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著者 Hanaya, Tadashi| Iwasaki, Katsuya|
キーワード glycosylation microcystbiopterin C pteridine pterin glycoside structural elucidation
備考 This is the peer reviewed version of the following article: T. Hanaya and K. Iwasaki, “ First Total Synthesis and Structural Elucidation of Microcystbiopterin C, a Pterin Glycoside From a Microcystis Bloom,” Journal of Heterocyclic Chemistry 63, no. 8 (2026): 1278–1287, https://doi.org/10.1002/jhet.70214., which has been published in final form at https://doi.org/10.1002/jhet.70214. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. This article may not be enhanced, enriched or otherwise transformed into a derivative work, without express permission from Wiley or by statutory rights under applicable legislation. Copyright notices must not be removed, obscured or modified. The article must be linked to Wiley’s version of record on Wiley Online Library and any embedding, framing or otherwise making available the article or pages thereof by third parties from platforms, services and websites other than Wiley Online Library must be prohibited.| This fulltext file will be available in May 2027.|
発行日 2026-05-22
出版物タイトル Journal of Heterocyclic Chemistry
巻 63巻
号 8号
出版者 Wiley
開始ページ 1278
終了ページ 1287
ISSN 0022-152X
NCID AA00699237
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 © 2026 Wiley Periodicals LLC.
論文のバージョン author
DOI 10.1002/jhet.70214
Web of Science KeyUT 001771861300001
関連URL isVersionOf https://doi.org/10.1002/jhet.70214
フルテキストURL fulltext.pdf
著者 Akazawa, Hidemasa| Fukushima, Shinnosuke| Miyahara, Tomoyuki| Tsuji, Shuma| Gotoh, Kazuyoshi| Ogawa, Sakura| Iio, Koji| Hagiya, Hideharu|
キーワード Nocardiosis Treatment Trimethoprim–sulfamethoxazole Alternative therapy Dose modification
発行日 2026-10
出版物タイトル International Journal of Antimicrobial Agents
巻 67巻
号 10号
出版者 Elsevier BV
開始ページ 107906
ISSN 0924-8579
NCID AA10778078
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 © 2026 The Author(s).
論文のバージョン publisher
PubMed ID 42409130
DOI 10.1016/j.ijantimicag.2026.107906
Web of Science KeyUT 001833698900001
関連URL isVersionOf https://doi.org/10.1016/j.ijantimicag.2026.107906
フルテキストURL fulltext.pdf
著者 Tran, Thi Hai Yen| Kurita, Yoshihiko| Kondo, Maiko| Fukushima, Yosuke| Shigemitsu, Yusuke| Kawamoto, Yuya| Hara, Mayuko| Tsukahara, Hirokazu| Iwasaki, Tatsuo| Kasahara, Shingo| Baba, Kenji|
キーワード Fontan operation Spontaneous fenestration closure Fenestration recreation Longitudinal hemodynamic changes
発行日 2026-05-09
出版物タイトル Pediatric Cardiology
出版者 Springer Science and Business Media LLC
ISSN 0172-0643
NCID AA00361536
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 © The Author(s) 2026
論文のバージョン publisher
PubMed ID 42105109
DOI 10.1007/s00246-026-04274-4
Web of Science KeyUT 001761259600001
関連URL isVersionOf https://doi.org/10.1007/s00246-026-04274-4
タイトル(別表記) The structure-function relationship of bacterial collagenases and its clinical applications
著者 松下 治|
キーワード コラーゲン X線結晶解析 クライオ電子顕微鏡 生理活性物質 マトリックス・アンカリング
出版物タイトル 岡山医学会雑誌
発行日 2026-08-03
巻 138巻
号 2号
開始ページ 50
終了ページ 57
ISSN 0030-1558
関連URL isVersionOf https://doi.org/10.4044/joma.138.50
言語 日本語
著作権者 Copyright (c) 2026 岡山医学会
論文のバージョン publisher
DOI 10.4044/joma.138.50
タイトル(別表記) Striving to establish a leading national research center of infectious diseases
著者 萩谷 英大|
キーワード 臨床感染症 感染制御 薬剤耐性 ゲノム解析 データサイエンス
出版物タイトル 岡山医学会雑誌
発行日 2026-08-03
巻 138巻
号 2号
開始ページ 45
終了ページ 49
ISSN 0030-1558
関連URL isVersionOf https://doi.org/10.4044/joma.138.45
言語 日本語
著作権者 Copyright (c) 2026 岡山医学会
論文のバージョン publisher
DOI 10.4044/joma.138.45
タイトル(別表記) Intestinal homeostasis and autoimmune arthritis mediated by type 3 immunity
著者 廣田 圭司|
キーワード 3型免疫 炎症性サイトカイン 組織炎症 Th17細胞
出版物タイトル 岡山医学会雑誌
発行日 2026-08-03
巻 138巻
号 2号
開始ページ 40
終了ページ 44
ISSN 0030-1558
関連URL isVersionOf https://doi.org/10.4044/joma.138.40
言語 日本語
著作権者 Copyright (c) 2026 岡山医学会
論文のバージョン publisher
DOI 10.4044/joma.138.40
フルテキストURL fulltext.pdf
著者 Uchida, Daisuke| Honda, Yu| Kojima, Shigeki| Miyake, Hiromasa| Nishimoto, Masatoshi| Hishikawa, Akihito| Tonomura, Shun| Sofue, Tadashi| Fujii, Naohiko| Saitoh, Masakazu| Narita, Ichiei| Yamagata, Kunihiro| Hoshino, Junichi| Kawarazaki, Hiroo| Sakurada, Tsutomu|
キーワード Intradialytic exercise Physical performance Exercise period Short physical performance battery Handgrip strength Systematic review Meta-analysis
発行日 2026-04-03
出版物タイトル Renal Replacement Therapy
巻 12巻
号 1号
出版者 Springer Science and Business Media LLC
開始ページ 19
ISSN 2059-1381
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 © The Author(s) 2026.
論文のバージョン publisher
DOI 10.1186/s41100-026-00716-0
Web of Science KeyUT 001732879200001
関連URL isVersionOf https://doi.org/10.1186/s41100-026-00716-0
フルテキストURL fulltext.pdf
著者 Honda, Yu| Uchida, Daisuke| Kojima, Shigeki| Miyake, Hiromasa| Nishimoto, Masatoshi| Hishikawa, Akihito| Tonomura, Shun| Sofue, Tadashi| Fujii, Naohiko| Saitoh, Masakazu| Narita, Ichiei| Yamagata, Kunihiro| Hoshino, Junichi| Kawarazaki, Hiroo| Sakurada, Tsutomu|
キーワード Hemodialysis Exercise therapy Intradialytic exercise Health-related quality of life Fatigue Depression Randomized controlled trials Meta-analysis
発行日 2026-03-08
出版物タイトル Renal Replacement Therapy
巻 12巻
号 1号
出版者 Springer Science and Business Media LLC
開始ページ 13
ISSN 2059-1381
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 © The Author(s) 2026.
論文のバージョン publisher
DOI 10.1186/s41100-026-00710-6
Web of Science KeyUT 001711622100001
関連URL isVersionOf https://doi.org/10.1186/s41100-026-00710-6
フルテキストURL fulltext.pdf
著者 Kon, Tetsuo| Kataoka, Kosuke| Luo, Yi‐Jyun| Wibisana, Johannes Nicolaus| Toga, Kouhei| Uno, Narumi| Monden, Yuki| Hamada, Mayuko|
キーワード chromosome-level genome assembly genome evolution Hi–C scaffolding long-read sequencing non-model animals
発行日 2026-08-21
出版物タイトル Genes to Cells
巻 31巻
号 5号
出版者 Wiley
開始ページ e70145
ISSN 1356-9597
NCID AA11078945
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 © 2026 The Author(s).
論文のバージョン publisher
PubMed ID 42629966
DOI 10.1111/gtc.70145
関連URL isVersionOf https://doi.org/10.1111/gtc.70145
著者 Takeuchi, Shuhei| Nakagawa, Shota| Shinzato, Yoshifumi| Minoda, Tadashi| Ohtsuka, Naotaka| Okayasu, Mitsuhiro|
キーワード upgrading technique Al–Si alloy primary Si segregation unidirectional solidification
備考 This version of the article has been accepted for publication, after peer review (when applicable) and is subject to Springer Nature’s AM terms of use, but is not the Version of Record and does not reflect post-acceptance improvements, or any corrections. The Version of Record is available online at: http://dx.doi.org/10.1007/s40962-026-02100-4| This fulltext file will be available in Aug. 2027.|
発行日 2026-08-19
出版物タイトル International Journal of Metalcasting
出版者 Springer Science and Business Media LLC
ISSN 1939-5981
NCID AA12354742
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 © 2026 American Foundry Society
論文のバージョン author
DOI 10.1007/s40962-026-02100-4
Web of Science KeyUT 001853593100001
関連URL isVersionOf https://doi.org/10.1007/s40962-026-02100-4
著者 Nishimura, Noriyuki| Ushiyama, Sho| Otagiri, Masato| Satoh, Kouji| Suzuki, Nahomi| Irisa, Tomoko| Mitsuda, Nobutaka| Umezawa, Taishi| Nishimura, Hideki| Nemoto, Keiichirou| Tsuchiya, Wataru| Yano, Ryoichi| Sawasaki, Tatsuya| Yamazaki, Toshimasa| Hirayama, Takashi|
キーワード ABA AHG1 AFP ABI5 DOG1 seed dormancy seed germination Arabidopsis thaliana
備考 This is the peer reviewed version of the following article: Nishimura, N., Ushiyama, S., Otagiri, M., Satoh, K., Suzuki, N., Irisa, T., Mitsuda, N., Umezawa, T., Nishimura, H., Nemoto, K., Tsuchiya, W., Yano, R., Sawasaki, T., Yamazaki, T. and Hirayama, T. (2026), AHG1–AFP interaction as a regulatory node in the ABA response during seed germination. Plant J, 127: e71081. https://doi.org/10.1111/tpj.71081, which has been published in final form at https://doi.org/10.1111/tpj.71081. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. This article may not be enhanced, enriched or otherwise transformed into a derivative work, without express permission from Wiley or by statutory rights under applicable legislation. Copyright notices must not be removed, obscured or modified. The article must be linked to Wiley’s version of record on Wiley Online Library and any embedding, framing or otherwise making available the article or pages thereof by third parties from platforms, services and websites other than Wiley Online Library must be prohibited| This fulltext file will be available in Aug. 2027.|
発行日 2026-08
出版物タイトル The Plant Journal
巻 127巻
号 3号
出版者 Wiley
開始ページ e71081
ISSN 0960-7412
NCID AA10846815
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 © 2026 Society for Experimental Biology and John Wiley & Sons Ltd.
論文のバージョン author
PubMed ID 42552582
DOI 10.1111/tpj.71081
Web of Science KeyUT 001839830400001
関連URL isVersionOf https://doi.org/10.1111/tpj.71081
フルテキストURL fulltext.pdf
著者 Zhu, Yidan| Nakamoto, Shogo| Tsukioki, Takahiro| Takahashi, Yuko| Iwatani, Yoko| Iwatani, Tsuguo| Zhang, Xinfeng| Tanioka, Maki| Shien, Tadahiko|
キーワード Primary angiosarcoma of the breast (PBA) complete surgical excision hierarchal levels of scientific evidence literature review
発行日 2024-10
出版物タイトル Chinese Clinical Oncology
巻 13巻
号 5号
出版者 AME Publishing Company
開始ページ 68
ISSN 2304-3865
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 © AME Publishing Company.
論文のバージョン publisher
PubMed ID 39260429
DOI 10.21037/cco-24-16
Web of Science KeyUT 001411242500011
関連URL isVersionOf https://doi.org/10.21037/cco-24-16
フルテキストURL fulltext.pdf
著者 Iida, Yuya| Watanabe, Satoshi|
キーワード Particle formation pathway Nucleation Crystallization Pre-nucleation cluster Two-step nucleation Aggregation
発行日 2026-12
出版物タイトル Advances in Colloid and Interface Science
巻 358巻
出版者 Elsevier BV
開始ページ 104018
ISSN 0001-8686
NCID AA00512449
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 © 2026 The Authors.
論文のバージョン publisher
PubMed ID 42628318
DOI 10.1016/j.cis.2026.104018
関連URL isVersionOf https://doi.org/10.1016/j.cis.2026.104018
フルテキストURL fulltext.pdf
著者 Ohnishi, Takuma| Wakiguchi, Hiroyuki| Ishimori, Shingo| Itoh, Naohiro| Yashiro, Masato| Yamazaki, Susumu| Okafuji, Ikuo| Ohtomo, Yoshiyuki| Kobayashi, Ichiro|
キーワード Bacille Calmette–Guérin diphtheria, pertussis, and tetanus vaccine hepatitis A virus vaccine hepatitis B virus vaccine human papillomavirus vaccine inactivated polio vaccine influenza vaccine measles, mumps, and rubella vaccine pneumococcal vaccine varicella zoster virus vaccine
発行日 2025-07-25
出版物タイトル Modern Rheumatology
巻 36巻
号 1号
出版者 Oxford University Press (OUP)
開始ページ 97
終了ページ 112
ISSN 1439-7595
NCID AA1157187X
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 © Japan College Rheumatology 2025.
論文のバージョン publisher
PubMed ID 40709824
DOI 10.1093/mr/roaf069
Web of Science KeyUT 001551830200001
関連URL isVersionOf https://doi.org/10.1093/mr/roaf069
JaLCDOI 10.18926/AMO/71071
フルテキストURL 80_4_265.pdf
著者 Yamasaki, Takuto| Sugaya, Akiko| Naoi, Yuto| Kariya, Shin| Ando, Mizuo|
抄録 Cochlear implantation (CI) in patients with CHARGE syndrome presents unique surgical challenges due to complex external, middle, and inner ear malformations. We describe the case of a 3-year-old Japanese boy for whom simultaneous transcanal CI under endoscopic guidance and external auditory canal closure were performed. This approach enabled safe electrode placement and resulted in favorable auditory outcomes, representing a potential novel surgical option for CI in patients with CHARGE syndrome. There are few reports of this type of surgical intervention, and the present case highlights the feasibility and clinical benefits of individualized surgical planning for CI in anatomically complex patients.
キーワード CHARGE syndrome cochlear implantation transcanal approach temporal bone anomaly pediatric otologic surgery
Amo Type Case Report
出版物タイトル Acta Medica Okayama
発行日 2026-08
巻 80巻
号 4号
出版者 Okayama University Medical School
開始ページ 265
終了ページ 270
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 Ⓒ 2026 by Okayama University Medical School
論文のバージョン publisher
査読 有り
JaLCDOI 10.18926/AMO/71070
フルテキストURL 80_4_259.pdf
著者 Yabuno, Satoru| Yunoki, Masatoshi| Takeuchi, Saori| Hirashita, Koji|
抄録 Diffuse idiopathic skeletal hyperostosis (DISH) predisposes the spine to highly unstable fractures because of long lever-arm biomechanics. Unstable injuries, including AO Spine Osteoporotic Fracture (OF) type 5, are typically treated with long-segment posterior instrumentation; however, pedicle-screw fixation may be infeasible in very elderly patients with severe osteoporosis, critically narrow pedicles, and/or significant comorbidities. A 93-year-old Japanese woman presented with severe back pain without apparent trauma. Computed tomography (CT) revealed a T12 fracture with DISH, classified as OF5. The pedicles were critically narrow (3.7-4.1 mm), and dual-energy X-ray absorptiometry confirmed severe osteoporosis. Because conventional pedicle-screw fixation was considered technically unsafe and excessively invasive, limited posterior stabilization was performed using a single spinous process plate spanning T10-L1. The operative time was 48 min and the estimated blood loss was 10 ml. Immediate postoperative CT confirmed appropriate implant positioning and maintained alignment. At the 1-year follow-up, CT demonstrated solid bony union with preserved alignment and no implant failure; the patient had remained pain-free and ambulatory. This case demonstrates that spinous process-plate fixation can be a minimally invasive salvage option for carefully selected very-elderly patients with DISH when pedicle-screw instrumentation is not feasible.
キーワード DISH vertebral fracture osteoporosis spinous process plate
Amo Type Case Report
出版物タイトル Acta Medica Okayama
発行日 2026-08
巻 80巻
号 4号
出版者 Okayama University Medical School
開始ページ 259
終了ページ 264
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 Ⓒ 2026 by Okayama University Medical School
論文のバージョン publisher
査読 有り
レファレンス Resnick D and Niwayama G: Radiographic and pathologic features of spinal involvement in diffuse idiopathic skeletal hyperostosis (DISH). Radiology (1976) 119: 559-568.| Wu Y, Ye Q, He D, Wei Y, Pan Y and Wang Y: Effect of Diffuse Idiopathic Skeletal Hyperostosis on the Occurrence of Thoracolumbar Vertebral Fragility Fractures at Different Ages. Global Spine J (2025) 15: 2075-2086.| Harlianto NI, Ezzafzafi S, Foppen W, Kuperus JS, van der Horst-Bruinsma IE, de Jong PA and Verlaan JJ: The prevalence of vertebral fractures in diffuse idiopathic skeletal hyperostosis and ankylosing spondylitis: A systematic review and meta-analysis. N Am Spine Soc J (2024) 17: 100312.| Blattert TR, Schnake KJ, Gonschorek O, Gercek E, Hartmann F, Katscher S, Mork S, Morrison R, Muller M, Partenheimer A, Piltz S, Scherer MA, Ullrich BW, Verheyden A, Zimmermann V and the Spine Section of the German Society for Orthopaedics and Trauma. Nonsurgical and Surgical Management of Osteoporotic Vertebral Body Fractures: Recommendations of the Spine Section of the German Society for Orthopaedics and Trauma (DGOU). Global Spine J (2018) 8: 50-55.| Tomii M, Itoh Y, Numazawa S, Watanabe K and Nakagawa H: Spinous process plate (S-plate) fixation after posterior interbody fusion for lumbar canal stenosis due to spondylolisthesis. Neurosurg Rev (2013) 36: 139-143.| Diederichs G, Engelken F, Marshall LM, Peters K, Black DM, Issever AS, Barrett-Connor E, Orwoll E, Hamm B, Link TM and Osteoporotic Fractures in Men (MrOs) Research Group: Diffuse idiopathic skeletal hyperostosis (DISH): relation to vertebral fractures and bone density. Osteoporos Int (2011) 22: 1789-1797.| Page PS, Greeneway GP, Lake WB, Brooks NP, Josiah DT, Hanna AS and Resnick DK: Outcomes following conservative treatment of extension fractures in the setting of diffuse idiopathic skeletal hyperostosis: is external orthosis alone a reasonable option? J Neurosurg Spine (2022) 37: 927-931.| Solitro GF, Whitlock K, Amirouche F, Mehta AI and McDonnell A: Currently Adopted Criteria for Pedicle Screw Diameter Selection. Int J Spine Surg (2019) 13: 132-145.| Matsukawa K, Yato Y, Hynes RA, Imabayashi H, Hosogane N, Asazuma T, Matsui T, Kobayashi Y and Nemoto K: Cortical Bone Trajectory for Thoracic Pedicle Screws: A Technical Note. Clin Spine Surg (2017) 30: 497-504.| Wang H, Wang H, Sribastrav SS, Ye F, Liang C, Li Z, Wang J, Liu H, Wang X and Zheng Z: Comparison of pullout strength of the thoracic pedicle screw between intrapedicular and extrapedicular technique: a meta-analysis and literature review. Int J Clin Exp Med (2015) 8: 22237-22245.| Ikuma H, Takao S, Inoue Y, Hirose T, Matsukawa K and Kawasaki K: Treatment of Thoracolumbar Spinal Fracture Accompanied by Diffuse Idiopathic Skeletal Hyperostosis Using Transdiscal Screws for Diffuse Idiopathic Skeletal Hyperostosis: Preliminary Results. Asian Spine J (2021) 15: 340-348.| Hishiya T, Ishikawa T and Ota M: Posterior spinal fixation using penetrating endplate screws in patients with diffuse idiopathic skeletal hyperostosis-related thoracolumbar fractures. J Neurosurg Spine (2021) 34: 936-941.| Nakao Y SS, Kimura M, Yamada T, Yamamoto Y and Takashiba K: Spinal fusion using a spinous process plate (S-plate)- clinical results and mechanical strength. The journal of the Japan Spine Research Society (2006) 17: 119.| Ugawa R, Fujiwara Y and Matsumoto T: Clinical Outcomes of Transdiscal Screws for Thoracolumbar Spinal Fractures with Marked Anterior Distraction Gap Accompanied by Diffuse Idiopathic Skeletal Hyperostosis. Medicina (Kaunas) (2025) 61: 1-9.|
JaLCDOI 10.18926/AMO/71069
フルテキストURL 80_4_253.pdf
著者 Ishikami, Sachiko| Tamura, Shuta| Tabuchi, Motoyasu| Yamamoto, Nao| Okamoto, Yuki| Yoshimatsu, Rika| Matsumoto, Manabu| Iwata, Jun| Okabayashi, Takehiro|
抄録 Lymphangioma is a benign tumor arising from lymphatic vessel proliferation and most commonly occurs in the head, neck, or axilla. Involvement of the small intestine is rare and is often overlooked as a source of obscure gastrointestinal bleeding. Because jejunal lymphangiomas frequently present with nonspecific symptoms and may escape detection by conventional upper and lower gastrointestinal endoscopy or cross-sectional imaging, diagnosis is often delayed. Advances in balloon-assisted enteroscopy have enabled direct visualization of small intestinal lesions, facilitating accurate diagnosis and appropriate therapeutic decision-making. Here, we report a case of jejunal lymphangioma presenting with severe anemia due to active bleeding, which was detected by double-balloon endoscopy and successfully managed by laparoscopic-assisted resection. This case highlights the importance of considering small intestinal lymphangioma in the differential diagnosis of unexplained gastrointestinal bleeding and underscores the clinical utility of deep enteroscopy in identifying rare but clinically significant small bowel tumors.
キーワード jejunal lymphangioma double-balloon endoscopy surgery
Amo Type Case Report
出版物タイトル Acta Medica Okayama
発行日 2026-08
巻 80巻
号 4号
出版者 Okayama University Medical School
開始ページ 253
終了ページ 257
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 Ⓒ 2026 by Okayama University Medical School
論文のバージョン publisher
査読 有り
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JaLCDOI 10.18926/AMO/71068
フルテキストURL 80_4_247.pdf
著者 Shiina, Tsuyoshi| Watanabe, Hirokazu| Yoshimoto, Junko| Sato, Takeshi| Morimoto, Daisaku| Okamura, Tomoka| Tanimoto, Terutaka| Washio, Yosuke| Oyama, Takanori| Tsukahara, Hirokazu| Noda, Takuo|
抄録 The long-term survival of individuals with trisomy 18 has improved, and the need for tracheostomy in this population has thus increased. We describe the case of a 3-year-old Japanese boy with trisomy 18 who developed a tracheoarterial fistula involving the left common carotid artery (LCCA). He underwent an emergency tracheostomy for respiratory failure secondary to pneumonia. Massive hemorrhage from the tracheostoma occurred on postoperative day 31, leading to his death. The autopsy revealed that the LCCA originated from the brachiocephalic trunk and coursed medially, forming a fistulous connection with the trachea. This case highlights the clinical importance of preoperative vascular mapping in patients with chromosomal abnormalities.
キーワード tracheoarterial fistula tracheocarotid fistula trisomy 18
Amo Type Case Report
出版物タイトル Acta Medica Okayama
発行日 2026-08
巻 80巻
号 4号
出版者 Okayama University Medical School
開始ページ 247
終了ページ 252
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 Ⓒ 2026 by Okayama University Medical School
論文のバージョン publisher
査読 有り
JaLCDOI 10.18926/AMO/71067
フルテキストURL 80_4_241.pdf
著者 Hasegawa, Yuta| Tsujimoto, Hironori| Uehata, Naoyuki| Kariya, Risa| Ide, Asuma| Suzuki, Takafumi| Fujishima, Seiichiro| Kouzu, Keita| Yaguchi, Yoshihisa| Miyai, Kosuke| Kurihara, Ayumu| Ogata, Sho| Matsukuma, Susumu| Ueno, Hideki|
抄録 Primary hyperparathyroidism (pHPT) is typically caused by a parathyroid adenoma, although some cases arise from ectopic glands. Accurate preoperative localization is essential for guiding surgical strategy, particularly for mediastinal lesions. We report successful video-assisted thoracoscopic surgery (VATS) for an upper mediastinal parathyroid adenoma. A 68-year-old woman was referred for hypercalcemia during evaluation for recurrent ureteral stones. Laboratory tests revealed elevated serum calcium (13.2 mg/dl) and intact parathyroid hormone (iPTH) levels (266 pg/ml). Contrast-enhanced computed tomography, magnetic resonance imaging, and 99mTc-methoxyisobutylisonitrile scintigraphy identified a 20-mm mass adjacent to the right esophageal wall. VATS was performed due to the tumor’s mediastinal location. The lesion was resected with intraoperative nerve monitoring (IONM) to avoid recurrent laryngeal nerve damage. Postoperatively, iPTH and calcium levels rapidly normalized. Transient hypocalcemia and mild hoarseness occurred but resolved with calcium supplementation and conservative management. Pathological examination confirmed a parathyroid adenoma without malignancy. VATS offers a safe and minimally invasive approach for upper mediastinal parathyroid adenomas. IONM and vigilant calcium management are crucial for minimizing these complications. This case highlights the importance of comprehensive imaging, surgical planning, and postoperative care in managing upper mediastinal pHPT.
キーワード primary hyperparathyroidism parathyroid neoplasm ectopic tissue video-assisted thoracoscopic surgery
Amo Type Case Report
出版物タイトル Acta Medica Okayama
発行日 2026-08
巻 80巻
号 4号
出版者 Okayama University Medical School
開始ページ 241
終了ページ 246
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 Ⓒ 2026 by Okayama University Medical School
論文のバージョン publisher
査読 有り
JaLCDOI 10.18926/AMO/71066
フルテキストURL 80_4_233.pdf
著者 Ogawa, Sakura| Fukushima, Shinnosuke| Akazawa, Hidemasa| Namba, Sachie| Hirota, Chiyoko| Kishiue, Tomoyoshi| Ibara, Shohei| Kondo, Takayuki| Fukuda, Genshi| Iio, Koji| Tsuji, Shuma| Gotoh, Kazuyoshi| Otsuka, Fumio| Hagiya, Hideharu|
抄録 Carbapenemase-producing Enterobacterales (CPE) and extended-spectrum β-lactamase (ESBL)-producing Enterobacterales (ESBL-E) are representative antimicrobial-resistant pathogens. We investigated the prevalence of CPE and ESBL-E in Okayama, Japan to clarify their current epidemiology and potential clinical burden. Active surveillance for CPE and ESBL-E was performed first, using stool samples submitted to the Okayama Medical Laboratory (Japan) in the years 2024-2025. Screening was performed using a selective agar (CHROMagar mSuper CARBA/ESBL). Phenotypic identification was conducted with the use of a modified carbapenem inactivation method and double-disk phenotypic confirmatory tests. Clinical information including patient age, sex, sampling date, and hospital address were collected, and the data were analyzed according to specimen origin (hospitals, clinics, and health checkups). A total of 2,000 stool samples were screened, of which two CPE isolates (0.1%) and 285 ESBL-E isolates (14.3%) were identified. By specimen origin, the ESBL-E positivity rate was significantly higher in hospitals (17.4%) than in clinics (11.8%). By age category, the late elderly (> 75 years) exhibited the highest ESBL-E positivity rate (22.6%) compared to other age groups. In the clinics and health checkups, infants (0 years) demonstrated high ESBL-E positivity rates (18.2% and 14.3%, respectively). Escherichia coli was the most common ESBL-E organism in the hospitals (77.2%), clinics (88.8%), and health checkups (87.5%). Our active screening demonstrated that the prevalences of CPE and ESBL-E were within the reported ranges; however, in this era of increasing internationalization, continuous surveillance of these notifiable pathogens is warranted.
キーワード antimicrobial resistance carbapenem-resistant Enterobacteriaceae extended-spectrum β-lactamase infection prevention and control Okayama Medical Laboratory
Amo Type Original Article
出版物タイトル Acta Medica Okayama
発行日 2026-08
巻 80巻
号 4号
出版者 Okayama University Medical School
開始ページ 233
終了ページ 240
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 Ⓒ 2026 by Okayama University Medical School
論文のバージョン publisher
査読 有り
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