Author 岡山医学会|
Publication Title Journal of Okayama Medical Association
Published Date 2017-12-01
Volume volume129
Issue issue3
Start Page 185
End Page 186
ISSN 0030-1558
Related Url isVersionOf https://doi.org/10.4044/joma.129.185
language 日本語
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DOI 10.4044/joma.129.185
Author Fujiwara, Toshiyoshi|
Keywords 特定臨床研究 ARO 患者申出療養
Publication Title Journal of Okayama Medical Association
Published Date 2017-12-01
Volume volume129
Issue issue3
Start Page 179
End Page 184
ISSN 0030-1558
Related Url isVersionOf https://doi.org/10.4044/joma.129.179
language 日本語
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DOI 10.4044/joma.129.179
NAID 40021393886
Title Alternative Two cases of solid-pseudopapillary neoplasm of the pancreas with contrasting imaging findings
Author Kawai, Takashi| Endo, Yoshikatu| Watanabe, Takanori| Kai, Kyohei| Sato, Shiso|
Abstract A solid pseudo-papillary tumor of the pancreas is a rare neoplasm which mainly occurs in young women. Here, we report two cases of solid-pseudopapillary neoplasm of the pancreas (SPN) with contrasting imaging findings. One was a 59-year-old woman having no symptomatic complaint with a pancreatic cystic tumor in the tail. The tumor was 60 mm in diameter with a cyst composed of a calcified wall and low-density content which was poorly perfused on contrast-enhanced computed tomography (CT). We diagnosed SPN based on imaging findings and performed distal pancreatectomy. Histology revealed SPN, and the patient had two years of recurrence -free survival (RFS). The other case was a 34-year-old man with an asymptomatic solid tumor in the pancreatic tail. Contrast-enhanced CT showed low peripheral attenuation of a 25-mm solid tumor, with the main duct dilated distal from tumor. We diagnosed him with pancreatic cancer with atypical image findings. Pathological findings revealed SPN, and the patient had five years of RFS. Small-sized SPN is being increasingly recognized because of the recent advances in CT and MRI. We should consider SPN even if it occurs in a male, and endoscopic ultrasound -guided fine-needle aspiration has recently been reported to be useful in diagnosing SPN.
Keywords 膵SPN(solid-pseudopapillary neoplasm of the pancreas) EUS-FNA(endoscopic ultrasound-guided fine needle aspiration) 成人男性(male)
Publication Title Journal of Okayama Medical Association
Published Date 2017-12-01
Volume volume129
Issue issue3
Start Page 171
End Page 177
ISSN 0030-1558
Related Url isVersionOf https://doi.org/10.4044/joma.129.171
language 日本語
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DOI 10.4044/joma.129.171
NAID 40021393857
Title Alternative The 2016 Incentive Award of the Okayama Medical Association in Neuroscience (2016 Niimi Prize)
Author Ikeda, Chikako|
Publication Title Journal of Okayama Medical Association
Published Date 2017-12-01
Volume volume129
Issue issue3
Start Page 167
End Page 169
ISSN 0030-1558
Related Url isVersionOf https://doi.org/10.4044/joma.129.167 references https://doi.org/10.1111/bpa.12319
language 日本語
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DOI 10.4044/joma.129.167
NAID 40021393828
Title Alternative The 2016 Incentive Award of the Okayama Medical Association in Cancer Research (2016 Hayashibara Prize and Yamada Prize)
Author Kikuchi, Satoru|
Publication Title Journal of Okayama Medical Association
Published Date 2017-12-01
Volume volume129
Issue issue3
Start Page 163
End Page 165
ISSN 0030-1558
Related Url isVersionOf https://doi.org/10.4044/joma.129.163 references https://doi.org/10.1038/mt.2014.244
language 日本語
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DOI 10.4044/joma.129.163
NAID 40021393823
Title Alternative The 2016 Incentive Award of the Okayama Medical Association in General Medical Science (2016 Yuuki Prize)
Author Murakami, Kazutoshi|
Publication Title Journal of Okayama Medical Association
Published Date 2017-12-01
Volume volume129
Issue issue3
Start Page 159
End Page 161
ISSN 0030-1558
Related Url isVersionOf https://doi.org/10.4044/joma.129.159 references https://doi.org/10.2337/db15-1304
language 日本語
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DOI 10.4044/joma.129.159
NAID 40021393812
Title Alternative The 2016 Incentive Award of the Okayama Medical Association in Cardiovascular and Pulmonary Research (2016 Sunada Prize)
Author Fujii, Utako|
Publication Title Journal of Okayama Medical Association
Published Date 2017-12-01
Volume volume129
Issue issue3
Start Page 155
End Page 157
ISSN 0030-1558
Related Url isVersionOf https://doi.org/10.4044/joma.129.155 references https://doi.org/10.1165/rcmb.2016-0015OC
language 日本語
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DOI 10.4044/joma.129.155
NAID 40021393805
Title Alternative The 116th General Assembly of the Okayama Medical Association
Author 岡山医学会|
Publication Title Journal of Okayama Medical Association
Published Date 2017-08-01
Volume volume129
Issue issue2
Start Page 149
End Page 154
ISSN 0030-1558
Related Url https://doi.org/10.4044/joma.129.149
language 日本語
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DOI 10.4044/joma.129.149
Title Alternative The 46th Annual Meeting of the Japanese Society of Interventional Radiology
Author Kanazawa, Susumu|
Publication Title Journal of Okayama Medical Association
Published Date 2017-08-01
Volume volume129
Issue issue2
Start Page 147
End Page 148
ISSN 0030-1558
Related Url https://doi.org/10.4044/joma.129.147
language 日本語
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DOI 10.4044/joma.129.147
Title Alternative Report of the 14th Annual Meeting of the Japanese Society of Hospital General Medicine
Author Otsuka, Fumio|
Publication Title Journal of Okayama Medical Association
Published Date 2017-08-01
Volume volume129
Issue issue2
Start Page 143
End Page 145
ISSN 0030-1558
Related Url https://doi.org/10.4044/joma.129.143
language 日本語
Copyright Holders Copyright (c) 2017 岡山医学会
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DOI 10.4044/joma.129.143
Author 西岡 康弘|
Publication Title Journal of Okayama Medical Association
Published Date 2017-08-01
Volume volume129
Issue issue2
Start Page 141
End Page 141
ISSN 0030-1558
language 日本語
Copyright Holders Copyright (c) 2017 岡山医学会
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Title Alternative Expensive Medicine and Medical Finance
Author Hamada, Jun|
Publication Title Journal of Okayama Medical Association
Published Date 2017-08-01
Volume volume129
Issue issue2
Start Page 137
End Page 139
ISSN 0030-1558
Related Url https://doi.org/10.4044/joma.129.137
language 日本語
Copyright Holders Copyright (c) 2017 岡山医学会
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DOI 10.4044/joma.129.137
Title Alternative Drug interaction (39. Drug interaction in prostate cancer therapy)
Author Kanzaki, Hirotaka| Tanaka, Yuta| Maruo, Akinori| Nishihara, Shigeki | Kitamura, Yoshihisa| Sendo, Toshiaki|
Publication Title Journal of Okayama Medical Association
Published Date 2017-08-01
Volume volume129
Issue issue2
Start Page 131
End Page 136
ISSN 0030-1558
Related Url https://doi.org/10.4044/joma.129.131
language 日本語
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DOI 10.4044/joma.129.131
Title Alternative Q17・Q18・Q19
Author 岡山医学会|
Publication Title Journal of Okayama Medical Association
Published Date 2017-08-01
Volume volume129
Issue issue2
Start Page 129
End Page 130
ISSN 0030-1558
Related Url https://doi.org/10.4044/joma.129.129
language 日本語
Copyright Holders Copyright (c) 2017 岡山医学会
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DOI 10.4044/joma.129.129
Title Alternative Data management in clinical research
Author Hinotsu, Shiro|
Keywords 臨床研究 倫理指針 ICH-GCP
Publication Title Journal of Okayama Medical Association
Published Date 2017-08-01
Volume volume129
Issue issue2
Start Page 123
End Page 127
ISSN 0030-1558
Related Url https://doi.org/10.4044/joma.129.123
language 日本語
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DOI 10.4044/joma.129.123
Title Alternative Achalasia treated with per-oral endoscopic myotomy (POEM)
Author Sugihara, Yuusaku| Harada, Keita| Kato, Ryo| Yamauchi, Kenji| Takashima, Shiho| Takei, Daisuke| Inokuchia, Toshihiro| Takahara, Masahiro| Kawano, Seiji| Hiraoka, Sakiko| Tanabe, Shunsuke| Noma, Kazuhiro| Shirakawa, Yasuhiro| Manabe, Noriaki| Inoue, Haruhiro| Okada, Hiroyuki|
Abstract Esophageal achalasia is a disorder of the lower esophageal sphincter muscle. Patients present with dysphagia, chest pain, vomiting, and aspiration. Esophageal achalasia had traditionally been treated with esophageal achalasia balloon dilatation and the Heller-Dor method, but in recent years, the use of per-oral endoscopic myotomy (POEM) has increased. Our patient, a 39-yr-old male, began experiencing dysphagia 4 years prior to his referral to our hospital. Based on the results of esophagogastroduodenoscopy, esophageal radiography and high-resolution manometry, we made the diagnosis of esophageal achalasia (Chicago classification type I) . After informed consent from the patient and his family and approval from our hospital's ethics committee were obtained, we performed a POEM. The patient was discharged on the 4th day post-surgery. At the 1-year post-operative examination, no worsening of symptoms and no relapse were observed. POEM is an excellent treatment method for esophageal achalasia from the perspective of therapeutic effect and prevention of invasion. We recommend that it be considered as the first-choice treatment for achalasia. However, accessibility to the procedure itself is limited due to the few adequately trained operators worldwide. POEM should thus be performed by an expert operator at a high-volume center.
Keywords POEM 食道アカラシア (esophageal achalasia)
Publication Title Journal of Okayama Medical Association
Published Date 2017-08-01
Volume volume129
Issue issue2
Start Page 115
End Page 121
ISSN 0030-1558
Related Url https://doi.org/10.4044/joma.129.115
language 日本語
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DOI 10.4044/joma.129.115
Title Alternative Adenocarcinoma in the jejunum 20 years after surgery for familial adenomatous polyposis
Author Sugihara, Yuusaku| Kawano, Seiji| Harada, Keita| Takashima, Shiho| Takei, Daisuke| Inokuchi, Toshihiro| Takahara, Masahiro| Hiraoka, Sakiko| Mori, Yoshiko| Kishimoto, Hiroyuki| Nagasaka, Takeshi| Okada, Hiroyuki|
Abstract A 58-year-old Japanese man visited a local clinic for the evaluation of a stomachache. He was diagnosed with intestinal obstruction. His medical history included a proctocolectomy at the age of 38 years, due to familial adenomatous polyposis (FAP). He was referred to our institution, where he underwent a computed tomography examination and endoscopy of the small intestine. The pathological diagnosis was adenocarcinoma. No invasive or metastatic lesions were observed. Therefore, partial resection of the ileum with lymphadenectomy and reconstruction of the ileostomy were performed. Pathological examination revealed that the tumor was type 2, pT3 (SS) , pN1, pPM0, pDM0, pRM0, INFb, ly1, v1, pEX0, PN0. Twenty-nine days after the surgery, the patient was diagnosed with lung metastasis and he underwent lung radiofrequency ablation. We suggest that long-term follow-up is necessary for patients after surgery for FAP, because of the risk of malignant disease developing in other organs.
Keywords 家族性大腸腺腫症 (familial adenomatous polyposis) 小腸癌 (jejunal cancer) 小腸内視鏡検査 (small intestine endoscope)
Publication Title Journal of Okayama Medical Association
Published Date 2017-08-01
Volume volume129
Issue issue2
Start Page 111
End Page 114
ISSN 0030-1558
Related Url https://doi.org/10.4044/joma.129.111
language 日本語
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DOI 10.4044/joma.129.111
Title Alternative Retroperitoneal abscess that ruptured the aorta: Invasive Klebsiella pneumoniae syndrome
Author Yamazakia, Kenji| Sakakima, Masanori| Nagakura, Yuka| Hashimoto, Hiroyuki| Tashiro, Takeshi| Miwa, Masashi| Yonemura, Katsuhiko|
Abstract An 80-year-old Japanese man was admitted to our hospital in April 2016 with an acute high-grade fever and back pain. A systemic contrast-enhanced computed tomography scan disclosed a retroperitoneal abscess around his aorta. The blood culture revealed Klebsiella pneumoniae. Antibiotics (Cefotaxime 1 g i.v. q 6 hours) were administered, but the patient's symptoms worsened. The abscess then ruptured the aorta. An emergency surgical repair was done, and the patient recovered. Invasive Klebsiella pneumoniae syndrome has been detected in southeast Asia over the past two decades, and here we describe a rare case of a retroperitoneal abscess caused by Klebsiella pneumoniae that ruptured the aorta.
Keywords invasive Klebsiella pneumoniae syndrome 腹部大動脈破裂 (ruptured abdominal aorta) 後腹膜膿瘍 (retroperitoneal abscess)
Publication Title Journal of Okayama Medical Association
Published Date 2017-08-01
Volume volume129
Issue issue2
Start Page 107
End Page 109
ISSN 0030-1558
Related Url https://doi.org/10.4044/joma.129.107
language 日本語
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DOI 10.4044/joma.129.107
Title Alternative The perception of chronic kidney disease in a general population in Okayama, Japan : 2015
Author Uchida, Haruhito A.| Sugiyama, Hitoshi| Miyazaki, Masashi| Wada, Jun| Shikata, Kenichi| Kashihara, Naoki| Makino, Hirofumi|
Abstract  Public education programs about chronic kidney disease (CKD) have been performed in Okayama, Japan for the past 10 years. The present study investigated the perception of CKD in a general population in Okayama. In October and November 2015, a questionnaire survey was distributed by 12 medical centers in five medical districts in Okayama prefecture. A total of 7,022 respondents who underwent their physical checkup at these centers answered the questionnaire. In response to a questionnaire item asking about the respondent's familiarity with the term "CKD," only 4% of the respondents answered "know it well" and 10% answered "unfamiliar." In contrast, in response to a questionnaire item asking about the respondent's familiarity with "chronic kidney disease," 27% answered "know it well" and 38% answered "unfamiliar." The leading avenue by which the respondents learned about CKD/chronic kidney disease was television, followed by newspapers, magazines, and a family doctor or nurse. The leading component which the respondents considered essential for the diagnosis of CKD/chronic kidney disease was proteinuria. A stratified analysis demonstrated a higher recognition of “CKD" or “chronic kidney disease" in the medical districts in northern Okayama prefecture compared to southern Okayama prefecture. These results indicated that the awareness of CKD in Okayama prefecture is still inadequate. Many people did not appear to realize that the term “CKD" represents "chronic kidney disease". Further continuous public education efforts are required to enlighten people about CKD/chronic kidney disease.
Keywords 慢性腎臓病 (chronic kidney disease) CKD 認知度 (perception) 岡山県 (Okayama) 医療圏別 (medical distinct)
Publication Title Journal of Okayama Medical Association
Published Date 2017-08-01
Volume volume129
Issue issue2
Start Page 101
End Page 105
ISSN 0030-1558
Related Url https://doi.org/10.4044/joma.129.101
language 日本語
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DOI 10.4044/joma.129.101
Title Alternative The development of a scale to measure stress recognition during the treatment of diabetes patients
Author Sumiyoshi, Kazuko| Kawata, Chieko| Okamoto, Tatsuo| Ohashi, Mutsuko| Mikane, Sakae| Takabayashi, Noriko| Futoyu, Yoshiko| Kim, Woesook| Wada, Jun| Shikata, Kenichi| Nakajima, Kazuo|
Abstract  The purpose of this study was to establish a measurement scale for "stress recognition in receiving treatment" in patients with diabetes. A self-completed questionnaire was distributed to 149 type-2 diabetes outpatients in March-May 2015 after authorization from Okayama Prefectural University and the ethics committee of the hospital.  The "stress recognition in receiving treatment" scale was designed as a second-order factor model consisting of 14 items and the following four factors : the respondent's sense of (1) the burden of being sick, (2) the burden on interpersonal relationships, (3) the burden of treatment, and (4) the burden of medical expenses.  Stress recognition in treatment means recognition of being stressed in the burdens related to the illness, interpersonal relationships, treatment and medical expenses.  The suitability of the questionnaire data was then evaluated with a structural equation model. The suitability of the factor model to the data satisfied the statistically acceptable standards as Comparative Fit Index (CFI) =0.931, Root Mean Square Error of Approximation (RMSEA) =0.096, Tucker-Lewis Index (TLI) =0.946.  As the construct validity was not examined by the scale created in this study or by existing scale, it was verified by using the degrees of mental healthiness and HbA1c that were proved to be associated with the sense of burden.  In addition, the construct validity of the questionnaire was supported by a significant correlation between the Japanese version of the WHO-Five Well-being Index (S-WHO-5-J) and the patients' HbA1c levels. The use of this measure is expected to contribute to the early detection of a decline in a diabetic patient's activities of daily living and to the early confirmation of patients' support status.
Keywords 糖尿病患者 (diabetes patients) 治療 (treatment) ストレス認知 (stress recognition) 尺度開発 (development of a scale)
Publication Title Journal of Okayama Medical Association
Published Date 2017-08-01
Volume volume129
Issue issue2
Start Page 93
End Page 99
ISSN 0030-1558
Related Url https://doi.org/10.4044/joma.129.93
language 日本語
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DOI 10.4044/joma.129.93