result 705 件
FullText URL | PhysRevB_96_041106.pdf |
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Author | Terashima, Kensei| Sunagawa, M.| Fujiwara, H.| Fukura, T.| Fujii, M.| Okada, K.| Horigane, K.| Kobayashi, K.| Horie, R.| Akimitsu, J.| Golias, E.| Marchenko, D.| Varykhalov, A.| Saini, N. L.| Wakita, T.| Muraoka, Y.| Yokoya, T.| |
Note | This is an article published by American Physical Society| |
Published Date | 2017-07 |
Publication Title | Physical Review B |
Volume | volume96 |
Issue | issue4 |
Publisher | American Physical Society |
Start Page | 041106 |
ISSN | 2469-9950 |
NCID | AA11187113 |
Content Type | Journal Article |
language | English |
OAI-PMH Set | 岡山大学 |
Copyright Holders | American Physical Society |
File Version | publisher |
DOI | 10.1103/PhysRevB.96.041106 |
Web of Science KeyUT | 000405027800001 |
Related Url | isVersionOf https://doi.org/10.1103/PhysRevB.96.041106 |
FullText URL | PhysRevB_96_104502.pdf |
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Author | Maeda, Satoki| Hirose, Ryohei| Matano, Kazuaki| Novak, Mario| Ando, Yoichi| Zheng, Guo-qing| |
Note | This is an article published by American Physical Society| |
Published Date | 2017-09 |
Publication Title | Physical Review B |
Volume | volume96 |
Issue | issue10 |
Publisher | American Physical Society |
Start Page | 104502 |
ISSN | 2469-9950 |
NCID | AA11187113 |
Content Type | Journal Article |
language | English |
OAI-PMH Set | 岡山大学 |
Copyright Holders | American Physical Society |
File Version | publisher |
DOI | 10.1103/PhysRevB.96.104502 |
Web of Science KeyUT | 000409253700007 |
Related Url | isVersionOf https://doi.org/10.1103/PhysRevB.96.104502 |
FullText URL | RSI_88_6_63105.pdf |
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Author | Masuda, Takahiko| Okubo, S.| Hara, H.| Hiraki, T.| Kitao, S.| Miyamoto, Y.| Okai, K.| Ozaki, R.| Sasao, N.| Seto, M.| Uetake, S.| Yamaguchi, A.| Yoda, Y.| Yoshimi, A.| Yoshimura, K.| |
Note | This is an Accepted Manuscript of an article published by AIP Publishing| |
Published Date | 2017-06 |
Publication Title | Review of Scientific Instruments |
Volume | volume88 |
Issue | issue6 |
Publisher | American Institute Of Physics |
Start Page | 063105 |
ISSN | 0034-6748 |
NCID | AA00817730 |
Content Type | Journal Article |
language | English |
OAI-PMH Set | 岡山大学 |
Copyright Holders | https://creativecommons.org/licenses/by-nc-nd/4.0/deed.ja |
File Version | author |
PubMed ID | 28667968 |
DOI | 10.1063/1.4989405 |
Web of Science KeyUT | 000404641300005 |
Related Url | isVersionOf https://doi.org/10.1063/1.4989405 |
FullText URL | Plant_Cell_Physiol_58_8_1583.pdf Fig.pdf suppl_fig.pdf |
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Author | Cai, Qingqing| Fukushima, Hiroko| Yamamoto, Mai| Ishii, Nami| Sakamoto, Tomoaki| Kurata, Tetsuya| Motose, Hiroyasu| Takahashi, Taku| |
Keywords | Arabidopsis Thermospermine Translation Xylem differentiation uORF |
Note | This is an Accepted Manuscript of an article published by Oxford University Press| |
Published Date | 2016-08 |
Publication Title | Plant and Cell Physiology |
Volume | volume57 |
Issue | issue8 |
Publisher | Japanese Society of Plant Physiologists |
Start Page | 1583 |
End Page | 1592 |
ISSN | 0032-0781 |
NCID | AA0077511X |
Content Type | Journal Article |
language | English |
OAI-PMH Set | 岡山大学 |
Copyright Holders | http://creativecommons.org/licenses/by-nc-nd/4.0/ |
File Version | author |
PubMed ID | 27388339 |
DOI | 10.1093/pcp/pcw113 |
Web of Science KeyUT | 000384717100001 |
Related Url | https://doi.org/10.1093/pcp/pcw113 |
JaLCDOI | 10.18926/AMO/55309 |
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FullText URL | 71_4_325.pdf |
Author | Kawamoto, Fumihiko| Matsuoka, Hiroyuki| Phamd, Nghiem Minh| Hayashi, Taeko| Kasahara, Yuichi| Dung, Nguyen The| Kido, Yasutoshi| Kanbe, Toshio| Tantulara, Indah S.| |
Abstract | We conducted a survey of glucose-6-phosphate dehydrogenase (G6PD) deficiency among newborn babies at Tu Du Hospital, Ho Chi Minh, southern Vietnam. A total of 90 deficient babies were detected, including 85 in the Kinh ethnic group, 4 Chinese, and 1 in the K’Ho minority group. In the Kinh ethnic group, G6PD variants such as G6PD Viangchan (n=32), Kaiping (n=11), Canton (n=8), Chinese-5 (n=7), Union (n=5) and Quing Yuan (n=4) were detected. A variant with silent mutations at 1311 C>T and IVS11 nt 93 T>C was also detected in 17 cases. A novel mutation (173 A>G) in exon 4 with a predicted amino acid change of 58 Asp>Gly was also found in a Kinh newborn girl and her father, and it was designated as G6PD Ho Chi Minh. These findings demonstrated that the Kinh ethnic group in southern Vietnam has 8 different G6PD variants, indicating that the members of this group have many ancestors in terms of G6PD variants from Southeast Asia, China, and Oceania. We compared the frequency distribution of G6PD variants in the Kinh population with those of other Southeast Asian populations, and the Kinh population’s distribution was quite similar to that in the Thai population, but differed from it by the absence of G6PD Mahidol. |
Keywords | G6PD deficiency G6PD variant southern Vietnam Kinh population Southeast Asia |
Amo Type | Original Article |
Publication Title | Acta Medica Okayama |
Published Date | 2017-08 |
Volume | volume71 |
Issue | issue4 |
Publisher | Okayama University Medical School |
Start Page | 325 |
End Page | 332 |
ISSN | 0386-300X |
NCID | AA00508441 |
Content Type | Journal Article |
language | English |
Copyright Holders | CopyrightⒸ 2017 by Okayama University Medical School |
File Version | publisher |
Refereed | True |
PubMed ID | 28824188 |
Title Alternative | Achalasia treated with per-oral endoscopic myotomy (POEM) |
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FullText URL | 129_115.pdf |
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 | Japanese |
Copyright Holders | Copyright (c) 2017 岡山医学会 |
File Version | publisher |
DOI | 10.4044/joma.129.115 |
NAID | 130006039377 |
Title Alternative | Thoracoscopic esophagectomy was effective in a case of lower esophageal stenosis due to recurrence of achalasia after myotomy 40 years previously |
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FullText URL | 129_41.pdf |
Author | Katsura, Yuki| Shirakawa, Yasuhiro| Tanabe, Shunsuke| Maeda, Naomi| Noma, Kazuhiro| Fujiwara, Toshiyoshi| |
Abstract | When planning surgery for achalasia, it is important to plan for adequate myotomy and prevention of reflux. However, achalasia may recur if the procedure was inadequate or in patients with a long-term course. The present case is a 68-year-old woman who underwent myotomy of the lower esophageal sphincter 40 years ago, but recently reported difficulty in swallowing. Dilatation of the thoracic esophagus and stenosis of the abdominal esophagus were identified by examination, and the patient was diagnosed with recurrence of achalasia. After percutaneous endoscopic gastrostomy was performed to recover nutritional status, thoracoscopic esophagectomy was carried out. The patient'spost-operative course was uneventful and oral intake was enabled. At the time of writing, there has been no re-recurrence. There is no standard therapy for post-operative recurrence of achalasia. We believe that thoracoscopic esophagectomy for the recurrence of achalasia is a safe and minimally invasive alternative to conventional surgery. |
Keywords | 食道アカラシア (achalasia) 再手術 (reoperation) 食道亜全摘 (esophagectomy) |
Publication Title | Journal of Okayama Medical Association |
Published Date | 2017-04-03 |
Volume | volume129 |
Issue | issue1 |
Start Page | 41 |
End Page | 44 |
ISSN | 0030-1558 |
language | Japanese |
Copyright Holders | Copyright (c) 2017 岡山医学会 |
File Version | publisher |
DOI | 10.4044/joma.129.41 |
NAID | 130005632071 |
Title Alternative | Changes of colonic mucosa caused by long-term use and discontinuation of anthraquinone |
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FullText URL | 129_23.pdf |
Author | Iwano, Eiji| Iwamuro, Masaya| 岡田 裕之| |
Abstract | Anthraquinone, an anthracene derivatives, is widely used as a purgative medicine. The long-term use of anthraquinone is known to cause melanosis coli and elevated lesions in the colon. However, the clinical course of patients who take anthraquinone over a long term and those who discontinue the drug has not been fully investigated. Here we investigated 22 patients who had colonic mucosal changes ( i.e., melanosis coli and elevated lesions) who had been taking anthraquinone for at least one year and discontinued it. We classified the elevated lesions into two subtypes:the small-lesion, which included multiple small nodules that were < 2 mm in dia., and the large-lesion, which included a single or multiple nodules of ≥ 2-mm dia. We used colonoscopy to investigate the changes of colonic lesions between before and after the discontinuation of anthraquinone. The results indicated that the nodules of the small-lesion group were lymphoid follicle hyperplasia. In the large-lesion group, adenoma was most frequently observed ( n=118) , followed by hyperplastic polyp ( n=52) and inflammatory changes with edema ( n=22) . Melanosis coli and elevated lesions were decreased or invisible after the discontinuation of anthraquinone. Our findings thus suggest that the long-term use of anthraquinone may cause some type of elevated lesions due to chronic inflammation. It is recommended that the use of anthraquinone be limited to a short term. |
Keywords | アントラセン誘導体(anthracene derivatives) アントラキノン(anthraquinone) 大腸黒皮症(melanosis coli) 大腸メラノーシス(pseudomelanosis coli) リンパ濾胞過形成(lymphoid follicle hyperplasia) |
Publication Title | Journal of Okayama Medical Association |
Published Date | 2017-04-03 |
Volume | volume129 |
Issue | issue1 |
Start Page | 23 |
End Page | 30 |
ISSN | 0030-1558 |
language | Japanese |
Copyright Holders | Copyright (c) 2017 岡山医学会 |
File Version | publisher |
DOI | 10.4044/joma.129.23 |
NAID | 130005632078 |
Title Alternative | Sexual function before and after a tension-free vaginal mesh procedure for pelvic organ prolapse |
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FullText URL | 129_17.pdf |
Author | Matsumoto, Yuko| |
Abstract | We prospectively assessed sexual function before and after a tension-free vaginal mesh ( TVM) procedure for pelvic organ prolapse ( POP) . From April 2007 to March 2009, a total of 42 patients, who reported having an active sex life preoperatively underwent TVM for POP. Female sexual function was evaluated with the self-reporting, multiple-domain Female Sexual Function Index (FSFI) . We administered the FSFI to all of the patients before and at 3, 6, and 12 months after surgery. The mean age at surgery was 61.3±7.1 years. Before the TVM surgery, the FSFI score was very low ( 12.5±9.0) . The total FSFI score was improved significantly at 12 months after surgery ( 17.4±7.7) . The Arousal, Lubrication and Orgasm domains were significantly improved at 12 months after surgery. POP appears to have a significant negative impact on female sexual function. Our findings indicate that TVM for POP improved sexual function in a group of Japanese women with POP. |
Keywords | 骨盤臓器脱 (pelvic organ prolapse) TVM (tension-free vaginal mesh) 女性泌尿器科 (female urology) 性機能 (sexual function) |
Publication Title | Journal of Okayama Medical Association |
Published Date | 2017-04-03 |
Volume | volume129 |
Issue | issue1 |
Start Page | 17 |
End Page | 22 |
ISSN | 0030-1558 |
language | Japanese |
Copyright Holders | Copyright (c) 2017 岡山医学会 |
File Version | publisher |
DOI | 10.4044/joma.129.17 |
NAID | 130005632051 |
Title Alternative | Does hydrogen-rich water really work? |
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FullText URL | 129_9.pdf |
Author | Nakao, Atsunori| |
Keywords | 水素水 抗酸化作用 抗炎症作用 臨床応用 疑似科学 |
Publication Title | Journal of Okayama Medical Association |
Published Date | 2017-04-03 |
Volume | volume129 |
Issue | issue1 |
Start Page | 9 |
End Page | 15 |
ISSN | 0030-1558 |
language | Japanese |
Copyright Holders | Copyright (c) 2017 岡山医学会 |
File Version | publisher |
DOI | 10.4044/joma.129.9 |
NAID | 130005632038 |
Author | Gotoda, Tatsuhiro| Kawano, Seiji| Kono, Yoshiyasu| Miura, Kou| Kanzaki, Hiromitsu| Iwamuro, Masaya| Kawahara, Yoshiro| Tanaka, Takehiro| Yoshino, Tadashi| Shirakawad, Yasuhiro| Tabata, Masahiro| Tanimoto, Mitsune| Okada, Hiroyuki| |
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Published Date | 2016-12-01 |
Publication Title | Journal of Okayama Medical Association |
Volume | volume128 |
Issue | issue3 |
Content Type | Journal Article |
JaLCDOI | 10.18926/AMO/54514 |
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FullText URL | 70_4_327.pdf |
Author | Watanabe, Mototsugu| Yamamoto, Hiromasa| Eikawa, Shingo| Shien, Kazuhiko| Shien, Tadahiko| Soh, Junichi| Hotta, Katsuyuki| Wada, Jun| Hinotsu, Shiro| Fujiwara, Toshiyoshi| Kiura, Katsuyuki| Doihara, Hiroyoshi| Miyoshi, Shinichiro| Udono, Heiichiro| Toyooka, Shinichi| |
Abstract | A study to evaluate the effect of metformin on the immune system was commenced in July 2014. Metformin is one of the most commonly prescribed drugs for type 2 diabetes, and previous studies have reported that metformin has an anti-tumor effect. The aim of this study is to evaluate the efficacy of metformin on the immune system in human cancer patients in vivo. The primary outcome parameter will be the rate change in the population of CD8+ T cells, which produce multiple cytokines. |
Keywords | metformin CD8+ T cells cancer immunology |
Amo Type | Clinical Study Protocols |
Publication Title | Acta Medica Okayama |
Published Date | 2016-08 |
Volume | volume70 |
Issue | issue4 |
Publisher | Okayama University Medical School |
Start Page | 327 |
End Page | 330 |
ISSN | 0386-300X |
NCID | AA00508441 |
Content Type | Journal Article |
language | English |
Copyright Holders | CopyrightⒸ 2016 by Okayama University Medical School |
File Version | publisher |
Refereed | True |
PubMed ID | 27549683 |
Web of Science KeyUT | 000384748600018 |
Title Alternative | A case of mucinous adenocarcinoma of the duodenum and literature review of 16 cases reported in Japan |
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FullText URL | 128_21.pdf |
Author | Hamano, Ikumi| Matsumoto, Yusuke| Endo, Yoshikatsu| Watanabe, Naoki| Kai, Kyouhei| Sato, Shizou| Wani, Yoji| |
Abstract | Primary mucinous adenocarcinoma of the duodenum is rare. Here we report a case we recently encountered, and we review 16 cases reported in Japan. An 82-year-old Japanese woman was admitted to our hospital complaining of abdominal pain and heartburn. An endoscopic examination revealed a Type 2 tumor in the descending limb of the duodenum, and endoscopically obtained specimens revealed a poorly differentiated adenocarcinoma. We performed a curative pancreatoduodenectomy with lymph node resection, and the surgical specimen revealed that the duodenum was the primary site of the mucinous adenocarcinoma. The patient is currently alive > 1 year after the operation without any evidence of recurrence. Of the 16 patients reviewed, all patients had advanced tumors those depth were T3-T4. 9 patients had lymph node metastasis and 4 patients had peritoneal dissemination at the time of surgery. Since mucinous adenocarcinoma of the duodenum is often progressive cancer at a diagnosis, which is tend to have a worse prognosis than other histological types. |
Keywords | 原発性十二指腸癌(primary duodenal cancer) 粘液癌(mucinous carcinoma) 膵頭十二指腸切除(pancreatoduodenectomy) |
Publication Title | 岡山医学会雑誌 |
Published Date | 2016-04-01 |
Volume | volume128 |
Issue | issue1 |
Start Page | 21 |
End Page | 25 |
ISSN | 0030-1558 |
Related Url | isVersionOf https://doi.org/10.4044/joma.128.21 |
language | Japanese |
Copyright Holders | Copyright (c) 2016 岡山医学会 |
File Version | publisher |
DOI | 10.4044/joma.128.21 |
NAID | 130005149602 |
FullText URL | fulltext.pdf |
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Author | Yoshimoto, Kaori| Takamura, Hiroyoshi| Kadota, Isao| Motose, Hiroyasu| Takahashi, Taku| |
Published Date | 2016-02-16 |
Publication Title | Scientific Reports |
Volume | volume6 |
Publisher | Nature Publishing |
Start Page | 21487 |
ISSN | 2045-2322 |
Content Type | Journal Article |
language | English |
OAI-PMH Set | 岡山大学 |
File Version | publisher |
PubMed ID | 26879262 |
DOI | 10.1038/srep21487 |
Web of Science KeyUT | 000370228500001 |
Related Url | isVersionOf https://doi.org/10.1038/srep21487 |
FullText URL | K0005211_abstract_review.pdf K0005211_fulltext.pdf |
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Author | Toji, Tomohiro| |
Published Date | 2015-09-30 |
Content Type | Thesis or Dissertation |
Grant Number | 甲第5211号 |
Granted Date | 2015-09-30 |
Thesis Type | Doctor of Philosophy in Medical Science |
Grantor | 岡山大学 |
language | English |
Title Alternative | A primary diffuse large B-cell lymphoma of the liver treated with R-CHOP regimen |
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FullText URL | 127_209.pdf |
Author | Okada, Hiroshi| Fujii, Soichiro| Watanabe, Kentaro| Shigematu, Terunobu| Miyashita, Katsuhiro| Okazaki, Morihiro| Kobashi, Haruhiko| Yokoyama, Motohiro| Yoshino, Tadashi| |
Abstract | A 78-year-old Japanese man was referred to our hospital after experiencing black feces. No abnormal finding was detected in the endoscopic examination of his stomach and large intestines. Computed tomography (CT) of the abdomen revealed a tumor lesion in the right lobe of the liver. A needle biopsy of the tumor under ultrasound guidance was performed. A pathological examination of the biopsy specimen showed a diffuse proliferation of lymphoma cells, which was compatible with diffuse large B-cell lymphoma (DLBCL). F-fluorodeoxyglucose (FDG)-positron emission tomography (PET)-CT demonstrated increased FDG uptake only in the liver tumor. We made the diagnosis of primary DLBCL of the liver. After six cycles of rituximab plus cyclophosphamide, doxorubicin, vincristine, and prednisolone (R-CHOP), the patient achieved complete remission and has maintained remission for 2 years since the diagnosis. The R-CHOP regimen might be effective therapy for primary DLBCL of the liver. |
Keywords | びまん性大細胞型B細胞リンパ腫(diffuse large B-cell lymphoma) 肝臓(liver) R-CHOP療法(R-CHOP regimen) |
Publication Title | 岡山医学会雑誌 |
Published Date | 2015-12-01 |
Volume | volume127 |
Issue | issue3 |
Start Page | 209 |
End Page | 212 |
ISSN | 0030-1558 |
Related Url | isVersionOf https://doi.org/10.4044/joma.127.209 |
language | Japanese |
Copyright Holders | Copyright (c) 2015 岡山医学会 |
File Version | publisher |
DOI | 10.4044/joma.127.209 |
NAID | 130005116809 |
Title Alternative | Non-high-output cardiac failure in patients undergoing hemodialysis through an arteriovenous shunt |
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FullText URL | 127_203.pdf |
Author | Ugawa, Toyomu| |
Abstract | Background: Hemodialysis-related heart failure has been considered to be associated with excessive blood flow through the arteriovenous (AV) shunt used for vascular access. However, some patients undergoing dialysis have heart failure in the absence of an increase in cardiac output (CO) related to shunt blood-flow loading because the loading cannot be compensated for by increasing CO. This condition may be challenging to manage ; thus, early diagnosis is important. Methods and Results: Twelve patients (mean age, 71 years ; 9 men) with end-stage renal disease, dialysis-related heart failure, a high brain natriuretic peptide (BNP) level, and a mean New York Heart Association (NYHA) class of II underwent AV shunt closure. Their cardiac index (CI), pre- and post-dialysis BNP levels, and several cardiac variables were assessed pre- and postoperatively. All patients achieved relief of heart failure symptoms and a reduction in NYHA class after AV closure, but six patients had a postoperative increase in CI (the "non-high-output" cardiac failure group), whereas the other six had a decrease in CI (the "high-output" cardiac failure group). The high-output patients had greater improvements in BNP levels and most cardiac variables compared to the non-high-output group ; therefore, the heart failure in the non-high-output patients was considered more serious than that in the high-output group. Conclusions: The selection of effective strategies for treating dialysis-related heart failure may depend partly on identifying which patients have non-high-output failure. Such identification requires serial measurements of BNP levels and evaluations of cardiac variables other than the ejection fraction. |
Keywords | 心拍出量(cardiac output) 心不全(heart failure) 脳性ナトリウム利尿ペプチド(brain natriuretic peptide) 非過大シャント心不全(non-high-output cardiac failure) 腎臓(kidney) |
Publication Title | 岡山医学会雑誌 |
Published Date | 2015-12-01 |
Volume | volume127 |
Issue | issue3 |
Start Page | 203 |
End Page | 207 |
ISSN | 0030-1558 |
Related Url | isVersionOf https://doi.org/10.4044/joma.127.203 |
language | Japanese |
Copyright Holders | Copyright (c) 2015 岡山医学会 |
File Version | publisher |
DOI | 10.4044/joma.127.203 |
NAID | 130005116810 |
FullText URL | K0005136_abstract_review.pdf K0005136_fulltext.pdf |
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Author | Yoneda, Toshiki| |
Published Date | 2015-03-25 |
Content Type | Thesis or Dissertation |
Grant Number | 甲第5136号 |
Granted Date | 2015-03-25 |
Thesis Type | Doctor of Philosophy in Dental Science |
Grantor | 岡山大学 |
language | English |
FullText URL | K0005084 abstract_review.pdf K0005084_fulltext.pdf |
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Author | Hanakawa, Hiroyuki| |
Published Date | 2015-03-25 |
Content Type | Thesis or Dissertation |
Grant Number | 甲第5084号 |
Granted Date | 2015-03-25 |
Thesis Type | Doctor of Philosophy in Medical Science |
Grantor | 岡山大学 |
language | English |
Title Alternative | Laparoscopic repair of an abdominal incisional hernia above the pubis |
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FullText URL | 127_31.pdf |
Author | Nakano, Kanyu| Idani, Hitoshi| Asami, Shinya| Ookawa, Hiro| Yoshimoto, Masashi| Ito, Atene| Monden, Kazuteru| Kurose, Yohei| Hioki, Masayoshi| Ishii, Tatsuhiro| Sadamori, Hiroshi| Oono, Satoshi| Kin, Hitoshi| Takakura, Norihisa| |
Abstract | Laparoscopic repair of a suprapubic hernia typically carries a high risk of recurrence, because fixation of the mesh in the peripubic area is difficult. We herein report a patient undergoing laparoscopic repair of a suprapubic hernia, along with a description of the surgical techniques employed. A 78-year-old woman visited our hospital with a chief complaint of swelling at the median hypogastric incision site after surgery for an ovarian cyst performed at age 25 years. Laparoscopic examination revealed the hernia orifice to be 3.5×3.0 cm in size and that the distance between the caudal margin of the hernia orifice and the pubis was 2.5 cm. Parietex composite mesh was used for fixation through all layers of the abdominal wall with non-absorbable sutures and tack fixation. On the pubic side, after the pubis had been exposed by separating it from the bladder, we performed mesh fixation through all layers of the abdominal wall immediately above the pubis with the sutures placed inside the mesh, combined with tack mesh fixation directly to the pubis. This procedure enabled definite fixation of the mesh. Six days after surgery, she was discharged without complications. To date, two years and five months after surgery, no recurrence has been observed. |
Keywords | 腹壁瘢痕ヘルニア(incisional hernia) 恥骨上ヘルニア(suprapubic hernia) 腹腔鏡下修復術(laparoscopic repair) |
Publication Title | 岡山医学会雑誌 |
Published Date | 2015-04-01 |
Volume | volume127 |
Issue | issue1 |
Start Page | 31 |
End Page | 34 |
ISSN | 0030-1558 |
Related Url | http://www.okayama-u.ac.jp/user/oma/ |
language | Japanese |
Copyright Holders | Copyright (c) 2015 岡山医学会 |
File Version | publisher |
DOI | 10.4044/joma.127.31 |
NAID | 130005068354 |