start-ver=1.4
cd-journal=joma
no-vol=112
cd-vols=
no-issue=9-12
article-no=
start-page=205
end-page=209
dt-received=
dt-revised=
dt-accepted=
dt-pub-year=2000
dt-pub=20001225
dt-online=
en-article=
kn-article=
en-subject=
kn-subject=
en-title=Clinical pathway in breast conservation operation in Okayama Central Hospital
kn-title=クリニカルパスウエイを用いた乳癌術後管理
en-subtitle=
kn-subtitle=
en-abstract=
kn-abstract=We performed a breast conservation operation in 5 patients using a clinical pathway in 1995 and analyzed the effect on the patient's outcome. Compared to 5 patients without a clinical parthway during the same time peried, the mean hospital stay decreased from 10.8 to 4.6 days and the amount of antibiotics decreased from 9.0 to 2.0g. A satisfactory effect was pbserved on the establishment of communication between staff and the standardized care of patiens. Breast conservation operation seems to be a good candidate for the introduction of a clinical pathway. Further improvement could be obtained by reviewing the outcome of patients.
en-copyright=
kn-copyright=

en-aut-name=MatsuokaJunji
en-aut-sei=Matsuoka
en-aut-mei=Junji
kn-aut-name=松岡順治
kn-aut-sei=松岡
kn-aut-mei=順治
aut-affil-num=1
ORCID=

en-aut-name=KojimaKazushi
en-aut-sei=Kojima
en-aut-mei=Kazushi
kn-aut-name=小島一志
kn-aut-sei=小島
kn-aut-mei=一志
aut-affil-num=2
ORCID=

en-aut-name=OkaItsuho
en-aut-sei=Oka
en-aut-mei=Itsuho
kn-aut-name=岡伊津穂
kn-aut-sei=岡
kn-aut-mei=伊津穂
aut-affil-num=3
ORCID=

en-aut-name=KenmotsuMasakazu
en-aut-sei=Kenmotsu
en-aut-mei=Masakazu
kn-aut-name=剣持雅一
kn-aut-sei=剣持
kn-aut-mei=雅一
aut-affil-num=4
ORCID=

en-aut-name=KataikaMasafumi
en-aut-sei=Kataika
en-aut-mei=Masafumi
kn-aut-name=片岡正文
kn-aut-sei=片岡
kn-aut-mei=正文
aut-affil-num=5
ORCID=

en-aut-name=UmeokaTatsuo
en-aut-sei=Umeoka
en-aut-mei=Tatsuo
kn-aut-name=梅岡達生
kn-aut-sei=梅岡
kn-aut-mei=達生
aut-affil-num=6
ORCID=

affil-num=1
en-affil=
kn-affil=岡山中央病院

affil-num=2
en-affil=
kn-affil=岡山中央病院

affil-num=3
en-affil=
kn-affil=岡山中央病院

affil-num=4
en-affil=
kn-affil=岡山中央病院

affil-num=5
en-affil=
kn-affil=岡山大学第一外科

affil-num=6
en-affil=
kn-affil=岡山大学第一外科
en-keyword=クリニカルパス
kn-keyword=クリニカルパス
en-keyword=平均在院日数
kn-keyword=平均在院日数
en-keyword=医療費削減
kn-keyword=医療費削減
en-keyword=患者満足度
kn-keyword=患者満足度
END

start-ver=1.4
cd-journal=joma
no-vol=112
cd-vols=
no-issue=9-12
article-no=
start-page=199
end-page=203
dt-received=
dt-revised=
dt-accepted=
dt-pub-year=2000
dt-pub=20001225
dt-online=
en-article=
kn-article=
en-subject=
kn-subject=
en-title=Breast quadrantectomy operative procedure in Okayama Cantral Hospital
kn-title=当院における乳房扇状部分切除術術式
en-subtitle=
kn-subtitle=
en-abstract=
kn-abstract=Our breast quadrantectomy operative procedure and the clinical results are reported. We have peformed this method in 19 patients with stage �T and �U breast cancer under general anesthesis. A negative margin of cancer was confirmed by intraoperative histological exami-nation. Our method of quadrantectomy was performed without sturing both cut edges, which allowed intestitial fluid to collect. Of nineteen patients operated using this method, 17 were satisfied with the cosmetic results. Burn and infection were the causes of deformity of the preserved breast. Tight adaptation of the skin suture, avoiding burns due to elecrocauterry and suturing of the residual duct are recomended procedures for satisfactory results.
en-copyright=
kn-copyright=

en-aut-name=MatsuokaJunji
en-aut-sei=Matsuoka
en-aut-mei=Junji
kn-aut-name=松岡順治
kn-aut-sei=松岡
kn-aut-mei=順治
aut-affil-num=1
ORCID=

en-aut-name=KojimaKazushi
en-aut-sei=Kojima
en-aut-mei=Kazushi
kn-aut-name=小島一志
kn-aut-sei=小島
kn-aut-mei=一志
aut-affil-num=2
ORCID=

en-aut-name=KenmotsuMasakazu
en-aut-sei=Kenmotsu
en-aut-mei=Masakazu
kn-aut-name=剣持雅一
kn-aut-sei=剣持
kn-aut-mei=雅一
aut-affil-num=3
ORCID=

en-aut-name=OkaItsuho
en-aut-sei=Oka
en-aut-mei=Itsuho
kn-aut-name=岡伊津穂
kn-aut-sei=岡
kn-aut-mei=伊津穂
aut-affil-num=4
ORCID=

affil-num=1
en-affil=
kn-affil=岡山中央病院外科

affil-num=2
en-affil=
kn-affil=岡山中央病院外科

affil-num=3
en-affil=
kn-affil=岡山中央病院外科

affil-num=4
en-affil=
kn-affil=岡山中央病院外科
en-keyword=乳癌
kn-keyword=乳癌
en-keyword=乳房扇状部分切除術
kn-keyword=乳房扇状部分切除術
en-keyword=乳房温存手術
kn-keyword=乳房温存手術
END

start-ver=1.4
cd-journal=joma
no-vol=112
cd-vols=
no-issue=9-12
article-no=
start-page=191
end-page=198
dt-received=
dt-revised=
dt-accepted=
dt-pub-year=2000
dt-pub=20001225
dt-online=
en-article=
kn-article=
en-subject=
kn-subject=
en-title=Estimation by MRI of tumor volume is useful to evaluate the extrauterine progress in squamous cell carcinoma of the uterine cervix
kn-title=MRI 画像による術前子宮頸部扁平上皮癌の腫瘍体積の測定と子宮外進展との関連性
en-subtitle=
kn-subtitle=
en-abstract=
kn-abstract=Tumor volume was estimated prior to surgery to the T2-weighted magnetic resonance imaging (MRI) in 40 cases of cervical cancer. Tumorous space was calculated from the picture on the computer image imported from MRI fulms. Total volume of the cancer mass was than calculated by integration of the space in regard to the slice diameter. Tumor contour was positively portrayed and total volume was estimated in 30 out of 40 cases. Twenty-two of 23 cases (95.7%) with a volunme over 3000mm3 were revealed to have parametrial in vasion and/ or pelvic lymph node metastasis. None of 4 cases with a volume less than 1000mm3 and 10 cases in which no tumor was exhibited were revealed to have any extrauterine progress. 
 These results suggest that the estimation of tumor volume using this method is useful to predict extrautrine progress prior to surgery, and would be useful in planning cervical cancer therapy.
en-copyright=
kn-copyright=

en-aut-name=SezakiHiroyuki
en-aut-sei=Sezaki
en-aut-mei=Hiroyuki
kn-aut-name=瀬崎宏之
kn-aut-sei=瀬崎
kn-aut-mei=宏之
aut-affil-num=1
ORCID=

affil-num=1
en-affil=
kn-affil=岡山大学医学部産科婦人科学講座
en-keyword=子宮頸部扁平上皮癌
kn-keyword=子宮頸部扁平上皮癌
en-keyword=子宮外進展
kn-keyword=子宮外進展
en-keyword=腫瘍体積
kn-keyword=腫瘍体積
en-keyword=MRI
kn-keyword=MRI
END

start-ver=1.4
cd-journal=joma
no-vol=112
cd-vols=
no-issue=9-12
article-no=
start-page=183
end-page=189
dt-received=
dt-revised=
dt-accepted=
dt-pub-year=2000
dt-pub=20001225
dt-online=
en-article=
kn-article=
en-subject=
kn-subject=
en-title=An investigation into the factors of smoking cessation in male smokers
kn-title=男性喫煙者の禁煙実行要因に関する研究
en-subtitle=
kn-subtitle=
en-abstract=
kn-abstract=This syudy was designed to clarify what factors influenced the ability to stop smoking in male smokers, from the viewpoint of life-style guidance and primary care. Of the people who attended abult health examinations between 1993 and 1998 in Okayama Ctiy, 987 male smokers were selected and categorized according to the number of cigarettes per day into three groups. The relation was analyzed statistically between the three groups and the life-style related factors : age, the degree of obesity, sleep, snacks, salt, exercise and alcohol. The results showed significant differences in age, the degree of obesity, sleep, salt, exercise. Second, the relation between threse three groups and the experience and duration of smoking cessation was analyzed. The results showed a significant differnce in the experience of smoking cessation, but no significant differnce in duration of smoking cessation. The conclusions are as follows : 1. Male smokers, who do not activedy try to improve of their life-style related factors, have fewer experiences of smoking cessation, 2. Male smokers who try to improve their life-style habits have a similar period od smoking cessation to those who do not. 3. Long term support for all male smokers to continue to be non-smoking is important.
en-copyright=
kn-copyright=

en-aut-name=KawadaYuichi
en-aut-sei=Kawada
en-aut-mei=Yuichi
kn-aut-name=川田諭一
kn-aut-sei=川田
kn-aut-mei=諭一
aut-affil-num=1
ORCID=

affil-num=1
en-affil=
kn-affil=岡山大学医学部衛生医学講座
en-keyword=喫煙本数
kn-keyword=喫煙本数
en-keyword=生活習慣
kn-keyword=生活習慣
en-keyword=健康意識
kn-keyword=健康意識
en-keyword=健康意欲
kn-keyword=健康意欲
en-keyword=禁煙経験
kn-keyword=禁煙経験
en-keyword=再喫煙
kn-keyword=再喫煙
END

start-ver=1.4
cd-journal=joma
no-vol=112
cd-vols=
no-issue=9-12
article-no=
start-page=169
end-page=182
dt-received=
dt-revised=
dt-accepted=
dt-pub-year=2000
dt-pub=20001225
dt-online=
en-article=
kn-article=
en-subject=
kn-subject=
en-title=A study on the relationship between bone mineral density and life style using quantitayive ultrasound imaging
kn-title=超音波測定法による「骨密度検診」の有用性と生活習慣との関連
en-subtitle=
kn-subtitle=
en-abstract=
kn-abstract=To prepare for the problems associsted with a rapidly aging society, a checkup for the bone mineral density has been performed in many cities and villages in Japan. However, there are varying methods for measuring bone mineral density, and the usefulnes of quantitative Ultrasound imaging has not been established. The relationship between bone mineral density and life style in 627 women in 5 cities was investigated using quantitative ultasound imaging to measure bone mineral density. The results can be summarized as follows: 1. The results from quantitative ultrasound imaging can be applied to the established DXA method because there was a correlation among dual energy X-ray absorptiometry. single energy X-ray absorptiometry and quantitative ultrasound imaging. 2. The stiffness index by quantitative ultrasound imaging was highly correlated with age and decreased proportinally with an increase in age. 3. We suggest that the measurement of bone mineral desity by quantitative ultrasound imaging for women at the age of 55 and 60 years in addition to those of 40 and 50 years is necessary. 4. We speculate that exercise and celcinm intake during youth have some effects on bone mineral density of woman after the prime of life.
en-copyright=
kn-copyright=

en-aut-name=KimuraHirotsugu
en-aut-sei=Kimura
en-aut-mei=Hirotsugu
kn-aut-name=木村博承
kn-aut-sei=木村
kn-aut-mei=博承
aut-affil-num=1
ORCID=

affil-num=1
en-affil=
kn-affil=岡山大学医学部衛生学講座
en-keyword=「骨密度検診」
kn-keyword=「骨密度検診」
en-keyword=超音波測定法
kn-keyword=超音波測定法
en-keyword=生活習慣
kn-keyword=生活習慣
END

start-ver=1.4
cd-journal=joma
no-vol=112
cd-vols=
no-issue=9-12
article-no=
start-page=159
end-page=168
dt-received=
dt-revised=
dt-accepted=
dt-pub-year=2000
dt-pub=20001225
dt-online=
en-article=
kn-article=
en-subject=
kn-subject=
en-title=The usefulness of colposcopy for evaluation of chemotherapeutic effect on uterine cervical carcinoma
kn-title=子宮頚部扁平上皮癌動注化学療法効果判定のためコルポスコピーの有用性について
en-subtitle=
kn-subtitle=
en-abstract=
kn-abstract=Forty-three patients with atage II squamous cell carcinoma of the uterine cervix were treated with intra-arterial cis-platinum before radical hysterectomy. The dose of cis-platinum was 50mg/�u and the infusion was repeated twice at 3-week intervals. In this in investigation, serial colposcopy and biopsies were performed to assess the efficacy of this chemotherapy. On colposcopy, the first change on the surface of the lesion during chemotherapy was a whitish change, followed by a yellowish change. After that, the lasion became less irregular, atypical vessels were less numerous and the surface was civered with squamous epithelium. On patho-logical examination of the resected meterials following radical hysterectomy, viable tumor cells had disappeared in 7 (group 1) and remained in 36 (group 2) patients.
 Retrospective investigation revealed a significant difference in colposcopic findings between groups 1 and 2, one week after the first chemotherapy. In regard to the remaining viable tumor cells, the pathological examination using serial biopsies revealed a significant difference between groups 1 and 2, 5 weeks after the first chmotherapy. Thus, the present results indicate that colposcopy is clinically effective in the early evaluation of the efficacy of intra-arerial injection on uterine cervical carcinoma.
en-copyright=
kn-copyright=

en-aut-name=OhmuraYuichi
en-aut-sei=Ohmura
en-aut-mei=Yuichi
kn-aut-name=大村裕一
kn-aut-sei=大村
kn-aut-mei=裕一
aut-affil-num=1
ORCID=

affil-num=1
en-affil=
kn-affil=岡山大学医学部産科婦人科学教室
en-keyword=Uterine cervical carcinoma
kn-keyword=Uterine cervical carcinoma
en-keyword=Intra-arterial injection
kn-keyword=Intra-arterial injection
en-keyword=Colposcopy
kn-keyword=Colposcopy
END

start-ver=1.4
cd-journal=joma
no-vol=112
cd-vols=
no-issue=9-12
article-no=
start-page=149
end-page=158
dt-received=
dt-revised=
dt-accepted=
dt-pub-year=2000
dt-pub=20001225
dt-online=
en-article=
kn-article=
en-subject=
kn-subject=
en-title=Body composition, cardiorespiratory fitness, and running performance in junior male long distance runners
kn-title=ジュニア男子陸上長距離選手の身体組成・全身持久力と走記録
en-subtitle=
kn-subtitle=
en-abstract=
kn-abstract=The purpose of this investigation is to quantify body composition and cardiorespiratory fitness in 46 junior male long distance runners and to evaluate the effects of these factors on running performance. Total and regional body composition were measured using dual energy X-ray absorptiometry. Maximal oxygen uptake (VO(2)max), ventilatory compensation point (VCP), and ventilatory threshold (VT) were determined during the maximal exercise test using a bicycle ergometer. Subjects were classified into two groups. The 5000m running times of 18 subjects in group I were less than 15 min, and those of 28 subjects in group II were more than 15 min. %Fat of the legs in group I was significantly decreased compared to that of group II. VCP and VT of group I were significantly higher than those of group II, while VO2max was not significantly different between the two groups. VO2max, VCP, and VT were negatively correlated to running times, while the parameters of body composition were not correlated. The increase in VCP alone contributed to running time shown by multiple regression analysis. These data showed that VCP is a sensitive predictor of running performance in junior male long distance runners during development.
en-copyright=
kn-copyright=

en-aut-name=HirataToshihiko
en-aut-sei=Hirata
en-aut-mei=Toshihiko
kn-aut-name=平田敏彦
kn-aut-sei=平田
kn-aut-mei=敏彦
aut-affil-num=1
ORCID=

affil-num=1
en-affil=
kn-affil=岡山大学医学部内科学第三講座
en-keyword=junior athlete
kn-keyword=junior athlete
en-keyword=running performanance
kn-keyword=running performanance
en-keyword=body composition
kn-keyword=body composition
en-keyword=cardirespiratory fitness
kn-keyword=cardirespiratory fitness
en-keyword=ventilatory compensation point
kn-keyword=ventilatory compensation point
END