検索結果 9429 件
| 著者 | 田澤 大| 矢野 修也| 吉田 亮介| 山崎 泰源| 佐々木 剛| 橋本 悠里| 黒田 新士| 大内 正明| 大西 哲平| 宇野 太| 香川 俊輔| 浦田 泰生| 藤原 俊義| |
|---|---|
| 発行日 | 2013-12-02 |
| 出版物タイトル | 岡山医学会雑誌 |
| 巻 | 125巻 |
| 号 | 3号 |
| 資料タイプ | 学術雑誌論文 |
| JaLCDOI | 10.18926/AMO/51869 |
|---|---|
| フルテキストURL | 67_5_325.pdf |
| 著者 | Hasegawa, Kenjiro| Namba, Yuzaburo| Kimata, Yoshihiro| |
| 抄録 | Since 2001, we have been performing phalloplasty with a radial forearm free flap as the flap of first choice in female-to-male transsexuals (FTMTS). In the present case, a 22-year-old FTMTS with a negative Allen test, we achieved good results by performing phalloplasty with an innervated island pedicled anterolateral thigh flap using the "tube within a tube" technique, in which the penis and urethra are constructed with a single flap. While phalloplasty with an island-pedicled or free anterolateral thigh flap has been reported previously, the present case seems to be the first of phalloplasty with an innervated island-pedicled anterolateral thigh flap using the "tube within a tube" technique. As compared to a forearm flap, use of an innervated island-pedicled flap may have the following advantages in phalloplasty:1) no need for a microsurgical technique;2) no scars at noticeable sites;3) small functional loss in the flap donor area;4) no sacrifice of major blood vessels. Thus, this technique seems to be a useful clinical alternative for phallic reconstruction. |
| キーワード | gender identity disorder sex reassignment surgery (SRS) phalloplasty |
| Amo Type | Case Report |
| 出版物タイトル | Acta Medica Okayama |
| 発行日 | 2013-10 |
| 巻 | 67巻 |
| 号 | 5号 |
| 出版者 | Okayama University Medical School |
| 開始ページ | 325 |
| 終了ページ | 331 |
| ISSN | 0386-300X |
| NCID | AA00508441 |
| 資料タイプ | 学術雑誌論文 |
| 言語 | 英語 |
| 著作権者 | CopyrightⒸ 2013 by Okayama University Medical School |
| 論文のバージョン | publisher |
| 査読 | 有り |
| PubMed ID | 24145733 |
| Web of Science KeyUT | 000325836100007 |
| 関連URL | http://doi.org/10.18926/AMO/52660 |
| JaLCDOI | 10.18926/AMO/51868 |
|---|---|
| フルテキストURL | 67_5_319.pdf |
| 著者 | Murakawa, Kiminaka| Sato, Tomoaki| Maeda, Yoshinobu| Kitamura, Yoshihisa| Tanimoto, Mitsune| Sendo, Toshiaki| |
| 抄録 | Graft-versus-host disease (GVHD) is a major concern in transplantation patients. Gut GVHD is accompanied by diarrhea, abdominal pain, and/or melena. Although oral treatment with corticosteroids (CSs) is effective in treating gut GVHD, it can cause adverse reactions that affect the entire body. Topical administration of CSs can be effective in treating diseases in which lesions are limited locally, because adverse reactions can then be alleviated. In this study, we examine and discuss an enteric-coated beclomethasone dipropionate (BDP) capsule (BDP-EC) formulated at Okayama University Hospital. The BDP-EC did not dissolve in solution 1 (pH1.2), and began disintegrating in solution 2 (pH6.8) after 5min, with a mean dissolution rate at 15min of 85%. We then used the capsule to treat a patient who developed gut GVHD after allogeneic hematopoietic stem cell transplantation. Clinically, the frequency of diarrhea decreased after BDP-EC administration. In addition, we were able to decrease the prednisolone equivalent dose. Symptoms associated with adverse reactions to BDP were not observed during the hospitalization period. These findings suggest that the administration of BDP-EC in the early stages of gut GVHD may allow a reduction in the initial doses of systemic CSs. |
| キーワード | beclomethasone intestinal graft-versus-host disease enteric-coated capsule in-hospital formulation |
| Amo Type | Case Report |
| 出版物タイトル | Acta Medica Okayama |
| 発行日 | 2013-10 |
| 巻 | 67巻 |
| 号 | 5号 |
| 出版者 | Okayama University Medical School |
| 開始ページ | 319 |
| 終了ページ | 324 |
| ISSN | 0386-300X |
| NCID | AA00508441 |
| 資料タイプ | 学術雑誌論文 |
| 言語 | 英語 |
| 著作権者 | CopyrightⒸ 2013 by Okayama University Medical School |
| 論文のバージョン | publisher |
| 査読 | 有り |
| PubMed ID | 24145732 |
| Web of Science KeyUT | 000325836100006 |
| JaLCDOI | 10.18926/AMO/51867 |
|---|---|
| フルテキストURL | 67_5_311.pdf |
| 著者 | Nishida, Keiichiro| Hashizume, Hiroyuki| Matsukawa, Akihiro| Hashizume, Kenzo| Shimamura, Yasunori| Torigoe, Yasuyuki| Ozaki, Toshifumi| |
| 抄録 | We report a case of 4th metacarpal head collapse of a 19-year-old healthy man. MRI revealed T1 low and T2 high regions in the collapsed 4th metacarpal head, as well as in the right 3rd and left 4th metacarpal head. Our initial diagnosis was occult compression fracture due to avascular necrosis, known as Dieterich's disease. However, pathological findings of surgically resected right 4th metacarpal head were compatible with transient osteoporosis and metacarpal head fracture followed by active tissue repair. The autologous osteochondral transplants from costchondral junction survived and maintained their size and shape even at 10-year follow-up. |
| キーワード | occult compression fracture metacarpal head avascular necrosis osteochondral autograft |
| Amo Type | Case Report |
| 出版物タイトル | Acta Medica Okayama |
| 発行日 | 2013-10 |
| 巻 | 67巻 |
| 号 | 5号 |
| 出版者 | Okayama University Medical School |
| 開始ページ | 311 |
| 終了ページ | 317 |
| ISSN | 0386-300X |
| NCID | AA00508441 |
| 資料タイプ | 学術雑誌論文 |
| 言語 | 英語 |
| 著作権者 | CopyrightⒸ 2013 by Okayama University Medical School |
| 論文のバージョン | publisher |
| 査読 | 有り |
| PubMed ID | 24145731 |
| Web of Science KeyUT | 000325836100005 |
| JaLCDOI | 10.18926/AMO/51866 |
|---|---|
| フルテキストURL | 67_5_305.pdf |
| 著者 | Tachibana, Motomi| Mukouhara, Naoki| Hirami, Ryouichi| Fujio, Hideki| Yumoto, Akihisa| Watanuki, Yutaka| Hayashi, Aiko| Suminoe, Isao| Koudani, Hiroshi| |
| 抄録 | Congenital coronary pulmonary artery fistula (CAF) is rare, and systemic-to-pulmonary artery fistula (SPAF) is even more so. Furthermore, congenital coronary pulmonary fistula associated with congenital SPAF is extremely rare. As far as we know, CAF and SPAF connected with an aneurysm have not been described very often. We described an 83-year-old woman with an aneurysm originating from a CAF connected to an aortopulmonary artery fistula. Chest radiography revealed a shadow at the left edge of the heart line. Multi-detector-row computed tomography (MDCT) with contrast enhancement and coronary cine angiography revealed that the shadow was an aneurysm connected to a tortuous fistula at the left anterior descending coronary artery. The aneurysm was formed by congenital coronary pulmonary and aortopulmonary artery fistulae. Echocardiography revealed predominantly systolic blood flow in the fistula from the left anterior descending coronary artery (LAD). Although neither MDCT, echocardiography nor coronary angiography alone could provide a comprehensive image of the anomaly, including the hemodynamics in the fistulae and their relationship with surrounding organs and tissues, their combination could provided important facts the led to a deeper understanding of this very uncommon occurrence. |
| キーワード | coronary pulmonary artery fistula aortopulmonary artery fistula aneurysm |
| Amo Type | Case Report |
| 出版物タイトル | Acta Medica Okayama |
| 発行日 | 2013-10 |
| 巻 | 67巻 |
| 号 | 5号 |
| 出版者 | Okayama University Medical School |
| 開始ページ | 305 |
| 終了ページ | 309 |
| ISSN | 0386-300X |
| NCID | AA00508441 |
| 資料タイプ | 学術雑誌論文 |
| 言語 | 英語 |
| 著作権者 | CopyrightⒸ 2013 by Okayama University Medical School |
| 論文のバージョン | publisher |
| 査読 | 有り |
| PubMed ID | 24145730 |
| Web of Science KeyUT | 000325836100004 |
| JaLCDOI | 10.18926/AMO/51865 |
|---|---|
| フルテキストURL | 67_5_293.pdf |
| 著者 | Takeuchi, Akihito| Ogino, Tatsuya| Hanafusa, Kaoru| Morooka, Teruko| Oka, Makio| Yorifuji, Takashi| Ohtsuka, Yoko| |
| 抄録 | To clarify the relationship between attention deficit/hyperactivity disorder (AD/HD) and pervasive developmental disorders (PDD), we investigated the common features and differences of these disorders in neuropsychological profiles. The subjects were 4 groups of Japanese boys aged 6 to 15 years, categorized by diagnosis:AD/HD (n＝20), PDD with comorbid AD/HD (PDD＋:n＝16), PDD without comorbid AD/HD (PDD－:n＝8), and typically developing (n＝60). We evaluated executive function (EF) through verbal and visuospatial memory tasks, the Go/NoGo task, and the color-word matching Stroop task. We performed a categorical analysis to estimate the effects of the 3 disorders on EF and a dimensional analysis to estimate the effects of symptom scales on EF. We found that the AD/HD and PDD＋ subjects had negative effects on verbal working memory and intra-individual response variability. The severity of these impairments was positively correlated with the inattentiveness score. The subjects with a PDD＋ or PDD－ diagnosis had poorer scores on interference control;the severity of this impairment was correlated with the PDD symptom score. Impairments in visuospatial working memory were detected in the AD/HD and PDD－ groups but not in the PDD＋ group. Impairments in inhibition of the pre-potent response were noted in all 3 categories. AD/HD and PDD share neuropsychological features, though each disorder has a specific impairment pattern. Our findings partially support the idea that AD/HD and PDD are on a spectrum. |
| キーワード | attention deficit/hyperactivity disorder pervasive developmental disorder executive function working memory color-word matching Stroop task |
| Amo Type | Original Article |
| 出版物タイトル | Acta Medica Okayama |
| 発行日 | 2013-10 |
| 巻 | 67巻 |
| 号 | 5号 |
| 出版者 | Okayama University Medical School |
| 開始ページ | 293 |
| 終了ページ | 303 |
| ISSN | 0386-300X |
| NCID | AA00508441 |
| 資料タイプ | 学術雑誌論文 |
| 言語 | 英語 |
| 著作権者 | CopyrightⒸ 2013 by Okayama University Medical School |
| 論文のバージョン | publisher |
| 査読 | 有り |
| PubMed ID | 24145729 |
| Web of Science KeyUT | 000325836100003 |
| 関連URL | http://ousar.lib.okayama-u.ac.jp/metadata/52244 |
| JaLCDOI | 10.18926/AMO/51864 |
|---|---|
| フルテキストURL | 67_5_285.pdf |
| 著者 | Akita, Mitsuhiro| Hiraoka, Sakiko| Kaji, Eisuke| Takemoto, Koji| Nagahara, Yasuhiro| Yamamoto, Hiroshi| Yamamoto, Kazuhide| Kato, Jun| |
| 抄録 | Whether presence or history of extracolonic primary malignancy is a risk for colorectal neoplasia is not fully known. In this study, 26,452 first-time colonoscopy cases were examined using a colonoscopy database. Among the analyzed subjects, 3,026 (11%) subjects had history or concomitance of extracolonic primary malignancy, while the remaining 23,426 subjects did not. Colorectal neoplasia was observed in 39% of all the subjects. A crude comparison showed that the prevalence of any type of colorectal neoplasia was higher in subjects with extracolonic malignancy than in those without (42% vs. 39%, p＝0.0012). However, after adjusting for confounding factors, the odds ratios (ORs) of subjects with extracolonic malignancy for having colorectal neoplasia, advanced neoplasia, and cancer were all less than 1.0, and all significantly different from those of subjects without extracolonic malignancy. Analysis according to the type of extracolonic malignancy revealed that gastric cancer cases had a significantly lower risk for colorectal advanced neoplasia (OR:0.81;95% CI:0.67-0.99). Among major malignancies, only esophageal squamous cell cancer cases had increased risk for colorectal neoplasia (OR:1.66;95% CI:1.20-2.29). Patients with presence or history of extracolonic malignancy did not carry a higher risk of occurrence of colorectal neoplasia. |
| キーワード | colorectal cancer colonoscopy risk factor database |
| Amo Type | Original Article |
| 出版物タイトル | Acta Medica Okayama |
| 発行日 | 2013-10 |
| 巻 | 67巻 |
| 号 | 5号 |
| 出版者 | Okayama University Medical School |
| 開始ページ | 285 |
| 終了ページ | 292 |
| ISSN | 0386-300X |
| NCID | AA00508441 |
| 資料タイプ | 学術雑誌論文 |
| 言語 | 英語 |
| 著作権者 | CopyrightⒸ 2013 by Okayama University Medical School |
| 論文のバージョン | publisher |
| 査読 | 有り |
| PubMed ID | 24145728 |
| Web of Science KeyUT | 000325836100002 |
| JaLCDOI | 10.18926/AMO/51863 |
|---|---|
| フルテキストURL | 67_5_277.pdf |
| 著者 | Murakami, Takashi| Fujii, Akihito| Kawabata, Yuya| Takakura, Hiroaki| Yamaue, Rie| Tarek Abdulsamad Ali Balam| Kuroda, Shingo| Kawanabe, Noriaki| Kamioka, Hiroshi| Yamashiro, Takashi| |
| 抄録 | The aims of this study were to investigate how the Peer Assessment Rating (PAR index) predicts the perceived need for orthodontic treatment of mandibular protrusion in Japanese subjects, and to elucidate whether the perceived need for treatment was affected by the ratersʼ orthodontic expertise. The subjects were 110 dental students and 32 orthodontists. We showed them casts of 10 untreated mandibular protrusion cases and gave them a questionnaire in which they had to describe their perceptions of the orthodontic treatment needs using a 10-point visual analog scale (VAS). The PAR index was used for cast evaluation. The PAR index scores showed significant correlations with the VAS scores. In casts with a low PAR score, there were no differences in the VAS scores between orthodontists and students. In casts with a PAR score greater than 23, the orthodontists perceived a significantly greater treatment need than did the students;for scores of 22, 28, and 29, students who had received orthodontic treatment themselves were more likely to perceive the treatment need. The PAR index is a good clinical predictor for assessing the perceived treatment needs for mandibular protrusion. Perception of the need for orthodontic treatment for mandibular protrusion depended on the degree of orthodontic expertise in Japanese subjects. |
| キーワード | orthodontic expertise treatment need PAR index mandibular protrusion |
| Amo Type | Original Article |
| 出版物タイトル | Acta Medica Okayama |
| 発行日 | 2013-10 |
| 巻 | 67巻 |
| 号 | 5号 |
| 出版者 | Okayama University Medical School |
| 開始ページ | 277 |
| 終了ページ | 283 |
| ISSN | 0386-300X |
| NCID | AA00508441 |
| 資料タイプ | 学術雑誌論文 |
| 言語 | 英語 |
| 著作権者 | CopyrightⒸ 2013 by Okayama University Medical School |
| 論文のバージョン | publisher |
| 査読 | 有り |
| PubMed ID | 24145727 |
| Web of Science KeyUT | 000325836100001 |
| 著者 | 赤木 孝| 土居 延次| |
|---|---|
| 発行日 | 1994 |
| 出版物タイトル | 岡山大学算数・数学教育学会誌 : パピルス |
| 巻 | 1巻 |
| 資料タイプ | 紀要論文 |
| 著者 | 岡山大学算数・数学教育学会| |
|---|---|
| 発行日 | 1995-06-10 |
| 出版物タイトル | 岡山大学算数・数学教育学会誌 : パピルス |
| 巻 | 2巻 |
| 資料タイプ | その他 |
| 著者 | 岡山大学算数・数学教育学会| |
|---|---|
| 発行日 | 1995-06-10 |
| 出版物タイトル | 岡山大学算数・数学教育学会誌 : パピルス |
| 巻 | 2巻 |
| 資料タイプ | その他 |
| 著者 | 岡山大学算数・数学教育学会| |
|---|---|
| 発行日 | 1995-06-10 |
| 出版物タイトル | 岡山大学算数・数学教育学会誌 : パピルス |
| 巻 | 2巻 |
| 資料タイプ | その他 |
| 著者 | 岡山大学算数・数学教育学会| |
|---|---|
| 発行日 | 1995-06-10 |
| 出版物タイトル | 岡山大学算数・数学教育学会誌 : パピルス |
| 巻 | 2巻 |
| 資料タイプ | その他 |
| 著者 | 三輪 崟| |
|---|---|
| 発行日 | 1995-06-10 |
| 出版物タイトル | 岡山大学算数・数学教育学会誌 : パピルス |
| 巻 | 2巻 |
| 資料タイプ | 紀要論文 |
| 著者 | 秋山 真| |
|---|---|
| 発行日 | 1995-06-10 |
| 出版物タイトル | 岡山大学算数・数学教育学会誌 : パピルス |
| 巻 | 2巻 |
| 資料タイプ | 紀要論文 |
| 著者 | 川田 勝彦| |
|---|---|
| 発行日 | 1995-06-10 |
| 出版物タイトル | 岡山大学算数・数学教育学会誌 : パピルス |
| 巻 | 2巻 |
| 資料タイプ | 紀要論文 |
| フルテキストURL | papyrus_002_049_053.pdf |
|---|---|
| 著者 | 藤本 秀二| |
| 出版物タイトル | 岡山大学算数・数学教育学会誌 : パピルス |
| 発行日 | 1995-06-10 |
| 巻 | 2巻 |
| 開始ページ | 49 |
| 終了ページ | 53 |
| ISSN | 1341-3155 |
| 言語 | 日本語 |
| 論文のバージョン | publisher |
| NAID | 120005345513 |
| 著者 | 川上 公一| |
|---|---|
| 発行日 | 1995-06-10 |
| 出版物タイトル | 岡山大学算数・数学教育学会誌 : パピルス |
| 巻 | 2巻 |
| 資料タイプ | 紀要論文 |
| 著者 | 中川 陽子| |
|---|---|
| 発行日 | 1995-06-10 |
| 出版物タイトル | 岡山大学算数・数学教育学会誌 : パピルス |
| 巻 | 2巻 |
| 資料タイプ | 紀要論文 |
| 著者 | 岡部 初江| |
|---|---|
| 発行日 | 1995-06-10 |
| 出版物タイトル | 岡山大学算数・数学教育学会誌 : パピルス |
| 巻 | 2巻 |
| 資料タイプ | 紀要論文 |