affil=Palliative Care Team, Okayama University Hospital kn-affil= affil-num=4 en-affil=Department of Gastroenterological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=5 en-affil=Palliative Care Team, Okayama University Hospital kn-affil= affil-num=6 en-affil=Palliative Care Team, Okayama University Hospital kn-affil= affil-num=7 en-affil=Department of Gastroenterological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=8 en-affil=Department of Gastroenterological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= en-keyword=cancer pain management kn-keyword=cancer pain management en-keyword=opioid kn-keyword=opioid en-keyword=medical oncologist kn-keyword=medical oncologist en-keyword=palliative care physician kn-keyword=palliative care physician en-keyword=barriers kn-keyword=barriers END start-ver=1.4 cd-journal=joma no-vol=39 cd-vols= no-issue=4 article-no= start-page=1481 end-page=1509 dt-received= dt-revised= dt-accepted= dt-pub-year=2021 dt-pub=202169 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Foreign investment or divestment as a near-term solution to performance shortfalls? The moderating role of vicarious learning en-subtitle= kn-subtitle= en-abstract= kn-abstract=Most studies on problemistic search do not pay sufficient attention to how below-aspiration organizations decide what types of strategic actions to use to cope with performance shortfalls. In this study, we examine the preferences of multinational corporations (MNCs) for selecting foreign investment or divestment as a near-term solution to performance shortfalls. We first argue that foreign divestment is generally a more preferred performance solution. Drawing on the literature on vicarious learning, we further argue that MNCs are more likely to engage in foreign investment or foreign divestment to combat large performance shortfalls if peers recently and actively undertook the same type of strategic action. Moreover, they are less likely to undertake the other type of strategic action simultaneously because they adopt the satisficing principle and time constraints deter them from implementing multiple types of strategic action substantially. The analysis of the data about Japanese manufacturing MNCs reveals that vicarious learning influences MNCs’ selection preferences in certain conditions, thereby extending the literature on problemistic search. en-copyright= kn-copyright= en-aut-name=HuiKent Ngan-Cheung en-aut-sei=Hui en-aut-mei=Kent Ngan-Cheung kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=Gong Yuanyuan en-aut-sei=Gong en-aut-mei=Yuanyuan kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=CuiQi en-aut-sei=Cui en-aut-mei=Qi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=JiangNaipeng en-aut-sei=Jiang en-aut-mei=Naipeng kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= affil-num=1 en-affil=School of Management, Xiamen University kn-affil= affil-num=2 en-affil=Discovery Program for Global Learners, Okayama University kn-affil= affil-num=3 en-affil=Department of Organization and Human Resources, Renmin University kn-affil= affil-num=4 en-affil=Tourism Department, Fudan University kn-affil= en-keyword=Problemistic search kn-keyword=Problemistic search en-keyword=Vicarious learning kn-keyword=Vicarious learning en-keyword=Japan kn-keyword=Japan en-keyword=Turnaround kn-keyword=Turnaround en-keyword=Foreign investment and divestment kn-keyword=Foreign investment and divestment END start-ver=1.4 cd-journal=joma no-vol=13 cd-vols= no-issue=5 article-no= start-page=795 end-page= dt-received= dt-revised= dt-accepted= dt-pub-year=2021 dt-pub=20210503 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Effects of Asymmetry between Design Models and User Models on Subjective Comprehension of User Interface en-subtitle= kn-subtitle= en-abstract= kn-abstract=This study attempted to discuss the design principles for enhancing usability in terms of asymmetry of mental models between users and designers. If the user model is asymmetrical to the design model, i.e., the degree of agreement between models is low and the user's mental model is not compatible with the actual system, the user cannot operate the system properly, which may cause errors. The aim of this study was to investigate the characteristics of users who have asymmetrical mental models and identify what such users did not understand. Twenty-four subjects participated in an experiment that involved a digital camera operation task and mental model tests that measure the level of the agreement of the mental model construction in terms of functional and structural models. Initially, the participants were grouped based on mental model test scores: symmetrical mental model group (n = 17) and asymmetrical mental model group (n = 7). Then, the groups were compared in terms of performance and subjective comprehension. The comparison indicated that the symmetrical mental model group performed more quickly and accurately than the asymmetrical group. The results also confirmed that the asymmetrical mental model group had a lower level of comprehension in terms of understanding the device status, detecting and responding to device status changes, and understanding the hierarchical structure of the screen. en-copyright= kn-copyright= en-aut-name=DoiToshihisa en-aut-sei=Doi en-aut-mei=Toshihisa kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= affil-num=1 en-affil=Department of Intelligent Mechanical Systems, Okayama University kn-affil= en-keyword=mental model kn-keyword=mental model en-keyword=design model kn-keyword=design model en-keyword=user model kn-keyword=user model en-keyword=usability kn-keyword=usability en-keyword=subjective comprehension kn-keyword=subjective comprehension en-keyword=GUI kn-keyword=GUI END start-ver=1.4 cd-journal=joma no-vol=9 cd-vols= no-issue=5 article-no= start-page=566 end-page= dt-received= dt-revised= dt-accepted= dt-pub-year=2021 dt-pub=20210501 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Prevalence of Psychological Distress and Its Risk Factors in Patients with Primary Bone and Soft Tissue Tumors en-subtitle= kn-subtitle= en-abstract= kn-abstract=Psychological distress is common in patients with soft tissue and bone tumors. We first investigated its frequency and the associated risk factors in patients with pre-operative bone and soft tissue tumors. Participants included 298 patients with bone and soft tissue tumors who underwent surgery in our institution between 2015 and 2020. Psychological distress was evaluated by the Distress and Impact Thermometer (DIT) that consists of two types of questions (questions about the severity of the patient's distress (DIT-D) and its impact (DIT-I)). We used a cut-off point of 4 on the DIT-D and 3 on the DIT-I for screening patients with psychological distress. We therefore investigated: (1) the prevalence of psychological distress as assessed with DIT or distress thermometer (DT), which can be decided by DIT-D >= 4, (2) what are the risk factors for the prevalence of psychological distress, and (3) what is the number of patients who consulted a psychiatrist for psychological distress in patients with pre-operative bone and soft tissue tumors. With DIT and DT, we identified 64 patients (21%) and 95 patients (32%), respectively, with psychological distress. Multivariate logistic regression revealed that older age, sex (female), malignancy (malignant or intermediate tumor), a lower Barthel Index, and higher numeric rating scale were risk factors for psychological distress. Two patients (3%) consulted a psychiatrist after surgery. In conclusion, careful attention to psychological distress is needed, especially for female patients, older patients, and those with malignant soft or bone tissue tumors who have more than moderate pain. en-copyright= kn-copyright= en-aut-name=IseMasato en-aut-sei=Ise en-aut-mei=Masato kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=NakataEiji en-aut-sei=Nakata en-aut-mei=Eiji kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=KatayamaYoshimi en-aut-sei=Katayama en-aut-mei=Yoshimi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=HamadaMasanori en-aut-sei=Hamada en-aut-mei=Masanori kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= en-aut-name=KunisadaToshiyuki en-aut-sei=Kunisada en-aut-mei=Toshiyuki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=5 ORCID= en-aut-name=FujiwaraTomohiro en-aut-sei=Fujiwara en-aut-mei=Tomohiro kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=6 ORCID= en-aut-name=NakaharaRyuichi en-aut-sei=Nakahara en-aut-mei=Ryuichi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=7 ORCID= en-aut-name=TakihiraShouta en-aut-sei=Takihira en-aut-mei=Shouta kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=8 ORCID= en-aut-name=SatoKohei en-aut-sei=Sato en-aut-mei=Kohei kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=9 ORCID= en-aut-name=AkezakiYoshiteru en-aut-sei=Akezaki en-aut-mei=Yoshiteru kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=10 ORCID= en-aut-name=SendaMasuo en-aut-sei=Senda en-aut-mei=Masuo kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=11 ORCID= en-aut-name=OzakiToshifumi en-aut-sei=Ozaki en-aut-mei=Toshifumi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=12 ORCID= affil-num=1 en-affil=Department of Orthopaedic Surgery, Okayama University Hospital kn-affil= affil-num=2 en-affil=Department of Orthopaedic Surgery, Okayama University Hospital kn-affil= affil-num=3 en-affil=Department of Rehabilitation Medicine, Okayama University Hospital kn-affil= affil-num=4 en-affil=Department of Rehabilitation Medicine, Okayama University Hospital kn-affil= affil-num=5 en-affil=Department of Orthopaedic Surgery, Okayama University Hospital kn-affil= affil-num=6 en-affil=Department of Orthopaedic Surgery, Okayama University Hospital kn-affil= affil-num=7 en-affil=Department of Orthopaedic Surgery, Okayama University Hospital kn-affil= affil-num=8 en-affil=Department of Orthopaedic Surgery, Okayama University Hospital kn-affil= affil-num=9 en-affil=Department of Orthopaedic Surgery, Okayama University Hospital kn-affil= affil-num=10 en-affil=Division of Physical Therapy, Kochi Professional University of Rehabilitation kn-affil= affil-num=11 en-affil=Department of Rehabilitation Medicine, Okayama University Hospital kn-affil= affil-num=12 en-affil=Department of Orthopaedic Surgery, Okayama University Hospital kn-affil= en-keyword=psychological distress kn-keyword=psychological distress en-keyword=distress and impact thermometer kn-keyword=distress and impact thermometer en-keyword=bone and soft tissue tumor kn-keyword=bone and soft tissue tumor en-keyword=surgery kn-keyword=surgery END start-ver=1.4 cd-journal=joma no-vol=75 cd-vols= no-issue=1 article-no= start-page=97 end-page=102 dt-received= dt-revised= dt-accepted= dt-pub-year=2020 dt-pub=20201003 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Teacher and student-created videos in English language teaching en-subtitle= kn-subtitle= en-abstract= kn-abstract=In this series, we explore technology-related themes and topics. The series aims to discuss and demystify what may be new areas for some readers and to consider their relevance for English language teachers. en-copyright= kn-copyright= en-aut-name=CowieNeil en-aut-sei=Cowie en-aut-mei=Neil kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=SakuiKeiko en-aut-sei=Sakui en-aut-mei=Keiko kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= affil-num=1 en-affil=Department of Foreign Languages, Okayama University kn-affil= affil-num=2 en-affil=Kobe Shoin Women’s University kn-affil= END start-ver=1.4 cd-journal=joma no-vol=75 cd-vols= no-issue=2 article-no= start-page=225 end-page=230 dt-received= dt-revised= dt-accepted= dt-pub-year=2021 dt-pub=202104 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Histological Analysis of Repaired Tissue after Pullout Repair of a Medial Meniscus Posterior Root Tear en-subtitle= kn-subtitle= en-abstract= kn-abstract=A 65-year-old man presented with a left medial meniscus (MM) posterior root tear (PRT). Unicompartmental knee arthroplasty was performed 12 months after transtibial pullout repair of the MMPRT. Repaired MM posterior root tissue was subjected to histological analysis. Immunostaining and picrosirius red staining showed sufficient deposition of type I collagen, and hematoxylin-eosin staining using a polarized microscope showed well-aligned fiber orientation in the repaired tissue. The repaired posterior root (post-transtibial pullout repair) showed mature and well-aligned ligament-like tissue. Preserving the MM posterior root remnant to mimic the original posterior root tissue might be useful when performing pullout repair. en-copyright= kn-copyright= en-aut-name=XueHaowei en-aut-sei=Xue en-aut-mei=Haowei kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=FurumatsuTakayuki en-aut-sei=Furumatsu en-aut-mei=Takayuki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=OkazakiYuki en-aut-sei=Okazaki en-aut-mei=Yuki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=HiranakaTakaaki en-aut-sei=Hiranaka en-aut-mei=Takaaki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= en-aut-name=KintakaKeisuke en-aut-sei=Kintaka en-aut-mei=Keisuke kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=5 ORCID= en-aut-name=ZhangXiming en-aut-sei=Zhang en-aut-mei=Ximing kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=6 ORCID= en-aut-name=YoshidaAki en-aut-sei=Yoshida en-aut-mei=Aki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=7 ORCID= en-aut-name=OzakiToshifumi en-aut-sei=Ozaki en-aut-mei=Toshifumi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=8 ORCID= affil-num=1 en-affil=Department of Orthopaedic Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=2 en-affil=Department of Orthopaedic Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=3 en-affil=Department of Orthopaedic Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=4 en-affil=Department of Orthopaedic Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=5 en-affil=Department of Orthopaedic Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=6 en-affil=Department of Orthopaedic Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=7 en-affil=Department of Orthopaedic Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=8 en-affil=Department of Orthopaedic Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= en-keyword=medial meniscus kn-keyword=medial meniscus en-keyword=posterior root tear kn-keyword=posterior root tear en-keyword=unicompartmental knee arthroplasty kn-keyword=unicompartmental knee arthroplasty en-keyword=histological analysis kn-keyword=histological analysis en-keyword=case report kn-keyword=case report END start-ver=1.4 cd-journal=joma no-vol=1 cd-vols= no-issue= article-no= start-page=29 end-page=45 dt-received= dt-revised= dt-accepted= dt-pub-year=2021 dt-pub=20210331 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Consideration about recognition of factors causing lack of confirmation in the nursing scene kn-title=看護場⾯における確認不⾜を引き起こす要因の認識に関する検討 en-subtitle= kn-subtitle= en-abstract= kn-abstract=In the work process of nurses with high risk, it is very urgent to take countermeasures against the “lack of confirmation” of the main factors. Therefore, the purpose of this study is to clarify the details of the factors leading to the lack of confirmation, grasp the number of near misses, and to explore what kind of factors the individual characteristics of the nurse who acts as a stopper. We recruited 500 nurses on the Web and asked about the frequency of near misses due to lack of confirmation, the awareness of the causes of lack of confirmation, self-evaluation of stoppers, and the reasons why near misses did not lead to accidents. As a result, three factors were extracted regarding the recognition of the factors of lack of confirmation: "lack of consciousness", "inability to concentrate", and "lack of knowledge / experience". Three factors were extracted for self-evaluation of stopper characteristics: "awareness," "verification," and "cautiousness". In order to reduce the lack of confirmation, it is necessary to secure and allocate appropriate personnel and create an environment where treatment can be concentrated. Nurses should also raise knowledge and the awareness of the importance of confirmation. In addition, it is necessary to improve the clinical judgment of new nurses in order to prevent near misses. And it is thought that new nurses will become more confident by accumulating experience and affirming their abilities from their superiors, seniors and colleagues. en-copyright= kn-copyright= en-aut-name=ZuoWanxin en-aut-sei=Zuo en-aut-mei=Wanxin kn-aut-name=左婉馨 kn-aut-sei=左 kn-aut-mei=婉馨 aut-affil-num=1 ORCID= en-aut-name=HyodoYoshimi en-aut-sei=Hyodo en-aut-mei=Yoshimi kn-aut-name=兵藤好美 kn-aut-sei=兵藤 kn-aut-mei=好美 aut-affil-num=2 ORCID= en-aut-name=TanakaTomoko en-aut-sei=Tanaka en-aut-mei=Tomoko kn-aut-name=⽥中共⼦ kn-aut-sei=⽥中 kn-aut-mei=共⼦ aut-affil-num=3 ORCID= en-aut-name=GofukuAkio en-aut-sei=Gofuku en-aut-mei=Akio kn-aut-name=五福明夫 kn-aut-sei=五福 kn-aut-mei=明夫 aut-affil-num=4 ORCID= affil-num=1 en-affil=Graduate School of Interdisciplinary Science and Engineering in Health Systems, Okayama University kn-affil=岡山大学大学院ヘルスシステム統合科学研究科 affil-num=2 en-affil=Graduate School of Interdisciplinary Science and Engineering in Health Systems, Okayama University kn-affil=岡山大学ヘルスシステム統合科学研究科 affil-num=3 en-affil=Graduate School of Humanities and Social Sciences, Okayama University kn-affil=岡山大学大学院社会文化科学研究科 affil-num=4 en-affil=Graduate School of Interdisciplinary Science and Engineering in Health Systems, Okayama University kn-affil=岡山大学大学院ヘルスシステム統合科学研究科 en-keyword=lack of confirmation kn-keyword=lack of confirmation en-keyword=stoppers kn-keyword=stoppers en-keyword=nurse kn-keyword=nurse END start-ver=1.4 cd-journal=joma no-vol=75 cd-vols= no-issue=2 article-no= start-page=139 end-page=145 dt-received= dt-revised= dt-accepted= dt-pub-year=2021 dt-pub=202104 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Evaluation of the Imaging Process for a Novel Subtraction Method Using Apparent Diffusion Coefficient Values en-subtitle= kn-subtitle= en-abstract= kn-abstract=Diffusion-weighted imaging may be used to obtain the apparent diffusion coefficient (ADC), which aids the diagnosis of cerebral infarction and tumors. An ADC reflects elements of free diffusion. Diffusion kurtosis imaging (DKI) has attracted attention as a restricted diffusion imaging technique. The ADC subtraction method (ASM) was developed to visualize restricted diffusion with high resolution by using two ADC maps taken with different diffusion times. We conducted the present study to provide a bridge between the reported basic ASM research and clinical research. We developed new imaging software for clinical use and evaluated its performance herein. This software performs the imaging process automatically and continuously at the pixel level, using ImageJ software. The new software uses a macro or a plugin which is compatible with various operating systems via a Java Virtual Machine. We tested the new imaging software’s performance by using a Jurkat cell bio-phantom, and the statistical evaluation of the performance clarified that the ASM values of 99.98% of the pixels in the bio-phantom and physiological saline were calculated accurately (p<0.001). The new software may serve as a useful tool for future clinical applications and restricted diffusion imaging research. en-copyright= kn-copyright= en-aut-name=HamadaKentaro en-aut-sei=Hamada en-aut-mei=Kentaro kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=KurodaMasahiro en-aut-sei=Kuroda en-aut-mei=Masahiro kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=YoshimuraYuuki en-aut-sei=Yoshimura en-aut-mei=Yuuki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=KhasawnehAbdullah en-aut-sei=Khasawneh en-aut-mei=Abdullah kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= en-aut-name=BarhamMajd en-aut-sei=Barham en-aut-mei=Majd kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=5 ORCID= en-aut-name=TekikiNouha en-aut-sei=Tekiki en-aut-mei=Nouha kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=6 ORCID= en-aut-name=SugiantoIrfan en-aut-sei=Sugianto en-aut-mei=Irfan kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=7 ORCID= en-aut-name=BamgboseBabatunde O. en-aut-sei=Bamgbose en-aut-mei=Babatunde O. kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=8 ORCID= en-aut-name=KonishiKohei en-aut-sei=Konishi en-aut-mei=Kohei kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=9 ORCID= en-aut-name=SugimotoKohei en-aut-sei=Sugimoto en-aut-mei=Kohei kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=10 ORCID= en-aut-name=IshizakaHinata en-aut-sei=Ishizaka en-aut-mei=Hinata kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=11 ORCID= en-aut-name=KurozumiAkira en-aut-sei=Kurozumi en-aut-mei=Akira kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=12 ORCID= en-aut-name=MatsushitaToshi en-aut-sei=Matsushita en-aut-mei=Toshi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=13 ORCID= en-aut-name=OhnoSeiichiro en-aut-sei=Ohno en-aut-mei=Seiichiro kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=14 ORCID= en-aut-name=KanazawaSusumu en-aut-sei=Kanazawa en-aut-mei=Susumu kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=15 ORCID= en-aut-name=AsaumiJunichi en-aut-sei=Asaumi en-aut-mei=Junichi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=16 ORCID= affil-num=1 en-affil=Radiological Technology, Graduate School of Health Sciences, Okayama University kn-affil= affil-num=2 en-affil=Radiological Technology, Graduate School of Health Sciences, Okayama University kn-affil= affil-num=3 en-affil=Radiological Technology, Graduate School of Health Sciences, Okayama University kn-affil= affil-num=4 en-affil=Department of Oral and Maxillofacial Radiology, Okayama University Hospital kn-affil= affil-num=5 en-affil=Department of Oral and Maxillofacial Radiology, Okayama University Hospital kn-affil= affil-num=6 en-affil=Department of Oral and Maxillofacial Radiology, Okayama University Hospital kn-affil= affil-num=7 en-affil=Department of Oral and Maxillofacial Radiology, Okayama University Hospital kn-affil= affil-num=8 en-affil=Department of Oral and Maxillofacial Radiology, Okayama University Hospital kn-affil= affil-num=9 en-affil=Radiological Technology, Graduate School of Health Sciences, Okayama University kn-affil= affil-num=10 en-affil=Radiological Technology, Graduate School of Health Sciences, Okayama University kn-affil= affil-num=11 en-affil=Radiological Technology, Graduate School of Health Sciences, Okayama University kn-affil= affil-num=12 en-affil=Central Division of Radiology, Okayama University Hospital kn-affil= affil-num=13 en-affil=Central Division of Radiology, Okayama University Hospital kn-affil= affil-num=14 en-affil=Central Division of Radiology, Okayama University Hospital kn-affil= affil-num=15 en-affil=Department of Radiology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=16 en-affil=Department of Oral and Maxillofacial Radiology, Okayama University Hospital kn-affil= en-keyword=apparent diffusion coefficient kn-keyword=apparent diffusion coefficient en-keyword=ADC subtraction method kn-keyword=ADC subtraction method en-keyword=restricted diffusion kn-keyword=restricted diffusion en-keyword=ImageJ kn-keyword=ImageJ en-keyword=plugin kn-keyword=plugin END start-ver=1.4 cd-journal=joma no-vol=11 cd-vols= no-issue= article-no= start-page=179 end-page=193 dt-received= dt-revised= dt-accepted= dt-pub-year=2021 dt-pub=20210322 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Sugoroku Play through Collaborative Molding Creation to Develop Skills to Establish Relationship among Children in 4-Year-Old Class of Nursery School kn-title=保育所4歳児学級における子どもの人間関係形成能力を育む共同造形制作による双六遊び en-subtitle= kn-subtitle= en-abstract=We can consider that one of activities to develop skills to establish relationship is collaborative molding creation. Collaborative modeling creation is a large piece of work that cannot be created by a single person, and it is desirable to set up a "Yosegaki type" of creation play that requires a lot of inspiration. Accordingly, we conducted Sugoroku play as a detailed nursing practice idea to verify its effectiveness in developing skill to establish relationship and considered the teaching and support methods required of childcare-givers. Sugoroku was made in an environment where children were able to pay attention to what their friends said and did, and they were able to devise colors and shapes through discussion. Moreover, from the coincidental nature of Sugoroku play and the necessity of making rules, we could say that it was an activity to be deeply involved with friends through fun play adapted to the developmental process. In assisting childcare-givers, it was important to encourage children to share images and to watch them without intervention by childcare-givers in developing relationship among children. kn-abstract=人間関係形成能力を育むための活動の1つとして,共同造形制作が考えられる。共同造形制作は,1人では作ることができない大きな作品で,着想を多く必要とする「寄せがき方式」の制作遊びを設定して行うことが望ましい。そこで,具体的な保育実践案として双六遊びを行い,人間関係形成能力育成における有効性の検証と,保育者に求められる指導・援助方法の考察を行った。双六の制作は,友達の発言や行動に関心を持ちやすい環境で行われ,話し合いによって色や形を工夫することができた。また,双六遊びの偶然性やルール作りの必要性から,発達過程に適合した楽しい遊びを通して友達と深く関われる活動であったと言える。保育者の援助においては,子どもが人間関係を形成する上で,イメージの共有を促す声掛けが必要であると共に,保育者が介入しない見守りも重要であった。 en-copyright= kn-copyright= en-aut-name=YAMAGUCHIMinori en-aut-sei=YAMAGUCHI en-aut-mei=Minori kn-aut-name=山口実梨 kn-aut-sei=山口 kn-aut-mei=実梨 aut-affil-num=1 ORCID= en-aut-name=TAKAHASHIKei en-aut-sei=TAKAHASHI en-aut-mei=Kei kn-aut-name=髙橋慧 kn-aut-sei=髙橋 kn-aut-mei=慧 aut-affil-num=2 ORCID= en-aut-name=BABANoriko en-aut-sei=BABA en-aut-mei=Noriko kn-aut-name=馬場訓子 kn-aut-sei=馬場 kn-aut-mei=訓子 aut-affil-num=3 ORCID= en-aut-name=WATANABEYuzo en-aut-sei=WATANABE en-aut-mei=Yuzo kn-aut-name=渡邊祐三 kn-aut-sei=渡邊 kn-aut-mei=祐三 aut-affil-num=4 ORCID= en-aut-name=TAKAHASHIToshiyuki en-aut-sei=TAKAHASHI en-aut-mei=Toshiyuki kn-aut-name=髙橋敏之 kn-aut-sei=髙橋 kn-aut-mei=敏之 aut-affil-num=5 ORCID= affil-num=1 en-affil=Minan Manmaru childcare center kn-affil=御南まんまるこども園 affil-num=2 en-affil=he Major of Child Education, The Department of Music, Sakuyo Junior College of Music kn-affil=作陽短期大学音楽学科幼児教育専攻 affil-num=3 en-affil=The Department of Childhood Education, The Faculty of Childhood Education, Kurashiki Sakuyo University kn-affil=くらしき作陽大学子ども教育学部子ども教育学科 affil-num=4 en-affil=Minan Manmaru childcare center kn-affil=御南まんまるこども園 affil-num=5 en-affil=Graduate School of Education,Okayama University kn-affil=岡山大学大学院教育学研究科 en-keyword=保育所 (Nursery school) kn-keyword=保育所 (Nursery school) en-keyword=4歳児学級 (4-year-old class) kn-keyword=4歳児学級 (4-year-old class) en-keyword=人間関係形成能力 (Skills to establish relationship) kn-keyword=人間関係形成能力 (Skills to establish relationship) en-keyword=共同造形制作 (Collaborative molding creation) kn-keyword=共同造形制作 (Collaborative molding creation) en-keyword=双六遊び (Sugoroku play) kn-keyword=双六遊び (Sugoroku play) END start-ver=1.4 cd-journal=joma no-vol=11 cd-vols= no-issue= article-no= start-page=59 end-page=73 dt-received= dt-revised= dt-accepted= dt-pub-year=2021 dt-pub=20210322 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=The Bright and Dark Sides of Programming Education in Japanese Elementary Schools:Clarification of Practical Issues kn-title=小学校プログラミング教育の光と影―実践的な検討課題の導出― en-subtitle= kn-subtitle= en-abstract= In the new Courses of Study that were enacted in the 2020 school year, programming education became a compulsory elementary school subject in Japan. However, questions remain regarding how programming education can contribute to improving children's qualities and abilities, and what should be considered to appropriately design and implement classes. Therefore, based on the existing findings, this study summarized the bright and dark sides of elementary school programming education, that is, the expected effects and concerns associated with its implementation. Consequently, the following practical issues were derived and discussed to further enhance elementary school programming education: designing lessons, planning evaluation criteria and methods, preparing an information and communications technology (ICT) environment, and encouraging teachers. kn-abstract=2020 年度から全面実施された新学習指導要領において,小学校プログラミング教育が必修化された。しかしプログラミング教育が児童のどのような資質・能力の向上に資するのか,授業を適切に設計・実施するために考慮すべきことは何か,といった点は必ずしも明確ではない。そこで本研究では,既往知見に基づき,小学校プログラミング教育の光と影,すなわち期待される効果と実施に伴う懸念や不安を整理した。それらを踏まえ,今後の小学校プログラミング教育を充実させていくための実践的な検討課題として,授業設計,評価規準・評価方法の立案,ICT 環境整備,教員への働きかけを導出し,議論した。 en-copyright= kn-copyright= en-aut-name=NISHIKAWAYoshitaka en-aut-sei=NISHIKAWA en-aut-mei=Yoshitaka kn-aut-name=西川義孝 kn-aut-sei=西川 kn-aut-mei=義孝 aut-affil-num=1 ORCID= en-aut-name=MISAWARyo en-aut-sei=MISAWA en-aut-mei=Ryo kn-aut-name=三沢良 kn-aut-sei=三沢 kn-aut-mei=良 aut-affil-num=2 ORCID= en-aut-name= en-aut-sei= en-aut-mei= kn-aut-name=髙橋典久 kn-aut-sei=髙橋 kn-aut-mei=典久 aut-affil-num=3 ORCID= affil-num=1 en-affil=Yakage Municipal Yakage Elementary School/ Graduate School of Education(Professional Degree Course), Okayama University kn-affil=矢掛町立矢掛小学校/岡山大学大学院教育学研究科大学院生 affil-num=2 en-affil=Graduate School of Education, Okayama University kn-affil=岡山大学大学院教育学研究 affil-num=3 en-affil=Graduate School of Education, Okayama University kn-affil=岡山大学大学院教育学研究 en-keyword=小学校プログラミング教育 (Programming education in elementary school) kn-keyword=小学校プログラミング教育 (Programming education in elementary school) en-keyword=プログラミング的思考 (Programming thinking) kn-keyword=プログラミング的思考 (Programming thinking) en-keyword=ICT 環境 (ICT environment) kn-keyword=ICT 環境 (ICT environment) END start-ver=1.4 cd-journal=joma no-vol=21 cd-vols= no-issue=1 article-no= start-page=53 end-page= dt-received= dt-revised= dt-accepted= dt-pub-year=2021 dt-pub=20210114 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=What impact does postgraduate clinical training have on empathy among Japanese trainee dentists? en-subtitle= kn-subtitle= en-abstract= kn-abstract=Background
Enhancing empathy in healthcare education is a critical component in the development of a relationship between healthcare professionals and patients that would ensure better patient care; improved patient satisfaction, adherence to treatment, patients’ medication self-efficacy, improved treatment outcomes, and reduced patient anxiety. Unfortunately, however, the decline of empathy among students has been frequently reported. It is especially common when the curriculum transitions to a clinical setting. However, some studies have questioned the significance and frequency of this decline. Thus, the purpose of this study was to determine the impact of postgraduate clinical training on dental trainees’ empathy from cognitive, behavioral, and patients’ perspective.
Methods
This study included 64 trainee dentists at Okayama University Hospital and 13 simulated patients (SPs). The trainee dentists carried out initial medical interviews with SPs twice, at the beginning and the end of their clinical training. The trainees completed the Japanese version of the Jefferson Scale of Empathy for health professionals just before each medical interview. The SPs evaluated the trainees’ communication using an assessment questionnaire immediately after the medical interviews. The videotaped dialogue from the medical interviews was analyzed using the Roter Interaction Analysis System.
Results
No significant difference was found in the self-reported empathy score of trainees at the beginning and the end of the clinical training (107.73 [range, 85–134] vs. 108.34 [range, 69–138]; p = 0.643). Considering the results according to gender, male scored 104.06 (range, 88–118) vs. 101.06 (range, 71–122; p = 0.283) and female 109.17 (range, 85–134) vs. 111.20 (range, 69–138; p = 0.170). Similarly, there was no difference in the SPs’ evaluation of trainees’ communication (10.73 vs. 10.38, p = 0.434). Communication behavior in the emotional responsiveness category for trainees in the beginning was significantly higher than that at the end (2.47 vs. 1.14, p = 0.000).
Conclusions
Overall, a one-year postgraduate dental training program neither reduced nor increased trainee dentists’ empathy levels. Providing regular education support in this area may help trainees foster their empathy. en-copyright= kn-copyright= en-aut-name=YoshidaToshiko en-aut-sei=Yoshida en-aut-mei=Toshiko kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=WatanabeSho en-aut-sei=Watanabe en-aut-mei=Sho kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=KonoTakayuki en-aut-sei=Kono en-aut-mei=Takayuki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=TaketaHiroaki en-aut-sei=Taketa en-aut-mei=Hiroaki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= en-aut-name=ShiotsuNoriko en-aut-sei=Shiotsu en-aut-mei=Noriko kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=5 ORCID= en-aut-name=ShiraiHajime en-aut-sei=Shirai en-aut-mei=Hajime kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=6 ORCID= en-aut-name=NakaiYukie en-aut-sei=Nakai en-aut-mei=Yukie kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=7 ORCID= en-aut-name=ToriiYasuhiro en-aut-sei=Torii en-aut-mei=Yasuhiro kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=8 ORCID= affil-num=1 en-affil=Center for Education in Medicine and Health Sciences (Dental Education), Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama University kn-affil= affil-num=2 en-affil=Comprehensive Dental Clinic, Okayama University Hospital kn-affil= affil-num=3 en-affil=Comprehensive Dental Clinic, Okayama University Hospital kn-affil= affil-num=4 en-affil=Comprehensive Dental Clinic, Okayama University Hospital kn-affil= affil-num=5 en-affil=Comprehensive Dental Clinic, Okayama University Hospital kn-affil= affil-num=6 en-affil=Comprehensive Dental Clinic, Okayama University Hospital kn-affil= affil-num=7 en-affil=Department of Dental Hygiene, University of Shizuoka, Junior College kn-affil= affil-num=8 en-affil=Comprehensive Dental Clinic, Okayama University Hospital kn-affil= en-keyword=Empathy kn-keyword=Empathy en-keyword=Trainee dentists kn-keyword=Trainee dentists en-keyword=Clinical training kn-keyword=Clinical training en-keyword=Jefferson Scale of Empathy kn-keyword=Jefferson Scale of Empathy en-keyword=Roter interaction analysis system kn-keyword=Roter interaction analysis system en-keyword=Simulated patients kn-keyword=Simulated patients END start-ver=1.4 cd-journal=joma no-vol=75 cd-vols= no-issue=1 article-no= start-page=63 end-page=69 dt-received= dt-revised= dt-accepted= dt-pub-year=2021 dt-pub=202102 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=The Optimal Prepregnancy Body Mass Index for Lactation in Japanese Women with Neonatal Separation as Analyzed by a Differential Equation en-subtitle= kn-subtitle= en-abstract= kn-abstract=We used a differential equation to identify the biological relationship between the maternal prepregnancy body mass index (BMI) and lactation on postpartum day 4 in Japanese women with neonatal separation. This retro-spective observational study included 252 mothers (135 primiparas, 117 multiparas) whose singleton neonates were admitted to a neonatal ICU. We formulated hypotheses based on breast anatomy to analyze the relation-ship between the expressed milk obtained on postpartum day 4 and the maternal prepregnancy BMI with the following differential equation: y’(x) = k y(x)/x, where k is the constant, x is the prepregnancy BMI, and y is the expressed milk volume. The formula was then obtained as y(x) = axk, where a is the constant. The Akaike information criterion (AIC) was used to estimate the regression equation with the maximum likelihood for primiparas and multiparas. The best criteria for BMI determined by the AIC were 20.89 kg/m2 in primiparas and 20.19 kg/m2 in multiparas. These were the optimal BMI values for lactation, coinciding with the median prepregnancy BMI in the study population (20.78 kg/m2 in primiparas and 20.06 kg/m2 in multiparas). The formula based on biomathematics might help establish the biological relationship between prepregnancy BMI and breastmilk volume. en-copyright= kn-copyright= en-aut-name=TadaKatsuhiko en-aut-sei=Tada en-aut-mei=Katsuhiko kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=MiyagiYasunari en-aut-sei=Miyagi en-aut-mei=Yasunari kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=NakamuraKazue en-aut-sei=Nakamura en-aut-mei=Kazue kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=YorozuMoe en-aut-sei=Yorozu en-aut-mei=Moe kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= en-aut-name=FukushimaEmi en-aut-sei=Fukushima en-aut-mei=Emi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=5 ORCID= en-aut-name=KumazawaKazumasa en-aut-sei=Kumazawa en-aut-mei=Kazumasa kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=6 ORCID= en-aut-name=NakamuraMakoto en-aut-sei=Nakamura en-aut-mei=Makoto kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=7 ORCID= en-aut-name=KageyamaMisao en-aut-sei=Kageyama en-aut-mei=Misao kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=8 ORCID= affil-num=1 en-affil=Department of Obstetrics and Gynecology, National Hospital Organization, Okayama Medical Center kn-affil= affil-num=2 en-affil=Miyake Ofuku Clinic kn-affil= affil-num=3 en-affil=Department of Neonatology, National Hospital Organization, Okayama Medical Center kn-affil= affil-num=4 en-affil=Department of Obstetrics and Gynecology, National Hospital Organization, Okayama Medical Center kn-affil= affil-num=5 en-affil=Department of Nursing, National Hospital Organization, Okayama Medical Center kn-affil= affil-num=6 en-affil=Department of Obstetrics and Gynecology, National Hospital Organization, Okayama Medical Center kn-affil= affil-num=7 en-affil=Department of Neonatology, National Hospital Organization, Okayama Medical Center kn-affil= affil-num=8 en-affil=Department of Neonatology, National Hospital Organization, Okayama Medical Center kn-affil= en-keyword=biomathematics kn-keyword=biomathematics en-keyword=body mass index kn-keyword=body mass index en-keyword=expressed milk kn-keyword=expressed milk en-keyword=lactation kn-keyword=lactation END start-ver=1.4 cd-journal=joma no-vol=75 cd-vols= no-issue=1 article-no= start-page=31 end-page=37 dt-received= dt-revised= dt-accepted= dt-pub-year=2021 dt-pub=202102 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Treatment Outcomes of Pulmonary Metastases from Head and Neck Squamous Cell Carcinoma en-subtitle= kn-subtitle= en-abstract= kn-abstract=Although the lung is the most common site of distant metastases from head and neck squamous cell carcinoma (HNSCC), the number of reports about the effects of pulmonary metastasectomy for the treatment of lung metastasis from HNSCC is limited. Metachronous pulmonary metastases were detected in 45 HNSCC patients at Kumamoto University Hospital from 1998 to 2018. Twenty-two patients underwent an operative resection (Ope group) and 23 underwent chemotherapy (Chemo group). The 3-year overall survival (OS) rate and median OS were evaluated. The effects of adjuvant chemotherapy after pulmonary metastasectomy and of new drugs (cetuximab and nivolumab), in the chemo group were also assessed. The 3-year OS rates and median OS were: Ope, 66.1% and 31.5 months; Chemo, 39.7% and 18 months, respectively. In the Ope group, addi-tional recurrences were significantly fewer in the patients who underwent adjuvant chemotherapy post-surgery versus the patients who underwent surgery alone (p = 0.013). In the Chemo group, the 3-year OS rate of the patients who received new drugs was significantly better than that of the patients who did not (p = 0.021). Adjuvant chemotherapy after pulmonary metastasectomy may be a preferable treatment option for preventing recurrences. Cetuximab and nivolumab have a potential to improve OS. en-copyright= kn-copyright= en-aut-name=MiyamaruSatoru en-aut-sei=Miyamaru en-aut-mei=Satoru kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=MurakamiDaizo en-aut-sei=Murakami en-aut-mei=Daizo kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=NishimotoKohei en-aut-sei=Nishimoto en-aut-mei=Kohei kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=SaitoHaruki en-aut-sei=Saito en-aut-mei=Haruki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= en-aut-name=MiyamotoYusuke en-aut-sei=Miyamoto en-aut-mei=Yusuke kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=5 ORCID= en-aut-name=HirotaKaoruko en-aut-sei=Hirota en-aut-mei=Kaoruko kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=6 ORCID= en-aut-name=IseMomoko en-aut-sei=Ise en-aut-mei=Momoko kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=7 ORCID= en-aut-name=OritaYorihisa en-aut-sei=Orita en-aut-mei=Yorihisa kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=8 ORCID= affil-num=1 en-affil=Department of Otolaryngology-Head and Neck Surgery, Graduate School of Medicine, Kumamoto University kn-affil= affil-num=2 en-affil=Department of Otolaryngology-Head and Neck Surgery, Graduate School of Medicine, Kumamoto University kn-affil= affil-num=3 en-affil=Department of Otolaryngology-Head and Neck Surgery, Graduate School of Medicine, Kumamoto University kn-affil= affil-num=4 en-affil=Department of Otolaryngology-Head and Neck Surgery, Graduate School of Medicine, Kumamoto University kn-affil= affil-num=5 en-affil=Department of Otolaryngology-Head and Neck Surgery, Graduate School of Medicine, Kumamoto University kn-affil= affil-num=6 en-affil=Department of Otolaryngology-Head and Neck Surgery, Graduate School of Medicine, Kumamoto University kn-affil= affil-num=7 en-affil=Department of Otolaryngology-Head and Neck Surgery, Graduate School of Medicine, Kumamoto University kn-affil= affil-num=8 en-affil=Department of Otolaryngology-Head and Neck Surgery, Graduate School of Medicine, Kumamoto University kn-affil= en-keyword=pulmonary metastasis kn-keyword=pulmonary metastasis en-keyword=head and neck squamous cell carcinoma kn-keyword=head and neck squamous cell carcinoma en-keyword=pulmonary metastasectomy kn-keyword=pulmonary metastasectomy en-keyword=adjuvant chemotherapy kn-keyword=adjuvant chemotherapy END start-ver=1.4 cd-journal=joma no-vol=9 cd-vols= no-issue=1 article-no= start-page=45 end-page= dt-received= dt-revised= dt-accepted= dt-pub-year=2020 dt-pub=20201228 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Cancer Stem Cell Microenvironment Models with Biomaterial Scaffolds In Vitro en-subtitle= kn-subtitle= en-abstract= kn-abstract=Defined by its potential for self-renewal, differentiation and tumorigenicity, cancer stem cells (CSCs) are considered responsible for drug resistance and relapse. To understand the behavior of CSC, the effects of the microenvironment in each tissue are a matter of great concerns for scientists in cancer biology. However, there are many complicated obstacles in the mimicking the microenvironment of CSCs even with current advanced technology. In this context, novel biomaterials have widely been assessed as in vitro platforms for their ability to mimic cancer microenvironment. These efforts should be successful to identify and characterize various CSCs specific in each type of cancer. Therefore, extracellular matrix scaffolds made of biomaterial will modulate the interactions and facilitate the investigation of CSC associated with biological phenomena simplifying the complexity of the microenvironment. In this review, we summarize latest advances in biomaterial scaffolds, which are exploited to mimic CSC microenvironment, and their chemical and biological requirements with discussion. The discussion includes the possible effects on both cells in tumors and microenvironment to propose what the critical factors are in controlling the CSC microenvironment focusing the future investigation. Our insights on their availability in drug screening will also follow the discussion. en-copyright= kn-copyright= en-aut-name=HassanGhmkin en-aut-sei=Hassan en-aut-mei=Ghmkin kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=AfifySaid M. en-aut-sei=Afify en-aut-mei=Said M. kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=KitanoShiro en-aut-sei=Kitano en-aut-mei=Shiro kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=SenoAkimasa en-aut-sei=Seno en-aut-mei=Akimasa kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= en-aut-name=IshiiHiroko en-aut-sei=Ishii en-aut-mei=Hiroko kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=5 ORCID= en-aut-name=ShangYucheng en-aut-sei=Shang en-aut-mei=Yucheng kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=6 ORCID= en-aut-name=MatsusakiMichiya en-aut-sei=Matsusaki en-aut-mei=Michiya kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=7 ORCID= en-aut-name=SenoMasaharu en-aut-sei=Seno en-aut-mei=Masaharu kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=8 ORCID= affil-num=1 en-affil=Graduate School of Interdisciplinary Science and Engineering in Health Systems, Okayama University kn-affil= affil-num=2 en-affil=Graduate School of Interdisciplinary Science and Engineering in Health Systems, Okayama University kn-affil= affil-num=3 en-affil=Technical Research Institute, Toppan Printing Co., Ltd. kn-affil= affil-num=4 en-affil=Graduate School of Interdisciplinary Science and Engineering in Health Systems, Okayama University kn-affil= affil-num=5 en-affil=GSP Enterprise, Inc. kn-affil= affil-num=6 en-affil=Department of Applied Chemistry, Graduate School of Engineering, Osaka University kn-affil= affil-num=7 en-affil=Department of Applied Chemistry, Graduate School of Engineering, Osaka University kn-affil= affil-num=8 en-affil=Graduate School of Interdisciplinary Science and Engineering in Health Systems, Okayama University kn-affil= en-keyword=cancer stem cells kn-keyword=cancer stem cells en-keyword=biomaterial scaffolds kn-keyword=biomaterial scaffolds en-keyword=tumor microenvironment kn-keyword=tumor microenvironment en-keyword=drug screening kn-keyword=drug screening END start-ver=1.4 cd-journal=joma no-vol=295 cd-vols= no-issue=14 article-no= start-page=4464 end-page=4476 dt-received= dt-revised= dt-accepted= dt-pub-year=2020 dt-pub=20200403 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=In vivo crystals reveal critical features of the interaction between cystic fibrosis transmembrane conductance regulator (CFTR) and the PDZ2 domain of Na+/H+ exchange cofactor NHERF1 en-subtitle= kn-subtitle= en-abstract= kn-abstract=Crystallization of recombinant proteins has been fundamental to our understanding of protein function, dysfunction, and molecular recognition. However, this information has often been gleaned under extremely nonphysiological protein, salt, and H+ concentrations. Here, we describe the development of a robust Inka1-Box (iBox)–PAK4cat system that spontaneously crystallizes in several mammalian cell types. The semi-quantitative assay described here allows the measurement of in vivo protein-protein interactions using a novel GFP-linked reporter system that produces fluorescent readouts from protein crystals. We combined this assay with in vitro X-ray crystallography and molecular dynamics studies to characterize the molecular determinants of the interaction between the PDZ2 domain of Na+/H+ exchange regulatory cofactor NHE-RF1 (NHERF1) and cystic fibrosis transmembrane conductance regulator (CFTR), a protein complex pertinent to the genetic disease cystic fibrosis. These experiments revealed the crystal structure of the extended PDZ domain of NHERF1 and indicated, contrary to what has been previously reported, that residue selection at positions −1 and −3 of the PDZ-binding motif influences the affinity and specificity of the NHERF1 PDZ2-CFTR interaction. Our results suggest that this system could be utilized to screen additional protein-protein interactions, provided they can be accommodated within the spacious iBox-PAK4cat lattice. en-copyright= kn-copyright= en-aut-name=MartinEleanor R. en-aut-sei=Martin en-aut-mei=Eleanor R. kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=BarbieriAlessandro en-aut-sei=Barbieri en-aut-mei=Alessandro kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=FordRobert C. en-aut-sei=Ford en-aut-mei=Robert C. kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=RobinsonRobert C. en-aut-sei=Robinson en-aut-mei=Robert C. kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= affil-num=1 en-affil=School of Biological Sciences, Faculty of Biology Medicine and Health, Michael Smith Building, The University of Manchester kn-affil= affil-num=2 en-affil=School of Biological Sciences, Faculty of Biology Medicine and Health, Michael Smith Building, The University of Manchester kn-affil= affil-num=3 en-affil=School of Biological Sciences, Faculty of Biology Medicine and Health, Michael Smith Building, The University of Manchester kn-affil= affil-num=4 en-affil=Research Institute for Interdisciplinary Science, Okayama University kn-affil= en-keyword=PDZ domain kn-keyword=PDZ domain en-keyword=X-ray crystallography kn-keyword=X-ray crystallography en-keyword=molecular modeling kn-keyword=molecular modeling en-keyword=protein complex kn-keyword=protein complex en-keyword=protein crystallization kn-keyword=protein crystallization en-keyword=crystal structure kn-keyword=crystal structure en-keyword=cystic fibrosis transmembrane conductance regulator (CFTR) kn-keyword=cystic fibrosis transmembrane conductance regulator (CFTR) en-keyword=cystic fibrosis kn-keyword=cystic fibrosis en-keyword=ion channel kn-keyword=ion channel en-keyword=protein-protein interaction kn-keyword=protein-protein interaction en-keyword=SLC9A3 regulator 1 (SLC9A3R1) kn-keyword=SLC9A3 regulator 1 (SLC9A3R1) END start-ver=1.4 cd-journal=joma no-vol=59 cd-vols= no-issue=2 article-no= start-page=163 end-page=167 dt-received= dt-revised= dt-accepted= dt-pub-year=2020 dt-pub=20200115 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Managing Lung Cancer with Comorbid Interstitial Pneumonia en-subtitle= kn-subtitle= en-abstract= kn-abstract=Systemic therapy for advanced non-small cell lung cancer (NSCLC) has dramatically changed in the latest 15 years. Molecular-targeted therapy has brought about an era of precision medicine, and immune checkpoint inhibitors have brought hope for a cure for advanced NSCLC. In the wake of this remarkable advancement, lung cancer with comorbid interstitial pneumonia (IP) has been completely left behind, as most clinical trials exclude patients with comorbid IP. IP, especially idiopathic pulmonary fibrosis (IPF), is often accompanied by lung cancer, and acute exacerbation can develop during various cancer therapies, including surgery, radiotherapy and pharmacotherapy. In this review, we focus on the clinical questions concerning pharmacotherapy in cases of advanced lung cancer with comorbid IP and discuss what we can do with the currently available data. en-copyright= kn-copyright= en-aut-name=IchiharaEiki en-aut-sei=Ichihara en-aut-mei=Eiki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=MiyaharaNobuaki en-aut-sei=Miyahara en-aut-mei=Nobuaki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=MaedaYoshinobu en-aut-sei=Maeda en-aut-mei=Yoshinobu kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=KiuraKatsuyuki en-aut-sei=Kiura en-aut-mei=Katsuyuki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= affil-num=1 en-affil=Department of Allergy and Respiratory Medicine, Okayama University Hospital kn-affil= affil-num=2 en-affil=Department of Medical Technology, Okayama University Graduate School of Health Sciences kn-affil= affil-num=3 en-affil=Department of Hematology, Oncology and Respiratory Medicine, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences kn-affil= affil-num=4 en-affil=Department of Allergy and Respiratory Medicine, Okayama University Hospital kn-affil= en-keyword=lung cancer kn-keyword=lung cancer en-keyword=interstitial pneumonia kn-keyword=interstitial pneumonia END start-ver=1.4 cd-journal=joma no-vol=74 cd-vols= no-issue=6 article-no= start-page=483 end-page=493 dt-received= dt-revised= dt-accepted= dt-pub-year=2020 dt-pub=202012 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Potential of Artificial Intelligence for Estimating Japanese Fetal Weights en-subtitle= kn-subtitle= en-abstract= kn-abstract=We developed an artificial intelligence (AI) method for estimating fetal weights of Japanese fetuses based on the gestational weeks and the bi-parietal diameter, abdominal circumference, and femur length. The AI comprised of neural network architecture was trained by deep learning with a dataset that consists of ± 2 standard devia-tion (SD), ± 1.5SD, and ± 0SD categories of the approved standard values of ultrasonic measurements of the fetal weights of Japanese fetuses (Japan Society of Ultrasonics in Medicine [JSUM] data). We investigated the residuals and compared 2 other regression formulae for estimating the fetal weights of Japanese fetuses by t-test and Bland-Altman analyses, respectively. The residuals of the AI for the test dataset that was 12.5% of the JSUM data were 6.4 ± 2.6, −3.8 ± 8.6, and −0.32 ± 6.3 (g) at −2SD, +2SD, and all categories, respectively. The residu-als of another AI method created with all of the JSUM data, of which 20% were randomized validation data, were −1.5 ± 9.4, −2.5 ± 7.3, and −1.1 ± 6.7 (g) for −2SD, +2SD, and all categories, respectively. The residuals of this AI were not different from zero, whereas those of the published formulae differed from zero. Though vali-dation is required, the AI demonstrated potential for generating fetal weights accurately, especially for extreme fetal weights. en-copyright= kn-copyright= en-aut-name=MiyagiYasunari en-aut-sei=Miyagi en-aut-mei=Yasunari kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=MiyakeTakahito en-aut-sei=Miyake en-aut-mei=Takahito kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= affil-num=1 en-affil=Medical Data Labo kn-affil= affil-num=2 en-affil=Department of Obstetrics and Gynecology, Miyake Clinic kn-affil= en-keyword=deep learning kn-keyword=deep learning en-keyword=artificial intelligence kn-keyword=artificial intelligence en-keyword=fetal weight kn-keyword=fetal weight en-keyword=neural network kn-keyword=neural network en-keyword=ultrasound biometry kn-keyword=ultrasound biometry END start-ver=1.4 cd-journal=joma no-vol=74 cd-vols= no-issue=6 article-no= start-page=475 end-page=481 dt-received= dt-revised= dt-accepted= dt-pub-year=2020 dt-pub=202012 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Prevention of Post-Endoscopic Retrograde Cholangiopancreatography Pancreatitis by Endoscopic Pancreatic Stenting after Insertion of Self-Expandable Metal Stent for Malignant Distal Biliary Stricture en-subtitle= kn-subtitle= en-abstract= kn-abstract=The insertion of a self-expandable metal stent (SEMS) for nonpancreatic cancer is a factor predicting the risk of post-endoscopic retrograde cholangiopancreatography pancreatitis (PEP). We evaluated the efficacy of endo-scopic pancreatic stenting (EPS) to prevent PEP after SEMS insertion in patients with malignant distal biliary stricture and without main pancreatic duct (MPD) obstruction. We performed a single-center, retrospective, historically controlled investigation to assess the outcomes of 33 consecutive patients who underwent SEMS insertion. From March 2013 to June 2015, 13 patients did not undergo EPS (Non-EPS group). The other 20 patients underwent EPS (EPS group) between July 2015 and August 2018. The background data demonstrated no significant differences. Except for one patient in the Non-EPS group, all patients underwent biliary sphinc-terotomy. The EPS group’s PEP incidence was significantly lower (n = 1, 5%) than that of the Non-EPS group (n = 4, 31%) (p = 0.04). The median serum amylase and lipase levels after the procedure were significantly lower in the EPS group than in the Non-EPS group (amylase: 104 vs. 262 U/L; p < 0.01, lipase: 102 vs. 666 U/L; p = 0.01). The use of EPS decreased the incidence of PEP after SEMS insertion in individuals with malignant distal biliary stricture and without MPD obstruction. en-copyright= kn-copyright= en-aut-name=HaradaRyo en-aut-sei=Harada en-aut-mei=Ryo kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=SatoRyosuke en-aut-sei=Sato en-aut-mei=Ryosuke kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=TsutsuiTomoaki en-aut-sei=Tsutsui en-aut-mei=Tomoaki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=HattoriNao en-aut-sei=Hattori en-aut-mei=Nao kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= en-aut-name=InoueMasafumi en-aut-sei=Inoue en-aut-mei=Masafumi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=5 ORCID= en-aut-name=KobashiHaruhiko en-aut-sei=Kobashi en-aut-mei=Haruhiko kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=6 ORCID= affil-num=1 en-affil=Department of Gastroenterology and Hepatology, Japanese Red Cross Okayama Hospital kn-affil= affil-num=2 en-affil=Department of Gastroenterology and Hepatology, Japanese Red Cross Okayama Hospital kn-affil= affil-num=3 en-affil=Department of Gastroenterology and Hepatology, Japanese Red Cross Okayama Hospital kn-affil= affil-num=4 en-affil=Department of Gastroenterology and Hepatology, Japanese Red Cross Okayama Hospital kn-affil= affil-num=5 en-affil=Department of Gastroenterology and Hepatology, Japanese Red Cross Okayama Hospital kn-affil= affil-num=6 en-affil=Department of Gastroenterology and Hepatology, Japanese Red Cross Okayama Hospital kn-affil= en-keyword=post-endoscopic retrograde cholangiopancreatography pancreatitis kn-keyword=post-endoscopic retrograde cholangiopancreatography pancreatitis en-keyword=endoscopic pancreatic stent kn-keyword=endoscopic pancreatic stent en-keyword=main pancreatic duct obstruction kn-keyword=main pancreatic duct obstruction en-keyword=self-expandable metal stent kn-keyword=self-expandable metal stent en-keyword=distal biliary stricture kn-keyword=distal biliary stricture END start-ver=1.4 cd-journal=joma no-vol=244 cd-vols= no-issue= article-no= start-page=75 end-page=83 dt-received= dt-revised= dt-accepted= dt-pub-year=2018 dt-pub=20180115 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=A neo-virus lifestyle exhibited by a (+)ssRNA virus hosted in an unrelated dsRNA virus: Taxonomic and evolutionary considerations en-subtitle= kn-subtitle= en-abstract= kn-abstract=Recent studies illustrate that fungi as virus hosts provides a unique platform for hunting viruses and exploring virus/virus and virus/host interactions. Such studies have revealed a number of as-yet-unreported viruses and virus/virus interactions. Among them is a unique intimate relationship between a (+)ssRNA virus, yado-kari virus (YkV1) and an unrelated dsRNA virus, yado-nushi virus (YnV1). YkV1 dsRNA, a replicated form of YkV1, and RNA-dependent RNA polymerase, are trans-encapsidated by the capsid protein of YnV1. While YnV1 can complete its replication cycle, YkV1 relies on YnV1 for its viability. We previously proposed a model in which YkV1 diverts YnV1 capsids as the replication sites. YkV1 is neither satellite virus nor satellite RNA, because YkV1 appears to encode functional RdRp and enhances YnV1 accumulation. This represents a unique mutualistic virus/virus interplay and similar relations in other virus/host fungus systems are detectable. We propose to establish the family Yadokariviridae that accommodates YkV1 and recently discovered viruses phylogenetically related to YkV1. This article overviews what is known and unknown about the YkV1/YnV1 interactions. Also discussed are the YnV1 Phytoreo_S7 and YkV1 2A-like domains that may have been captured via horizontal transfer during the course of evolution and are conserved across extant diverse RNA viruses. Lastly, evolutionary scenarios are envisioned for YkV1 and YnV1. en-copyright= kn-copyright= en-aut-name=HisanoSakae en-aut-sei=Hisano en-aut-mei=Sakae kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=ZhangRui en-aut-sei=Zhang en-aut-mei=Rui kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=FarukMd. Iqbal en-aut-sei=Faruk en-aut-mei=Md. Iqbal kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=KondoHideki en-aut-sei=Kondo en-aut-mei=Hideki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= en-aut-name=SuzukiNobuhiro en-aut-sei=Suzuki en-aut-mei=Nobuhiro kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=5 ORCID= affil-num=1 en-affil=Institute of Plant Science and Resources (IPSR), Okayama University kn-affil= affil-num=2 en-affil=Institute of Plant Science and Resources (IPSR), Okayama University kn-affil= affil-num=3 en-affil=Institute of Plant Science and Resources (IPSR), Okayama University kn-affil= affil-num=4 en-affil=Institute of Plant Science and Resources (IPSR), Okayama University kn-affil= affil-num=5 en-affil=Institute of Plant Science and Resources (IPSR), Okayama University kn-affil= en-keyword=Yado-nushi virus kn-keyword=Yado-nushi virus en-keyword=Yado-kari virus kn-keyword=Yado-kari virus en-keyword=Mutualism kn-keyword=Mutualism en-keyword=Mycovirus kn-keyword=Mycovirus en-keyword=dsRNA kn-keyword=dsRNA en-keyword=Evolution kn-keyword=Evolution END start-ver=1.4 cd-journal=joma no-vol=74 cd-vols= no-issue=5 article-no= start-page=381 end-page=389 dt-received= dt-revised= dt-accepted= dt-pub-year=2020 dt-pub=202010 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Clinical Relevance of Serum Prolactin Levels to Inflammatory Reaction in Male Patients en-subtitle= kn-subtitle= en-abstract= kn-abstract=To clarify the relevance of prolactin (PRL) to clinical parameters in patients who visited our general medicine department, medical records of 353 patients in whom serum PRL levels were measured during the period from 2016 to 2018 were retrospectively reviewed. Data for 140 patients (M/F: 42/98) were analyzed after excluding patients lacking detailed records and patients taking dopaminergic agents. Median serum PRL levels were significantly lower in males than females: 6.5 ng/ml (IQR: 4.2-10.3) versus 8.1 ng/ml (5.9-12.9), respectively. Pain and general fatigue were the major symptoms at the first visit, and past histories of hypertension and dyslipidemia were frequent. Male patients with relatively high PRL levels (≥ 10 ng/ml) had significantly lower levels of serum albumin and significantly higher levels of serum LDH than those with low PRL (< 10 ng/ml). There were significant correlations of male PRL level with the erythrocyte sedimentation rate (R=0.62), serum LDH level (R=0.39) and serum albumin level (R=−0.52), while the level of serum CRP (R=0.33) showed an insignificant but weak positive correlation with PRL level. Collectively, these results show that PRL levels had gender-specific relevance to various clinical factors, with PRL levels in males being significantly related to inflammatory status. en-copyright= kn-copyright= en-aut-name=YamamotoKoichiro en-aut-sei=Yamamoto en-aut-mei=Koichiro kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=HanayamaYoshihisa en-aut-sei=Hanayama en-aut-mei=Yoshihisa kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=HasegawaKou en-aut-sei=Hasegawa en-aut-mei=Kou kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=TokumasuKazuki en-aut-sei=Tokumasu en-aut-mei=Kazuki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= en-aut-name=MiyoshiTomoko en-aut-sei=Miyoshi en-aut-mei=Tomoko kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=5 ORCID= en-aut-name=HagiyaHideharu en-aut-sei=Hagiya en-aut-mei=Hideharu kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=6 ORCID= en-aut-name=OgawaHiroko en-aut-sei=Ogawa en-aut-mei=Hiroko kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=7 ORCID= en-aut-name=ObikaMikako en-aut-sei=Obika en-aut-mei=Mikako kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=8 ORCID= en-aut-name=ItoshimaKoichi en-aut-sei=Itoshima en-aut-mei=Koichi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=9 ORCID= en-aut-name=OtsukaFumio en-aut-sei=Otsuka en-aut-mei=Fumio kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=10 ORCID= affil-num=1 en-affil=Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=2 en-affil=Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=3 en-affil=Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=4 en-affil=Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=5 en-affil=Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=6 en-affil=Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=7 en-affil=Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=8 en-affil=Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=9 en-affil=Department of Laboratory Medicine, Okayama University Hospital kn-affil= affil-num=10 en-affil=Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= en-keyword=hormones kn-keyword=hormones en-keyword=hyperprolactinemia kn-keyword=hyperprolactinemia en-keyword=inflammation kn-keyword=inflammation en-keyword=pituitary kn-keyword=pituitary en-keyword=prolactin kn-keyword=prolactin END start-ver=1.4 cd-journal=joma no-vol=47 cd-vols= no-issue=2 article-no= start-page=429 end-page=435 dt-received= dt-revised= dt-accepted= dt-pub-year=2020 dt-pub=20200618 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=The adequacy of resection margin for non-infiltrative soft-tissue sarcomas en-subtitle= kn-subtitle= en-abstract= kn-abstract=Objectives
There remains no consensus on what constitutes an adequate margin of resection for non-infiltrative soft-tissue sarcomas (STSs). We aimed to investigate the role of resection margins in millimetres for non-infiltrative STSs.
Methods
502 patients who underwent surgical resection for a localized, non-infiltrative, high-grade STSs were studied. The prognostic significance of margin width was analysed and compared with the conventional R- and R+1-classification of surgical margins.
Results
The overall local recurrence (LR) rate was 13%; 9% and 27% with negative and positive margins, respectively (p < 0.001). In patients with negative margins, the LR rates were greater than 10% in patients with margins ≤5.0 mm but reduced to less than 4% with margins >5.0 mm. When classified by the R- (or R+1)-classification, the 5-year cumulative LR incidence was 8%, 23% (16%), and 31% for R0, R1, and R2, respectively, which did not stratify the LR risk with negative margins. On the other hand, an accurate risk stratification was possible by metric distance; the 5-year cumulative incidence of LR was 29%, 10%, and 1% with 0 mm, 0.1–5.0 mm, and >5.0 mm, respectively (p < 0.001). This classification also stratified the LR risk in patients with or without adjuvant radiotherapy.
Conclusion
While a negative margin is essential to optimize local control in patients with non-infiltrative STSs, surgical margin width greater than 5 mm minimises the risk of local failure regardless of the use of adjuvant radiotherapy. en-copyright= kn-copyright= en-aut-name=FujiwaraTomohiro en-aut-sei=Fujiwara en-aut-mei=Tomohiro kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=StevensonJonathan en-aut-sei=Stevenson en-aut-mei=Jonathan kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=ParryMichael en-aut-sei=Parry en-aut-mei=Michael kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=TsudaYusuke en-aut-sei=Tsuda en-aut-mei=Yusuke kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= en-aut-name=KaneuchiYoichi en-aut-sei=Kaneuchi en-aut-mei=Yoichi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=5 ORCID= en-aut-name=JeysLee en-aut-sei=Jeys en-aut-mei=Lee kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=6 ORCID= affil-num=1 en-affil=Department of Orthopaedic Surgery, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences kn-affil= affil-num=2 en-affil=Oncology Service, The Royal Orthopaedic Hospital kn-affil= affil-num=3 en-affil=Oncology Service, The Royal Orthopaedic Hospital kn-affil= affil-num=4 en-affil=Oncology Service, The Royal Orthopaedic Hospital kn-affil= affil-num=5 en-affil=Oncology Service, The Royal Orthopaedic Hospital kn-affil= affil-num=6 en-affil=Oncology Service, The Royal Orthopaedic Hospital kn-affil= en-keyword=Soft-tissue sarcoma kn-keyword=Soft-tissue sarcoma en-keyword=Non-infiltrative subtype kn-keyword=Non-infiltrative subtype en-keyword=Margin kn-keyword=Margin en-keyword=Local recurrence kn-keyword=Local recurrence en-keyword=Prognosis kn-keyword=Prognosis END start-ver=1.4 cd-journal=joma no-vol=35 cd-vols= no-issue= article-no= start-page=303 end-page=308 dt-received= dt-revised= dt-accepted= dt-pub-year=2020 dt-pub=20200826 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Low-grade soft-tissue sarcomas: What is an adequate margin for local disease control? en-subtitle= kn-subtitle= en-abstract= kn-abstract=Background
Whilst the resection margin is an established factor predictive of local control of soft-tissue sarcomas (STSs), the adequacy of margin width for low-grade STSs has been rarely described. We aimed to investigate the margin adequacy and its prognostic relevance in low-grade STSs.
Methods
109 patients who underwent surgical treatment for a low-grade STS were studied. The prognostic value of margin status was evaluated according to the R–, R+1–classification, and width in millimetres.
Results
The 10-year local recurrence (LR) rates were 6%, 27%, 54% in R0, R1, and R2, respectively (p < 0.001), according to the R–classification. The R+1–classification resulted in a decreased LR rate in R1, but no major differences in LR rates in R0 and R2; 7%, 14%, 54% in R0, R1, and R2, respectively (p < 0.001). When classified by metric distance, 10-year LR rates were 0%, 8%, and 38% by ≥ 2.0 mm, 0.1–1.9 mm, and 0 mm margins, respectively (p < 0.001). Patients with close margins (0.1–1.9 mm) who received adjuvant radiotherapy had a trend toward lower LR risk than those without radiotherapy (10-year, 4% vs. 12%; p = 0.406). The 5 and 10-year disease-specific mortality was 9% and 13%, respectively; margin width was not associated with disease-specific mortality but LR was a poor prognostic factor for survival (p = 0.003).
Conclusion
Whilst negative margin provided local control over 90%, excellent local control was achieved with microscopic margins ≥2 mm. The role of margins is more important than radiotherapy in local control. Margins do not determine survival, but LR is associated with a poor prognosis. en-copyright= kn-copyright= en-aut-name=FujiwaraTomohiro en-aut-sei=Fujiwara en-aut-mei=Tomohiro kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=KaneuchiYoichi en-aut-sei=Kaneuchi en-aut-mei=Yoichi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=TsudaYusuke en-aut-sei=Tsuda en-aut-mei=Yusuke kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=StevensonJonathan en-aut-sei=Stevenson en-aut-mei=Jonathan kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= en-aut-name=ParryMichael en-aut-sei=Parry en-aut-mei=Michael kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=5 ORCID= en-aut-name=JeysLee en-aut-sei=Jeys en-aut-mei=Lee kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=6 ORCID= affil-num=1 en-affil=Department of Orthopaedic Surgery, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences kn-affil= affil-num=2 en-affil=Oncology Service, The Royal Orthopaedic Hospital NHS Foundation Trust kn-affil= affil-num=3 en-affil=Oncology Service, The Royal Orthopaedic Hospital NHS Foundation Trust kn-affil= affil-num=4 en-affil=Oncology Service, The Royal Orthopaedic Hospital NHS Foundation Trust kn-affil= affil-num=5 en-affil=Oncology Service, The Royal Orthopaedic Hospital NHS Foundation Trust kn-affil= affil-num=6 en-affil=Oncology Service, The Royal Orthopaedic Hospital NHS Foundation Trust kn-affil= en-keyword=Soft-tissue sarcoma kn-keyword=Soft-tissue sarcoma en-keyword=Low-grade kn-keyword=Low-grade en-keyword=Surgery kn-keyword=Surgery en-keyword=Margin kn-keyword=Margin en-keyword=Local control kn-keyword=Local control END start-ver=1.4 cd-journal=joma no-vol=74 cd-vols= no-issue=4 article-no= start-page=285 end-page=291 dt-received= dt-revised= dt-accepted= dt-pub-year=2020 dt-pub=202008 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Comparison of Two Different Intensive Care Unit Systems for Severely Ill Children in Japan: Data from the JaRPAC Registry en-subtitle= kn-subtitle= en-abstract= kn-abstract=The importance of centralizing treatment services for severely ill children has been well established, but such entralization remains difficult in Japan. We aimed to compare the trauma and illness severity and mortality of children admitted to two common types of ICUs for children. According to the type of management and disposition of the medical provider, we classified ICUs as pediatric ICUs [PICUs] or general ICUs, and analyzed differences in endogenous and exogenous illness settings between them. Overall, 1,333 pediatric patients were included, with 1,143 patients admitted to PICUs and 190 patients to general ICUs. The Pediatric Cerebral Performance Category score (PCPC) at discharge was significantly lower in the PICU group (adjusted OR: 0.45; 95%CI: 0.23-0.88). Death and unfavorable neurological outcomes occurred less often in the PICU group (adjusted OR: 0.29; 95%CI: 0.14-0.60). However, when limited to exogenous illness, PCPC scores (adjusted OR: 0.38; 95%CI: 0.07-1.99) or death/unfavorable outcomes (adjusted OR: 0.72; 95%CI: 0.08-6.34) did not differ between the groups. PCPC deterioration and overall sequelae/death rates were lower in PICUs for children with endogenous illnesses, although the outcomes of exogenous illness were similar between the 2 unit types. Further studies on the necessity of centralization are warranted. en-copyright= kn-copyright= en-aut-name=TsukaharaKohei en-aut-sei=Tsukahara en-aut-mei=Kohei kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=NaitouHiromichi en-aut-sei=Naitou en-aut-mei=Hiromichi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=YorifujiTakashi en-aut-sei=Yorifuji en-aut-mei=Takashi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=NosakaNobuyuki en-aut-sei=Nosaka en-aut-mei=Nobuyuki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= en-aut-name=YamamotoHirotsugu en-aut-sei=Yamamoto en-aut-mei=Hirotsugu kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=5 ORCID= en-aut-name=OsakoTakaaki en-aut-sei=Osako en-aut-mei=Takaaki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=6 ORCID= en-aut-name=NakaoAtsunori en-aut-sei=Nakao en-aut-mei=Atsunori kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=7 ORCID= en-aut-name=the JaRPAC Study Group en-aut-sei=the JaRPAC Study Group en-aut-mei= kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=8 ORCID= affil-num=1 en-affil=Department of Emergency, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=2 en-affil=Department of Emergency, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=3 en-affil=Department of Epidemiology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=4 en-affil=Department of Pediatrics, Cedars-Sinai Medical Center kn-affil= affil-num=5 en-affil=Department of Emergency, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=6 en-affil=Department of Emergency, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=7 en-affil=Department of Emergency, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=8 en-affil= kn-affil= en-keyword=kids kn-keyword=kids en-keyword=critical care kn-keyword=critical care en-keyword=mortality kn-keyword=mortality en-keyword=morbidity kn-keyword=morbidity en-keyword=centralization kn-keyword=centralization END start-ver=1.4 cd-journal=joma no-vol=132 cd-vols= no-issue=1 article-no= start-page=18 end-page=24 dt-received= dt-revised= dt-accepted= dt-pub-year=2020 dt-pub=20200401 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=What should we adjust in multiple regression models? : Biases in observational studies kn-title=多変量解析で何を調整するべきか―観察研究におけるバイアスの整理― en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=YorifujiTakashi en-aut-sei=Yorifuji en-aut-mei=Takashi kn-aut-name=頼藤貴志 kn-aut-sei=頼藤 kn-aut-mei=貴志 aut-affil-num=1 ORCID= affil-num=1 en-affil=Department of Epidemiology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil=岡山大学大学院医歯薬学総合研究科 疫学・衛生学 en-keyword=疫学 kn-keyword=疫学 en-keyword=臨床研究 kn-keyword=臨床研究 en-keyword=観察研究 kn-keyword=観察研究 en-keyword=交絡要因 kn-keyword=交絡要因 en-keyword=交絡バイアス kn-keyword=交絡バイアス END start-ver=1.4 cd-journal=joma no-vol=106 cd-vols= no-issue=3 article-no= start-page=469 end-page=473 dt-received= dt-revised= dt-accepted= dt-pub-year=2020 dt-pub=20200408 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Transtibial pullout repair of the lateral meniscus posterior root tear combined with anterior cruciate ligament reconstruction reduces lateral meniscus extrusion: A retrospective study en-subtitle= kn-subtitle= en-abstract= kn-abstract=Background
Lateral meniscus (LM) posterior root tear (PRT) is often associated with anterior cruciate ligament (ACL) injury and can result in rotational instability, joint overloading, and degenerative changes in the knee. Improved rotational stability and kinematics have been reported after LMPRT repair. However, it is unclear what repair technique can achieve the greatest reduction in LM extrusion (LME).
Hypothesis
We hypothesized that transtibial pullout repair would decrease LME to a greater extent than other repair techniques.
Patients and methods
Seventeen patients with ACL injury and complete LMPRT were evaluated. Nine underwent ACL reconstruction (ACLR) and transtibial pullout repair, and eight underwent ACLR and other repairs such as inside-out suturing. Double-bundle ACLR was performed using hamstring tendons, and LMPRT pullout repair was performed through the bone tunnel for the posterolateral bundle. Magnetic resonance imaging was performed immediately preoperatively and at > 6 months postoperatively, and LME was measured from coronal images only.
Results
A significantly greater decrease in the value of LME from pre- to postoperative measurement was observed in the transtibial pullout repair group (−0.5 ± 0.7 mm) than in the other-repair group (1.0 ± 0.9 mm, p < 0.01). Pre- and postoperative LME measurements were not significantly different between the two groups.
Discussion
The most important finding of this study was that transtibial pullout repair resulted in a greater decrease in LME than other repair techniques in patients with ACL injury and LMPRT. This technique might be useful for restoring hoop tension by decreasing LME. en-copyright= kn-copyright= en-aut-name=OkazakiYuki en-aut-sei=Okazaki en-aut-mei=Yuki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=FurumatsuTakayuki en-aut-sei=Furumatsu en-aut-mei=Takayuki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=KamatsukiYusuke en-aut-sei=Kamatsuki en-aut-mei=Yusuke kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=OkazakiYoshiki en-aut-sei=Okazaki en-aut-mei=Yoshiki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= en-aut-name=MasudaShin en-aut-sei=Masuda en-aut-mei=Shin kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=5 ORCID= en-aut-name=HiranakaTakaaki en-aut-sei=Hiranaka en-aut-mei=Takaaki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=6 ORCID= en-aut-name=KodamaYuya en-aut-sei=Kodama en-aut-mei=Yuya kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=7 ORCID= en-aut-name=MiyazawaShinichi en-aut-sei=Miyazawa en-aut-mei=Shinichi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=8 ORCID= en-aut-name=OzakiToshifumi en-aut-sei=Ozaki en-aut-mei=Toshifumi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=9 ORCID= affil-num=1 en-affil=Department of Orthopedic Surgery, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences kn-affil= affil-num=2 en-affil=Department of Orthopedic Surgery, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences kn-affil= affil-num=3 en-affil=Department of Orthopedic Surgery, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences kn-affil= affil-num=4 en-affil=Department of Orthopedic Surgery, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences kn-affil= affil-num=5 en-affil=Department of Orthopedic Surgery, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences kn-affil= affil-num=6 en-affil=Department of Orthopedic Surgery, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences kn-affil= affil-num=7 en-affil=Department of Orthopedic Surgery, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences kn-affil= affil-num=8 en-affil=Department of Orthopedic Surgery, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences kn-affil= affil-num=9 en-affil=Department of Orthopedic Surgery, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences kn-affil= en-keyword=Anterior cruciate ligament kn-keyword=Anterior cruciate ligament en-keyword=Lateral meniscus kn-keyword=Lateral meniscus en-keyword=Posterior root tear kn-keyword=Posterior root tear en-keyword=Transtibial pullout repair kn-keyword=Transtibial pullout repair en-keyword=Meniscus extrusion kn-keyword=Meniscus extrusion END start-ver=1.4 cd-journal=joma no-vol=25 cd-vols= no-issue=5 article-no= start-page=1144 end-page= dt-received= dt-revised= dt-accepted= dt-pub-year=2020 dt-pub=20200304 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Systematic Investigations of Annealing and Functionalization of Carbon Nanotube Yarns en-subtitle= kn-subtitle= en-abstract= kn-abstract=Carbon nanotube yarns (CNY) are a novel carbonaceous material and have received a great deal of interest since the beginning of the 21st century. CNY are of particular interest due to their useful heat conducting, electrical conducting, and mechanical properties. The electrical conductivity of carbon nanotube yarns can also be influenced by functionalization and annealing. A systematical study of this post synthetic treatment will assist in understanding what factors influences the conductivity of these materials. In this investigation, it is shown that the electrical conductivity can be increased by a factor of 2 and 5.5 through functionalization with acids and high temperature annealing respectively. The scale of the enhancement is dependent on the reducing of intertube space in case of functionalization. For annealing, not only is the highly graphitic structure of the carbon nanotubes (CNT) important, but it is also shown to influence the residual amorphous carbon in the structure. The promising results of this study can help to utilize CNY as a replacement for common materials in the field of electrical wiring. en-copyright= kn-copyright= en-aut-name=ScholzMaik en-aut-sei=Scholz en-aut-mei=Maik kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=HayashiYasuhiko en-aut-sei=Hayashi en-aut-mei=Yasuhiko kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=EckertVictoria en-aut-sei=Eckert en-aut-mei=Victoria kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=KhavrusVyacheslav en-aut-sei=Khavrus en-aut-mei=Vyacheslav kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= en-aut-name=LeonhardtAlbrecht en-aut-sei=Leonhardt en-aut-mei=Albrecht kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=5 ORCID= en-aut-name=BüchnerBernd en-aut-sei=Büchner en-aut-mei=Bernd kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=6 ORCID= en-aut-name=MertigMichael en-aut-sei=Mertig en-aut-mei=Michael kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=7 ORCID= en-aut-name=HampelSilke en-aut-sei=Hampel en-aut-mei=Silke kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=8 ORCID= affil-num=1 en-affil=Leibniz Institute for Solid State and Material Research Dresden, Helmholtzstr. 20 kn-affil= affil-num=2 en-affil=Graduate School of Natural Science and Technology, Okayama University kn-affil= affil-num=3 en-affil=Leibniz Institute for Solid State and Material Research Dresden, Helmholtzstr. 20 kn-affil= affil-num=4 en-affil=Leibniz Institute for Solid State and Material Research Dresden, Helmholtzstr. 20 kn-affil= affil-num=5 en-affil=Leibniz Institute for Solid State and Material Research Dresden, Helmholtzstr. 20 kn-affil= affil-num=6 en-affil=Leibniz Institute for Solid State and Material Research Dresden, Helmholtzstr. 20 kn-affil= affil-num=7 en-affil=Institute for Physical Chemistry, Technische Universität Dresden kn-affil= affil-num=8 en-affil=Leibniz Institute for Solid State and Material Research Dresden, Helmholtzstr. 20 kn-affil= en-keyword=carbon nanotube yarns kn-keyword=carbon nanotube yarns en-keyword=carbon nanotube kn-keyword=carbon nanotube en-keyword=functionalization kn-keyword=functionalization en-keyword=electrical conductivity kn-keyword=electrical conductivity en-keyword=annealing kn-keyword=annealing en-keyword=acid treatment kn-keyword=acid treatment END start-ver=1.4 cd-journal=joma no-vol=15 cd-vols= no-issue= article-no= start-page=1388 end-page=1405 dt-received= dt-revised= dt-accepted= dt-pub-year=2020 dt-pub=20200331 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=How Networks Among Frontline Offices Influence Regulatory Enforcement : Diffusion and Justification of Interpretation of Risk en-subtitle= kn-subtitle= en-abstract= kn-abstract=Street‐level interpretation and enforcement are critical to defining the meaning of law. To understand street‐level regulatory decisions, prior studies have highlighted internal office conditions, neglecting the influence that peer offices can have. This study examines the role of horizontal inter‐office interaction among frontline offices and illustrates how and under what conditions it shapes the meaning of law. Drawing on qualitative and quantitative data on Japan's Soil Contamination Countermeasures Act, this study reveals that inter‐office interaction occurs within fixed groups and comes to shape shared interpretations of law that regulators believe are legally valid. This implies that under legal ambiguity, inter‐office interactions develop institutionalized notions of appropriateness and reinforce the perception of legal consistency, which bolster the legitimacy of enforcement. Although peer office networks encourage convergence on the interpretation of law, because of their clustered structure, legal meanings develop differently across various groups. en-copyright= kn-copyright= en-aut-name=HirataAyako en-aut-sei=Hirata en-aut-mei=Ayako kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= affil-num=1 en-affil=Faculty of Law, Okayama University kn-affil= en-keyword=environmental regulation kn-keyword=environmental regulation en-keyword=interpretation of law kn-keyword=interpretation of law en-keyword=networks among frontline offices kn-keyword=networks among frontline offices en-keyword=regulatory enforcement kn-keyword=regulatory enforcement en-keyword=street-level bureaucracy kn-keyword=street-level bureaucracy END start-ver=1.4 cd-journal=joma no-vol=74 cd-vols= no-issue=2 article-no= start-page=151 end-page=157 dt-received= dt-revised= dt-accepted= dt-pub-year=2020 dt-pub=202004 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Non-traumatic Atypical Peri-implant Femoral Fracture at the Distal Screw after Short Femoral Nail Fixation for a Pertrochanteric Fracture en-subtitle= kn-subtitle= en-abstract= kn-abstract= This is the second report of an atypical peri-implant femoral fracture occurring at the distal screw after intramedullary nail fixation of a pertrochanteric fracture. A 94-year-old Japanese female with a 5-year history of alendronate intake presented with prodromal pain in her right thigh after intramedullary nail fixation. Plain radiographs showed an incomplete noncomminuted transverse fracture at the distal screw, suggesting an atypical peri-implant femoral fracture. The pathogenesis of an atypical peri-implant femoral fracture could be a combined systemic bone metabolism disorder and repetitive overloading at the screw, similar to the pathogenesis of an atypical periprosthetic femoral fracture around stem implantation. en-copyright= kn-copyright= en-aut-name=YamamotoNorio en-aut-sei=Yamamoto en-aut-mei=Norio kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=Dan’uraTomoyuki en-aut-sei=Dan’ura en-aut-mei=Tomoyuki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=NodaTomoyuki en-aut-sei=Noda en-aut-mei=Tomoyuki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=OzakiToshifumi en-aut-sei=Ozaki en-aut-mei=Toshifumi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= affil-num=1 en-affil=Department of Orthopedic Surgery, Unnan City Hospital kn-affil= affil-num=2 en-affil=Department of Orthopedic Surgery, Unnan City Hospital kn-affil= affil-num=3 en-affil=Department of Musculoskeletal Traumatology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=4 en-affil=Department of Orthopaedic Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= en-keyword=atypical femoral fracture kn-keyword=atypical femoral fracture en-keyword=insufficiency fracture kn-keyword=insufficiency fracture en-keyword=bisphosphonate kn-keyword=bisphosphonate en-keyword=atypical peri-implant femoral fracture, kn-keyword=atypical peri-implant femoral fracture, en-keyword=atypical periprosthetic femoral fracture kn-keyword=atypical periprosthetic femoral fracture END start-ver=1.4 cd-journal=joma no-vol=74 cd-vols= no-issue=2 article-no= start-page=145 end-page=150 dt-received= dt-revised= dt-accepted= dt-pub-year=2020 dt-pub=202004 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=The Efficacy of Mirabegron for the Relief of Ureteral Stent-Related Symptoms en-subtitle= kn-subtitle= en-abstract= kn-abstract= To investigate the efficacy of mirabegron for lower urinary tract symptoms in patients with an indwelling ureteral stent after ureterorenoscopic lithotripsy. This was a prospective follow-up study of 76 patients with stent-related symptoms (SRSs). Patients with upper urinary calculi who were pre-stented for > 2 weeks before lithotripsy were examined for the presence of SRSs by tests including the International Prostate Symptom Score (IPSS), OAB Symptom Score (OABSS), and urinary bother and pain measured by a Visual Analogue Scale (VAS) before lithotripsy. Mirabegron (50 mg/day) was prescribed post-lithotripsy for 2 weeks. SRSs were assessed at the time of stent removal. The IPSS scores improved significantly from 16.2 to 14.3 (p<0.001) and the IPSS-QoL scores decreased significantly from 5.0 to 4.6 (p=0.012). The OABSS scores improved significantly from 7.7 to 6.8 (p=0.006), and the urinary urgency scores (OABSS-Q3) decreased significantly from 3.24 to 2.68 (p<0.001). The number of nocturia episodes decreased significantly from 2.5 to 2.2 (p=0.045). Urinary bother and pain assessed by the VAS declined from 4.2 and 3.1 to 3.8 (p=0.15) and 2.5 (p=0.075), respectively. Mirabegron significantly improved SRSs and the number of nocturia episodes due to a ureteral stent. en-copyright= kn-copyright= en-aut-name=OtsukiHideo en-aut-sei=Otsuki en-aut-mei=Hideo kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=YamasakiTomoya en-aut-sei=Yamasaki en-aut-mei=Tomoya kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=HoriShunsuke en-aut-sei=Hori en-aut-mei=Shunsuke kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=AokiHiroshi en-aut-sei=Aoki en-aut-mei=Hiroshi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= en-aut-name=KosakaTakeo en-aut-sei=Kosaka en-aut-mei=Takeo kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=5 ORCID= en-aut-name=UeharaShinya en-aut-sei=Uehara en-aut-mei=Shinya kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=6 ORCID= en-aut-name=FujioKei en-aut-sei=Fujio en-aut-mei=Kei kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=7 ORCID= affil-num=1 en-affil=Department of Urology, Abiko Toho Hospital kn-affil= affil-num=2 en-affil=Department of Urology, Abiko Toho Hospital kn-affil= affil-num=3 en-affil=Department of Urology, Abiko Toho Hospital kn-affil= affil-num=4 en-affil=Department of Urology, Abiko Toho Hospital kn-affil= affil-num=5 en-affil=Department of Urology, Keio University kn-affil= affil-num=6 en-affil=Department of Urology, Kawasaki Medical School General Medical Center kn-affil= affil-num=7 en-affil=Department of Urology, Abiko Toho Hospital kn-affil= en-keyword=stent-related symptoms kn-keyword=stent-related symptoms en-keyword=overactive bladder kn-keyword=overactive bladder en-keyword=mirabegron kn-keyword=mirabegron en-keyword=ureterorenoscopic lithotripsy kn-keyword=ureterorenoscopic lithotripsy en-keyword=ureteral stent kn-keyword=ureteral stent END start-ver=1.4 cd-journal=joma no-vol=10 cd-vols= no-issue= article-no= start-page=215 end-page=229 dt-received= dt-revised= dt-accepted= dt-pub-year=2020 dt-pub=20200320 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Improving Moral Courses in the Use of Care-Thinking Aiming for Children to Explore Together kn-title=ケア的思考の活用による道徳科の授業改善 : 共同的に探求する子供をめざして en-subtitle= kn-subtitle= en-abstract= Moral Courses in elementary and junior high school have been changed and requires a qualitative shift in teaching with thinking and discussing. The curriculum guidelines specifically show what moral lessons are aiming for, and the on-site teachers' awareness of improving the quality of classes has increased. Therefore, in order to provide a class in which children can explore their own way of life better, the emphasis on care thinking, which is one of the pluralistic thinking approaches advocated by Matthew Lipman, has been emphasized. We applied to class and worked on class improvement. I want to explore the effects of incorporating care thinking into moral education lessons in comparison with the past practice in which the author has gradually adopted creative thinking and critical thinking. kn-abstract= 「特別の教科 道徳」となり,「考え,議論する道徳」への授業の質的転換が求められている。学習指導要領には,道徳科として目指す学びが具体的に示されており,現場の教員にも授業の質を改善するという意識が高まってきた。そこで,子供が共同的に自己のよりよい生き方を探求していくことができる授業となるよう,マシュー・リップマンの提唱する多元的思考アプローチの一つであるケア的思考を重視して道徳科の授業に応用し,授業改善に取り組んだ。筆者が創造的思考,批判的思考を段階的に取り入れてきたこれまでの実践と比較しながら実践を進め,道徳科の授業に,ケア的思考を意識的に取り入れることにより,創造的思考や批判的思考が活性化され,さらには三つの思考が作用し合うことが明らかになった。 en-copyright= kn-copyright= en-aut-name=OzakiMasami en-aut-sei=Ozaki en-aut-mei=Masami kn-aut-name=尾崎正美 kn-aut-sei=尾崎 kn-aut-mei=正美 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学大学院教育学研究科 en-keyword=ケア的思考 (Care-Thinking) kn-keyword=ケア的思考 (Care-Thinking) en-keyword=探求の共同体 (Community of Inquiry) kn-keyword=探求の共同体 (Community of Inquiry) en-keyword=道徳科授業 (Moral Courses) kn-keyword=道徳科授業 (Moral Courses) en-keyword=多元的思考アプローチ (Plural Thinking approach) kn-keyword=多元的思考アプローチ (Plural Thinking approach) END start-ver=1.4 cd-journal=joma no-vol=10 cd-vols= no-issue= article-no= start-page=183 end-page=197 dt-received= dt-revised= dt-accepted= dt-pub-year=2020 dt-pub=20200320 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Childcare Practice Study of Rythmique that Draws Proactive Physical Expression from Children (1st Report) : Mainly Including Cases of Classes for One, Two, and Three Years Old in a Childcare Facility kn-title=子どもの主体的な身体表現を引き出すリトミックの保育実践研究(第一報): 保育施設における1・2・3歳児学級の事例を中心にして en-subtitle= kn-subtitle= en-abstract= When we outline recent prior-research with key words, “physical expression”,“music education”, “Rythmique” , and “play” , it was clarified that how we consider Rythmique had been changed in the history over 100 years and new study for Rythmique practice is required. Accordingly, this article discussed what children learn from Rythmique practice in a childcare facility and what is grown. As the result, the followings were suggested. i. One years old children are in a phase where they actively imitate their guardians. ii. For a class for two years old children, guardians need to take care of children so that they can freely express. iii. For a class for three years old children, it is important to feel comfort by which their mind can be released and concentrate on a subject of Rythmique or appearance of guardians, and feel pleasure to achieve something through how fun it is to exp ress. kn-abstract= 近年の先行研究を「身体表現」「音楽教育」「リトミック」「遊戯」をキーワードに概観すると,100 年を超える歴史の中で,リトミックの捉え方が変容していることと,リトミックの新しい保育実践研究が必要であることが,明らかになった。そこで本論では,保育施設におけるリトミックの実践から,子どもが何を学び,何が育っているのかを論考した。その結果,以下のことが示唆された。(1)1歳児学級の子どもは,保育者の模倣を活発に行う段階である。(2)2歳児学級においては,子どもが自由に想像し表現できるよう,保育者は,配慮する必要がある。(3)3歳児学級においては,表現することの楽しさを通して心が解放される気持ち良さを感じることや,リトミックの主題や保育者の姿に集中することや,何かを達成する喜びを感じること等が重要である。 en-copyright= kn-copyright= en-aut-name=KOTAKESaori en-aut-sei=KOTAKE en-aut-mei=Saori kn-aut-name=小竹沙織 kn-aut-sei=小竹 kn-aut-mei=沙織 aut-affil-num=1 ORCID= en-aut-name=BABANoriko en-aut-sei=BABA en-aut-mei=Noriko kn-aut-name=馬場訓子 kn-aut-sei=馬場 kn-aut-mei=訓子 aut-affil-num=2 ORCID= en-aut-name=TAKAHASHIKei en-aut-sei=TAKAHASHI en-aut-mei=Kei kn-aut-name=髙橋慧 kn-aut-sei=髙橋 kn-aut-mei=慧 aut-affil-num=3 ORCID= en-aut-name=WATANABEYuzo en-aut-sei=WATANABE en-aut-mei=Yuzo kn-aut-name=渡邊祐三 kn-aut-sei=渡邊 kn-aut-mei=祐三 aut-affil-num=4 ORCID= en-aut-name=TAKAHASHIToshiyuki en-aut-sei=TAKAHASHI en-aut-mei=Toshiyuki kn-aut-name=髙橋敏之 kn-aut-sei=髙橋 kn-aut-mei=敏之 aut-affil-num=5 ORCID= affil-num=1 en-affil= kn-affil=御南まんまるこども園 affil-num=2 en-affil= kn-affil=くらしき作陽大学子ども教育学部子ども教育学科 affil-num=3 en-affil= kn-affil=作陽音楽短期大学音楽学科 affil-num=4 en-affil= kn-affil=兵庫教育大学大学院連合学校教育学研究科 affil-num=5 en-affil= kn-affil=岡山大学大学院教育学研究科 en-keyword=子ども (Child (Children)) kn-keyword=子ども (Child (Children)) en-keyword=身体表現 (Physical expression) kn-keyword=身体表現 (Physical expression) en-keyword=リトミック (Rythmique) kn-keyword=リトミック (Rythmique) en-keyword=保育実践 (Childcare practice) kn-keyword=保育実践 (Childcare practice) en-keyword=1・2・3歳児学級 (Classes for One, Two, and Three Years Old) kn-keyword=1・2・3歳児学級 (Classes for One, Two, and Three Years Old) END start-ver=1.4 cd-journal=joma no-vol=10 cd-vols= no-issue= article-no= start-page=79 end-page=90 dt-received= dt-revised= dt-accepted= dt-pub-year=2020 dt-pub=20200320 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Choosing a theme and designing its instructional units in Life-Unit Learning : Analyzing the impact on what and how students with intellectual disabilities have learned kn-title=生活単元学習の単元設定・単元構成の在り方 : 2 年間実践された単元の授業評価結果からの検討 en-subtitle= kn-subtitle= en-abstract= kn-abstract= 本研究では、知的障害特別支援学校中学部において、同一集団、同一指導者によって2年間実践された「生活上の課題をもとにした」22 の生活単元学習の授業評価を行い、その結果を踏まえて、単元設定や単元構成の在り方について検討した。3 観点からなる観点別個別評価結果を基に各単元の評価を行った結果、観点別評価による各単元の特徴及び生徒個々の活動への取り組み方を確かめることができた。また、個々の単元の評価結果と、単元の活動経験の有無、活動の種類、単元目的の具体性、教師と生徒のいずれが提案した単元であるかという視点との明確な関連性は見られなかった。一方で、生徒が見通しをもつことのできる単純な単元構成、集団全体の課題解決場面の設定、人と関わりの多い場面設定と単元の評価結果との関連性が見られ、単元設定、単元構成におけるこれらの重要性が示唆された。 en-copyright= kn-copyright= en-aut-name=NAKAYAAkitaka en-aut-sei=NAKAYA en-aut-mei=Akitaka kn-aut-name=仲矢明孝 kn-aut-sei=仲矢 kn-aut-mei=明孝 aut-affil-num=1 ORCID= en-aut-name=INOUEHironori en-aut-sei=INOUE en-aut-mei=Hironori kn-aut-name=井上寛規 kn-aut-sei=井上 kn-aut-mei=寛規 aut-affil-num=2 ORCID= en-aut-name=NOSERyoko en-aut-sei=NOSE en-aut-mei=Ryoko kn-aut-name=能勢涼子 kn-aut-sei=能勢 kn-aut-mei=涼子 aut-affil-num=3 ORCID= affil-num=1 en-affil= kn-affil=岡山大学大学院教育学研究科 affil-num=2 en-affil= kn-affil=岡山県立岡山南支援学校 affil-num=3 en-affil= kn-affil=岡山大学教育学部附属特別支援学校 en-keyword=生活単元学習 (Life-Unit Learning) kn-keyword=生活単元学習 (Life-Unit Learning) en-keyword=単元設定 (theme selection) kn-keyword=単元設定 (theme selection) en-keyword=単元構成,授業評価 (unit plan development, lesson evaluation) kn-keyword=単元構成,授業評価 (unit plan development, lesson evaluation) END start-ver=1.4 cd-journal=joma no-vol=4 cd-vols= no-issue= article-no= start-page=168 end-page=185 dt-received= dt-revised= dt-accepted= dt-pub-year=2019 dt-pub=20191230 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=What Should International Student Dormitories Be at Okayama University?: Current State and Issues of the International Student Shared House and Other Dormitories kn-title=岡山大学における留学生宿舎の在り方 : 国際学生シェアハウスの実態と課題を中心に en-subtitle= kn-subtitle= en-abstract= kn-abstract= 岡山大学の留学生宿舎の36 年の歴史の中で、寮規則の遵守、人間関係の構築、施設や人的リソース不足など多種多様な課題が指摘されてきた。3 年前に開所した混住型の国際学生シェアハウスにおいて新たに日本人学生が関与する問題が追加発生したこともあり、教育資源として寮を活用する視点から一転して、効率化のために管理を外注化する方向に舵を切った。留学生活の基盤となる住環境を整えることは元来、費用や労力のかかることであり、日常的に起こる課題を解決するためには、責任感のあるリーダー的日本人学生の果たす役割が小さくない。その一方で、課題解決できる日本人学生の育成には、きめ細かい指導・助言に加えて、教育資源としての寮の活用という大学のビジョンと推進力が必要である。 en-copyright= kn-copyright= en-aut-name=UZUKAMariko en-aut-sei=UZUKA en-aut-mei=Mariko kn-aut-name=宇塚万里子 kn-aut-sei=宇塚 kn-aut-mei=万里子 aut-affil-num=1 ORCID= en-aut-name=OKAMasumi en-aut-sei=OKA en-aut-mei=Masumi kn-aut-name=岡益巳 kn-aut-sei=岡 kn-aut-mei=益巳 aut-affil-num=2 ORCID= en-aut-name=FUJIMOTOMasumi en-aut-sei=FUJIMOTO en-aut-mei=Masumi kn-aut-name=藤本真澄 kn-aut-sei=藤本 kn-aut-mei=真澄 aut-affil-num=3 ORCID= affil-num=1 en-affil= kn-affil=岡山大学言語教育センター affil-num=2 en-affil= kn-affil=岡山大学名誉教授 affil-num=3 en-affil= kn-affil=岡山大学全学教育・学生支援機構 en-keyword=国際シェアハウス kn-keyword=国際シェアハウス en-keyword=ユニットリーダー kn-keyword=ユニットリーダー en-keyword=フロアリーダー kn-keyword=フロアリーダー en-keyword=異文化理解 kn-keyword=異文化理解 en-keyword=教育資源 kn-keyword=教育資源 END start-ver=1.4 cd-journal=joma no-vol=74 cd-vols= no-issue=1 article-no= start-page=59 end-page=63 dt-received= dt-revised= dt-accepted= dt-pub-year=2020 dt-pub=202002 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Examination of the Causality Relationship between Psychological Distress and Social Participation in Elderly People: A Pilot Study en-subtitle= kn-subtitle= en-abstract= kn-abstract= Few studies have considered the causal relationship between psychological distress and social participation in elderly people. Here we investigated this relationship based on an initial survey and a follow-up survey. In 2016, a survey was distributed to 86 participants. A follow-up survey of 80 of those participants was performed in 2017. We adopted the following variables: psychological distress and social participation as represented by the Kessler psychological distress scale and social participation scores, respectively. By using cross-lagged and synchronous effects models, we found that the 2016 Kessler psychological distress scale had a significant influence on the 2017 social participation scores (standardization factor=−0.221, p=0.020) and the 2017 Kessler psychological distress scale significantly influenced the 2017 social participation scores (standardization factor=−0.345, p=0.039). The results suggest that psychological distress may affect social participation one year later. en-copyright= kn-copyright= en-aut-name=OwariYutaka en-aut-sei=Owari en-aut-mei=Yutaka kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=MiyatakeNobuyuki en-aut-sei=Miyatake en-aut-mei=Nobuyuki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=SuzukiHiromi en-aut-sei=Suzuki en-aut-mei=Hiromi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= affil-num=1 en-affil=Shikoku Medical College kn-affil= affil-num=2 en-affil=Department of Hygiene, Faculty of Medicine, Kagawa University kn-affil= affil-num=3 en-affil=Department of Hygiene, Faculty of Medicine, Kagawa University kn-affil= en-keyword=causal relationship kn-keyword=causal relationship en-keyword=elderly people kn-keyword=elderly people en-keyword=psychological distress kn-keyword=psychological distress en-keyword=social participation kn-keyword=social participation en-keyword=structural equation modeling (SEM) kn-keyword=structural equation modeling (SEM) END start-ver=1.4 cd-journal=joma no-vol=74 cd-vols= no-issue=1 article-no= start-page=17 end-page=26 dt-received= dt-revised= dt-accepted= dt-pub-year=2020 dt-pub=202002 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Relationship between a High-inspired Oxygen Concentration and Dorsal Atelectasis in High-energy Trauma Patients en-subtitle= kn-subtitle= en-abstract= kn-abstract= We performed a retrospective cohort study of 911 high-energy trauma patients who underwent chest CT scans at least twice after admission. We hypothesized that in high-energy trauma patients, a high-inspired oxygen concentration delivered after admission results in dorsal atelectasis. The study’s primary outcome was dorsal atelectasis formation diagnosed based on CT images. We defined dorsal atelectasis as the presence of atelectasis at ≥ 10 mm thick on CT images. We defined high-inspired oxygen concentration as >60% oxygen delivered between two CT scans. Four hundred sixty-five patients (51.0%) developed atelectasis according to the second CT scan, and 338 (37.1%) received a high-inspired oxygen concentration. A univariate analysis showed that the rate of the high-inspired oxygen concentration in the atelectasis group was significantly higher than that in the non-atelectasis group (43.4% vs. 30.1%, p<0.001). However, a logistic regression analysis showed that there was no significant relationship between the oxygen concentration and the formation of dorsal atelectasis (OR: 1.197, 95%CI: 0.852-1.683, p=0.30). Age, the Injury Severity Score, BMI, and smoking were found to be risk factors of dorsal atelectasis formation in high-energy trauma patients. There was no relationship between the oxygen concentration and atelectasis formation in our series of high-energy trauma patients. en-copyright= kn-copyright= en-aut-name=IshiiKenzo en-aut-sei=Ishii en-aut-mei=Kenzo kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=MorimatsuHiroshi en-aut-sei=Morimatsu en-aut-mei=Hiroshi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=OnoKazumi en-aut-sei=Ono en-aut-mei=Kazumi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=MiyashoKoji en-aut-sei=Miyasho en-aut-mei=Koji kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= affil-num=1 en-affil=Department of Anesthesiology and Oncological Pain Medicine, Fukuyama City Hospital kn-affil= affil-num=2 en-affil=Department of Anesthesiology and Resuscitology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=3 en-affil=Department of Anesthesiology and Oncological Pain Medicine, Fukuyama City Hospital kn-affil= affil-num=4 en-affil= Department of Critical Care and Emergency Medicine, Fukuyama City Hospital kn-affil= en-keyword=trauma patient kn-keyword=trauma patient en-keyword=dorsal atelectasis kn-keyword=dorsal atelectasis en-keyword=oxygen concentration kn-keyword=oxygen concentration END start-ver=1.4 cd-journal=joma no-vol=477 cd-vols= no-issue=8 article-no= start-page=1892 end-page=1901 dt-received= dt-revised= dt-accepted= dt-pub-year=2019 dt-pub=201908 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Temporary External External Fixation Can Stabilize Hip Transposition Arthroplasty After Resection of Malignant Periacetabular Bone Tumors en-subtitle= kn-subtitle= en-abstract= kn-abstract=Background: The choice of reconstructive procedure to restore limb function is challenging after internal hemipelvectomy. Hip transposition arthroplasty, also known as resection arthroplasty, removes a malignant or aggressive tumor of the pelvis and acetabulum after which the remaining femoral head is moved proximally to the lateral surface side of the sacrum or the underside of the resected ilium after internal hemipelvectomy. It may provide reasonable functional results and have some advantages such as lowering the risk of an infected implant compared with other reconstructions because no foreign implants are used. Hip transposition is generally managed with prolonged bed rest or immobilization postoperatively to stabilize the soft tissue surrounding the remaining femur. Because enabling patients to be mobile while the soft tissues heal might be advantageous, we reviewed our experience with an external fixation for this procedure.
Questions/purposes: (1) Does temporary external fixation facilitate postoperative physiotherapy in patients who undergo hip transposition arthroplasty? (2) What functional Musculoskeletal Tumor Society (MSTS) scores were achieved at short term in a small series of patients treated with hip transposition and temporary external fixation? (3) What were the complications of using external fixation in a small series of patients who received it for malignant tumors?
Methods: Between 2008 and 2012, we treated seven patients (three men and four women; median age, 37 years; age range, 18-53 years) with acetabular resection for malignant bone tumors; all were managed with a hip transposition, initially stabilized using external fixation. No other types of procedures were used for this indication in this period. Minimum followup in this retrospective study was 45 months, except for one patient who died at 18 months (range of followup duration, 18-90 months; median followup, 57 months), and no patients were lost to followup. The pins for external fixation were inserted into the affected side of the femur and the healthy contralateral ilium. External fixation was removed 6 weeks postoperatively and weightbearing was started at that time. Preoperative chemotherapy was administrated in four patients, but postoperative chemotherapy was delayed since it was given after external fixation removal in three patients. The postoperative rehabilitation course and functional results were assessed by chart review, functional results were determined using MSTS scores, tallied by physiotherapists who were not part of the surgical team, and complications were ascertained through chart review. Major complications were defined as complications that were treated with additional operations, such as deep infection, or ones that could cause severe postoperative dysfunction, such as nerve injury.
Results: With temporary external fixation, standing next to a bed was achieved in median 7 days (range, 6-9 days) postoperatively, transferring to a wheel chair in median 8 days (range, 6-28 days), and gait training using parallel bars in median 15 days (range, 7-48 days). At most recent followup, three patients could walk without a crutch or cane, three could walk with a cane, and one could walk with a crutch. The median MSTS score at most recent followup (median, 57 months) was 63%. Two patients had complications that resulted in reoperations; one had a wound dehiscence, and one had an abdominal herniation that gradually developed, and which was reconstructed using polypropylene mesh 2 years after pelvic resection. Two patients had nerve palsies that recovered by the end of the first year. All patients had pin tract infections that resolved with nonsurgical approaches.
Conclusions: Hip transposition with temporary external fixation can stabilize the bone soft tissue after pelvic resection. Although we did not have a comparison group of patients, we believe that external fixation facilitates early postoperative physiotherapy and rehabilitation and provides good functional results without major surgical complications. Because it delays the resumption of chemotherapy, more patients with longer followup are needed to determine whether this will be associated with poorer oncologic results. en-copyright= kn-copyright= en-aut-name=KunisadaToshiyuki en-aut-sei=Kunisada en-aut-mei=Toshiyuki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=FujiwaraTomohiro en-aut-sei=Fujiwara en-aut-mei=Tomohiro kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=HaseiJoe en-aut-sei=Hasei en-aut-mei=Joe kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=NakataEiji en-aut-sei=Nakata en-aut-mei=Eiji kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= en-aut-name=SendaMasuo en-aut-sei=Senda en-aut-mei=Masuo kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=5 ORCID= en-aut-name=OzakiToshifumi en-aut-sei=Ozaki en-aut-mei=Toshifumi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=6 ORCID= affil-num=1 en-affil=Department of Orthopaedic Surgery, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences kn-affil= affil-num=2 en-affil=Department of Orthopaedic Surgery, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences kn-affil= affil-num=3 en-affil=Department of Orthopaedic Surgery, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences kn-affil= affil-num=4 en-affil=Department of Orthopaedic Surgery, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences kn-affil= affil-num=5 en-affil=Department of Rehabilitation, Okayama University Hospital kn-affil= affil-num=6 en-affil=Department of Orthopaedic Surgery, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences kn-affil= END start-ver=1.4 cd-journal=joma no-vol=48 cd-vols= no-issue= article-no= start-page=171 end-page=189 dt-received= dt-revised= dt-accepted= dt-pub-year=2019 dt-pub=20191220 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Study of U Hla’s Experiences in Japan in 1936 en-subtitle= kn-subtitle= en-abstract= kn-abstract= In this paper, I focus on the characteristics of Japan and the Japanese people as portrayed in his writings by U Hla, a trader from Myanmar who studied the Japanese economy and industry, and the behaviour of the Japanese people during his visit to Japan in 1936. The aim of this paper is to know why U Hla wanted to visit Japan, what he learnt during his business trip to Japan, what kind of knowledge he acquired from Japan, why he was interested in the banking system, and how he applied the knowledge he gained in Japan after he returned to Myanmar. The primary and secondary sources for this study came from the National Library of Myanmar, Universities’Central Library, University of Yangon Library, University of Maubin Library, and Internet archives. en-copyright= kn-copyright= en-aut-name=Ei Thandar Aung en-aut-sei=Ei Thandar Aung en-aut-mei= kn-aut-name=エイ タンダー アウン kn-aut-sei=エイ タンダー アウン kn-aut-mei= aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=大学院社会文化科学研究科 博士後期課程 END start-ver=1.4 cd-journal=joma no-vol=73 cd-vols= no-issue=6 article-no= start-page=479 end-page=486 dt-received= dt-revised= dt-accepted= dt-pub-year=2019 dt-pub=201912 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Correlations between Depressive Condition and Gastroesophageal Reflux Symptoms in Patients Visiting a Department of General Medicine en-subtitle= kn-subtitle= en-abstract= kn-abstract= To clarify the potential relevance of patients’ chief complaints at a general medicine department to their self-rating depression scale (SDS) and frequency scale for symptoms of gastroesophageal reflux disease (GERD) (FSSG) scores, we analyzed data of 478 patients who visited our general medicine department. The chief complaints (553 symptoms of 447 patients) were categorized into major symptom-based groups: respiratory (31%), circulatory (3%), gastrointestinal (GI) tract (26%), neurology (8%), orthopedic and skin (10%), and systemic (22%) symptoms. The SDS score tended to be higher in females and younger patients. The FSSG score did not differ by gender but was higher in younger patients. The patients receiving social welfare had higher SDS and FSSG scores. A close inter-relationship between the FSSG (including both degrees of reflux and dysmotility) and SDS was observed in all patients. Although the averages of the SDS and FSSG scores were not significantly different among the symptom-based categories, we observed significantly positive correlations between the FSSG and SDS in each category, suggesting that depressive status may be closely related to GERD-related symptoms regardless of the patients’ chief complaints. An initial checkup of patients’ psychological condition and/or GERD-like symptoms could help screen for latent disorders in outpatients with uncertain complaints. en-copyright= kn-copyright= en-aut-name=SuganamiYu en-aut-sei=Suganami en-aut-mei=Yu kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=OkaKosuke en-aut-sei=Oka en-aut-mei=Kosuke kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=HanayamaYoshihisa en-aut-sei=Hanayama en-aut-mei=Yoshihisa kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=HondaHiroyuki en-aut-sei=Honda en-aut-mei=Hiroyuki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= en-aut-name=HamaharaJun en-aut-sei=Hamahara en-aut-mei=Jun kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=5 ORCID= en-aut-name=ObikaMikako en-aut-sei=Obika en-aut-mei=Mikako kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=6 ORCID= en-aut-name=KariyamaKazuya en-aut-sei=Kariyama en-aut-mei=Kazuya kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=7 ORCID= en-aut-name=KishidaMasayuki en-aut-sei=Kishida en-aut-mei=Masayuki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=8 ORCID= en-aut-name=OtsukaFumio en-aut-sei=Otsuka en-aut-mei=Fumio kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=9 ORCID= affil-num=1 en-affil=Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=2 en-affil=Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=3 en-affil=Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=4 en-affil=Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=5 en-affil=Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=6 en-affil=Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=7 en-affil=Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=8 en-affil=Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=9 en-affil=Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= en-keyword=chief complaints kn-keyword=chief complaints en-keyword=frequency scale for the symptoms of gastroesophageal reflux disease (FSSG) kn-keyword=frequency scale for the symptoms of gastroesophageal reflux disease (FSSG) en-keyword=self-rating depression scale (SDS) kn-keyword=self-rating depression scale (SDS) en-keyword=welfare kn-keyword=welfare END start-ver=1.4 cd-journal=joma no-vol=46 cd-vols= no-issue=2 article-no= start-page=277 end-page=281 dt-received= dt-revised= dt-accepted= dt-pub-year=2019 dt-pub=20191008 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=What is an adequate margin for infiltrative soft-tissue sarcomas? en-subtitle= kn-subtitle= en-abstract= kn-abstract=Objectives
What constitutes an adequate margin of resection for infiltrative subtypes of soft-tissue sarcomas remains unclear. We aimed to determine the prognostic significance of the margin in millimetres for myxofibrosarcoma (MFS) and undifferentiated pleomorphic sarcoma (UPS).
Methods
305 patients diagnosed with either a high-grade, localised MFS (n = 98) or UPS (n = 207) were included. The relationship of closest margin in millimetres to viable tumour and oncological outcomes was analysed.
Results
The overall local recurrence (LR) rate for all patients were 12%: 19% with positive margin and 10% with negative margin (p = 0.051). The LR rate was similar in patients with negative but <10 mm margin; 13%, 6%, 15%, 17% with 0.1–0.9 mm, 1.0–1.9 mm, 2.0–4.9 mm, and 5.0–9.9 mm margin, respectively. However, the LR rate decreased to 3% if the margin was ≥10 mm. By the R- or R+1-classification, the 10-year cumulative probability of LR was 9%, 15%, 48% for R0, R1, R2 resections, respectively, which was not sensitive enough to stratify the LR risk in patients with negative margins. However, the cumulative probability of LR was significantly stratified by metric distance; the 10-year cumulative LR probability was 3%, 14%, 25% with ≥10.0 mm, 0.1–9.9 mm, and 0 mm, respectively (p = 0.026). A trend towards improved local control by adjuvant radiotherapy was seen in patients with 0–9.9 mm margin (p = 0.078).
Conclusion
The resection margin, when measured as a metric distance, correlates with a reduction in LR, and appears to be more significant on local control than radiotherapy. To minimise the risk of LR, a margin distance of at least 10 mm is advocated for MFS and UPS. en-copyright= kn-copyright= en-aut-name=FujiwaraTomohiro en-aut-sei=Fujiwara en-aut-mei=Tomohiro kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=StevensonJonathan en-aut-sei=Stevenson en-aut-mei=Jonathan kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=ParryMichael en-aut-sei=Parry en-aut-mei=Michael kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=TsudaYusuke en-aut-sei=Tsuda en-aut-mei=Yusuke kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= en-aut-name=TsoiKim en-aut-sei=Tsoi en-aut-mei=Kim kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=5 ORCID= en-aut-name=JeysLee en-aut-sei=Jeys en-aut-mei=Lee kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=6 ORCID= affil-num=1 en-affil=Department of Orthopaedic Surgery, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences kn-affil= affil-num=2 en-affil=Department of Oncology, The Royal Orthopaedic Hospital kn-affil= affil-num=3 en-affil=Department of Oncology, The Royal Orthopaedic Hospital kn-affil= affil-num=4 en-affil=Department of Oncology, The Royal Orthopaedic Hospital kn-affil= affil-num=5 en-affil=Department of Oncology, The Royal Orthopaedic Hospital kn-affil= affil-num=6 en-affil=Department of Oncology, The Royal Orthopaedic Hospital kn-affil= en-keyword=Soft-tissue sarcoma kn-keyword=Soft-tissue sarcoma en-keyword=Myxofibrosarcoma kn-keyword=Myxofibrosarcoma en-keyword=Undifferentiated pleomorphic sarcoma kn-keyword=Undifferentiated pleomorphic sarcoma en-keyword=Margin kn-keyword=Margin en-keyword=Prognosis kn-keyword=Prognosis END start-ver=1.4 cd-journal=joma no-vol=73 cd-vols= no-issue=5 article-no= start-page=433 end-page=440 dt-received= dt-revised= dt-accepted= dt-pub-year=2019 dt-pub=201910 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Relationship between Intracellular Signaling of the (Pro)renin Receptor and the Pathogenesis of Preeclampsia en-subtitle= kn-subtitle= en-abstract= kn-abstract= An association between preeclampsia and (pro)renin was recently reported. Intracellular signaling of the (pro) renin receptor [(P)RR] increases the expressions of TGF-β and PAI-1. In this study we sought to clarify the involvement of (pro)renin in the pathogenesis of preeclampsia via the intracellular signaling of (P)RR on preeclampsia placentas. Activated (pro)renin plasma concentrations were compared between pregnant women with (n=15) and without (n=28) preeclampsia. The placentas were immunohistochemically evaluated with anti-HIF-1α and anti-(P)RR antibodies. HTR-8/SVneo cells were cultured under hypoxic conditions and treated with human recombinant (pro)renin. The mRNA expressions of HIF-1α, (P)RR, PAI-1, TGF-β, and ET-1 were also examined by real-time RCR. The activated (pro)renin plasma concentration was significantly higher in the third vs. the second trimester in the preeclampsia patients. HIF-1α and (P)RR expressions were significantly increased in the preeclampsia placentas. The mRNA expressions of PAI-1, TGF-β, and ET-1 were significantly increased in the experiments using recombinant (pro)renin vs. hypoxic conditions. (P)RR expression in preeclampsia placentas is increased by persistent hypoxia through the second and third trimesters, and PAI-1, TGF-β, and ET-1 production is increased via (P)RR. Our results suggest that ET-1 production via the intracellular signaling of (P)RR is important in the pathogenesis of preeclampsia. en-copyright= kn-copyright= en-aut-name=TamadaShoko en-aut-sei=Tamada en-aut-mei=Shoko kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=MitsuiTakashi en-aut-sei=Mitsui en-aut-mei=Takashi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=OhiraAkiko en-aut-sei=Ohira en-aut-mei=Akiko kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=TaniKazumasa en-aut-sei=Tani en-aut-mei=Kazumasa kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= en-aut-name=MakiJota en-aut-sei=Maki en-aut-mei=Jota kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=5 ORCID= en-aut-name=EguchiTakeshi en-aut-sei=Eguchi en-aut-mei=Takeshi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=6 ORCID= en-aut-name=EtoEriko en-aut-sei=Eto en-aut-mei=Eriko kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=7 ORCID= en-aut-name=HayataKei en-aut-sei=Hayata en-aut-mei=Kei kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=8 ORCID= en-aut-name=MasuyamaHisashi en-aut-sei=Masuyama en-aut-mei=Hisashi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=9 ORCID= affil-num=1 en-affil=Department of Obstetrics and Gynecology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=2 en-affil=Department of Obstetrics and Gynecology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=3 en-affil=Department of Obstetrics and Gynecology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=4 en-affil=Department of Obstetrics and Gynecology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=5 en-affil=Department of Obstetrics and Gynecology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=6 en-affil=Department of Obstetrics and Gynecology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=7 en-affil=Department of Obstetrics and Gynecology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=8 en-affil=Department of Obstetrics and Gynecology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=9 en-affil=Department of Obstetrics and Gynecology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= en-keyword=preeclampsia kn-keyword=preeclampsia en-keyword=(pro)renin kn-keyword=(pro)renin en-keyword=(pro)renin receptor kn-keyword=(pro)renin receptor en-keyword=endothelin-1 kn-keyword=endothelin-1 en-keyword=HTR-8/SVneo kn-keyword=HTR-8/SVneo END start-ver=1.4 cd-journal=joma no-vol=73 cd-vols= no-issue=4 article-no= start-page=299 end-page=305 dt-received= dt-revised= dt-accepted= dt-pub-year=2019 dt-pub=201908 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Tuberosity-overlapping Fixation of the Humeral Shaft in Humeral Head Replacement Surgery en-subtitle= kn-subtitle= en-abstract= kn-abstract= The fixation technique of bony fragments is crucial for the bone union of the tuberosities after humeral head replacement (HHR) for a comminuted fracture of the proximal humerus. To increase the bone union rate, we reduce tuberosities to overlap on the humeral shaft by approx. 1 cm and fix them with cable wire. Herein, we retrospectively investigated the clinical and radiographic outcomes of our procedure. Twenty-six patients who underwent cementless HHR for the treatment of comminuted fractures of the proximal humerus were investigated. The Constant-Murley score, active shoulder mobility, and bone union rate were evaluated. The mean duration of follow-up was 56.3 months (range 24-197). At the final follow-up, the average Constant-Murley score was 58 (range 40-76). Forward elevation was 126° on average (range 35°-180°). Twenty-three cases (88%) showed bone union between the tuberosities and the shaft at an average follow-up of 4.1 months (range 4-5 months) after surgery. Non-union was noted in 1 case, and bone resorption was noted in 2 cases. The bone union rate and the clinical outcome of our procedure were relatively favorable en-copyright= kn-copyright= en-aut-name=HiranakaTakaaki en-aut-sei=Hiranaka en-aut-mei=Takaaki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=NishidaKeiichiro en-aut-sei=Nishida en-aut-mei=Keiichiro kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=KonishiikeTaizo en-aut-sei=Konishiike en-aut-mei=Taizo kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=OzakiToshifumi en-aut-sei=Ozaki en-aut-mei=Toshifumi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= en-aut-name=MikasaMotohiko en-aut-sei=Mikasa en-aut-mei=Motohiko kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=5 ORCID= affil-num=1 en-affil=Department of Orthopaedic Surgery, Okayama University Graduate School of Medicine, Density and Pharmaceutical Sciences kn-affil= affil-num=2 en-affil=Department of Orthopaedic Surgery, Okayama University Graduate School of Medicine, Density and Pharmaceutical Sciences kn-affil= affil-num=3 en-affil=Department of Orthopaedic Surgery, Japanese Red Cross Okayama Hospital kn-affil= affil-num=4 en-affil=Department of Orthopaedic Surgery, Okayama University Graduate School of Medicine, Density and Pharmaceutical Sciences kn-affil= affil-num=5 en-affil=cDepartment of Orthopaedic Surgery, Matsudo Orthopaedic Hospital kn-affil= en-keyword=humeral head replacement kn-keyword=humeral head replacement en-keyword=tuberosity-overlapping technique kn-keyword=tuberosity-overlapping technique en-keyword=bone union of tuberosities kn-keyword=bone union of tuberosities en-keyword=cable wire kn-keyword=cable wire en-keyword=cementless stem kn-keyword=cementless stem END start-ver=1.4 cd-journal=joma no-vol=171 cd-vols= no-issue= article-no= start-page=39 end-page=46 dt-received= dt-revised= dt-accepted= dt-pub-year=2019 dt-pub=20190726 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=What Sexual Minorities in Adulthood Want for the Present School Education kn-title=成人期以降の性的マイノリティ当事者が学校生活を振り返って,学校教育に求めること en-subtitle= kn-subtitle= en-abstract= kn-abstract= 本研究の目的は,カミングアウトが難しい性的マイノリティ当事者が学校教育にどのような支援を望んでいるのか明らかにすることである。方法として質問紙調査を行った。質問紙作成にあたり,当事者への学校での支援について文献検索を行い,主に授業外で取り組む支援例を収集した。収集した支援例の評価を当事者18 名に依頼した。学校教育に求めていることは,相談してきた児童生徒の気持ちに寄り添うこと,第三者に知られないよう配慮すること,性の多様性と正しい知識を教えることであった。また,「開示しようとしまいと,いることを前提とする」学校になってほしいと希望していることが伺えた。教員は性的マイノリティの児童生徒が抱える困難さを重要な課題と捉え,いつでも誰でも相談できる環境づくりや,児童生徒の気持ちを尊重する努力が必要とされていると考える。 en-copyright= kn-copyright= en-aut-name=SASAKIArata en-aut-sei=SASAKI en-aut-mei=Arata kn-aut-name=佐々木新 kn-aut-sei=佐々木 kn-aut-mei=新 aut-affil-num=1 ORCID= en-aut-name=AMANOYumi en-aut-sei=AMANO en-aut-mei=Yumi kn-aut-name=天野佑美 kn-aut-sei=天野 kn-aut-mei=佑美 aut-affil-num=2 ORCID= en-aut-name=OHMORIIori en-aut-sei=OHMORI en-aut-mei=Iori kn-aut-name=大守伊織 kn-aut-sei=大守 kn-aut-mei=伊織 aut-affil-num=3 ORCID= affil-num=1 en-affil=The Joint Graduate School in Science of School Education (Doctor’s Course), Hyogo University of Teacher Education kn-affil=兵庫教育大学大学院連合学校教育学研究科 affil-num=2 en-affil=Graduate School of Education (Master’s Course), Okayama University kn-affil=岡山大学大学院教育学研究科(修士課程)  affil-num=3 en-affil=Division of Developmental Studies and Support, Graduate School of Education, Okayama University kn-affil=岡山大学大学院教育学研究科 en-keyword=性的マイノリティ kn-keyword=性的マイノリティ en-keyword=学校教育 kn-keyword=学校教育 en-keyword=環境的整備 kn-keyword=環境的整備 en-keyword=支援 kn-keyword=支援 END start-ver=1.4 cd-journal=joma no-vol=35 cd-vols= no-issue= article-no= start-page=18 end-page=21 dt-received= dt-revised= dt-accepted= dt-pub-year=2019 dt-pub=201906 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=What kind of environmental enrichment does mother mouse want? kn-title=母マウスが望む環境エンリッチメントとは? : 環境エンリッチメント選びを考える en-subtitle= kn-subtitle= en-abstract= kn-abstract= Environmental enrichment, whose material is commercially available, is today thought to improve animal welfare, for instance, control of stress. There were some reports that these report contribution of suppression of stress, which the mother mice suffer during nursing their pup. However, the effects on stress-suppression by introducing the enrichment materials is unknown. In this study, determined plasma and urinary corticosterone in the mother mice with or without the materials from their making to weaning. en-copyright= kn-copyright= en-aut-name=IshiharaSumire en-aut-sei=Ishihara en-aut-mei=Sumire kn-aut-name=石原すみれ kn-aut-sei=石原 kn-aut-mei=すみれ aut-affil-num=1 ORCID= affil-num=1 en-affil=Advanced Science Research Center, Okayama University kn-affil=岡山大学 自然生命科学研究支援センター END start-ver=1.4 cd-journal=joma no-vol=35 cd-vols= no-issue= article-no= start-page=2 end-page=8 dt-received= dt-revised= dt-accepted= dt-pub-year=2019 dt-pub=201906 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=The mammalian pigmentary system - a model experimental system for exploring the functional divergence of a differentiated cell type kn-title=色素細胞系 : 生命機能発現機構解明の1モデルシステム en-subtitle= kn-subtitle= en-abstract= kn-abstract= There are two cell lineages of mammalian melanin pigment cells, one that leads to retinal pigment epithelium (RPE) cells in the eye from the optic cup and the other leading to melanocytes from vertebrate-specific neural crest cells. Melanocyte precursors have high mobility and migrate and settle into various tissues and organs, including the skin, choroid, inner ear, heart, brain, adipose tissue, lung, etc. It is well known that RPE cells are essential for visual acuity and that melanocytes in the skin provide protection against UV-damage. So, what is the function of extracutaneous melanocytes that are distributed elsewhere in the body where only very small amounts of light illuminate their existence? Here I would like to briefly introduce our research history and then discuss the important roles of melanocytes in the inner ear that are indispensable for hearing ability and those in the choroid where they seem to contribute to maintaining the structures of their habitats. en-copyright= kn-copyright= en-aut-name=YamamotoHiroaki en-aut-sei=Yamamoto en-aut-mei=Hiroaki kn-aut-name=山本博章 kn-aut-sei=山本 kn-aut-mei=博章 aut-affil-num=1 ORCID= affil-num=1 en-affil=Faculty of Bioscience Nagahama Institute of Bio-Science and Technology kn-affil=長浜バイオ大学バイオサイエンス学部 END start-ver=1.4 cd-journal=joma no-vol=69 cd-vols= no-issue= article-no= start-page=33 end-page=47 dt-received= dt-revised= dt-accepted= dt-pub-year=2018 dt-pub=20180629 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=What Are Little Worlds Made of ? : White New York Mandala as Described by Paul Auster kn-title=世界は何でできている? : Paul Auster が描く白い世界曼荼羅 en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=NakataniHitomi en-aut-sei=Nakatani en-aut-mei=Hitomi kn-aut-name=中谷ひとみ kn-aut-sei=中谷 kn-aut-mei=ひとみ aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学大学院社会文化科学研究科 END start-ver=1.4 cd-journal=joma no-vol=34 cd-vols= no-issue= article-no= start-page=10 end-page=16 dt-received= dt-revised= dt-accepted= dt-pub-year=2018 dt-pub=201804 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=What enables hibernation? : insights from a mammalian hibernator, Syrian hamster kn-title=冬眠する哺乳類シリアンハムスターに学ぶ、冬眠可能な生体状態とは? en-subtitle= kn-subtitle= en-abstract= kn-abstract=Hibernation is an adaptive strategy for surviving during periods with little or no food availability, by profoundly reducing the metabolic rate and the core body temperature (Tb). Mammalian hibernators store fat extensively in white adipose tissues (WATs) during pre-hibernation period to prepare for hibernation. Thus, they undergo adaptive body remodelling in autumn, the pre-hibernation period, prior to hibernation, whereas little is known about the physiological and molecular mechanisms of the pre-hibernation remodelling. Syrian hamsters (Mesocricetus auratus) are facultative hibernators that can hibernate irrespective of seasons when exposed to prolonged short photoperiod and cold ambient temperature (SD-Cold) conditions. We found that before the initiation of hibernation, the body mass of Syrian hamsters decreased below a threshold, indicating that hibernation in this species depends on body condition. Global profiling of gene expression in various tissues of animals during the pre-hibernation period and hibernation period identified adaptive changes for hibernation at molecular level. Thus, Syrian hamsters as a model animal to study hibernation provide us a unique and convenient opportunity to analyse molecular and physiological mechanisms of adaptive pre-hibernation remodelling under a laboratory condition. en-copyright= kn-copyright= en-aut-name=YamaguchiYoshifumi en-aut-sei=Yamaguchi en-aut-mei=Yoshifumi kn-aut-name=山口良文 kn-aut-sei=山口 kn-aut-mei=良文 aut-affil-num=1 ORCID= affil-num=1 en-affil=Department of Genetics, Graduate School of Pharmaceutical Science, University of Tokyo kn-affil=東京大学 大学院薬学系研究科 END start-ver=1.4 cd-journal=joma no-vol=72 cd-vols= no-issue=2 article-no= start-page=143 end-page=151 dt-received= dt-revised= dt-accepted= dt-pub-year=2018 dt-pub=201804 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Descriptive Study of Gender Dysphoria in Japanese Individuals with Male-to-Female Gender Identity Disorder en-subtitle= kn-subtitle= en-abstract= kn-abstract= We focus on Japanese individuals with gender identity disorder (GID), especially male-to-female (MTF) GID, who have experienced difficulty in adapting to social life. We clarify what gender dysphoria is, and we examine methods of intervention. Semi-structured interviews were conducted with 11 individuals with MTF-GID from August 2015 to April 2017. We categorized the subjects’experiences regarding dysphoria into the ‘Onset of gender dysphoria,’ ‘Experience of feeling gender dysphoria,’ and ‘Changes due to receiving medical care.’ The subjects reported experiencing great pain and distress because they did not fully understand that they were experiencing dysphoria and could not align their gender identity and their self-identity. All subjects described their experiences of dysphoria as negative. Additionally, all said that the dysphoria was alleviated by a medical intervention such as visiting a gender clinic, receiving a diagnosis and treatment, and changing their physical sex to the sex congruent with their gender identity. The provision of information at the gender clinic and the physical changes achieved by medical intervention exerted a positive effect both mentally and socially on the subjects, who suffered various physical, mental and social problems. en-copyright= kn-copyright= en-aut-name=ShinoharaYoshie en-aut-sei=Shinohara en-aut-mei=Yoshie kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=NakatsukaMikiya en-aut-sei=Nakatsuka en-aut-mei=Mikiya kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= affil-num=1 en-affil=Graduate School of Health Sciences, Okayama University kn-affil= affil-num=2 en-affil=Department of Obstetrics and Gynecology and Gender Clinic, Okayama University Hospital, kn-affil= en-keyword=gender identity disorder kn-keyword=gender identity disorder en-keyword=gender dysphoria kn-keyword=gender dysphoria en-keyword=gender identity kn-keyword=gender identity en-keyword=male to female kn-keyword=male to female END start-ver=1.4 cd-journal=joma no-vol=8 cd-vols= no-issue= article-no= start-page=1 end-page=14 dt-received= dt-revised= dt-accepted= dt-pub-year=2018 dt-pub=20180320 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Ask for future morality : Pursuing new morality thought from the viewpoint of educational philosophy kn-title=これからの道徳性を問う : 教育哲学の視点から考える新たな道徳性への追求 en-subtitle= kn-subtitle= en-abstract= Due to the marked decline of morality that spans inhuman tasks that progress with modernization after the war, today's day In books we come to review true morality. In this article, we will examine what kind of thing is "morality", based on a questionnaire survey by current university students, to explore the true meaning of university students who are going to achieve adulthood today and are new to society, And the way of moral education in school education. As a result, morality and future tasks in today's college students were found, suggesting that "respect for life", "normative consciousness", "trust relationship" etc. are important as future morality. In addition, we examined these morality based on the theory of historical thinkers (educational philosophers) and made clear the morality necessary for the future in the future. kn-abstract= 戦後の近代化と共に進む、非人道的な課題に及ぶ道徳性の著しい衰退により、今日の日本では、真の道徳性について見直す時にきている。本稿では、「道徳性」とはどのようなことなのか、現在の大学生によるアンケート調査をもとに、今日、成人を遂げ、新たに社会に巣立とうとしている大学生の真意を探ると共に、今後の課題と学校教育における道徳教育の在り方について検討した。  その結果、今日の大学生における道徳性と今後の課題が見出され、「生命への尊重」「規範意識」「信頼関係」などが今後の道徳性として重要であることが示唆された。なお、これらの道徳性について、歴史上の思想家(教育哲学者)の理論をもとに検証し、今後の未来に必要な道徳性について明らかとした。 en-copyright= kn-copyright= en-aut-name=SkudaKiyohiro en-aut-sei=Skuda en-aut-mei=Kiyohiro kn-aut-name=作田澄泰 kn-aut-sei=作田 kn-aut-mei=澄泰 aut-affil-num=1 ORCID= en-aut-name=NakayamaYoshikazu en-aut-sei=Nakayama en-aut-mei=Yoshikazu kn-aut-name=中山芳一 kn-aut-sei=中山 kn-aut-mei=芳一 aut-affil-num=2 ORCID= affil-num=1 en-affil=Waseda University institute of teacher education kn-affil=早稲田大学教師教育研究所 affil-num=2 en-affil=Okayama University whole school education and student support organization kn-affil=岡山大学全学教育・学生支援機構 en-keyword=戦後の道徳性の意義 (Significance of postwar morality) kn-keyword=戦後の道徳性の意義 (Significance of postwar morality) en-keyword=生きることへの意味 (meaning to live) kn-keyword=生きることへの意味 (meaning to live) en-keyword=善の生き方 (how to live good) kn-keyword=善の生き方 (how to live good) END start-ver=1.4 cd-journal=joma no-vol=49 cd-vols= no-issue=3 article-no= start-page=79 end-page=108 dt-received= dt-revised= dt-accepted= dt-pub-year=2018 dt-pub=20180319 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=The positioning of White Russians in Manchukuo : The actual condition of Orientals and Westerners in “Co-Existence and Co-Prosperity” and “Racial Harmony” Society kn-title=満洲国における白系ロシア人の位置付け : 東洋人と西洋人の共存共栄・民族協和社会の実態 en-subtitle= kn-subtitle= en-abstract= kn-abstract= The positioning of White Russians in Manchukuo society is an important topic, especially taking into account that they were announced as“ citizens” of a New State. This article examines the actual economic and social condition of White Russians comparing to other ethnic groups in Manchukuo society, especially to Japanese and Manchurians/Chinese. The author will present the differences between the public propaganda for White Russians and the reality which they had experienced in Manchukuo. It is hoped that this article will show what kind of“ Racial Harmony (minzoku kyowa)” and“ Harmony of the Five Races( gozoku kyowa)” society were created in the New State in case of minority group such as White Russians. en-copyright= kn-copyright= en-aut-name=DmitrievaElena en-aut-sei=Dmitrieva en-aut-mei=Elena kn-aut-name=ドミートリエヴァエレーナ kn-aut-sei=ドミートリエヴァ kn-aut-mei=エレーナ aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil= END start-ver=1.4 cd-journal=joma no-vol=49 cd-vols= no-issue=3 article-no= start-page=65 end-page=77 dt-received= dt-revised= dt-accepted= dt-pub-year=2018 dt-pub=20180319 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=フランスにおけるメトロポールの誕生と開発評議会 : ストラスブール・ユーロメトロポールを一例に en-subtitle= kn-subtitle= en-abstract= kn-abstract= This article shows the relation between urban development and local democracy in France by analyzing Metropole City and the Development Council. Metropole City supports its innovation industry through contracts with the State-Metropole City, French Tech, and university investment in different stakeholders such as economic groups and universities. This article puts forward the following questions. First, what kinds of networks does Metropole City create to win global city competitions? Second, how does the Development Council function after the MAPTAM law of 2014 and the NOTRe law of 2015? To answer these questions, this article uses Strasbourg Eurométropole as an example. en-copyright= kn-copyright= en-aut-name=IwabuchiYasushi en-aut-sei=Iwabuchi en-aut-mei=Yasushi kn-aut-name=岩淵泰 kn-aut-sei=岩淵 kn-aut-mei=泰 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学地域総合研究センター END start-ver=1.4 cd-journal=joma no-vol=70 cd-vols= no-issue=1 article-no= start-page=23 end-page=28 dt-received= dt-revised= dt-accepted= dt-pub-year=2017 dt-pub=201707 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Complete right bundle branch block and QRS-T discordance can be the initial clue to detect S-ICD ineligibility en-subtitle= kn-subtitle= en-abstract= kn-abstract=BACKGROUND: In order to minimize inappropriate shocks of subcutaneous implantable cardioverter-defibrillators (S-ICD), it is important to recognize who is suitable for S-ICD indication. This study aimed to clarify what types of cardiac disease are likely to fulfill the S-ICD screening criteria and ineligible factors for S-ICD in the standard 12-lead electrocardiogram (ECG). METHODS: A total of 348 patients with heart disease were enrolled. They were assessed by supine and standing ECG recording to simulate the 3 S-ICD sensing vectors and standard 12-lead ECG, simultaneously. Clinical and ECG characteristics were analyzed to compare the patients who are eligible and ineligible with S-ICD screening ECG indication. RESULTS: The mean age of study patients was 49±21 years and 244 (70%) were men. Nineteen percent of patients were unsuitable for S-ICD. There was no significant difference in ineligibility for S-ICD among cardiac diseases (p=0.48). Univariate analysis showed complete right bundle branch block (CRBBB), QRS-T discordance in lead II, and QRS-T discordance in 3 leads (I, II, and aVF) were more frequent in patients who were ineligible for S-ICD than in the eligible group. Multivariate regression analysis showed CRBBB and QRS-T discordance in 3 leads were independent predictors for ineligibility of S-ICD. CONCLUSION: There are no differences in eligibility of S-ICD among types of cardiac diseases. CRBBB and QRS-T discordance were independent predictors for ineligibility. en-copyright= kn-copyright= en-aut-name=TachibanaMotomi en-aut-sei=Tachibana en-aut-mei=Motomi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=NishiiNobuhiro en-aut-sei=Nishii en-aut-mei=Nobuhiro kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=MorimotoYoshimasa en-aut-sei=Morimoto en-aut-mei=Yoshimasa kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=KawadaSatoshi en-aut-sei=Kawada en-aut-mei=Satoshi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= en-aut-name=MiyoshiAkihito en-aut-sei=Miyoshi en-aut-mei=Akihito kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=5 ORCID= en-aut-name=SugiyamaHiroyasu en-aut-sei=Sugiyama en-aut-mei=Hiroyasu kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=6 ORCID= en-aut-name=NakagawaKoji en-aut-sei=Nakagawa en-aut-mei=Koji kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=7 ORCID= en-aut-name=WatanabeAtsuyuki en-aut-sei=Watanabe en-aut-mei=Atsuyuki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=8 ORCID= en-aut-name=NakamuraKazufumi en-aut-sei=Nakamura en-aut-mei=Kazufumi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=9 ORCID= en-aut-name=MoritaHiroshi en-aut-sei=Morita en-aut-mei=Hiroshi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=10 ORCID= en-aut-name=ItoHiroshi en-aut-sei=Ito en-aut-mei=Hiroshi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=11 ORCID= affil-num=1 en-affil=Department of Cardiovascular Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=2 en-affil=Department of Cardiovascular Therapeutics, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=3 en-affil=Department of Cardiovascular Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=4 en-affil=Department of Cardiovascular Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=5 en-affil=Department of Cardiovascular Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=6 en-affil=Department of Cardiovascular Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=7 en-affil=Department of Cardiovascular Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=8 en-affil=Department of Cardiovascular Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=9 en-affil=Department of Cardiovascular Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=10 en-affil=Department of Cardiovascular Therapeutics, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=11 en-affil=Department of Cardiovascular Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= en-keyword=Implantable cardioverter-defibrillator kn-keyword=Implantable cardioverter-defibrillator en-keyword=Sudden cardiac death kn-keyword=Sudden cardiac death en-keyword=Ventricular arrhythmia kn-keyword=Ventricular arrhythmia END start-ver=1.4 cd-journal=joma no-vol=67 cd-vols= no-issue=2 article-no= start-page=334 end-page=305 dt-received= dt-revised= dt-accepted= dt-pub-year=2017 dt-pub=20171225 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=What is Wrong with the Coexistence of Different Election Rules in the Same Country? : A Critical Argument in the Light of the Principle of Local Autonomy kn-title=政党システム中心の選挙制度改革論と地方自治 : 異なる価値前提を巡る若干の考察 en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=TaniSatomi en-aut-sei=Tani en-aut-mei=Satomi kn-aut-name=谷聖美 kn-aut-sei=谷 kn-aut-mei=聖美 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学名誉教授 END start-ver=1.4 cd-journal=joma no-vol=1 cd-vols= no-issue= article-no= start-page=107 end-page=122 dt-received= dt-revised= dt-accepted= dt-pub-year=2016 dt-pub=20161230 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=From ‛What do you want to learn in this class?’ to ‛What did you learn in this class?’ Exploring Before and After Implications of Students’ Responses en-subtitle= kn-subtitle= en-abstract= kn-abstract= Looking back at over my years of teaching English at university, I noticed that despite the many changes, two things have remained the same in my classroom practice: the first day questionnaire and end of term reflective report. Out of the 14 questions on the first class inquiry, my favorite question is ‘What do you want to learn in this class?’ I find the most interesting answers are located here in terms of revealing students’ initial expectations of the course. Near the end of the term, I assign a reflective report on what they learned in this class. What makes the initial responses even more memorable is placing them into a learning opportunity perspective with their final self-perceived notion of what they achieved. en-copyright= kn-copyright= en-aut-name=NakamuraIan en-aut-sei=Nakamura en-aut-mei=Ian kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= affil-num=1 en-affil=Okayama University kn-affil= en-keyword=perceptions of learning kn-keyword=perceptions of learning en-keyword=learner development kn-keyword=learner development en-keyword=teacher development kn-keyword=teacher development en-keyword=theory and practice kn-keyword=theory and practice END start-ver=1.4 cd-journal=joma no-vol=1 cd-vols= no-issue= article-no= start-page=17 end-page=28 dt-received= dt-revised= dt-accepted= dt-pub-year=2016 dt-pub=20161230 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=A Three-day CLIL Workshop : what was learned and produced en-subtitle= kn-subtitle= en-abstract= kn-abstract= 現在多くの日本の大学では、グローバルな教育内容と環境を促進することが火急の課題である。岡山大学では英語教育の質の向上と授業科目の英語での提供の2つに取り組んでいるが、その実践においてCLIL(内容言語統合型学習)が有用であると考えられる。また日本の高等教育機関において、CLIL を既に実践あるいは導入を検討している教育関係者と経験やアイデアを共有し、ネットワークを作って今後の情報交換を行うことも非常に重要である。そこで岡山大学では2016 年2 月にフィンランドから2名の講師を招き、3日間のCLIL ワークショップを開催した。この論文では4大学の参加者4名がワークショップで紹介された2つの大学の異なったCLIL モデルについて報告する。またワークショップで行った様々なアクティビティを通して参加者が学び取ったことや成果についても記述する。 en-copyright= kn-copyright= en-aut-name=MoriokaAkemi en-aut-sei=Morioka en-aut-mei=Akemi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=INUGAI-DIXONCarol en-aut-sei=INUGAI-DIXON en-aut-mei=Carol kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=MitaKaoru en-aut-sei=Mita en-aut-mei=Kaoru kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=HoshinoYuko en-aut-sei=Hoshino en-aut-mei=Yuko kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= affil-num=1 en-affil=Okayama University kn-affil= affil-num=2 en-affil=University of Tsukuba kn-affil= affil-num=3 en-affil=Jissen Women’s Junior College kn-affil= affil-num=4 en-affil=Tokyo University of Pharmacy and Life Sciences kn-affil= en-keyword=CLIL kn-keyword=CLIL en-keyword=content kn-keyword=content en-keyword=integration kn-keyword=integration en-keyword=thinking kn-keyword=thinking en-keyword=collaboration kn-keyword=collaboration END start-ver=1.4 cd-journal=joma no-vol=91 cd-vols= no-issue=1 article-no= start-page=016302 end-page= dt-received= dt-revised= dt-accepted= dt-pub-year=2015 dt-pub=20150123 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Reply to “Comment on ‘Spontaneous liquid-liquid phase separation of water’ ” en-subtitle= kn-subtitle= en-abstract= kn-abstract= Two different scenarios have been proposed on the phase separation occurring in the deeply supercooled liquid water. We discuss what we can derive from our simulation results for the two scenarios and propose a way for future investigation. We also demonstrate that the phase separation in the supercooled liquid water looks like the separation of liquid water and vapor just below the conventional critical point. en-copyright= kn-copyright= en-aut-name=YagasakiTakuma en-aut-sei=Yagasaki en-aut-mei=Takuma kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=Matsumoto Masakazu en-aut-sei=Matsumoto en-aut-mei= Masakazu kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=TanakaHideki en-aut-sei=Tanaka en-aut-mei=Hideki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= affil-num=1 en-affil=Department of Chemistry, Faculty of Science, Okayama University kn-affil= affil-num=2 en-affil=Department of Chemistry, Faculty of Science, Okayama University kn-affil= affil-num=3 en-affil=Department of Chemistry, Faculty of Science, Okayama University kn-affil= END start-ver=1.4 cd-journal=joma no-vol=23 cd-vols= no-issue=1 article-no= start-page=1 end-page=7 dt-received= dt-revised= dt-accepted= dt-pub-year=2016 dt-pub=20161227 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Risk prediction of landslide and debris flow using slope gradation map obtained from airborne laser scanning kn-title=航空レーザ傾斜量図を用いた斜面・土石流危険箇所抽出の試み en-subtitle= kn-subtitle= en-abstract= kn-abstract= The slope gradation map which is obtained from airborne laser scanning is very important tool to detect hazardous sites of landslide, debris flow and others. The features of the images (what the images are represented) in the map were confirmed by field survey. The study area, Tamagashi is situated in the Kibi Plateau area, Okayama City, Japan. The map helps to distinguish between artificial microrelief and natural microtopography very well. Small scarps (even 0.5m high), rocky cliffs and large blocks (larger than 2m) are identified in the map. The detail images of the microrelief suggest threatening sites. The merit of the map leads us to find the site in the field easily. We will not miss the threatening sites by using the map. en-copyright= kn-copyright= en-aut-name=SuzukiShigeyuki en-aut-sei=Suzuki en-aut-mei=Shigeyuki kn-aut-name=鈴木茂之 kn-aut-sei=鈴木 kn-aut-mei=茂之 aut-affil-num=1 ORCID= en-aut-name=MiyashitaMasashi en-aut-sei=Miyashita en-aut-mei=Masashi kn-aut-name=宮下征士 kn-aut-sei=宮下 kn-aut-mei=征士 aut-affil-num=2 ORCID= en-aut-name=HirakawaTakeshi en-aut-sei=Hirakawa en-aut-mei=Takeshi kn-aut-name=平川武 kn-aut-sei=平川 kn-aut-mei=武 aut-affil-num=3 ORCID= en-aut-name=FujiwaraMieko en-aut-sei=Fujiwara en-aut-mei=Mieko kn-aut-name=藤原身江子 kn-aut-sei=藤原 kn-aut-mei=身江子 aut-affil-num=4 ORCID= en-aut-name=NishiyamaSatoshi en-aut-sei=Nishiyama en-aut-mei=Satoshi kn-aut-name=西山哲 kn-aut-sei=西山 kn-aut-mei=哲 aut-affil-num=5 ORCID= affil-num=1 en-affil=Graduate School of Natural Science and Technology, Okayama University kn-affil=岡山大学大学院自然科学研究科 affil-num=2 en-affil=WESCO co. kn-affil=株式会社ウエスコ affil-num=3 en-affil=WESCO co. kn-affil=株式会社ウエスコ affil-num=4 en-affil=WESCO co. kn-affil=株式会社ウエスコ affil-num=5 en-affil=Graduate School of Environmental and Life Science, Okayama University kn-affil=岡山大学大学院環境生命科学研究科 en-keyword=Risk prediction kn-keyword=Risk prediction en-keyword=slope gradation map kn-keyword=slope gradation map en-keyword=airborne laser scanning kn-keyword=airborne laser scanning en-keyword= landslide kn-keyword= landslide en-keyword=debris flow kn-keyword=debris flow en-keyword=Okayama kn-keyword=Okayama END start-ver=1.4 cd-journal=joma no-vol= cd-vols= no-issue= article-no= start-page=69 end-page=105 dt-received= dt-revised= dt-accepted= dt-pub-year=2016 dt-pub=20161229 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Bioethics and the Experiences of Hansen’s Disease Survivors en-subtitle= kn-subtitle= en-abstract= kn-abstract=Historically, Hansen’s disease patients suffered from discrimination because their physical features changed due to the bacterium Mycobacterium leprae (M. leprae) and made them “ugly” in the eyes of society. Former Japanese governments saw them as a national disgrace and forced them to reside in leprosaria. Since the law requiring isolation continued after the silver bullet was developed, survivors could not leave the leprosaria and return to society. Currently, survivors’ average age is 82 and they live in 13 national sanatoriums. When they pass away, the history of Hansen’s disease in Japan will end, so we must record their experiences. We conducted qualitative and inductive studies with survivors. In this chapter, we reconstruct them from the perspective of bioethics and propose several theories surrounding them: (1) How former leprosaria and medical administrations in Japan threatened bioethical principles; (2) the wisdom of aging survivors, who lived through extreme situations, and what real restoration of their rights might look like; and (3) the ethical dilemmas of how we will care for the survivors—who have multiple severe sequelae—until they all pass away. Finally, we will intro en-copyright= kn-copyright= en-aut-name=KondoMariko en-aut-sei=Kondo en-aut-mei=Mariko kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=MoriKazuo en-aut-sei=Mori en-aut-mei=Kazuo kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=NomuraHiroshi en-aut-sei=Nomura en-aut-mei=Hiroshi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=KadowakiHanako en-aut-sei=Kadowaki en-aut-mei=Hanako kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= en-aut-name=WatanabeMakiko en-aut-sei=Watanabe en-aut-mei=Makiko kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=5 ORCID= en-aut-name=DoiAkemi en-aut-sei=Doi en-aut-mei=Akemi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=6 ORCID= en-aut-name=ShimaSayaka en-aut-sei=Shima en-aut-mei=Sayaka kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=7 ORCID= affil-num=1 en-affil=Graduate School of Health Sciences, Okayama University. kn-affil= affil-num=2 en-affil=National Hansen’s Disease Sanatorium Residents’ Council, National Sanatorium Oshima-Seisho-en kn-affil= affil-num=3 en-affil=National Hansen’s Disease Sanatorium Residents’ Council, National Sanatorium Oshima-Seisho-en kn-affil= affil-num=4 en-affil=National Sanatorium Oshima-Seisho-en kn-affil= affil-num=5 en-affil=National Sanatorium Oshima-Seisho-en kn-affil= affil-num=6 en-affil=National Sanatorium Oshima-Seisho-en kn-affil= affil-num=7 en-affil=Yodogawa Christian Hospital kn-affil= en-keyword=stigma kn-keyword=stigma en-keyword=Hansen’s disease kn-keyword=Hansen’s disease en-keyword=bioethical principles kn-keyword=bioethical principles en-keyword=wisdom kn-keyword=wisdom en-keyword=human caring kn-keyword=human caring END start-ver=1.4 cd-journal=joma no-vol=16 cd-vols= no-issue= article-no= start-page=31 end-page=41 dt-received= dt-revised= dt-accepted= dt-pub-year=2017 dt-pub=20170324 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=The Real Image of One Japanese who Wished for a Leap Overseas by Qing Trade : What does the KOHNO Ken-ichi Memorial Museum in Nogata City, Fukuoka Prefecture, aiming to do? kn-title=清国貿易による海外飛躍を目指した一日本人の実像 : 福岡県直方市の向野堅一記念館は何を目指すか en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=KohnoMasahiro en-aut-sei=Kohno en-aut-mei=Masahiro kn-aut-name=向野正弘 kn-aut-sei=向野 kn-aut-mei=正弘 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=向野堅一記念館 END start-ver=1.4 cd-journal=joma no-vol=129 cd-vols= no-issue=1 article-no= start-page=53 end-page=57 dt-received= dt-revised= dt-accepted= dt-pub-year=2017 dt-pub=20170403 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Drug interaction (38. Combination with novel hypnotic drugs : ramelteon and suvorexant) kn-title=薬物相互作用 ( 38 - 新規睡眠薬 : ラメルテオン, スボレキサントの相互作用) en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=KuboKazuko en-aut-sei=Kubo en-aut-mei=Kazuko kn-aut-name=久保和子 kn-aut-sei=久保 kn-aut-mei=和子 aut-affil-num=1 ORCID= en-aut-name=EsumiSatoru en-aut-sei=Esumi en-aut-mei=Satoru kn-aut-name=江角悟 kn-aut-sei=江角 kn-aut-mei=悟 aut-affil-num=2 ORCID= en-aut-name=KitamuraYoshihisa en-aut-sei=Kitamura en-aut-mei=Yoshihisa kn-aut-name=北村佳久 kn-aut-sei=北村 kn-aut-mei=佳久 aut-affil-num=3 ORCID= en-aut-name=SendoToshiaki en-aut-sei=Sendo en-aut-mei=Toshiaki kn-aut-name=千堂年昭 kn-aut-sei=千堂 kn-aut-mei=年昭 aut-affil-num=4 ORCID= affil-num=1 en-affil=Department of Pharmacy, Okayama University Hospital kn-affil=岡山大学病院 薬剤部 affil-num=2 en-affil=Department of Pharmacy, Okayama University Hospital kn-affil=岡山大学病院 薬剤部 affil-num=3 en-affil=Department of Pharmacy, Okayama University Hospital kn-affil=岡山大学病院 薬剤部 affil-num=4 en-affil=Department of Pharmacy, Okayama University Hospital kn-affil=岡山大学病院 薬剤部 END start-ver=1.4 cd-journal=joma no-vol=129 cd-vols= no-issue=1 article-no= start-page=17 end-page=22 dt-received= dt-revised= dt-accepted= dt-pub-year=2017 dt-pub=20170403 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Sexual function before and after a tension-free vaginal mesh procedure for pelvic organ prolapse kn-title=骨盤臓器脱に対するTVM 手術前後の性機能に関する検討 en-subtitle= kn-subtitle= en-abstract= kn-abstract= We prospectively assessed sexual function before and after a tension-free vaginal mesh ( TVM) procedure for pelvic organ prolapse ( POP) . From April 2007 to March 2009, a total of 42 patients, who reported having an active sex life preoperatively underwent TVM for POP. Female sexual function was evaluated with the self-reporting, multiple-domain Female Sexual Function Index (FSFI) . We administered the FSFI to all of the patients before and at 3, 6, and 12 months after surgery. The mean age at surgery was 61.3±7.1 years. Before the TVM surgery, the FSFI score was very low ( 12.5±9.0) . The total FSFI score was improved significantly at 12 months after surgery ( 17.4±7.7) . The Arousal, Lubrication and Orgasm domains were significantly improved at 12 months after surgery. POP appears to have a significant negative impact on female sexual function. Our findings indicate that TVM for POP improved sexual function in a group of Japanese women with POP. en-copyright= kn-copyright= en-aut-name=MatsumotoYuko en-aut-sei=Matsumoto en-aut-mei=Yuko kn-aut-name=松本裕子 kn-aut-sei=松本 kn-aut-mei=裕子 aut-affil-num=1 ORCID= affil-num=1 en-affil=Department of Urology, Okayama University Graduate School of Medicne, Dentistry and Pharmaceutical Sciences kn-affil=岡山大学大学院医歯薬学総合研究科 泌尿器病態学 en-keyword=骨盤臓器脱 (pelvic organ prolapse) kn-keyword=骨盤臓器脱 (pelvic organ prolapse) en-keyword=TVM (tension-free vaginal mesh) kn-keyword=TVM (tension-free vaginal mesh) en-keyword=女性泌尿器科 (female urology) kn-keyword=女性泌尿器科 (female urology) en-keyword=性機能 (sexual function) kn-keyword=性機能 (sexual function) END start-ver=1.4 cd-journal=joma no-vol=128 cd-vols= no-issue=3 article-no= start-page=221 end-page=225 dt-received= dt-revised= dt-accepted= dt-pub-year=2016 dt-pub=20161201 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Practice for health care education using simulated patients kn-title=模擬患者(SP)参加型教育の実践 en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=YoshidaToshiko en-aut-sei=Yoshida en-aut-mei=Toshiko kn-aut-name=吉田登志子 kn-aut-sei=吉田 kn-aut-mei=登志子 aut-affil-num=1 ORCID= affil-num=1 en-affil=Center for the Development of Medical and Health Care Education( Dental Education), Okayama University kn-affil=岡山大学医療教育統合開発センター(歯学教育部門) en-keyword=模擬患者 kn-keyword=模擬患者 en-keyword=フィードバック kn-keyword=フィードバック en-keyword=経験学修 kn-keyword=経験学修 en-keyword=医療教育 kn-keyword=医療教育 END start-ver=1.4 cd-journal=joma no-vol=47 cd-vols= no-issue=3 article-no= start-page=141 end-page=154 dt-received= dt-revised= dt-accepted= dt-pub-year=2016 dt-pub=20160319 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=The Effect of Expense Reductions Following Japan's Heisei Municipal Mergers kn-title=平成の市町村合併の効果に関する考察 en-subtitle= kn-subtitle= en-abstract=This study investigates the reduction in expenses that was anticipated following the Japan's Heisei Municipal Mergers. It examines whether differences appear between merged and non-merged areas. The study analyzes the types of influence of the population size(or population growth rate)and geographical area on expense reduction as well as the mergers' effect on Japan's financial index. Results show that the population size, geographical areas, and presence of the merger influence expenditures. In addition, in the rate of change of the financial index, what population size, geographical area and presence of the merger had an influence on is confirmed. Particularly, it is so in the annual expenditure item in which the comparative expense reduction effects such as obligatory expense and assembly costs easily occurred. In short, something of effects of the socalled Heisei Municipal Mergers is fairly confirmed. kn-abstract= en-copyright= kn-copyright= en-aut-name=NishidaSayuri en-aut-sei=Nishida en-aut-mei=Sayuri kn-aut-name=西田小百合 kn-aut-sei=西田 kn-aut-mei=小百合 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=東海大学 en-keyword=Heisei municipal mergers kn-keyword=Heisei municipal mergers en-keyword= Financial effect kn-keyword= Financial effect en-keyword=Presence of the merger kn-keyword=Presence of the merger END start-ver=1.4 cd-journal=joma no-vol=47 cd-vols= no-issue=2 article-no= start-page=129 end-page=140 dt-received= dt-revised= dt-accepted= dt-pub-year=2016 dt-pub=20160223 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=What is Value Relevance? kn-title=Value Relevanceとは何か en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=NakagawaToyotaka en-aut-sei=Nakagawa en-aut-mei=Toyotaka kn-aut-name=中川豊隆 kn-aut-sei=中川 kn-aut-mei=豊隆 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学 END start-ver=1.4 cd-journal=joma no-vol=65 cd-vols= no-issue=3・4 article-no= start-page=949 end-page=1004 dt-received= dt-revised= dt-accepted= dt-pub-year=2016 dt-pub=20160318 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Carryover or Cost: What is the Rational of Tax Deferral in Corporate Reorganizations? kn-title=組織再編成における課税関係の継続と断絶 en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=KOZUKAMasahiro en-aut-sei=KOZUKA en-aut-mei=Masahiro kn-aut-name=小塚真啓 kn-aut-sei=小塚 kn-aut-mei=真啓 aut-affil-num=1 ORCID= affil-num=1 en-affil=Graduate School of Humanities and Social Sciences, Okayama University kn-affil=岡山大学社会文化科学研究科 END start-ver=1.4 cd-journal=joma no-vol=128 cd-vols= no-issue=1 article-no= start-page=21 end-page=25 dt-received= dt-revised= dt-accepted= dt-pub-year=2016 dt-pub=20160401 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=A case of mucinous adenocarcinoma of the duodenum and literature review of 16 cases reported in Japan kn-title=原発性十二指腸粘液癌の一例― 本邦報告16例の検討― en-subtitle= kn-subtitle= en-abstract= kn-abstract= Primary mucinous adenocarcinoma of the duodenum is rare. Here we report a case we recently encountered, and we review 16 cases reported in Japan. An 82-year-old Japanese woman was admitted to our hospital complaining of abdominal pain and heartburn. An endoscopic examination revealed a Type 2 tumor in the descending limb of the duodenum, and endoscopically obtained specimens revealed a poorly differentiated adenocarcinoma. We performed a curative pancreatoduodenectomy with lymph node resection, and the surgical specimen revealed that the duodenum was the primary site of the mucinous adenocarcinoma. The patient is currently alive > 1 year after the operation without any evidence of recurrence. Of the 16 patients reviewed, all patients had advanced tumors those depth were T3-T4. 9 patients had lymph node metastasis and 4 patients had peritoneal dissemination at the time of surgery. Since mucinous adenocarcinoma of the duodenum is often progressive cancer at a diagnosis, which is tend to have a worse prognosis than other histological types. en-copyright= kn-copyright= en-aut-name=HamanoIkumi en-aut-sei=Hamano en-aut-mei=Ikumi kn-aut-name=浜野郁美 kn-aut-sei=浜野 kn-aut-mei=郁美 aut-affil-num=1 ORCID= en-aut-name=MatsumotoYusuke en-aut-sei=Matsumoto en-aut-mei=Yusuke kn-aut-name=松本祐介 kn-aut-sei=松本 kn-aut-mei=祐介 aut-affil-num=2 ORCID= en-aut-name=EndoYoshikatsu en-aut-sei=Endo en-aut-mei=Yoshikatsu kn-aut-name=遠藤芳克 kn-aut-sei=遠藤 kn-aut-mei=芳克 aut-affil-num=3 ORCID= en-aut-name=WatanabeNaoki en-aut-sei=Watanabe en-aut-mei=Naoki kn-aut-name=渡邊直樹 kn-aut-sei=渡邊 kn-aut-mei=直樹 aut-affil-num=4 ORCID= en-aut-name=KaiKyouhei en-aut-sei=Kai en-aut-mei=Kyouhei kn-aut-name=甲斐恭平 kn-aut-sei=甲斐 kn-aut-mei=恭平 aut-affil-num=5 ORCID= en-aut-name=SatoShizou en-aut-sei=Sato en-aut-mei=Shizou kn-aut-name=佐藤四三 kn-aut-sei=佐藤 kn-aut-mei=四三 aut-affil-num=6 ORCID= en-aut-name=WaniYoji en-aut-sei=Wani en-aut-mei=Yoji kn-aut-name=和仁洋治 kn-aut-sei=和仁 kn-aut-mei=洋治 aut-affil-num=7 ORCID= affil-num=1 en-affil= kn-affil=姫路赤十字病院 外科 affil-num=2 en-affil= kn-affil=姫路赤十字病院 外科 affil-num=3 en-affil= kn-affil=姫路赤十字病院 外科 affil-num=4 en-affil= kn-affil=姫路赤十字病院 外科 affil-num=5 en-affil= kn-affil=姫路赤十字病院 外科 affil-num=6 en-affil= kn-affil=姫路赤十字病院 外科 affil-num=7 en-affil= kn-affil=姫路赤十字病院 病理診断科 en-keyword=原発性十二指腸癌(primary duodenal cancer) kn-keyword=原発性十二指腸癌(primary duodenal cancer) en-keyword=粘液癌(mucinous carcinoma) kn-keyword=粘液癌(mucinous carcinoma) en-keyword=膵頭十二指腸切除(pancreatoduodenectomy) kn-keyword=膵頭十二指腸切除(pancreatoduodenectomy) END start-ver=1.4 cd-journal=joma no-vol=49 cd-vols= no-issue= article-no= start-page=13 end-page=29 dt-received= dt-revised= dt-accepted= dt-pub-year=2008 dt-pub=20080730 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=A post-Skinnerian perspective in behavior analysis (18) : "Doing what we want to do" or "doing what we have to do" kn-title=スキナー以後の心理学(18): 「したいことをする」と「しなければならないことをする」 en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=HasegawaYoshinori en-aut-sei=Hasegawa en-aut-mei=Yoshinori kn-aut-name=長谷川芳典 kn-aut-sei=長谷川 kn-aut-mei=芳典 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学 END start-ver=1.4 cd-journal=joma no-vol=29 cd-vols= no-issue=4 article-no= start-page=1027 end-page=1033 dt-received= dt-revised= dt-accepted= dt-pub-year=2014 dt-pub=2014 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Utility of simple suspension method compared to loss of drug using crushing method on tube administration kn-title=粉砕法による経管投与における薬剤量損失に対する簡易懸濁法の有用性についての検討 en-subtitle= kn-subtitle= en-abstract=Objective: In the past, a conventional crushing method was used for the administration of tablets or capsules by tube in patients with dysphagia. However, this method has several problems, such as a loss of the drug amount and tube clogging. Recently, tube administration by a simple suspension method was developed to solve these problems in the conventional crushing method. Methods: In the present study, we investigated to what extent the dosage amount is lost using the simple suspension method compared to crushing method, employing 5 drugs which are frequently administered by tube in Okayama University Hospital. Results: Drug weights of the 5 agents decreased by 70 ~ 90% in the grinding and packaging processes because of drug adhesion to the mortar, packaging machine, and drug package paper. The suspension of all drugs using the simple suspension method was uniform, while only the suspension of Warfarin® ground using the crushing method was shown to be showed inhomogeneous, which is expected to lead to a loss of drug. The drug content on assuming clinical a setting after tube passage was compared between the two methods. The recovery of warfarin®, characterized as unstable using the crushing method, was nearly 50%, but loss was prevented by 80% with the use of bags of medicine. For the simple suspension method, the recovery of warfarin® was almost 100%. Conclusion: The results of this study suggest that the simple suspension method is particularly effective for the tube administration of drugs characterized as unstable. kn-abstract=【目的】従来の薬剤経管投与法である粉砕法は薬効の減少につながる薬剤量の損失が指摘されている。そこで粉砕法による薬剤量損失に対する簡易懸濁法の有用性について検討した。 【方法】頻繁に粉砕指示がなされる5種類の薬剤を用いて粉砕・分包による薬物含量減少、薬剤調製時の懸濁性および実際の経管投与を想定した薬物含量について2つの方法を比較した。 【結果】薬剤を粉砕・分包するとそれぞれの薬物含量は減少した。またワーファリン®錠を粉砕して水に溶解すると完全には懸濁せず、小さな塊が生じたが、簡易懸濁法では均一に懸濁した。ワーファリン®錠の経管投与を想定した実験において粉砕法では薬物含量が大幅に減少したが、簡易懸濁法では、ほとんど損失が認められなかった。【結論】簡易懸濁法は粉砕法に比べて薬剤損失の面で有用性が高いことが示唆され、ワーファリン®錠のように安定性が悪い薬剤では特に適正な薬物投与に貢献出来ると考えられる。 en-copyright= kn-copyright= en-aut-name=ZamamiYoshito en-aut-sei=Zamami en-aut-mei=Yoshito kn-aut-name=座間味義人 kn-aut-sei=座間味 kn-aut-mei=義人 aut-affil-num=1 ORCID= en-aut-name=KoyamaToshihiro en-aut-sei=Koyama en-aut-mei=Toshihiro kn-aut-name=小山敏広 kn-aut-sei=小山 kn-aut-mei=敏広 aut-affil-num=2 ORCID= en-aut-name=AibaTetsuya en-aut-sei=Aiba en-aut-mei=Tetsuya kn-aut-name=合葉哲也 kn-aut-sei=合葉 kn-aut-mei=哲也 aut-affil-num=3 ORCID= en-aut-name=AmanoManabu en-aut-sei=Amano en-aut-mei=Manabu kn-aut-name=天野学 kn-aut-sei=天野 kn-aut-mei=学 aut-affil-num=4 ORCID= en-aut-name=AndoTetsuaki en-aut-sei=Ando en-aut-mei=Tetsuaki kn-aut-name=安藤哲信 kn-aut-sei=安藤 kn-aut-mei=哲信 aut-affil-num=5 ORCID= en-aut-name=KurataNaomi en-aut-sei=Kurata en-aut-mei=Naomi kn-aut-name=倉田なおみ kn-aut-sei=倉田 kn-aut-mei=なおみ aut-affil-num=6 ORCID= en-aut-name=NawaHideki en-aut-sei=Nawa en-aut-mei=Hideki kn-aut-name=名和秀起 kn-aut-sei=名和 kn-aut-mei=秀起 aut-affil-num=7 ORCID= en-aut-name=NakuraHironori en-aut-sei=Nakura en-aut-mei=Hironori kn-aut-name=名倉弘哲 kn-aut-sei=名倉 kn-aut-mei=弘哲 aut-affil-num=8 ORCID= en-aut-name=KitamuraYoshihisa en-aut-sei=Kitamura en-aut-mei=Yoshihisa kn-aut-name=北村佳久 kn-aut-sei=北村 kn-aut-mei=佳久 aut-affil-num=9 ORCID= en-aut-name=SendoToshiaki en-aut-sei=Sendo en-aut-mei=Toshiaki kn-aut-name=千堂年昭 kn-aut-sei=千堂 kn-aut-mei=年昭 aut-affil-num=10 ORCID= affil-num=1 en-affil= kn-affil=岡山大学大学院 医歯薬学総合研究科 affil-num=2 en-affil= kn-affil=岡山大学大学院 医歯薬学総合研究科 affil-num=3 en-affil= kn-affil=岡山大学大学院 医歯薬学総合研究科 affil-num=4 en-affil= kn-affil=兵庫医療大学 薬学部 affil-num=5 en-affil= kn-affil=吉備高原ルミエール病院 薬剤科 affil-num=6 en-affil= kn-affil=昭和大学 薬学部 affil-num=7 en-affil= kn-affil=岡山大学病院 薬剤部 affil-num=8 en-affil= kn-affil=岡山大学大学院 医歯薬学総合研究科 affil-num=9 en-affil= kn-affil=岡山大学病院 薬剤部 affil-num=10 en-affil= kn-affil=岡山大学病院 薬剤部 en-keyword=簡易懸濁法 (simple suspension method) kn-keyword=簡易懸濁法 (simple suspension method) en-keyword=経管投与 (tube administration) kn-keyword=経管投与 (tube administration) en-keyword=薬剤量の損失 (loss of drug amount) kn-keyword=薬剤量の損失 (loss of drug amount) END start-ver=1.4 cd-journal=joma no-vol=31 cd-vols= no-issue= article-no= start-page=2 end-page=3 dt-received= dt-revised= dt-accepted= dt-pub-year=2015 dt-pub=201504 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Studies on the molecular evolution (affinity maturation) of antibodies: unexpected encounter kn-title=抗体の分子進化(親和性成熟)の研究: 面白い結果は思いがけなく訪れる en-subtitle= kn-subtitle= en-abstract= kn-abstract=Antibodies are unique proteins in that they improve their affinity for antigens during antibody responses. This process termed “affinity maturation” is the result of random hypermutation of immunoglobulin genes in B cells followed by selection of the clones that acquired high-affinity antibodies. However, what mechanisms are responsible for the induction of hypermutation and the subsequent B cell selection in germinal centers has remained unknown in many respects. I would like to talk about our long-lasting studies on these immunologic mechanisms focusing on the functional role of follicular dendritic cells en-copyright= kn-copyright= en-aut-name=OhmoriHitoshi en-aut-sei=Ohmori en-aut-mei=Hitoshi kn-aut-name=大森斉 kn-aut-sei=大森 kn-aut-mei=斉 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学大学院自然科学研究科 END start-ver=1.4 cd-journal=joma no-vol=13 cd-vols= no-issue= article-no= start-page=3 end-page=16 dt-received= dt-revised= dt-accepted= dt-pub-year=2014 dt-pub=20140326 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=What is Required for a Soarig East Asian Person? kn-title=東アジア飛翔人材に求められるものとは en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=OkaMasumi en-aut-sei=Oka en-aut-mei=Masumi kn-aut-name=岡益巳 kn-aut-sei=岡 kn-aut-mei=益巳 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学国際センター END start-ver=1.4 cd-journal=joma no-vol=9 cd-vols= no-issue= article-no= start-page=155 end-page=168 dt-received= dt-revised= dt-accepted= dt-pub-year=2013 dt-pub=20131230 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Reflective Practice for Professional Development: A Preliminary Consideration of What We Can Learn about Teaching from Movies about Teachers en-subtitle= kn-subtitle= en-abstract= kn-abstract= This exploratory study will begin with a review of cinematic portrayals of teachers and their situations by establishing three categories: thought-provoking stories of teachers and students trying to overcome social barriers, entertainment first productions with an uplifting resolution of conflict, and documentaries that track the real-life struggles and successes of educational practitioners and their students through projectbased training and performance. Then I will use forms of reflective practice and discourse analysis to delve deeper into the details of teaching and context. This working paper will conclude with some thoughts on what ‘good’ teachers do. en-copyright= kn-copyright= en-aut-name=NakamuraIan en-aut-sei=Nakamura en-aut-mei=Ian kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学言語教育センター en-keyword=films kn-keyword=films en-keyword=reflection kn-keyword=reflection en-keyword=teachers kn-keyword=teachers en-keyword=students kn-keyword=students en-keyword=professional development kn-keyword=professional development END start-ver=1.4 cd-journal=joma no-vol=36 cd-vols= no-issue= article-no= start-page=1 end-page=19 dt-received= dt-revised= dt-accepted= dt-pub-year=2013 dt-pub=20131126 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=The Art of Vanishing-What Daniel Quinn, Maria Turner, and Sophie Calle Tell Us kn-title=消滅の技法(1)― Daniel Quinn, Maria Turner, Sophie Calleを手がかりに en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=NakataniHitomi en-aut-sei=Nakatani en-aut-mei=Hitomi kn-aut-name=中谷ひとみ kn-aut-sei=中谷 kn-aut-mei=ひとみ aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学大学院社会文化科学研究科 END start-ver=1.4 cd-journal=joma no-vol=60 cd-vols= no-issue= article-no= start-page=118 end-page=110 dt-received= dt-revised= dt-accepted= dt-pub-year=2013 dt-pub=20131225 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=What is the Meaning of “RENTAI(連帯)” - a Theoretical Analysis of Asianism kn-title=「連帯」とは何か ―アジア主義の理論解析― en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=JiangKeshi en-aut-sei=Jiang en-aut-mei=Keshi kn-aut-name=姜克實 kn-aut-sei=姜 kn-aut-mei=克實 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学 END start-ver=1.4 cd-journal=joma no-vol=125 cd-vols= no-issue=3 article-no= start-page=235 end-page=238 dt-received= dt-revised= dt-accepted= dt-pub-year=2013 dt-pub=20131202 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Two operated cases of mesenteric abscess caused by penetration of the transverse colon associated with a diverticulum kn-title=横行結腸憩室穿通による腸間膜膿瘍に対して手術を施行した2症例 en-subtitle= kn-subtitle= en-abstract= kn-abstract=We encountered 2 cases of penetration of fecal matter through a diverticulum of the transverse colon, which is a rare disease. Case 1 was a 33-year-old man who was examined in the clinic with a complaint of epigastralgia. Tenderness and muscular defense were found in the upper abdomen. On abdominal CT examination, wall thickening and increased fat concentration were seen in the transverse colon. He was diagnosed with peritonitis and underwent emergency surgery. On laparotomy, a tumor mass was found in the transverse colon close to the liver curvature. The patient was diagnosed with mesenteric abscess due to penetration of fecal matter through a diverticulum of the transverse colon. Right hemicolectomy was carried out. Case 2 was a 43-year-old woman who was examined in the clinic with a complaint of right lower abdominal pain. Muscular defense and rebound tenderness were found in the lower abdomen. On abdominal CT examination, abscess formation was seen in the right lower abdomen. She was diagnosed with peritonitis and underwent emergency surgery. On laparotomy, a tumor mass was found in the transverse colon. The patient was diagnosed with mesenteric abscess due to penetration of the transverse colon associated with a diverticulum. Partial removal of the transverse colon was carried out. en-copyright= kn-copyright= en-aut-name=MaedaNaoaki en-aut-sei=Maeda en-aut-mei=Naoaki kn-aut-name=前田直見 kn-aut-sei=前田 kn-aut-mei=直見 aut-affil-num=1 ORCID= en-aut-name=KondoHidenori en-aut-sei=Kondo en-aut-mei=Hidenori kn-aut-name=近藤秀則 kn-aut-sei=近藤 kn-aut-mei=秀則 aut-affil-num=2 ORCID= affil-num=1 en-affil= kn-affil=医療法人敬和会近藤病院 外科 affil-num=2 en-affil= kn-affil=医療法人敬和会近藤病院 外科 en-keyword=横行結腸憩室(transverse colon diverticulum) kn-keyword=横行結腸憩室(transverse colon diverticulum) en-keyword=腸間膜内穿通(mesenteric penetration) kn-keyword=腸間膜内穿通(mesenteric penetration) en-keyword=腸間膜膿瘍(mesenteric abscess) kn-keyword=腸間膜膿瘍(mesenteric abscess) END start-ver=1.4 cd-journal=joma no-vol=12 cd-vols= no-issue= article-no= start-page=21 end-page=37 dt-received= dt-revised= dt-accepted= dt-pub-year=2013 dt-pub=20130325 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=lf Fanshawe Were a Japanese ― What Makes the Quester Decide to Kill Himself ― kn-title=もしFanshaweが日本人だったら ― Paul Austerの言語探究者の自殺をめぐって ― en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=NakataniHitomi en-aut-sei=Nakatani en-aut-mei=Hitomi kn-aut-name=中谷ひとみ kn-aut-sei=中谷 kn-aut-mei=ひとみ aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=社会文化科学研究科 END start-ver=1.4 cd-journal=joma no-vol=3 cd-vols= no-issue= article-no= start-page=1 end-page=9 dt-received= dt-revised= dt-accepted= dt-pub-year=2013 dt-pub=20130308 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=The Current Status of Education in Okayama What Happning in the Junior High Schools,and Counter Measures. kn-title=今,岡山の学校教育は 中学校現場で起きていること,そして改善に向けて en-subtitle= kn-subtitle= en-abstract= kn-abstract= 文部科学省の調査(児童生徒の問題行動等生徒指導上の諸課題に関する調査H24)によると,岡山県内の小・中学校の暴力行為,不登校の出現率が全国比較では大変高く,学力・学習状況調査でも国語,数学ともに通過率が低いことが報告され,憂慮される事態にある。その原因は複雑多岐に渡っており,教育委員会や学校現場は解決に向け総力をあげて取り組んでいるが、大変困難な状況が見られる。県下の教育関係者すべては当事者意識と責任をもってかけがえのない一人ひとりの子どもたちに焦点を当てた本来の教育を再生することが急務である。  私は,平成23年3月に中学校長を最後に定年退職し,現在は教育現場を離れているが,現役時代(幼・小・中学校・特別支援学校)を自己反省する意味も含め,中学校を中心としてその現状と改善に向けた方策についてまとめてみた。 en-copyright= kn-copyright= en-aut-name=IwadouHideaki en-aut-sei=Iwadou en-aut-mei=Hideaki kn-aut-name=岩堂秀明 kn-aut-sei=岩堂 kn-aut-mei=秀明 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil= en-keyword=改善 kn-keyword=改善 en-keyword=岡山 kn-keyword=岡山 END start-ver=1.4 cd-journal=joma no-vol=152 cd-vols= no-issue= article-no= start-page=11 end-page=21 dt-received= dt-revised= dt-accepted= dt-pub-year=2013 dt-pub=20130225 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=An Appreciation of Daniel Deronda Chapter 22: Austen's Heritage and Eliot's Innovation kn-title=『ダニエル・デロンダ』22章を読む: オースティンの遺産とエリオットの創造 en-subtitle= kn-subtitle= en-abstract= kn-abstract=The present paper aims at making clear how George Eliot owes a debt in style to Jane Austen in her character portrayal. Taking up Austen’s Emma and Eliot’s Daniel Deronda, we consider the qualities of prose style that are characteristic of the respective writers as seen in these novels. A comparative analysis of their discourses has brought to light a marked tendency on both sides to use negative expressions and the subjunctive. These common traits are surmised to meet an artistic challenge of creating ambiguity in the characters’psychological situations. Eliot, while inheriting Austen’s stylized English, utilizes scientific phraseology to give voice to the human drama in late nineteenth century England. Thus she adds physiological dimensions to what Austen has established. We attempt to prove this point on the basis of discourse analysis. en-copyright= kn-copyright= en-aut-name=FukunagaShintetsu en-aut-sei=Fukunaga en-aut-mei=Shintetsu kn-aut-name=福永信哲 kn-aut-sei=福永 kn-aut-mei=信哲 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学大学院教育学研究科社会・言語教育学系英語教育講座 en-keyword=『エマ』 kn-keyword=『エマ』 en-keyword=『ダニエル・デロンダ』 kn-keyword=『ダニエル・デロンダ』 en-keyword=曖昧性 kn-keyword=曖昧性 en-keyword=仮定法 kn-keyword=仮定法 en-keyword=否定語 kn-keyword=否定語 END start-ver=1.4 cd-journal=joma no-vol=8 cd-vols= no-issue= article-no= start-page=61 end-page=72 dt-received= dt-revised= dt-accepted= dt-pub-year=2012 dt-pub=20121231 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=What Do Learners Expect to Study in Intermediate-level Japanese Language Class?: A Survey in a Higher Education Institution kn-title=中級日本語学習者が望む学習とは何か -高等教育機関におけるアンケート調査- en-subtitle= kn-subtitle= en-abstract= kn-abstract=本稿は,アンケート調査を通じて高等教育機関で学ぶ学習者の中級レベルに対する学習 ニーズを明らかにすることを目的とする。アンケート調査結果は4点にまとめられる。(1) 教科書の説明および内容:初級に比べ評価が低くなる。母語による解説が望まれている。 (2)学習項目:アカデミックな日本語,日常生活での日本語の両方に対するニーズがある。 会話学習への要望が最も多く,次いで文法・文型,語彙が同数だった。(3)教え方に対 する要望:①既習表現と比較しながら説明する。②文型・表現は共通する意味・用法でま とめて効率的に教える。③文型・語彙の硬さ・柔らかさの区別を示す。(4)教室活動に 対する要望:短い会話練習,作文,ゲーム要素を取り入れた練習も増やす。 en-copyright= kn-copyright= en-aut-name=UchimaruYukako en-aut-sei=Uchimaru en-aut-mei=Yukako kn-aut-name=内丸裕佳子 kn-aut-sei=内丸 kn-aut-mei=裕佳子 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学言語教育センター en-keyword=中級プログラム kn-keyword=中級プログラム en-keyword=学習ニーズ kn-keyword=学習ニーズ en-keyword=学習項目 kn-keyword=学習項目 en-keyword=教え方 kn-keyword=教え方 en-keyword=教室活動 kn-keyword=教室活動 END start-ver=1.4 cd-journal=joma no-vol=119 cd-vols= no-issue=10 article-no= start-page=3172 end-page=3181 dt-received= dt-revised= dt-accepted= dt-pub-year=2009 dt-pub=20091001 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=A simple biological imaging system for detecting viable human circulating tumor cells en-subtitle= kn-subtitle= en-abstract= kn-abstract=The presence of circulating tumor cells (CTCs) in the peripheral blood is associated with short survival, making the detection of CTCs clinically useful as a prognostic factor of disease outcome and/or a surrogate marker of treatment response. Recent technical advances in immunocytometric analysis and quantitative real-time PCR have made it possible to detect a few CTCs in the blood; however, there is no sensitive assay to specifically detect viable CTCs. Here, we report what we believe to be a new approach to visually detect live human CTCs among millions of peripheral blood leukocytes, using a telomerase-specific replication-selective adenovirus expressing GFP. First, we constructed a GFP-expressing attenuated adenovirus, in which the telomerase promoter regulates viral replication (OBP-401; TelomeScan). We then used OBP-401 to establish a simple ex vivo method that was able to detect viable human CTCs in the peripheral blood. The detection method involved a 3-step procedure, including the lysis of rbc, the subsequent addition of OBP-401 to the cell pellets, and an automated scan using fluorescence microscopy. OBP-401 infection increased the signal-to-background ratio as a tumor-specific probe, because the fluorescent signal was amplified only in viable, infected human tumor cells, by viral replication. This GFP-expressing virus-based method is remarkably simple and allows precise enumeration of CTCs. en-copyright= kn-copyright= en-aut-name=KojimaToru en-aut-sei=Kojima en-aut-mei=Toru kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=HashimotoYuuri en-aut-sei=Hashimoto en-aut-mei=Yuuri kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=WatanabeYuichi en-aut-sei=Watanabe en-aut-mei=Yuichi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=KagawaShunsuke en-aut-sei=Kagawa en-aut-mei=Shunsuke kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= en-aut-name=UnoFutoshi en-aut-sei=Uno en-aut-mei=Futoshi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=5 ORCID= en-aut-name=KurodaShinji en-aut-sei=Kuroda en-aut-mei=Shinji kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=6 ORCID= en-aut-name=TazawaHiroshi en-aut-sei=Tazawa en-aut-mei=Hiroshi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=7 ORCID= en-aut-name=KyoSatoru en-aut-sei=Kyo en-aut-mei=Satoru kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=8 ORCID= en-aut-name=MizuguchiHiroyuki en-aut-sei=Mizuguchi en-aut-mei=Hiroyuki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=9 ORCID= en-aut-name=UrataYasuo en-aut-sei=Urata en-aut-mei=Yasuo kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=10 ORCID= en-aut-name=TanakaNoriaki en-aut-sei=Tanaka en-aut-mei=Noriaki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=11 ORCID= en-aut-name=FujiwaraToshiyoshi en-aut-sei=Fujiwara en-aut-mei=Toshiyoshi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=12 ORCID= affil-num=1 en-affil= kn-affil=Division of Surgical Oncology, Department of Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences affil-num=2 en-affil= kn-affil=Division of Surgical Oncology, Department of Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences affil-num=3 en-affil= kn-affil=Division of Surgical Oncology, Department of Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences affil-num=4 en-affil= kn-affil=Division of Surgical Oncology, Department of Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences affil-num=5 en-affil= kn-affil=Division of Surgical Oncology, Department of Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences affil-num=6 en-affil= kn-affil=Division of Surgical Oncology, Department of Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences affil-num=7 en-affil= kn-affil=Center for Gene and Cell Therapy, Okayama University Hospital affil-num=8 en-affil= kn-affil=Department of Obstetrics and Gynecology, Kanazawa University School of Medicine affil-num=9 en-affil= kn-affil=Department of Biochemistry and Molecular Biology, Graduate School of Pharmaceutical Sciences, Osaka University affil-num=10 en-affil= kn-affil=Oncolys BioPharma Inc. affil-num=11 en-affil= kn-affil=Division of Surgical Oncology, Department of Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences affil-num=12 en-affil= kn-affil=Division of Surgical Oncology, Department of Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences END start-ver=1.4 cd-journal=joma no-vol=55 cd-vols= no-issue=1 article-no= start-page=246 end-page=230 dt-received= dt-revised= dt-accepted= dt-pub-year=2005 dt-pub=20050930 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Shifting Japanese Party Politics after the End of the 1955 System -An Analysis of What Some Aggregate Data Indicate- en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=TaniSatomi en-aut-sei=Tani en-aut-mei=Satomi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学法学部 END start-ver=1.4 cd-journal=joma no-vol=9 cd-vols= no-issue= article-no= start-page=1 end-page=11 dt-received= dt-revised= dt-accepted= dt-pub-year=2012 dt-pub=20120326 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=What is the Chinese Model? kn-title=経済成長の「中国モデル」は存在するか en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=WuYuhui en-aut-sei=Wu en-aut-mei=Yuhui kn-aut-name=呉宇暉 kn-aut-sei=呉 kn-aut-mei=宇暉 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=吉林大学 END start-ver=1.4 cd-journal=joma no-vol=2 cd-vols= no-issue= article-no= start-page=82 end-page=91 dt-received= dt-revised= dt-accepted= dt-pub-year=2012 dt-pub=20120319 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Developing the Tentative Lesson Plan of the Elementary School Environmental Study Class Aiming to understand What a Sustainable Society is : Focused on Fairness between Generations. kn-title=持続可能な社会についての認識形成をめざす小学校環境学習単元開発研究―世代間の公平性に着目して― en-subtitle= kn-subtitle= en-abstract= kn-abstract=本研究は、小学校環境学習において持続可能な社会についての認識形成を図る授業構成の原理と、それをふまえた具体的な授業プランを提案しようとするものである。持続可能な社会を論じる視点はいくつか考えられるが、本研究においては、世代間の公平性に着目し、それを実現し得る社会とはどのようなものか、そのために何が必要かを児童自身に考えさせる授業を提案していく。授業の題材は、倉敷美観地区の伝統的な町並み保存活動である。その活動を支えているものは何か、活動は何を目指しているかを捉えさせることで先の目標を達成していきたい。 en-copyright= kn-copyright= en-aut-name=MoriyaAkira en-aut-sei=Moriya en-aut-mei=Akira kn-aut-name=守屋顕 kn-aut-sei=守屋 kn-aut-mei=顕 aut-affil-num=1 ORCID= en-aut-name=KuwabaraToshinori en-aut-sei=Kuwabara en-aut-mei=Toshinori kn-aut-name=桑原敏典 kn-aut-sei=桑原 kn-aut-mei=敏典 aut-affil-num=2 ORCID= affil-num=1 en-affil= kn-affil=岡山大学大学院 affil-num=2 en-affil= kn-affil=岡山大学 en-keyword=社会科教育 kn-keyword=社会科教育 en-keyword=ESD kn-keyword=ESD en-keyword=環境学習 kn-keyword=環境学習 en-keyword=公平性 kn-keyword=公平性 END start-ver=1.4 cd-journal=joma no-vol=46 cd-vols= no-issue= article-no= start-page=21 end-page=33 dt-received= dt-revised= dt-accepted= dt-pub-year=2012 dt-pub=201201 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Optimal Computation of 3-D Similarity: Gauss-Newton vs.Gauss-Helmert en-subtitle= kn-subtitle= en-abstract= kn-abstract=Because 3-D data are acquired using 3-D sensing such as stereo vision and laser range finders, they have inhomogeneous and anisotropic noise. This paper studies optimal computation of the similarity (rotation, translation, and scale change) of such 3-D data. We first point out that the Gauss-Newton and the Gauss-Helmert methods, regarded as different techniques, have similar structures. We then combine them to define what we call the modified Gauss-Helmert method and do stereo vision simulation to show that it is superior to either of the two in convergence performance. Finally, we show an application to real GPS geodetic data and point out that the widely used homogeneous and isotropic noise model is insufficient and that GPS geodetic data are prone to numerical problems. en-copyright= kn-copyright= en-aut-name=KanataniKenichi en-aut-sei=Kanatani en-aut-mei=Kenichi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=NiitsumaHirotaka en-aut-sei=Niitsuma en-aut-mei=Hirotaka kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= affil-num=1 en-affil= kn-affil=Department of Computer Science, Okayama University affil-num=2 en-affil= kn-affil=Department of Computer Science, Okayama University END start-ver=1.4 cd-journal=joma no-vol=40 cd-vols= no-issue=12 article-no= start-page=2465 end-page=2475 dt-received= dt-revised= dt-accepted= dt-pub-year=1928 dt-pub=19281231 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Experimental studies on the antagonistic function between the spleen and the thyroid gland 4. Report. On blood-components (white blood corpuscles in the splenic arteries and veins, hemoglobin, reticulated red cells) and the histological picture of the blood-making organs kn-title=脾臟ト甲状腺トノ交互作用ニ關スル研究 第4囘報告 脾動靜脉ノ白血球,血色素,網状赤血球等血液成分竝ニ造血臟器ノ組織像ニ就テ en-subtitle= kn-subtitle= en-abstract= kn-abstract=Having studied, as mentioned in the previous report, the changes of blood-platelets in the splenic arteries and veins, I extended my investigation into white corpuscles, hemoglobin and reticulated red cells: and with the object of ascertainning what their changes mean, I carried out an histological research of the spleen, the liver and the bonemarrow in the above-stated procedures and came to the following conclusions. 1) In the case of a normal rabbit, the number of the white corpuscles especially the lymphocytes in the splenic veins exceeds that in the splenic arteries. 2) After thyroidectomy and the injection of phenylhydrazin the white corpuscles in splenic veins increase more remarkably than those in splenic arteries, the lymphocytes and monocytes also showing a remarkable augmentation. 3) When adrenalin or silver-elecroid is injected, the white corpuscles in splenic veins outnumber exceedingly those in splenic arteries. When adrenalin is injected, the lymphocytes and monocytes increase especially. When silver-elecroid is injected, the augmentation of the lymphocytes is not comparatively remarkable, while on the other hand, the pseudoeosinophile-leucocytes increase. 4) In the case of a normal rabbit, as well as in that where the thyroidectomy is performed, a greater quantity of hemoglobin is found in the splenic veins than in the splenic arteries, and it is especially so when phenylhydrazin is injected. But the continuous injection of silver-elecroid does not cause any remarkable change of the contents of splenic veins and arteries. The quantity of the hemoglobin fluctuates almost in the same way as the number of the red blood corpuscles does. 5) No remarkable change of the reticulated red cells occurs in splenic arteries and veins. 6) After thyroidectomy and the injection of phenylhydrazin, the appearance of the megacaryocytes in the spleen is demonstrable, but no remarkable change occurs in the liver. 7) Thyroidectomy gives rise to the atrophy of the bone-marrow, the proliferation of adipose tissue and the decrease of megacaryocytes. A similar tendency is recognizable when phenylhydrazin is injected. 8) From these above-stated blood pictures of the splenic arteries and veins, as well as the histological researches of the blood-making organs, it may be inferred that from thyroidectomical causes, the spleen regains, in a compensatory sense, its blood-making function outside the bone-marrow. en-copyright= kn-copyright= en-aut-name=TsunashimaYoshito en-aut-sei=Tsunashima en-aut-mei=Yoshito kn-aut-name=綱島義人 kn-aut-sei=綱島 kn-aut-mei=義人 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山醫科大學柿沼内科教室 END start-ver=1.4 cd-journal=joma no-vol=37 cd-vols= no-issue=1 article-no= start-page=15 end-page=23 dt-received= dt-revised= dt-accepted= dt-pub-year=2002 dt-pub=200211 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=For Geometric Inference from Images, What Kind of Statistical Model Is Necessary? en-subtitle= kn-subtitle= en-abstract= kn-abstract=In order to facilitate smooth communications with researchers in other fields including statistics, this paper investigates the meaning of "statistical methods" for geometric inference based on image feature points, We point out that statistical analysis does not make sense unless the underlying "statistical ensemble" is clearly defined. We trace back the origin of feature uncertainty to image processing operations for computer vision in general and discuss the implications of asymptotic analysis for performance evaluation in reference to "geometric fitting", "geometric model selection", the "geometric AIC", and the "geometric MDL". Referring to such statistical concepts as "nuisance parameters", the "Neyman-Scott problem", and "semiparametric models", we point out that simulation experiments for performance evaluation will lose meaning without carefully considering the assumptions involved and intended applications. en-copyright= kn-copyright= en-aut-name=KanataniKenichi en-aut-sei=Kanatani en-aut-mei=Kenichi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=Department of Information Technology, Okayama University END start-ver=1.4 cd-journal=joma no-vol=42 cd-vols= no-issue=12 article-no= start-page=3059 end-page=3080 dt-received= dt-revised= dt-accepted= dt-pub-year=1930 dt-pub=19301231 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=The Pharmacology of the Blood Vessels of the Human Umbilical Cord and Placenta First Communication; On the Effect of the Autonomic Nerve Poisons kn-title=人臍帯血管及ビ胎盤血管ノ藥理學的研究 第1囘報告 植物性神經毒ノ作用ニ就テ en-subtitle= kn-subtitle= en-abstract= kn-abstract=This paper deals with pharmacological studies of the blood vessels of the human umbilical cord and placenta, for the purpose of investigating the innervation of those vessels and their pharmacological reactions, a matter which is as yet not established. In the research on this subject, the following results were obtained: 1. Adrenalin manifests vasoconstrictor action on the arteries of the umbilical cord and placenta, as well as on the vein of the cord. Also this action may be depressed or reversed by the use of atropin or ergotamine. Adrenalin in high concentration causes all of these vessels to dilate, while the vein of the placenta is dilated by adrenalin in any degree of concentration, within the limits of an efficient dose. The constrictor and dilator action of this drug on the blood vessels is understood to be due to the stimulation of the motor and inhibitory fibres of the sympathetic nerve respectively. 2. Acethyl-cholin acts as vasoconstrictor on the arteries of the cord and placenta. This action may be attributed to the stimulation of the parasympathetic nerve, as it is antagonized by a small dose of atropin. This suggests that the arteries of the cord and placenta are innervated by the vasoconstrictor fibres of the parasympathetic nerve. Despite these facts, it was not possible to recognize the vasoconstrictor action of acethylcholin on the veins of the cord. and placenta. Acethyl-cholin in high concentration dilates both kinds of the blood vessels of the cord and placenta. This dilating action is due not to the paralysis of the muscles of the vessels, but probably to the stimulation of the vasodilator fibres of the sympathetic nerve. 3. The action of pilocarpin on the blood vessels of the umbilical cord and placenta is to dilate them, and its point of attack seems to be the vasodilator of the sympathetic nerve. The effect of this drug on the parasympathetic nerve in these vessels was not observed in this experiment. 4. Physostigmin shows itself to be a vasoconstrictor on the vessels of the cord and placenta. It affects the muscles chiefly and the parasympathetic nerve of the vessels to some extent. 5. Atropin by itself does not have any definite action on the vessels of the cord and placenta, but it can depress the effect of acethyl-cholin by a very small dose, and it can also depress or reverse the effect of adranalin by a larger dose. So, it is clearly seen that the parasympathetic nerve and the motor fibre of the sympathetic nerve are paralyzed by a certain concentration of atropin, but the inhibitory fibre of the latter is not influenced by this drug. Atropin in very high concentration dilates these vessels, owing to the paralysis of the muscle. 6. From the facts learned in this research regarding the pharmacological reactions, it may be concluded that the arteries of both umbilical cord and placenta are innervated by the vasoconstrictor fibre of the sympathetic and parasympathetic nerves, and the dilatation of these vessels is controlled by the dilator fibre of the sympathetic nerve. The existence of the constrictor fibre of the parasympathetic nerve in the vein of the cord could not be proved. The sympathetic constrictor in the vein is inferior in its developement to the same in the artery. In the vein of the placenta, it was not possible to confirm the innervation of the vasoconstrictor of either the parasympathetic or the sympathetic nerve. 7. The arteries of the umbilical cord and placenta show similar pharmacological reaction to the drugs. Therefore it may be concluded that they are under the same innervation. The vein of the placenta reacts to the drugs in a somewhat different way from what the arteries do. The action of the drugs on the vein of the cord coincides partly with the action observed on the arteries, and partly with that on the placental vein. 8. These embryonic blood vessels manifest nearly the same pharmacological reactions as in the general blood vessels of the body, though there is more or less difference between them. en-copyright= kn-copyright= en-aut-name=MurakamiKensuke en-aut-sei=Murakami en-aut-mei=Kensuke kn-aut-name=村上憲佑 kn-aut-sei=村上 kn-aut-mei=憲佑 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山醫科大學藥物學教室 END start-ver=1.4 cd-journal=joma no-vol=49 cd-vols= no-issue=11 article-no= start-page=2323 end-page=2333 dt-received= dt-revised= dt-accepted= dt-pub-year=1937 dt-pub=19371130 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=On the results of heterovaccination against typhoid, as enforced in Okayama Prefecture kn-title=岡山縣下ニ於ケル腸チフス豫防ニ對スル異種菌經口免疫實施成績ニ就テ en-subtitle= kn-subtitle= en-abstract= kn-abstract=S. Murakami, Y. Miki, and F. Miyagawa proved that there is a remarkable output of heteroantibody against typhoid, paratyphoid A and B, and dysentery bacilli in the animal experiment, they proceeded in 1934 to experiment with cocktyphoid-bacilli which had been obtained from cocks that had died of cocktyphoid. They were also highly successful in bringing about a state of immunity from typhoid when applying the same bacilli to rabbits. We therefore resolved to use it upon human beings, and put it into practice, per os, with 9252 peoples in all, in April, 1936. Those treated were ordinary citizens and factory-hands. As to the result, we knew that we might disregard such by-effect of the vaccinationstomach-ache, headache, diarrhoea, etc. -as we found in a mild form. When, at the end of the November of the same year, we investigated the cases of 7486 of those who had been thus vaccinated whit a view to ascertaining if there had been any outbreak of typhoid, paratyphoid A and B, or dysentery (for we cousidered that the vaccine has some influence on the latter disease also), we found among the workmen-class no outbreak of the above-mentioned diseases in the case of those who had taken the cocktyphoid-vaccine, while there were 2 dysentery patients among those who had taken Heterogen. In the case of the ordinary citizens there had occurred one typhoid and one dysentery case among those who had taken bile and the cocktyphoid-vaccine. The number of victims was, moreover, far less than among those who had not been vaccinated. What is more, the patients made very good progress. Thus we believe that the cocktyphoid-vaccine may be successfully applied orally to the human body. As for its effect upon dysentery, we consider that this should be made the subject of further study in the future. en-copyright= kn-copyright= en-aut-name=ShimizuM. en-aut-sei=Shimizu en-aut-mei=M. kn-aut-name=清水光治 kn-aut-sei=清水 kn-aut-mei=光治 aut-affil-num=1 ORCID= en-aut-name=MikiY. en-aut-sei=Miki en-aut-mei=Y. kn-aut-name=三木行治 kn-aut-sei=三木 kn-aut-mei=行治 aut-affil-num=2 ORCID= en-aut-name=AsanumaK. en-aut-sei=Asanuma en-aut-mei=K. kn-aut-name=淺沼清志 kn-aut-sei=淺沼 kn-aut-mei=清志 aut-affil-num=3 ORCID= en-aut-name=AbeK. en-aut-sei=Abe en-aut-mei=K. kn-aut-name=阿部高知 kn-aut-sei=阿部 kn-aut-mei=高知 aut-affil-num=4 ORCID= en-aut-name=MiyagawaF. en-aut-sei=Miyagawa en-aut-mei=F. kn-aut-name=宮川文雄 kn-aut-sei=宮川 kn-aut-mei=文雄 aut-affil-num=5 ORCID= affil-num=1 en-affil= kn-affil=岡山醫科大學細菌學教室 affil-num=2 en-affil= kn-affil=岡山醫科大學細菌學教室 affil-num=3 en-affil= kn-affil=岡山醫科大學細菌學教室 affil-num=4 en-affil= kn-affil=岡山醫科大學細菌學教室 affil-num=5 en-affil= kn-affil=岡山醫科大學細菌學教室 END start-ver=1.4 cd-journal=joma no-vol=50 cd-vols= no-issue=1 article-no= start-page=147 end-page=153 dt-received= dt-revised= dt-accepted= dt-pub-year=1938 dt-pub=19380131 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Vitamin C and "Mitogenetische Strahlen". kn-title=1. Vitamin Cト細胞分裂誘起線 2. 腦下垂體前葉及ビ脾臟浸出液ノ酵母菌増殖ニ及ボス影響3. 2, 6 Dichlorphenolindophenolノ筋肉ニ對スル作用 en-subtitle= kn-subtitle= en-abstract= kn-abstract=The results of the author's experiments are roughly as follows: 1. When tested according to the yeast method, it is doubtful whether vitamin C generates "Mitogenetische Strahlen" when it is oxidized. But when there is a large amount of oxidizable substance, the radiation is sure to occur. 2. What influences have the extracts of the anterior lobe of the pituitary gland, and of the spleen on the increase of yeasts? When this was tested the former was seen to accelerate their multiplication while the latter on the yeast checks it. en-copyright= kn-copyright= en-aut-name=KawamuraKeniti en-aut-sei=Kawamura en-aut-mei=Keniti kn-aut-name=河村謙一 kn-aut-sei=河村 kn-aut-mei=謙一 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山醫科大學生理學教室 END start-ver=1.4 cd-journal=joma no-vol=76 cd-vols= no-issue=11-12 article-no= start-page=647 end-page=654 dt-received= dt-revised= dt-accepted= dt-pub-year=1964 dt-pub=19641230 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=The study of measles virus in dog kidney cultured cells Part II. Comparative observation of sensitivity and pathogenic morphological changs to measles virus infection of dog kidney cells and other kinds of cultured cells kn-title=犬腎培養細胞による麻疹ウイルスの研究 第2編 麻疹ウイルスに対する犬腎細胞と各種培養細胞との感受性及び病理形態学的変化の比較 en-subtitle= kn-subtitle= en-abstract= kn-abstract=A comparative study on the susceptibility of measles virus and pathological changes of cells in culture was carried out with dog kidney cells and many other cultured cells by inoculating measles virus into the media of cultures. As the result it was found that FL cells and HeLa cells demonstrated the highest infectivity, followed by that of dog kidney cells. Monkey cells (MS cells) and human amnion cells (JJC-3 cells) also showed a fair degree of infectivity to measles virus (the report on such cells has not yet been made public). On the other hand, L cells and hamster kidney cells, what had been generally reported to be readily infected by measles virus were found to show a low infectivity only, indicating them to be not suitable cells for such a study. In the case of dog kidney cells infected with measles virus, viral proliferation could be observed clearly during the period 4 to 7 days after the inoculation. en-copyright= kn-copyright= en-aut-name=UtsumiTakeo en-aut-sei=Utsumi en-aut-mei=Takeo kn-aut-name=内海武夫 kn-aut-sei=内海 kn-aut-mei=武夫 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部微生物学教室 END start-ver=1.4 cd-journal=joma no-vol=66 cd-vols= no-issue=12 article-no= start-page=2357 end-page=2362 dt-received= dt-revised= dt-accepted= dt-pub-year=1954 dt-pub=19541230 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Epidemiology of Infectious Hepatitis 2nd Report. Epidemic Observation on the Infectious Hepatitis in Akaiwa District (No. 2) kn-title=流行性肝炎の疫学研究 第2報 赤磐地区における流行性肝炎の疫学観察(其の二) en-subtitle= kn-subtitle= en-abstract= kn-abstract=Comparing the epidemic of infectious hepatitis that took place in Toyoda, Onoda, as well as Kumayama in Akaiwa County, during the period ranging from march 1951 to sept. do., with the previous report on the epidemic of malignant hepatitis submitted by february 1951, following results were obtained: 1. Number of patients, 120; total ever since the first. occurence, 213 cases; For the total populace, rate of occurence, Toyoda-39%, Onoda-3.1%, Kama-mura, 2.4%. 2. As for the type of disease. contrary to the previous occasion in which typical form was predominant, this time saw the predominaney of abortive form, of which the mortality rate proved only 0.83%, in comparison to 13.9% estimated in the former time. 3. As for state of starting estimated by month, as previous occasion, maximum occurrence took place in July and August. 4. As for age, showing similar trend as before, 21-30 occupying most cases, evenly has diffused from 10 to 60. There were actually 7 cases that were above 61, which verifies that contamination in old age is not so seldom. 5. As has been in the previous occasion, as to state of contamination, what may be called village infection occupied the majority of cases; where, a special increase of familiary infection has drawn our attention, amounting to the rate of 38.3%, in comparison to former 20.4%, Which, as the infection spread itself, increases in number. 6. Familiary infection may be explained by propagated epidemic form. Its three cases had been delivered. 7. On taking a bird's'-eye-view over the whole area that was infected, the special phase for this season will come under two heads; area in which new patients have emerged around those affected formerly., and the other, which has been contaminated with a fixed current toward areas not yet. infected. The latter is considered to take shift into the former form after a while. 8. Though rare, sporadic infection could be found in this epidemic too, each of which was a case infections being pressed onward into uncontaminated area, and 6 out of 9 cases have become the source for later infection. If theses poradic infections were considered in detail, these would be clear to have a connection with that of epidemic places and also able to come under propagated epidemic form. en-copyright= kn-copyright= en-aut-name=KosakaKiyowo en-aut-sei=Kosaka en-aut-mei=Kiyowo kn-aut-name=小坂淳夫 kn-aut-sei=小坂 kn-aut-mei=淳夫 aut-affil-num=1 ORCID= en-aut-name=SetoKeitaro en-aut-sei=Seto en-aut-mei=Keitaro kn-aut-name=瀬戸桂太郎 kn-aut-sei=瀬戸 kn-aut-mei=桂太郎 aut-affil-num=2 ORCID= en-aut-name=YuasaToshio en-aut-sei=Yuasa en-aut-mei=Toshio kn-aut-name=湯浅俊男 kn-aut-sei=湯浅 kn-aut-mei=俊男 aut-affil-num=3 ORCID= en-aut-name=OginoShigemi en-aut-sei=Ogino en-aut-mei=Shigemi kn-aut-name=荻野重美 kn-aut-sei=荻野 kn-aut-mei=重美 aut-affil-num=4 ORCID= en-aut-name=InuiKazuhiko en-aut-sei=Inui en-aut-mei=Kazuhiko kn-aut-name=乾和彦 kn-aut-sei=乾 kn-aut-mei=和彦 aut-affil-num=5 ORCID= en-aut-name=IwaharaMasao en-aut-sei=Iwahara en-aut-mei=Masao kn-aut-name=岩原正雄 kn-aut-sei=岩原 kn-aut-mei=正雄 aut-affil-num=6 ORCID= en-aut-name=HinoMasuo en-aut-sei=Hino en-aut-mei=Masuo kn-aut-name=日野益雄 kn-aut-sei=日野 kn-aut-mei=益雄 aut-affil-num=7 ORCID= en-aut-name=YamamotoNaoki en-aut-sei=Yamamoto en-aut-mei=Naoki kn-aut-name=山本直喜 kn-aut-sei=山本 kn-aut-mei=直喜 aut-affil-num=8 ORCID= en-aut-name=IshidaTatsuo en-aut-sei=Ishida en-aut-mei=Tatsuo kn-aut-name=石田立夫 kn-aut-sei=石田 kn-aut-mei=立夫 aut-affil-num=9 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部第一内科教室 affil-num=2 en-affil= kn-affil=岡山大学医学部第一内科教室 affil-num=3 en-affil= kn-affil=岡山大学医学部第一内科教室 affil-num=4 en-affil= kn-affil=岡山大学医学部第一内科教室 affil-num=5 en-affil= kn-affil=岡山大学医学部第一内科教室 affil-num=6 en-affil= kn-affil=岡山大学医学部第一内科教室 affil-num=7 en-affil= kn-affil=岡山大学医学部第一内科教室 affil-num=8 en-affil= kn-affil=岡山大学医学部第一内科教室 affil-num=9 en-affil= kn-affil=岡山県衛生部公衆衛生課 END start-ver=1.4 cd-journal=joma no-vol=66 cd-vols= no-issue=8 article-no= start-page=1703 end-page=1712 dt-received= dt-revised= dt-accepted= dt-pub-year=1954 dt-pub=19540831 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Effects of X-iradiation on Amylase Action kn-title=アミラーゼ作用に及ぼす「レ」線の影響 en-subtitle= kn-subtitle= en-abstract= kn-abstract=In order to clarify what change might occur to starch saccharification in case 80, 200, or 400r X-Ray has been applied immediately after mixing of starch, taka-diastase and buffer-solution, we have conducted experiment, employing 5.0 and 20.0 cc respectively of 2.0, 1.0 as well as 0.5% starch solution, together with 1.0 and 4.0 cc each of 1.0, 0.5 and 0.1% taka-diastase solution, and obtained the following conclusions; 1) The starch saccharification of taka-diastase is to be either activated or inhibited due to the doses of the applied X-Rays, i.e., activated at 80r iradiation, while, inhibited at 200 and 400r. 2) In case auy starch saccharification due to taka-diastase should reach its limit the quantity of glucose in saccharification solution indicates none of effects shown in cases when 80, 200, and 400r have been iradiated. 3) The effect of X-Ray on starch saccharification of taka-diastase appears rather poignantly in areas of low-concentration (from 0.1 to 1.0%). Also, if we compare 80r (activated case) with 200 & 400r (cases of inhibition), the cases of activation seem to have been influenced more strongly than in cases of inhibition. 4) When X-Ray has been iradiated on the mixture of taka-diastase, starch and buffer solution, the percentage both of decrease as well as increase that has happened to the supar quantity within 3 hours after the iradiation, proves greater than that observed 6 hours later. 5) If the concentration of starch and taka-diastase solutions proves equal, in case these quantities have been augmented 4 times, almost no difference whatever should occur to the chnges of sugar quantity percentage. en-copyright= kn-copyright= en-aut-name=KoreedaMitsuharu en-aut-sei=Koreeda en-aut-mei=Mitsuharu kn-aut-name=是枝光治 kn-aut-sei=是枝 kn-aut-mei=光治 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部法医学教室 END start-ver=1.4 cd-journal=joma no-vol=66 cd-vols= no-issue=5 article-no= start-page=883 end-page=885 dt-received= dt-revised= dt-accepted= dt-pub-year=1954 dt-pub=19540531 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=On the effects of X-irradiation upon enzyme activity On accumulative action of X-rays kn-title=レ線の酵素作用に及ぼす影響 レ線の蓄積作用に就いて en-subtitle= kn-subtitle= en-abstract= kn-abstract=Previously the author carried out experiments on the effects of X-irradiation upon enzyme activity and found that X-irradiation with small doses increases catalytic activity of enzyme, that middle doses inhibits, and what is influenced by X-rays is enzyme itself and not the substrate. Therefore, in order to clarify whether catalytic activity might be increased additionally, or be accumulated gradually until it might have inhibited the enzyme action as well as one middle dose, in case it has reached one middle dose by repeating several small doses with certain interval, so that it should reach irradiation due to one middle dose or not, using papayotin as an enzyme, gelatin as a substrate and the amount of non-protein nitrogen which increased by the gelatin decomposition, was measured. Then the author assured that when irradiation with small doses reached to middle dose by fractional irradiation same as one time of irradiation with middle doses enzyme action was inhibited and X-irradiation accumulated gradually within enzyme. en-copyright= kn-copyright= en-aut-name=ImamuraShizuo en-aut-sei=Imamura en-aut-mei=Shizuo kn-aut-name=今村静生 kn-aut-sei=今村 kn-aut-mei=静生 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部法医学教室 END start-ver=1.4 cd-journal=joma no-vol=66 cd-vols= no-issue=3 article-no= start-page=471 end-page=478 dt-received= dt-revised= dt-accepted= dt-pub-year=1954 dt-pub=19540331 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Effects of Monosaccharides on the Amylase Action kn-title=アミラーゼ作用に及ぼす単糖類の影響 en-subtitle= kn-subtitle= en-abstract= kn-abstract=To investigate what effects would be brought about on starch saccharification by adding certain monosaccharides, we have given 1.0 cc of 1.0% taka-diastase solution to 2.0% starch solution 5.0 cc; moreover. have conducted some saccharification tests by adding 1/1000, 1/100, 1/10 and 1.0 mol solution of glucose, galactose, fructose or mannose, and obtained the following results. (1) The starch saccharification by taka-diastase has been inhibited by an addition of the above-mentioned monosaccharide; especially, most marked in the case of glucose addition, next, galactose, then fructose and mannose, the last being feeblest of them all. After that, we have paid observations on this inhibition degree as well as on the kind of monosaccharides, in comparison with certain structural formulas ascribed to various saccharides. (2) In case 1/1000 mol solution 1.0 cc (the content of each saccharide is 0.18 mg in all cases) is added, in either case where 1.0% taka-diastase solution 1.0 cc or 2.0% starch solution 5.0 cc is concerned (which is same to the bottom), suffer no effect on its saccharification; yet, it has been inhibited considerably in case 1/10 mol solution 1.0 cc (the content of each monosaccharide 18.00 mg) has been added, and has been inhibited to a great degree in case 1.0 mol solution 1.0 cc (the contenl of each monosaccharide 180.00 mg) has been added; on the other hand, in view to an addition of 1/100 mol solution 1.0 cc (the content of each monosaccharide 1.80 mg) it is thought almost out of question on account of very slight difference it has proved against the controls, which is hard to detect any inhibition. At any rate, from 1/1000 to 1.0 mol solution 1.0 cc, i.e., within the range of from 0.18 to 180.00 mg., as the amount of saccharide added becomes greater, the starch saccharification by taka-diastase has proved more and more to suffer inhibition. (3) The content of glucose, galactose, fructose or mannose in each 1.0 mol solution 10 cc being 180.00 mg, corresponds to 1.83 times the amount of the final product of starch hydrolysis (by Liebermann's method), i.e., 98.22mg.; even if such a comparatively considerable amount of monosaccharicde as this is added, there takes place no inhibition whatever for the early stage of starch saccharification. (4) The inhibition of starch saccharification caused by taka-diastase may be, not only owing to glucose, galactose, fructose or mannose, but also owing to various kinds of intermediate products formed in saccharification solution, which have power to thwart starch saccharification caused by taka-diastase. en-copyright= kn-copyright= en-aut-name=KoreedaMitsuharu en-aut-sei=Koreeda en-aut-mei=Mitsuharu kn-aut-name=是枝光治 kn-aut-sei=是枝 kn-aut-mei=光治 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部法医学教室 END start-ver=1.4 cd-journal=joma no-vol=67 cd-vols= no-issue=3-4 article-no= start-page=749 end-page=751 dt-received= dt-revised= dt-accepted= dt-pub-year=1955 dt-pub=19550430 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=On Cases of Human Auditory Disturbances Caused by Electric Disorders kn-title=人体に於ける電気災害に由る聽器障碍例に就て en-subtitle= kn-subtitle= en-abstract= kn-abstract=There are two types in human auditory disturbances owing to electric disasters, one of which is what one may call immediate injury, appearing on the heel of those disasters; the other, used to appear days or months after disaster, and often spoken of as after injury. The author have had chance to take a survey of 4 cases that suffered violent electric disaster. 1) 65 years-old male; has become victim to A. C. 300V. immediately after the event, felt right-ear tinnitus, slight vertigo and tendency to fall down on the right side. Though he could recover in a few days from symptoms, a tinnitus as well as difficult-hearing of right ear began a year afterward. By examination, it has been proved that his right ear had a marked auditory disability in the area higher than c(2) and complete deaf at c(6). 2) 50 years-old male; experienced 4 electric shocks, i. e., A. C. 3.300V. 3 times; A. C. 60.000V. once. In every time, he felt an obstruction feeling of ear, tinnitus, as well as vertigo after the disaster. These symptoms disappeared spontaneously in a few days, and at present he enjoys normal hearing. 3) 20 years-old male; struck with A. C. 3.300V. No otologic symptoms felt after the accident. At present, his hearing is normal. 4) 28 years-old male; struck with A. C. 3.300V. No sensible diorder happened. At present, normal hearing. Cases 1) and 2) may be said as immediate injuries due to electric disaster, and Case 1) may be considered to have induced after injury besides. en-copyright= kn-copyright= en-aut-name=UetsukaMasuo en-aut-sei=Uetsuka en-aut-mei=Masuo kn-aut-name=上塚萬壽男 kn-aut-sei=上塚 kn-aut-mei=萬壽男 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部耳鼻咽喉科教室 END start-ver=1.4 cd-journal=joma no-vol=67 cd-vols= no-issue=1 article-no= start-page=231 end-page=238 dt-received= dt-revised= dt-accepted= dt-pub-year=1955 dt-pub=19550131 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Experimental Studies on Osteomyelitis Puruienta Part I. A study on the normal blood vessel system in tbe femur kn-title=実験的化膿性骨髓炎発生に関する研究 第1編 骨の血管構造について en-subtitle= kn-subtitle= en-abstract= kn-abstract=This experiment was planned to study to see at what part of the metaphysis osteomyelitis purulenta started, how it developed, and what course it took. The femur of young rabit was used in this experiment and the normal blood vessel system in the femur was clarified. en-copyright= kn-copyright= en-aut-name=TomochikaShigeru en-aut-sei=Tomochika en-aut-mei=Shigeru kn-aut-name=友近茂 kn-aut-sei=友近 kn-aut-mei=茂 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部第1外科教室 END start-ver=1.4 cd-journal=joma no-vol=67 cd-vols= no-issue=1 article-no= start-page=115 end-page=135 dt-received= dt-revised= dt-accepted= dt-pub-year=1955 dt-pub=19550131 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Experimental and Clinical Study on the Bone Marrow Transplantation Part 1: Co-relation between the shift of blood picture due to the bone marrow transplantation, iron metabolism and function of reticuloendothelial system kn-title=骨髓埋沒に関する実験的並に臨床的研究 第1編 骨髓埋沒による血液像の変動と鉄代謝及び網内系機能との関係 en-subtitle= kn-subtitle= en-abstract= kn-abstract=Increase of blood cells, decrease of serum iron quantity and a slight degree of over-function of reticuloendothelial system will be induced, by transplantating some suitable amount (Prokg. 0.5g) of bone marrow in a dog's subfascia of femur. This has been caused in urging to utilize the accumulated iron owing to promotion of hematopoetic fanction; if we investigate it about organic iron, when the blood showing an increase, ferritin in the spleen showed a tendency toward decrease, but the deposits of hemosiderin in tissue has proved little alteration from its normal state, Contrary to this, any decrease in serum iron observed under infected state, would rightly be ascribed to the retained stock of iron due to excessive function of reticuloendothelial system, due to protecting infection; esp., what comes from the absorption and deposits of hemosiderin produced along with excited breakage of hemoglobin, or resulted from imperfect utilization of iron, in hematopoetic organs; so that, there is seen certain essential differences between the excessive function of reticulo endothelial system when hematopoetic organs is stimulated, and decrease in serum iron; further, on occasion when hematopoetic function is urged according to the bone marrow transplantation, we could realize that a close connection exists between the iron metabolism and function of reticuloendothelial system: at the same time, could verify partly the mechanism in creating blood cells the occasion. en-copyright= kn-copyright= en-aut-name=OkanoTakuya en-aut-sei=Okano en-aut-mei=Takuya kn-aut-name=岡野卓也 kn-aut-sei=岡野 kn-aut-mei=卓也 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部平木内科 END start-ver=1.4 cd-journal=joma no-vol=31 cd-vols= no-issue= article-no= start-page=9 end-page=20 dt-received= dt-revised= dt-accepted= dt-pub-year=2009 dt-pub=200912 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Toward Development of Students' Sensitivity to the Change in Climate Environment in East Asia wi th Attention to the Variety of "SeasonaI Feeling" in the Annual Cycle kn-title=東アジア気候環境とその変調を捉える視点の育成へ向けた学際的授業開発の取り組み(多彩な季節感を接点に) en-subtitle= kn-subtitle= en-abstract= kn-abstract=To the change in the global environment, such as the Global Warming, regional climate systems will show rather different response from region to region. It is necessary for many people to be able to remark, as early as possible, what kind of regional climate change is going on, in order to mitigate the climate change itself or coming damage of the change in each region. In East Asia, the complicated seasonal variations are seen influenced by the Asian monsoon, resulting in the variety of "seasonal feeling". The present paper will discuss on the joint activity of meteorology with music, and so on, toward development of students' sensitivity to the climate change in East Asia with attention also to the "seasonal feeling". Firstly, some important viewpoints for understanding the seasonal cycle of climate systems in East Asia will be reviewed. We will also review the rapid temperature increase around the beginning of April in the Japan Islands in association with the "seasonal feel ing", together with the reports of a lecture on that topic in a primary school. Next, another lecture on the seasonal cycle in East Asia and its climate change there in the secondary school will be reported. Finally, the future joint research plan will be discussed. en-copyright= kn-copyright= en-aut-name=KatoKuranoshin en-aut-sei=Kato en-aut-mei=Kuranoshin kn-aut-name=加藤内藏進 kn-aut-sei=加藤 kn-aut-mei=内藏進 aut-affil-num=1 ORCID= en-aut-name=KatoHaruko en-aut-sei=Kato en-aut-mei=Haruko kn-aut-name=加藤晴子 kn-aut-sei=加藤 kn-aut-mei=晴子 aut-affil-num=2 ORCID= en-aut-name=BetchakuAkio en-aut-sei=Betchaku en-aut-mei=Akio kn-aut-name=別役昭夫 kn-aut-sei=別役 kn-aut-mei=昭夫 aut-affil-num=3 ORCID= affil-num=1 en-affil= kn-affil=岡山大学大学院教育学研究科自然教育学系(理科) affil-num=2 en-affil= kn-affil=岐阜聖徳学園大学教育学部音楽教室 affil-num=3 en-affil= kn-affil=岡山大学教育学部附属中学校(理科) en-keyword=Climate and its Change in East Asia kn-keyword=Climate and its Change in East Asia en-keyword="Seasonal cycle and Seasonal Feeling" kn-keyword="Seasonal cycle and Seasonal Feeling" en-keyword=Meteorology and Music Songs kn-keyword=Meteorology and Music Songs en-keyword=Environmental Education kn-keyword=Environmental Education END start-ver=1.4 cd-journal=joma no-vol=69 cd-vols= no-issue=10 article-no= start-page=2511 end-page=2518 dt-received= dt-revised= dt-accepted= dt-pub-year=1957 dt-pub=19571031 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Activation Energh for Rat's Brain Tissue Respiration I. Activation Energy for Respiration Enzym System of Untreated Rat's Whole Brain Homogenate kn-title=大黒鼠脳組織呼吸の活性化エネルギー 第1篇 未処置大黒鼠全脳ホモジネート呼吸酵素系の活性化エネルギーについて en-subtitle= kn-subtitle= en-abstract= kn-abstract=The author measured the activation energy of the respiration of whole brain homogenate of rats by a Warburg's manometer and obtained the following results. The oxygen absorption of the whole brain homogenate of rats under the experimental conditions was determined following the Arrhenius equation; and the activation energy was found to be about 11, 000 ± 500 cal. However, with what reaction this value might be associated remains still uncertain. en-copyright= kn-copyright= en-aut-name=UsuiSeigo en-aut-sei=Usui en-aut-mei=Seigo kn-aut-name=薄井省吾 kn-aut-sei=薄井 kn-aut-mei=省吾 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部神経精神医学教室 END start-ver=1.4 cd-journal=joma no-vol=69 cd-vols= no-issue=8 article-no= start-page=2105 end-page=2110 dt-received= dt-revised= dt-accepted= dt-pub-year=1957 dt-pub=19570830 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=On the Virus Pneumonia Discovered in the Northern Mountain Regions of Okayama Prefecture kn-title=岡山県北部山間地方に続発した「ビールス」肺炎に就いて en-subtitle= kn-subtitle= en-abstract= kn-abstract=Ever since June 1956 mainly centering around Hayashino, Mimasakacho, the mountain regions in the northern part of Okayama Prefecture we have frequently encountered virus pneumonia which by their roentgenographs were misdiagnosed for pulmonary tuberculosis. By November of the same year there appeared the patients indicative of virus pneumonia from their roentgenographs of chest, among pupils of such grade schools as Hayashino, Toyokuni, Toyoda, Narahara, and Kumon Grade Schools, all around Hayashino. Therefore, indirect x-ray photographs had been taken of 2, 019 pupils and found 381 cases whose shadow indicated what might be thought to be of virus pneumonia. We present herewith a report on x-ray findings of thes cases, percentage of the position of shadow appearance, clinical symptoms as well as on x-ray differentiation. en-copyright= kn-copyright= en-aut-name=YamamotoMichio en-aut-sei=Yamamoto en-aut-mei=Michio kn-aut-name=山本道夫 kn-aut-sei=山本 kn-aut-mei=道夫 aut-affil-num=1 ORCID= en-aut-name=TaziriTamotsu en-aut-sei=Taziri en-aut-mei=Tamotsu kn-aut-name=田尻保 kn-aut-sei=田尻 kn-aut-mei=保 aut-affil-num=2 ORCID= en-aut-name=KawaharaHiroshi en-aut-sei=Kawahara en-aut-mei=Hiroshi kn-aut-name=河原宏 kn-aut-sei=河原 kn-aut-mei=宏 aut-affil-num=3 ORCID= en-aut-name=FunabikiSadao en-aut-sei=Funabiki en-aut-mei=Sadao kn-aut-name=船曳定雄 kn-aut-sei=船曳 kn-aut-mei=定雄 aut-affil-num=4 ORCID= en-aut-name=EgawaMasao en-aut-sei=Egawa en-aut-mei=Masao kn-aut-name=江川昌男 kn-aut-sei=江川 kn-aut-mei=昌男 aut-affil-num=5 ORCID= en-aut-name=NishishitaSoichi en-aut-sei=Nishishita en-aut-mei=Soichi kn-aut-name=西下創一 kn-aut-sei=西下 kn-aut-mei=創一 aut-affil-num=6 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部放射線科 affil-num=2 en-affil= kn-affil=岡山大学医学部放射線科 affil-num=3 en-affil= kn-affil=岡山大学医学部放射線科 affil-num=4 en-affil= kn-affil=岡山大学医学部放射線科 affil-num=5 en-affil= kn-affil=岡山大学医学部放射線科 affil-num=6 en-affil= kn-affil=岡山大学医学部放射線科 END start-ver=1.4 cd-journal=joma no-vol=69 cd-vols= no-issue=8 article-no= start-page=2097 end-page=2104 dt-received= dt-revised= dt-accepted= dt-pub-year=1957 dt-pub=19570830 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=On the Two Cases of What are Thought to be "Porzellangallenblase" kn-title=Porzellangallenblaseと考えられる二例に就いて en-subtitle= kn-subtitle= en-abstract= kn-abstract=The application of x-rays in the diagnosis of gall-bladder diseases is an old, well-known method, but since this is used mainly in taking a simple photograph, it is difficult to obtain a good roentgenological picture. Recently with the successive advent of excellent opaque substances such as Biligrafin, Telepaque and Priodax the diagnosis of gall bladder diseases has become quite easy, but two cases on which we report here are, on the contrary, the cases whose diagnosis has been made more difficult on account of the appearance of these excellent contrast media. This "Porzellangallenblase" is an extremely rare disease and it was first reported by H. D. Flörchen (1929) in the "Zentralblatt d. Chirurgie". It presents a piture identical with the one taken at the time when opaque substance is administered. As for the symptoms, the patient mainly complains of something similar to gall-stone; and in our cases, one was suspected of kidney stone and the other was of gall-bladder disease. Both of these were discovered at the x-ray examinations of the stomach, and each in their roentgenograph presented the stone in their bile duct. In addition their roentgenograph of the gall-bladder gave the picture identical with the one taken when opaque substance had been given. We present this case report as these are very rare cases among Japanese people in the light of available literatures. en-copyright= kn-copyright= en-aut-name=YamamotoMichio en-aut-sei=Yamamoto en-aut-mei=Michio kn-aut-name=山本道夫 kn-aut-sei=山本 kn-aut-mei=道夫 aut-affil-num=1 ORCID= en-aut-name=NishishitaSoichi en-aut-sei=Nishishita en-aut-mei=Soichi kn-aut-name=西下創一 kn-aut-sei=西下 kn-aut-mei=創一 aut-affil-num=2 ORCID= en-aut-name=AndoRyo en-aut-sei=Ando en-aut-mei=Ryo kn-aut-name=安東龍 kn-aut-sei=安東 kn-aut-mei=龍 aut-affil-num=3 ORCID= en-aut-name=MorimotoYoshiki en-aut-sei=Morimoto en-aut-mei=Yoshiki kn-aut-name=森本義樹 kn-aut-sei=森本 kn-aut-mei=義樹 aut-affil-num=4 ORCID= en-aut-name=WakimotoMasahiro en-aut-sei=Wakimoto en-aut-mei=Masahiro kn-aut-name=脇本正寛 kn-aut-sei=脇本 kn-aut-mei=正寛 aut-affil-num=5 ORCID= en-aut-name=HashigamiTadashi en-aut-sei=Hashigami en-aut-mei=Tadashi kn-aut-name=橋上正 kn-aut-sei=橋上 kn-aut-mei=正 aut-affil-num=6 ORCID= en-aut-name=YasudaMinoru en-aut-sei=Yasuda en-aut-mei=Minoru kn-aut-name=安田稔 kn-aut-sei=安田 kn-aut-mei=稔 aut-affil-num=7 ORCID= en-aut-name=TaziriTamotsu en-aut-sei=Taziri en-aut-mei=Tamotsu kn-aut-name=田尻保 kn-aut-sei=田尻 kn-aut-mei=保 aut-affil-num=8 ORCID= en-aut-name=FunabikiSadao en-aut-sei=Funabiki en-aut-mei=Sadao kn-aut-name=船曳定雄 kn-aut-sei=船曳 kn-aut-mei=定雄 aut-affil-num=9 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部放射線教室 affil-num=2 en-affil= kn-affil=岡山大学医学部放射線教室 affil-num=3 en-affil= kn-affil=岡山大学医学部放射線教室 affil-num=4 en-affil= kn-affil=岡山大学医学部放射線教室 affil-num=5 en-affil= kn-affil=岡山大学医学部放射線教室 affil-num=6 en-affil= kn-affil= affil-num=7 en-affil= kn-affil=岡山大学医学部放射線教室 affil-num=8 en-affil= kn-affil=岡山大学医学部放射線教室 affil-num=9 en-affil= kn-affil=岡山大学医学部放射線教室 END start-ver=1.4 cd-journal=joma no-vol=69 cd-vols= no-issue=8 article-no= start-page=1933 end-page=1945 dt-received= dt-revised= dt-accepted= dt-pub-year=1957 dt-pub=19570830 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Studies on the Pathogenic Agent of Infectious Hepatitis in Okayama Prefecture I. Experimental Studies on the Prevention and Therapy of Infectious Hepatitis kn-title=岡山県下に発生した流行性肝炎 特に病原体に関する研究 第一編 流行性肝炎の予防及び治療に関する実験的研究 en-subtitle= kn-subtitle= en-abstract= kn-abstract=Recently γ-globulin is widely used for the prevention of infectious hepatitis in the field of clinical medicine, but its conclusive effect is still in question. In the prcsent part, the author studied what changes the administration of γ-globulin produced in the infectious aspect of hepatitis. The γ-globulin obtained from the healthy men and the one from the convalescents of hepatitis were used, and the infectious aspect was judged by the pathological findings in the mouse. It is noteworthy that the γ-globulin of convalescent sera showed a little noticeable preventive effect, though not a remarkable one. Consequently, it is inferred that more reliable effect will be obtained by using the γ-globulin containing a sufficient amount of antibody, and also by employing other various methods. en-copyright= kn-copyright= en-aut-name=EnsakoKatsumi en-aut-sei=Ensako en-aut-mei=Katsumi kn-aut-name=遠迫克美 kn-aut-sei=遠迫 kn-aut-mei=克美 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部微生物学教室 END start-ver=1.4 cd-journal=joma no-vol=69 cd-vols= no-issue=6 article-no= start-page=1579 end-page=1590 dt-received= dt-revised= dt-accepted= dt-pub-year=1957 dt-pub=19570630 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Studies on Pathologic Physiology of the Bone Marrow Part Three Permeability Inhibition to Dyes in Various Sinuses of the Bone Marrow of the Rabbits Blocked of the Reticulo-Endothelial System by Indian Ink kn-title=骨髓の病態生理に関する研究 第三編 網内系墨汁填塞家兎骨髄静脈竇に於ける色素透過阻止について en-subtitle= kn-subtitle= en-abstract= kn-abstract=Fujii, Fujita, and Soejima of our laboratory, after a series of experiments with adult rabbits, have already made it clear that retension or mobilization of the marrow blood by the marrow circulation of active substances in the marrow is controlled by contraction or dilatation of the marrow blood vessels, namely, by the vascular actions: and they further have mentioned that no such retension or mobilization is observable in the rabbits blocked of the reticul-endothelial system by indian ink. Therefore, in order to investigate by what mechanism the blocking of the reticulo-endothelial system inhibits vascular actions, the author has performed the following experiment. Namely, by pouring 1% Patent blue, Tripan blue, or Berlin blue dissolved in saline in intact adult rabbits and in the rabbits blocked of the reticulo-endothelial system by indial ink. Splteholz's preparates and tissue specimens of the femur have been made, and the permeability through blood vessels of the dyes mentioned above has been observed: and the following interesting results have been obtained: 1) Any one of these dyes can readily pemeate from venous sinuses of the bone marrow if intact rabbits while none permeates in the case of the rabbits blocked of the reticulo-endothelial system by indian ink. 2) From the above fact, it seems that all the active substances of the bone marrow permeate through venous sinusess into the marrow parenchyma on which they act, at the sametime exerting influences on the marrow nerves; while in the cases whose reticuloendothelial system is blocked by indian ink, that is, when the walls of venous sinus are blocked with indian ink, the permeability of such active substances is inhibited and consequently no action takes place. en-copyright= kn-copyright= en-aut-name=SatoHyoye en-aut-sei=Sato en-aut-mei=Hyoye kn-aut-name=佐藤兵衛 kn-aut-sei=佐藤 kn-aut-mei=兵衛 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部平木内科教室 END start-ver=1.4 cd-journal=joma no-vol=69 cd-vols= no-issue=5 article-no= start-page=1379 end-page=1389 dt-received= dt-revised= dt-accepted= dt-pub-year=1957 dt-pub=19570531 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=The Effective Mechanism of Occlusion of the Anterior Chorioidal Artery for Parkinsonism Part I. On the distribution of the anterior chorioidal artery kn-title=パーキンソン症候群に対する前脈絡動脈血行遮断の治療効果機転に関する実験的研究 第1編 前脈絡動脈の分布領域について en-subtitle= kn-subtitle= en-abstract= kn-abstract=Several surgical attacks have recently been carried out for Parkinsonism. In 1954, J. Browder reported improvement in Parkinsonism by occulusion of the anterior chorioidal artery, but it was not obvious what was the effective mechanism of the therapy. Therfore, the auther tried to solve the problem and the following results habe been obtained. Cat was used for experimental study. After the injection of gelatin India-ink into the anterior chorioidal artery, the area of its distribution was determined by microscopy of the specimens of serial section. The most common area was as follows: 1. A part of Tractus optics. 2. Capsula interna (posterior to Nucleus praethl. ant.) 3. About the half of Globus pallidus (posterior to Nucleus praethl. ant.) 4. Nucleus amygdalae (about the medial two-thirds). 5. Cornus ammonis. 6. Lobus piriformis. 7. Plexus chorioidea. 8. A part of Ganglion geniculatum laterale, a part of Radiatio optica, and a part of thalamus. Thus, there is almost no difference between the blood supply of the anterior chorioidal artery of man and that of cats. en-copyright= kn-copyright= en-aut-name=MiyamuraToshio en-aut-sei=Miyamura en-aut-mei=Toshio kn-aut-name=宮村敏男 kn-aut-sei=宮村 kn-aut-mei=敏男 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部第1(陣内)外科教室 END start-ver=1.4 cd-journal=joma no-vol=69 cd-vols= no-issue=5 article-no= start-page=1335 end-page=1340 dt-received= dt-revised= dt-accepted= dt-pub-year=1957 dt-pub=19570531 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Influence of X-Ray on the Enzymic Action of Organ kn-title=臟器酵素におよぼすレ線の影響について en-subtitle= kn-subtitle= en-abstract= kn-abstract=The paper is the report on the results obtained from the experimental studies to find out what extent does the influence of X-Ray affect the enzymic action of organ, the basic metabolic process of living organism. Summary of the results: 1. In healthy mature rabbits, with three organs, namely, the brain, liver and kidney, the amount found of Kateptase, Amylase and Urease were highest in the kidneys and the livers came the next, while the brains contained the least. With Arginase, it was found to be highest in the livers, and kidneys were the next, but the brains had the least. 2. Healthy mature rabbits were submitted with daily X Ray radiaton of 300 r for a period of 10 days and the animals were killled when the total dosage had reached 3000 r, and respective action of Kateptase, Amylase, Arginase and Urease in brain, liver and kidney were compared with the nonirradiated rabbits. It was found that the action of Kateptase, Arginase and Urease of these three organs have been markedly increased by the X Ray radiation and degree of influence was the highest in the brains: with Amylase action in respective organ, it was decreased and its effect was most noticeable in the brain. en-copyright= kn-copyright= en-aut-name=KandaMizuho en-aut-sei=Kanda en-aut-mei=Mizuho kn-aut-name=神田瑞穗 kn-aut-sei=神田 kn-aut-mei=瑞穗 aut-affil-num=1 ORCID= en-aut-name=NakanishiYoshio en-aut-sei=Nakanishi en-aut-mei=Yoshio kn-aut-name=中西喜雄 kn-aut-sei=中西 kn-aut-mei=喜雄 aut-affil-num=2 ORCID= en-aut-name=MimuraKimimasa en-aut-sei=Mimura en-aut-mei=Kimimasa kn-aut-name=三村公正 kn-aut-sei=三村 kn-aut-mei=公正 aut-affil-num=3 ORCID= en-aut-name=IshikawaMasaji en-aut-sei=Ishikawa en-aut-mei=Masaji kn-aut-name=石川正次 kn-aut-sei=石川 kn-aut-mei=正次 aut-affil-num=4 ORCID= en-aut-name=KogataSeiichi en-aut-sei=Kogata en-aut-mei=Seiichi kn-aut-name=古形誠一 kn-aut-sei=古形 kn-aut-mei=誠一 aut-affil-num=5 ORCID= en-aut-name=MiyoshiYoshinori en-aut-sei=Miyoshi en-aut-mei=Yoshinori kn-aut-name=三好義則 kn-aut-sei=三好 kn-aut-mei=義則 aut-affil-num=6 ORCID= en-aut-name=YoshiiShimizu en-aut-sei=Yoshii en-aut-mei=Shimizu kn-aut-name=吉井清水 kn-aut-sei=吉井 kn-aut-mei=清水 aut-affil-num=7 ORCID= en-aut-name=YamamotoMichio en-aut-sei=Yamamoto en-aut-mei=Michio kn-aut-name=山本道夫 kn-aut-sei=山本 kn-aut-mei=道夫 aut-affil-num=8 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部法医学教室 affil-num=2 en-affil= kn-affil=岡山大学医学部法医学教室 affil-num=3 en-affil= kn-affil=岡山大学医学部法医学教室 affil-num=4 en-affil= kn-affil=岡山大学医学部法医学教室 affil-num=5 en-affil= kn-affil=岡山大学医学部法医学教室 affil-num=6 en-affil= kn-affil=岡山大学医学部法医学教室 affil-num=7 en-affil= kn-affil=岡山大学医学部法医学教室 affil-num=8 en-affil= kn-affil=岡山大学医学部放射線医学教室 END start-ver=1.4 cd-journal=joma no-vol=69 cd-vols= no-issue=1 article-no= start-page=229 end-page=235 dt-received= dt-revised= dt-accepted= dt-pub-year=1957 dt-pub=19570131 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=An Interesting Case of Diencephalosis kn-title=間脳症と思われる一臨床例 en-subtitle= kn-subtitle= en-abstract= kn-abstract=The authors encountered an interesting case who had had the periodic attacks of twilight state, with accompaniment of marked autonomic deficiencies (flushing of the face, sweating, polydipsia, abdominal pains, pollakiuria, polyuria, and insomnia), 10 times since the age of twelve. Somatically and neurologically, no striking changes other than vagotonia and adrenalinresponse blood-sugar curve belonging to what Kato et al. call First Curve Group B type, have been observed; yet by dividing the duration of periodic attacks into five phases and studying the progress and the genetic factors of this disease both from the psychiatric and the somatic standpoints, it leads to the conclusion that the case might possibly be included in the diencephalic syndrome. Chlorpromazine therapy offers markedly beneficial effects on this case as shown by the disapperarance of twilight state and the stabilization of autonomic deficiencies. And since the decrease in the amount of urine and the rate of its stabilization parallel with the amounts of chlorpromazine administered, it can be assumed that this drug is quite efficacious to diabetes insipidus. en-copyright= kn-copyright= en-aut-name=NasuHiroyuki en-aut-sei=Nasu en-aut-mei=Hiroyuki kn-aut-name=那須弘之 kn-aut-sei=那須 kn-aut-mei=弘之 aut-affil-num=1 ORCID= en-aut-name=HigashiSusumu en-aut-sei=Higashi en-aut-mei=Susumu kn-aut-name=東漸 kn-aut-sei=東 kn-aut-mei=漸 aut-affil-num=2 ORCID= en-aut-name=NishiokaHirosuke en-aut-sei=Nishioka en-aut-mei=Hirosuke kn-aut-name=西岡博輔 kn-aut-sei=西岡 kn-aut-mei=博輔 aut-affil-num=3 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部神経精神医学教室 affil-num=2 en-affil= kn-affil=岡山大学医学部神経精神医学教室 affil-num=3 en-affil= kn-affil=岡山大学医学部神経精神医学教室 END start-ver=1.4 cd-journal=joma no-vol=14 cd-vols= no-issue=2 article-no= start-page=357 end-page=386 dt-received= dt-revised= dt-accepted= dt-pub-year=1982 dt-pub=19821030 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=What data tell us about the conciousness of belonging to the "middle" (upper, lower) class - A Survey of the Undergraduates' family background kn-title=中流階層帰属意識の分析―大学生の出身階層調査を素材として― en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=FujimoriSyunsuke en-aut-sei=Fujimori en-aut-mei=Syunsuke kn-aut-name=藤森俊輔 kn-aut-sei=藤森 kn-aut-mei=俊輔 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil= END start-ver=1.4 cd-journal=joma no-vol=15 cd-vols= no-issue=1 article-no= start-page=199 end-page=233 dt-received= dt-revised= dt-accepted= dt-pub-year=1983 dt-pub=19830620 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=What data tell us about the consciousness of belonging to the "middle" (upper, lower) class - A Survey of the Undergraduates' family background (concluded) kn-title=(続)中流階層帰属意織の分析―大学生の出身階層調査を素材として― en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=FujimoriSyunsuke en-aut-sei=Fujimori en-aut-mei=Syunsuke kn-aut-name=藤森俊輔 kn-aut-sei=藤森 kn-aut-mei=俊輔 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil= END start-ver=1.4 cd-journal=joma no-vol=22 cd-vols= no-issue=3-4 article-no= start-page=47 end-page=69 dt-received= dt-revised= dt-accepted= dt-pub-year=1991 dt-pub=19910226 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=What Was Brought About through the Regional Development in Okayama-Kennan Wider-Area ? kn-title=地域開発は何をもたらしたか―岡山県南地区の経済・財政の変貌を通じて考える― en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=SakamotoChuji en-aut-sei=Sakamoto en-aut-mei=Chuji kn-aut-name=坂本忠次 kn-aut-sei=坂本 kn-aut-mei=忠次 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil= END start-ver=1.4 cd-journal=joma no-vol=23 cd-vols= no-issue=3 article-no= start-page=37 end-page=50 dt-received= dt-revised= dt-accepted= dt-pub-year=1991 dt-pub=19911216 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Seniority System and Corporate Growth - what we can see the change of equilibrium growth rate - kn-title=年功制と企業成長―均衡成長率の変化から読み取れること― en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=KobayashiToshio en-aut-sei=Kobayashi en-aut-mei=Toshio kn-aut-name=小林敏男 kn-aut-sei=小林 kn-aut-mei=敏男 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil= END start-ver=1.4 cd-journal=joma no-vol=28 cd-vols= no-issue=4 article-no= start-page=317 end-page=330 dt-received= dt-revised= dt-accepted= dt-pub-year=1997 dt-pub=19970310 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Determinants of Investment by Public Corporations kn-title=公企業投資の決定要因 en-subtitle= kn-subtitle= en-abstract= kn-abstract=We can find many books and articles discussing about public investments or fiscal policy, especially at a time when there are recessions as the Japanese Economy in 1990's. But it seems to be that there have been fewer studies about how the scale of public investments were determined or what was the determinants of them. This paper is devoted to investigating the elements which have determined investments of public sectors, supposing an simple but important assumption; civil servants try to maximize their own utilities which usually are surpluses after required expenditures are paid. Subject to this assumption an investment model of public corporations is made and compared with Model maximizing social welfare. Finally, some interpretations and problems of this analysis are presented. en-copyright= kn-copyright= en-aut-name=SasakiNario en-aut-sei=Sasaki en-aut-mei=Nario kn-aut-name=佐々木伯朗 kn-aut-sei=佐々木 kn-aut-mei=伯朗 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil= END start-ver=1.4 cd-journal=joma no-vol=28 cd-vols= no-issue=4 article-no= start-page=275 end-page=292 dt-received= dt-revised= dt-accepted= dt-pub-year=1997 dt-pub=19970310 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Four Types of Demonstration of the Necessity of Money kn-title=貨幣の必然性論の4類型 en-subtitle= kn-subtitle= en-abstract= kn-abstract=In this paper, Marxian attempts to demonstrate the necessity of money in market economy are classified into the four types of theory as follows : (1) one which focuses on money as the measure of value and does not use the concept of labour-value in the demonstration (2) one which focuses on money as the means of circulation and uses the concept of labour-value in the demonstration (3) one which focuses on money as the means of circulation and does not use the concept of labour-value in the demonstration (4) one which focuses on money as the measure of value and uses the concept of labour-value in the demonstration. The author thinks that the second type of theory should be adopted for two reasons. First, the concept of labour-value makes it possible to find out what set of social relations among individual labours makes money necessary as a means of social reproduction. Second, money as the measure of value can be meaningful only in an economy where money as the means of circulation is necessitated by indirect exchanges of commodities. en-copyright= kn-copyright= en-aut-name=WadaYutaka en-aut-sei=Wada en-aut-mei=Yutaka kn-aut-name=和田豊 kn-aut-sei=和田 kn-aut-mei=豊 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学 END start-ver=1.4 cd-journal=joma no-vol=28 cd-vols= no-issue=4 article-no= start-page=59 end-page=78 dt-received= dt-revised= dt-accepted= dt-pub-year=1997 dt-pub=19970310 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=On Multiperiod Policy Implementation Model kn-title=多期間政策インプリメンテーション・モデルについて en-subtitle= kn-subtitle= en-abstract= kn-abstract=It is intended here to investigate the basic structures and functions of the so-called "reputation" regime of macroeconomic policy-making by making use of a simple macro-model as composed of aggregate Lucas-type supply and ordinary demand functions in a familiar static framework of two targets and one policy instrument. The regime is conceived as one of many possible compromises between commitment and discretion, possible in a multi-period setting of the intrinsically static model, and the private sector's way of rational expectations is shown to be decisive in what reputation regime is concretely effected as a substitute for unrealistic commitment. en-copyright= kn-copyright= en-aut-name=FujimotoToshimi en-aut-sei=Fujimoto en-aut-mei=Toshimi kn-aut-name=藤本利躬 kn-aut-sei=藤本 kn-aut-mei=利躬 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil= END start-ver=1.4 cd-journal=joma no-vol=30 cd-vols= no-issue=4 article-no= start-page=303 end-page=331 dt-received= dt-revised= dt-accepted= dt-pub-year=1999 dt-pub=19990310 dt-online= en-article= kn-article= en-subject= kn-subject= en-title='We Will Construct Our Assembly Line' (II) : the Case of the Tahara No.1 Plant of Toyota kn-title=現場が作る組立ライン(II)―田原第1組立工場の事例― en-subtitle= kn-subtitle= en-abstract= kn-abstract=Since the beginning of 1990 s, Toyota has been pursuing a new direction in its human resource management and assembly work. After encountering a labor crisis-labor shortage and high turn over of young workers-during the economic boom provoked by the "financial bubble" toward the end of 1980 s, Toyota's management and Union discussed ways of making the work more attractive. Based on this discussion, the production engineering division developed a new assembly line concept realized firstly at Toyota Kyushu plant (1992), applied also to Toyota's Motomachi No.2 plant (1994), Tahara No.1 plant (1995) and Motomachi No.1 plant (1996). Among these plants, the construction of the assembly line at Tahara No.1 Plant constitutes a unique case in the fact that it was not the production engineering division, but the foremen, supervisors and engineers belonging to the plant who conceived and constructed this new assembly line. Moreover, in order to realize what they considered as their ideal assembly line, they proposed to the product development center an important change of car structure and parts design from the very beginning of product development where the so called "concurrent engineering" has started. The second part of this paper deals with the 'Kaizen' activities in order to realize their "ideal assembly line" after construction. In the concluding section, I emphasize the fact that the 'Kaizen' activities at Toyota are now centered on humanization of work certainly without renouncing efforts towards cost reduction. en-copyright= kn-copyright= en-aut-name=ShimizuKoichi en-aut-sei=Shimizu en-aut-mei=Koichi kn-aut-name=清水耕一 kn-aut-sei=清水 kn-aut-mei=耕一 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学 END start-ver=1.4 cd-journal=joma no-vol=30 cd-vols= no-issue=4 article-no= start-page=185 end-page=211 dt-received= dt-revised= dt-accepted= dt-pub-year=1999 dt-pub=19990310 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=What Firm do Women Workers Use Child-care Leave Program? kn-title=育児休業利用に関する企業・事業所の違い en-subtitle= kn-subtitle= en-abstract= kn-abstract=This paper analyses actual uses of child-care leave program by workers based upon two data sources. This is the first research which focus on firm-level use of child-care leave program. One of the interesting findings is a negative relationship between women's share of firms and use of child-care leave program. My conclusion is that an introduction of child-care leave program leads firms to hesitate to hire women workers because women cost relatively high. en-copyright= kn-copyright= en-aut-name=WakisakaAkira en-aut-sei=Wakisaka en-aut-mei=Akira kn-aut-name=脇坂明 kn-aut-sei=脇坂 kn-aut-mei=明 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil= END start-ver=1.4 cd-journal=joma no-vol=30 cd-vols= no-issue=3 article-no= start-page=125 end-page=162 dt-received= dt-revised= dt-accepted= dt-pub-year=1999 dt-pub=19990310 dt-online= en-article= kn-article= en-subject= kn-subject= en-title='We Will Construct Our Assembly Line' ( I ) : the Case of the Tahara No.1 Plant of Toyota kn-title=現場が作る組立ライン(I)―田原第1取立工場の事例― en-subtitle= kn-subtitle= en-abstract= kn-abstract=Since the Beginning of 1990 s, Toyota has been pursuing a new direction in its human resource management and assembly work. After encountering a labor crisis-labor shortage and high turn over of young workers-during the economic boom provoked by the "financial bubble" toward the end of 1980 s, Toyota's management and Union discussed ways of making the work more attractive. Based on this discussion, the production eugineering division developed a new kssembly line concept realized firstly at Toyota Kyushu plant (1992), applied also to Toyota's Motomachi No.2 plant (1994), Tahara No.1 plant (1995) and Motomachi No.1 plant (1996). Among these plants, the construcion of the assembly line at Tahara No. 1 plant constitutes a unique case in the fact that it was not the production engineering division, but the foremen, supervisors and engineers belonging to the plant who conceived and constructed this new assembly line. Moreover, in order to realize what they considered as their ideal assembly line, they proposed to the product development center an important change of car structure and parts design from the very beginning of product development where the so called "concurrent engineering" has started. The first part of this paper explains, and thus why and how they conceived and constructed their own assembly line after presenting this assembly line concept and work orgnaization in this plant. en-copyright= kn-copyright= en-aut-name=ShimizuKoichi en-aut-sei=Shimizu en-aut-mei=Koichi kn-aut-name=清水耕一 kn-aut-sei=清水 kn-aut-mei=耕一 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学 END start-ver=1.4 cd-journal=joma no-vol=31 cd-vols= no-issue=4 article-no= start-page=285 end-page=302 dt-received= dt-revised= dt-accepted= dt-pub-year=2000 dt-pub=20000310 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=A Note on Capital Commitment and Cournot Competition with Labour-Managed and Profit-Maximising Firms en-subtitle= kn-subtitle= en-abstract= kn-abstract=This paper shows that the discussion of Lambertini and Rossini (1998) as to the strategic investment levels oflabour-managed firms in a labour-managed (LM) duopoly is misleading. This is due to the fact that there is no duality between the conditions for maximisation and minimisation, and what is worse, an equilibrium needed for comparison is interior when the investment behaviour of the firms is discussed along the conventional method. We reconsider whether they overinvest or underinvest in R&D, employing a more general model with R&D spillovers. It is demonstrated that results obtained in the LM duopoly are similar to those in a conventional duopoly of profit-maximising firms. en-copyright= kn-copyright= en-aut-name=HarunaShoji en-aut-sei=Haruna en-aut-mei=Shoji kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学 END start-ver=1.4 cd-journal=joma no-vol=31 cd-vols= no-issue=4 article-no= start-page=133 end-page=151 dt-received= dt-revised= dt-accepted= dt-pub-year=2000 dt-pub=20000310 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=The Structure and Implications of the Three Dimensional Double Entry Accounting System en-subtitle= kn-subtitle= en-abstract= kn-abstract=The essence of the Statement of cash flows required by FASB's Statement of financial accounting standards No. 95 in 1987 is the cash basis statement of changes in a financial position, because it must show the reconciliation between net income and CFO (Cash flow from operations) in the main body or in the footnote of the statement. The year 1987 when the new basic financial statement appeared was the starting point from which the effort should be made to formulate new conceptual framework of financial accounting that accommodates three basic financial statements: the Balance sheet, Income statement, and the Statement of cash flows. However, little argument has been aroused toward this direction in the U. S. It is mainly because the traditional and conventional double entry bookkeeping system that is designed to prepare only the Balance sheet and the Income statements are deeply rooted to the conventional accounting philosophy. This system can be called "two dimensional accounting system", one dimension for the Balance sheet and another dimension for the Income statement. What we need now is to construct an accounting system that can produce all three basic financial statement at the same time. Such a system can be called "three dimensional double entry accounting system", and will be demonstrated in this paper. This 3 D accounting system can provide underlying basis for the Statement of cash flows as the basic financial statement, in terms of the system of accounts as well as the conceptual structure. en-copyright= kn-copyright= en-aut-name=SatohMichimasa en-aut-sei=Satoh en-aut-mei=Michimasa kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil= END start-ver=1.4 cd-journal=joma no-vol=31 cd-vols= no-issue=3 article-no= start-page=1 end-page=33 dt-received= dt-revised= dt-accepted= dt-pub-year=1999 dt-pub=19991210 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=The Bubble and Monetary Policy in Japan: 1984-1989 en-subtitle= kn-subtitle= en-abstract= kn-abstract=There will be no great opposition, among Japanese people, to the assertion that the problem of non-performing debt was the most important inducement to the present serious depression in Japan. The non-performing debt problem was brought about by the huge swell of the bubble in the later 1980's and its collapse after entering 1990's. As for the causes ofthe bubble formation several useful books were published rather intensively during 1992-93. But in February 1994, Mr. Mieno, the then Governor of the Bank of Japan, stated at a lecturing speech that the causes of the bubble had not been clarified yet. He enumerated some problems to be solved, for example why bubbles took place almost simultaneously over the world, and why such tremendous rise of asset prices occurred. Basically this reflection seems to be right. Relevant researches, which were published mostly during 1992-1993, if we dare to simplify, pointed out two factors as the important causes of the bubble: various financial de-regulations and long-lasted cheap money policy which was closely concerned with the so-called "international cooperation of economic policy" in 1986-87. This paper is not against these arguments at all. However it calls attentions to the fact that preceding researches have overlooked an important problem to be solved: that is to say, the problem of the correlation between the rapid appreciation of yen and the soaring up of asset prices. The paper tries to analyze the simultaneous development of yen appreciation and asset inflation. Consequently it points out that the key factor was the massive inflow of foreign short-term capital. In other words, banks took in huge short-term money from abroad and lent it to firms as impact loan, which is presumably a peculiar Japanese financial instrument. Firms converted borrowed dollar into yen and invested it in asset markets. In the case of stocks, Tokkin & Fan-tora, deposited with trust banks, played an important role as the intermediary. Thus the prices of assets rose steeply. The banks' huge taking-in of foreign short-term money resulted in a strong selling pressure on US dollar in the exchange market. Thus the dollar fell and the yen rose. A pioneering work along this line is S. Nakao (1991). Unfortunately he confines his interest to the relation between the activities of banks and the appreciation of yen, putting the codevelopment of yen appreciation and the asset inflation out of his argument. In addition, preceding researches, which stress the financial deregulations as the most important cause of the bubble, tend only to enumerate various de-regulations. And they seem to have been unsuccessful in clarifying what part of the deregulations was crucial. This paper deems the abolitions of regulations on impact loan and on yenten as crucial. It was these de-regulations that played by far the most important roles in the formation ofthe bubble. Finally, the reader will see some concluding remarks at the end of the paper. The main concern of the paper lies, however, in the field of fact verification. What to learn or derive from verified facts belongs rather to a role of politicians and high officials. en-copyright= kn-copyright= en-aut-name=IchinoseAtsushi en-aut-sei=Ichinose en-aut-mei=Atsushi kn-aut-name=一ノ瀬篤 kn-aut-sei=一ノ瀬 kn-aut-mei=篤 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil= END start-ver=1.4 cd-journal=joma no-vol=32 cd-vols= no-issue=4 article-no= start-page=1 end-page=29 dt-received= dt-revised= dt-accepted= dt-pub-year=2001 dt-pub=20010310 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=The Decisive Day. On October 9, 1989, in Leipzig kn-title=決着の日--1989年10月9日,ライプツィヒ en-subtitle= kn-subtitle= en-abstract= kn-abstract=The history of DDR ended when the Wall between East and West Berlin fell down on November 9, 1989. Just one month before the Wall fell down, on October 9, 70,000 citizens demonstrated in Leipzig (at that time, the population of the city was 550,000). Though this demonstration was illigal, the authorities couldn't stop it. The success of this demonstration caused a rapid loss ofthe authority of the system. What caused this situation was that the citizens of Leipzig accumulated various dissatisfactions against the economic, political and social system and that the system itself couldn't solve their dissatisfactions. The problem was who organized these dissatisfactions. In Leipzig, the church became the place where the citizens concentrated and the demonstration succeeded through the mediation of Masur, the director of Gewandhaus, between the citizens and the party (SED) in Leipzig. en-copyright= kn-copyright= en-aut-name=FujimotoTateo en-aut-sei=Fujimoto en-aut-mei=Tateo kn-aut-name=藤本建夫 kn-aut-sei=藤本 kn-aut-mei=建夫 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=甲南大学経済学部 END start-ver=1.4 cd-journal=joma no-vol=71 cd-vols= no-issue=12-1 article-no= start-page=8139 end-page=8148 dt-received= dt-revised= dt-accepted= dt-pub-year=1959 dt-pub=19591120 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Experimental Study on the Repair of Tympanic Perforations kn-title=鼓膜穿孔閉鎖術に関する研究2編 鼓膜穿孔閉鎖術に関する実験的研究 en-subtitle= kn-subtitle= en-abstract= kn-abstract=Recently an attempt to repair the perforated drum has become quite common. However, as regards the questions what histopathological finding could be observed in both the tympanic membrane and the transplanted graft, and whether such a graft would cover up the perforations to take place of the tympanic membrane, or the graft would play only a role aiding regeneration of the tympanic membrane, there are still no histopathological studies. In order to solve these questions central perforations in pars tensa of the tympanic membrane of rabbits were made with injection needles and these perforations were repaired by transplanting free skin or buccal mucous membrane graft from the same animals, and the following conclusion were obtained. 1. Of the 14 ears transplanted with free skin graft, in 7 cases (50%) the transplantation was successful, namely, the free skin graft adhered to the tympanic membrane. Of 10 ears receiving the transplantation of buccal mucous membrane graft it was successful in two cases. (20%). 2. By the fifth to sixth day after the transplantation, there could be observed no marked changes in the skin graft or in the buccal mucous membrane graft, and also no fibrous adhesion could be observed between the transplanted graft and the tympanic membrane. 3. On the seventh day it was observed that transplantation began to take hold of itself between the transplanted free skin graft or the buccal mucous membrane graft and the tympanic membrane. 4. In the case where the transplantation had come to take hold of itself, the epithelium of the mucous membrane of tympanic membrane, extending along the interior side of the transplanted graft, closed the perforation, and the submucous tissue of tympanic membrane adhered directly to the connective tissue of the skin graft or the buccal mucous membrane graft. 5. When the adhesion takes place, the grafted skin or the buccal mucous membrane loses their morphological characteristics. As the times go on, the structure of the grafted tissues is used to change metaplasically to the tissue which reminds us of the lamina propria of the tympanic membrane. In this instance the new tympanic membrane is quite thick at the beginning but it gradually becomes thinner. en-copyright= kn-copyright= en-aut-name=NaganoToichiro en-aut-sei=Nagano en-aut-mei=Toichiro kn-aut-name=永野統一郎 kn-aut-sei=永野 kn-aut-mei=統一郎 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部耳鼻咽喉科教室 END start-ver=1.4 cd-journal=joma no-vol=71 cd-vols= no-issue=12-1 article-no= start-page=7957 end-page=7976 dt-received= dt-revised= dt-accepted= dt-pub-year=1959 dt-pub=19591120 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Studies on the Iron and Copper Metabolisms in the So-Called Banti's Disease Part 2. Influences of the Anemia-Inducing Agent on the Iron and Copper Metabolisms in the So-Called Banti's Disease kn-title=所謂Banti氏病の鉄及び銅代謝にする研究 第2編 所謂Banti氏病の催貧血性因子の鉄及び銅代謝に及ぼす影響に就いて en-subtitle= kn-subtitle= en-abstract= kn-abstract=The author studied what influences might be exerted on the iron and copper metabolisms in rabbits by anemia-inducing, substance found in the patient with the so-called Banti's disease, and obtained the following results. 1. In the rabbits injected with the serum or the spleen extract of Banti's disease patients, there can be recognized a decrease in the number of erythrocytes and in the serum iron content and an increase in the serum copper content. 2. After injecting the serum and the spleen extract of the patient to rabbits, the iron and copper contents in the liver and spleen of the animals were measured. From these results as well as from their bone marrow picture, and the serum iron and copper contents it has became clear that the mobilization of the stored iron is disturbed and that the copper metabolism is involved in it. 3. Even in the non-toxic splenomegaly (Tomoda) it has been recognized that there exists an agent that induces changes in the iron and copper metabolisms. en-copyright= kn-copyright= en-aut-name=OkadaYoshio en-aut-sei=Okada en-aut-mei=Yoshio kn-aut-name=岡田由夫 kn-aut-sei=岡田 kn-aut-mei=由夫 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部平木内科教室 END start-ver=1.4 cd-journal=joma no-vol=71 cd-vols= no-issue=11-1 article-no= start-page=7527 end-page=7530 dt-received= dt-revised= dt-accepted= dt-pub-year=1959 dt-pub=19591020 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=A case Report on Continual Partial Epilepsy (Koshewnikow) kn-title=Epilepsia partialis continua (Koshewnikow) の一例 en-subtitle= kn-subtitle= en-abstract= kn-abstract=A 47-years old farmer, male: Afflicted with paratyphus C, at the age of 29 years, and followed by tertian malaria, attack occurring at the interval of three days. Thereafter he had continual and intermittent tic-like or tonic cramps. This cramps grow more frequent with lapse of time, and finally the cramps occured uninterruptedly during his waking hours. This does not change by emotional changes, what he wants to do or by his will, but it is absent during his sleeping hours. Concomitant with such clinical symptoms, multiple foci from the right hemisphere can always be observed in the electroencephalogram, and sometimes multiple foci from the left hemisphere can also be seen. In the physocephalic picture a slight atrophic picture can be recognized in a portion of the cerebrum, especially in the right hemisphere. Then in March when he was about 47 years old, he had occasional expiratory dyspnea, and thereafter there occurred transiently such symptoms as loss of memory, fatigue, and restlessness what might be construed as “epilepsy-replacement” phenomena. However, up today there occurred no great or small fit or loss of consciousness. en-copyright= kn-copyright= en-aut-name=NambaHidehiro en-aut-sei=Namba en-aut-mei=Hidehiro kn-aut-name=難波英弘 kn-aut-sei=難波 kn-aut-mei=英弘 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=国立岩国病院精神科 END start-ver=1.4 cd-journal=joma no-vol=71 cd-vols= no-issue=11-1 article-no= start-page=7219 end-page=7234 dt-received= dt-revised= dt-accepted= dt-pub-year=1959 dt-pub=19591020 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Studies on Skin Capillary Blood Vessels at the Root of Finger Nail Part 1. Statistica Observations on the Skin Capillary Blood Vessels at the Root of Finger Nail in Advanced Age kn-title=指爪根部皮膚毛細血管に関する研究 第1編 高令者に於ける指爪根部皮膚毛細血管の統計的観察 en-subtitle= kn-subtitle= en-abstract= kn-abstract=In the observations carried on the skin capillary blood vessels at the root of finger nail in 1934 cases of advanced age it has been found that the branches of both skin arterial and venous capillaries at the root of finger nail have gradually shrunk, and loops are distended and crooked, showing somewhat a lesser number of the loops. he blood circulation has become slower, and there tends to be a greater number of nodules what appear to be arterial capillary nodular changes of the vessel wall. It has been clarified, however, that such changes, that can be construed as the changes of old age, have a correlation with not only the advance in age but also with arterial sclerosis as well as with hypertension. en-copyright= kn-copyright= en-aut-name=SegoshiHiroshi en-aut-sei=Segoshi en-aut-mei=Hiroshi kn-aut-name=瀬越宏 kn-aut-sei=瀬越 kn-aut-mei=宏 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部第一内科教室 END start-ver=1.4 cd-journal=joma no-vol=71 cd-vols= no-issue=10-1 article-no= start-page=6399 end-page=6406 dt-received= dt-revised= dt-accepted= dt-pub-year=1959 dt-pub=19590920 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Studies on Bile Pigment Part 2. On the Glucnronic Acid Metabolism in the Urine of Various Biliary kn-title=胆汁色素に関する研究 第2編 各種黄疽疾患々者尿に於けるGlucuron酸代謝に就いて en-subtitle= kn-subtitle= en-abstract= kn-abstract=Using the urine obtained from four cases of mechanical jaundice, one case of acute hapatitis, and one case of chronic hepatitis, (cholangiolitis) to the total of six cases and isolating ester-type direct bilirubins by Sakamoto's ion-exchange chromatography, the author studied the bilirubin glucuronide distribution as against the fractions of the entire ester-type bilirubins; and obtained the following restlts. 1. When the distribution of bilirubin giucuronide is calculated on the basis of the quantitative determination of glucuronic acid: a) The minimum value of bilirubin glucuronide to the entire ester-type bilirubin was zero per cent, the maximum 30-60 per cent, and the average 16-32 per cent. b) As to the variation by different diseases it was impossible to determine definitely as the number of the cases studied was small. c) In the case with normal liver function or with a minimal disturbance of the liver, the minimum value was 12.5-25 per cent; the maximum 30-60 per cent; and the average value was 17-38 per cent. In the case with advanced liver disorder the minimum value was zero per cent; the maximum 10.5-21 per cent; and the average 5.5-11 per cent. 2. When the bilirubin glucuronide distribution is calculated from the indirect bilirubin content produced after hydrolysis by alkali: a) The minimum value is zero per cent; the maximum 38 per cent; and the average was 21 per cent. b) In the case with normal liver function or with a minimal disorder of the liver the minimum value was 13 per cent; the maximum 38 per cent; and the average value 24 per cent; while in the case with far advanced disorder of the liver the minimum was zero per cent; the maximum 17 per cent; and the average 9 per cent. 3. From these findnings it can be assumed that the direct bilirubins in the jaundice urine, with exception of basic direct bilirubin, belong mostly to what we call the ester-type direct bilirubin in our laboratory, while on the contrary the quantity of bilirubin glucuronide can be found only in a small percentage, and in the case of far advanced disorder of the liver it is sometimes extremely reduced and even disappears completely when compared with the quantity of the so-called ester-type direct bilirubin. en-copyright= kn-copyright= en-aut-name=MonobéTaisei en-aut-sei=Monobé en-aut-mei=Taisei kn-aut-name=物部大成 kn-aut-sei=物部 kn-aut-mei=大成 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部第一内科教室 END start-ver=1.4 cd-journal=joma no-vol=71 cd-vols= no-issue=10-1 article-no= start-page=6389 end-page=6397 dt-received= dt-revised= dt-accepted= dt-pub-year=1959 dt-pub=19590920 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Studies on Bile Pigment Part 1. Relationship between Glucuronic Acid and Direct Bilirubins, Both Ester form and Salt form, Isolated from the Urine of Patients with Mechanical Jaundice kn-title=胆汁色素に関する研究 第1編 機械性黄疽患者尿より分離されたEster型並びに塩型直接BilirubinとGlucuron酸との関係に就いて en-subtitle= kn-subtitle= en-abstract= kn-abstract=With the urine of the patient with mechanical jaundice the author isolated direct bilirubins, both ester form and salt form, by the toutine techniques employed in our laboratory, and studied the realtionship between glucuronic acid and these bilirubins. 1. Regardless of the techniques used in isolating direct bilins of salt form the glucuronic acid reaction proves to be always negative. 2 Of the direct bilirubins of ester form, the one isolated by Komuta's precipitation method is negative to the glucuronic acid test. 3. Of direct bilirubins of ester form obtained by the ion-exchange chromatography as well as by butanol extraction method, most of them are positive to the glucuronic acid test but some prove to be negative. 4. By paper and column chromatography it has been possible to isolate from the esterform direct bilirubin fractions positive to glucuronic acid the direct bilirubin that is related to glucuronic acid aside from the ester-form direct bilirubins, but the quantity is trivial. From these results the existence of bilirubin glucuronide as contended by Billing et al can be understandable, but its quantity is an extremely small portion of the total ester-form bilirubins, and almost all of them prove to be what we in our laboratory call "ester-form direct bilirubins" en-copyright= kn-copyright= en-aut-name=MonobéTaisei en-aut-sei=Monobé en-aut-mei=Taisei kn-aut-name=物部大成 kn-aut-sei=物部 kn-aut-mei=大成 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部第一内科教室 END start-ver=1.4 cd-journal=joma no-vol=71 cd-vols= no-issue=9-2 article-no= start-page=6137 end-page=6144 dt-received= dt-revised= dt-accepted= dt-pub-year=1959 dt-pub=19590910 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Studies on Alkylphosphate Poisoning Part 4. Effects of Parathion Exposure in the Field kn-title=有機燐剤中毒に関する研究 第4編 農薬パラチオン散布作業の人体に与える影響 en-subtitle= kn-subtitle= en-abstract= kn-abstract=With the purpose to elucidate the influence of parathion exposure on the human body while spraying it in the rice field, the author studied 37 farmers in the Bizen rice-producing farmland as the subjects; and obtained the following results. 1. There is no difference between the physical findings before sparying and those after the spraying. 2. As for subjective symptoms 4 cases (10.8%) complained of the symptoms that can be thought relatively charateristic to parathion poisoning, and 12 cases (32.4%) complained of symptoms that are not characteristic. However., judging them in conjunction with the values of serum cholinesterase, these symptoms are not due to poisoning but they are due to fatigue or incidental ones. In any event, the total of 16 cases (43.2%) had complained about some symptoms on account of spraying parathion. 3. Twenty-four cases (14.8) showed urine p-nitrophenol which is the evidence of absorbing parathion into the body. As those who absorbed parathion at early stage of the spray may no longer show p-nitorphenol in the urine, if these possible cases are added, the actual number of absorbing parathion will be greater. 4. What is a convincing evidence of parathion invasion into the body, namely, inhibiton of serum cholinesterase, can be recognized in 15 cases (40.5%). The ones that showed the greatest reduction of serum cholinesterase as low as minus 64.8 per cent are thought to be on the verge of onset of poisoning. 5. Those who showed either p-nitrophenol in the urine or inhibition of serum cholinesterase, in cther words, those who were really exposed to danger during parathion spraying amounted actually as much as 30 cases, 81 per cent of the total studied. Therefore, at the present method of spraying those actually attacked dy parathion poisoning are rare, but as they are really exposed to that danger, it is desirable to take all possible precautionary measures during the work. en-copyright= kn-copyright= en-aut-name=UématsuYoshinori en-aut-sei=Uématsu en-aut-mei=Yoshinori kn-aut-name=植松義則 kn-aut-sei=植松 kn-aut-mei=義則 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部平木内科教室 END start-ver=1.4 cd-journal=joma no-vol=71 cd-vols= no-issue=9-1 article-no= start-page=5725 end-page=5730 dt-received= dt-revised= dt-accepted= dt-pub-year=1959 dt-pub=19590830 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Experimental Studies on Fluorine Poisoning Part 2. A study on the Phosphorus Metabolism of Teeth and in Fluorine Poisoning by P(32) in vitro kn-title=弗素中毒に関する実験的研究 第2編 生体外におけるP(32)による歯牙及び骨の燐代謝に関する研究 en-subtitle= kn-subtitle= en-abstract= kn-abstract=After inducing fluorine poisoning in two groups of young rats by administering various NaF solutions consecutively for one week in one group and for one month in another group, the auther observed the phosphorus metabolism in vitro of the teeth and bones of these rats by means of radioactive isotope P(32), and obtained the following results. On the other hand, the author investigated what change might be brought upon the phsophorus metabolism in the milk teeth of the children given a dose of 0.2 mg and 1.0 mg NaF each for the period of one year with the purpose to prevent tooth-decay, and compared the results of the two. Method: Both the rats with fluorine poisoning and control group are sacrificed and the teeth and bones are extracted. Also the milk teeth at the deciduous stage are extracted from kindergarten children treated with NaF for the prevention of tooth-decay. These teeth and bones are cleaned of tooth pulp and bone marrow as much as possible and pulverized. The pulverized materials are filtered through the strainer of 60 meshes and the materials from the teeth and bones are weighed exactly 20 mg each, and to each of these samples 2cc phosphoric acid (H(3)P(32)O(4), 3000 counts/min) is added in a test-tube and shaken for one hour. The sedimented substances are separed from the supernatant and thoroghly washed, filtered, and dried, and finally the radioactivity is measured by Gieger-Müller counters. Experimental results: 1. In the group of animals given NaF for one week the quantity of P(32) incorporated in the teeth tends to decrease slightly with the increase in the dosage of NaF, while the amount of P(32) incorporated in the bones rather tends to increase slighelv along with the increase in the dosage of NaF given. 2. In the group given NaF for one month the amounts of P(32) incorporated in the teeth and bones tend to decrease along with the increase in the dosage of NaF given. 3. Both in the group given NaF for one week and that for one month the amount of P(32) incorporated in the bones is greater than that in the teeth. 4. In the teeth of the kindergarten children rally administered with fluorine compound repeatedly for one year the amount of P(32) incorporated in enamel is clearly less than that in dentin along with the increase in the dosage of NaF. en-copyright= kn-copyright= en-aut-name=ShindoSadayoshi en-aut-sei=Shindo en-aut-mei=Sadayoshi kn-aut-name=進藤貞義 kn-aut-sei=進藤 kn-aut-mei=貞義 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部公衆衛生学教室 END start-ver=1.4 cd-journal=joma no-vol=71 cd-vols= no-issue=9-1 article-no= start-page=5469 end-page=5476 dt-received= dt-revised= dt-accepted= dt-pub-year=1959 dt-pub=19590830 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Studies on Megakaryocytes by Means of Bone-Marrow Tissue Culture Part 2. On the Progress of the Culture and Platelet Separation of Megakaryocytes in Human and Guinea Pigs kn-title=骨髄組織培養法による骨髄巨核球に関する研究 第2編 人並びに海溟骨髄巨核球の培養経過と栓球分離について en-subtitle= kn-subtitle= en-abstract= kn-abstract=By bone-marrow tissue culture of hnman and guinea pigs, the author observed under a phase-contrast microcscope the morphological changes in megakaryoytes in the course of the culture and the mechanism of the platelet separation; and obtained the following results: 1. The progress of the degenerative changes in each megakaryocyte is not necessarily uniform even in the same medium conditions, and these megakaryocytes present varied features. 2. The duration in which megakaryocytes can carry on their functions in a simple culture medium is 90 hours at most in the case of human and up to 48 hours in the case of guinea pigs; and the peak of their activities is reached 18 to 30 hours after the culture in the case of human, and 15 to 18 hours in the case of guinea pigs. 3. It has been confirmed that tentacle-like processes indicative of platelet formation can be observed only when megakaryocytes are most actively moving. 4. The mottled appearance due to multiple small areas or so-called platelet separation of megakaryocytes as observable in the bone-marrow smear is due to the degenerative changes or artificial products of megakaryocytes and it is in no way associated with the mechanism of the platelet separtion. 5. Small tongue-like processes what appear to be platelets erupting from the margin of the megakaryocyts body are nothing but one of degeneration features of the megakaryocyte, and they are different from platelets. 6. As for the possiblity of nuclear substance of megakaryocytes moving into platelets, it is believed that at least from the morphological viewpoint the nuclear substance does not move into the platelet. en-copyright= kn-copyright= en-aut-name=OgawaraKenjiro en-aut-sei=Ogawara en-aut-mei=Kenjiro kn-aut-name=大河原健次郎 kn-aut-sei=大河原 kn-aut-mei=健次郎 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部平木内科教室 END start-ver=1.4 cd-journal=joma no-vol=71 cd-vols= no-issue=8-2 article-no= start-page=5041 end-page=5053 dt-received= dt-revised= dt-accepted= dt-pub-year=1959 dt-pub=19590815 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Clinical Studies on Leukemia Part 1. Clinical Statistics of Leukemia definitely Diagnosed and Classified by the Bone Marrow Tissue Culture kn-title=白血病に関する臨床的研究 第2編 骨髄組織培養により確診された白血病67例の臨床統計 en-subtitle= kn-subtitle= en-abstract= kn-abstract=The author analyzed clinically and statistically 67 cases definitely diagnosed as leukemia by bone-marrow tissue culture in our clinic during the period from January 1954 to October 1957. The results are described in the following. 1. These 67 cases can be divided into 16 cases of acute neutrophilocytic leukemia, 8 chronic neutrophilocytic leukemia, 2 acute basophilocytic leukemia, 12 acute lymphocytic leukemia, one chronic lymphocytic leukemia, 25 monocytic leukemia, and three others, showing an extremely large number of monocytic leukemia as compared with other Japanese statistics, occupying over one third of the whole. For this reason it seems that monocytic leukemia has previously been included in chronic myelogenous leukemia. Furthermore, it is indeed significant that the two cases of acute basophilocytic leukemia have been confirmed by bone-marrow tissue culture. 2. With the exception of the paucity in the number of infant cases, as our clinic is of internal medicine, there are no particular differences with respect to the sexual classification, age distribution and occupational classification. 3. One case (1.5%) having family history of leukemia, 15 cases (22.7%) having family history of cancer, and 2 cases (3.0%) of atomic bomb survivors have been encountered. 4. As for the characteristics of clinical symptoms all the symptoms of acute myelogenous leukemia proceed acutely, accompanied with marked fever and hemorrhagic tendency along with a high incidence of disorders of the digestive, respiratory and circulatory functions. This type also shows albuminuria in 43.8 per cent and glucosuria in 15.4 per cent in urine. On the other hand, the swelling of the spleen, generally accepted as the symptom specific to myelogenous leukemia, can be encountered only in 25 per cent. Acute lymphocytic leukemia on the whole proceeds more slowly than acute myelogenous leukemia. Speaking only of the symptoms at the onset of the disease, it lacks the hemorrhagic tendency, but its characteristic trait is the complaint of the enlarged lymph nodes. It may be natural to expect the enlargement of lymph nodes in practically all cases of this type, but the swelling of the spleen can also be encountered in the majority, showing the enlargement of lymph nodes accompanied with the swelling of the spleen and the liver in well over 60 per cent. The incidence of pain in the bones, though not so high, is more often observed than in other types, and the acceleration of the urobilinogen excretion in urine is also a characteristic symptom. There is no question of doubt that all symptoms of chronic myelogenous leukemia are milder than those of the acute type, nevertheless, anemia can be found in 90 per cent and fever in 60 per cent. From the standpoint of the symptom at the onset, subjective complaint and the symptom actually present, what can be considered the main characteristic of this type, is the swelling of the spleen, observable in nearly all cases and the giant spleen swollen well over 4 finger breadth below the left costal arch can be encountered in over 60 per cent. On the contrary, the cases with the enlargement of lymph nodes is not so abundant. Monocytic leukemia more often commences with hemorrhagic tendency than any other type, amounting to 40 per cent. Although the incidence of this trend decreases in later stage and becomes about the same as in other type of leukemia, it is worthy of note that the incidence of buccal hemorrhage reach as much as 40 per cent at the same stage. What might be considered as most characteristic of this type is that the severity of almost every symptom is intermediate between the acute type and chronic type. In this type the enlarge ment of the lymph nodes is quite frequent, amounting as much as three quarters of all, while the swelling of the spleen can be found only in less than 30 per cent. en-copyright= kn-copyright= en-aut-name=NagamatsuHiroshi en-aut-sei=Nagamatsu en-aut-mei=Hiroshi kn-aut-name=永松洋 kn-aut-sei=永松 kn-aut-mei=洋 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部平木内科教室 END start-ver=1.4 cd-journal=joma no-vol=71 cd-vols= no-issue=8-1 article-no= start-page=4739 end-page=4747 dt-received= dt-revised= dt-accepted= dt-pub-year=1959 dt-pub=19590810 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Sero-Immunological Studies of the Filtrable Agent Isolated from Choriocarcinoma kn-title=海猽脳通過による悪性絨毛上皮腫濾過性病毒の分離実験 en-subtitle= kn-subtitle= en-abstract= kn-abstract=We sterilely homogenized the tumorous tissue of 3 choriocarcinomas confirmed by histological examination and made them emulsion by adding five times volumes of normal saline. After then it was centrifuged 3.000 r. p. m. for 5 minutes and each of these supernate were inoculated to 2 healthy guinea pigs which then were killed 2 weeks later by blood-loss. We autopsized them to take out sterilely their brain which then were made into 10% emulsion by adding normal saline. 0.2cc of these emulsion was inoculated to healthy guinea pigs which we called 2 nd generation. We successively incculated with same procedure. And also these guinea pigs were microscopically examined by H-E staining on their brains, lungs, livers and spleens. Regarding 1st case and 3rd case on the time of inoculation from fourth to fifth generation, and 2nd case frcm 5th to 6th generation the passage through Seitz E. K. filter was performed. The inoculation was continuously performed up to 22nd for 3rd case. The histological changes in the organs of guinea pigs were mainely found as the hyperplasia of septal cells and hypertrophies of septum, resulting in frequent narrowing or disappearing of alveolar cavities. There were present the infiltrations of lymphocytes and monocytes in septum. Around the vessels and bronchioles the hyperplasia of mesenchymal cells was revealed. The pathological findings shown above were indentical with interstitial pneumonia what we call virus pneumonia. There were present the hyperplasia of spider cells and infiltrations of monocytes and lymphocytes around the bile duct as liver concerned. Spleen showed the hyperplasia of reticulocytes in red marrow. All three cases were revealed to have histological changes even after the passage through Seitz filter and mede it possible to continue the successive inoculation. There was, however, found in 1st and 3rd cases the tendency of gradual withdrawal of histological changes. 2nd case, contrary to this, kept the almost same pictures after having passed through the filter. Using the brains of guinea pig proper for isolation of tumor filtrable agents and avoiding the infection from experimental room, we successfully isolated the filtrable agent from choriocarcinoma, and believe that this agent is choriotropic. en-copyright= kn-copyright= en-aut-name=KubouchiSadayuki en-aut-sei=Kubouchi en-aut-mei=Sadayuki kn-aut-name=久保内貞行 kn-aut-sei=久保内 kn-aut-mei=貞行 aut-affil-num=1 ORCID= en-aut-name=FukaiJunichi en-aut-sei=Fukai en-aut-mei=Junichi kn-aut-name=深井潤一 kn-aut-sei=深井 kn-aut-mei=潤一 aut-affil-num=2 ORCID= en-aut-name=TakeiTeruo en-aut-sei=Takei en-aut-mei=Teruo kn-aut-name=竹井輝雄 kn-aut-sei=竹井 kn-aut-mei=輝雄 aut-affil-num=3 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部産科婦人科学教室 affil-num=2 en-affil= kn-affil=岡山大学医学部産科婦人科学教室 affil-num=3 en-affil= kn-affil=岡山大学医学部産科婦人科学教室 END start-ver=1.4 cd-journal=joma no-vol=71 cd-vols= no-issue=8-1 article-no= start-page=4657 end-page=4670 dt-received= dt-revised= dt-accepted= dt-pub-year=1959 dt-pub=19590810 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=On the Mode of Action of Lymphagogues in the Cat Part 2. Actions of Some Autonomic Drugs kn-title=猫の胸管リンパに対する催リンパ物質の作用態度 第2報 二,三自律神経毒の作用について en-subtitle= kn-subtitle= en-abstract= kn-abstract=The injection of 0.05-0.2 mg/kg adrenaline hydrochloride into the systemic vein of the cat at first retards the lymph flow from the thoracic duct transiently and then accelerates it. The degree of this acceleration is definitely weaker than that in the dog but it is rather close to that in the rabbit. The protein content in lymph is increased when the acceleration of lymph flow is less but it is reduced when the acceleration is greater. Judging from changes in arterial and portal blood pressures, the initial decrease in the lymph flow seems to be correlated to the temporary anemia occurring in the splanchnic area at the ascending stage of arterial blood pressure and the subsequent increase of the flow seems to be correlated to the congestion in the same area at the descending stage of arterial pressure. Since the increase of protein in lymph is preventable by the prior ligature of periportal lymphatics, the majority of protein rich lymph may originate from the liver. In the cat portal blood pressure is not decreased by adrenaline as in the rabbit but it is increased as in the dog. This seems in all probability to be due to the fact that the constrictor response of intrahepatic vessels to this drug is more like in the dog than in the rabbit. The acceleration in the rate of lymph flow coincides with the rise in portal pressure rather than with that in arterial pressure. The administration of 0.5-3 mg/kg nicotine tartrate likewise accelerates the thoracic lymph in the cat a little less than that in the dog but close to that in the rabbit. Following this acceleration, there has been observed some retardation. As for the changes in arterial pressure and portal and jugular venous pressures, with an exception of an initial temporary fall in the arterial pressure, in every respect all of them present the reactions similar to those observed in the case of adrenaline administration. The lymphagogic effect and rise in the portal pressure due to nicotine are reduced in the adrenalectomized cat. The administration of 0.5-2 mg/kg acetylcholine chloride on 0.1-2 mg/kg pilocarpine hydrochloride also accelerates the flow of highly proteinized thoracic lymph in the cat. This action is rather marked in the case of the latter drug Portal blood pressure has been elevated by either one of these drugs, but in the case of acetylcholine a rather marked fall can be observed preceding the elevation. It seems that the lymph rich in protein is mainly produced in the liver, and the other portion of the lymph is formed by the increased plasma filtration resulting from the temporary congestion occurring in other abdominal area including intestines. The administration of 4 mg/kg atropine sulfate inhibits the lymphagogic effect and cardiovascular effects of these two drugs to quite a marked extent; while adrenalectomy partially suppresses these effects. Generally cardiovascular responses what are believed to be associated with the lymphagogic effect of the drugs mentioned above in the cat resemble more closely to those in the dog rather than in the rabbit. The reason why lymphagogic effect in the cat is less than in the dog in spite of this seems to be due to a small capacity of tissue spaces where produced lymph is stored up until it is taken into lymphatic vessels. This can be readily understood even from the previously reported observations that the duration of the acceleration in lymph flow due to the obstruction of short period in hepatic vein or in portal vein is shorter in the cat than in the dog (Mitsufuji, Okayama-Igakkai-Zasshi, 71, 7II, 4113, 1959). Atropine in the cat inhibits the thoracic lymph flow just as in the case of the dog and rabbit, and decreases the protein content in lymph. This may be caused by the decrease in circulating blood volume in the portal vascular area. en-copyright= kn-copyright= en-aut-name=MitsufujiYasuteru en-aut-sei=Mitsufuji en-aut-mei=Yasuteru kn-aut-name=光藤葆光 kn-aut-sei=光藤 kn-aut-mei=葆光 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部薬理学教室 END start-ver=1.4 cd-journal=joma no-vol=71 cd-vols= no-issue=7-1 article-no= start-page=4055 end-page=4067 dt-received= dt-revised= dt-accepted= dt-pub-year=1959 dt-pub=19590630 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Studies on the Functions of the Reticuloendothelial System Part 3. A study on the RES functions and iron metabolism with the use of radioactive iron kn-title=網内系機能に関する研究 第三編 放射性鉄による網内系機能と鉄代謝に関する研究 en-subtitle= kn-subtitle= en-abstract= kn-abstract=Using radioactive iron (Fe(59)) the author studied the processes of the iron metabolism at the time when the RES functions are changed and obtained the following results. 1. With the intravenous injection of Fe(59) the author pursued the iron distribution in the viscera of the rabbits with hypoferremia induced by the administration of various adrenocortical hormones and autonomic nerve stimulants, and studied the destiny of disappearing serum iron and investigated what relation these results will have with the RES functions. As the results it has been found that ACTH, DOCA, and acetylcholine seem to act as to accelerate the functions of RES, especially the iron metabolism, and make RES take up the serum iron in the viscera, especially hemosiderin and ferritin fractions of non-hemin iron. In the case of cortisone and adrenalin about the same tendency can be observed but the results are not so distinct as in the former. 2. In the investigation of the iron distribution in the viscera by injecting Fe(59) intravenously to the rabbits whose RES is blocked by collargol, it has been found that on the whole the uptake of iron from serum by RES is decreased when the functions of RES are disturbed. en-copyright= kn-copyright= en-aut-name=NakayamaAkitoshi en-aut-sei=Nakayama en-aut-mei=Akitoshi kn-aut-name=中山章壮 kn-aut-sei=中山 kn-aut-mei=章壮 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部平木内科教室 END start-ver=1.4 cd-journal=joma no-vol=71 cd-vols= no-issue=6-2 article-no= start-page=3193 end-page=3196 dt-received= dt-revised= dt-accepted= dt-pub-year=1959 dt-pub=19590515 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Experimental Studies on the Nature of Radiation Disturbances Part 2 A anemize substance which is produced in the peripheral blood with X-ray or Co(60)irradiation kn-title=放射線障害の本態に関する実験的研究 第2編 催貧血に就いて en-subtitle= kn-subtitle= en-abstract= kn-abstract=We attempted to reserch that a poison are produced in blood when the blood are irradiated, and whether such poison causes tissue injuries secondarily or not. Experimental Method: After the rabbits blood of removing serum in test tube are irradiated with great doses of X-rays or Co(60) at a time, such blood injected to other healthy rabbits, and then we research to what change are brought in such case, and we find out following matter. Experimental Results: The peripheral blood cell count reduced after transfusions, the function of the reticuloendotherial system falled and the apperance of Heinz's body erythrocytes were remarkable. In view of these facts, it seems to be produced a toxic substance in the peripheral blood of the rabbit irradiated with X-ray or Co(60), and the the toxic substance causes radiation injuries secondarily. en-copyright= kn-copyright= en-aut-name=YamamotoM. en-aut-sei=Yamamoto en-aut-mei=M. kn-aut-name=山本道夫 kn-aut-sei=山本 kn-aut-mei=道夫 aut-affil-num=1 ORCID= en-aut-name=NishishitaS. en-aut-sei=Nishishita en-aut-mei=S. kn-aut-name=西下創一 kn-aut-sei=西下 kn-aut-mei=創一 aut-affil-num=2 ORCID= en-aut-name=AndoR. en-aut-sei=Ando en-aut-mei=R. kn-aut-name=安東龍 kn-aut-sei=安東 kn-aut-mei=龍 aut-affil-num=3 ORCID= en-aut-name=NobukiS. en-aut-sei=Nobuki en-aut-mei=S. kn-aut-name=信木茂生 kn-aut-sei=信木 kn-aut-mei=茂生 aut-affil-num=4 ORCID= en-aut-name=KojimaS. en-aut-sei=Kojima en-aut-mei=S. kn-aut-name=小島澄一 kn-aut-sei=小島 kn-aut-mei=澄一 aut-affil-num=5 ORCID= en-aut-name=TanimotoJ. en-aut-sei=Tanimoto en-aut-mei=J. kn-aut-name=谷本潤一 kn-aut-sei=谷本 kn-aut-mei=潤一 aut-affil-num=6 ORCID= en-aut-name=AkagiK. en-aut-sei=Akagi en-aut-mei=K. kn-aut-name=赤木瑩子 kn-aut-sei=赤木 kn-aut-mei=瑩子 aut-affil-num=7 ORCID= en-aut-name=ShiakuT. en-aut-sei=Shiaku en-aut-mei=T. kn-aut-name=塩飽健 kn-aut-sei=塩飽 kn-aut-mei=健 aut-affil-num=8 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部放射線医学教室 affil-num=2 en-affil= kn-affil=岡山大学医学部放射線医学教室 affil-num=3 en-affil= kn-affil=岡山大学医学部放射線医学教室 affil-num=4 en-affil= kn-affil= affil-num=5 en-affil= kn-affil=岡山大学医学部放射線医学教室 affil-num=6 en-affil= kn-affil=岡山大学医学部放射線医学教室 affil-num=7 en-affil= kn-affil=岡山大学医学部放射線医学教室 affil-num=8 en-affil= kn-affil=岡山大学医学部放射線医学教室 END start-ver=1.4 cd-journal=joma no-vol=71 cd-vols= no-issue=6-1 article-no= start-page=3067 end-page=3076 dt-received= dt-revised= dt-accepted= dt-pub-year=1959 dt-pub=19590501 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Studies on the Mechanism of Opening and Closing Actions of the Tubal Muscles Part 1. A macroscopic and histological study on the relationship between the Eustachian tube and tubal muscles kn-title=耳管開閉機序に関する考察 前篇 耳管と耳管筋の関係に関する肉眼的並びに組織学的研究 en-subtitle= kn-subtitle= en-abstract= kn-abstract=It is generally accepted that the air pressure in the middle ear cavity is regulated by the Fustachian tube. Moreover, it is well known that the opening of the Eustachian tube is brought about by the tensor palati muscle, the lebator palati muscle and the salpingopharyngeus muscle, but there is no complete agreement as yet on the question by what mechanism each of these msucles performs the opening action. With the purpose of elucidating this point, the author studied by the methods mentioned below the relationship between each of these msucles and the Eustachian tube, especially the relatiônship between the tensormuscle and the membranous portion, that between the levator palati muscle and the base of the Eustachian tnbe and alse the question as to whethet or not the salpingopharyngeus msucle can function independently. 1. Macroscopic observations; Using six autopsy specimens containing the tensor palatini muscle, the levator palatini muscle and the salpingpharyngeus muscle which were taken from the right side only and fixed in a 10% formalin solution, the author explored muscle fiber ends of each by magnifying them threefold with a loupe. 2. Histological oaservations; In six autopsy cases other than the above-mentioned, their tissues surrounding the Eustachian tube and tube and tubal muscles are removed and fixed in a 10% formalin solution and decalcified, embedded in paraffin, and than sliced at a right angle to the axis of the tube into serial sections 25U thick. After hematoxylin-eosin staining the author studied hsitologically the relationship between the tunal cartilage, membranous portion and tubal muscles. The following are the results. a. Tensor muscle. It is sometimes possible to divide the tensor msucle into the anterior, middle and posterior parts, ans the muscle fibers are abundant in the middle part. Commonly the source of this muscle is found in the skull base and in the lateral cartilaginous lamina, but in some instances this muscle originates in the middle portion of the muscle at the membranous portion near the lateral cartilginous lamina. The other portions of the tensor muscle appear to be connected with the membranous portion only by connective tissue. The density of the connection differs in individual cases, and moreover, in some cases they can be readily separrted while in others they are compactly connected with one anoeher. b. Levator muscle. This muscle generally runs parallel with the longitudinal acis of the tube under the base of the Eustachian tnbe, ane some send out several muscle fibers from the inferior part of the mucous membrane of the tube. In some instatces muecle fibers are observed originating from the inferior terminal of the medial carti agenous lamina and inferior exterior side of the tube. Moreover, the relationship betwee tensor muscle and tubal base differs according to the construction of the tubal cartilage. Namely, in the shape generally know, the levator muscle adheres to the base of the tube for its whole length, and in the case where the inferior terminal of the tubal medial cartilagenous lamina is running around the exterior side like lateral lamina (the author designates this as type II distinguishing it from the cartilage of the generally-Know shape which is designated as type I) and in the case where by the presence of auxiliary cartilage the cartilage presents a shape similar to type II, it is obvious that cartilage exists between the levator muscle and the base of the tube. c. Salpingopharyngeus muscle. In some cases muscle fibers are lacking in the salpingopharyngeus muscle, and even in those having muscle fibers, the number of such fibers is small, occupying only a portion of the salpingopharyngeal fold. en-copyright= kn-copyright= en-aut-name=MakiyamaHiroshi en-aut-sei=Makiyama en-aut-mei=Hiroshi kn-aut-name=牧山宏志 kn-aut-sei=牧山 kn-aut-mei=宏志 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部耳鼻咽喉科学教室 END start-ver=1.4 cd-journal=joma no-vol=71 cd-vols= no-issue=6-1 article-no= start-page=3051 end-page=3058 dt-received= dt-revised= dt-accepted= dt-pub-year=1959 dt-pub=19590501 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Statistical Observations on the Prolapse of the Umbilical Cord kn-title=臍帯脱出の統計的観察 en-subtitle= kn-subtitle= en-abstract= kn-abstract=Out of 10,000 cases delivered at the Department of Obstetrics and Gynecology, Okayama University Medical School during the period from April 1934 to November 1957, the author conducted statistical observations on 29 cases of prolapse of the umbilical cord from various viewpoints; and obtained the following results. 1. The incidence of prolapse of the umbilical cord is 0.29 per cent being lower than that formerly encountered. The incidence of the prolapse in primpara and grand-multipara is significantly higher than that in multipara. In the age range below 29 years old and over 30 years there is no significant difference in the incidence. Looking at from year to year, the incidence of prolapse of the umbilical cord is on the increase, and from the duration of pregnancy the incidence in premature labor is low. 2. As for the causes the abnormal presentation, premature baby, the shift of the presenting part due to Metreulysis or Colpeurysis, abnormally long umbilical cord, early rupture of membrane, contracted pelvis, enlarged pelvis, placenta preavia and so forth can be pointed out. 3. Hardly any disturbances can be recognized in the mother. 4. The mortality rate of infants with prolapse of the umbilical cord. a. The prognosis of such infants is extremely poor, amounting to 44.44 per cent of the total mortality, while the mortality rate of the infants still living at the time of discovery of the prolapse amounts to 44.0%. This is somewhat lower than the formerly reported rate, still it is quite high. b. There seems to be no marked relationship between the mortality rate and the frequency of labors, but it tends to show a higher rate in older women. c. The mortality rate is highest in transverse presentation followed by cephalic presentation and breech presentation in the order mentioned. In breech presentations foot presentation can not be said to be always good in the prognosis. d. The mortality rate is generally high in abnormally long umbilical cord. e. It is higher in spontaneous rupture of membranes than in the artificial rupture. f. Speaking from the height and the movableness of the presenting part, the mortality rate is highest in those engaged in pelvic inlet or slightly engaged in pelvic inlet, but it becomes lower in the order of those with the mouable head above pelvic inlet, with the head in pelvic expantion, and in plane of pelvic contraction and plane of pelvic outlet. g. The mortality rate is higher in ones with poor dilatation of the uterine orifice than in those with the complete dilatation. h. As for the treatment of prolapse of the umbilical cord, since the mortality rate is higher in the case requiring a longer period of time for delivery and expectant treatment such as reposition of cord is unsatisfactory, it is desirable to give abdominal caesarian section as far as it can be indicatad. i. The longer the duration from the onset of labor to expulsion the poorer is the result. For this reason, it is necessary to discover prolapse of the umbilical cord earlier and what is more, the care must be excercised so as to prevent its occurrence. en-copyright= kn-copyright= en-aut-name=OharaTsuguo en-aut-sei=Ohara en-aut-mei=Tsuguo kn-aut-name=大原二男 kn-aut-sei=大原 kn-aut-mei=二男 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部産科婦人科学教室 END