result 539 件
| JaLCDOI | 10.18926/15151 |
|---|---|
| FullText URL | 065_027_039.pdf |
| Author | Chowdhury, Riaz| Ochi, Koji| Tanaka, Juntaro| Matsumoto, Shooji| Senou, Toshinobu| Harada, Hideo| Mizushima, Takaaki| Tanizaki, Yoshiro| |
| Abstract | Tropical calcific pancreatitis is a nonalcoholic type of chronic pancreatitis affecting the childrens and young adults characterized clinically by recurrent abdominal pain in childhood, diabetes in adolescent and death in early childhood. Although the exact etiology is not known, malnutrition and chronic cassava toxicity either singly or in combination are presumed to be the prime factor in pancreatic injury unopposed by detoxification of free radical. Moreover micronutrients deficiency, oxidant stress and antioxidant deficiency might play substantial role. Diabetes secondary to tropical calcific pancreatitis is a distinctive and frequent problem, being named by W.H.O. study group as 'fibrocalculous pancreatic diabetes (FCPD) and classified as one of the variant of the so-called malnutrition related diabetes mellitus (MRDM). |
| Keywords | Tropical calcific pancreatitis (TCP) malnutrition cassava diabetes abdominal pain |
| Publication Title | 岡大三朝分院研究報告 |
| Published Date | 1994-09 |
| Volume | volume65 |
| Start Page | 27 |
| End Page | 39 |
| ISSN | 0918-7839 |
| language | English |
| File Version | publisher |
| NAID | 120002307678 |
| JaLCDOI | 10.18926/15150 |
|---|---|
| Title Alternative | Study of the preparation with sodium picosulfate and PEG intestinal lavage solution for total colonoscopy. |
| FullText URL | 065_022_026.pdf |
| Author | Ochi, Koji| Harada, Hideo| Chowdhury, Riaz| Tanaka, Juntaro| Matsumoto, Shuji| Seno, Toshinobu| Mizushima, Takaaki| Mitsunobu, Fumihiro| Tanizaki, Yoshiro| Akiyama, Tsuneo| Nakai, Mutsuo| Hasuoka, Hideaki| Kato, Tadahiro| |
| Abstract | Total colonoscopyの前処置における被検者の負担軽減と良好な腸管洗浄を得る目的で,50例の大腸内視鏡検査において,前日の食事制限せず, sodium picosulfate 20mℓ前夜服用,検査当日PEG腸管洗浄液1ℓ以上服用する前処置法の有用性について検討した。本前処置法によってPEG腸管洗浄液平均1230mℓの服用により,50例中48例で観察可能な腸管洗浄が得られ,PEG腸管洗浄液の服用量の減量が可能であった｡腹痛,嘔気,腹鳴などの症状出現例は認めたが,重篤な副作用は認めなかった｡腸管洗浄度の点で,高齢者の大腸内視鏡検査の前処置として有用である｡以上よりSodium Picosulfate 20mℓをPEG腸管洗浄液と併用することにより,優れた腸管洗浄度を得られると同時にPEG腸管洗浄液服用量の減量か可能であり,total colonoscopyの前処置として有用であることが示された。 |
| Keywords | 大腸内視鏡検査 (colonoscopy) 前処置 (preparation) |
| Publication Title | 岡大三朝分院研究報告 |
| Published Date | 1994-09 |
| Volume | volume65 |
| Start Page | 22 |
| End Page | 26 |
| ISSN | 0918-7839 |
| language | Japanese |
| File Version | publisher |
| NAID | 120002307186 |
| JaLCDOI | 10.18926/15041 |
|---|---|
| Title Alternative | Alcohol-induced pancreatitis |
| FullText URL | 062_052_070.pdf |
| Author | Harada, Hideo| Tanaka, Juntaro| Ochi, Koji| Matsumoto, Shuji| Seno, Toshinobu| lzushi, Michihiro| Tanizaki, Yoshiro| |
| Abstract | 膵炎のうちもっとも頻度が高いアルコール性膵炎（AIP）の疫学，臨床像および発生機序に関する従来の知見を総括した。AIPの大多数は慢性膵炎である。通常は長期にわたる多量の飲酒を背景に発症するが，遺伝的素因および食事因子も重要な役割を演じる。発症初期には血中膵酵素の上昇をともなう腹痛が病像を支配するが，進展すると膵外分泌不全による消化吸収障害と膵内分泌不全による糖尿病が病像を支配するようになる。アルコール性慢性膵炎は非アルコール性慢性膵炎にくらべて確診時にすでに進展した症例が多く，合併症が多く，進行が早く，予後が悪い。死亡の主たる原因は癌の併発と糖尿病の合併症で，膵炎の急性増悪発作がこれにつぐ。併発する癌のなかでは膵癌よりもむしろ上部気道および上部消化管の癌が多い。発生機序としてはDuctal－Plug説とToxic－Metabolic説が有力であるが，最近は細 胞内膵酵素活性化説とFree Radical説も注目をあびている。 |
| Keywords | アルコール性膵炎 (Alcohol－induced pancreatitis) 慢性膵炎 急性膵炎 |
| Publication Title | 環境病態研報告 |
| Published Date | 1991-08 |
| Volume | volume62 |
| Start Page | 52 |
| End Page | 70 |
| ISSN | 0913-3771 |
| language | Japanese |
| File Version | publisher |
| NAID | 120002307918 |
| JaLCDOI | 10.18926/14992 |
|---|---|
| Title Alternative | Endoscopic aspiration of pure pancreatic juice is useful in diagnosis and treatment of chronic pancreatitis. |
| FullText URL | 068_094_098.pdf |
| Author | Ochi, Koji| Matsumura, Naoki| Kato, Tadahiro| Mizushima, Takaaki| Ichimura, Mitsuko| Harada, Hideo| Tanizaki, Yoshiro| Mitsunobu, Fumihiro| Hasuoka, Hideaki| Tsurumi, Tetsuya| |
| Abstract | 内視鏡的純粋膵液採取法の慢性膵炎診療における意義を検討した｡本法を用い,セクレパン100単位静注後10分間膵液を採取するintaraductal secretin test(IDST,膵管内セクレチン試験)はこれまで膵外分泌機能検査のgold standardである十二指腸液を採取するセクレチン試験に代用ができ,しかも10分間の採取時間で終了する利点を有する｡本法を施行することにより,蛋白栓が除去され,痔痛の消失に有用である｡また,慢性膵炎と鑑別を要する膵癌を除外診断するために,本法によって採取した膵液の細胞診,腫瘍マーカー,癌遺伝子の検出は有用である｡ |
| Keywords | 慢性膵炎 (chronic pancreatitis) 膵液 (pancreatic juice) 内視鏡 (endoscopy) 膵外分泌機能検査 (exocrine pancreatic function test) |
| Publication Title | 岡大三朝分院研究報告 |
| Published Date | 1997-12 |
| Volume | volume68 |
| Start Page | 94 |
| End Page | 98 |
| ISSN | 0918-7839 |
| language | Japanese |
| File Version | publisher |
| NAID | 120002308491 |
| JaLCDOI | 10.18926/14990 |
|---|---|
| Title Alternative | Application of hot spring pool training in outpatients with chronic diseases and its clinical evaluation |
| FullText URL | 068_071_079.pdf |
| Author | Nishimura, Nobuko| Kasui, Hayako| Yoshio, Keiko| Nakamura, Akemi| Ikeda, Akiko| Fukui, Yumi| Iga, Mayumi| Kuroda, Akiko| |
| Abstract | 1996年4月より6月までの3ヵ月間に,三朝分院内の温泉プールで水泳ないし歩行訓練を受けた内科外来患者は延べ2109例(実数213例)で,外来患者総数(延べ6848例)に対する利用率は30.8%であった｡これらの対象症例について,リハビリテーション受診カードにより,性別,年令別,疾患別の検討を行った｡その結果,性別では女性が多く(72.3%),年齢別では50才以上の患者が多い(80.3%)傾向が見られた｡また,地域別検討では,鳥取県内からの患 者が多い(88.3%)傾向であった。さらに,1996年12月より1997年1月へかけて,アンケート調査を行い(集計数;64例)継続期間,利用回数,効果を感じた期間,効果のあった症状などについて疾患別に比較検討した｡その結果,慢性閉塞性肺疾患を主とした呼吸器疾患では,週に1～2回の利用回数(50.0%)で長期間(3年以上:52.9%)続けている患者が多い傾向であった｡また慢性関節リウマチ,腰痛などの慢性疼痛性疾患では,訓練期間は比較的短期間であっ たが（3年以下:52.9%),利用回数は週に3～5回(38.0%)と多い傾向が見られた。温泉プール訓練では,疾患本来の症状改善に加えて,全身状態の改善,精神的リラックス,気分転換などを感じていることが示唆された｡ |
| Keywords | 温水プール水泳訓練 (swimming training in a hot spring pool) 呼吸器疾患 (respiratory disease) 慢性疼痛性疾患 (chronic pain disease) |
| Publication Title | 岡大三朝分院研究報告 |
| Published Date | 1997-12 |
| Volume | volume68 |
| Start Page | 71 |
| End Page | 79 |
| ISSN | 0918-7839 |
| language | Japanese |
| File Version | publisher |
| NAID | 120002308283 |
| JaLCDOI | 10.18926/14989 |
|---|---|
| Title Alternative | A case of eosinophilic gastroenteritis with stenosis in the colon |
| FullText URL | 068_064_070.pdf |
| Author | Mizushima, Takaaki| Ochi, Koji| Matsumura, Naoki| Kato, Tadahiro| Seno, Toshinobu| Harada, Hideo| Mifune, Takashi| Mitsunobu, Fumihiro| Tanizaki, Yoshiro| |
| Abstract | 大腸に全周性狭窄をきたした好酸球性胃腸炎の1例を報告した｡症例は54才の女性で,腹痛と下痢を主訴に来院した｡上部消化管検査では異常を認めなかったが,下部消化管造影検査と大腸内視鏡検査で横行結腸の全周性狭窄を認め,生検にて大腸粘膜の好酸球浸潤を認めた｡貝料理の摂取にて腹痛発作が出現したが,原因抗原は同定できなかった｡貝類の摂取を避けることにより,症状は消失し,末梢血液中の好酸球増多は消失した｡本邦ではこれまでに124例 の報告があるが,大腸に全周性の狭窄をきたす症例は稀であり,文献的考察を加え報告する｡ |
| Keywords | 好酸球性胃腸炎 (eosinophilic gastroenteropathy) 大腸 (colon) 狭窄 (stenosis) |
| Publication Title | 岡大三朝分院研究報告 |
| Published Date | 1997-12 |
| Volume | volume68 |
| Start Page | 64 |
| End Page | 70 |
| ISSN | 0918-7839 |
| language | Japanese |
| File Version | publisher |
| NAID | 120002308243 |
| JaLCDOI | 10.18926/14963 |
|---|---|
| Title Alternative | サーモグラフィーによる体表面温度の測定 2.温水負荷の効果 |
| FullText URL | 069_068_075.pdf |
| Author | Hosaki, Yasuhiro| Takata, Shingo| Mitsunobu, Fumihiro| Mifune, Takashi| Ashida, Kozo| Tsugeno, Hirofumi| Okamoto, Makoto| Harada, Seishi| Tanizaki, Yoshiro| Ochi, Koji| Harada, Hideo| Tsuji, Takao| |
| Abstract | The body surface temperature of 41 patients suffering coldness, numbness or pain in their feet was examined using thermography. Thermographic results were analyzed quantitatively by calculating a recovery ratio as: Recovery ratio =[Total counts of thermography (Pixels) over temperature (T) after cold loading] ÷ [Initial counts over T before cold loading] x 100(%). Three different baseline temperatures, 26℃. 27℃ and 28℃, were used in processing the thermographic results into pictures. The recovery ratio was susceptible to temperature, and we recommend a baseline temperature limitation of 27℃ for clinical study. A bi-modal distribution of recovery ratio was observed in 18 patients with diabetes mellitus. One group (6 subjects) had high recovery ratio between 80%-100%, and another group (10 subjects) had a low recovery ratio between 0%-19%. The results of thermography were also influenced by weather. To reduce the effect of outside temperature, we used pre-loading with hot water at 36℃ for 5 min (hot loading). A large difference in recovery ratio between presence and absence of hot loading was observed in 6 of the 30 subjects. The difference was over-estimated in more than 20% of recovery ratio without hot loading as compared with hot loading in these 6 subjects. The effect of drugs on peripheral circulation, such as beraprost sodium and sarpogrelate hydrochloride, was clear and quantified using thermography under these conditions of hot loading. |
| Keywords | サーモグラフィー (thermography) 糖尿病 (diabetes mellitus) 末梢循環 (peripheral circulation) 冷水負荷 (cold loading) 温水負荷 (hot loading) |
| Publication Title | 岡大三朝分院研究報告 |
| Published Date | 1998-12 |
| Volume | volume69 |
| Start Page | 68 |
| End Page | 75 |
| ISSN | 0918-7839 |
| language | English |
| File Version | publisher |
| NAID | 120002308316 |
| JaLCDOI | 10.18926/14944 |
|---|---|
| Title Alternative | Clincal evaluation of spa effects for patients with respiratory disease and chronic pain disease |
| FullText URL | 070_088_092.pdf |
| Author | Nishimura, Nobuko| Terasaki, Kayo| Yamamoto, Sadae| Nakamura, Sumie| |
| Abstract | 1998年1月より12月までの1年間に,温泉療法-主として温泉プール水泳ないし歩行訓練及び鉱泥湿布治療-を受けた158例の入院症例(呼吸器疾患78例,疼痛性疾患64例,その他16例)について退院時に臨床効果を5段階で評価してもらいそれぞれの入院期間との比較検討を行った｡対象症例の年齢は70才代が最も多く,次いで60才代,50才代,80才代であった｡地域分布では,鳥取県外の入院症例が72.2%を占め,県外である遠隔地としては,岡山県,兵庫県,広島県,大阪府,東京都,神奈川県からの入院が多く見られた｡臨床効果は,"非常に良くなった"と,"かなり良くなった"を有効と判定し,その有効率は呼 吸器疾患では78.2%であった｡一方,疼痛性疾患では,その有効率は50.0%であったが,"少し良くなった"症例を含めると,95.3%,その他の症例は68.8%であった｡入院期間別に検討すると,呼吸器疾患では入院1ケ月で72.7%,2ケ月では81.8%,3ケ月以上では76.5%であった｡一方,疼痛性疾患では,入院1ケ月で21.1%,2ケ月で60.0%,3ケ月で64.0%であり,呼吸器疾患と比べ,効果出現までの期間がやヽ長く,入院期間が長くなるほど,その効果は高くなる傾向が見られた｡ |
| Keywords | 温泉療法 (spa therapy) 呼吸器疾患 (respiratory disease) 慢性疼痛性疾患 (chronic pain disease) |
| Publication Title | 岡大三朝分院研究報告 |
| Published Date | 1999-12 |
| Volume | volume70 |
| Start Page | 88 |
| End Page | 92 |
| ISSN | 0918-7839 |
| language | Japanese |
| File Version | publisher |
| NAID | 120002308358 |
| JaLCDOI | 10.18926/14941 |
|---|---|
| Title Alternative | Analysis of Factors Regarding Spa Therapy in Patients with Rheumatoid Arthritis |
| FullText URL | 070_073_078.pdf |
| Author | Yoshio, Keiko| Taguma, Masae| Noumi, Mayumi| Nakamura, Sumie| Harada, Seishi| Tanizaki, Yoshiro| |
| Abstract | 1998年4月より9月までの6ヶ月間に当院へ入院し温泉療法をうけた慢性関節リウマチ患者6例を対象に,温泉治療経験の有無,年齢,機能障害度(クラス),罹患年数の4項目が温泉療法効果に及ぼす影響につき検討した｡温泉治療経験の有無では治療経験を有する患者においてMHAQ(modified health assessment questionnaile),患者による疼痛評価,患者による全般活動性評価に有意な改善が見られ,年齢(75才以上,75才未満)では,75才未満においてMHAQに有意な改善傾向が見られた｡機能障害度(クラス3以上,クラス2以下),罹患年数(15年以上,15年未満)においては有意差は見られなかった｡温泉の永続効果を保つためには,年1～2回の入院を繰り返すことが効果的であることが示唆された｡ |
| Keywords | 慢性関節リウマチ 温泉療法 |
| Publication Title | 岡大三朝分院研究報告 |
| Published Date | 1999-12 |
| Volume | volume70 |
| Start Page | 73 |
| End Page | 78 |
| ISSN | 0918-7839 |
| language | Japanese |
| File Version | publisher |
| NAID | 120002308424 |
| JaLCDOI | 10.18926/14936 |
|---|---|
| Title Alternative | 腰椎MRI画像と腰痛の関係 |
| FullText URL | 070_067_072.pdf |
| Author | Takata, Shingo| Yumoto, Eiichirou| Okamoto, Makoto| Tsugeno, Hirofumi| Harada, Seishi| Hosaki, Yasuhiro| Mifune, Takashi| Mitsunobu, Fumihiro| Tanizaki, Yoshiro| Harada, Mine| |
| Abstract | The purpose of this study was to examine the potential role of magnetic resonance imaging (MRI) in the evaluation of low back pain (LBP). The study group, 19 patients with low back pain (2 subjects aged 32-39 years and 17 aged 59-78), underwent MRI of the lumbar spine. Disc degeneration at L4/5 was the most common finding (68.4%). Overall in present study, all patients with LBP had abnormalities around the lumbar spine (evidence of disc degeneration, deformity of lumbar spine, disc bulging or protrusion, facet hypertrophy, nerve root compression and so on). |
| Keywords | MRI (Magnetic resonance imaging) 腰椎 (Lumbar spine) 椎間板変性 (Disc disease) |
| Publication Title | 岡大三朝分院研究報告 |
| Published Date | 1999-12 |
| Volume | volume70 |
| Start Page | 67 |
| End Page | 72 |
| ISSN | 0918-7839 |
| language | English |
| File Version | publisher |
| NAID | 120002308559 |
| JaLCDOI | 10.18926/14927 |
|---|---|
| Title Alternative | サーモグラフィーによる体表面温度の測定 3.体表面温度の回復率と末消血流量との相関 |
| FullText URL | 070_036_042.pdf |
| Author | Hosaki, Yasuhiro| Takata, Shingo| Mitsunobu, Fumihiro| Mifune, Takashi| Ashida, Kozo| Tsugeno, Hirofumi| Okamoto, Makoto| Harada, Seishi| Tanizaki, Yoshiro| Ochi, Koji| Tsuji, Takao| |
| Abstract | The body surface peripheral circulation in 12 cases, including 9 patients with diabetes mellitus who were suffering coldness, numbness or pain in their feet, and 3
healthy volunteers was examined using Laser-Doppler blood flowmetry. At the same time, the body surface temperature was estimated by thermography. Thermographic results were analyzed quantitatively by calculating a recovery ratio as : Recovery ratio = [Total counts of thermography(Pixels) over temperature (T) after cold loading] ÷ [Initial counts over T before cold loading] x 100(%). The recovery ratio and the blood flow were correlated, r=0.68, p |
| Keywords | サーモグラフィー (thermography) レーザードプラー血流計 (Laser-Doppler blood flowmetry) 糖尿病 (diabetes mellitus) 末梢循環 (peripheral circulation) 冷水負荷 (cold loading) |
| Publication Title | 岡大三朝分院研究報告 |
| Published Date | 1999-12 |
| Volume | volume70 |
| Start Page | 36 |
| End Page | 42 |
| ISSN | 0918-7839 |
| language | English |
| File Version | publisher |
| NAID | 120002308240 |
| JaLCDOI | 10.18926/14914 |
|---|---|
| Title Alternative | Evaiuation of spa therapy by questionnaire. Characteristics of patients from distant areas. |
| FullText URL | 071_084_088.pdf |
| Author | Nishimura, Nobuko| Terasaki, Kayo| Yamamoto, Sadae| Yoshio, Keiko| Nakamura, Sumie| Tanizaki, Yoshiro| |
| Abstract | 1999年4月～12月の9ケ月間の遠隔地からの入院患者80名（痔痛性疾患47例，呼吸器疾患33例）を対象に，岡大三朝分院に来院した動機，入院前の状態，温泉療法の効果，薬剤の変化，退院決定の動機等について退院前にアンケート調査を行い検討を加えた。対象症例の年齢は60才以上の高齢者力て多く，入院期間は1ケ月～2ケ月末満が多い傾向であった。入院前の状態では，今までの治療に不満，限界を感じて来院している症例が71例（88．7％）を占めていた。地域別では広島，大阪，京都，兵庫からの来院か多く，その他18都府県に及んでいた。アンケート結果では，疾患別による若干の傾向と，温泉療法に対する評価として症状の改善が見られ，また，使用薬剤の減量の可能性が示唆された。 |
| Keywords | 遠隔地 (distant area) 温泉療法 (spa therapy) アンケート (questionaire) 呼吸器疾患 (respiratory disease) 疼痛性疾患 (pain disease) |
| Publication Title | 岡大三朝分院研究報告 |
| Published Date | 2001-02-01 |
| Volume | volume71 |
| Start Page | 84 |
| End Page | 88 |
| ISSN | 0918-7839 |
| language | Japanese |
| File Version | publisher |
| NAID | 120002308118 |
| JaLCDOI | 10.18926/14908 |
|---|---|
| Title Alternative | 寒冷負荷の末梢循環に及ぼす影響 |
| FullText URL | 071_042_049.pdf |
| Author | Hosaki, Yasuhiro| Mitsunobu, Fumihiro| Mifune, Takashi| Ashida, Kozo| Tsugeno, Hirofumi| Okamoto, Makoto| Takata, Shingo| Yokoi, Tadashi| Tanizaki, Yoshiro| Ochi, Koji| Tsuji, Takao| |
| Abstract | The purpose of this study is the effect of partial cold-loading on whole body peripheral circulation. The body surface peripheral circulation in 24 cases (25 years old to 86 years old, the average was 64.3 years) who were suffering coldness, numbness or pain in their feet was examined using Laser-Doppler blood flowmetry. The peripheral circulation at the base of the 2nd toe of the right foot was estimated after the foot was submerged and cooled for 5 min in a water bath at 20°C (i. e. cold-loading). At the same time, the distant body surface peripheral circulation was estimated at the base of the 2nd finger of the right hand. Simultaneous observations were made of blood flow, blood mass and blood velocity. The peripheral blood flow of the upper limbs at a room temperature of 20°C (pre-loading) was 5.00 ml/min 100 9 tissue on average. The average blood rnass was 287 and the average blood velocity was 0.516. On the other hand, the average peripheral blood flow of the lower limbs was 2.23, the average blood mass was 149 and the average blood velocity was 0.574. This result shows that the blood flow and blood mass of the upper limbs were more than in the lower limbs. The average blood flow at the upper limbs decreased to 3.69 from 5.00 (or at 26.2% ) when the lower limbs were submerged and cooled for 5 min in a water bath at 20°C (i. e. cold-loading). On the other hand, blood flow of the lower limb was 1.51 m l under a condition of cold-loading, and decreased 32.3% from 2.23. Blood mass of the upper limb was 241 on average and decreased 16.0% from 287. Blood mass of the lower limb was 113 on average and decreased 24.2% from 149. There was no difference between blood velocity of the upper limb under the conditions of room temperature at 20°C (0.516) and cold-loading (0.501). However, blood velocity of the lower limb increased to 0.642 from 0.574. After the end of cold loading, there was some tendency for blood flow, blood rnass and blood velocity to return to the amount at pre-loading. Twenty minutes after the end of cold-loading, blood flow increased to 5.74 (14.8% ) compared with pre-loading (5.00). However, blood flow of the lower limb remained at only 83.9% (1.87) of the amount at pre-loading (2.23). These results show that partial cold-loading of the lower limb had a quantitative effect on the distant peripheral circulation. The speculated mechanism of this phenomenon is that it to protects against loosing body heat from the body surface under the conditions of local cold-loading. Our body has defense mechanisms to decrease whole body peripheral circulation to protect against loosing body heat. |
| Keywords | Laser-Doppler blood flowmetry (レーザードプラー血流計) cold loading (冷水負荷) peripheral circulation (末梢循環) blood flow (血流量) blood velocity (血流速度) |
| Publication Title | 岡大三朝分院研究報告 |
| Published Date | 2001-02-01 |
| Volume | volume71 |
| Start Page | 42 |
| End Page | 49 |
| ISSN | 0918-7839 |
| language | Japanese |
| File Version | publisher |
| NAID | 120002308072 |
| JaLCDOI | 10.18926/14896 |
|---|---|
| Title Alternative | Spa therapy for patient with postherpetic neuralgia：A case report |
| FullText URL | 076_031_034.pdf |
| Author | Hamada, Masanori| Mitsunobu, Fumihiro| Hosaki, Yasuhiro| Ashida, Kozo| Iwagaki, Naofumi| Takata, Shingo| Kikuchi, Hiroshi| |
| Abstract | 帯状疱疹後神経痛に対して, 温泉療法を行い, 良好な結果が得られた症例について報告する｡72才, 女性. 右下肢の皮疹にて帯状疱疹を発症した｡皮疹が治癒した後も疼痛が強かった｡発症半年後, 温泉を利用したリハビリテーション目的にて, 当院に入院した｡右下肢にはアロディニアがあり､温度覚過敏があった｡微温浴を中心とした温熱療法と右下肢の自動介助運動を中心とした運動療法を行った. 温泉療法により疼痛軽減し､杖歩行が可能となった｡温泉療法は副作用も少なく帯状疱疹後神経痛の治療の選択肢の一つになると考える｡ |
| Keywords | Chronic obstructive pulmonary disease (慢性閉塞性肺疾患) Spa therapy (温泉療法) Six-minute walk test (６分間歩行試験) Borg scale (ボルグスケール) Ventilatory function (呼吸機能) |
| Publication Title | 岡大三朝医療センター研究報告 |
| Published Date | 2008-03-01 |
| Volume | volume76 |
| Start Page | 31 |
| End Page | 34 |
| ISSN | 1348-1258 |
| language | Japanese |
| File Version | publisher |
| NAID | 120002308313 |
| JaLCDOI | 10.18926/14842 |
|---|---|
| Title Alternative | The relationship between the magnetic resonance imaging of the lumbar spine and lowback pain |
| FullText URL | 72_066_070.pdf |
| Author | Takata, Shingo| Yokoi, Tadashi| Nishida, Norikazu| Okamoto, Makoto| Tsugeno, Hirofumi| Ashida, Kozo| Hosaki, Yasuhiro| Mifune, Takashi| Mitsunobu, Fumihiro| Tanizaki, Yoshiro| Niiya, Kenji| Tanimoto, Mitsune| |
| Abstract | (目的) MRlは腰痛をきたす疾患の診断に必須な検査法である｡腰痛と腰椎MRl所見との関係を明らかにすることを目的として検討した｡(対象と方法)腰痛を訴えた30例を対象とし､腰椎MRl所見の頻度を調査した｡全例に温泉療法を施行した｡ (結果)全症例において腰椎MRl上異常所見を認めた｡少なくとも1つ以上の椎間板の変性病変をもつ症例は30例中27例(90% )で､椎間板変性はL4/5levelで最も多く認められた(30例中18例)｡椎間板ヘルニア を示す症例は30例中10例(33.3% )であった｡神経根圧迫を持つ症例は30例中8例(26.7% )であった｡腰椎圧迫骨折を持つ症例は30例中6例(20% )であった｡温泉療法により腰痛が改善した症例は30例中17例(56.7% )であった｡ (結論)腰痛症患者は腰椎MR止異常所見を有した｡温泉療法により腰痛の改善を認めたので､MRL上で認めた形態学的異常は必ずしも機能的異常や症状に直結しないと思われた｡ |
| Keywords | 腰痛症 (Disc disease) MRl (Magnetic resonance imaglng) 椎間板変性 (Lumbar spine) |
| Publication Title | 岡大三朝分院研究報告 |
| Published Date | 2002-02-01 |
| Volume | volume72 |
| Start Page | 66 |
| End Page | 70 |
| ISSN | 0918-7839 |
| language | Japanese |
| File Version | publisher |
| NAID | 120002308103 |
| JaLCDOI | 10.18926/14837 |
|---|---|
| FullText URL | 72_031_037.pdf |
| Author | Hosaki, Yasuhiro| Mitsunobu, Fumihiro| Ashida, Kozo| Tsugeno, Hirofumi| Okamoto, Makoto| Nishida, Norikazu| Takata, Shingo| Yokoi, Tadashi| Tanizaki, Yoshiro| Ochi, Koji| Tsuji, Takao| |
| Abstract | The purpose of this study is to establish a new, non - invasive diagnostic technique for peripheral circulation in patients with diabetes mellitus in the early stage of arteriosclerosis obliterans (ASO) as one of the complications of diabetes mellitus. We observed peripheral circulation quantitatively by thermography and Laser- Doppler blood flowmetry. The body surface peripheral circulation in 27 patients with diabetes mellitus, including 14 males and 13 females with a mean age of 67.4 years (range from 51-82 years), and with a mean hemoglobin A1C (HbA1C) 019.5% (range from 6.8%-13.0%), and who were suffering coldness, numbness or pain in their feet, was examined using thermography and Laser- Doppler blood flowmetry. Thermographic results
were analyzed quantitatively by calculating a recovery ratio as : Recovery ratio= [Total counts of thermography (Pixels) over temperature (T) after cold -loading] + [Initial counts over T after hot-loading] Xl00 (%). Results of recovery ratios for 27 cases were 0% - 93.5%, and the average was 34.0%. At the same time, the blood flow after cold -loading was 0.91 - 5. 36ml/min/lOOg tissue and the average was 2.04ml/min/l00g tissue. We found that the recovery ratio
and the blood flow were correlated (r=O. 634, p |
| Keywords | diabetes mellitus (糖尿病) peripheral circulation (末梢循環) thermography (サーモグラフィー) Laser-Doppler blood flowmetry (レーザードプラー血流計) blood flow (血流量) |
| Publication Title | 岡大三朝分院研究報告 |
| Published Date | 2002-02-01 |
| Volume | volume72 |
| Start Page | 31 |
| End Page | 37 |
| ISSN | 0918-7839 |
| language | English |
| File Version | publisher |
| NAID | 120002308058 |
| JaLCDOI | 10.18926/14800 |
|---|---|
| Title Alternative | QOL in LBP patients |
| FullText URL | 74_048_050.pdf |
| Author | Yokoi, Tadashi| Senda, Masuo| Hamada, Masanori| Mitsunobu, Fumihiro| Hosaki, Yasuhiro| Ashida, Kozo| Iwagaki, Naofumi| Nagata, Takuya| Fujii, Makoto| Takata, Shingo| Tanizaki, Yoshiro| Inoue, Hajime| |
| Abstract | 近年QOLが重視されるようになってきている。MOS short form 36 health survey（以下SF-36と略す）は，国際的レベルでの基準とされるべく開発された非疾患特異的HRQOL尺度である。今回，我々は当院でリハビリテーションをうけている腰痛症患者を対象に温泉療法のQOLに対する効果をSF－36を用いて調べた。SFL36の8項目をそれぞれ算出し，温泉療法前後での比較を行った。PCSは41.1から43.6へ, MCSは49.1から5l.0へ上昇したことより，身体・精神面ともに効果があると考えられた。 |
| Keywords | SF-36 生活の質 (QuaIity of Life) 腰痛症 (Low back Pain) |
| Publication Title | 岡大三朝医療センター研究報告 |
| Published Date | 2004-02-01 |
| Volume | volume74 |
| Start Page | 48 |
| End Page | 50 |
| ISSN | 1348-1258 |
| language | Japanese |
| File Version | publisher |
| NAID | 120002308493 |
| JaLCDOI | 10.18926/14773 |
|---|---|
| Title Alternative | ’あくび’と胸痛を訴えた気管支喘息の1症例 |
| FullText URL | 73_081_083.pdf |
| Author | Mitsunobu, Fumihiro| Ashida, Kozo| Hosaki, Yasuhiro| Tsugeno, Hirofumi| Okamoto, Makoto| Nishida, Norikazu| Nagata, Takuya| Takata, Shingo| Tanizaki, Yoshiro| |
| Abstract | We present a case of a patient with asthma who developed yawning associated with anterior chest pain. She was admitted due to severe anterior chest pain, wheezing and dyspnea. Although the frequency of the symptoms decreased, she began to experience frequent episodes of yawning at night accompanied by tears. While she experienced yawning, although PEF (peak expiratory flow) decreased, no asthmatic symptoms, such as wheezing or dyspnea were observed. The yawning was improved markedly by bronchodilators and a leukotriene receptor antagonist, and moderately improved by corticosteroids. We speculated that yawning is a clinical manifestation of asthma that responds to treatment. |
| Keywords | yawning chest pain nocturnal dyspnea asthma |
| Publication Title | 岡大三朝医療センター研究報告 |
| Published Date | 2003-02-01 |
| Volume | volume73 |
| Start Page | 81 |
| End Page | 83 |
| ISSN | 1348-1258 |
| language | English |
| File Version | publisher |
| NAID | 120002308373 |
| Author | Fujiwara, Noriaki| |
|---|---|
| Published Date | 1990-04 |
| Publication Title | 岡山医学会雑誌 |
| Volume | volume102 |
| Issue | issue3-4 |
| Content Type | Journal Article |
| Author | Fujiwara, Noriaki| |
|---|---|
| Published Date | 1990-04 |
| Publication Title | 岡山医学会雑誌 |
| Volume | volume102 |
| Issue | issue3-4 |
| Content Type | Journal Article |
