多職種による新型コロナウイルス感染症ワクチン接種オペレーション

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多発性骨髄腫におけるlong non-cording RNA MALAT1とNEAT1 およびNEAT1_2 の発現

Comorbid diabetes and chronic kidney disease is a common problem associated with an increased risk of death and significant health-care costs. Health-care is often suboptimal. This thesis focuses on health-care improvement for this patient population by using multiple research methodologies to address gaps in medical management and identifies key barriers and enablers to optimal health-care. It also includes the largest multi-centre Australian assessment of the needs and possible improvements to health-care delivery for diabetes and kidney disease, through the lens of health-care providers and patients. The findings have informed the development of a new patient-centred model of care

Covered stent リュウチ ニヨリ ゾウキ ケツリュウ オンゾンシツツ チユシエタ イガン ジュツゴ スイエキロウ ニ トモナウ ヒカセイ ドウミャクリュウ ノ 1レイ

症例は70歳代男性。前医にて胃癌cT1b(SM) N0 M0 cStageⅠAに対して幽門側胃切除術（D1+郭清、BillrothⅠ法再建）を施行し、術後15日目に発症した縫合不全、汎発性腹膜炎に対して大網充填、腹腔内ドレナージ、腸瘻造設術を施行した。再手術後より術後膵液瘻を認め、再手術後9日目の腹部造影CTにて脾仮性動脈瘤を指摘され、再手術後26日目に当院に搬送となった。当院での精査の結果、脾仮性動脈瘤は入院前日から24時間で最大径14 mmから33 mmと急速に増大しており、緊急血管内治療の適応と判断した。ただし幽門側胃切除術後の残胃血流を考慮し、脾仮性動脈瘤の塞栓を行うと残胃の血流が確保できない可能性があると判断し、脾動脈内にcovered stentを留置することとした。ステント留置後はアスピリン、クロピドグレル2剤内服による抗血小板療法によりステント内の血栓形成を予防した。ステント留置後3日目で離床可能となり7ヶ月経過後も閉塞等の合併症なく外来経過観察中である

Seismic exploration at Fuji volcano with active sources : The outline of the experiment and the arrival time data

Fuji volcano (altitude 3,776m) is the largest basaltic stratovolcano in Japan. In late August and early September 2003, seismic exploration was conducted around Fuji volcano by the detonation of 500 kg charges of dynamite to investigate the seismic structure of that area. Seismographs with an eigenfrequency of 2 Hz were used for observation, positioned along a WSW-ENE line passing through the summit of the mountain. A total of 469 seismic stations were installed at intervals of 250-500 m. The data were stored in memory on-site using data loggers. The sampling interval was 4 ms. Charges were detonated at 5 points, one at each end of the observation line and 3 along its length. The first arrival times and the later-phase arrival times at each station for each detonation were recorded as data. P-wave velocities in the surface layer were estimated from the travel time curves near the explosion points, with results of 2.5 km/s obtained for the vicinity of Fuji volcano and 4.0 km5/s elsewhere