Publications (10)0 Total impact
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康弘 鈴木, 和彦 中村,
隆 杉原,
洋子 岩崎,
春世 猪俣,
伊津美 吉田,
ヤスヒロ スズキ,
カズヒコ ナカムラ,
タカシ スギハラ,
ヒロコ イワサキ,
ハルヨ イノマタ,
イズミ ヨシダ,
Yasuhiro Suzuki,
Kazuhiko Nakamura,
Takashi Sugihara,
Yoko Iwasaki,
Haruyo Inomata,
Izumi YOSHIDA
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兼司 金山,
健二 酒井,
仁 福元,
慎二 西嶌,
俊二 蓑田,
徹 江口,
眞司 河野, 和彦 中村,
Kenji Kanayama,
Kenji Sakai, [......],
Shinji Kohno,
Kazuhiko Nakamura,
ケンジ カナヤマ,
ケンジ サカイ,
ジン フクモト,
シンジ ニシジマ,
シュンジ ミノダ,
トオル エグチ,
シンジ コウノ,
カズヒコ ナカムラ
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ABSTRACT: The patient was a 75-year old woman. Esophagogastroduodenoscopy revealed a submucosal tumor 2cm in size on the anterior wall of the cardiac part of the stomach. Three years later, she visited at our hospital with the chief complaints of tarry stool and dizziness. Proximal gastrectomy was performed, because endoscopically the tumor increased to 7cm in size with ulceration and it was considered to be malignant. Pathological examination was high-risk gastrointestinal stromal tumor. In this case, the submucosal tumor increased by 3.5 times. GIST is needed to be observed carefully and be treated in the appropriate time.
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Atsuhiko Murata,
Takashi Osoegawa,
Moritomo Ijyu,
Kenji Kanayama,
Munehiro Tanaka,
Kazuhiko Nakamura,
篤彦 村田,
敬 小副川,
守知 伊集,
兼司 金山,
宗浩 田中, 和彦 中村,
アツヒコ ムラタ,
タカシ オソエガワ,
モリトモ イジュウ,
ケンジ カナヤマ,
ムネヒロ タナカ,
カズヒコ ナカムラ
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ABSTRACT: We report endoscopic polypectomy with a detachable snare in a patient with a hemorrhagic pedunculated duodenal lipoma. A 67-year-old man with a history of spinal canal stenosis was admitted to our hospital because of recurrent tarry stools and anemia. Esophagogastroduodenoscopy revealed a pedunculated submucosal tumor measuring approximately 4 cm, in the second part of the duodenum. The tumor had a slightly yellowish coloration, and longitudinal erosion was noted on the surface of the tumor. There were no significant findings in the esophagus, stomach and bulbs. Barium study revealed a pedunculated submucosal tumor measuring 40× 12 mm in the second portion of the duodenum. We judged that the submucosal tumor may have been the hemorrhagic source, and removed it by endoscopic snare polypectomy with a detachable snare. No complications occurred during endoscopic procedures. Histopathological examination revealed that the tumor was composed of mature adipose tissue in the submucosa, which was consistent with a diagnosis of lipoma. In our experience, endoscopic polypectomy with a detachable snare is useful for the treatment of hemorrhagic pedunculated duodenal lipoma. 67歳の男性が黒色便を主訴に当院に紹介された．上部消化管内視鏡検査を施行し，十二指腸下行部に表面平滑で有茎性の粘膜下腫瘍を認めた．病変の色調はわずかに黄色調で，表面に縦走するびらんを認めた．低緊張性十二指腸造影検査では十二指腸下行部に透視上40 × 12mm の山田Ⅳ型の立ち上がりを呈する表面平滑な隆起性病変として描出された．各種検査の結果，出血源と判断し，留置スネアを併用した内視鏡的切除術を施行した．内視鏡的切除に関し明らかな術中及び術後の合併症は認められなかった．術後病理組織学的検索では，粘膜下層において成熟した脂肪組織の増生を認め，十二指腸脂肪腫と診断された．有茎性の十二指腸脂肪腫に対し留置スネアを併用した内視鏡的切除術は有用と考えられた．
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Atsuhiko Murata,
Takashi Osoegawa,
Kentaro Yodoe,
Daisuke Yoshimura,
Toshiaki Ochiai,
Teppei Kabemura,
Kazuhiko Nakamura,
篤彦 村田,
敬 小副川,
賢太郎 淀江, [......],
利彰 落合,
哲平 壁村, 和彦 中村,
アツヒコ ムラタ,
タカシ オソエガワ,
ケンタロウ ヨドエ,
ダイスケ ヨシムラ,
トシアキ オチアイ,
テッペイ カベムラ,
カズヒコ ナカムラ
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ABSTRACT: We herein report successful endoscopic hemostasis in a patient with a bleeding from acquired ileal diverticulum. A 65-year-old woman was introduced to our hospital after the sudden onset of painless hematochezia. When emergency colonoscopy was performed, the site of bleeding could not be identified because of extensive blood pooling in the colon and ileocecal region. After admission, repeat colonoscopy with a transparent hood device after bowel preparation disclosed oozing of blood from an ileal diverticulum approximately 15 cm proximal to the ileocecal junction. We performed endoscopic therapy with injection of a hypertonic saline-epinephrine solution and placement of additional hemoclips in the diverticulum. Since the latter treatment, the patient had no recurrent hematochezia, and occult blood tests in stool had been negative. In cases of lower gastrointestinal bleeding, bleeding from an acquired ileal diverticulum should be considered and the terminal ileum carefully observed. 65 歳の女性が，下血を主訴に当院に紹介された．同日，緊急下部消化管内視鏡検査を施行したが，全大腸及び回盲部に著明な凝血塊を認め，明らかな出血源は同定できなかった．当院入院後，腸管洗浄液による前処置を行い，再度下部消化管内視鏡検査を施行したところ，回腸末端から口側約15cm に凝血魂の付着を伴う憩室を認めた．吸引により漏出性の出血を認め，出血源と判断し，HSE（hypertonic saline-epinephrine）局注法及びクリップによる内視鏡的止血術を施行した．施行後明らかな出血は認めなかった．下部消化管出血が疑われる場合，回腸憩室からの出血を念頭に置き，回腸末端を丹念に観察するべきであると考えられる．
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ABSTRACT: 国立情報学研究所で電子化したコンテンツを使用している。 Recent studies in attitude structure are discussed in relation to the two areas of attitude strength and cognitive/affective divergency of attitude. With regard to attitude strength, two series of studies on attitude formed by elaboration and on attitude accessibility are discussed. Issues pertaining to attitude strength are pointed out, such as the one-component attitude perspective, implications of response latency, and necessity of a theoritical viewpoint on how to relate one attitude strength's index with the other. In the area of cognitive/affective divergency of attitude, studies which have examined the independency between cognition and affect toward the attitude object, and those which have indicated the difference between affectively-based attitudes and cognitively-based attitudes, are reviewed. Following the review of attitude base, problems in this area are discussed. Specifically, definitions of cognitively/affectively-based attitudes are divided into three types, and the difference between them are discussed. 名古屋大學教育學部紀要. 教育心理学科. v.40, p.183-202
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啓子 竹林,
Hiroko Takebayashi,
タケバヤシ ヒロコ,
英夫 松本,
Hideo Matsumoto,
マツモト ヒデオ,
正博 小粥,
Masahiro Ogai,
マサヒロ オガイ,
吉統 関根, [......],
ヨシオ ミナベ,
治夫 礒田,
Haruo Isoda,
ハルオ イソベ,
則夫 森,
Norio Mori,
ノリオ モリ,
教使 武井,
Nori Takei,
ノリ タケイ
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ABSTRACT: We examined whether patients with high-functioning autistic disorder (AD) would exhibit abnormal activation in brain regions implicated in the functioning of theory of mind (TOM) during gaze recognition. We investigated brain activity during gaze recognition in 5 patients with high-functioning AD and 9 normal subjects, using functional magnetic resonance imaging. On the gaze task, more activation was found in the left middle frontal gyrus, the right intraparietal sulcus, and the precentral and inferior parietal gyri bilaterally in controls than in AD patients, whereas the patient group showed more powerful signal changes in the left superior temporal gyrus, the right insula, and the right medial frontal gyrus. These results suggest that high-functioning AD patients have functional abnormalities not only in TOM-related brain regions, but also in widely distributed brain regions that are not normally activated upon the processing of information from another person's gaze.
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謙一 加藤,
凱史 宮丸,
憲 宮下,
通良 阿江, 和彦 中村,
一徳 麻場,
Kenichi Katoh,
Masashi Miyamaru,
Ken Miyashita,
Michiyoshi Ae,
Kazuhiko Nakamura,
Kazunori Asaba,
ケンイチ カトウ,
マサシ ミヤマル,
ケン ミヤシタ,
ミチヨシ アエ,
カズノリ ナカムラ,
カズノリ アサバ
