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- たみえ むらかわ
- 5 years ago
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Transcription
1
2 MRI CT
3 1 3 MRIMRS
4 MRS MRS ATP 312CT
5
6
7
8 X CT MRS MRIMRS 1.5TMRSymphony 1 5
9 T2MRS STEP1 T2 MRS STEP2 STEP3 T2 MRS 3 10T T2 index 5 A B MRS 4 515min 6
10 T2 index T2 index T2 index
11 T2 T2 index T2 index MRS 101MRS 10 MRSATP T2 index 8 T2 index 1.6 T2 index 8
12 9
13 10
14 11
15 12
16 13
17 14
18 15
19 N19613 N CTCT12 41cm CT
20 CT % 16 3% 18 No
21 65 19 No
22
23
24 6519.0% 2.89% independent living healthy aging successful aging vitality aging, 2002 WHO1984 Davidhizar et al , ,
25 60 1,546 7 BMI 1523 n cm kg MBI kg m n n
26
27
28 8 % n n= % 1.2% % n n= % 12.9%1 % n n % 4.9% % n n % 27
29 % n n % 13.2% 1 % n n % 12.6% 1 % n n % 0.8% % n n % 0.8% 28
30 % n n % 25.3% 45.4% 3.3% 13.1% 16.4% % n n % 30.2%13.8% 14.4%1 % n n % 32.5% 16.6% 7.3%1 29
31 % n n %24.6%6 9.0%1 8 % n n % 14.6% 21.4%36.0% % n n % 14.4% 22.0%36.4% 30
32 % n n % 16.8% 23.6%40.4% % n n % 11.6%15.1% 26.7% % n n % 18.8%19.7% 38.5% % n n % 5.0%19.5% 24.5% 31
33 % n n= % 17.7%17.5% 35.2% % n n= % 24.7%23.0% 47.7% % n n= % % % 32
34 n % n= % 33.5% 21.3%26.7% 33.7%31 n % n= %1 11.3%56.1% % 36.5% 43.9% 33
35 n=428 n % n % % 24.6% 20.5%17.0%1 19.9%18.9% 15.2%13.1% 10% 34
36 1 2 % n n= % 40.3%33.7% % n n= %36.4%29.0% % n n= %34.4%29.8% 166.9% % 11.6% 35
37 % n n=248 % n n=294 % n n= %33.4%25.3% % % n n=271 36
38 % n n= % 39.0%28.2% 18.5%3.2% 78.3% 20.1%24.0%55.9% % n n 249 % n n=254 % n n= %31.9% 19.2% 37
39 % n n= % 36.9%18.5% n=428 n % n % % 42.5%35.2% 34.8%34.4%30% %19.4%18.0% 10%3 38
40 n % n= % % %
41 n=428 n % n % % 48.0%46.4%40% 33.7%31.4% 30% % 13.5%12.9%2 10% 40
42 n=428 n % n % %45.4% 42.4%40% 35.2% % 41
43 10 % n n= % 27.4% 51.2% %18.9% 25%41 % n n= % 34.9% 75.9%43 2.7%6.0%10% % n n= % 28.2% 78.3%8 1.4%5.3% 42
44 6.7% % n n= % 24.0% 50.2% 4.6%16.5%2 % n n= % 24.3% 46.3%5.2% 14.2%2 % n n= % 30.5% 61.5%6 3.7% 6.3%1 43
45 % n n= % 30.3% 60.7%62.9% 4.9% % n n= % 34.6% 67.9%32 2.8%3.9% % n n= % 34.4% 66.8%322.2% 4.0% 44
46 % n n= % 35.3% 71.3%72.2% 2.3% 45
47 % n n= % 76.8% % n n= %21.3% 46
48 % n n= % 45.2%74.5% 46.3% % n n=765 % n n= % 88.5% % n n=645 47
49 %80.3% 48
50 n % n % P % 59.7% 8.9% 19.1%
51 n % n % P % 67.9% 2.7% 8.4% 50
52 3 3. n % n % P % 64.4% 3.6% 11.3% 51
53 n % n % P % 55.1% 19.0%2 52
54 n % n % P %55.4% 18.5% 2 53
55 n % n % P %82.3% 0.4%1.3% 54
56 n % n % P %85.0% 0.4%1.0% 55
57 n % n % P
58 24.4% 15.5%28.7% 21.7%53.1% 37.2% 2.0%4.9%10.2% 17.7% n % n % P
59 38.3%44.3% 33.6% 27.8% n % n % P
60 48.6% 26.9%15.5% 38.6%17.6% n % n % P
61 144.9% 32.1% 23.2%32.6% 6.8%10.8%1 n % n % P
62 45.7%47.9% 19.9%9.5% 24.7%17.9% n % n % P
63 44.0%45.6% 19.0%10.2% 25.7%19.2% n % n % P
64 39.3%45.6% 21.7%12.5% 28.9%17.2% n % n % P
65 43.6%44.3% 17.5%6.1% 20.9%9.0% n % n % P
66 38.1%48.2% 27.8%10.4% 25.2%13.0% n % n % P
67 49.0%51.3% 5.5%4.7% 17.9%20.6% n % n % ns 66
68 49.5%56.7% 24.1%11.9% 18.6%16.2% n % n % P
69 39.0%54.8% 31.0%17.8% 26.0%20.1% n % n % P
70 57.5% 45.7% %19.1% n % n % P
71 48.2%7.1% 35.4%17.0% 11.4%9.5%35.6% 31.0%23.8% 20.3% 20.4%48.5% p<
72 %15.5% 2.7% 8.9% 12.8%24.8% 71
73 n % n % P %29.3% 1.0% 4.8%3.4% 9.0% 72
74 n % n % P
75 62.7%37.6% 1.9%8.9% n % n % P
76 37.6%14.5% 2.5%7.2% 10.6%24.5% n % n % P
77 30.6%11.5% 1.8%9.5% 8.6%21.2% n % n % P
78 38.6%23.7% n % n % P
79 41.4%18.8% 3.3% 2.5%3.1%8.1% n % n % P
80 44.4%22.6%2 3.2% 2.3%1.6% 6.9% n % n % P
81 40.6%24.6% 2.4%1.3% 2.8%5.8% n % n % P
82 45.6%26.3% 2.3%1.3% 0.7%4.6% n % n % P
83 12.6%8.2% 73.6%78.0% n % n % P
84 64.7%65.0% 18.7%24.7% n % n % P
85 21.9%39.9% 48.6% 45.6%46.5% n % n % P
86 n % n % n s 85
87 47.2% 44.9% 87.9% 89.5% n % n % n s 86
88 n % n % n s 87
89
90 p< p< p< p< p< p< p< p<
91 P<
92 Bonferoni 3 91
93
94 p< p< p< p< p< ns p< p<
95 8 Promax
96 p < P <
97 Bonferoni Bonferoni
98
99
100 p< p< p< p< p< p< p< p< p< p<
101 10 Promax P < P <
102
103 Bonferoni Bonferoni
104 ** 0.33** 0.24** -0.27** ** 0.78** 0.33** -0.25** ** 0.75** 0.37** -0.26** ** 0.32** 0.34** -0.25** ** -0.27** -0.23** -0.37** **P<
105
106 Promax
107
108 P < ns P < ns 107
109 P < P < P < P < P < P < P <
110 65.9%42.6% 39.8% 25.2% 42.0%38.6% 42.6% n % n % ns ns ns ns P < ns P < ns ns ns 109
111 % %5 55.6% 5 5 n % % %
112 % 29.8% 17.4% 23.2% 25.9%18.2% 4.3%13.5% 13.5%23.8% 2 111
113 n % n % ns ns ns ns ns ns P < P < ns P < P < P < ns ns ns 112
114 Odds % Odds % Odds % Odds % Odds %
115 Odds 95% * * * * * *P<
116 6 32.8% 40.4% 42.5%50.8% 39.9%47.8% n % n % ns P < P < P < ns ns ns P < P < P < ns ns 115
117 Odds % Odds % Odds % Odds % Odds % Odds %
118 Odds 95% * * * * * * *P<
119
120 ,
121 120
122
123 122
124 Davidhizar R, Eshleman J, Moody M 2002 Health promotion for aging adults. Geriatric Nursing, , , QoL,. 123
125 124
126 125
127 126
128 127
129 128
130 129
131 130
132 131
133 132
134 133
135 134
136 135
137 136
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1 2 3 4 5 6 7 cm kg 8 9 10 11 12 13 14 15 T A S H A A M.. N.. A.. B.. I 16 17 18 C 19 20 holding 21 22 23 24 STEP1 STEP2 STEP3 STEP4 STEP5 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45
6 12 10661 93100 227213202 222208197 85kg cm 20 64.521 106856142 2 1 4 3 9767 100 35 cm 7747 208198 90kg 23 5828 10661 93100 cm 227213202 10639 61 64.521 85kg 78kg 70kg 61 100 197204.5 cm 15 61
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1 2 (90cm 70cm 2015) 3 (68cm 28cm 30cm 12kg 2015) (77.5 109.5cm 2015) 4 (22cm 50cm 50cm 4.6kg 2015) (45cm 62.5cm 2015) (47.4cm 62.5cm 2014) 5 (28.5cm 23.5cm) (45cm 62cm 2015) (97cm 107cm 2015) 6 7 8 9
180 140 22
21 180 140 22 23 25 50 1 3 350 140 500cm 600 140 24 25 26 27 28 29 30 31 1/12 8.3 1/15 6.7 10 1/8 12.5 1/20 140 90 75 150 60 150 10 30 15 35 2,000 30 32 1 1 1 2 1 3 1 4 1 5 1 6 1 7 1 8 1 9 % 100 50 33.3
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3 STEP0 STEP1 STEP2 STEP3 STEP4 072 3STEP4 STEP3 STEP2 STEP1 STEP0 073 3 STEP0 STEP1 STEP2 STEP3 STEP4 074 3STEP4 STEP3 STEP2 STEP1 STEP0 075 3 STEP0 STEP1 STEP2 STEP3 STEP4 076 3STEP4 STEP3 STEP2 STEP1
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1 134 1212 134 2 1 137 1212 (1) 12 12,102 40.2 4,865 2-1 12 21,497 2-2 50.1 2-3 1 kg 2 12 2-1 13 12% 2-1 (2) 2-2 4 4 7 2-3 4 (3) 13.8 2-4 46 10 80 3 3 4 3 2-5, 2-6 13 9 2-7 18 2 2 8 5,000 30 25% 25 2 2
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1 2 3 4 5 6 7 8 9 10 11 12 13 14 10mSv 15 16 17 4.46 4.5 4.0 3.5 3.0 2.5 2.0 1.5 1.0 3.8 2.07 2.91 1.37 2.3 1.31 1.84 1.56 1.2 1.33 2.03 0.5 1000 4000mSv 1000 4000mSv Preston et al. Radiat Res 168: 1 64,
NIHSS score p NIHSS score p149 4 p g ml 0.8 g ml D 1 D NIH NIHSS 14 D 0.8 g ml
NIHSS score14 1 400 1 p149 1 25 20 NIHSS score14 15 10 5 2 p149 4 p151 0 0.8 g ml 0.8 g ml D 1 D NIH NIHSS 14 D 0.8 g ml 1 2 148 149 3 2 3 A B C 4 D 2 A B C A C 1 Ogata T et al J Neurol Sci 272 83 86 2008
9 10 14 5 15 4 19 11 21 4 23 3 2012 24 11 24 5 24 6 27 2 447 52 395 27 2 1 2 3 4 5 6 7 8 9 10 11 12 (1) (2) (3) (4) 13 14 15 16 17 18 () 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
16 41 17 22 12 10
1914 11 1897 99 16 41 17 22 12 10 11 10 18 11 2618 12 22 28 15 1912 13 191516 2,930 1914 5,100 43 1.25 11 14 25 34364511 7.54 191420 434849 72 191536 1739 17 1918 1915 60 1913 70 10 10 10 99.5 1898 19034.17.6
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23 23 23 4 24 3 10 11 12 13 14 () 1 23 7 21 23 12 14 (19 ) 30 1.876% 60 8 24 19 78 27 1 (10) 37 (3) 2 22 9 21 23 5 9 21 12 1 22 2 27 89 10 11 6 A B 3 21 12 1 12 10 10 12 5 1 9 1 2 61 ( 21 10 1 11 30 )
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CONTENTS P.3 P.5 P.7 P.13 P.21 P.31 P.33 P.3 P.3 P.3 1 2 3 4 4 1 5 6 2 7 8 2 2 9 10 2 2 1000 800 600 400 200 0 3 4 5 11 12 13 14 15 16 17 18 25 1 8 15 22 29 1 18 25 1 6 17 6 8 11 12 3 13 14 15 16 3 311
