近代日本における乳児の生命保護 : 婚外子の生存保障としての養子制度に関する歴史研究

立命館大学博士(学術)doctoral thesi

Long-term effects of tolvaptan in patients requiring recurrent hospitalization for heart failure

2015-08Although reports suggest that tolvaptan does not reduce survival or subsequent hospitalization rates in heart failure patients, its continuous use has shown good outcomes in some patients who cannot be effectively managed with high doses of loop diuretics. Therefore, we investigated the association of patient characteristics and continued tolvaptan use in heart failure patients with changes in the frequency and annual duration of patient hospitalization due to heart failure. We carefully reviewed the medical records of patients hospitalized due to heart failure who began tolvaptan therapy and continued with outpatient treatment between December 2010 and November 2013 (tolvaptan group); patients hospitalized for heart failure between May 2008 and March 2009 served as controls. We set the reference dates as the start of tolvaptan therapy (tolvaptan group) or as the date of admission (control group). The changes in hospitalization frequency and total hospitalization time due to heart failure, before and after the reference dates, were not significantly different between the tolvaptan and control groups. In the tolvaptan group, a high estimated glomerular filtration rate was a predictor of decreased hospitalization. Continuous tolvaptan use did not decrease hospitalization duration in all heart failure patients, but good renal function was predictive of a good response.departmental bulletin pape

心理判断に誤謬のあった二例 : 心理学と医学の連携の必要性

筆者が児童相談所に勤務していた時代に、①心理判定員（筆者）が「パーソナリティ発達の問題」と考えた初診時９歳の女児が、専門医受診の結果、実は「てんかん」の存在が疑われた事例、②心理判定員（筆者）が、「情緒的な問題（チック症）」と考えた初診時９歳の男児が、専門医受診の結果、実は「脳腫瘍」の症状であり、脳外科的な除去手術に至った事例、の２例を報告する。 臨床心理学的な解釈からだけでも一応の説明が可能と心理判定員が考えてしまっている児童相談事例のなかに、医師とも連携したチーム対応をしていかなければ児童の福祉がよりよく守られていかない症例が混入していることを、発達相談に携わる専門家は絶えず意識しながら心理判定業務を展開していくことが必要であることを具体例から確認したい。departmental bulletin pape

On the vibration of the Double Eccentric Guide Cam at High Speed

A modern cam mechanism requires very litt1e amplitude of the vibration in its high speed revolution. For this purpose the eccentric cam mechanism is considered to be desirable. The authors examined the vibration of the Mi1anese guide cam. Getting aconnstant displacement in this mechanism. we used a compound cam mechanism with the primary eccentricity of 8 mm and the secondary ecentricity of 2 mm. We examined the amplitude of the vibration in the region from 600 to 1800 rpm and compared the experimental restilts with the theoretical resu1ts calculated by the authorsdepartmental bulletin pape

Campground

Through poetry and fiction that engage the readers heart and mind, Loretta Burns explores the beauties, perils, and mysteries of day to day life. With a graceful simplicity of style and an often intimate voice, she represents a range of experiences and observations that include stories and memories of childhood, encounters with nature and music, and poignant reminders of Americas racial history. With delicate craftsmanship and an ear attuned to the eloquence of everyday language, she moves from quiet contemplation to youthful exuberance and from love to the pain of loss with sensitivity and understanding. Implicit throughout is a resilient affirmation of the fractured joy of being human

Additional file 9: Table S9. of Mitochondrial genome sequences from wild and cultivated barley (Hordeum vulgare)

SNP genotypes of 5 wild and 247 cultivated barleys. (XLSX 22 kb

Additional file 6: Table S6. of Mitochondrial genome sequences from wild and cultivated barley (Hordeum vulgare)

Repeated sequences in the mitochondrial genome of H602. (XLSX 15 kb

Additional file 5: Table S5. of Mitochondrial genome sequences from wild and cultivated barley (Hordeum vulgare)

Novel ORFs in the barley mitochondrial genome. (XLSX 15 kb

Additional file 10: Figure S1. of Mitochondrial genome sequences from wild and cultivated barley (Hordeum vulgare)

Alignment of protein sequences encoded in the mitochondrial genomes of grass species. (DOC 740 kb

Additional file 2: Table S2. of Mitochondrial genome sequences from wild and cultivated barley (Hordeum vulgare)

Primer pairs used for SNP analysis. (XLSX 9 kb