検索結果 - OKAYAMA UNIVERSITY SCIENTIFIC ACHIEVEMENT REPOSITORY

医学教育の国際対応

Title Alternative	Internationalization of medical education
FullText URL	129_195.pdf
Author	Matsukawa, Akihiro\|
Publication Title	Journal of Okayama Medical Association
Published Date	2017-12-01
Volume	volume129
Issue	issue3
Start Page	195
End Page	197
ISSN	0030-1558
Related Url	isVersionOf https://doi.org/10.4044/joma.129.195
language	Japanese
Copyright Holders	Copyright (c) 2017 岡山医学会
File Version	publisher
DOI	10.4044/joma.129.195
NAID	40021393940

薬物相互作用 (40―肺動脈性肺高血圧症治療薬における薬物相互作用)

FullText URL	129_187.pdf
Author	Kawanishi, Hideaki\| Esumi, Satoru\| Kitamura, Yoshihisa\| Sendo, Toshiaki\|
Publication Title	Journal of Okayama Medical Association
Published Date	2017-12-01
Volume	volume129
Issue	issue3
Start Page	187
End Page	193
ISSN	0030-1558
Related Url	isVersionOf https://doi.org/10.4044/joma.129.187
language	Japanese
Copyright Holders	Copyright (c) 2017 岡山医学会
File Version	publisher
DOI	10.4044/joma.129.187
NAID	40021393912

Q20・Q21

FullText URL	129_185.pdf
Author	岡山医学会\|
Publication Title	Journal of Okayama Medical Association
Published Date	2017-12-01
Volume	volume129
Issue	issue3
Start Page	185
End Page	186
ISSN	0030-1558
Related Url	isVersionOf https://doi.org/10.4044/joma.129.185
language	Japanese
Copyright Holders	Copyright (c) 2017 岡山医学会
File Version	publisher
DOI	10.4044/joma.129.185

臨床研究中核病院の現状と今後の展望

FullText URL	129_179.pdf
Author	Fujiwara, Toshiyoshi\|
Keywords	特定臨床研究 ARO 患者申出療養
Publication Title	Journal of Okayama Medical Association
Published Date	2017-12-01
Volume	volume129
Issue	issue3
Start Page	179
End Page	184
ISSN	0030-1558
Related Url	isVersionOf https://doi.org/10.4044/joma.129.179
language	Japanese
Copyright Holders	Copyright (c) 2017 岡山医学会
File Version	publisher
DOI	10.4044/joma.129.179
NAID	40021393886

対照的な画像所見を呈した膵 Solid-pseudopapillary neoplasm の2例

Title Alternative	Two cases of solid-pseudopapillary neoplasm of the pancreas with contrasting imaging findings
FullText URL	129_171.pdf
Author	Kawai, Takashi\| Endo, Yoshikatu\| Watanabe, Takanori\| Kai, Kyohei\| Sato, Shiso\|
Abstract	A solid pseudo-papillary tumor of the pancreas is a rare neoplasm which mainly occurs in young women. Here, we report two cases of solid-pseudopapillary neoplasm of the pancreas (SPN) with contrasting imaging findings. One was a 59-year-old woman having no symptomatic complaint with a pancreatic cystic tumor in the tail. The tumor was 60 mm in diameter with a cyst composed of a calcified wall and low-density content which was poorly perfused on contrast-enhanced computed tomography (CT). We diagnosed SPN based on imaging findings and performed distal pancreatectomy. Histology revealed SPN, and the patient had two years of recurrence -free survival (RFS). The other case was a 34-year-old man with an asymptomatic solid tumor in the pancreatic tail. Contrast-enhanced CT showed low peripheral attenuation of a 25-mm solid tumor, with the main duct dilated distal from tumor. We diagnosed him with pancreatic cancer with atypical image findings. Pathological findings revealed SPN, and the patient had five years of RFS. Small-sized SPN is being increasingly recognized because of the recent advances in CT and MRI. We should consider SPN even if it occurs in a male, and endoscopic ultrasound -guided fine-needle aspiration has recently been reported to be useful in diagnosing SPN.
Keywords	膵SPN（solid-pseudopapillary neoplasm of the pancreas） EUS-FNA（endoscopic ultrasound-guided fine needle aspiration）成人男性（male）
Publication Title	Journal of Okayama Medical Association
Published Date	2017-12-01
Volume	volume129
Issue	issue3
Start Page	171
End Page	177
ISSN	0030-1558
Related Url	isVersionOf https://doi.org/10.4044/joma.129.171
language	Japanese
Copyright Holders	Copyright (c) 2017 岡山医学会
File Version	publisher
DOI	10.4044/joma.129.171
NAID	40021393857

平成28年度岡山医学会賞脳神経研究奨励賞（新見賞）

Title Alternative	The 2016 Incentive Award of the Okayama Medical Association in Neuroscience (2016 Niimi Prize)
FullText URL	129_167.pdf
Author	Ikeda, Chikako\|
Publication Title	Journal of Okayama Medical Association
Published Date	2017-12-01
Volume	volume129
Issue	issue3
Start Page	167
End Page	169
ISSN	0030-1558
Related Url	isVersionOf https://doi.org/10.4044/joma.129.167 references https://doi.org/10.1111/bpa.12319
language	Japanese
Copyright Holders	Copyright (c) 2017 岡山医学会
File Version	publisher
DOI	10.4044/joma.129.167
NAID	40021393828

平成28年度岡山医学会賞がん研究奨励賞（林原賞・山田賞）

Title Alternative	The 2016 Incentive Award of the Okayama Medical Association in Cancer Research (2016 Hayashibara Prize and Yamada Prize)
FullText URL	129_163.pdf
Author	Kikuchi, Satoru\|
Publication Title	Journal of Okayama Medical Association
Published Date	2017-12-01
Volume	volume129
Issue	issue3
Start Page	163
End Page	165
ISSN	0030-1558
Related Url	isVersionOf https://doi.org/10.4044/joma.129.163 references https://doi.org/10.1038/mt.2014.244
language	Japanese
Copyright Holders	Copyright (c) 2017 岡山医学会
File Version	publisher
DOI	10.4044/joma.129.163
NAID	40021393823

平成28年度岡山医学会賞総合研究奨励賞（結城賞）

Title Alternative	The 2016 Incentive Award of the Okayama Medical Association in General Medical Science (2016 Yuuki Prize)
FullText URL	129_159.pdf
Author	Murakami, Kazutoshi\|
Publication Title	Journal of Okayama Medical Association
Published Date	2017-12-01
Volume	volume129
Issue	issue3
Start Page	159
End Page	161
ISSN	0030-1558
Related Url	isVersionOf https://doi.org/10.4044/joma.129.159 references https://doi.org/10.2337/db15-1304
language	Japanese
Copyright Holders	Copyright (c) 2017 岡山医学会
File Version	publisher
DOI	10.4044/joma.129.159
NAID	40021393812

平成28年度岡山医学会賞胸部・循環研究奨励賞（砂田賞）

Title Alternative	The 2016 Incentive Award of the Okayama Medical Association in Cardiovascular and Pulmonary Research (2016 Sunada Prize)
FullText URL	129_155.pdf
Author	Fujii, Utako\|
Publication Title	Journal of Okayama Medical Association
Published Date	2017-12-01
Volume	volume129
Issue	issue3
Start Page	155
End Page	157
ISSN	0030-1558
Related Url	isVersionOf https://doi.org/10.4044/joma.129.155 references https://doi.org/10.1165/rcmb.2016-0015OC
language	Japanese
Copyright Holders	Copyright (c) 2017 岡山医学会
File Version	publisher
DOI	10.4044/joma.129.155
NAID	40021393805

第116回　岡山医学会総会

Title Alternative	The 116th General Assembly of the Okayama Medical Association
FullText URL	129_149.pdf
Author	岡山医学会\|
Publication Title	Journal of Okayama Medical Association
Published Date	2017-08-01
Volume	volume129
Issue	issue2
Start Page	149
End Page	154
ISSN	0030-1558
Related Url	https://doi.org/10.4044/joma.129.149
language	Japanese
Copyright Holders	Copyright (c) 2017 岡山医学会
File Version	publisher
DOI	10.4044/joma.129.149
NAID	130006039364

第46回日本インターベンショナルラジオロジー (IVR) 学会総会開催報告

Title Alternative	The 46th Annual Meeting of the Japanese Society of Interventional Radiology
FullText URL	129_147.pdf
Author	Kanazawa, Susumu\|
Publication Title	Journal of Okayama Medical Association
Published Date	2017-08-01
Volume	volume129
Issue	issue2
Start Page	147
End Page	148
ISSN	0030-1558
Related Url	https://doi.org/10.4044/joma.129.147
language	Japanese
Copyright Holders	Copyright (c) 2017 岡山医学会
File Version	publisher
DOI	10.4044/joma.129.147
NAID	130006039365

第14回日本病院総合診療医学会学術総会開催報告

Title Alternative	Report of the 14th Annual Meeting of the Japanese Society of Hospital General Medicine
FullText URL	129_143.pdf
Author	Otsuka, Fumio\|
Publication Title	Journal of Okayama Medical Association
Published Date	2017-08-01
Volume	volume129
Issue	issue2
Start Page	143
End Page	145
ISSN	0030-1558
Related Url	https://doi.org/10.4044/joma.129.143
language	Japanese
Copyright Holders	Copyright (c) 2017 岡山医学会
File Version	publisher
DOI	10.4044/joma.129.143
NAID	130006039380

医療法人康仁会西岡病院

FullText URL	129_141.pdf
Author	西岡康弘\|
Publication Title	Journal of Okayama Medical Association
Published Date	2017-08-01
Volume	volume129
Issue	issue2
Start Page	141
End Page	141
ISSN	0030-1558
language	Japanese
Copyright Holders	Copyright (c) 2017 岡山医学会
File Version	publisher

高額薬剤と医療財政

Title Alternative	Expensive Medicine and Medical Finance
FullText URL	129_137.pdf
Author	Hamada, Jun\|
Publication Title	Journal of Okayama Medical Association
Published Date	2017-08-01
Volume	volume129
Issue	issue2
Start Page	137
End Page	139
ISSN	0030-1558
Related Url	https://doi.org/10.4044/joma.129.137
language	Japanese
Copyright Holders	Copyright (c) 2017 岡山医学会
File Version	publisher
DOI	10.4044/joma.129.137
NAID	130006039381

薬物相互作用 (39―前立腺がん治療薬と薬物相互作用)

Title Alternative	Drug interaction (39. Drug interaction in prostate cancer therapy)
FullText URL	129_131.pdf
Author	Kanzaki, Hirotaka\| Tanaka, Yuta\| Maruo, Akinori\| Nishihara, Shigeki \| Kitamura, Yoshihisa\| Sendo, Toshiaki\|
Publication Title	Journal of Okayama Medical Association
Published Date	2017-08-01
Volume	volume129
Issue	issue2
Start Page	131
End Page	136
ISSN	0030-1558
Related Url	https://doi.org/10.4044/joma.129.131
language	Japanese
Copyright Holders	Copyright (c) 2017 岡山医学会
File Version	publisher
DOI	10.4044/joma.129.131
NAID	130006039378

Q17・Q18・Q19

Title Alternative	Q17・Q18・Q19
FullText URL	129_129.pdf
Author	岡山医学会\|
Publication Title	Journal of Okayama Medical Association
Published Date	2017-08-01
Volume	volume129
Issue	issue2
Start Page	129
End Page	130
ISSN	0030-1558
Related Url	https://doi.org/10.4044/joma.129.129
language	Japanese
Copyright Holders	Copyright (c) 2017 岡山医学会
File Version	publisher
DOI	10.4044/joma.129.129
NAID	130006039379

ICH-GCP に準拠した臨床研究の実施とデータマネジメント

Title Alternative	Data management in clinical research
FullText URL	129_123.pdf
Author	Hinotsu, Shiro\|
Keywords	臨床研究倫理指針 ICH-GCP
Publication Title	Journal of Okayama Medical Association
Published Date	2017-08-01
Volume	volume129
Issue	issue2
Start Page	123
End Page	127
ISSN	0030-1558
Related Url	https://doi.org/10.4044/joma.129.123
language	Japanese
Copyright Holders	Copyright (c) 2017 岡山医学会
File Version	publisher
DOI	10.4044/joma.129.123
NAID	130006039376

POEM (Per-Oral Endoscopic Myotomy) を施行した食道アカラシアの1例

Title Alternative	Achalasia treated with per-oral endoscopic myotomy (POEM)
FullText URL	129_115.pdf
Author	Sugihara, Yuusaku\| Harada, Keita\| Kato, Ryo\| Yamauchi, Kenji\| Takashima, Shiho\| Takei, Daisuke\| Inokuchia, Toshihiro\| Takahara, Masahiro\| Kawano, Seiji\| Hiraoka, Sakiko\| Tanabe, Shunsuke\| Noma, Kazuhiro\| Shirakawa, Yasuhiro\| Manabe, Noriaki\| Inoue, Haruhiro\| Okada, Hiroyuki\|
Abstract	Esophageal achalasia is a disorder of the lower esophageal sphincter muscle. Patients present with dysphagia, chest pain, vomiting, and aspiration. Esophageal achalasia had traditionally been treated with esophageal achalasia balloon dilatation and the Heller-Dor method, but in recent years, the use of per-oral endoscopic myotomy (POEM) has increased. Our patient, a 39-yr-old male, began experiencing dysphagia 4 years prior to his referral to our hospital. Based on the results of esophagogastroduodenoscopy, esophageal radiography and high-resolution manometry, we made the diagnosis of esophageal achalasia (Chicago classification type I) . After informed consent from the patient and his family and approval from our hospital's ethics committee were obtained, we performed a POEM. The patient was discharged on the 4th day post-surgery. At the 1-year post-operative examination, no worsening of symptoms and no relapse were observed. POEM is an excellent treatment method for esophageal achalasia from the perspective of therapeutic effect and prevention of invasion. We recommend that it be considered as the first-choice treatment for achalasia. However, accessibility to the procedure itself is limited due to the few adequately trained operators worldwide. POEM should thus be performed by an expert operator at a high-volume center.
Keywords	POEM 食道アカラシア (esophageal achalasia)
Publication Title	Journal of Okayama Medical Association
Published Date	2017-08-01
Volume	volume129
Issue	issue2
Start Page	115
End Page	121
ISSN	0030-1558
Related Url	https://doi.org/10.4044/joma.129.115
language	Japanese
Copyright Holders	Copyright (c) 2017 岡山医学会
File Version	publisher
DOI	10.4044/joma.129.115
NAID	130006039377

家族性大腸腺腫症術後20年後に小腸癌を発症した1例

Title Alternative	Adenocarcinoma in the jejunum 20 years after surgery for familial adenomatous polyposis
FullText URL	129_111.pdf
Author	Sugihara, Yuusaku\| Kawano, Seiji\| Harada, Keita\| Takashima, Shiho\| Takei, Daisuke\| Inokuchi, Toshihiro\| Takahara, Masahiro\| Hiraoka, Sakiko\| Mori, Yoshiko\| Kishimoto, Hiroyuki\| Nagasaka, Takeshi\| Okada, Hiroyuki\|
Abstract	A 58-year-old Japanese man visited a local clinic for the evaluation of a stomachache. He was diagnosed with intestinal obstruction. His medical history included a proctocolectomy at the age of 38 years, due to familial adenomatous polyposis (FAP). He was referred to our institution, where he underwent a computed tomography examination and endoscopy of the small intestine. The pathological diagnosis was adenocarcinoma. No invasive or metastatic lesions were observed. Therefore, partial resection of the ileum with lymphadenectomy and reconstruction of the ileostomy were performed. Pathological examination revealed that the tumor was type 2, pT3 (SS) , pN1, pPM0, pDM0, pRM0, INFb, ly1, v1, pEX0, PN0. Twenty-nine days after the surgery, the patient was diagnosed with lung metastasis and he underwent lung radiofrequency ablation. We suggest that long-term follow-up is necessary for patients after surgery for FAP, because of the risk of malignant disease developing in other organs.
Keywords	家族性大腸腺腫症 (familial adenomatous polyposis) 小腸癌 (jejunal cancer) 小腸内視鏡検査 (small intestine endoscope)
Publication Title	Journal of Okayama Medical Association
Published Date	2017-08-01
Volume	volume129
Issue	issue2
Start Page	111
End Page	114
ISSN	0030-1558
Related Url	https://doi.org/10.4044/joma.129.111
language	Japanese
Copyright Holders	Copyright (c) 2017 岡山医学会
File Version	publisher
DOI	10.4044/joma.129.111
NAID	130006039373

Klebsiella pneumoniae を起因菌とした後腹膜膿瘍からの炎症波及により腹部大動脈破裂に至った一例

Title Alternative	Retroperitoneal abscess that ruptured the aorta： Invasive Klebsiella pneumoniae syndrome
FullText URL	129_107.pdf
Author	Yamazakia, Kenji\| Sakakima, Masanori\| Nagakura, Yuka\| Hashimoto, Hiroyuki\| Tashiro, Takeshi\| Miwa, Masashi\| Yonemura, Katsuhiko\|
Abstract	An 80-year-old Japanese man was admitted to our hospital in April 2016 with an acute high-grade fever and back pain. A systemic contrast-enhanced computed tomography scan disclosed a retroperitoneal abscess around his aorta. The blood culture revealed Klebsiella pneumoniae. Antibiotics (Cefotaxime 1 g i.v. q 6 hours) were administered, but the patient's symptoms worsened. The abscess then ruptured the aorta. An emergency surgical repair was done, and the patient recovered. Invasive Klebsiella pneumoniae syndrome has been detected in southeast Asia over the past two decades, and here we describe a rare case of a retroperitoneal abscess caused by Klebsiella pneumoniae that ruptured the aorta.
Keywords	invasive Klebsiella pneumoniae syndrome 腹部大動脈破裂 (ruptured abdominal aorta) 後腹膜膿瘍 (retroperitoneal abscess)
Publication Title	Journal of Okayama Medical Association
Published Date	2017-08-01
Volume	volume129
Issue	issue2
Start Page	107
End Page	109
ISSN	0030-1558
Related Url	https://doi.org/10.4044/joma.129.107
language	Japanese
Copyright Holders	Copyright (c) 2017 岡山医学会
File Version	publisher
DOI	10.4044/joma.129.107
NAID	130006039375

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