検索結果 9446 件
| JaLCDOI | 10.18926/OER/58071 |
|---|---|
| タイトル（別表記） | Clusters and Hierarchies |
| フルテキストURL | oer_051_2-3_039_052.pdf |
| 著者 | 戸前 壽夫| |
| 抄録 | Porter（ 1990） proposes the concept of“ cluster”. The purpose of this paper is to examine how clusters are positioned between the market and the hierarchies, as Porter（ 1998） presents the challenge. At the same time, there are intermediate organizations such as a series between the market and the hierarchy, so we will also discuss them. As for the hierarchical organization, we conducted a case study of Yokoyama Seimou, and examined its characteristics. The significance of this paper is the following two points.（ 1）Hierarchical organization, competition by visible hands, division of process in Ota Ward, and cluster can simultaneously achieve productivity and innovation. （2） Regarding Yokoyama Seimou’s case study, the company is located in an area that can hardly be called a cluster and is a hierarchical organization that vertically integrates processes, the company has succeeded in meaningful joint development with other companies. As an implication for the region, it is also important to view the whole of Japan as a network, regardless of the cluster. The structure of this paper will be discussed in the order of Porter’s theory of clusters, existing research on intermediate organizations, Yokoyama’s case study, discussion, and conclusion. |
| 出版物タイトル | 岡山大学経済学会雑誌 |
| 発行日 | 2020-03-19 |
| 巻 | 51巻 |
| 号 | 2-3号 |
| 開始ページ | 39 |
| 終了ページ | 52 |
| ISSN | 2433-4146 |
| 言語 | 日本語 |
| 著作権者 | Copyright © 2020 岡山大学経済学会 |
| 論文のバージョン | publisher |
| NAID | 120006812124 |
| JaLCDOI | 10.18926/OER/58070 |
|---|---|
| タイトル（別表記） | The Development Strategies of Poland and the Engine of Polish Economic Growth |
| フルテキストURL | oer_051_2-3_015_037.pdf |
| 著者 | 田口 雅弘| 岡﨑 拓| |
| 抄録 | In this paper, authors analyze the changes in the national development strategies of the Polish government since the First World War, the state investment that became the driving force of economic development, the trends and positions of foreign capital, and the changes in the economic environment surrounding the Polish economy. In the Second Republic, economic liberalism was a widely supported philosophy in the business world and academic society. However, in order to support very weak economic fundamentals, the government seized the key industry and tried to rebuild the economy. Although foreign capital played a very important role in economic development, Polish people’s distrust in foreign capital was strong. After the Great Depression, the Central Industrial District（ CUP） was built under the leadership of the government. However, with the outbreak of World War II, the formation of a strong core industrial base was suspended. After the Second World War, the government initially aimed to build a Peoples Democracy system based on pluralism. However, when the Cold War sharpened, rapid industrialization and collectivization of agriculture were forced. The Stalinist economic development strategy failed in a few years. Nevertheless, from the end of the 1950s, mining development and industrialization based on the mechanical and chemical industries were carried out again. This industrialization of capital goods sector-oriented production has distorted the people’s consumer life. However, in the long run, it cannot be denied that the industrialization of that time became the basis for the formation of the wide promising fields of the Polish industry. Since 1970, an open economic strategy has been adopted. Modernization was attempted by introducing licenses from the west. However, new investments did not lead to expansion of export, and cumulative debt increased. During the economic crisis, the“ Solidarity” movement quickly grew into a national movement, but this did not lead to a fundamental economic system change. Economic reform was also attempted in the 1980s. However, the socialist economic system was unable to adapt to the new global economic system driven by innovation. The inflexible system lost its growth potential. After the collapse of socialist system in 1989, radical liberalization policies drastically improved economic imbalances, and the economic policy enabled high growth. During the transition period, foreign capital greatly contributed to growth. The automobile industry is a good example. This industry is associated with wide parts production. Many domestic intermediate goods manufacturers increased their orders, and their technical capabilities were rapidly improved through the guidance of foreign capital. In addition, export has improved significantly due to the expansion of production by foreign-affiliated companies. In contrast to the Second Republic, foreign capital played a major role in nurturing domestic industries. By the end of the 1990s, the Russian economy had had no effect on the Polish economy. At the transition period, the Polish industry shifted rapidly to the EU. At the same time, since the manufacturing field was the foundation of Polish growth, the impact of the 2007 global financial crisis wasn’t serious. Not only that, Poland maintained positive growth in 2008 as most countries in Europe fell into negative Currently, low-wage, low-value-added production based on FDI inflows and abundant labor force is the driving force for growth. In the medium and long term, the Polish economy cannot grow if it stays in the current subcontract production status of industrialized countries. The key to Poland’s escape from the “middle-income trap” is how to develop“ new Polish companies” that produce high-value-added products and services under global competition. |
| 出版物タイトル | 岡山大学経済学会雑誌 |
| 発行日 | 2020-03-19 |
| 巻 | 51巻 |
| 号 | 2-3号 |
| 開始ページ | 15 |
| 終了ページ | 37 |
| ISSN | 2433-4146 |
| 言語 | 日本語 |
| 著作権者 | Copyright © 2020 岡山大学経済学会 |
| 論文のバージョン | publisher |
| NAID | 120006812123 |
| フルテキストURL | fulltext.pdf |
|---|---|
| 著者 | Karunathilaka, Nuwan| Tada, Naoya| Uemori, Takeshi| Hanamitsu, Ryota| Fujii, Masahiro| Omiya, Yuya| Kawano, Masahiro| |
| キーワード | cold forging high-speed tool steel lubrication residual stress surface roughness tool deformation |
| 発行日 | 2019-07-12 |
| 出版物タイトル | Metals |
| 巻 | 9巻 |
| 号 | 7号 |
| 出版者 | MDPI |
| 開始ページ | 783 |
| ISSN | 2075-4701 |
| 資料タイプ | 学術雑誌論文 |
| 言語 | 英語 |
| OAI-PMH Set | 岡山大学 |
| 著作権者 | © 2019 by the authors. |
| 論文のバージョン | publisher |
| DOI | 10.3390/met9070783 |
| Web of Science KeyUT | 000482332400067 |
| 関連URL | isVersionOf https://doi.org/10.3390/met9070783 |
| フルテキストURL | fulltext.pdf |
|---|---|
| 著者 | Yasutomi, Eriko| Hiraoka, Sakiko| Yamamoto, Shumpei| Oka, Shohei| Hirai, Mami| Yamasaki, Yasushi| Inokuchi, Toshihiro| Kinugasa, Hideaki| Takahara, Masahiro| Harada, Keita| Kato, Jun| Okada, Hiroyuki| |
| キーワード | ulcerative colitis salicylates mesalazine sulfasalazine |
| 発行日 | 2019-12-02 |
| 出版物タイトル | Journal of Clinical Medicine |
| 巻 | 8巻 |
| 号 | 12号 |
| 出版者 | MDPI |
| ISSN | 2077-0383 |
| 資料タイプ | 学術雑誌論文 |
| 言語 | 英語 |
| OAI-PMH Set | 岡山大学 |
| 著作権者 | © 2019 by the authors. |
| 論文のバージョン | publisher |
| PubMed ID | 31810227 |
| DOI | 10.3390/jcm8122109 |
| Web of Science KeyUT | 000506640400082 |
| 関連URL | isVersionOf https://doi.org/10.3390/jcm8122109 |
| フルテキストURL | fulltext.pdf |
|---|---|
| 著者 | El-Aarag, Bishoy| Khairy, Asmaa| Khalifa, Shaden A. M.| El-Seedi, Hesham R.| |
| キーワード | liver injury CCl4 Tamarix aphylla oxidative stress apoptosis angiogenesis |
| 発行日 | 2019-10-21 |
| 出版物タイトル | International Journal of Molecular Sciences |
| 巻 | 20巻 |
| 号 | 20号 |
| 出版者 | MDPI |
| ISSN | 1422-0067 |
| 資料タイプ | 学術雑誌論文 |
| 言語 | 英語 |
| OAI-PMH Set | 岡山大学 |
| 著作権者 | © 2019 by the authors. |
| 論文のバージョン | publisher |
| PubMed ID | 31640181 |
| DOI | 10.3390/ijms20205215 |
| Web of Science KeyUT | 000498822800247 |
| 関連URL | isVersionOf https://doi.org/10.3390/ijms20205215 |
| JaLCDOI | 10.18926/58044 |
|---|---|
| タイトル（別表記） | What Should International Student Dormitories Be at Okayama University？: Current State and Issues of the International Student Shared House and Other Dormitories |
| フルテキストURL | biess_4_168_185.pdf |
| 著者 | 宇塚 万里子| 岡 益巳| 藤本 真澄| |
| 抄録 | 岡山大学の留学生宿舎の36 年の歴史の中で、寮規則の遵守、人間関係の構築、施設や人的リソース不足など多種多様な課題が指摘されてきた。3 年前に開所した混住型の国際学生シェアハウスにおいて新たに日本人学生が関与する問題が追加発生したこともあり、教育資源として寮を活用する視点から一転して、効率化のために管理を外注化する方向に舵を切った。留学生活の基盤となる住環境を整えることは元来、費用や労力のかかることであり、日常的に起こる課題を解決するためには、責任感のあるリーダー的日本人学生の果たす役割が小さくない。その一方で、課題解決できる日本人学生の育成には、きめ細かい指導・助言に加えて、教育資源としての寮の活用という大学のビジョンと推進力が必要である。 |
| キーワード | 国際シェアハウス ユニットリーダー フロアリーダー 異文化理解 教育資源 |
| 出版物タイトル | 岡山大学全学教育・学生支援機構教育研究紀要 |
| 発行日 | 2019-12-30 |
| 巻 | 4巻 |
| 開始ページ | 168 |
| 終了ページ | 185 |
| ISSN | 2432-9665 |
| 言語 | 日本語 |
| 論文のバージョン | publisher |
| NAID | 120006812109 |
| JaLCDOI | 10.18926/58042 |
|---|---|
| 著者 | INAMORI, Takao| |
| 抄録 | This study attempts to develop a management model at cross-cultural work environment, which explains how managers’ perception affects their organisational performance. The model is created based on findings of quantitative research conducted toward Japanese aid project managers working in developing countries. As a result of cluster analysis, four types of aid project managers were identified. The model clarified how four types of aid project managers perceive, behave and consequently lead to either high or low performance organisation. Finally, this study indicates that fostering and maintaining positive perception are a key for successful organisation. |
| キーワード | managerial perception organisational performance cross-cultural work environment Pygmalion effect Golem effect. |
| 出版物タイトル | 岡山大学全学教育・学生支援機構教育研究紀要 |
| 発行日 | 2019-12-30 |
| 巻 | 4巻 |
| 開始ページ | 134 |
| 終了ページ | 148 |
| ISSN | 2432-9665 |
| 言語 | 日本語 |
| 論文のバージョン | publisher |
| JaLCDOI | 10.18926/58040 |
|---|---|
| フルテキストURL | biess_4_112_123.pdf |
| 著者 | YAMAMOTO, Yumiko| |
| 抄録 | One of the targets under the Sustainable Development Goals (SDGs) aims to reduce and redistribute unpaid care work, which is mostly done by women, through the provision of public services and the promotion of shared responsibility. In February 2019, experts from academia and international organizations gathered at Okayama University for an international symposium focused on the issues around unpaid and paid care work in relation to gender equality and sustainable society. This paper will first briefly summarize the issues in care work, with a focus on childcare and elderly care in a Japanese context, followed by a discussion of the key points from the symposium related to care-centered economic and social policies. |
| キーワード | Care aging gender Japan SDGs |
| 出版物タイトル | 岡山大学全学教育・学生支援機構教育研究紀要 |
| 発行日 | 2019-12-30 |
| 巻 | 4巻 |
| 開始ページ | 112 |
| 終了ページ | 123 |
| ISSN | 2432-9665 |
| 言語 | 英語 |
| 論文のバージョン | publisher |
| NAID | 120006812106 |
| JaLCDOI | 10.18926/58036 |
|---|---|
| タイトル（別表記） | Discovery Program for Global Learners at Okayama University |
| フルテキストURL | biess_4_050_071.pdf |
| 著者 | 鄭 幸子| |
| 出版物タイトル | 岡山大学全学教育・学生支援機構教育研究紀要 |
| 発行日 | 2019-12-30 |
| 巻 | 4巻 |
| 開始ページ | 50 |
| 終了ページ | 71 |
| ISSN | 2432-9665 |
| 言語 | 日本語 |
| 論文のバージョン | publisher |
| NAID | 120006812102 |
| JaLCDOI | 10.18926/58035 |
|---|---|
| タイトル（別表記） | Development of Academic Japanese Training Course for Students at the Discovery Program for Global Learners, Okayama University |
| フルテキストURL | biess_4_038_049.pdf |
| 著者 | 牛田 英子| |
| 抄録 | 岡山大学グローバル・ディスカバリー・プログラムは英語だけで学位が取れる新しいプログラムであるが, 制度上他学部開講の授業も履修することが可能である。全学日本語の日本語コースで日本語「を」学ぶ学生とともに他学部で日本語「で」学ぶディスカバリー生も徐々に増えている。そこで他学部の授業や教養科目を履修するディスカバリー生を対象にアカデミック・ジャパニーズ科目を新規開講することになった。Backward Design，Differentiated Instruction，Learning Strategy Instruction の手法を利用し，授業をこなし単位を取得することを目標に，学生が限られた日本語能力で最大限に対応できる「自分に合う」学習ストラテジーを開拓できるコースの開発と履修状況を報告する。 |
| キーワード | グローバル・ディスカバリー・プログラム アカデミック・ジャパニーズ Backward Design Differentiated Instruction 学習ストラテジー |
| 出版物タイトル | 岡山大学全学教育・学生支援機構教育研究紀要 |
| 発行日 | 2019-12-30 |
| 巻 | 4巻 |
| 開始ページ | 38 |
| 終了ページ | 49 |
| ISSN | 2432-9665 |
| 言語 | 日本語 |
| 論文のバージョン | publisher |
| NAID | 120006812101 |
| JaLCDOI | 10.18926/58034 |
|---|---|
| フルテキストURL | biess_4_031_037.pdf |
| 著者 | MAHMOOD, Sabina| |
| 抄録 | The number of International Baccalaureate (IB) students applying to Japanese Universities is increasing. Okayama University is a Super Global Japanese National University which started IB admissions in 2012, and presently has 50 IB students in 11 faculties and 1 special program, in addition to 4 IB graduates. The IB journey began in 2012, and over a period of 7 years, Okayama University has taken multiple approaches to become IB student-friendly, by revising the IB admission policies as per IB student requirements; training faculty on IB education; exploring the differences in IB education and Japanese High School education; listening to IB student voices and familiarizing faculty about IB student backgrounds and characteristics. By providing IB student support, educating faculty and doing extensive IB research, Okayama University has established itself as a pioneer of IB admissions among the IB Organization, prospective IB students and parents, IB college counselors and other National Universities in Japan. |
| 出版物タイトル | 岡山大学全学教育・学生支援機構教育研究紀要 |
| 発行日 | 2019-12-30 |
| 巻 | 4巻 |
| 開始ページ | 31 |
| 終了ページ | 37 |
| ISSN | 2432-9665 |
| 言語 | 英語 |
| 論文のバージョン | publisher |
| NAID | 120006812100 |
| フルテキストURL | IJERPH16_21_4252.pdf |
|---|---|
| 著者 | Omori, Chie| Ekuni, Daisuke| Ohbayashi, Yumiko| Miyake, Minoru| Morita, Manabu| |
| キーワード | oral hygiene instruction perioperative period self-efficacy six-step method |
| 発行日 | 2019-11-01 |
| 出版物タイトル | International Journal of Environmental Research and Public Health |
| 巻 | 16巻 |
| 号 | 21号 |
| 出版者 | MDPI |
| 開始ページ | E4252 |
| ISSN | 1661-7827 |
| 資料タイプ | 学術雑誌論文 |
| 言語 | 英語 |
| OAI-PMH Set | 岡山大学 |
| 著作権者 | © 2019 by the authors. |
| 論文のバージョン | publisher |
| PubMed ID | 31683872 |
| DOI | 10.3390/ijerph16214252 |
| Web of Science KeyUT | 000498842000198 |
| 関連URL | isVersionOf https://doi.org/10.3390/ijerph16214252 |
| フルテキストURL | JSM5_4_551.pdf |
|---|---|
| 著者 | Harada, Sho| Uddin, Md. Azhar| Kato, Yoshiei| Kawanishi, Takanori| Hayashi, Yoshiaki| |
| キーワード | Flotation Floating separation Waste solar cell module Silicon Sodium dodecyl sulfate |
| 備考 | This is a post-peer-review, pre-copyedit version of an article published in Journal of Sustainable Metallurgy. The final authenticated version is available online at: http://dx.doi.org/10.1007/s40831-019-00246-6.| |
| 発行日 | 2019-09-23 |
| 出版物タイトル | Journal of Sustainable Metallurgy |
| 巻 | 5巻 |
| 号 | 4号 |
| 出版者 | Springer |
| 開始ページ | 551 |
| 終了ページ | 560 |
| ISSN | 2199-3823 |
| 資料タイプ | 学術雑誌論文 |
| 言語 | 英語 |
| OAI-PMH Set | 岡山大学 |
| 論文のバージョン | author |
| DOI | 10.1007/s40831-019-00246-6 |
| Web of Science KeyUT | 000514405500010 |
| 関連URL | isVersionOf https://doi.org/10.1007/s40831-019-00246-6 |
| フルテキストURL | IJERPH16_19_3540.pdf |
|---|---|
| 著者 | Md Monirul Islam| Ekuni, Daisuke| Yoneda, Toshiki| Yokoi, Aya| Morita, Manabu| |
| キーワード | Japanese workers coping occupational stress periodontitis |
| 発行日 | 2019-09-22 |
| 出版物タイトル | International Journal of Environmental Research and Public Health |
| 巻 | 16巻 |
| 号 | 19号 |
| 出版者 | MDPI |
| 開始ページ | 3540 |
| ISSN | 1661-7827 |
| 資料タイプ | 学術雑誌論文 |
| 言語 | 英語 |
| OAI-PMH Set | 岡山大学 |
| 著作権者 | © 2019 by the authors. |
| 論文のバージョン | publisher |
| PubMed ID | 31546684 |
| DOI | 10.3390/ijerph16193540 |
| Web of Science KeyUT | 000494748600036 |
| 関連URL | isVersionOf https://doi.org/10.3390/ijerph16193540 |
| JaLCDOI | 10.18926/AMO/57959 |
|---|---|
| フルテキストURL | 74_1_89.pdf |
| 著者 | Kada, Akiko| Fukano, Reiji| Mori, Tetsuya| Kamei, Michi| Tanaka, Fumiko| Ueyama, Junichi| Sekimizu, Masahiro| Osumi, Tomoo| Mori, Takeshi| Koga, Yuhki| Ohki, Kentaro| Fujita, Naoto| Mitsui, Tetsuo| Saito, Akiko M.| Hashimoto, Hiroya| Kobayashi, Ryoji| |
| 抄録 | No standard treatment for relapsed or refractory anaplastic large-cell lymphoma (ALCL) has been established. This study is a multicenter, open-label trial to examine the effectiveness and safety of transplantation with reduced-intensity conditioning (RIC) for patients under 20 years old with relapsed or refractory ALCL. We defined RIC as the administration of fludarabine (30 mg/m2/day) for five days plus melphalan (70 mg/m2/day) for two days and total body irradiation at 4 Gy, followed by allogeneic hematopoietic stem cell transplantation. |
| キーワード | anaplastic large-cell lymphoma relapsed/refractory fludarabine melphalan total body irradiation |
| Amo Type | Clinical Study Protocol |
| 出版物タイトル | Acta Medica Okayama |
| 発行日 | 2020-02 |
| 巻 | 74巻 |
| 号 | 1号 |
| 出版者 | Okayama University Medical School |
| 開始ページ | 89 |
| 終了ページ | 94 |
| 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Ⓒ 2020 by Okayama University Medical School |
| 論文のバージョン | publisher |
| 査読 | 有り |
| PubMed ID | 32099255 |
| Web of Science KeyUT | 000516606200014 |
| NAID | 120006795626 |
| JaLCDOI | 10.18926/AMO/57957 |
|---|---|
| フルテキストURL | 74_1_77.pdf |
| 著者 | Endo, Hirosuke| Akazawa, Hirofumi| Yashiro, Masato| Yamada, Kazuki| Sanki, Tomoaki| Tetsunaga, Tomonori| Nishida, Keiichiro| Furumatsu, Takayuki| Ozaki, Toshifumi| |
| 抄録 | Idiopathic chondrolysis of the hip (ICH), a very rare disorder of unknown etiology, occurs mainly in female adolescents. Characterized by pain, limp, stiffness and radiological narrowing joint space from the rapid destruction of the articular cartilage, ICH sometimes results in ankyloses. We present the case of a 10-year-old girl diagnosed with ICH based on arthroscopic inspection and synovium biopsy. The femoral deformity appeared gradually, like a cam-type femoroacetabular impingement. She was treated with intensive rehabilitation and immunosuppressive drug. We later performed an arthroscopic bumpectomy for residual symptoms. She achieved a favorable outcome as a 15-year-old at the latest follow-up. |
| キーワード | idiopathic chondrolysis hip joint medication bump arthroscopy |
| Amo Type | Case Report |
| 出版物タイトル | Acta Medica Okayama |
| 発行日 | 2020-02 |
| 巻 | 74巻 |
| 号 | 1号 |
| 出版者 | Okayama University Medical School |
| 開始ページ | 77 |
| 終了ページ | 81 |
| 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Ⓒ 2020 by Okayama University Medical School |
| 論文のバージョン | publisher |
| 査読 | 有り |
| PubMed ID | 32099253 |
| Web of Science KeyUT | 000516606200012 |
| NAID | 120006795624 |
| JaLCDOI | 10.18926/AMO/57952 |
|---|---|
| フルテキストURL | 74_1_49.pdf |
| 著者 | Takeuchi, Takashi| Okumura, Yasuyuki| Ichikura, Kanako| |
| 抄録 | The use of alcohol or drug(s) prior to self-injury is a possible inducing factor for suicidal self-injuries among patients with adjustment disorder. We analyzed the cases of 175 individuals who were admitted to the intensive care unit (ICU) of Tokyo Medical and Dental University Medical Hospital for suicidal self-injury to determine whether alcohol consumption or an excessive use of prescribed psychotropic medications prior to self-injury is more common in patients with adjustment disorder. During a 7-year period (July 2006 to June 2013) following their deliberate self-injuries, 971 patients were admitted to the ICU. Our study sample (n=175) was restricted to patients with adjustment disorder (n=48), major depressive disorder (n=90), or schizophrenia (n=37). The outcome variable was alcohol consumption or excessive use of medications prior to suicidal self-injury. A logistic regression analysis revealed that the patients with adjustment disorder more commonly showed alcohol consumption or excessive medication use prior to their suicidal self-injury compared to those with schizophrenia (odds ratio: 8.10; 95%CI: 2.97-24.60). To inhibit suicidal self-injury among patients with adjustment disorder, it is important to continue efforts to provide psychoeducation about alcohol use and to instruct the patients to take their prescribed medication(s) only as directed by their physician. |
| キーワード | alcohol psychotropic medications self-injury adjustment disorder |
| Amo Type | Original Article |
| 出版物タイトル | Acta Medica Okayama |
| 発行日 | 2020-02 |
| 巻 | 74巻 |
| 号 | 1号 |
| 出版者 | Okayama University Medical School |
| 開始ページ | 49 |
| 終了ページ | 52 |
| 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Ⓒ 2020 by Okayama University Medical School |
| 論文のバージョン | publisher |
| 査読 | 有り |
| PubMed ID | 32099248 |
| Web of Science KeyUT | 000516606200007 |
| NAID | 120006795619 |
| JaLCDOI | 10.18926/AMO/57951 |
|---|---|
| フルテキストURL | 74_1_41.pdf |
| 著者 | Amano, Hoichi| Fujimoto, Kenichi| Fujimori, Makoto| Saka, Natsumi| Nomura, Kyoko| Tanihara, Shinichi| |
| 抄録 | We aimed to clarify the prevalence of polypharmacy among elderly individuals in Japan. We used the data obtained from a large-scale population-based representative database of health insurance claims in a single prefecture in Japan. We examined all of the outpatient and pharmaceutical health insurance claims for National Health Insurance and those for Late-stage Elderly Health Insurance in Nagasaki Prefecture, Japan between April and June 2016. When two or more claim forms were issued for a patient in a single month, we combined the data and identified the number of prescribed drugs for each person. The definition of polypharmacy is a the prescription of six or more drugs per month. We investigated the prevalence of polypharmacy among the beneficiaries of the two insurance systems. Of the 605,406 beneficiaries of the 2 insurance systems, 121,033 (20.0%) patients with polypharmacy were identified. The prevalence of polypharmacy increased with age, especially among the beneficiaries aged > 85 years, with about half of the beneficiaries having polypharmacy status. About half of the people aged > 85 years in the database had polypharmacy status. When a drug is prescribed to an elderly individual, it is necessary to consider the possibility of polypharmacy-related problems. |
| キーワード | health insurance claims late-stage elderly health insurance national health insurance Japan polypharmacy |
| Amo Type | Original Article |
| 出版物タイトル | Acta Medica Okayama |
| 発行日 | 2020-02 |
| 巻 | 74巻 |
| 号 | 1号 |
| 出版者 | Okayama University Medical School |
| 開始ページ | 41 |
| 終了ページ | 48 |
| 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Ⓒ 2020 by Okayama University Medical School |
| 論文のバージョン | publisher |
| 査読 | 有り |
| PubMed ID | 32099247 |
| Web of Science KeyUT | 000516606200006 |
| NAID | 120006795618 |
| JaLCDOI | 10.18926/AMO/57950 |
|---|---|
| フルテキストURL | 74_1_33.pdf |
| 著者 | Honda, Hiroyuki| Hanayama, Yoshihisa| Obika, Mikako| Hasegawa, Kou| Hamahara, Jun| Kishida, Masayuki| Hagiya, Hideharu| Ogawa, Hiroko| Kataoka, Hitomi| Otsuka, Fumio| |
| 抄録 | A relationship between diabetes and depression is apparent. To clarify the clinical relevance of diabetic patients’ gastroesophageal symptoms to their psychological status, we retrospectively analyzed the data from a Selfrating Depression Scale (SDS) and a Frequency Scale for Symptoms of Gastroesophageal reflux disease (FSSG) among 143 type 2 diabetic patients who visited a general medicine department. Among the 45 Japanese patients enrolled, the group with relatively high SDS scores (≥ 36) showed higher (FSSG) dysmotility symptom scores versus the low-SDS (< 36) group, although the 2 groups’ characteristics and laboratory data were not significantly different. Positive correlations of postprandial plasma glucose (PPG) levels with FSSG scores (R=0.321, p<0.05), particularly with reflux scores (R=0.455, p<0.01) were revealed. PPG and HbA1c levels were not correlated with SDS scores. The patients’ SDS scores were significantly correlated with their FSSG scores (R=0.41, p<0.01), suggesting that depressive status is linked to GERD-related manifestations. Considering that the patients’ PPG levels were correlated with GERD-related symptoms, diabetic patients’ blood glucose levels are associated with depressive status. Collectively, key symptoms related to GERD and glucose level values would be helpful |
| キーワード | blood glucose type 2 diabetes mellitus gastroesophageal reflux depressive status postprandial plasma glucose |
| Amo Type | Original Article |
| 出版物タイトル | Acta Medica Okayama |
| 発行日 | 2020-02 |
| 巻 | 74巻 |
| 号 | 1号 |
| 出版者 | Okayama University Medical School |
| 開始ページ | 33 |
| 終了ページ | 40 |
| 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Ⓒ 2020 by Okayama University Medical School |
| 論文のバージョン | publisher |
| 査読 | 有り |
| PubMed ID | 32099246 |
| Web of Science KeyUT | 000516606200005 |
| NAID | 120006795617 |
| JaLCDOI | 10.18926/AMO/57949 |
|---|---|
| フルテキストURL | 74_1_27.pdf |
| 著者 | Toda, Kazukiyo| Yagata, Yukihisa| Kikuchi, Takeshi| Takigawa, Tomoyuki| Ito, Yasuo| |
| 抄録 | Pelvic fractures occur with high-energy trauma, and the patient’s clinical status is unstable. Although a number of surgical methods for unstable pelvic fractures are available, none can achieve strong fixation with minimal invasiveness. We describe a surgical transiliac rod and screw fixation (TIF) procedure that provides minimally invasive fixation using a spinal implant for unstable pelvic ring fractures, and we retrospectively analyzed the procedure’s outcomes in 27 patients with type B or C1 fractures (based on the AO/ATO classification system). Small skin incisions are made above the posterior superior iliac spines on both sides. The ilium is partially resected, and two iliac screws are inserted on each side. The spinous process of the sacral spine is then shaved, and the iliac screws are connected to 2 rods, one placed caudal to the other. Corrective manipulation is performed at the fracture site, and the rods are connected with connectors. Favorable fracture reduction, defined as a rating of ‘excellent’ or ‘good,’ was achieved in 77.8% of the patients. Transiliac rod and screw fixation (TIF) will be a useful therapeutic option for unstable pelvic ring fractures. |
| キーワード | pelvic ring fractures sacral fracture transiliac rod and screw fixation spinal fixation system minimally invasive surgery |
| Amo Type | Original Article |
| 出版物タイトル | Acta Medica Okayama |
| 発行日 | 2020-02 |
| 巻 | 74巻 |
| 号 | 1号 |
| 出版者 | Okayama University Medical School |
| 開始ページ | 27 |
| 終了ページ | 32 |
| 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Ⓒ 2020 by Okayama University Medical School |
| 論文のバージョン | publisher |
| 査読 | 有り |
| PubMed ID | 32099245 |
| Web of Science KeyUT | 000516606200004 |
| NAID | 120006795616 |