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フルテキストURL K0005508 abstract_review.pdf K0005508_summary.pdf K0005508_fulltext.pdf
著者 片岡 広太|
発行日 2017-03-24
資料タイプ 学位論文
学位授与番号 甲第5508号
学位授与年月日 2017-03-24
学位・専攻分野 博士(歯学)
授与大学 岡山大学
言語 英語
フルテキストURL K0005502 abstract_review.pdf K0005502_summary.pdf K0005502_fulltext.pdf K0005502_other.pdf
著者 萬田 陽介|
発行日 2017-03-24
資料タイプ 学位論文
学位授与番号 甲第5502号
学位授与年月日 2017-03-24
学位・専攻分野 博士(歯学)
授与大学 岡山大学
言語 英語
フルテキストURL K0005501 abstract_review.pdf K0005501_summary.pdf
著者 潘 秋月|
発行日 2017-03-24
資料タイプ 学位論文
学位授与番号 甲第5501号
学位授与年月日 2017-03-24
学位・専攻分野 博士(歯学)
授与大学 岡山大学
言語 英語
フルテキストURL K0005500 abstract_review.pdf K0005500_summary.pdf K0005500_fulltext.pdf
著者 橋本 有希|
発行日 2017-03-24
資料タイプ 学位論文
学位授与番号 甲第5500号
学位授与年月日 2017-03-24
学位・専攻分野 博士(歯学)
授与大学 岡山大学
言語 英語
フルテキストURL K0005478_abstract_review.pdf K0005478_summary.pdf K0005478_fulltext.pdf K0005478_other figure.pdf
著者 松薗 構佑|
発行日 2017-03-24
資料タイプ 学位論文
学位授与番号 甲第5478号
学位授与年月日 2017-03-24
学位・専攻分野 博士(医学)
授与大学 岡山大学
言語 英語
フルテキストURL K0005477_abstract_review.pdf K0005477_summary.pdf K0005477_fulltext.pdf
著者 宮崎 裕樹|
発行日 2017-03-24
資料タイプ 学位論文
学位授与番号 甲第5477号
学位授与年月日 2017-03-24
学位・専攻分野 博士(医学)
授与大学 岡山大学
言語 英語
フルテキストURL K0005474_abstract_review.pdf K0005474_summary.pdf K0005474_fulltext.pdf
著者 佐藤 卓也|
発行日 2017-03-24
資料タイプ 学位論文
学位授与番号 甲第5474号
学位授与年月日 2017-03-24
学位・専攻分野 博士(医学)
授与大学 岡山大学
言語 英語
フルテキストURL K0005473abstract_review.pdf K0005473_summary.pdf K0005473_fulltext.pdf
著者 大前 健一|
発行日 2017-03-24
資料タイプ 学位論文
学位授与番号 甲第5473号
学位授与年月日 2017-03-24
学位・専攻分野 博士(医学)
授与大学 岡山大学
言語 英語
フルテキストURL K0005469_abstract_review.pdf K0005469_summary.pdf K0005469_fulltext.pdf
著者 小松原 基志|
発行日 2017-03-24
資料タイプ 学位論文
学位授与番号 甲第5469号
学位授与年月日 2017-03-24
学位・専攻分野 博士(医学)
授与大学 岡山大学
言語 英語
フルテキストURL K0005461_abstract_review.pdf K0005461_summary.pdf K0005461_fulltext.pdf
著者 井上 順治|
発行日 2017-03-24
資料タイプ 学位論文
学位授与番号 甲第5461号
学位授与年月日 2017-03-24
学位・専攻分野 博士(医学)
授与大学 岡山大学
言語 英語
フルテキストURL K0005454_abstract_review.pdf K0005454_summary.pdf K0005454_fulltext.pdf
著者 山根 健太郎|
発行日 2017-03-24
資料タイプ 学位論文
学位授与番号 甲第5454号
学位授与年月日 2017-03-24
学位・専攻分野 博士(医学)
授与大学 岡山大学
言語 英語
フルテキストURL K0005451_abstract_review.pdf K0005451_summary.pdf
著者 清水 智久|
発行日 2017-03-24
資料タイプ 学位論文
学位授与番号 甲第5451号
学位授与年月日 2017-03-24
学位・専攻分野 博士(医学)
授与大学 岡山大学
言語 英語
フルテキストURL K0005440_abstract_review.pdf K0005440_summary.pdf K0005440_fulltext.pdf
著者 加持 達弥|
発行日 2017-03-24
資料タイプ 学位論文
学位授与番号 甲第5440号
学位授与年月日 2017-03-24
学位・専攻分野 博士(医学)
授与大学 岡山大学
言語 英語
JaLCDOI 10.18926/AMO/54989
フルテキストURL 71_2_187.pdf
著者 Takamoto, Atsushi| Araki, Motoo| Wada, Koichiro| Sugimoto, Morito| Kobayashi, Yasuyuki| Sasaki, Katsumi| Watanabe, Toyohiko| Nasu, Yasutomo|
抄録 We report the case of a 58-year-old Japanese man with bilateral synchronous renal cell carcinoma (RCC). The diameters of the right and left tumors were 56 and 69 mm, respectively. Both tumors were endophytic. Cryoablation with prophylactic embolization was performed for the left tumor, and 1 month later, a right open partial nephrectomy was performed. No recurrence was observed during a 16-month follow-up, and the serum creatinine level has been stable. The prognosis of bilateral synchronous RCC is better than that of dialysis patients. The novel approach of combining cryoablation and partial nephrectomy can achieve good cancer control and renal function in bilateral RCC.
キーワード cryoablation multiple renal masses nephron-sparing surgery renal cell carcinoma synchronous multiple primary
Amo Type Case Report
出版物タイトル Acta Medica Okayama
発行日 2017-04
71巻
2号
出版者 Okayama University Medical School
開始ページ 187
終了ページ 190
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Ⓒ 2017 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 28420902
JaLCDOI 10.18926/AMO/54988
フルテキストURL 71_2_181.pdf
著者 Hayata, Kei| Hiramatsu, Yuji| Masuyama, Hisashi| Eto, Eriko| Mitsui, Takashi| Tamada, Shoko|
抄録 We experienced a case of advanced maternal age in which a fetus was found to be positive for trisomy 18 at re-examination following indeterminate non-invasive prenatal genetic testing (NIPT), the amniotic fluid chromosomal test revealed a normal karyotype, and confined placental mosaicism (CPM) was observed in an SNP microarray analysis of the placenta. The child was born with no defects or complications. In the present case, the result of the original NIPT at week 15 of pregnancy was indeterminate and the subsequent re-examination result was positive; since the definitive normal diagnosis was not reported until the latter half of week 21, the pregnant patient was subjected to psychological stress for a long period of time. The problem with NIPT is that most of the fetus-derived cell-free DNA in the maternal blood is not derived directly from the fetus but from the villus cells of the placenta, leading to indefinite diagnoses; for that reason, the pregnant patient was subjected to psychological stress for a long period of time. Of the 18,251 cases undergoing NIPT in the past 2 years in Japan, 51 had indeterminate results; this was the second case in which a subsequent re-examination gave a positive result for trisomy 18.
キーワード non-invasive prenatal genetic testing massively parallel sequencing confined placental mosaicism genetic counseling trisomy 18
Amo Type Case Report
出版物タイトル Acta Medica Okayama
発行日 2017-04
71巻
2号
出版者 Okayama University Medical School
開始ページ 181
終了ページ 185
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Ⓒ 2017 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 28420901
JaLCDOI 10.18926/AMO/54987
フルテキストURL 71_2_179.pdf
著者 Nosaka, Nobuyuki| Tsukahara, Kohei| Knaup, Emily| Yabuuchi, Toshihiko| Kikkawa, Tomonobu| Fujii, Yosuke| Yashiro, Masato| Yasuhara, Takao| Okada, Ayumi| Ugawa, Toyomu| Nakao, Atsunori| Tsukahara, Hirokazu| Date, Isao|
抄録 Newly published clinical practice guidelines recommend intracranial pressure (ICP) monitoring in critical care for the management of pediatric acute encephalopathy (pAE), but the utility of ICP monitoring for pAE has been poorly studied. We recently performed direct ICP monitoring for two patients. We observed that although the direct ICP monitoring had clinical benefits with less body weight gain and no vasopressor use in both cases, this monitoring technique is still invasive. Future studies should determine the utility of non-invasive ICP monitoring systems in pAE to further improve the quality of intensive-care management.
キーワード cerebral perfusion encephalopathy child intracranial pressure neurological intensive care
Amo Type Short Communication
出版物タイトル Acta Medica Okayama
発行日 2017-04
71巻
2号
出版者 Okayama University Medical School
開始ページ 179
終了ページ 180
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Ⓒ 2017 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 28420900
JaLCDOI 10.18926/AMO/54986
フルテキストURL 71_2_171.pdf
著者 Yamada, Kiyoshi| Shinaoka, Akira| Kimata, Yoshihiro|
抄録 As a new trial, we used interstitial computed tomography-lymphography (CT-LG) in 10 patients with lower extremity lymphedema (n=20 limbs) at stage 0, 1, 2, or 3 under the International Society of Lymphology (ISL) classification. In all cases, CT-LG, lymphoscintigraphy, and indocyanine green fluorescence-lymphography (ICG-LG) were performed. In the examination of the ascending level of depicted lymphatic vessels, we measured the diameters of lymphatic vessels detected with CT-LG and conducted an image analysis of dermal backflow of lymph (DB). CT-LG had better resolution than lymphoscintigraphy and enabled the clear visualization of lymphatic vessels with a minimum lumen size of 0.7 mm. CT-LG also showed the three-dimensional architecture of the DB, which originated from deep lymphatic collectors via branched small lymphatic vessels. Our findings are quite valuable not only for detailed examinations of lymphedematous sites and for the lymphedema surgery, but also for investigations of the pathogenesis of lymphedema which has not yet been established. We observed that lymphoscintigraphy could show the lymphatic vessels up to the thigh level in all cases, whereas CT-LG enabled the vessels’ visualization up to the leg level at maximum. In conclusion, CT-LG provided adequate and detailed three-dimensional imaging of the lymphatic system in lymphedema patients.
キーワード interstitial lymphography CT lymphography lymphedema lympatic imaging
Amo Type Original Article
出版物タイトル Acta Medica Okayama
発行日 2017-04
71巻
2号
出版者 Okayama University Medical School
開始ページ 171
終了ページ 177
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Ⓒ 2017 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 28420899
JaLCDOI 10.18926/AMO/54985
フルテキストURL 71_2_161.pdf
著者 Nobumoto, Etsuko| Masuyama, Hisashi| Maki, Jota| Eguchi, Takeshi| Tamada, Shoko| Mitsui, Takashi| Eto, Eriko| Hayata, Kei| Hiramatsu, Yuji|
抄録 Although gestational hypertension (GH) is thought to be different from preeclampsia (PE), in Japan GH and PE are usually treated as the same disease (i.e., pregnancy-induced hypertension). Here we sought to determine whether there are any differences in fetal growth and maternal kidney function between pregnancies with PE and those with GH. We retrospectively analyzed 61 GH patients and 60 PE patients with singleton pregnancies who delivered at Okayama University Hospital (2008-2015). We compared maternal and perinatal outcomes and maternal kidney function parameters between the GH and PE pregnancies. The mean values of maternal age (p=0.01), gestational age at delivery (p<0.0001), placental weight (p=0.002), birth weight and height (p<0.0001, p=0.0001), and head circumference standard deviation score (p=0.007) of newborns of the GH group were significantly higher than those of the PE group. The duration until termination of PE or GH was not significantly correlated with kidney function. The birth weight percentile was significantly correlated with kidney function in PE but not GH. However, GH patients with poor kidney function and small-for-gestational age infants showed perinatal outcomes similar to those of the PE group. Monitoring kidney function is thus important for determining the severity of PE and GH.
キーワード preeclampsia gestational hypertension perinatal outcome kidney function fetal growth
Amo Type Original Article
出版物タイトル Acta Medica Okayama
発行日 2017-04
71巻
2号
出版者 Okayama University Medical School
開始ページ 161
終了ページ 169
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Ⓒ 2017 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 28420898
JaLCDOI 10.18926/AMO/54984
フルテキストURL 71_2_151.pdf
著者 Kim, Eugene| Park, Jai Hyung| Han, Byeong-Ryong| Park, Hee Jin| Lee, So Yeon| Murase, Tsuyoshi| Sugamoto, Kazuomi| Ikemoto, Sumika| Park, Se-Jin|
抄録 The three-dimensional (3D) kinematics of the scapula were analyzed in vivo in 10 patients with scapular and 10 patients with clavicular fracture. Both the injured shoulder and normal contralateral shoulder were evaluated by computed tomography in the neutral and fully elevated positions. 3D rotational and translational movements of the scapula relative to the thorax during arm elevation were analyzed. A computer simulation program was used to compare rotational elevation/depression in the coronal plane, anterior/posterior tilting in the sagittal plane and protraction/retraction in the axial plane between the normal and affected sides. Anterior/posterior translational movement along the X-axis, upward/downward movement along the Y-axis, and lateral/medial movement along the Z-axis in the Euler space during forward elevation were also compared. In scapular fracture, rotational elevation of the scapula decreased in the coronal plane and posterior tilting of the scapula increased in the sagittal plane. Anterior and superior translation were higher in scapular fracture than in the corresponding normal sides. However, no significant abnormal rotational and translational kinematic changes were observed during elevation in clavicular fracture. In vivo 3D computerized motion analysis was useful for evaluating scapular dyskinesis. Scapular fracture can cause scapular dyskinesis, but not all clavicular fractures alter scapular motion biomechanics.
キーワード 3-dimensional motion analysis scapular dyskinesis fracture scapula clavicle
Amo Type Original Article
出版物タイトル Acta Medica Okayama
発行日 2017-04
71巻
2号
出版者 Okayama University Medical School
開始ページ 151
終了ページ 159
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Ⓒ 2017 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 28420897
JaLCDOI 10.18926/AMO/54983
フルテキストURL 71_2_143.pdf
著者 Kataoka, Hiroaki| Miyatake, Nobuyuki| Kitayama, Naomi| Murao, Satoshi| Tanaka, Satoshi|
抄録 We compared the toe pinch force in men with and without type 2 diabetes mellitus (T2DM). Sixty-eight male T2DM patients and 35 apparently healthy men matched for age, sex, and body mass index (BMI) were enrolled in this cross-sectional study. We compared the toe pinch force between the subjects with and without T2DM, and we evaluated the effect of diabetic polyneuropathy on toe pinch force in the patients. The toe pinch force of the T2DM patients was significantly lower than that of the subjects without diabetes (3.12±1.22 kg vs. 4.40±1.19 kg, p<0.001). Multiple regression analysis showed that T2DM was a determinant of reduced toe pinch force. In addition, the toe pinch force of patients with diabetic polyneuropathy was significantly lower than that of patients without diabetic polyneuropathy (2.31±0.93 kg vs. 3.70±1.07 kg, p<0.001). Multiple regression analysis showed that diabetic polyneuropathy was a determinant of the toe pinch force in men with T2DM, even after adjusting for age, BMI, HbA1c, and duration of diabetes. Reduced toe pinch force is a fundamental feature of motor dysfunction in men with T2DM, and diabetic polyneuropathy might be associated with toe pinch force in these patients.
キーワード type 2 diabetes mellitus toe pinch force diabetic polyneuropathy
Amo Type Original Article
出版物タイトル Acta Medica Okayama
発行日 2017-04
71巻
2号
出版者 Okayama University Medical School
開始ページ 143
終了ページ 149
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Ⓒ 2017 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 28420896