result 1048 件
| JaLCDOI | 10.18926/AMO/56862 |
|---|---|
| FullText URL | 73_3_205.pdf |
| Author | Mukai, Yuko| Sakurai, Toru| Watanabe, Toshiyuki| Sako, Tomoko| Sugimoto, Morito| Kimata, Yoshihiro| Mori, Yoshiko| Nagasaka, Takeshi| Namba, Yuzaburo| |
| Abstract | Intestinal vaginoplasty has several advantageous features, such as scarless surgery, low incidence of contraction of the reconstructed vagina, maintenance of vaginal depth, spontaneous mucus production, and a low rate of complications. Therefore, this technique is becoming popular in many countries. Following the global trend, the demand for intestinal vaginoplasty for transsexuals is also increasing in Japan. However, there are few reports on intestinal vaginoplasty in Japan. In this study, we examined the safety and effectiveness of rectosigmoid colon vaginoplasty in the Japanese population. We retrospectively surveyed 18 male-to-female transsexuals who underwent laparoscopic rectosigmoid colon vaginoplasty at the Okayama University Hospital Gender Center between October 2012 and December 2017. One patient had developed an anastomotic leak and 2 patients experienced vaginal prolapse, which needed revision surgery. Both adverse outcomes were comparable with those from previous studies. The anastomotic leak was managed adequately with conservative treatment. To avoid vaginal prolapse, it is important to decide the length of the rectosigmoid segment so that a pull on it does not cause it to become lax, while excessive stress on the feeder vessels is avoided. Based on our study, we concluded that rectosigmoid vaginoplasty was a reliable technique in the Japanese population. |
| Keywords | vaginoplasty male-to-female transsexuals rectosigmoid colon |
| Amo Type | Original Article |
| Publication Title | Acta Medica Okayama |
| Published Date | 2019-06 |
| Volume | volume73 |
| Issue | issue3 |
| Publisher | Okayama University Medical School |
| Start Page | 205 |
| End Page | 211 |
| ISSN | 0386-300X |
| NCID | AA00508441 |
| Content Type | Journal Article |
| language | English |
| Copyright Holders | CopyrightⒸ 2019 by Okayama University Medical School |
| File Version | publisher |
| Refereed | True |
| PubMed ID | 31235967 |
| JaLCDOI | 10.18926/AMO/56861 |
|---|---|
| FullText URL | 73_3_197.pdf |
| Author | Nishimura, Takeshi| Naito, Hiromichi| Matsuyama, Shigenari| Ishihara, Satoshi| Nakao, Atsunori| Nakayama, Shinichi| |
| Abstract | Japan's population has been skewing toward the elderly, but the outcomes of advanced elderly trauma are not clear. Here we compared the outcomes of very elderly trauma patients (≧85 years old) with those of 65- to 84-year-old trauma patients. We retrospectively reviewed the medical records of patients treated at Hyogo Emergency Medical Center from August 2010 to August 2016; 631 patients were entered in the study. We divided them into the younger geriatrics (YG group, 65-84 years old: n=534) and older geriatrics (OG group, ≧85 years old: n=97). The group’s patient characteristics, mortality, 1-year survival rate, and Barthel index were tabulated and compared. The patients’ mean age was 75.6±7.5 years. There was no significant difference in mortality between the YG and OG groups (9.6% vs. 15.1%, odds ratio [OR] 1.73; 95% confidence interval [CI] 0.93-3.23, p=0.083). The 1-year survival rate (94.4% vs. 77.8%, OR 0.19, 95% CI 0.07-0.51; p<0.01) and Barthel index (Median score; 100 (IQR: 85-100) vs. 80 (IQR: 15-95), OR 0.98, 95% CI 0.97 to 0.99, p<0.01) differed significantly between the groups. Our study did not find a significant difference in-hospital mortality between patients in the YG group and those in the OG group. |
| Keywords | aged injury mortality morbidity trauma |
| Amo Type | Original Article |
| Publication Title | Acta Medica Okayama |
| Published Date | 2019-06 |
| Volume | volume73 |
| Issue | issue3 |
| Publisher | Okayama University Medical School |
| Start Page | 197 |
| End Page | 203 |
| ISSN | 0386-300X |
| NCID | AA00508441 |
| Content Type | Journal Article |
| language | English |
| Copyright Holders | CopyrightⒸ 2019 by Okayama University Medical School |
| File Version | publisher |
| Refereed | True |
| PubMed ID | 31235966 |
| reference | Leskovan JJ, Justiniano CF, Bach JA, Cook CH, Lindsey DE, Eiferman DS, Papadimos TJ, Steinberg SM, Bergese SD, Stawicki SP and Evans DC: Anion gap as a predictor of trauma outcomes in the older trauma population: correlations with injury severity and mortality. Am Surg (2013) 79: 1203-1206.| Tornetta P, 3rd, Mostafavi H, Riina J, Turen C, Reimer B, Levine R, Behrens F, Geller J, Ritter C and Homel P: Morbidity and mortality in elderly trauma patients. J Trauma (1999) 46: 702-706.| Aitken LM, Burmeister E, Lang J, Chaboyer W and Richmond TS: Characteristics and outcomes of injured older adults after hospital admission. J Am Geriatr Soc (2010) 58: 442-449. | Mahoney FI and Barthel DW: Functional Evaluation: The Barthel Index. Md State Med J (1965) 14: 61-65.| Mondello S, Cantrell A, Italiano D, Fodale V, Mondello P and Ang D: Complications of trauma patients admitted to the ICU in level I academic trauma centers in the United States. Biomed Res Int (2014) 473419.| Hammer PM, Storey AC, Bell T, Bayt D, Hockaday MS, Zarzaur BL Jr., Feliciano DV and Rozycki GS: Improving geriatric trauma outcomes: A small step toward a big problem. J Trauma Acute Care Surg (2016) 81: 162-167.| Prin M and Li G: Complications and in-hospital mortality in trauma patients treated in intensive care units in the United States, 2013. Injury Epidemiology (2016) 3.| Zielinski MD, Kuntz MM, Polites SF, Boggust A, Nelson H, Khasawneh MA, Jenkins DH, Harmsen S, Ballman KV and Pieper R: A prospective analysis of urinary tract infections among elderly trauma patients. J Trauma Acute Care Surg (2015) 79: 638-642.| Polites SF, Habermann EB, Thomsen KM, Amr MA, Jenkins DH, Zietlow SP and Zielinski MD: Urinary tract infection in elderly trauma patients: review of the Trauma Quality Improvement Program identifies the population at risk. J Trauma Acute Care Surg (2014) 77: 952-959.| Magnotti LJ, Croce MA and Fabian TC: Is ventilator-associated pneumonia in trauma patients an epiphenomenon or a cause of death? Surg Infect (Larchmt) (2004) 5: 237-242.| Hyllienmark P, Brattstrom O, Larsson E, Martling CR, Petersson J and Oldner A: High incidence of post-injury pneumonia in intensive care-treated trauma patients. Acta Anaesthesiol Scand (2013) 57: 848-854.| Kisat M, Villegas CV, Onguti S, Zafar SN, Latif A, Efron DT, Haut ER, Schneider EB, Lipsett PA, Zafar H and Haider AH: Predictors of sepsis in moderately severely injured patients: an analysis of the National Trauma Data Bank. Surg Infect (Larchmt) (2013) 14: 62-68.| Wafaisade A, Lefering R, Bouillon B, Sakka SG, Thamm OC, Paffrath T, Neugebauer E and Maegele M: Epidemiology and risk factors of sepsis after multiple trauma: an analysis of 29,829 patients from the Trauma Registry of the German Society for Trauma Surgery. Crit Care Med (2011) 39: 621-628.| Bukur M, Habib F, Catino J, Parra M, Farrington R, Crawford M and Puente I: Does unit designation matter? A dedicated trauma intensive care unit is associated with lower postinjury complication rates and death after major complication. J Trauma Acute Care Surg (2015) 78: 920-927.| Reiff DA, Shoultz T, Griffin RL, Taylor B and Rue LW 3rd: Use of a Bundle Checklist Combined With Physician Confirmation Reduces Risk of Nosocomial Complications and Death in Trauma Patients Compared to Documented Checklist Use Alone. Ann Surg 2015 (262): 647-652.| Searle SD, Mitnitski A, Gahbauer EA, Gill TM and Rockwood K: A standard procedure for creating a frailty index. BMC Geriatr (2008) 8: 24.| Joseph B, Pandit V, Zangbar B, Kulvatunyou N, Hashmi A, Green DJ, OʼKeeffe T, Tang A, Vercruysse G, Fain MJ, Friese RS and Rhee P: Superiority of frailty over age in predicting outcomes among geriatric trauma patients: a prospective analysis. JAMA Surg (2014) 149: 766-772.| |
| JaLCDOI | 10.18926/AMO/56860 |
|---|---|
| FullText URL | 73_3_189.pdf |
| Author | Sakamoto, Shinji| Kawai, Hiroki| Okahisa, Yuko| Tsutsui, Ko| Kanbayashi, Takashi| Tanaka, Keiko| Mizuki, Yutaka| Takaki, Manabu| Yamada, Norihito| |
| Abstract | Anti-N-methyl-D-aspartate receptor (NMDAR) encephalitis is a recently-discovered autoimmune disorder in which antibodies target NMDAR in the brain. The number of reported cases of anti-NMDAR encephalitis has increased rapidly. Anti-NMDAR encephalitis can be mistakenly diagnosed as psychiatric disorders because many patients present with prominent psychiatric symptoms and visit psychiatric institutions first. Thus, psychiatrists should cultivate a better understanding of anti-NMDAR encephalitis. In this review, we present the mechanisms, epidemiology, symptoms and clinical course, diagnostic tests, treatment and outcomes of patients with anti-NMDAR encephalitis. Furthermore, we discuss the diversity of clinical spectra of anti-NMDAR encephalitis, and demonstrate a differential diagnosis of psychiatric disease from the perspective of psychiatry. |
| Keywords | NMDAR encephalitis psychiatric symptom schizophrenia mood disorder |
| Amo Type | Review |
| Publication Title | Acta Medica Okayama |
| Published Date | 2019-06 |
| Volume | volume73 |
| Issue | issue3 |
| Publisher | Okayama University Medical School |
| Start Page | 189 |
| End Page | 195 |
| ISSN | 0386-300X |
| NCID | AA00508441 |
| Content Type | Journal Article |
| language | English |
| Copyright Holders | CopyrightⒸ 2019 by Okayama University Medical School |
| File Version | publisher |
| Refereed | True |
| PubMed ID | 31235965 |
| FullText URL | Tissue_Eng_A_2018_0348.pdf |
|---|---|
| Author | Sogawa, Chiharu| Eguchi, Takanori| Okusha, Yuka| Ono, Kisho| Ohyama, Kazumi| Iizuka, Motoharu| Kawasaki, Ryu| Hamada, Yusaku| Takigawa, Masaharu| Sogawa, Norio| Okamoto, Kuniaki| Kozaki , Ken-ichi| |
| Keywords | 3D tumoroid reporter assay Wnt/β-catenin signaling cancer metastasis metalloproteinase syngeneic transplantation tumoroid (tumor organoid) |
| Note | This is an Accepted Manuscript of an article published by Mary Ann Liebert| |
| Published Date | 2019-02-08 |
| Publication Title | Tissue Engineering Part A. |
| Volume | volume25 |
| Issue | issue19-20 |
| Publisher | Mary Ann Liebert |
| Start Page | 1413 |
| End Page | 1425 |
| ISSN | 19373341 |
| NCID | AA12306003 |
| Content Type | Journal Article |
| language | English |
| OAI-PMH Set | 岡山大学 |
| File Version | author |
| PubMed ID | 30734664 |
| NAID | 120006788780 |
| DOI | 10.1089/ten.TEA.2018.0348 |
| Web of Science KeyUT | 000489035900008 |
| Related Url | isVersionOf https://doi.org/10.1089/ten.TEA.2018.0348 |
| FullText URL | O0004502.abstract-review.pdf.pdf O0004502.summary.pdf.pdf |
|---|---|
| Author | Hayashi, Masako| |
| Published Date | 2019-03-25 |
| Content Type | Thesis or Dissertation |
| Grant Number | 乙第4502号 |
| Granted Date | 2019-03-25 |
| Thesis Type | Doctor of Philosophy in Letters |
| Grantor | 岡山大学 |
| language | Japanese |
| FullText URL | O0004501_abstract_review.pdf O0004501_fulltext.pdf |
|---|---|
| Author | Moriya, Takeo| |
| Published Date | 2019-03-25 |
| Content Type | Thesis or Dissertation |
| Grant Number | 乙第4501号 |
| Granted Date | 2019-03-25 |
| Thesis Type | Doctor of Philosophy in Agriculture |
| Grantor | 岡山大学 |
| language | Japanese |
| FullText URL | O0004500_abstract_review.pdf O0004500_fulltext.pdf |
|---|---|
| Author | Kawasaki, Hidenori| |
| Published Date | 2019-03-25 |
| Content Type | Thesis or Dissertation |
| Grant Number | 乙第4500号 |
| Granted Date | 2019-03-25 |
| Thesis Type | Doctor of Philosophy |
| Grantor | 岡山大学 |
| language | English |
| FullText URL | O0004499_abstract_review.pdf O0004499_fulltext.pdf |
|---|---|
| Author | ALAM Md Jahangir| |
| Published Date | 2019-03-25 |
| Content Type | Thesis or Dissertation |
| Grant Number | 乙第4499号 |
| Granted Date | 2019-03-25 |
| Thesis Type | Doctor of Philosophy in Engineering |
| Grantor | 岡山大学 |
| language | English |
| FullText URL | O0004498_abstract_review.pdf O0004498_fulltext.pdf |
|---|---|
| Author | Ishida, Takayuki| |
| Published Date | 2019-03-25 |
| Content Type | Thesis or Dissertation |
| Grant Number | 乙第4498号 |
| Granted Date | 2019-03-25 |
| Thesis Type | Doctor of Philosophy in Pharmaceutical Sciences |
| Grantor | 岡山大学 |
| language | Japanese |
| FullText URL | O0004497_abstract_review.pdf O0004497_fulltext.pdf |
|---|---|
| Author | Ida, Takahiro| |
| Published Date | 2019-03-25 |
| Content Type | Thesis or Dissertation |
| Grant Number | 乙第4497号 |
| Granted Date | 2019-03-25 |
| Thesis Type | Doctor of Philosophy in Pharmaceutical Sciences |
| Grantor | 岡山大学 |
| language | Japanese |
| FullText URL | O0004496_abstract_review.pdf O0004496_fulltext.pdf |
|---|---|
| Author | Iwai, Yuma| |
| Published Date | 2019-03-25 |
| Content Type | Thesis or Dissertation |
| Grant Number | 乙第4496号 |
| Granted Date | 2019-03-25 |
| Thesis Type | Doctor of Philosophy in Pharmaceutical Sciences |
| Grantor | 岡山大学 |
| language | Japanese |
| FullText URL | K0006008.abstract-review.pdf.pdf K0006008.fulltext.pdf.pdf |
|---|---|
| Author | TIN HTUT AUNG| |
| Published Date | 2019-03-25 |
| Content Type | Thesis or Dissertation |
| Grant Number | 甲第6008号 |
| Granted Date | 2019-03-25 |
| Thesis Type | Doctor of Philosophy in Letters |
| Grantor | 岡山大学 |
| language | English |
| FullText URL | K0006007.abstract-review.pdf.pdf K0006007.fulltext.pdf.pdf |
|---|---|
| Author | 孫 瑛鞠| |
| Published Date | 2019-03-25 |
| Content Type | Thesis or Dissertation |
| Grant Number | 甲第6007号 |
| Granted Date | 2019-03-25 |
| Thesis Type | Doctor of Philosophy in Letters |
| Grantor | 岡山大学 |
| language | Japanese |
| FullText URL | K0006006.abstract-review.pdf.pdf K0006006.fulltext.pdf.pdf |
|---|---|
| Author | KIRA, Esra| |
| Published Date | 2019-03-25 |
| Content Type | Thesis or Dissertation |
| Grant Number | 甲第6006号 |
| Granted Date | 2019-03-25 |
| Thesis Type | Doctor of Philosophy in Letters |
| Grantor | 岡山大学 |
| language | Japanese |
| FullText URL | K0006005.abstract-review.pdf.pdf K0006005.fulltext.pdf.pdf |
|---|---|
| Author | KHIN MAR THET| |
| Published Date | 2019-03-25 |
| Content Type | Thesis or Dissertation |
| Grant Number | 甲第6005号 |
| Granted Date | 2019-03-25 |
| Thesis Type | Doctor of Philosophy in Economics |
| Grantor | 岡山大学 |
| language | English |
| FullText URL | K0006004.abstract-review.pdf.pdf K0006004.fulltext.pdf.pdf |
|---|---|
| Author | 閻 琳| |
| Published Date | 2019-03-25 |
| Content Type | Thesis or Dissertation |
| Grant Number | 甲第6004号 |
| Granted Date | 2019-03-25 |
| Thesis Type | Doctor of Philosophy in Letters |
| Grantor | 岡山大学 |
| language | Japanese |
| FullText URL | K0006003.abstract-review.pdf.pdf K0006003.fulltext.pdf.pdf |
|---|---|
| Author | 孟 令禕| |
| Published Date | 2019-03-25 |
| Content Type | Thesis or Dissertation |
| Grant Number | 甲第6003号 |
| Granted Date | 2019-03-25 |
| Thesis Type | Doctor of Philosophy in Letters |
| Grantor | 岡山大学 |
| language | Japanese |
| FullText URL | K0006002.abstract-review.pdf.pdf K0006002.fulltext.pdf.pdf |
|---|---|
| Author | Ebara, Masae| |
| Published Date | 2019-03-25 |
| Content Type | Thesis or Dissertation |
| Grant Number | 甲第6002号 |
| Granted Date | 2019-03-25 |
| Thesis Type | Doctor of Philosophy in Letters |
| Grantor | 岡山大学 |
| language | English |
| FullText URL | K00006001.abstract-review.pdf.pdf K0006001.summary.pdf.pdf K0006001.fulltext.pdf |
|---|---|
| Author | Sako, Koyuri| |
| Published Date | 2019-03-25 |
| Content Type | Thesis or Dissertation |
| Grant Number | 甲第6001号 |
| Granted Date | 2019-03-25 |
| Thesis Type | Doctor of Philosophy in Cultural Sciences |
| Grantor | 岡山大学 |
| language | Japanese |
| FullText URL | K0006000.abstract-review.pdf.pdf K0006000.summary.pdf.pdf K0006000.fulltext.pdf.pdf |
|---|---|
| Author | Umezuki, Yosuke| |
| Published Date | 2019-03-25 |
| Content Type | Thesis or Dissertation |
| Grant Number | 甲第6000号 |
| Granted Date | 2019-03-25 |
| Thesis Type | Doctor of Philosophy in Economics |
| Grantor | 岡山大学 |
| language | English |
