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Title Alternative A case of asymptomatic right-sided adult Bochdalek hernia presented incidentally with rectal tumor
FullText URL 126_137.pdf
Author Kato, Hiroshi| Oishi, Masahiro| Kodera, Masahito| Yamamura, Masao| Ikeda, Hideaki| Mizuno, Kenji| Yamashita, Yutaka| Suzuki, Kazunori|
Abstract  We encountered a patient with an adult Bochdalek hernia discovered asymptomatically. A 77-year-old Japanese woman visited a local clinic with chief complaints of melena and difficulty in defecation. Based on the results of the detailed examination in our hospital, she was diagnosed with a rectal gastrointestinal stromal tumor (GIST) with a concurrent asymptomatic adult right-sided Bochdalek hernia. Because the tumor was large, laparoscopic abdominoperineal rectal amputation was performed after systemic imatinib therapy. During the surgery, we found a right diaphragmatic defect more than 13cm in long dia., through which the right hepatic lobe, colon, and greater omentum had prolapsed into the right thoracic cavity. No visceral adhesions were noted. No hernia sac was observed. Adult Bochdalek hernia is a relatively rare condition, and only three (incidentally discovered) cases of asymptomatic Bochdalek hernia, including the present case, have been reported in Japan. Here we provide a case report for the patient, who was followed-up without hernia surgery, plus a review of the literature.
Keywords 成人Bochdalek孔ヘルニア(adult Bochdalek hernia) 腹腔鏡下手術(laparoscopic surgery)
Publication Title 岡山医学会雑誌
Published Date 2014-08-01
Volume volume126
Issue issue2
Start Page 137
End Page 141
ISSN 0030-1558
language Japanese
Copyright Holders Copyright (c) 2014 岡山医学会
File Version publisher
DOI 10.4044/joma.126.137
NAID 130004685265
Title Alternative Fermented persimmon extract (kaki-shibu) is useful as a standard for component analyses of persimmon phytobezoars
FullText URL 126_127.pdf
Author Iwamuro, Masaya| Okamoto, Yuko| Murata, Toshihiro| Kawai, Yoshinari| Shiraha, Hidenori| Okada, Hiroyuki| Yamamoto, Kazuhide|
Abstract The definite diagnosis of persimmon phytobezoar (i.e., diospyrobezoar) is often accomplished by a component analysis using infrared spectroscopy. However, no studies have been conducted to investigate which substance is the best as a standard for the component analysis. Here we analyzed tannic acid, Japanese persimmon (kaki), fermented persimmon extract (kaki-shibu), conventional dried persimmon, and dried persimmon smoked in sulfur (ampo-kaki) by infrared spectroscopy to determine which would be optimal as a component analysis standard. The spectrum between 1,600 to 600cm-1 of a persimmon phytobezoar was quite similar to the spectrum of kaki-shibu rather than that of tannic acid. Consequently, we conclude that kaki-shibu should be used as a standard for infrared spectroscopy analyses of persimmon phytobezoars.
Keywords 柿胃石(gastric phytobezoar) タンニン酸(tannic acid) 消化管異物(gastrointestinal foreign body) 成分分析(component analysis)
Publication Title 岡山医学会雑誌
Published Date 2014-08-01
Volume volume126
Issue issue2
Start Page 127
End Page 131
ISSN 0030-1558
language Japanese
Copyright Holders Copyright (c) 2014 岡山医学会
File Version publisher
DOI 10.4044/joma.126.127
NAID 130004685263
Title Alternative Induction therapy followed by surgery for non small-cell lung cancer
FullText URL 126_103.pdf
Author Toyooka, Shinichi|
Keywords 非小細胞肺癌 導入療法 放射線化学療法 外科切除
Publication Title 岡山医学会雑誌
Published Date 2014-08-01
Volume volume126
Issue issue2
Start Page 103
End Page 107
ISSN 0030-1558
language Japanese
Copyright Holders Copyright (c) 2014 岡山医学会
File Version publisher
DOI 10.4044/joma.126.103
NAID 130004685260
Title Alternative Annual report 2011 / Institute of Plant Science and Resources, Okayama University
FullText URL 019.pdf
Author 岡山大学資源植物科学研究所|
Publication Title Annual Report, Institute of Plant Science and Resources Okayama University
Published Date 2012-03-31
Volume volume19
Start Page 1
End Page 55
ISSN 2186-4918
language Japanese
File Version publisher
FullText URL K0005003_abstract_review.pdf K0005003_fulltext.pdf
Author Hayashida, Kaori|
Published Date 2014-03-25
Content Type Thesis or Dissertation
Grant Number 甲第5003号
Granted Date 2014-03-25
Thesis Type Doctor of Philosophy in Health Sciences
Grantor 岡山大学
language Japanese English
FullText URL K0004944_abstract_review.pdf K0004944_fulltext.pdf
Author Mizutani, Shinsuke|
Published Date 2014-03-25
Content Type Thesis or Dissertation
Grant Number 甲第4944号
Granted Date 2014-03-25
Thesis Type Doctor of Philosophy in Dental Science
Grantor 岡山大学
language Japanese English
FullText URL K0004913_abstract_review.pdf K0004913_fulltext.pdf
Author Furukawa, Masashi|
Published Date 2014-03-25
Content Type Thesis or Dissertation
Grant Number 甲第4913号
Granted Date 2014-03-25
Thesis Type Doctor of Philosophy in Medical Science
Grantor 岡山大学
language Japanese English
FullText URL K0004893_abstract_review.pdf K0004893_fulltext.pdf
Author Yano, Shuya|
Published Date 2014-03-25
Content Type Thesis or Dissertation
Grant Number 甲第4893号
Granted Date 2014-03-25
Thesis Type Doctor of Philosophy in Medical Science
Grantor 岡山大学
language Japanese English
Author Okayama Association for Laboratory Animal Science|
Published Date 2014-04
Publication Title 岡山実験動物研究会報
Volume volume30
Content Type Others
Author 岡山大学教育学部社会科教室内地域研究会|
Published Date 1976-12
Publication Title 地域研究
Volume volume19
Content Type Book
JaLCDOI 10.18926/bgeou/52425
Title Alternative Suggestions for Safe Motorchair Football.
FullText URL 120_0087_0092.pdf
Author Sanada, Satoshi| Metoki, Eiji| Yanagihara, Masafumi|
Abstract 本研究は電動車椅子サッカーの岡山県における活動状況を把握し,このスポーツを安全に行う方法について検討することを目的とした。対象は脊髄損傷(A群),脳性麻痺(B群),筋ジストロフイー(C群)の選手各々4名, 5名および4名の計13名で,平成13年8月24日から平成13年12月23日までに行なわれた計8日の練習および試合をビデオカメラを用いて撮影し分析した。平成13年12月14日までの練習状況から電動車椅子同士の衝突により生じるスピン,身体接触,電動車椅子の浮揚の危険な衝突に着目し,平成13年12月23日に行なわれた3試合,計120分のなかで危険な衝突に関して分析を行った。その結果, A群では 危険な衝突が19回, BおよびC群でも計19回みられた。それらの内,衝突後の防御姿勢の有無に関してA群は認められた回数が17回,認められなかった回数が2回であった。B群およびC群では,認められた回数がl回,認められなかった回数が18回であった。A群とB・C群間での防御姿勢の有無に関する差異は有意(x2検定, p < 0.01) であった。以上より障害種別によるクラス分けの必要性が明らかになった。さらにヘルメットやプロテクターの着用の重要性に関しての指摘も行い,指導員の養成の必要性についても考察した。
Keywords 電動車椅子サッカー 脊髄損傷 脳性麻痺 筋ジストロフィー
Publication Title 岡山大学教育学部研究集録
Published Date 2002-07-15
Volume volume120
Start Page 87
End Page 92
ISSN 0471-4008
language Japanese
File Version publisher
NAID 120005425643
Author Ishikawa, Teruhiko| Katayama, Shyota| Kitaoka, Tatsuya| Igami, Shinya| Ito, Katsuhito|
Published Date 2014-02
Publication Title 環境制御
Volume volume35
Content Type Departmental Bulletin Paper
Author Kitagawa, Masashi| Sugiyama, Hitoshi| Morinaga, Hiroshi| Inoue, Tatsuyuki| Takiue, Keiichi| Ogawa, Ayu| Yamanari, Toshio| Kikumoto, Yoko| Uchida, Haruhito Adam| Kitamura, Shinji| Maeshima, Yohei| Nakamura, Kazufumi| Ito, Hiroshi| Makino, Hirofumi|
Published Date 2013-02-19
Publication Title PLoS ONE
Volume volume8
Issue issue2
Content Type Journal Article
Title Alternative SFTS : Severe fever with thrombocytopenia syndrome
FullText URL 126_65.pdf
Author Watanabe, Tokiko| Kusano, Nobuchika| Iwatsuki, Keiji|
Publication Title 岡山医学会雑誌
Published Date 2014-04-01
Volume volume126
Issue issue1
Start Page 65
End Page 67
ISSN 0030-1558
Related Url http://www.okayama-u.ac.jp/user/oma/
language Japanese
Copyright Holders Copyright (c) 2014 岡山医学会
File Version publisher
DOI 10.4044/joma.126.65
Title Alternative Metastatic breast cancer presenting as severe anemia, platelet reduction and abnormal cells in peripheral blood
FullText URL 126_31.pdf
Author Ota, Seisuke| Kasahara, Akinori| Mizuno, Shoma| Fukatsu, Haruka| Kinoshita, Osamu| Noguchi, Toshio| Kishimoto, Nobuyasu| Matsumura, Tadashi|
Abstract  Worldwide, breast cancer accounts for 22.9% of all cancers excluding non-melanoma skin cancers in women. More than 80% of breast cancer cases are discovered when a woman discovers a lump that feels different from the rest of the breast tissue. We report the case of a 60-year-old woman who had been treated for one year at a psychiatric hospital for suspected schizophrenia, and was referred to our hospital on March 23, 2011 for consultation regarding complete blood count abnormalities: hemoglobin, 4.8g/㎗ ; Plt, 1.9×104/μl ; WBC, 12,700/μl with 18.5% abnormal cells. Computed tomography revealed an enhanced, irregular mass in her right breast as well as right axillary lymph node swelling, suggestive of breast cancer. BM biopsy confirmed the presence of abnormal, keratin-positive cells, suggesting metastasis to the bone. CA15-3 was 300U/㎖ (normal range <25). The patient died on April 11, 2011, post-admission day 20. We found a rare case of terminal breast cancer that presented with peripheral blood abnormality. Breast cancer in patients who do not notice breast abnormality can present with peripheral blood abnormality.
Keywords 乳癌(breast cancer) 初発症状(initial symptom) 貧血(anemia) 骨髄転移(bone marrow metastasis)
Publication Title 岡山医学会雑誌
Published Date 2014-04-01
Volume volume126
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) 2014 岡山医学会
File Version publisher
DOI 10.4044/joma.126.31
Title Alternative Evaluation of a one-step nucleic acid amplification (OSNA) assay for sentinel lymph node metastases in early breast cancer
FullText URL 126_25.pdf
Author Mizoo, Taeko| Shien, Tadahiko| Ito, Maiko| Nogami, Tomohiro| Iwamoto, Takayuki| Motoki, Takayuki| Taira, Naruto| Matsuoka, Junji| Doihara, Hiroyoshi|
Abstract  Introduction: The one-step nucleic acid amplification (OSNA) assay is a new method to detect sentinel lymph node (SLN) metastases using cytokeratin 19 (CK19) mRNA in early breast cancer. Here we retrospectively analyzed the advantages and disadvantages of the OSNA assay.  Methods: In a trial period, SLNs were divided into two sections, and we examined one side using the OSNA assay. The other side was examined by pathologists. After this period, we examined whole SLNs using only the OSNA assay. The patients with positive nodes by OSNA assay and/or pathology required axillary dissection.  Results: We examined 27 primary breast cancer patients (36 SLNs) during the trial period. The overall concordance rate between the OSNA assay and pathology results was 91%. In the later period, 157 patients (217 SLNs) were examined. The CK19-positive rate obtained by the OSNA assay was 16.5% (macrometastases OSNA (++) : 7.2%, micrometastases OSNA (+) : 9.2%). The non-SLN positive rate among the CK19-positivecases was 23%. The OSNA assay's false negative was one case in which the expression of CK-19 on the primary tumor and lymph node was not detected.  Conclusions: Our OSNA assay results were comparable to those obtained using a conventional pathological technique. Pathologists and laboratory technicians could save time and effort by using the OSNA assay when seeking the precise diagnosis during surgery.
Keywords OSNA法(OSNA method) センチネルリンパ節(sentinel lymph node) micrometastases CK-19
Publication Title 岡山医学会雑誌
Published Date 2014-04-01
Volume volume126
Issue issue1
Start Page 25
End Page 30
ISSN 0030-1558
Related Url http://www.okayama-u.ac.jp/user/oma/
language Japanese
Copyright Holders Copyright (c) 2014 岡山医学会
File Version publisher
DOI 10.4044/joma.126.25
Title Alternative Concept and management of pancreaticobiliary maljunction
FullText URL 126_17.pdf
Author Noda, Takuo|
Keywords 膵・胆管合流異常 先天性胆道拡張症 分流手術胆道癌
Publication Title 岡山医学会雑誌
Published Date 2014-04-01
Volume volume126
Issue issue1
Start Page 17
End Page 24
ISSN 0030-1558
Related Url http://www.okayama-u.ac.jp/user/oma/
language Japanese
Copyright Holders Copyright (c) 2014 岡山医学会
File Version publisher
DOI 10.4044/joma.126.17
JaLCDOI 10.18926/CTED/52299
Title Alternative Understanding of the Issue of Learning Disabilities in the Nursery School Teacher
FullText URL cted_004_143_149.pdf
Author Murakami (Yokouchi), Rie| Yanagihara, Masafumi|
Abstract  本研究は,保育士が学習障害の行動特性をどのように認識しているのかを探ることを目的としたものであり,あわせて,その認識の仕方を規定する要因についても検討を加えた。発達検査や健康診査票の問診項目を参考にして作成した調査票を用い,将来学習障害の症状を呈すると思われる幼児が,在園中にどのような行動を示すかについて保育士に評定を求めた。得られた回答を用いてクラスター分析を行った結果,運動機能,行動抑制,言語理解,知的機能という4つのクラスターを抽出することができた。各クラスターの平均得点からは,保育者が知的機能の発達に関する行動特性を学習障害と結びつけて捉えていることが明らかになった。保育士の学習障害に関する知識,学習障害児との接触経験の有無,および経験年数は,いずれも行動特性の理解を左右するものではないと考えられた。
Keywords 学習障害 早期発見 幼児 保育者
Publication Title 岡山大学教師教育開発センター紀要
Published Date 2014-03-10
Volume volume4
Start Page 143
End Page 149
ISSN 2186-1323
language Japanese
Copyright Holders Copyright © 2014 岡山大学教師教育開発センター
File Version publisher
NAID 120005398263
Author Sato, Kazuhiro| Motoi, Yuka| Yamaji, Nami| Yoshida, Hideya|
Published Date 2011-05-19
Publication Title BMC Genomics
Volume volume12
Content Type Journal Article
Author Iehisa, Julio Cesar Masaru| Shimizu, Akifumi| Sato, Kazuhiro| Nasuda, Shuhei| Takumi, Shigeo|
Published Date 2012-12
Publication Title DNA Research
Volume volume19
Issue issue6
Content Type Journal Article