result 35246 件
| Title Alternative | Giant rectal gastrointestinal stromal tumor successfully resected by abdominoperineal resection combined with posterior vaginal wall resection |
|---|---|
| FullText URL | 126_217.pdf |
| Author | Iwakawa, Kazuhide| Nishie, Manabu| Tokunaga, Naoyuki| Miyaso, Hideaki| Iwagaki, Hiromi| |
| Abstract | We report a case of giant rectal gastrointestinal stromal tumor (GIST) successfully resected by abdominoperineal resection combined with posterior vaginal wall resection. Our patient was a 79-year-old woman had been diagnosed as having von Recklinghausen disease at the age of 30 years. In 2006, a computed tomography (CT) scan revealed a tumor originating from the posterior wall of the rectum. In June 2010, she was admitted to our hospital with the chief complaint of bloody stool. A CT scan revealed a giant tumor that had increased to 9cm in size. Colonoscopy demonstrated a submucosal tumor, which was subsequently diagnosed by biopsy as a GIST. Due to the patient's continuous bleeding and abdominal pain, an emergent abdominoperineal resection was performed at that time. The tumor, which measured 8×9cm, was immunohistochemically positive for c-kit and CD34. Concomitant resection of the posterior wall of the vagina via the perineal approach provided a wide area to expose the tumor for a safe operation. The patient has been well with no sign of recurrence since the operation. This procedure is recommended as a useful approach for giant rectal GISTs or rectal cancer with invasion of the posterior pelvic wall. |
| Keywords | 巨大直腸GIST（giant rectal GIST） 腹会陰式直腸切断術（abdominoperineal resection） |
| Publication Title | 岡山医学会雑誌 |
| Published Date | 2014-12-01 |
| Volume | volume126 |
| Issue | issue3 |
| Start Page | 217 |
| End Page | 221 |
| ISSN | 0030-1558 |
| language | Japanese |
| Copyright Holders | Copyright (c) 2014 岡山医学会 |
| File Version | publisher |
| DOI | 10.4044/joma.126.217 |
| NAID | 130004903245 |
| Title Alternative | Hospital and clinic cooperation for the treatment of rheumatoid arthritis in Okayama Prefecture, Japan |
|---|---|
| FullText URL | 126_209.pdf |
| Author | Sada, Ken-ei| Nishida, Keiichiro| Yamanaka, Takao| Misaki, Kenta| Wakabayashi, Hiroshi| Shinoda, Junko| Takagi, Toru| Yano, Ryusuke| Nakamura, Akihiko| Nanba, Yoshifumi| Morita, Yoshitaka| Koyama, Yoshinobu| Yamamoto, Keiji| Ezawa, Kazuhiko| Ota, Yusuke| Yoshihara, Yoshiki| Miyoshi, Shinya| Natsumeda, Masamitsu| Usui, Masaaki| Yoshinaga, Yasuhiko| Hayashi, Takashi| Yamamura, Masahiro| Hashizume, Hiroyuki| |
| Abstract | Objective: To survey the current status and problems of cooperation between clinics and hospitals in Okayama Prefecture, Japan for the treatment of rheumatoid arthritis (RA). Methods: We distributed a questionnaire to 300 of the 983 Okayama Prefecture clinics that had either an internal medicine or orthopedic surgery department, from December 2013 to February 2014. The questionnaire covered practice pattern for RA treatment in clinics, current status of the hospital and clinic cooperation, and acceptance of the biologic therapy. Results: One hundred clinics responded to the questionnaire. Seventy percent of the clinics reported making referrals to rheumatologists before the initiation of RA treatment, and half of the other 30% of the clinics administered methotrexate as the first-line treatment for RA by their own decision. Sixty-six clinics cooperated with flagship hospitals, conducting medical and laboratory examinations, providing prescriptions, and treating common diseases of patients. These clinics expected the cooperating rheumatologists to follow-up patients every 3 to 6 months and to make the diagnosis, make decisions regarding RA treatment changes, and perform surgery. Seventy-one percent of the clinics responded that cooperation with a hospital is possible even for patients who are administered biologics. As reasons for no cooperation with the flagship hospitals, clinics noted the lack of information about rheumatologists in the area and recent trends in the management of RA. Conclusion: The current study reported, for the first time, the actual conditions of management of RA in clinics, as well as future problems of hospital and clinic cooperation in Okayama Prefecture. |
| Keywords | 病診連携（hospital and clinic cooperation） 関節リウマチ（rheumatoid arthritis） 生物学的製剤（biologics） メトトレキサート（methotrexate） |
| Publication Title | 岡山医学会雑誌 |
| Published Date | 2014-12-01 |
| Volume | volume126 |
| Issue | issue3 |
| Start Page | 209 |
| End Page | 215 |
| ISSN | 0030-1558 |
| language | Japanese |
| Copyright Holders | Copyright (c) 2014 岡山医学会 |
| File Version | publisher |
| DOI | 10.4044/joma.126.209 |
| NAID | 130004903246 |
| Title Alternative | Modulation of neuronal function and neuroprotection by astrocytes |
|---|---|
| FullText URL | 126_203.pdf |
| Author | Asanuma, Masato| |
| Keywords | アストロサイト 抗酸化防御機構 パーキンソン病 メタロチオネイン Nrf2 |
| Publication Title | 岡山医学会雑誌 |
| Published Date | 2014-12-01 |
| Volume | volume126 |
| Issue | issue3 |
| Start Page | 203 |
| End Page | 208 |
| ISSN | 0030-1558 |
| language | Japanese |
| Copyright Holders | Copyright (c) 2014 岡山医学会 |
| File Version | publisher |
| DOI | 10.4044/joma.126.203 |
| NAID | 130004903243 |
| Title Alternative | The 2013 Incentive Award of the Okayama Medical Association in Cardiovascular and Pulmonary Research (2013 Sunada Prize) |
|---|---|
| FullText URL | 126_199.pdf |
| Author | Shinaoka, Akira| |
| Abstract | 受賞論文: Shinaoka A, Momota R, Shiratsuchi E, Kosaka M, Kumagishi K, Nakahara R, Naito I, Ohtsuka A：Architecture of the subendothelial elastic fibers of small blood vessels and variations in vascular type and size. Microsc Microanal (2013) 19, 406-414. |
| Publication Title | 岡山医学会雑誌 |
| Published Date | 2014-12-01 |
| Volume | volume126 |
| Issue | issue3 |
| Start Page | 199 |
| End Page | 201 |
| ISSN | 0030-1558 |
| language | Japanese |
| Copyright Holders | Copyright (c) 2014 岡山医学会 |
| File Version | publisher |
| DOI | 10.4044/joma.126.199 |
| NAID | 130004903244 |
| Title Alternative | The 2013 Incentive Award of the Okayama Medical Association in Cardiovascular and Pulmonary Research (2013 Sunada Prize) |
|---|---|
| FullText URL | 126_195.pdf |
| Author | Akagi, Satoshi| |
| Abstract | 受賞対象論文: Akagi S, Nakamura K, Matsubara H, Kusano KF, Kataoka N, Oto T, Miyaji K, Miura A, Ogawa A, Yoshida M, Ueda-Ishibashi H, Yutani C, Ito H：Prostaglandin I2 induces apoptosis via upregulation of Fas ligand in pulmonary artery smooth muscle cells from patients with idiopathic pulmonary arterial hypertension. Int J Cardiol (2013) 165, 499-505. |
| Publication Title | 岡山医学会雑誌 |
| Published Date | 2014-12-01 |
| Volume | volume126 |
| Issue | issue3 |
| Start Page | 195 |
| End Page | 197 |
| ISSN | 0030-1558 |
| language | Japanese |
| Copyright Holders | Copyright (c) 2014 岡山医学会 |
| File Version | publisher |
| DOI | 10.4044/joma.126.195 |
| NAID | 130004903242 |
| Title Alternative | The 2013 Incentive Award of the Okayama Medical Association in Cancer Research (2013 Hayashibara Prize and Yamada Prize) |
|---|---|
| FullText URL | 126_191.pdf |
| Author | Shien, Kazuhiko| |
| Abstract | 受賞対象論文: Shien K, Toyooka S, Yamamoto H, Soh J, Jida M, Thu KL, Hashida S, Maki Y, Ichihara E, Asano H, Tsukuda K, Takigawa N, Kiura K, Gazdar AF, Lam WL, Miyoshi S：Acquired resistance to EGFR inhibitors is associated with a manifestation of stem cell-like properties in cancer cells. Cancer Res (2013) 73, 3051-3061. |
| Publication Title | 岡山医学会雑誌 |
| Published Date | 2014-12-01 |
| Volume | volume126 |
| Issue | issue3 |
| Start Page | 191 |
| End Page | 194 |
| ISSN | 0030-1558 |
| language | Japanese |
| Copyright Holders | Copyright (c) 2014 岡山医学会 |
| File Version | publisher |
| DOI | 10.4044/joma.126.191 |
| NAID | 130004903236 |
| Title Alternative | The 2013 Incentive Award of the Okayama Medical Association in General Medical Science (2013 Yuuki Prize) |
|---|---|
| FullText URL | 126_187.pdf |
| Author | Yamamoto, Hiromasa| |
| Abstract | 受賞対象論文: Yamamoto H, Higasa K, Sakaguchi M, Shien K, Soh J, Ichimura K, Furukawa M, Hashida S, Tsukuda K, Takigawa N, Matsuo K, Kiura K, Miyoshi S, Matsuda F, Toyooka S：Novel germline mutation in the transmembrane domain of HER2 in familial lung adenocarcinomas. J Natl Cancer Inst (2014) 106, djt338 |
| Publication Title | 岡山医学会雑誌 |
| Published Date | 2014-12-01 |
| Volume | volume126 |
| Issue | issue3 |
| Start Page | 187 |
| End Page | 190 |
| ISSN | 0030-1558 |
| language | Japanese |
| Copyright Holders | Copyright (c) 2014 岡山医学会 |
| File Version | publisher |
| DOI | 10.4044/joma.126.187 |
| NAID | 130004903235 |
| Author | 岡山大学算数・数学教育学会| |
|---|---|
| Published Date | 2014-10-25 |
| Publication Title | 岡山大学算数・数学教育学会誌 : パピルス |
| Volume | volume21 |
| Content Type | Others |
| Author | 岡山大学算数・数学教育学会| |
|---|---|
| Published Date | 2014-10-25 |
| Publication Title | 岡山大学算数・数学教育学会誌 : パピルス |
| Volume | volume21 |
| Content Type | Others |
| Author | 岡山大学算数・数学教育学会| |
|---|---|
| Published Date | 2014-10-25 |
| Publication Title | 岡山大学算数・数学教育学会誌 : パピルス |
| Volume | volume21 |
| Content Type | Others |
| Author | 岡山大学算数・数学教育学会| |
|---|---|
| Published Date | 2014-10-25 |
| Publication Title | 岡山大学算数・数学教育学会誌 : パピルス |
| Volume | volume21 |
| Content Type | Others |
| Author | 黒﨑 東洋郎| |
|---|---|
| Published Date | 2014-10-25 |
| Publication Title | 岡山大学算数・数学教育学会誌 : パピルス |
| Volume | volume21 |
| Content Type | Departmental Bulletin Paper |
| Author | 佐藤 学| 椎名 美穂子| |
|---|---|
| Published Date | 2014-10-25 |
| Publication Title | 岡山大学算数・数学教育学会誌 : パピルス |
| Volume | volume21 |
| Content Type | Departmental Bulletin Paper |
| Author | 佐藤 学| 椎名 美穂子| |
|---|---|
| Published Date | 2014-10-25 |
| Publication Title | 岡山大学算数・数学教育学会誌 : パピルス |
| Volume | volume21 |
| Content Type | Departmental Bulletin Paper |
| Author | 楠 博文| |
|---|---|
| Published Date | 2014-10-25 |
| Publication Title | 岡山大学算数・数学教育学会誌 : パピルス |
| Volume | volume21 |
| Content Type | Departmental Bulletin Paper |
| Author | 杉能 道明| |
|---|---|
| Published Date | 2014-10-25 |
| Publication Title | 岡山大学算数・数学教育学会誌 : パピルス |
| Volume | volume21 |
| Content Type | Departmental Bulletin Paper |
| Author | 圓井 大介| 黒﨑 東洋郎| |
|---|---|
| Published Date | 2014-10-25 |
| Publication Title | 岡山大学算数・数学教育学会誌 : パピルス |
| Volume | volume21 |
| Content Type | Departmental Bulletin Paper |
| Author | 川上 公一| |
|---|---|
| Published Date | 2014-10-25 |
| Publication Title | 岡山大学算数・数学教育学会誌 : パピルス |
| Volume | volume21 |
| Content Type | Departmental Bulletin Paper |
| Author | 片山 元| |
|---|---|
| Published Date | 2014-10-25 |
| Publication Title | 岡山大学算数・数学教育学会誌 : パピルス |
| Volume | volume21 |
| Content Type | Departmental Bulletin Paper |
| Author | 信清 亜希子| |
|---|---|
| Published Date | 2014-10-25 |
| Publication Title | 岡山大学算数・数学教育学会誌 : パピルス |
| Volume | volume21 |
| Content Type | Departmental Bulletin Paper |
