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      • KCI등재후보

        Treatment Protocol for Cleft Lip and/or Palate Children in Kyushu University Hospital

        Suzuki, Akira Korean Cleft Lip and Plate Association 2012 대한구순구개열학회지 Vol.15 No.2

        Our Team Approach consists of following five stages; (1) Peri-natal care until lip repair After ultrasound diagnosis, some obstetricians recommend the mother with CL/P fetus to undergo prenatal counseling in our CLP clinic. On the day the CL/P baby was born, our oral surgeon, nurse, and pedodontist visit the maternity clinic, and take counseling and take impression for a feeding plate. The cheiloplasty is performed in three months old. (2) From lip repair to palatal repair At one year of age, Otorhinolaryngologist checks middle-ear disease. Palatoplasty is carried out at 1.5 - 2 years old. (3) In deciduous and early mixed dentitions Speech is the most important issue in social life for the CL/P subjects, therefore the training of velopharyngeal function is essential. Orthodontist monitors dentofacial development from 5 years of age. In the case of severe maxillary under-growth or severe collapse, maxillary protractor or lateral expansion is indicative, respectively. In early mixed dentition, upper central incisor on the cleft area erupts with some torsion, and then the traumatic occlusion with tooth torsion must be corrected. (4) In mixed dentition Right before the eruption of upper canines, secondary bone grafting is performed. One year prior to the operation, maxillary fan-type expansion is carried out to correct the collapse of maxillary segments. Following the surgical operation, the erupted canine will be moved into the transplanted bone to avoid alveolar resorption. (5) In permanent dentition Final tooth alignment is carried out after eruption of second molars. Some cases may require orthognathic surgery after physical maturation. Prosthetic oral rehabilitation including the dental-implant is carried out after age eighteen.

      • KCI등재

        Growth variation in a natural japanese population of Pleurocybella porrigens

        Akira Suzuki,Hoang Pham Nguyen Duc,Kosuke Nakamura,Hiroshi Akiyama,Yoshimasa Kasahara 한국버섯학회 2010 한국버섯학회지 Vol.8 No.4

        A basidiomycetous wood rotting fungus Pleurocybella porrigens (angel wings) has been well known as an excellent edible mushroom and named as Sugihiratake, in Japanese common name based on its morphological and ecological features. This mushroom has been favorably consuming by Japanese people. In 2004, an outbreak of serious acute encephalopathy exclusively occurred in patients with chronic kidney diseases after the intake of this mushroom. Thereafter, many researchers have conducted to examine the factor of onset of the encephalopathy, but the exact factors that induced the encephalopathy still remain unclear. Matsumoto et al. (2005) reported the mushroom specimens from different geographical areas in Japan were grouped into two distinct clusters based on ITS rDNA sequences. Vegetative growth of P. porrigens is extremely slow even cultivation on natural media surveyed and its physiological characteristic gives a disadvantage for the development of various fields of researches on this mushroom. Thus, we attempted to find a medium accelerating the vegetative growth of P. porrigens for further research to elucidate the possible association between its chemical constituent(s) and the onset of encephalopathy. Fifteen isolates of P. porrigens collected from different geographical areas in Japan were cultivated on PDA. The growth of the isolates was extremely slow as we know and most tested isolates formed mycelia look like those often observed in the cultivation of basidiomycetous ectomycorrhizal fungi. Among them, we chose five isolates based on the ranking of their higher growth rates. The top five isolates were cultured in five kinds of liquid media, PD medium, MY medium, Carrot medium, Ohta’s medium for ectomycorrhizal fungi (Ohta, 1990) and Amazake medium (Ishihara, 2007), and on a solid medium, PDA, at 20℃ in the dark. The dry biomasses of the isolates cultured in the liquid media were determined after 6 weeks of the stationary cultivation whereas the growth rates of the isolates cultured on PDA were compared by the colony diameter after 8 weeks of the cultivation. Among the tested liquid media, PD medium was the most suitable medium for their biomass growth (17 mg dry mycelium/flask - 127 mg dry mycelium/flask) and followed by Ohta’s medium (13 mg dry mycelia/flask - 79 mg dry mycelia/flask), MY medium (10 mg dry mycelium/flask - 72 mg dry mycelium/flask), Amazake medium (8 mg dry mycelium/flask - 47 mg dry mycelium/flask) and Carrot medium (4 mg dry mecelium/flask - 18 mg dry mycelium/flask). The average biomass growths of the isolates cultured in the synthetic medium, Ohta’s medium were 20-92% of those of the isolates cultured in PD medium. No correlation was observed between the cultivation in PD medium (liquid medium) and that on PDA (solid medium). Extremely large biomass variation was observed among the same isolates cultured on the same kind of the liquid medium. Large variation in colony features associated with their growth rates was also observed among the isolates cultured on PDA. These results suggest that PD medium would be a suitable one for most researches and Ohta’s medium for researches requiring clarity of its chemical constituents. The above results also indicate that the Japanese population of P. porrigens has large variation in vegetative growth although we have not yet examined whether the tested isolates comprise cryptic species or not.

      • The issue of living environment for children with physically handicapped. Change of the way of bathing aids after moving house.

        Akira Nishimura,Yuko Noguchi,Shio Hayashi,Michiko Bando,Akira Suzuki,Kazuoki Ohara 한국재활복지공학회 2010 한국재활복지공학회 학술대회논문집 Vol.2010 No.11

        In Japan, the house renovations are mainly intended for elderly people. On the other hand, the house renovations for the children with physically handicapped are few. Parents are used to carry their child in their arms in baby period, and not using any assistive devices even after the child has grown up. As the result, some mothers get to have lumbago. In this report, the authors researched on movement of parents when they give a bath to their child. Taking the case of family who moved from rented accommodation to newly-built detached house, the authors examined the difference of the movements of and studied the influence on the change of environments in the way of bathing aids for child.

      • How do parents think the hoist system in the bathroom for children with disabilities?

        Akira Nishimura,Kazuoki Ohara,Yuko Noguchi,Michiko Bando,Akira Suzuki,Shio Hayashi 한국재활복지공학회 2011 한국재활복지공학회 학술대회논문집 Vol.2011 No.11

        In this study, we summarize parents" views on bathing care for children with disabilities by investigating into the use of hoist system for bathing. As a result, many parents answered that they need to use the hoist system after their children has grown up to 30kg. But there is very little installation of the hoist system.Only ten percent of the parents have experienced the hoist system, and others tend to be under impression that the hoist system is not so useful. And it turned out that parents consider the priority of the hoist system as following. 1. Safety care, 2.Simple operation, 3.lnstalling in small space, 4. Easy cleaning and maintenance, 5.Quick care, 6.Cheap price.

      • Industrial Relations in the Automobile and Steel industries

        Akira Suzuki 동아대학교 동아시아연구원 2003 동아시아 : 비교와 전망 Vol.1 No.

        This review article examines research trends in the study of industrial relations since the 1980s on Japan's automobile and steel industries. Among studies on automobile industry's industrial relations, those studies that focus on workplace -level industrial relations suggest that the labor unions do not negotiate with management as representatives of the workers. Those studies that focus on corporate-level industrial relations, on the other hand, indicate a certain amount of labor union "voice" to management, although its significance and influence on management is greatly debated among researchers. Studies on steel industry's industrial relations focus on three issues: the response of labor and management to the changes in the economic environment surrounding the industry since the Oil Shock, the worker consciousness, and the postwar history of industrial relations/ labor movements. The article shows that, as in the case of studies on automobile industrys industrial relations, researchers differ in their evaluations of labor union "voice" to management as steel companies heavily rationalized their operations in the 1970s and 1980s. 이 논문은 1980년 이후 일본 자동차 철강 산업에서의 노사관계를 주제로 한 기존 연구의 흐름을 검토하고 있다. 필자는 자동차 산업의 노사관계를 다룬 연구 중 생산현장수준에 초점을 둔 연구는 노동조합이 노동자의 대표로서 협상력을 제대로 발휘하지 못 하였 다고 논의한다. 한편 조합 수준의 노사관계에 초점을 둔 연구는 노동조합이 사업경영에 상당한 정도의 목소리를 내었다고 논의하고 있다. 물론 노동조합의 영향력의 정도에 대해서는 연구자들 사이에 열띤 논의가 이루어졌다. 철강 산업에서 노사관계에 대한 연구는 크게 오일 쇼크 이후 경제 환경의 변화에 대한 노동자와 사용자의 대응, 노동자 의식, 그리고 노사관계와 노동운동의 역사와 같은 세 쟁점을 중심으로 이루어졌다. 자동차 산업에 대한 연구에서와 같이 1970년대와 1980년대 이후 철강 산업이 크게 합리화 되면서 노동조합이 사업경영에 미친 영향에 대해서도 상이한 입장이 존재한다고 논의 하고있다.

      • KCI등재
      • KCI등재후보

        Treatment Protocol for Cleft Lip and/or Palate Children in Kyushu University Hospital

        Akira Suzuki 대한구순구개열학회 2012 대한구순구개열학회지 Vol.15 No.2

        Our Team Approach consists of following five stages; (1) Peri-natal care until lip repair After ultrasound diagnosis, some obstetricians recommend the mother with CL/P fetus to undergo prenatal counseling in our CLP clinic. On the day the CL/P baby was born, our oral surgeon, nurse, and pedodontist visit the maternity clinic, and take counseling and take impression for a feeding plate. The cheiloplasty is performed in three months old. (2) From lip repair to palatal repair At one year of age, Otorhinolaryngologist checks middle-ear disease. Palatoplasty is carried out at 1.5 - 2 years old. (3) In deciduous and early mixed dentitions Speech is the most important issue in social life for the CL/P subjects, therefore the training of velopharyngeal function is essential. Orthodontist monitors dentofacial development from 5 years of age. In the case of severe maxillary under-growth or severe collapse, maxillary protractor or lateral expansion is indicative, respectively. In early mixed dentition, upper central incisor on the cleft area erupts with some torsion, and then the traumatic occlusion with tooth torsion must be corrected. (4) In mixed dentition Right before the eruption of upper canines, secondary bone grafting is performed. One year prior to the operation, maxillary fan-type expansion is carried out to correct the collapse of maxillary segments. Following the surgical operation, the erupted canine will be moved into the transplanted bone to avoid alveolar resorption. (5) In permanent dentition Final tooth alignment is carried out after eruption of second molars. Some cases may require orthognathic surgery after physical maturation. Prosthetic oral rehabilitation including the dental-implant is carried out after age eighteen.

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