Title Alternative Q28・Q29・Q30
Publication Title Journal of Okayama Medical Association
Published Date 2019-04-01
Volume volume131
Issue issue1
Start Page 45
End Page 46
ISSN 0030-1558
Related Url isVersionOf https://doi.org/10.4044/joma.131.45
language 日本語
Copyright Holders Copyright (c) 2019 岡山医学会
File Version publisher
DOI 10.4044/joma.131.45
NAID 130007642643
Title Alternative Our approach to cancer genomic medicine at Okayama University Hospital
Author Toyooka, Shinichi| Tomida, Shuta|
Keywords がんゲノム医療 岡山大学病院 プレシジョンメディスン
Publication Title Journal of Okayama Medical Association
Published Date 2019-04-01
Volume volume131
Issue issue1
Start Page 41
End Page 43
ISSN 0030-1558
Related Url isVersionOf https://doi.org/10.4044/joma.131.41
language 日本語
Copyright Holders Copyright (c) 2019 岡山医学会
File Version publisher
DOI 10.4044/joma.131.41
NAID 130007642653
Title Alternative A Morgagni hernia repaired laparoscopically using Ventralight ST® mesh
Author Murakami , Takayoshi | Fujimoto , Yoshimi | Murashima , Nobutaka | Nishina, Takuya | Sugiu, Kumi| Matsumoto, Takamasa |
Abstract A 78-year-old Japanese woman was referred to our hospital because of fecal occult blood. Barium enema and CT colonography revealed the herniation of the transverse colon and the greater omentum into the right hemithorax through a retrosternal defect. We diagnosed a Morgagni hernia, and we performed a laparoscopic hernia repair with a three-port approach. The invaginated transverse colon and omentum were easily reduced into the abdominal cavity. The size of the hernial orifice was estimated to be approx. 2.5×4 cm. We placed Ventralight ST® mesh over the hernial orifice without hernial sac resection, and we used the double-crown technique to fix the mesh with a hernia stapler. The postoperative course was uneventful, and the patient was discharged on the 5th postoperative day with no complications. There has been no recurrence at 2 years after the surgery. Laparoscopic repair is a safe, less-invasive and useful method for repairing a Morgagni hernia.
Keywords Morgagni 孔ヘルニア (Morgagni hernia) 胸骨後ヘルニア (retrosternal hernia) 腹腔鏡下手術 (laparoscopic repair) Ventralight ST®
Publication Title Journal of Okayama Medical Association
Published Date 2019-04-01
Volume volume131
Issue issue1
Start Page 35
End Page 39
ISSN 0030-1558
Related Url isVersionOf https://doi.org/10.4044/joma.131.35
language 日本語
Copyright Holders Copyright (c) 2019 岡山医学会
File Version publisher
DOI 10.4044/joma.131.35
NAID 130007642656
Title Alternative Better diagnostic performance using computer-assisted diagnostic support systems in internal medicine
Author Kuriyama, Yutaka| Sota , Yumi| Yano, Aika| Yasuda, Hideki| Ishii, Osamu| Saio , Takeo| Torigoe, Keijiro| Ueda, Takeshi | Shimizu , Tarou | Tokuda, Yasuharu|
Abstract The recent application of artificial intelligence(AI)to clinical medicine has confirmed the usefulness of AI for diagnostic imaging, histopathological examinations, and dermatologic screening. Clinical decision support systems are another promising area to which AI could contribute toward better clinical decisions. We have developed computer-assisted diagnostic support systems to reduce human diagnostic errors such as delayed diagnoses, misdiagnoses, and overdiagnoses. Our three Diagnosis Reminder(DR)systems include two AI systems that use machine learning in their diagnosis algorithms. Here, we compared the diagnostic accuracy of a DR-supported group with that of an unassisted physicians group, using three difficult patient cases provided by experts in general medicine.  Our analyses revealed that the three AI diagnostic systems could not provide accurate differential diagnoses up to top 10 in all three patient cases because of incomplete data inputs for machine learning. However, the first DR system, which was developed by an experienced diagnostician over the last 35 years, showed very useful performance in reducing human diagnostic errors when it was used by an expert physician. The use of AI diagnostic systems by knowledgeable physicians will lead to better diagnostic performance. We also discuss the current scenario, future challenges, and prospects for AI diagnostic systems herein.
Keywords AI 診断システム (AI diagnostic systems) 診断思い出し (diagnosis reminder) 機械学習 (machine learning) 診断エラー (human diagnostic errors)
Publication Title Journal of Okayama Medical Association
Published Date 2019-04-01
Volume volume131
Issue issue1
Start Page 29
End Page 34
ISSN 0030-1558
Related Url isVersionOf https://doi.org/10.4044/joma.131.29
language 日本語
Copyright Holders Copyright (c) 2019 岡山医学会
File Version publisher
DOI 10.4044/joma.131.29
NAID 130007642655
Title Alternative Autonomic nervous system controls of thermoregulation and circulation
Author Kamiya, Atsunori|
Keywords 自律神経 交感神経 血圧 循環
Publication Title Journal of Okayama Medical Association
Published Date 2019-04-01
Volume volume131
Issue issue1
Start Page 23
End Page 28
ISSN 0030-1558
Related Url isVersionOf https://doi.org/10.4044/joma.131.23
language 日本語
Copyright Holders Copyright (c) 2019 岡山医学会
File Version publisher
DOI 10.4044/joma.131.23
NAID 130007642657
Title Alternative Atopic dermatitis and kallikrein-related peptidases
Author Morizane, Shin |
Keywords アトピー性皮膚炎 カリクレイン関連ペプチダーゼ 表皮バリア機能
Publication Title Journal of Okayama Medical Association
Published Date 2019-04-01
Volume volume131
Issue issue1
Start Page 17
End Page 21
ISSN 0030-1558
Related Url isVersionOf https://doi.org/10.4044/joma.131.17
language 日本語
Copyright Holders Copyright (c) 2019 岡山医学会
File Version publisher
DOI 10.4044/joma.131.17
NAID 130007642658
Title Alternative The 2017 Incentive Award of the Okayama Medical Association in General Medical Science (2017 Yuuki Prize)
Author Takeda, Tetsuya|
Publication Title Journal of Okayama Medical Association
Published Date 2019-04-01
Volume volume131
Issue issue1
Start Page 13
End Page 15
ISSN 0030-1558
Related Url isVersionOf https://doi.org/10.4044/joma.131.13
language 日本語
Copyright Holders Copyright (c) 2019 岡山医学会
File Version publisher
DOI 10.4044/joma.131.13
NAID 130007642660
Title Alternative The 2017 Incentive Award of the Okayama Medical Association in General Medical Science (2017 Yuuki Prize)
Author Katsuyama, Eri|
Publication Title Journal of Okayama Medical Association
Published Date 2019-04-01
Volume volume131
Issue issue1
Start Page 9
End Page 11
ISSN 0030-1558
Related Url isVersionOf https://doi.org/10.4044/joma.131.9
language 日本語
Copyright Holders Copyright (c) 2019 岡山医学会
File Version publisher
DOI 10.4044/joma.131.9
NAID 130007642647
Title Alternative The 2017 Incentive Award of the Okayama Medical Association in Cancer Research (2017 Hayashibara Prize and Yamada Prize)
Author Sakae, Hiroyuki|
Publication Title Journal of Okayama Medical Association
Published Date 2019-04-01
Volume volume131
Issue issue1
Start Page 5
End Page 7
ISSN 0030-1558
Related Url isVersionOf https://doi.org/10.4044/joma.131.5
language 日本語
Copyright Holders Copyright (c) 2019 岡山医学会
File Version publisher
DOI 10.4044/joma.131.5
NAID 130007642651
Title Alternative The 2017 Incentive Award of the Okayama Medical Association in Neuroscience (2017 Niimi Prize)
Author Fu, Li|
Publication Title Journal of Okayama Medical Association
Published Date 2019-04-01
Volume volume131
Issue issue1
Start Page 1
End Page 3
ISSN 0030-1558
Related Url isVersionOf https://doi.org/10.4044/joma.131.1
language 日本語
Copyright Holders Copyright (c) 2019 岡山医学会
File Version publisher
DOI 10.4044/joma.131.1
NAID 130007642659
Title Alternative The 92th Okayama Chest Disease Conference
Publication Title Journal of Okayama Medical Association
Published Date 2018-12-03
Volume volume130
Issue issue3
Start Page 185
End Page 185
ISSN 0030-1558
language 日本語
Copyright Holders Copyright (c) 2018 岡山医学会
File Version publisher
Title Alternative The 22nd Annual Meeting of Japanese Association of Cancer Immunology : From the Banquet to the Beginning
FullText URL 130_183.pdf
Author Udono, Heiichiro|
Publication Title Journal of Okayama Medical Association
Published Date 2018-12-03
Volume volume130
Issue issue3
Start Page 183
End Page 184
ISSN 0030-1558
language 日本語
Copyright Holders Copyright (c) 2018 岡山医学会
File Version publisher
Author 布施 春樹|
Publication Title Journal of Okayama Medical Association
Published Date 2018-12-03
Volume volume130
Issue issue3
Start Page 181
End Page 182
ISSN 0030-1558
language 日本語
Copyright Holders Copyright (c) 2018 岡山医学会
File Version publisher
Title Alternative Why simulation education:The ultimate method of active learning
Author Mandai, Yasuhiro|
Publication Title Journal of Okayama Medical Association
Published Date 2018-12-03
Volume volume130
Issue issue3
Start Page 179
End Page 180
ISSN 0030-1558
Related Url isVersionOf https://doi.org/10.4044/joma.130.179
language 日本語
Copyright Holders Copyright (c) 2018 岡山医学会
File Version publisher
DOI 10.4044/joma.130.179
NAID 130007542829
Title Alternative Drug interaction(43. Drug interaction in cutaneous T-cell lymphoma)
Author Tanaka, Yuta| Kanzaki, Hirotaka| Morishita, Yosuke| Kitamura, Yoshihisa| Sendo, Toshiaki|
Publication Title Journal of Okayama Medical Association
Published Date 2018-12-03
Volume volume130
Issue issue3
Start Page 175
End Page 178
ISSN 0030-1558
Related Url isVersionOf https://doi.org/10.4044/joma.130.175
language 日本語
Copyright Holders Copyright (c) 2018 岡山医学会
File Version publisher
DOI 10.4044/joma.130.175
NAID 130007542850
Title Alternative Q26 Q27
Publication Title Journal of Okayama Medical Association
Published Date 2018-12-03
Volume volume130
Issue issue3
Start Page 173
End Page 174
ISSN 0030-1558
Related Url isVersionOf https://doi.org/10.4044/joma.130.173
language 日本語
Copyright Holders Copyright (c) 2018 岡山医学会
File Version publisher
DOI 10.4044/joma.130.173
NAID 130007542847
Title Alternative General Practitioner
Author Obika, Mikako| Kataoka, Hitomi| Ogawa, Hiroko| Otsuka, Fumio|
Keywords 新専門医制度 総合診療専門医
Publication Title Journal of Okayama Medical Association
Published Date 2018-12-03
Volume volume130
Issue issue3
Start Page 167
End Page 172
ISSN 0030-1558
Related Url isVersionOf https://doi.org/10.4044/joma.130.167
language 日本語
Copyright Holders Copyright (c) 2018 岡山医学会
File Version publisher
DOI 10.4044/joma.130.167
NAID 130007542846
Title Alternative A survey of nurses’ and physicians’ safety awareness in CT/MRI examinations
Author Watanabe, Manae| Matsuura, Ryutaro| Namba, Shihoko|
Abstract To perform computed tomography (CT)/magnetic resonance imaging (MRI) scans safely and reliably, adherence to a pre-scan checklist is crucial. However, physicians and nurses may differ in their recognition of the usefulness of this checklist. We conducted the present study to investigate possible differences between physicians’ and nurses’ awareness of CT/MRI scan safety in terms of their adherence to the pre-scan checklist. We prepared an independently developed self-administered 23-item questionnaire about attributes of subjects, CT/ MRI scan safety recognition and current situation for CT/MRI examinations. The survey was distributed to 468 participants who combined nurses and physicians at Okayama University Hospitalin Okayama, Japan. We analysis the responses of the 224 participants (117 nurses and 107 physicians)who returned the survey with on missing data (a 65.1% completion rate). The overall safety recognition scores were significantly higher for the nurses than for the physicians (p<0.001). In addition, the physicians did not sufficiently know or implement the guidelines in the CT/MRI scan safety manual used at our hospital. Nurses and physicians demonstrated marked differences in their awareness and knowledge of safety regarding CT/MRI scans. Measures for improving safety recognition should thus be designed for individual healthcare occupations.
Keywords CT/MRI検査(CT/MRI examinations) 安全認識(safety recognition) 職種の差異(difference between occupations) CT/MRI検査マニュアル(CT/MRI examinations manual)
Publication Title Journal of Okayama Medical Association
Published Date 2018-12-03
Volume volume130
Issue issue3
Start Page 161
End Page 166
ISSN 0030-1558
Related Url isVersionOf https://doi.org/10.4044/joma.130.161
language 日本語
Copyright Holders Copyright (c) 2018 岡山医学会
File Version publisher
DOI 10.4044/joma.130.161
NAID 130007542844
Title Alternative Video capsule endoscopy usage: Intra-hospital consultations before and after the expansion of indications
Author Kawano, Seiji| Iwamuro, Masaya| Inokuchi, Toshihiro| Sugihara, Yuusaku| Harada, Keita| Hiraoka, Sakiko| Okada, Hiroyuki|
Abstract Approximately 10 years have passed since video capsule endoscopy (VCE)was introduced in routine clinical practice in Japan. We started using VCE in January 2009. Here we investigated the contribution of VCE and its level of recognition at our 855-bed hospital. We compared the clinical characteristics of intra-hospital consultation cases with non-consultation cases, and the details of the cases from each of our hospital’s departments. The number of intra-hospital consultations was notably increased by our expansion of the indications for non-obscure gastrointestinal bleeding (OGIB)cases. However, most of our hospital’s departments are sub-departments of internal medicine, in which almost no change in indications has been made. We found that the percentage of OGIB cases was higher among the intra-hospital consultations than non-consultations, and that the OGIB percentages differed markedly among the departments. Especially for OGIB cases, all hospital departments should be better informed regarding the indications for and efficacy of VCE.
Keywords カプセル内視鏡(video capsule endoscopy) 適応拡大(expansion of indication) 院内紹介(intra-hospital consultation)
Publication Title Journal of Okayama Medical Association
Published Date 2018-12-03
Volume volume130
Issue issue3
Start Page 155
End Page 159
ISSN 0030-1558
Related Url isVersionOf https://doi.org/10.4044/joma.130.147
language 日本語
Copyright Holders Copyright (c) 2018 岡山医学会
File Version publisher
DOI 10.4044/joma.130.147
NAID 130007542857
Title Alternative Feasibility evaluation of a remote monitoring system in the home
Author Kasahara, Shingo|
Publication Title Journal of Okayama Medical Association
Published Date 2018-12-03
Volume volume130
Issue issue3
Start Page 147
End Page 154
ISSN 0030-1558
Related Url isVersionOf https://doi.org/10.4044/joma.130.147
language 日本語
Copyright Holders Copyright (c) 2018 岡山医学会
File Version publisher
DOI 10.4044/joma.130.147
NAID 130007542853