result 47501 件
JaLCDOI | 10.18926/AMO/65146 |
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FullText URL | 77_2_169.pdf |
Author | Inoue, Kanae| Fujita, Rio| Nagahara, Takatoshi| Murakami, Shiho| Nagai, Yuta| Moriwake, Rina| Miyake, Nozomi| Wakuta, Akiko| Kariyama, Kazuya| Nishimura, Mamoru| Nouso, Kazuhiro| |
Abstract | Alcoholic liver disease is a risk factor for non-virus-related hepatocellular carcinoma (HCC), which is increasing in prevalence. This study aimed to identify the factors for recovery from alcoholic liver failure. Sixty-two consecutive patients hospitalized for alcoholic liver failure at Okayama City Hospital were enrolled. The characteristics of patients who survived to the 1-month follow-up and whose liver function improved to Child–Pugh A at 3 months (CPA3) and 12 months (CPA12) were compared with the rest of the patients. The survivors at 1 month (50 patients) were significantly younger than the deceased patients and had better liver and renal function with higher levels of γ-glutamyl transferase (GGT). The same factors, except renal function, were correlated with achieving CPA3. High AST, ALT, and GGT levels as well as short spleen length, total abstinence, and good Child–Pugh scores at admission were identified as factors for achieving CPA12. The extent of alcohol intake before admission was not identified as a risk factor in any analysis. In conclusion, baseline liver function is crucial for survival and achieving CPA3, whereas high transaminase and γ-GTP levels, the absence of splenomegaly, and total abstinence are significant factors for achieving CPA12. |
Keywords | alcoholic liver failure risk factors recovery |
Amo Type | Original Article |
Publication Title | Acta Medica Okayama |
Published Date | 2023-04 |
Volume | volume77 |
Issue | issue2 |
Publisher | Okayama University Medical School |
Start Page | 169 |
End Page | 177 |
ISSN | 0386-300X |
NCID | AA00508441 |
Content Type | Journal Article |
language | English |
Copyright Holders | Copyright Ⓒ 2023 by Okayama University Medical School |
File Version | publisher |
Refereed | True |
PubMed ID | 37094954 |
Web of Science KeyUT | 000982503800006 |
JaLCDOI | 10.18926/AMO/65145 |
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FullText URL | 77_2_161.pdf |
Author | Yamanoi, Tomoko| Suzuki, Satoshi| Kaku, Ryuji| Morimatsu, Hiroshi| |
Abstract | An intraoperative double-low condition is defined as concurrent low values for bispectral index (BIS) and mean arterial pressure (MAP), and may predict perioperative outcomes. We hypothesized that prolonged double-low times might be associated with an increased incidence of postoperative delirium. We conducted a single-center retrospective observational study on patients who had been admitted to our hospital’s intensive care unit (ICU) after surgery and whose BIS and MAP data had been recorded during general anesthesia. The primary outcome was the incidence of postoperative delirium. A double-low condition was defined as BIS < 45 and MAP <75 mmHg. The total double-low time was calculated in 1-min increments and used to divide the patients into quintiles. Multiple logistic regression analyses were conducted. Among the 334 patients included in the study, the incidence of postoperative delirium was 15.6% (n=52). Multiple logistic regression analysis revealed that a prolonged double-low time, defined as a total double-low time of > 42 min (i.e., third, fourth, and fifth quintiles), was significantly associated with an increased incidence of postoperative delirium (adjusted odds ratio: 2.61, 95% confidence interval: 1.27-5.37, p=0.009). Prolonged double-low time during general anesthesia was independently associated with an increased incidence of postoperative delirium in surgical ICU patients. |
Keywords | postoperative delirium bispectral index hypotension double-low condition general anesthesia |
Amo Type | Original Article |
Publication Title | Acta Medica Okayama |
Published Date | 2023-04 |
Volume | volume77 |
Issue | issue2 |
Publisher | Okayama University Medical School |
Start Page | 161 |
End Page | 167 |
ISSN | 0386-300X |
NCID | AA00508441 |
Content Type | Journal Article |
language | English |
Copyright Holders | Copyright Ⓒ 2023 by Okayama University Medical School |
File Version | publisher |
Refereed | True |
PubMed ID | 37094953 |
Web of Science KeyUT | 000982503800005 |
JaLCDOI | 10.18926/AMO/65144 |
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FullText URL | 77_2_147.pdf |
Author | Arias, Zulema| Haines, Stephanie| Yamamoto, Tadashi| Hatanaka, Kazu| Yamashiro, Keisuke| Sonoi, Norihiro| Takashiba, Shogo| |
Abstract | The curriculum at the Department of Pathophysiology in the Periodontal Sciences program at Okayama University includes normative preclinical training (NPT) using phantoms. NPT is given to the whole class of 5 th year students divided in groups of 8 students/instructor. In 2019, an innovative personalized preclinical training (PPT) pilot study was implemented for this group of students whereby two students, each with their own dental unit, were coached by one instructor. The main topics covered were dental ergonomics and endodontics. We aimed to evaluate the effectiveness of PPT in dental ergonomics and endodontics toward increasing the knowledge and future clinical skills of students who had already undergone NPT. A test on endodontics was taken before and after PPT. A questionnaire was completed to assess their perception of improvement regarding the above-mentioned topics. Test scores and questionnaire results both showed that the students’ level of knowledge and awareness of future clinical skills was significantly higher after PPT. This pilot study demonstrated that PPT increased the students’ knowledge and future clinical skills. As preclinical training forms the foundation for clinical practice, investment in future research regarding this personalized approach is likely to enhance students’ understanding and clinical performance. |
Keywords | preclinical personalized education dental ergonomics endodontics clinical skills improvement undergraduate students |
Amo Type | Original Article |
Publication Title | Acta Medica Okayama |
Published Date | 2023-04 |
Volume | volume77 |
Issue | issue2 |
Publisher | Okayama University Medical School |
Start Page | 147 |
End Page | 159 |
ISSN | 0386-300X |
NCID | AA00508441 |
Content Type | Journal Article |
language | English |
Copyright Holders | Copyright Ⓒ 2023 by Okayama University Medical School |
File Version | publisher |
Refereed | True |
PubMed ID | 37094952 |
Web of Science KeyUT | 000982503800004 |
JaLCDOI | 10.18926/AMO/65143 |
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FullText URL | 77_2_139.pdf |
Author | Namio, Keiichi| Kondo, Takashi| Miyatake, Nobuyuki| Hishii, Shuhei| Nishi, Hiroyuki| Katayama, Akihiko| Ujike, Kazuhiro| Suzuki, Hiromi| Koumoto, Kiichi| |
Abstract | We investigated the link between prolonged sedentary bouts and all-cause mortality in patients on chronic hemodialysis, using a prospective cohort. A total of 104 outpatients on chronic hemodialysis from 2013 to 2019, aged 71.4±11.4 years, were enrolled. Prolonged sedentary bouts (≥ 30 min and ≥60 min) (min and bouts) and relative prolonged sedentary bouts (≥ 30 min and ≥ 60 min) (%) on the patients’ non-hemodialysis days were measured by a tri-accelerometer, and we also analyzed the patients’ clinical parameters. The relationship between prolonged sedentary bouts and all-cause mortality was evaluated by a survival analysis and the Cox proportional hazard model. Thirty-five patients died during the follow-up period. A Kaplan-Meier analysis detected significant differences in the survival rate between two groups stratified by the median for all prolonged sedentary-bout parameters. After the adjustment for confounding factors, all of the prolonged sedentary-bout parameters were determinant factors for all-cause mortality. These results indicate that prolonged sedentary bouts on non-hemodialysis days were closely related to all-cause mortality in the patients on hemodialysis. |
Keywords | sedentary bout mortality hemodialysis survival analysis |
Amo Type | Original Article |
Publication Title | Acta Medica Okayama |
Published Date | 2023-04 |
Volume | volume77 |
Issue | issue2 |
Publisher | Okayama University Medical School |
Start Page | 139 |
End Page | 145 |
ISSN | 0386-300X |
NCID | AA00508441 |
Content Type | Journal Article |
language | English |
Copyright Holders | Copyright Ⓒ 2023 by Okayama University Medical School |
File Version | publisher |
Refereed | True |
PubMed ID | 37094951 |
Web of Science KeyUT | 000982503800003 |
JaLCDOI | 10.18926/AMO/65142 |
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FullText URL | 77_2_131.pdf |
Author | Senda, Mayuko| Terada, Seishi| Fujiwara, Masaki| Yamada, Norihito| |
Abstract | Eating disorders (EDs) are associated with a high mortality rate. Patients with EDs often experience severe dehydration due to food restriction and/or vomiting. Severely underweight patients are often prescribed bed rest during inpatient care to reduce their energy consumption, and they may thus develop multiple risk factors for venous thromboembolism (VTE). We compared the clinical features of ED inpatients with VTE to those of ED inpatients without VTE. Seventy-one inpatients with ED were treated at Okayama University Hospital’s psychiatric ward in 2016-2020; five were experienced a VTE. Compared to the non-VTE group, the VTE group’s median age and disease duration were greater and the median body mass index (BMI) was lower. The VTE group’s D-dimer peak values were > 5 mg/L. Physical restraint and central venous catheter use were associated with VTE. Longer ED duration and lower BMI might be risk factors for VTE. To make inpatient treatment for ED safer, it is important to avoid the use of physical restraints and central venous catheters. Continuous D-dimer monitoring is necessary for the early detection of VTE in ED patients at high risk of VTE. |
Keywords | eating disorder anorexia nervosa venous thromboembolism deep vein thrombosis |
Amo Type | Original Article |
Publication Title | Acta Medica Okayama |
Published Date | 2023-04 |
Volume | volume77 |
Issue | issue2 |
Publisher | Okayama University Medical School |
Start Page | 131 |
End Page | 137 |
ISSN | 0386-300X |
NCID | AA00508441 |
Content Type | Journal Article |
language | English |
Copyright Holders | Copyright Ⓒ 2023 by Okayama University Medical School |
File Version | publisher |
Refereed | True |
PubMed ID | 37094950 |
Web of Science KeyUT | 000982503800002 |
JaLCDOI | 10.18926/AMO/65141 |
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FullText URL | 77_2_121.pdf |
Author | Iguchi, Toshihiro| Matsui, Yusuke| Tomita, Koji| Uka, Mayu| Umakoshi, Noriyuki| Kawabata, Takahiro| Munetomo, Kazuaki| Nagata, Shoma| Araki, Motoo| Hiraki, Takao| |
Abstract | Percutaneous cryoablation of renal tumors is widely used because of its high efficacy and safety. This high safety can be attributed, at least in part, to the visibility of the ablated area as an “ice ball”. This therapy has fewer complications (incidence, 0-7.2%) and is less invasive than surgery. Minor bleeding is inevitable in most kidney-related procedures, and indeed the most common complication of this therapy is bleeding (hematoma and hematuria). However, patients require treatment such as transfusion or transarterial embolization in only 0-4% of bleeding cases. Various other complications such as ureteral or collecting system injury, bowel injury, nerve injury, skin injury, infection, pneumothorax, and tract seeding also occur, but they are usually minor and asymptomatic. However, operators should know and avoid the various complications associated with this therapy. This study aimed to summarize the complications of percutaneous cryoablation for renal tumors and provide some techniques for achieving safe procedures. |
Keywords | cryosurgery kidney neoplasms carcinoma renal cell complication |
Amo Type | Review |
Publication Title | Acta Medica Okayama |
Published Date | 2023-04 |
Volume | volume77 |
Issue | issue2 |
Publisher | Okayama University Medical School |
Start Page | 121 |
End Page | 129 |
ISSN | 0386-300X |
NCID | AA00508441 |
Content Type | Journal Article |
language | English |
Copyright Holders | Copyright Ⓒ 2023 by Okayama University Medical School |
File Version | publisher |
Refereed | True |
PubMed ID | 37094949 |
Web of Science KeyUT | 000982503800001 |
FullText URL | fulltext20230413-01.pdf |
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Author | Kumano, Shota| Takaki, Tomoyasu| Uchida, Tetsuya| |
Published Date | 2023-2-17 |
Publication Title | Polymer Journal |
Publisher | Springer Science and Business Media LLC |
ISSN | 0032-3896 |
Content Type | Journal Article |
language | English |
OAI-PMH Set | 岡山大学 |
Copyright Holders | © The Author(s) 2023. |
File Version | publisher |
DOI | 10.1038/s41428-023-00765-w |
Web of Science KeyUT | 000934721800001 |
Related Url | isVersionOf https://doi.org/10.1038/s41428-023-00765-w |
FullText URL | fulltext.pdf |
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Author | Aly, Nagwa S. M.| Matsumori, Hiroaki| Dinh, Thi Quyen| Sato, Akira| Miyoshi, Shin-Ichi| Chang, Kyung-Soo| Yu, Hak Sun| Cao, Duc Tuan| Kim, Hye-Sook| |
Keywords | transdermal N-89 mefloquine pyrimethamine antimalarials combination in vivo |
Published Date | 2023-03-01 |
Publication Title | Pathogens |
Volume | volume12 |
Issue | issue3 |
Publisher | MDPI |
Start Page | 398 |
ISSN | 2076-0817 |
Content Type | Journal Article |
language | English |
OAI-PMH Set | 岡山大学 |
Copyright Holders | © 2023 by the authors. |
File Version | publisher |
PubMed ID | 36986320 |
DOI | 10.3390/pathogens12030398 |
Web of Science KeyUT | 000958932800001 |
Related Url | isVersionOf https://doi.org/10.3390/pathogens12030398 |
FullText URL | hss_055_contents_e.pdf |
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Publication Title | Journal of Humanities and Social Sciences |
Published Date | 2023-03-27 |
Volume | volume55 |
ISSN | 1881-1671 |
language | Japanese |
Copyright Holders | Copyright (c) 2023 岡山大学大学院社会文化科学研究科 |
File Version | publisher |
FullText URL | hss_055_colophon.pdf |
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Publication Title | Journal of Humanities and Social Sciences |
Published Date | 2023-03-27 |
Volume | volume55 |
ISSN | 1881-1671 |
language | Japanese |
Copyright Holders | Copyright (c) 2023 岡山大学大学院社会文化科学研究科 |
File Version | publisher |
JaLCDOI | 10.18926/65136 |
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Title Alternative | On Ten-nyo (Heavenly Maiden) with Wings, Part 8―Heavenly Maiden and Feathered Robe at the end of the Edo period and Early Meiji period― |
FullText URL | hss_055_(027).pdf |
Author | Tatsuno, Yuko| |
Publication Title | Journal of Humanities and Social Sciences |
Published Date | 2023-03-27 |
Volume | volume55 |
Start Page | (27) |
End Page | (46) |
ISSN | 1881-1671 |
language | Japanese |
Copyright Holders | Copyright (c) 2023 岡山大学大学院社会文化科学研究科 |
File Version | publisher |
JaLCDOI | 10.18926/65135 |
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Title Alternative | Japanese Translation of “Lunyu Jizhu”(6)(Part 3)―Xi ZHU’s interpretation of “Confucian Analects”― |
FullText URL | hss_055_(001).pdf |
Author | Sun, Luyi| |
Publication Title | Journal of Humanities and Social Sciences |
Published Date | 2023-03-27 |
Volume | volume55 |
Start Page | (1) |
End Page | (26) |
ISSN | 1881-1671 |
language | Japanese |
Copyright Holders | Copyright (c) 2023 岡山大学大学院社会文化科学研究科 |
File Version | publisher |
JaLCDOI | 10.18926/65134 |
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Title Alternative | Preliminary Examination of a Work Motivation Scale for Foreign Skill Interns |
FullText URL | hss_055_211.pdf |
Author | Yan, Lin| Horiuchi, Takashi| |
Publication Title | Journal of Humanities and Social Sciences |
Published Date | 2023-03-27 |
Volume | volume55 |
Start Page | 211 |
End Page | 221 |
ISSN | 1881-1671 |
language | Japanese |
Copyright Holders | Copyright (c) 2023 岡山大学大学院社会文化科学研究科 |
File Version | publisher |
JaLCDOI | 10.18926/65133 |
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Title Alternative | Die Idee des Lebens in Hegels Wissenschaft der Logik |
FullText URL | hss_055_193.pdf |
Author | Takeshima, Naohito| |
Publication Title | Journal of Humanities and Social Sciences |
Published Date | 2023-03-27 |
Volume | volume55 |
Start Page | 193 |
End Page | 210 |
ISSN | 1881-1671 |
language | Japanese |
Copyright Holders | Copyright (c) 2023 岡山大学大学院社会文化科学研究科 |
File Version | publisher |
JaLCDOI | 10.18926/65132 |
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Title Alternative | The Architecture and Decoration of Alte Nationalgalerie, Berlin (2)―Plurality of "Germany" on the Friezes by Otto Geyer― |
FullText URL | hss_055_171.pdf |
Author | Mitsui, Mao| |
Publication Title | Journal of Humanities and Social Sciences |
Published Date | 2023-03-27 |
Volume | volume55 |
Start Page | 171 |
End Page | 191 |
ISSN | 1881-1671 |
language | Japanese |
Copyright Holders | Copyright (c) 2023 岡山大学大学院社会文化科学研究科 |
File Version | publisher |
JaLCDOI | 10.18926/65131 |
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Title Alternative | "Yuese Chenchen" in Yu Xuanji’s Poems |
FullText URL | hss_055_151.pdf |
Author | Wang, Ruochong| |
Publication Title | Journal of Humanities and Social Sciences |
Published Date | 2023-03-27 |
Volume | volume55 |
Start Page | 151 |
End Page | 170 |
ISSN | 1881-1671 |
language | Japanese |
Copyright Holders | Copyright (c) 2023 岡山大学大学院社会文化科学研究科 |
File Version | publisher |
JaLCDOI | 10.18926/65130 |
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Title Alternative | On Japanese Tough Sentences from the Aspect of Voice |
FullText URL | hss_055_141.pdf |
Author | Sun, Huixin| |
Publication Title | Journal of Humanities and Social Sciences |
Published Date | 2023-03-27 |
Volume | volume55 |
Start Page | 141 |
End Page | 150 |
ISSN | 1881-1671 |
language | Japanese |
Copyright Holders | Copyright (c) 2023 岡山大学大学院社会文化科学研究科 |
File Version | publisher |
JaLCDOI | 10.18926/65129 |
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Title Alternative | “Gja1軍” in the Social-military System of the Tangut Empire―A Critical Analysis of the Tian Sheng Code Vol.4― |
FullText URL | hss_055_119.pdf |
Author | Ono, Hiroko| |
Publication Title | Journal of Humanities and Social Sciences |
Published Date | 2023-03-27 |
Volume | volume55 |
Start Page | 119 |
End Page | 139 |
ISSN | 1881-1671 |
language | Japanese |
Copyright Holders | Copyright (c) 2023 岡山大学大学院社会文化科学研究科 |
File Version | publisher |
JaLCDOI | 10.18926/65128 |
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Title Alternative | Crimes of Government Officials in the Qin and Han Periods―Focusing on the Yuelu Academy Qin Slips “Wei Yu Deng Zhuang Si Zhong” Case No.6― |
FullText URL | hss_055_099.pdf |
Author | Liu, Cong| |
Publication Title | Journal of Humanities and Social Sciences |
Published Date | 2023-03-27 |
Volume | volume55 |
Start Page | 99 |
End Page | 118 |
ISSN | 1881-1671 |
language | Japanese |
Copyright Holders | Copyright (c) 2023 岡山大学大学院社会文化科学研究科 |
File Version | publisher |
JaLCDOI | 10.18926/65127 |
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Title Alternative | Establishment of a Stable Democracy in Korean Politics―Focusing on the legacy of the Park Chung-hee regime and the role of the Chun Doo-hwan regime - Part2― |
FullText URL | hss_055_083.pdf |
Author | Lim, chang yeon| |
Publication Title | Journal of Humanities and Social Sciences |
Published Date | 2023-03-27 |
Volume | volume55 |
Start Page | 83 |
End Page | 98 |
ISSN | 1881-1671 |
language | Japanese |
Copyright Holders | Copyright (c) 2023 岡山大学大学院社会文化科学研究科 |
File Version | publisher |