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Title Alternative An in-hospital relapse case of an elderly COVID-19 patient on steroids
FullText URL 134_171.pdf
Author Fujita, Koji| Ocho, Kazuki|
Abstract  During a pandemic like the novel coronavirus infection 2019 (COVID-19), the availability of inpatient beds is always a major issue. Thus, it is extremely important to release patients from isolation efficiently in order to maintain stable bed operations. However, in clinical practice, patients may develop fever again, before or after the timing specified by the Ministry of Health, Labor and Welfare (MHLW) for lifting isolation, and hence it may be difficult to determine whether the fever is due to a delay in recovery or due to relapse. The diagnosis of relapse is based primarily on the recurrence of symptoms consistent with COVID-19 and a positive PCR result, but few reports have focused on comparing the patterns of variation in two or more blood test findings over the course of the disease. In the present study, we study a case of relapse in an elderly patient on immunosuppressive drugs.
 Understanding the unique patterns of variability between baseline blood test values and acute infection test values in each individual patient may serve as an adjunctive tool to help diagnose COVID-19 relapse.
Keywords 再燃(relapse) 新型コロナウイルス感染症(COVID-19) 高齢者(elderly) ステロイド(steroids)
Publication Title Journal of Okayama Medical Association
Published Date 2022-12-01
Volume volume134
Issue issue3
Start Page 171
End Page 175
ISSN 0030-1558
Related Url isVersionOf https://doi.org/10.4044/joma.134.171
language Japanese
Copyright Holders Copyright (c) 2022 岡山医学会
File Version publisher
DOI 10.4044/joma.134.171
JaLCDOI 10.18926/CTED/65083
Title Alternative Development of a Lesson Plan Based on the Theory of Inquiry-based Learning in Junior High School Home Economics Class“ Clothing Composition: Making Sleeveless Smocks for Toddlers by Remaking Old Shirts” Development of the Home Economics Curriculum Based on the ESD(Ⅲ)
FullText URL cted_013_341.pdf
Author Sato, Sono| Wakisaka, Risa| Ishikawa, Yoshiko| Hirata, Michiko|
Keywords ESD 内容開発研究 (content development research) 家庭科衣生活学習 (home economics clothing life learning) 中・高等学校 (middle and high school) 教授書 (proposed lesson plan based on the theory of inquiry learning)
Publication Title Bulletin of Center for Teacher Education and Development, Okayama University
Published Date 2023-03-30
Volume volume13
Start Page 341
End Page 355
ISSN 2186-1323
language Japanese
Copyright Holders Copyright © 2023 岡山大学教師教育開発センター
File Version publisher
JaLCDOI 10.18926/bgeou/64982
Title Alternative Concept of Clothing Life Learning to Explore “Relationship Between Oneself and Clothing” from the Perspective of ESD: Development of the Home Economics Curriculum Based on the ESD (Ⅱ)
FullText URL bgeou_182_047_056.pdf
Author Sato, Sono| Wakisaka, Risa| Ishikawa, Yoshiko|
Abstract 本継続研究では,教科のねらい・原理から,家庭科におけるESDを検討した。その結果,その基盤には「自己と環境との関係性において生活を営む上で生じた問題に対し,家政学の研究分野で解明された法則・理論に基づき,より科学的な意思決定を行うこと」が存在していることが明らかになった。本研究では,この観点から最も問題があると考えられた平成20・21 年版学習指導要領に示された家庭科「衣生活学習」に焦点を当て,教師レベルでその問題を解決することを目的として,中・高等学校衣生活学習のカリキュラムを開発した。
Keywords 家庭科 ESD 内容開発研究 衣生活学習 中・高等学校
Publication Title Bulletin of Graduate School of Education, Okayama University
Published Date 2023-02-24
Volume volume182
Start Page 47
End Page 56
ISSN 1883-2423
language Japanese
File Version publisher
FullText URL K0006309_abstract_review.pdf K0006309_fulltext.pdf K0006309_summary.pdf
Author Ishikawa, Wataru|
Published Date 2021-03-25
Content Type Thesis or Dissertation
Grant Number 甲第6309号
Granted Date 2021-03-25
Thesis Type Doctor of Philosophy in Medical Science
Grantor 岡山大学
language English
JaLCDOI 10.18926/JHG/61931
Title Alternative The engaged communities and professionals for sustaining lives of the elderly with dementia : A case of Hira Ward, Tomo Town in Fukuyama City
FullText URL jhg_2_1_20.pdf
Author Ishikawa, Yuko| Nakatani, Ayami|
Publication Title Journal of humanistic gerontology
Published Date 2021-03-27
Volume volume2
Start Page 1
End Page 20
ISSN 2435-5747
language Japanese
File Version publisher
NAID 120007034427
FullText URL APL_117_101103.pdf
Author Iida, Takumi | Ishikawa, Atsushi| Tanaka, Takuo| Muranaka, Atsuya| Uchiyama, Masanobu| Hayashi, Yasuhiko| Tsuruta, Kenji|
Note This article may be downloaded for personal use only. Any other use requires prior permission of the author and AIP Publishing. This article appeared in Takumi Iida et. al. Super-chiral vibrational spectroscopy with metasurfaces for high-sensitive identification of alanine enantiomers. Appl. Phys. Lett. 117, 101103 (2020) and may be found at https://doi.org/10.1063/5.0012331.|
Published Date 2020-09-09
Publication Title Applied Physics Letters
Volume volume117
Issue issue10
Publisher American Institute of Physics
Start Page 101103
ISSN 0003-6951
NCID AA00543431
Content Type Journal Article
language English
OAI-PMH Set 岡山大学
File Version publisher
DOI 10.1063/5.0012331
Web of Science KeyUT 000571581400002
Related Url isVersionOf https://doi.org/10.1063/5.0012331
FullText URL fulltext.pdf
Author Suichi, Takahiro| Ishikawa, Atsushi| Tanaka, Takuo| Hayashi, Yasuhiko| Tsuruta, Kenji|
Published Date 2020-04-16
Publication Title Scientific Reports
Volume volume10
Issue issue1
Publisher Nature
Start Page 6486
ISSN 2045-2322
Content Type Journal Article
language English
OAI-PMH Set 岡山大学
Copyright Holders © The Author(s) 2020
File Version publisher
PubMed ID 32300158
DOI 10.1038/s41598-020-63591-7
Web of Science KeyUT 000562142100005
Related Url isVersionOf https://doi.org/10.1038/s41598-020-63591-7
FullText URL K0005703_abstract_review.pdf K0005703_summary.pdf
Author Ishikawa, Takanori|
Published Date 2018-03-23
Content Type Thesis or Dissertation
Grant Number 甲第5703号
Granted Date 2018-03-23
Thesis Type Doctor of Philosophy in Dental Science
Grantor 岡山大学
language English
FullText URL APL_111_243106_2017.pdf
Author Ishikawa, Atsushi| Hara, Shuhei| Tanaka, Takuo| Zhan, Xiang| Tsuruta, Kenji|
Note This is an Accepted Manuscript of an article published by American Institute of Physics|
Published Date 2017-12-11
Publication Title Applied Physics Letters
Volume volume111
Issue issue24
Publisher American Institute of Physics
Start Page 243106
ISSN 0003-6951
NCID AA00543431
Content Type Journal Article
language Japanese
OAI-PMH Set 岡山大学
Copyright Holders https://creativecommons.org/licenses/by-nc-nd/4.0/deed.ja
File Version author
DOI 10.1063/1.5004703
Web of Science KeyUT 000418098900036
Related Url isVersionOf https://doi.org/10.1063/1.5004703
FullText URL APL_111_183102_2017.pdf
Author Ishikawa, Atsushi| Kato, Taiki| Takeyasu, Nobuyuki| Fujimori, Kazuhiro| Tsuruta, Kenji|
Note This is an Accepted Manuscript of an article published by American Institute of Physics|
Published Date 2017-10-30
Publication Title Applied Physics Letters
Volume volume111
Issue issue18
Publisher American Institute of Physics
Start Page 183102
ISSN 0003-6951
NCID AA00543431
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 10.1063/1.4986203
Web of Science KeyUT 000414158500027
Related Url isVersionOf https://doi.org/10.1063/1.4986203
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
FullText URL K0005541_abstract_review.pdf K0005541_fulltext.pdf
Author Ishikawa, Koji|
Published Date 2017-03-24
Content Type Thesis or Dissertation
Grant Number 甲第5541号
Granted Date 2017-03-24
Thesis Type Doctor of Philosophy in Science
Grantor 岡山大学
language English
Title Alternative A refractory cutaneous-rectovesical fistula complicated with abdominal actinomycosis successfully treated with antibiotic therapy
FullText URL 129_35.pdf
Author Katsura, Yuki| Matsukawa, Hiroyoshi| Kato, Takuya| Sugihara, Masahiro| Ojima, Yasutomo| Shiozaki, Shigehiro|
Abstract The patient was a 35-year-old Japanese man diagnosed with appendicitis with abscess formation. An appendectomy was performed, but a refractory surgical wound infection developed, and eventually a cutaneous-rectovesical fistula was detected. In a review of the first-time CT scan, a small high-density construction resembling a bone from a fish was detected in the ileum. The histopathological examination revealed granules of actinomyces. These findings suggested that abdominal actinomycosis due to intestinal mucosal breakage by the fish bone caused the secondary appendicitis, and that after the appendectomy, residual actinomyces caused the cutaneous-rectovesical fistula. After the diagnosis, total parenteral nutrition and a long-term administration of antibiotics improved the patient's clinical symptoms, and the fistula closed within a month. Antibiotics were administered for 6 months, and there has been no recurrence for 6-1/2 years. Because actinomycosis is difficult to diagnose based on the typical clinical features, a direct identification of the infecting organism from a tissue sample or from sulfur granules is required for the definitive diagnosis. Actinomyces is also known to cause fistula formation, and intestinal penetration caused by a fish bone may indicate abdominal actinomycosis. A rectovesical fistula requires surgical intervention in most cases, but in cases caused by abdominal actinomycosis, such a fistula may be cured by conservative therapy, as in our patient's case. It is important to consider the possibility of actinomycosis when a refractory rectovesical fistula is observed.
Keywords 放線菌症 (actinomycosis) 皮膚直腸膀胱瘻 (cutaneous-rectovesical fistula) 急性虫垂炎 (appendicitis)
Publication Title Journal of Okayama Medical Association
Published Date 2017-04-03
Volume volume129
Issue issue1
Start Page 35
End Page 39
ISSN 0030-1558
language Japanese
Copyright Holders Copyright (c) 2017 岡山医学会
File Version publisher
DOI 10.4044/joma.129.35
NAID 130005632060
Author Miyamoto, Masashi| Esumi, Satoru| Kitamura, Yoshihisa| Sendo, Toshiaki|
Published Date 2016-12-01
Publication Title Journal of Okayama Medical Association
Volume volume128
Issue issue3
Content Type Article
Title Alternative A case of mucinous adenocarcinoma of the duodenum and literature review of 16 cases reported in Japan
FullText URL 128_21.pdf
Author Hamano, Ikumi| Matsumoto, Yusuke| Endo, Yoshikatsu| Watanabe, Naoki| Kai, Kyouhei| Sato, Shizou| Wani, Yoji|
Abstract  Primary mucinous adenocarcinoma of the duodenum is rare. Here we report a case we recently encountered, and we review 16 cases reported in Japan. An 82-year-old Japanese woman was admitted to our hospital complaining of abdominal pain and heartburn. An endoscopic examination revealed a Type 2 tumor in the descending limb of the duodenum, and endoscopically obtained specimens revealed a poorly differentiated adenocarcinoma. We performed a curative pancreatoduodenectomy with lymph node resection, and the surgical specimen revealed that the duodenum was the primary site of the mucinous adenocarcinoma. The patient is currently alive > 1 year after the operation without any evidence of recurrence. Of the 16 patients reviewed, all patients had advanced tumors those depth were T3-T4. 9 patients had lymph node metastasis and 4 patients had peritoneal dissemination at the time of surgery. Since mucinous adenocarcinoma of the duodenum is often progressive cancer at a diagnosis, which is tend to have a worse prognosis than other histological types.
Keywords 原発性十二指腸癌(primary duodenal cancer) 粘液癌(mucinous carcinoma) 膵頭十二指腸切除(pancreatoduodenectomy)
Publication Title 岡山医学会雑誌
Published Date 2016-04-01
Volume volume128
Issue issue1
Start Page 21
End Page 25
ISSN 0030-1558
Related Url isVersionOf https://doi.org/10.4044/joma.128.21
language Japanese
Copyright Holders Copyright (c) 2016 岡山医学会
File Version publisher
DOI 10.4044/joma.128.21
NAID 130005149602
Author Ishikawa, Atsushi| Tanaka, Takuo|
Published Date 2015
Publication Title Scientific reports
Volume volume5
Content Type Journal Article
Author Ishikawa, Atsushi|
Published Date 2015-09
Publication Title Okayama University Medical Research Updates
Volume volume15
Content Type Others
Title Alternative A case report of giant ectopic pheochromocytoma conversion therapy with radioisotope therapy and chemotherapy followed by curative resection
FullText URL 127_213.pdf
Author Yasui, Kazuya| Umeda, Yuzo| Kumano, Kenjiro| Tabata, Masahiro| Otsuka, Fumio| Yagi, Takahito| Fujiwara, Toshiyoshi|
Abstract A 46-year-old man was found to be positive for occult blood at a medical checkup and was revealed to have a 14-cm tumor on the right side of abdominal aorta by a subsequent abdominal CT scan. The endocrinology laboratory data showed elevations in the levels of serum noradrenaline, and ectopic pheochromocytoma was suspected. The tumor was compressing the inferior vena cava and portal vein, the superior mesenteric artery and the pancreas. Since it would be difficult to cure by operation, neoadjuvant therapy was started using radioisotope therapy by I-131 metaiodobenzylguanidine (131I-MIBG) and chemotherapy (CVD therapy ; cyclophosphamide, vincristine, dacarbazine). He was treated with three courses of radioisotope therapy and 16 courses of chemotherapy, which significantly reduced the tumor size. This made radical resection possible ; we were able to avoid the merger excision of great vessels and other organs. On pathological and immunopathological findings, the tumor was diagnosed as ectopic pheochromocytoma. Regarding the safety and curability of the treatment, neoadjuvant therapy may be useful in treating very large tumors that show invasion of other organs.
Keywords 異所性褐色細胞腫(ectopic pheochromocytoma) 化学療法(chemo therapy) 131I-MIBG
Publication Title 岡山医学会雑誌
Published Date 2015-12-01
Volume volume127
Issue issue3
Start Page 213
End Page 218
ISSN 0030-1558
Related Url isVersionOf https://doi.org/10.4044/joma.127.213
language Japanese
Copyright Holders Copyright (c) 2015 岡山医学会
File Version publisher
DOI 10.4044/joma.127.213
NAID 130005116814
Title Alternative Theory and practice for clinical clerkship with improvement of patient safety
FullText URL 127_139.pdf
Author Yamane, Masaomi|
Keywords クリニカル・クラークシップ 患者安全 正統的周辺参加 臨床実習評価
Publication Title 岡山医学会雑誌
Published Date 2015-08-03
Volume volume127
Issue issue2
Start Page 139
End Page 146
ISSN 0030-1558
Related Url isVersionOf https://doi.org/10.4044/joma.127.139
language Japanese
Copyright Holders Copyright (c) 2015 岡山医学会
File Version publisher
DOI 10.4044/joma.127.139
NAID 130005096258
FullText URL K0005074_abstract_review.pdf K0005074_fulltext.pdf
Author Ishikawa, Hisashi|
Published Date 2014-12-31
Content Type Thesis or Dissertation
Grant Number 甲第5074号
Granted Date 2014-12-31
Thesis Type Doctor of Philosophy in Medical Science
Grantor 岡山大学
language Japanese English