result 359 件
| FullText URL | OTSR105_1_113.pdf Fig.pdf |
|---|---|
| Author | Okazaki, Yuki| Furumatsu, Takayuki| Kodama, Yuya| Hino, Tomohito| Kamatsuki, Yusuke| Okazaki, Yoshiki| Masuda, Shin| Miyazawa, Shinichi| Endo, Hirosuke| Tetsunaga, Tomonori| Yamada, Kazuki| Ozaki, Toshifumi| |
| Keywords | Magnetic resonance imaging Medial meniscus Posterior root tear Tibial rotation Transtibial pullout repair |
| Published Date | 2019-02-28 |
| Publication Title | Orthopaedics & Traumatology: Surgery & Research |
| Volume | volume105 |
| Issue | issue1 |
| Publisher | Elsevier |
| Start Page | 113 |
| End Page | 117 |
| ISSN | 18770568 |
| Content Type | Journal Article |
| language | Japanese |
| OAI-PMH Set | 岡山大学 |
| File Version | author |
| PubMed ID | 30482466 |
| DOI | 10.1016/j.otsr.2018.10.005 |
| Web of Science KeyUT | 000456541300019 |
| Related Url | isVersionOf https://doi.org/10.1016/j.otsr.2018.10.005 |
| FullText URL | OTSR105_1_107.pdf Fig.pdf |
|---|---|
| Author | Furumatsu, Takayuki| Okazaki, Yuki| Okazaki, Yoshiki| Hino, Tomohito| Kamatsuki, Yusuke| Masuda, Shin| Miyazawa, Shinichi| Nakata, Eiji| Hasei, Joe| Kunisada, Toshiyuki| Ozaki, Toshifumi| |
| Keywords | Descending knee motion Injury pattern Medial meniscus Posterior root tear Squatting |
| Published Date | 2019-02-28 |
| Publication Title | Orthopaedics & Traumatology: Surgery & Research |
| Volume | volume105 |
| Issue | issue1 |
| Publisher | Elsevier |
| Start Page | 107 |
| End Page | 111 |
| ISSN | 18770568 |
| Content Type | Journal Article |
| language | English |
| OAI-PMH Set | 岡山大学 |
| File Version | author |
| PubMed ID | 30442555 |
| DOI | 10.1016/j.otsr.2018.10.001 |
| Web of Science KeyUT | 000456541300018 |
| Related Url | isVersionOf https://doi.org/10.1016/j.otsr.2018.10.001 |
| JaLCDOI | 10.18926/bgeou/55479 |
|---|---|
| Title Alternative | The Patterns of Expression of Subjects in KOJIKI |
| FullText URL | bgeou_166_063_071.pdf |
| Author | Ido, Kohei| |
| Abstract | 古事記における主語の表示/省略の傾向を整理すると,①▽→φ→φ…,②φ→▽→φ…,③φ→φ→φ…,④▽→▽→▽…,という4つの型に整理できる(▽=表示,φ=省略)。①は,最初の文で主語を表示し,次の文以降は主語を省略するタイプである。オーソドックスな主語連続で,特別な表現効果は発揮しない。それに対して,②以下は特異な主語表示である。まず②は,最初の文では主語を省略し,次の文で主語を表示する。人物は異常な登場をする。言わば,アンチヒーロー登場型である。③は①の後続部分などに現れる。物語の展開がスピーディーになったり,読み手が登場人物に同化したりする,緊密型である。④は全表示型である。複数の登場人物が紛れないようにするため必要であるときと,ある種の表現効果を発揮するときがある。以上のうち,②は現代語には見られない。 |
| Keywords | 古事記 主語の表示 主語の省略 アンチヒーローの登場 |
| Publication Title | Bulletin of Graduate School of Education, Okayama University |
| Published Date | 2017-11-28 |
| Volume | volume166 |
| Start Page | 63 |
| End Page | 71 |
| ISSN | 1883-2423 |
| language | Japanese |
| File Version | publisher |
| NAID | 120006368128 |
| JaLCDOI | 10.18926/bgeou/55478 |
|---|---|
| Title Alternative | Using VB-MAPP and Peer Support to Teach Social-Communication to Students with Autism Spectrum Disorder: A Field Study in Two Elementary Schools, Missouri, United States of America. |
| FullText URL | bgeou_166_053_062.pdf |
| Author | 丹治 敬之| Otake, Yoshihisa| |
| Abstract | 本研究は,アメリカ合衆国ミズーリ州の小学校における自閉スペクトラム症(以下,ASD)児に対する社会的コミュニケーション指導実践の現地調査を行った。現地の教育実践から,VB-MAPP,及びピアサポートをどのように活用しながら社会的コミュニケーション指導を展開しているのかを調査し,それらを効果的に活用する上でどのような点を考慮すべきかを導き出すことを目的とした。結果,VB-MAPPの活用では,児童の実態把握と指導目標の決定,既学習挿入手続きとプロンプト方略を活用した個別指導の展開,個別指導で学習した知識・技能を他の環境下(例:遊び場面)で指導する又は使用させる工夫,の3点が導出された。ピアサポートの活用では,ASD児の興味関心を活かした関わり,ピアの受容的態度や共同的働きかけ,ピアとASD児をつなぐ教員のファシリテーション,の3点が見出された。最後に,VB-MAPPは学習目標の共有化と学習内容の組織化を促す1つの方法であり,学びの連続性を志向するためのツールとして,ピアサポートはインクルージョンを実現する1つの方法であり,障害のある子も,障害のない子も共に学ぶための方法として,今後の展開が期待されることを考察した。 |
| Keywords | 自閉スペクトラム症 VB-MAPP ピアサポート 社会的コミュニケーション 共同遊び |
| Publication Title | Bulletin of Graduate School of Education, Okayama University |
| Published Date | 2017-11-28 |
| Volume | volume166 |
| Start Page | 53 |
| End Page | 62 |
| ISSN | 1883-2423 |
| language | Japanese |
| File Version | publisher |
| NAID | 120006368127 |
| JaLCDOI | 10.18926/AMO/55439 |
|---|---|
| FullText URL | 71_5_413.pdf |
| Author | Furumatsu, Takayuki| Kodama, Yuya| Kamatsuki, Yusuke| Hino, Tomohito| Ozaki, Toshifumi| |
| Abstract | Extrusion of the medial meniscus (MM) is associated with knee joint pain in osteoarthritic knees. The relationships among MM radial/oblique tears, MM extrusion (MME), and the effect of arthroscopic meniscal repair are not established. Here we evaluated the effects of arthroscopic all-inside MM repair on MME and the clinical outcomes in patients with radially oriented MM tears and mildly osteoarthritic knees. Twenty patients with a symptomatic radial or oblique tear of the MM posterior segment, MME ≥2.5 mm, and mildly osteoarthritic knees were treated using FasT-Fix 360 All-inside Meniscal Suture devices. We used magnetic resonance imaging (MRI) to measure the patients’ MM body width (MMBW), absolute MME, and relative MME. The Japanese Knee Injury and Osteoarthritis Outcome Score, Lysholm, Tegner, IKDC Subjective Knee Evaluation, and Visual Analogue Scale scores were obtained. Arthroscopic all-inside MM repair prevented increases of absolute and relative MME. The preoperative and 3- and 12-month MRI-based MMBW values were similar. Over a 24-month follow-up after the MM repairs, the clinical scores showed significant improvements. Our results suggest that all-inside meniscal repairs would be useful in preventing the progression of MME in patients suffering from symptomatic MM radial/oblique tears associated with mildly osteoarthritic knees. |
| Keywords | medial meniscus radial/oblique tear meniscal repair meniscal extrusion osteoarthritic knee |
| Amo Type | Original Article |
| Publication Title | Acta Medica Okayama |
| Published Date | 2017-10 |
| Volume | volume71 |
| Issue | issue5 |
| Publisher | Okayama University Medical School |
| Start Page | 413 |
| End Page | 418 |
| 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 | 29042699 |
| FullText URL | J_Orthop_Sci_22_4_731.pdf fig.pdf tbl.pdf |
|---|---|
| Author | Furumatsu, Takayuki| Fujii, Masataka| Kodama, Yuya| Ozaki, Toshifumi| |
| Note | This is an Accepted Manuscript of an article published by Elsevier| |
| Published Date | 2017-07 |
| Publication Title | Journal of Orthopaedic Science |
| Volume | volume22 |
| Issue | issue4 |
| Publisher | Elsevier |
| Start Page | 731 |
| End Page | 736 |
| ISSN | 0949-2658 |
| NCID | AA11052566 |
| 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 | 28416188 |
| DOI | 10.1016/j.jos.2017.03.013 |
| Web of Science KeyUT | 000407394700025 |
| Related Url | isVersionOf https://doi.org/10.1016/j.jos.2017.03.013 |
| FullText URL | J_Orthop_Sci_22_4_715.pdf fig.pdf |
|---|---|
| Author | Lu, Zhichao| Furumatsu, Takayuki| Fujii, Masataka| Maehara, Ami| Ozaki, Toshifumi| |
| Keywords | vascular endothelial growth factor (VEGF) meniscus meniscal injury hypoxia-inducible factor-1α (HIF-1α) |
| Note | This is an Accepted Manuscript of an article published by Elsevier| |
| Published Date | 2017-07 |
| Publication Title | Journal of Orthopaedic Science |
| Volume | volume22 |
| Issue | issue4 |
| Publisher | Elsevier |
| Start Page | 715 |
| End Page | 721 |
| ISSN | 0949-2658 |
| NCID | AA11052566 |
| 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 | 28318650 |
| DOI | 10.1016/j.jos.2017.02.006 |
| Web of Science KeyUT | 000407394700022 |
| Related Url | isVersionOf https://doi.org/10.1016/j.jos.2017.02.006 |
| FullText URL | J_Orthop_Sci_21_4_524.pdf fig.pdf |
|---|---|
| Author | Furumatsu, Takayuki| Maehara, Ami| Ozaki, Toshifumi| |
| Note | This is an Accepted Manuscript of an article published by Elsevier| |
| Published Date | 2016-07 |
| Publication Title | Journal of Orthopaedic Science |
| Volume | volume21 |
| Issue | issue4 |
| Publisher | Elsevier |
| Start Page | 524 |
| End Page | 529 |
| ISSN | 0949-2658 |
| NCID | AA11052566 |
| 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 | 27113646 |
| DOI | 10.1016/j.jos.2016.02.013 |
| Web of Science KeyUT | 000381142800020 |
| Related Url | isVersionOf https://doi.org/10.1016/j.jos.2016.02.013 |
| JaLCDOI | 10.18926/AMO/55312 |
|---|---|
| FullText URL | 71_4_345.pdf |
| Author | Tanaka, Masato| Sugimoto, Yoshihisa| Takigawa, Tomoyuki| Kimata, Yoshihiro| Ozaki, Toshifumi| |
| Abstract | Osteoradionecrosis (ORN), a well-known complication of radiotherapy in the mandibular bone, is very rare in the cervical spine. The authors report the result of a 3-year follow-up of a 63-year-old female patient with ORN of the cervical spine. The patient had a history of laryngeal carcinoma and was treated with chemotherapy and radiation therapy with a total of 120 Gy. Eight years later, she developed acute, severe neck pain due to cervical spine necrosis. The authors performed vascularized fibular bone graft and posterior pedicle screw fixation to reconstruct her cervical spine. The patient was successfully treated with surgery, and cervical alignment was preserved. She had neither neurological deficits nor severe neck pain at her final follow-up 3 years later. Delaying treatment of ORN may be life threatening, so the early diagnosis of this condition is important for patients who receive radiotherapy. Otolaryngologists and spine surgeons should understand this potential complication to speed diagnosis and treatment as early as possible. |
| Keywords | osteoradionecrosis laryngeal carcinoma cervical spine radiotherapy |
| Amo Type | Case Report |
| Publication Title | Acta Medica Okayama |
| Published Date | 2017-08 |
| Volume | volume71 |
| Issue | issue4 |
| Publisher | Okayama University Medical School |
| Start Page | 345 |
| End Page | 349 |
| 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 | 28824191 |
| JaLCDOI | 10.18926/AMO/55308 |
|---|---|
| FullText URL | 71_4_315.pdf |
| Author | Fujii, Yosuke| Endo, Hirosuke| Mitani, Shigeru| Akazawa, Hirofumi| Tetsunaga, Tomonori| Miyake, Takamasa| Yamada, Kazuki| Aoki, Kiyoshi| Ozaki, Toshifumi| |
| Abstract | We retrospectively reviewed 29 hips in which intertrochanteric osteotomies were performed for severe slipped capital femoral epiphyses. Mean age at surgery: 12.6 years. Mean follow-up period: 6 years. At the final follow-up evaluation, one patient had coxalgia, and six hips showed a limited range of motion. A pistol-grip deformity was observed in 13 hips, osteoarthritis in two hips, and a bump existed in 19 hips on the latest radiographs. Gradual remodeling of the bumps was observed post-operatively in 22 hips. The mean α and β angles and offset α and β improved over time. The remodeling proceeded rapidly for 1 year post-surgery. We compared hips classified as β angles of ≥ 63° to < 63° at the final follow-up evaluation, the mean β angle 1 year post-surgery, and the mean ratio of improvement of the β angle per year from 1 year post-surgery to the final follow up, which differed significantly. Nearly all of the patients who underwent intertrochanteric osteotomies had residual morphologic abnormalities, but few had clinical symptoms. The β angle 1 year post-surgery and the ratio of remodeling of the bump from 1 year post-surgery to the final follow-up can be regarded as a potential predictor of morphologic results after intertrochanteric osteotomy. |
| Keywords | slipped capital femoral epiphyses intertrochanteric osteotomy residual femoral deformity femoroacetabular impingement bone remodeling |
| Amo Type | Original Article |
| Publication Title | Acta Medica Okayama |
| Published Date | 2017-08 |
| Volume | volume71 |
| Issue | issue4 |
| Publisher | Okayama University Medical School |
| Start Page | 315 |
| End Page | 323 |
| 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 | 28824187 |
| JaLCDOI | 10.18926/AMO/55304 |
|---|---|
| FullText URL | 71_4_279.pdf |
| Author | Fujii, Yosuke| Fujiwara, Kazuo| Tetsunaga, Tomonori| Miyake, Takamasa| Yamada, Kazuki| Endo, Hirosuke| Abe, Nobuhiro| Sugita, Naohiko| Mitsuishi, Mamoru| Inoue, Takayuki| Nakashima, Yoshio| Ozaki, Toshifumi| |
| Abstract | We developed a surface matching-type computed tomography (CT)-based navigation system for total hip arthroplasty (the N-navi; TEIJIN NAKASHIMA MEDICAL, Okayama, Japan). In the registration step, surface matching was performed with digitizing points on the pelvic bone surface after coarse paired matching. In the present study, we made model bones from the CT data of patients whose acetabular shapes had various deformities. We measured the distances and angles after surface matching from the fiducial points and evaluated the ability to correct surface-matching registration on each pelvic form, using several areas and numbers of points. When the surface-matching points were taken on the superior area of the acetabulum, the correction was easy for the external direction, but it was difficult to correct for the anterior and proximal directions. The correction was difficult for external and proximal directions on the posterior area. Each area of surface-matching points has particular directions that are easily corrected and other directions that are difficult to correct. The shape of the pelvis also affected the correction ability. Our present findings suggest that checking the position after coarse paired matching and choosing the surface-matching area and points that are optimal to correct will improve the accuracy of total hip arthroplasty and reduce surgical times. |
| Keywords | total hip arthroplasty CT-based navigation system surface matching |
| Amo Type | Original Article |
| Publication Title | Acta Medica Okayama |
| Published Date | 2017-08 |
| Volume | volume71 |
| Issue | issue4 |
| Publisher | Okayama University Medical School |
| Start Page | 279 |
| End Page | 289 |
| 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 | 28824183 |
| FullText URL | IT_Pro_19_2_58.pdf |
|---|---|
| Author | Monden, Akito| Tsunoda, Masateru| Barker, Mike| Matsumoto, Kenichi| |
| Keywords | D.2.19 Software Quality/SQA D.2.8.c Process metrics |
| Note | Published in: IT Professional "Examining Software Engineering Beliefs about System Testing Defects" ( Volume: 19, Issue: 2, March-April 2017 )| |
| Published Date | 2017-03 |
| Publication Title | IT Professional |
| Volume | volume19 |
| Issue | issue2 |
| Publisher | IEEE |
| Start Page | 58 |
| End Page | 64 |
| ISSN | 1520-9202 |
| NCID | AA11321715 |
| 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 |
| DOI | 10.1109/MITP.2017.31 |
| Web of Science KeyUT | 000400570200009 |
| Related Url | https://doi.org/10.1109/MITP.2017.31 |
| JaLCDOI | 10.18926/AMO/54980 |
|---|---|
| FullText URL | 71_2_119.pdf |
| Author | Oda, Yoshiaki| Takigawa, Tomoyuki| Sugimoto, Yoshihisa| Tanaka, Masato| Akazawa, Hirofumi| Ozaki, Toshifumi| |
| Abstract | Patients with cerebral palsy (CP) frequently present with scoliosis; however, the pattern of curve progression is difficult to predict. We aimed to clarify the natural course of the progression of scoliosis and to identify scoliosis predictors. This was a retrospective, single-center, observational study. Total of 92 CP patients from Asahikawasou Ryouiku Iryou Center in Okayama, Japan were retrospectively analyzed. Cobb angle, presence of hip dislocation and pelvic obliquity, and Gross Motor Function Classification System (GMFCS) were investigated. Severe CP was defined as GMFCS level IV or V. The mean observation period was 10.7 years. Thirtyfour severe CP patients presented with scoliosis and were divided into 3 groups based on their clinical courses: severe, moderate and mild. The mean Cobb angles at the final follow-up were 129°, 53°, and 13° in the severe, moderate, and mild groups, respectively. The average progressions from 18 to 25 years were 2.7°/year, 0.7°/year, and 0.1°/year in the severe, moderate, and mild curve groups, respectively. We observed the natural course of scoliosis and identified 3 courses based on the Cobb angle at 15 and 18 years of age. This method of classification may help clinicians predict the patients’ disease progression. |
| Keywords | severe cerebral palsy scoliosis natural course Cobb angle progression |
| Amo Type | Original Article |
| Publication Title | Acta Medica Okayama |
| Published Date | 2017-04 |
| Volume | volume71 |
| Issue | issue2 |
| Publisher | Okayama University Medical School |
| Start Page | 119 |
| End Page | 126 |
| 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 | 28420893 |
| Author | Okada, Yoshiki| Abe, Nobuhiro| Hisamori, Noriyuki| Kaneeda, Toshiaki| Moriyama, Shigeaki| Ohmori, Hitoshi| Mizutani, Masayoshi| Yanai, Hiroyuki| Nakashima, Yoshio| Yokoyama, Yusuke| Ozaki, Toshifumi| |
|---|---|
| Published Date | 2017-02 |
| Publication Title | Acta Medica Okayama |
| Volume | volume71 |
| Issue | issue1 |
| Content Type | Journal Article |
| JaLCDOI | 10.18926/AMO/54825 |
| Author | Nishida, Keiichiro| Hashizume, Kenzo| Ozawa, Masatsugu| Takeshita, Ayumu| Kaneda, Daisuke| Nakahara, Ryuichi| Nasu, Yoshihisa| Shimamura, Yasunori| Inoue, Hajime| Ozaki, Toshifumi| |
|---|---|
| Published Date | 2017-02 |
| Publication Title | Acta Medica Okayama |
| Volume | volume71 |
| Issue | issue1 |
| Content Type | Journal Article |
| JaLCDOI | 10.18926/AMO/54824 |
| JaLCDOI | 10.18926/AMO/54818 |
|---|---|
| FullText URL | 70_6_515.pdf |
| Author | Fujii, Masataka| Furumatsu, Takayuki| Kadota, Yasutaka| Shimamura, Yoshinobu| Tsuchimochi, Shigeyuki| Ozaki, Toshifumi| |
| Abstract | The present report describes the first known, case of a pseudoaneurysm of the perforating branch of the deep femoral artery following anterior cruciate ligament (ACL) reconstruction. A 19-year-old man underwent ACL reconstruction using the outside-in femoral tunnel-creation method. Seven days after the surgery, he complained of abnormal thigh pain and had swelling with local heat on the distal lateral thigh. Magnetic resonance imaging, computed tomography, and color Doppler ultrasonography showed the pseudoaneurysm in the thigh. Resection surgery was successfully performed by a vascular surgeon 12 days after ACL reconstruction. Careful examination and awareness of postoperative symptoms such as thigh pain and swelling after ACL reconstruction were critical for the early diagnosis of pseudoaneurysm. |
| Keywords | pseudoaneurysm perforating branch of the deep femoral artery anterior cruciate ligament |
| Amo Type | Case Report |
| Publication Title | Acta Medica Okayama |
| Published Date | 2016-12 |
| Volume | volume70 |
| Issue | issue6 |
| Publisher | Okayama University Medical School |
| Start Page | 515 |
| End Page | 518 |
| 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 | 28003680 |
| JaLCDOI | 10.18926/AMO/54811 |
|---|---|
| FullText URL | 70_6_477.pdf |
| Author | Nishida, Keiichiro| Machida, Takahiro| Horita, Masahiro| Hashizume, Kenzo| Nakahara, Ryuichi| Nasu, Yoshihisa| Ohashi, Hideki| Saiga, Kenta| Ozaki, Toshifumi| |
| Abstract | The metatarsophalangeal (MTP) joints are often and predominantly affected in rheumatoid arthritis. The aim of the current study was to describe surgical techniques of shortening oblique osteotomy for lesser metatarsal bone with screw fixation at the osteotomy site, and to investigate the short-term clinical outcomes of our procedure. Twenty-seven feet (78 toes) of 24 RA patients underwent the shortening oblique osteotomy for the correction of deformity at the lesser MTP joints. The average Japanese Society of Surgery of the Foot (JSSF) standard rating system for the RA foot and ankle scale improved significantly from 59.6 points preoperatively to 88.3 points postoperatively (p<0.001). Twenty-four feet (89 ) were free from metatarsalgia and symptomatic callosities at the lesser MTP joint after surgery. Our present findings showed satisfactory early clinical outcomes of the shortening oblique osteotomy of the metatarsal bone with screw fixation for RA forefoot. |
| Keywords | shortening oblique osteotomy rheumatoid arthritis forefoot screw fixation |
| Amo Type | Original Article |
| Publication Title | Acta Medica Okayama |
| Published Date | 2016-12 |
| Volume | volume70 |
| Issue | issue6 |
| Publisher | Okayama University Medical School |
| Start Page | 477 |
| End Page | 483 |
| 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 | 28003673 |
| JaLCDOI | 10.18926/AMO/54807 |
|---|---|
| FullText URL | 70_6_449.pdf |
| Author | Watanabe, Noriyuki| Sugimoto, Yoshihisa| Tanaka, Masato| Mazaki, Tetsuro| Arataki, Shinya| Takigawa, Tomoyuki| Kataoka, Masaki| Kunisada, Toshiyuki| Ozaki, Toshifumi| |
| Abstract | Metastatic epidural spinal cord compression (MESCC) is a common complication in patients with a malignant tumor, but it is difficult to decide the proper time to perform the necessary surgery. Here we analyzed the prognostic factors for postoperative walking ability. We retrospectively reviewed the cases of 112 MESCC patients treated surgically at our institute and divided them into ambulatory (n= 88) and non-ambulatory (n=24) groups based on their American Spinal Injury Association (ASIA) Impairment Scale grades at the final follow-up. We also classified the patients preoperatively using the revised Tokuhashi score. We assessed the correlation between preoperative or intraoperative factors and postoperative walking ability in both groups. Of the 10 patients classified preoperatively as grade A or B, 2 (20 ) were ambulatory at the final follow-up. Of the 102 patients classified preoperatively as grade C, D or E, 86 (84 ) were ambulatory at the final follow-up (p<0.001). There were no significant differences between the groups in the average total Tokuhashi score. Our analysis revealed that the severity of paralysis significantly affects neurological recovery in patients with MESCC. Patients with MESCC should receive surgery before the preoperative ASIA Impairment Scale grade falls below grade C. |
| Keywords | metastatic epidural spinal cord compression American Spinal Injury Association Impairment Scale Tokuhashi score walking ability prognostic factor |
| Amo Type | Original Article |
| Publication Title | Acta Medica Okayama |
| Published Date | 2016-12 |
| Volume | volume70 |
| Issue | issue6 |
| Publisher | Okayama University Medical School |
| Start Page | 449 |
| End Page | 453 |
| 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 | 28003669 |
| JaLCDOI | 10.18926/AMO/54806 |
|---|---|
| FullText URL | 70_6_441.pdf |
| Author | Kashihara, Naoko| Furumatsu, Takayuki| Kodama, Yuya| Tanaka, Takaaki| Ozaki, Toshifumi| |
| Abstract | Concurrent meniscal repair with anterior cruciate ligament (ACL) reconstruction has shown good clinical outcomes, but it has a considerable risk of progressing to post-traumatic osteoarthritis of the knee. Here we investigated postoperative changes in the position of the lateral meniscus (LM) and assessed the short-term clinical results after concurrent LM repair with ACL reconstruction. Twentyseven patients underwent LM repair of a peripheral longitudinal tear concomitant with ACL reconstruction. We evaluated the preoperative and postoperative values of the Lysholm score and anteroposterior instability. The length and width of the lateral tibial plateau were determined by radiographic images. The length, width, body width, extrusion, and height of the LM were measured in magnetic resonance images and compared between the preoperative and postoperative measurements. Our analysis revealed that concurrent LM repair with ACL reconstruction improved the shortterm clinical outcomes. Although the body width and height of the LM did not change, the postoperative LM extrusion and LM width were significantly increased after the surgery. The post-traumatic transposition of the LM may not be completely prevented by LM repair concomitant with ACL reconstruction. |
| Keywords | lateral meniscus meniscal extrusion meniscal repair anterior cruciate ligament reconstruction |
| Amo Type | Original Article |
| Publication Title | Acta Medica Okayama |
| Published Date | 2016-12 |
| Volume | volume70 |
| Issue | issue6 |
| Publisher | Okayama University Medical School |
| Start Page | 441 |
| End Page | 448 |
| 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 | 28003668 |
| JaLCDOI | 10.18926/54536 |
|---|---|
| Title Alternative | “情(Qing)”in the Zhu Xi Philosophy |
| FullText URL | bhe_011_055_074.pdf |
| Author | Sun, Luyi| |
| Abstract | 本稿では、朱子のいう「情」についてできるだけ深く掘り下げて再検討することを試みる。 「天地の情」は、自然界の、「公正無私、健やか、和やか」といった性格と気の働きとの両義を併せ持つものである。つまり、自然界のあらゆる自然現象や自然物は皆、「公正無私、健やか、和やか」といった性格を持つ気の働きによって作り出されたものである。「公正無私、健やか、和やか」という性格は、「天地の心」が無生物や生物や人間に賦与されることに伴ってそれらの物体にも備わるのである。 「物の情」は、物体のその自身の性質を現す働きである。「草木禽獣の情」は、「五常の性」から発生した原初的「情」と、原初的「情」が具体的な物に対して向かうことによって生じた志向的情感、及び知覚、といった内面的な働きである。 「人の情」には、「本然の性」から発生した「四端」と「気質の性」から発生した「七情」の二種類がある。「四端」は原初的「情」であり、「七情」はその一部分が原初的「情」となって現れる。原初的「情」の働き方によって生じた幾つかの異なる心の働きが派生的「情」であり、派生的「情」には「意」「志」「知」「思慮」などといった要素が含まれている。 「意」と「志」はともに志向的情感であるが、その性格は「志は剛、意は柔」のように正反対であり、意欲、作用、忖度、感応が「意」の具体的な内容である。「知」はつまり「知覚」または「知識」であり、「知覚」は、神経感覚・器官感覚・生命感覚・道徳感覚を意味し、「知識」は認識や見識を意味する。「思慮」はつまり「思」であり、思惟・思索を意味し、派生的「情」においては枢要な働きを担うものであるが、不善を生ずるものと認識されている。 |
| Keywords | 天地の情 物の情 草木禽獣の情 人の情 四端 七情 情 意 知覚 思慮 |
| Publication Title | Bulletin of Higher Education Okayama University |
| Published Date | 2015-12-30 |
| Volume | volume11 |
| Start Page | 55 |
| End Page | 74 |
| ISSN | 1881-5952 |
| language | Japanese |
| File Version | publisher |
| NAID | 120005838014 |