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促进学校自律、持续的改善与发展——日本《义务教育学校评价指导方针》解读

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外国中小学教育 2007年第6期 1-4页

作者：李广马云鹏高山达雄东北师范大学教育科学学院宫城教育大学教育临床综合研究中心

日本文部科学省于2006年3月27日颁布的《义务教育学校评价指导方针》,是一部用以指导各学校及各地方自治体进行学校评价的纲领性文件。其基本理念是:通过学校评价的实施促进学校自律、持续的改善与发展。其基本特征是:理念的指导性与系... 详细信息

日本文部科学省于2006年3月27日颁布的《义务教育学校评价指导方针》,是一部用以指导各学校及各地方自治体进行学校评价的纲领性文件。其基本理念是:通过学校评价的实施促进学校自律、持续的改善与发展。其基本特征是:理念的指导性与系统的开放性;方法的灵活性与可操作性;主体的多元性与多维性;项目指标的重点化与序列化;评价结果的及时反馈与有效利用。该评价指导方针对于我国当前正在进行的基础教育课程评价改革与实验具有重要的参考价值。

关键词：日本义务教育学校评价指导方针

CT-guided radiofrequency ablation of osteoid osteoma in the long bones of the lower extremity

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World Journal of Radiology 2012年第6期4卷 278-282页

作者： Yoshiki Asayama Akihiro Nishie Kousei Ishigami Daisuke Kakihara Yasuhiro Ushijima Yukihisa takayama Nobuhiro Fujita Tsuyoshi Tajima Kengo Yoshimitsu Shuichi Matsuda Yukihide Iwamoto Hiroshi Honda Department of Clinical Radiology Graduate School of Medical SciencesKyushu University3-1-1 MaidashiHigashikuFukuoka 812-8582Japan Department of Molecular Imaging and Diagnosis Kyushu University3-1-1 MaidashiHigashi-kuFukuoka 812-8582Japan Department of Diagnostic Imaging and Nuclear Medicine Tokyo Women’s Medical University8-1 KawadachoShinjuku-kuTokyo 162-8666Japan Department of Radiology Fukuoka University7-45-1 NanakumaJonan-kuFukuoka 814-0180Japan Department of Orthopaedic Surgery Kyushu University3-1-1 MaidashiHigashi-kuFukuoka 812-8582Japan

AIM:To present our initial experience with computed tomography guided radiofrequency ablation(RFA) of osteoid osteoma(OO) in our ***:RFA was performed on eight patients(5 males and 3 females) with clinically and radiologically diagnosed OO(femoral neck,n = 4;femoral diaphysis,n = 2;tibial diaphysis,n = 1;fibular diaphysis,n = 1).Ablation was performed using an electrode with a 10-mm exposed tip for a total of 4-6 min at a targeted temperature of 90 degrees *** cooling system was *** intervention was accepted as technically successful if the tip of the electrode could be placed within the center of the *** defined clinical success as a disappearance within 2 wk after treatment of symptoms that had manifested at ***:All procedures were technically *** major or immediate complications were *** success was achieved in six of eight patients in the first procedure.A second procedure was performed for two patients who had recurrent or continued pain,and one of these cases was successfully *** overall rate of success was 87.5%(7/8).No complication was ***:Our preliminary results indicate a favorable success rate and no complications and are compatible with the previous reports of RFA of OO.

关键词： Ablation Osteoid osteoma Computed tomography

Efficacy and Tolerability of Second-Line Metronidazole Triple Therapy Using Vonoprazan for Helicobacter pylori Eradication in Japan—Comparative Study: Vonoprazan vs. Proton Pump Inhibitors

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Open Journal of Gastroenterology 2018年第1期8卷 27-38页

作者： Masahiko Ohtaka Mika Miura Mitsuhiko Hanawa Yuichi Hirose Atsuko Kitahashi Naoki Imamura Ikko Watanabe Kazuhiko Takaso Naoki Shimura Yoshioki Yoda Ichiro takayama Mitsuharu Fukasawa Nobuyuki Enomoto Yamanashi Koseiren Health Care Center Yamanashi Japan First Department of Internal Medicine Graduate School of Medical and Engineering Science University of Yamanashi Yamanashi Japan Health Care Center University of Yamanashi Yamanashi Japan

Aim: To investigate the efficacy and tolerability of second-line metronidazole triple therapy with vonoprazan (VPZ) for Helicobacter pylori (H. pylori). Methods: We retrospectively reviewed medical records of patients who experienced clarithromycin triple therapy failure and were treated with second-line (20 mg VPZ (n = 274)/30 mg lansoprazole (n = 323) or 10 mg rabeprazole (n = 141) twice daily, 750 mg amoxicillin twice daily, 250 mg metronidazole twice daily for 7 days) eradication therapies. Successful eradication rates were compared between two groups: those receiving VPZ and those receiving a proton pump inhibitor (PPI). Adverse events were also investigated. Results: Successful second-line eradication rates according to ITT analysis and PP analysis, respectively, were 79.9% and 92.4% for VPZ therapy and 83.6% and 93.3% for PPI therapy. There were no significant differences between treatment groups. The eradication rates in those who had received first-line VPZ therapy previously according to ITT and PP analysis were 75.2% and 88.1%, respectively;in contrast, values were 82.5% and 95.4%, respectively, for those who had received first-line PPI therapy previously. In second-line therapy, the overall adverse event rate for VPZ therapy was the same as for PPI therapy. Conclusions: The efficacy and tolerability of metronidazole-containing second-line triple therapy with VPZ or a PPI were equivalent.

关键词： Vonoprazan Metronidazole Proton Pump Inhibitor Second-Line Eradication Helicobacter pylori

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日本义务教育改革动向分析

东北师大学报（哲学社会科学版） 2007年第5期 38-41页

作者：李广马云鹏高山达雄东北师范大学教育科学学院吉林长春130024 宫城教育大学教育临床综合研究中心

面对学生学力呈下降趋势的现实危机及"教育病理"现象的蔓延,为进一步推进课程原理与学校改革理念的转换,持续提高义务教育质量,以2005年10月日本中央教育审议会发表的《创造新时代的义务教育》的咨询报告为标志,日本义务教育改革的步伐... 详细信息

面对学生学力呈下降趋势的现实危机及"教育病理"现象的蔓延,为进一步推进课程原理与学校改革理念的转换,持续提高义务教育质量,以2005年10月日本中央教育审议会发表的《创造新时代的义务教育》的咨询报告为标志,日本义务教育改革的步伐进一步加快,改革的力度进一步加大。该报告指明了日本义务教育改革的基本方向,提出了改革的宏观结构与战略构想,对其进行深入的分析与研究,对于深化我国当前正在进行的基础教育课程改革,全面推进素质教育具有重要的参考与借鉴价值。

关键词：日本义务教育改革背景结构构想

Imaging pitfalls of pancreatic serous cystic neoplasm and its potential mimickers

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World Journal of Radiology 2014年第3期6卷 36-47页

作者： Kousei Ishigami Akihiro Nishie Yoshiki Asayama Yasuhiro Ushijima Yukihisa takayama Nobuhiro Fujita Shunichi Takahata Takao Ohtsuka Tetsuhide Ito Hisato Igarashi Shuji Ikari Catherine M Metz Hiroshi Honda Department of Radiology University of Iowa Hospitals and Clinics Department of Clinical Radiology Kyushu University Department of Surgery and Oncology Kyushu University Department of Medicine and Bioregulatory Science Kyushu University Department of Internal Medicine Hokkaido Gastroenterology Hospital

The aim of this article is to clarify diagnostic pitfalls of pancreatic serous cystic neoplasm(SCN) that may result in erroneous characterization. Usual and unusual imaging findings of SCN as well as potential SCN mimickers are presented. The diagnostic key of SCN is to look for a cluster of microcysts(honeycomb pattern), which may not be always found in the center. Fibrosis in SCN may be mistaken for a mural nodule of intraductal papillary mucinous neoplasm(IPMN). The absence of cyst wall enhancement may be helpful to distinguish SCN from mucinous cystic neoplasm. However, oligocystic SCN and branch duct type IPMN may morphologically overlap. In addition, solid serous adenoma, an extremely rare variant of SCN, is difficult to distinguish from neuroendocrine tumor.

关键词： Serous cystic neoplasm Intraductal papil-lary mucinous neoplasm Mucinous cystic neoplasm Computed tomography Magnetic resonance imaging

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人类语言和记忆优势的颈内动脉异丙酚试验

世界核心医学期刊文摘（神经病学分册） 2005年第1期1卷 52-53页

作者： takayama M. Miyamoto S. Ikeda A. 张玉龙 Department of Neurosurgery National Cardiovascular Center 5- 7- 1 Fujishiro-dai Suita Osaka 565- 8565 Japan Dr.

Objective: To evaluate the usefulness of propofol as an alternative drug to amobarbital for the Wada test. Metho ds: The authors analyzed 67 right handed patients out of 123 patients who were candidates for neurosurgical therapy and thus underwent the Wada test as a preoperative evaluation. Twelve were tested with propofol and 55 were tested with amobarbital. Test conditions of the Wada test, recovery time of muscle power to manual muscle testing (MMT) Grade 3 (T3/5) and Grade 5 (T5/5), onset time of the first verbal response (Tverb) after injection and that of the first nonverbal response (Tnon verb), were compared between the two groups. Power spectrum analysis of EEG background activity during the Wada test was performed and the time and spatial distribution of polymorphic slow activities were also compared in three cases. Results: With propofol injection, lateralities of language and me mory function were identified in 12 and 9 of 12 patients in comparison to amobarbital (52 and 41 of 55 patients detection in language and memory function). No complications with direct intracarotid injection of propofol were observed. T3/5 and T5/5 with propofol injection were shorter while Tverb and Tnon verb were longer compared to amobarbital. Absolute power of polymorphic slow EEG waves gradually increased and then rapidly decreased with propofol, which was in contrast to amobarbital injection. Conclusions: With direct intracarotid propofol injection, the Wada test was satisfactorily performed in all 12 patients and 2 more patients with left handedness or with different injection dose for each side without any complications. Clinical usefulness of propofol as an alternative drug to amobarbital for the Wada test was indicated.

关键词：颈内动脉异戊巴比妥韦达替代药物多形性神经外科治疗右利手恢复时间空间分布

Improving recognition of hepatic perivascular epithelioid cell tumor:Case report and literature review

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World Journal of Gastroenterology 2015年第17期21卷 5432-5441页

作者： Toshiya Maebayashi Katsumi Abe Takuya Aizawa Masakuni Sakaguchi Naoya Ishibashi Osamu Abe Tadatoshi takayama Hisashi Nakayama Shunichi Matsuoka Kazushige Nirei Hitomi Nakamura Masahiro Ogawa Masahiko Sugitani Department of Radiology Nihon University School of MedicineItabashi-kuTokyo 173-8610Japan Department of Digestive Surgery Nihon University School of MedicineItabashi-kuTokyo 173-8610Japan Department of Gastroenterology and Hepatology Nihon University School of MedicineItabashi-kuTokyo 173-8610Japan Department of Pathology Nihon University School of MedicineItabashi-kuTokyo 173-8610Japan

A 58-year-old man presented with the chief complaint of abdominal bloating and was incidentally found to have a liver *** diagnostic imaging studies could not rule out malignancy,the patient underwent partial resection of segment 3 of the *** lesion pathologically showed eosinophilic proliferation,in addition to immunohistochemical positivity for human melanoma black 45 and Melan-A,thereby leading to the diagnosis of a hepatic perivascular epithelioid cell tumor(PEComa).A PEComa arising from the liver is relatively ***,the name ‘PEComa' has not yet been widely recognized,and the same disease entity has been called epithelioid angiomyolipoma(EAML),further diminishing the recognition of *** addition,PEComa imaging findings mimic those of malignant liver tumors,and clinically,this tumor tends to ***,a PEComa is difficult to *** conducted a systematic review of PEComa and EAML cases and discuss the results,including findings useful for differentiating perivascular epithelioid cell tumors from malignant liver tumors.

关键词： Angiomyolipoma Tuberous sclerosis Melan-A Perivascular epithelioid cell tumor Humanmelanoma black 45 Imaging

Contrast-enhanced ultrasonographic findings of serum amyloid A-positive hepatocellular neoplasm: Does hepatocellular adenoma arise in cirrhotic liver?

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World Journal of Hepatology 2016年第26期8卷 1110-1115页

作者： Mariko Kumagawa Naoki Matsumoto Yukinobu Watanabe Midori Hirayama Takao Miura Hiroshi Nakagawara Masahiro Ogawa Shunichi Matsuoka Mitsuhiko Moriyama Tadatoshi takayama Masahiko Sugitani Division of Gastroenterology and Hepatology Department of MedicineNihon University School of Medicine Division of Gastroenterology andHepatology Department of Digestive SurgeryNihon University School of Medicine Department of Pathology Nihon University School of Medicine

Hepatocellular adenoma(HCA) was recently classified into four pathological subtypes. There have been few studies describing the findings of contrast-enhanced ultrasonography(CEUS) of each type. Our case concerns a 78-year-old man who had undergone routine medical check-ups for hepatitis C for 11 years. Abdominal ultrasonography showed a 28 mm, hypo-echoic mass in the segment 4 of the liver. His integrating amount of drinking was 670 kg convert into ethanol. CEUS with Sonazoid demonstrated mild uniform hypo-enhancement with inflow of microbubbles from the periphery of the tumor in the arterial phase, and heterogeneously hypo-enhancement in the post vascular phase. Because the mass increased in size within 3 mo, a well differentiated hepatocellular carcinoma was suspected, and hepatic resection was performed. Microscopic findings showed homogeneous cell proliferation with low grade atypia, infiltration of inflammatory cells, ductular reactions, fatty deposit in part, and sinusoidal dilation. Immunohistochemistry revealed geographic positive for serum amyloid A(SAA), focal positive for glutaminesynthetase, diffuse and strong positive for C-reactive protein, and positive for liver-type fatty acid binding protein. These pathological features corresponded to that of an inflammatory HCA. However, we could not make a clear diagnosis, because HCAs were defined as not to arise in cirrhotic liver. Finally, this tumor was diagnosed as a SAA positive hepatocellular neoplasm.

关键词： Hepatocellular adenoma Contrast-enhanced ultrasonography Serum amyloid A Serum amyloid A-positive hepatocellular neoplasms Alcoholic cirrhosis

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正当防卫论

湖湘法学评论 2023年第3期3卷 147-160页

作者： [日]高山佳奈子何垚淼(译) 京都大学法学研究科日本京都606-8501

应当认为,正当防卫是一种将正当的权利、利益单纯作为其本身来保全的制度。在讨论正当防卫的正当化根据之时,出发点不在于法秩序本身,而是始终在于个别的、具体的权利以及利益的保护。由此,正当化根据的核心应当在于不正的侵害者一方的... 详细信息

应当认为,正当防卫是一种将正当的权利、利益单纯作为其本身来保全的制度。在讨论正当防卫的正当化根据之时,出发点不在于法秩序本身,而是始终在于个别的、具体的权利以及利益的保护。由此,正当化根据的核心应当在于不正的侵害者一方的法益性的阙如。对于各构成要件的解释,应该以这一观点为出发点。同时,对于所谓的“对立状况中的正当防卫”问题,应当着眼于对立状况的发生原因,在双方处于一种“不正”对“不正”的关系下时,应当否定“不正的侵害”进而否定正当防卫的成立,并在紧急避险的限度来肯定其正当化。

关键词：正当防卫正当化根据成立要件对立状况

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