検索結果 23066 件
フルテキストURL | GGI_16_4_458.pdf |
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著者 | Hishikawa, Nozomi| Fukui, Yusuke| Sato, Kota| Kono, Syoichiro| Yamashita, Toru| Ohta, Yasuyuki| Deguchi, Kentaro| Abe, Koji| |
キーワード | affective functions cognitive function daily living function late-elderly dementia super-aged country |
備考 | This is an Accepted Manuscript of an article published by Wiley| |
発行日 | 2016-04 |
出版物タイトル | Geriatrics & Gerontology International |
巻 | 16巻 |
号 | 4号 |
出版者 | Japan Geriatrics Society |
開始ページ | 458 |
終了ページ | 465 |
ISSN | 1444-1586 |
NCID | AA1155729X |
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 | https://creativecommons.org/licenses/by-nc-nd/4.0/deed.ja |
論文のバージョン | author |
PubMed ID | 25952646 |
DOI | 10.1111/ggi.12492 |
Web of Science KeyUT | 000373611800007 |
関連URL | isVersionOf https://doi.org/10.1111/ggi.12492 |
フルテキストURL | GGI_17_11_1991.pdf |
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著者 | Fukui, Yusuke| Hishikawa, Nozomi| Ichinose, Jin| Sato, Kota| Nakano, Yumiko| Morihara, Ryuta| Ohta, Yasuyuki| Yamashita, Toru| Abe, Koji| |
キーワード | Alzheimer's disease antidementia drug magnetic resonance imaging periventricular hyperintensity white matter lesions |
備考 | This is an Accepted Manuscript of an article published by Wiley| This fulltext will be available in Nov 2018| |
発行日 | 2017-11 |
出版物タイトル | Geriatrics & Gerontology International |
巻 | 17巻 |
号 | 11号 |
出版者 | Japan Geriatrics Society |
開始ページ | 1991 |
終了ページ | 1999 |
ISSN | 1444-1586 |
NCID | AA1155729X |
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 | https://creativecommons.org/licenses/by-nc-nd/4.0/deed.ja |
論文のバージョン | author |
PubMed ID | 28276131 |
DOI | 10.1111/ggi.13007 |
Web of Science KeyUT | 000416330000029 |
関連URL | isVersionOf https://doi.org/10.1111/ggi.13007 |
フルテキストURL | PhysRevB_96_094527.pdf |
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著者 | Onari, Seiichiro| Kontani, Hiroshi| |
備考 | This is an article published by American Physical Society| |
発行日 | 2017-09-26 |
出版物タイトル | Physical Review B |
巻 | 96巻 |
号 | 9号 |
出版者 | American Physical Society |
開始ページ | 094527 |
ISSN | 2469-9950 |
NCID | AA11187113 |
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 | ©2017 American Physical Society |
論文のバージョン | publisher |
DOI | 10.1103/PhysRevB.96.094527 |
Web of Science KeyUT | 000411768000002 |
関連URL | isVersionOf http://doi.org/10.1103/PhysRevB.96.094527 |
タイトル(別表記) | Two cases of solid-pseudopapillary neoplasm of the pancreas with contrasting imaging findings |
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フルテキストURL | 129_171.pdf |
著者 | 河合 毅| 遠藤 芳克| 渡邉 貴紀| 甲斐 恭平| 佐藤 四三| |
抄録 | A solid pseudo-papillary tumor of the pancreas is a rare neoplasm which mainly occurs in young women. Here, we report two cases of solid-pseudopapillary neoplasm of the pancreas (SPN) with contrasting imaging findings. One was a 59-year-old woman having no symptomatic complaint with a pancreatic cystic tumor in the tail. The tumor was 60 mm in diameter with a cyst composed of a calcified wall and low-density content which was poorly perfused on contrast-enhanced computed tomography (CT). We diagnosed SPN based on imaging findings and performed distal pancreatectomy. Histology revealed SPN, and the patient had two years of recurrence -free survival (RFS). The other case was a 34-year-old man with an asymptomatic solid tumor in the pancreatic tail. Contrast-enhanced CT showed low peripheral attenuation of a 25-mm solid tumor, with the main duct dilated distal from tumor. We diagnosed him with pancreatic cancer with atypical image findings. Pathological findings revealed SPN, and the patient had five years of RFS. Small-sized SPN is being increasingly recognized because of the recent advances in CT and MRI. We should consider SPN even if it occurs in a male, and endoscopic ultrasound -guided fine-needle aspiration has recently been reported to be useful in diagnosing SPN. |
キーワード | 膵SPN(solid-pseudopapillary neoplasm of the pancreas) EUS-FNA(endoscopic ultrasound-guided fine needle aspiration) 成人男性(male) |
出版物タイトル | 岡山医学会雑誌 |
発行日 | 2017-12-01 |
巻 | 129巻 |
号 | 3号 |
開始ページ | 171 |
終了ページ | 177 |
ISSN | 0030-1558 |
関連URL | isVersionOf https://doi.org/10.4044/joma.129.171 |
言語 | 日本語 |
著作権者 | Copyright (c) 2017 岡山医学会 |
論文のバージョン | publisher |
DOI | 10.4044/joma.129.171 |
NAID | 40021393857 |
タイトル(別表記) | The 2016 Incentive Award of the Okayama Medical Association in Cardiovascular and Pulmonary Research (2016 Sunada Prize) |
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フルテキストURL | 129_155.pdf |
著者 | 藤井 詩子| |
出版物タイトル | 岡山医学会雑誌 |
発行日 | 2017-12-01 |
巻 | 129巻 |
号 | 3号 |
開始ページ | 155 |
終了ページ | 157 |
ISSN | 0030-1558 |
関連URL | isVersionOf https://doi.org/10.4044/joma.129.155 references https://doi.org/10.1165/rcmb.2016-0015OC |
言語 | 日本語 |
著作権者 | Copyright (c) 2017 岡山医学会 |
論文のバージョン | publisher |
DOI | 10.4044/joma.129.155 |
NAID | 40021393805 |
タイトル(別表記) | What is Wrong with the Coexistence of Different Election Rules in the Same Country? : A Critical Argument in the Light of the Principle of Local Autonomy |
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フルテキストURL | olj_67_2_334.pdf |
著者 | 谷 聖美| |
出版物タイトル | 岡山大學法學會雜誌 |
発行日 | 2017-12-25 |
巻 | 67巻 |
号 | 2号 |
開始ページ | 334 |
終了ページ | 305 |
ISSN | 0386-3050 |
言語 | 日本語 |
論文のバージョン | publisher |
NAID | 120006375009 |
タイトル(別表記) | A Study on Surrender of Security by Creditor : Historical and Comparative Perspectives(13) |
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フルテキストURL | olj_67_2_213.pdf |
著者 | 辻 博明| |
出版物タイトル | 岡山大學法學會雜誌 |
発行日 | 2017-12-25 |
巻 | 67巻 |
号 | 2号 |
開始ページ | 213 |
終了ページ | 228 |
ISSN | 0386-3050 |
言語 | 日本語 |
論文のバージョン | publisher |
NAID | 120006375007 |
タイトル(別表記) | A Study on “Documents of Lawsuits” Exception for Disclosure Based on Open Government Information Law |
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フルテキストURL | olj_67_2_406.pdf |
著者 | 中村 誠| |
出版物タイトル | 岡山大學法學會雜誌 |
発行日 | 2017-12-25 |
巻 | 67巻 |
号 | 2号 |
開始ページ | 406 |
終了ページ | 375 |
ISSN | 0386-3050 |
言語 | 日本語 |
論文のバージョン | publisher |
NAID | 120006375004 |
JaLCDOI | 10.18926/AMO/55594 |
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フルテキストURL | 71_6_547.pdf |
著者 | Tanimizu, Masakuni| Mizuno, Kenji| Hashimoto, Masayuki| |
抄録 | We treated a 72-year-old Japanese female with sustained high fever and overall body exhaustion. An infectious liver cyst and right lung pneumonia were suspected causes. Hepatic cystectomy and various antibiotics did not resolve symptoms. Pneumonia exacerbation and ascitic fluid retention, left lumbar spinal osteomyelitis, and peri-gastric lymph node abscess penetrating the stomach were observed. Mycobacterium avium was identified in sputum, ascites, vertebral body abscess puncture specimen, and pus mucus secretion in the stomach. We diagnosed a disseminated nontuberculous mycobacterial infection. She seemed immunocompetent, without signs of AIDS or hematological malignancy. Serum anti-IFN-γ autoantibodies tested positive and were suspected to be involved in the illness onset. |
キーワード | disseminated nontuberculous mycobacterial infection anti-IFN-γ autoantibodies |
Amo Type | Case Report |
出版物タイトル | Acta Medica Okayama |
発行日 | 2017-12 |
巻 | 71巻 |
号 | 6号 |
出版者 | Okayama University Medical School |
開始ページ | 547 |
終了ページ | 552 |
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 | 29276230 |
JaLCDOI | 10.18926/AMO/55593 |
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フルテキストURL | 71_6_543.pdf |
著者 | Okahara, Shuji| Shimizu, Kazuyoshi| Morimatsu, Hiroshi| |
抄録 | The electrical activity of the diaphragm (EAdi) shows global diaphragmatic activation and power output from the central nervous system. We measured the EAdi as an indicator of breathing workload in a 40-year-old man suffering from severe acute respiratory distress syndrome (ARDS) secondary to influenza pneumonia in the process of weaning from extracorporeal membrane oxygenation (ECMO). Turning off the sweep gas flow immediately led to EAdi elevation, followed by hypoxia. The patient was successfully weaned from ECMO by reference to EAdi. This is the first case report to suggest that EAdi monitoring might be useful for ARDS patients during ECMO weaning. |
キーワード | electrical activity of the diaphragm breathing workload respiratory extracorporeal membrane oxygenation acute respiratory distress syndrome |
Amo Type | Case Report |
出版物タイトル | Acta Medica Okayama |
発行日 | 2017-12 |
巻 | 71巻 |
号 | 6号 |
出版者 | Okayama University Medical School |
開始ページ | 543 |
終了ページ | 546 |
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 | 29276229 |
JaLCDOI | 10.18926/AMO/55592 |
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フルテキストURL | 71_6_539.pdf |
著者 | Matoba, Ryo| Morizane, Yuki| Kimura, Shuhei| Toshima, Shinji| Shiraga, Fumio| |
抄録 | Internal limiting membrane (ILM) peeling is an important maneuver in vitrectomy for macular holes (MHs). A nitinol loop is a surgical instrument designed to create an edge on the ILM and peel the ILM safely and consistently. The effect of using a nitinol loop for ILM peeling on the retina is not clear. We report here on a case of an idiopathic full-thickness MH in an adult woman, in whom retinal damage was revealed after her ILM was peeled using a nitinol loop. |
キーワード | macular hole macular surgery internal limiting membrane peeling nitinol loop |
Amo Type | Case Report |
出版物タイトル | Acta Medica Okayama |
発行日 | 2017-12 |
巻 | 71巻 |
号 | 6号 |
出版者 | Okayama University Medical School |
開始ページ | 539 |
終了ページ | 542 |
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 | 29276228 |
JaLCDOI | 10.18926/AMO/55591 |
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フルテキストURL | 71_6_531.pdf |
著者 | Ooi, Mayu| Yanamoto, Fujio| Sato, Hitoaki| Takao, Yumiko| Okada, Masako| Egi, Moritoki| Mizobuchi, Satoshi| |
抄録 | Although spinal cord stimulation (SCS) is a useful treatment for chronic intractable pain, the optimal method of stimulation has not yet been established. In this prospective, crossover study, we compared the efficacy of using a constant current (CC) system with that of a constant voltage (CV) system for temporal SCS. Twenty patients were enrolled and divided into two groups. For 10 patients, a CV system was applied on Days 1-5, followed by the use of a CC system on Days 6-10. For the other 10 patients, a CC system was applied for the first five days, followed by a CV system for the subsequent five days. We evaluated the alteration of pain intensity using a visual analogue scale (VAS), the area of stimulation, the stability of effect, and patient satisfaction regarding treatment. The pain scores decreased significantly after the start of the SCS. There was no significant difference in the change in VAS between the two systems. The stimulation method used for temporal SCS did not affect the reduction of pain intensity. Patients felt a wider stimulation area by the CC system compared to the CV system. |
キーワード | spinal cord stimulation constant current system constant voltage system chronic intractable pain pain score |
Amo Type | Original Article |
出版物タイトル | Acta Medica Okayama |
発行日 | 2017-12 |
巻 | 71巻 |
号 | 6号 |
出版者 | Okayama University Medical School |
開始ページ | 531 |
終了ページ | 537 |
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 | 29276227 |
JaLCDOI | 10.18926/AMO/55590 |
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フルテキストURL | 71_6_525.pdf |
著者 | Sakoma, Yoshimasa| Hirooka, Takahiko| |
抄録 | We investigated the anatomical features of the axillary nerve and its accompanying vessels with respect to the lateral wall of the greater tuberosity, focusing on the relationship between the neurovascular bundle and the proximal humeral locking plates. Magnetic resonance images of 30 Japanese patients’ shoulders were examined. Oblique sagittal images across the greater tuberosity and the neurovascular bundle, which contain the axillary nerve and posterior circumflex humeral artery and vein, were obtained. The distance between the superior aspect of the greater tuberosity and the superior and inferior borders of the neurovascular bundles was measured at the anterior, middle, and posterior edges of the greater tuberosity. The neurovascular bundle was 28.5-36.7 mm, 32.6-41.3 mm, and 38.1-47.5 mm distal to the superior aspect of the greater tuberosity at the anterior, middle, and posterior edges, respectively. We evaluated the relationship between the neurovascular bundle and 3 different locking plates, which were placed at the lateral aspect of the greater tuberosity. Only 3 or four locking screws at the most proximal part could be safely inserted without axillary nerve interference. |
キーワード | proximal humeral fracture locking plate axillary nerve posterior circumflex humeral artery shoulder |
Amo Type | Original Article |
出版物タイトル | Acta Medica Okayama |
発行日 | 2017-12 |
巻 | 71巻 |
号 | 6号 |
出版者 | Okayama University Medical School |
開始ページ | 525 |
終了ページ | 529 |
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 | 29276226 |
JaLCDOI | 10.18926/AMO/55589 |
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フルテキストURL | 71_6_519.pdf |
著者 | Mizukawa, Nobuyoshi| Swe Swe Win| Zaw Moe Thein| Moe Thida Htwe| Yoshioka, Yohsuke| Kimata, Yoshihiro| Iida, Seiji| Khin, Myo| Okada, Shigeru| Sein, Than| |
抄録 | Oral cancer is a very common disease in South and Southeast Asia. Betel quid (BQ)- chewing and tobaccosmoking habits are etiological factors for oral cancer patients in these regions. We conducted an oral cancer screening in BQ-chewing endemic rural areas in South Myanmar for the early detection of oral cancer in BQ-chewing and smoking individuals. We examined 105 subjects who were at high risk of oral cancer due to their oral habits (BQ users and/or smokers). Three carcinoma cases were detected, and there were 8 dysplasia cases. The carcinoma detection rate was 2.9%, and the carcinoma and precancerous lesion detection rate was 10.5%. In Myanmar, oral cancer screening has been conducted sporadically on a voluntary basis, and nationwide surveys have never been performed. There are also few reports of oral cancer screening for high-risk groups among the general population in Myanmar. Our present findings highlight the need for further screening and surveys. Education on betel quid chewing- and tobacco- related oral diseases and screening for the early detection of oral cancer are of the utmost importance in the control and prevention of oral cancer. |
キーワード | oral cancer screening betel quid (BQ) Myanmar oral cancer smoking |
Amo Type | Original Article |
出版物タイトル | Acta Medica Okayama |
発行日 | 2017-12 |
巻 | 71巻 |
号 | 6号 |
出版者 | Okayama University Medical School |
開始ページ | 519 |
終了ページ | 524 |
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 | 29276225 |
JaLCDOI | 10.18926/AMO/55588 |
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フルテキストURL | 71_6_513.pdf |
著者 | Sawada, Shigeki| Sugimoto, Ryujiro| Ueno, Tsuyoshi| Yamashita, Motohiro| |
抄録 | We evaluated the feasibility of maintenance treatment using UFT (a combination of tegafur and uracil) after adjuvant platinum-based chemotherapy in patients with resected lung cancer. A prospective feasibility trial was conducted. Between 2010 and 2014, UFT was administered for 2 years sequentially after platinum-based adjuvant chemotherapy in 24 patients with resected Stage IIA-IIIA non-small cell lung cancer. The safety of UFT and the rate of treatment completion were then evaluated. The prior platinum-based chemotherapy regimens consisted of cisplatin+vinorelbine in 16 patients, carboplatin+paclitaxel in 5 and carboplatin+S-1 in one. During the subsequent UFT administration, a total of 3 patients required a dose reduction because of Grade 1 blood-stained sputum, Grade 2 numbness, and Grade 2 constipation, in one patient each. Eleven patients underwent the planned 2-year UFT administration, but 12 patients could not because of the recurrence of lung cancer in 5 patients, metachronous malignancy in one, and toxicities in 6. The completion rate for UFT administration was 64.7% (11/17). The most common type of toxicity was gastrointestinal toxicities. All of the toxicities were grade 1 or 2, and no severe toxicities were observed. UFT treatment after platinum-based chemotherapy was revealed to be feasible. |
キーワード | UFT adjuvant chemotherapy lung cancer resection |
Amo Type | Original Article |
出版物タイトル | Acta Medica Okayama |
発行日 | 2017-12 |
巻 | 71巻 |
号 | 6号 |
出版者 | Okayama University Medical School |
開始ページ | 513 |
終了ページ | 518 |
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 | 29276224 |
JaLCDOI | 10.18926/AMO/55587 |
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フルテキストURL | 71_6_505.pdf |
著者 | Honda, Yoshihiro| Takigawa, Nagio| Ichihara, Eiki| Ninomiya, Takashi| Kubo, Toshio| Ochi, Nobuaki| Yasugi, Masayuki| Murakami, Toshi| Yamane, Hiromichi| Tanimoto, Mitsune| Kiura, Katsuyuki| |
抄録 | (−)-Epigallocatechin-3-gallate (EGCG) has been shown to bind to several receptors including epidermal growth factor receptor (EGFR). EGFR tyrosine kinase inhibitors and anaplastic lymphoma kinase (ALK) inhibitors are effective for non-small cell lung cancers harboring activating EGFR mutations and ALK or c-ros oncogene 1 (ROS1) fusion genes, respectively. We investigated the effects of EGCG on EGFR- or fusion gene-driven lung cancer cells such as PC-9, RPC-9, H1975, H2228 and HCC78. The five cell lines had similar sensitivity to EGCG. Phosphorylated (p)EGFR, pAkt and pErk in PC-9, RPC-9 and H1975 cells were suppressed by EGCG (50 or 100 μM). EGCG also inhibited pALK in H2228, pROS1 in HCC78, and pErk and pAkt in both cell lines. All the xenograft tumors established using the 5 cell lines in EGCG-treated groups were significantly smaller than the tumors in the vehicle-treated groups. The numbers of tumor blood vessels of xenograft tissues in EGCG-treated mice were significantly lower than those in vehicle-treated mice. In conclusion, EGCG may be effective for EGFR-driven lung tumors irrespective of the presence of T790M, and for ALK or ROS1 fusion gene-driven lung tumors. |
キーワード | epigallocatechin-3-gallate lung cancer EGFR ALK ROS1 |
Amo Type | Original Article |
出版物タイトル | Acta Medica Okayama |
発行日 | 2017-12 |
巻 | 71巻 |
号 | 6号 |
出版者 | Okayama University Medical School |
開始ページ | 505 |
終了ページ | 512 |
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 | 29276223 |
JaLCDOI | 10.18926/AMO/55586 |
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フルテキストURL | 71_6_493.pdf |
著者 | Aoe, Michinori| Ueno-Iio, Tomoe| Shibakura, Misako| Shinohata, Ryoko| Usui, Shinichi| Arao, Yujiro| Ikeda, Satoru| Miyahara, Nobuaki| Tanimoto, Mitsune| Kataoka, Mikio| |
抄録 | Lavender essential oil (Lvn) has anti-inflammatory effects in an ovalbumin-sensitized murine model of asthma, and inhibits inflammatory cell infiltration into the lungs. The anti-inflammatory effects of Lvn on cell adhesion molecules are not clear. Here we evaluated the effects of Lvn and its main constituents, linalyl acetate (LA) and linalool (LO), on the expression of tumor necrosis factor-alpha (TNF-α)-induced cell adhesion molecules in murine brain endothelial bEnd.3 cells and human umbilical vein endothelial cells (HUVECs). The bEnd.3 cells were treated with Lvn, LA, or LO and subsequently stimulated with TNF-α. The mRNA expression levels of cell adhesion molecules were detected using RT-PCR. E-selectin and P-selectin protein and phosphorylated-NF-κB p65 were detected by western blotting. The effects of Lvn on HUVECs were measured by RT-PCR. In bEnd.3 cells, Lvn and LA suppressed TNF-α-induced E-selectin, P-selectin, vascular cell adhesion molecule-1, intercellular adhesion molecule-1, and phosphorylated-NF-κB p65 in the nucleus; LO did not suppress P-selectin or phosphorylated-NF-κB p65. Lvn inhibited TNF-α-induced E-selectin mRNA in HUVECs. These results indicate that Lvn and LA inhibit TNF-α-induced cell adhesion molecules in endothelial cells through the suppression of NF-κB activation. Consequently, Lvn or other essential oils including LA may be useful as alternative anti-inflammatory medicines. |
キーワード | lavender essential oil linalyl acetate inflammation cell adhesion molecule NF-κB |
Amo Type | Original Article |
出版物タイトル | Acta Medica Okayama |
発行日 | 2017-12 |
巻 | 71巻 |
号 | 6号 |
出版者 | Okayama University Medical School |
開始ページ | 493 |
終了ページ | 503 |
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 | 29276222 |
JaLCDOI | 10.18926/AMO/55585 |
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フルテキストURL | 71_6_485.pdf |
著者 | Okano, Ayaka| Masuhara, Shun| Ota, Sonoka| Motegi, Chie| Takabayashi, Noriko| Ogino, Tetsuya| |
抄録 | We examined postprandial body positions’ effects on gastrointestinal motility, the autonomic nervous system and subjective comfort, i.e., whether lowering the head after a meal is beneficial for gastrointestinal motility and the prevention of pressure ulcer. We examined 10 healthy subjects and compared 3 body positions: (1) Seated upright. (2) Lying on a bed with the head at 60° and knees up by 20° (60° position). (3) Identical to (2) until post-meal; the head was then lowered to 30° (60°-30° position). Gastrointestinal motility was assessed as gastrointestinal sounds measured by sound-editing software. Digital plethysmography assessed autonomic nerve function as heart rate variability. The pressure ulcer risk was estimated as subjective comfort/discomfort using a visual analog scale. Gastrointestinal sounds increased post-meal. The 60°-30° position showed the highest number of sounds and longest cumulative sound duration. Post-meal, sympathetic activation was suggested in the 60° position, whereas vagal activity was relatively preserved in the 60°-30° position. The 60°-30° position was the most comfortable, and the 60° position was least comfortable. Lowering the head after a meal is beneficial to augment gastrointestinal motility and decrease the pressure ulcer risk. The 60° head-up position increases the pressure ulcer risk. |
キーワード | gastrointestinal sound body position autonomic nerve pressure ulcer patient care |
Amo Type | Original Article |
出版物タイトル | Acta Medica Okayama |
発行日 | 2017-12 |
巻 | 71巻 |
号 | 6号 |
出版者 | Okayama University Medical School |
開始ページ | 485 |
終了ページ | 491 |
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 | 29276221 |
JaLCDOI | 10.18926/AMO/55584 |
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フルテキストURL | 71_6_475.pdf |
著者 | Takei, Daisuke| Harada, Keita| Takashima, Shiho| Inokuchi, Toshihiro| Nakarai, Asuka| Sugihara, Yusaku| Takahara, Masanobu| Hiraoka, Sakiko| Okada, Hiroyuki| |
抄録 | Several reports discussed colonoscopic surveillance after polypectomy and endoscopic mucosal resection (EMR) for colorectal polyps, but only a few reports focused on prognostic analyses, and none involved metachronous neoplasia after colorectal endoscopic submucosal dissection (ESD). We conducted the present study to assess the risk of adenoma recurrence requiring endoscopic treatment, and to establish appropriate post-ESD colonoscopic surveillance. We enrolled 116 patients who had undergone colorectal ESD at Okayama University Hospital between February 2008 and July 2014 and had been followed-up >12 months. We retrospectively analyzed clinicopathological features of 101 lesions from 101 patients. Metachronous adenomas were detected in 21 cases (20.8%). We divided the patients into 2 groups according to the occurrence of metachronous adenomas. Our comparison of clinicopathological characteristics between these groups showed that in the metachronous adenomas group the number of synchronous adenomas at index colonoscopy was high and the rate of laterally spreading tumor-nongranular (LST-NG) was higher. A multivariate analysis indicated that the number of synchronous adenomas was significantly associated with metachronous adenomas (HR: 2.54, 95%CI: 1.04-6.52, p<0.05). The colonoscopic surveillance planning after colorectal ESD should be more meticulous for patients with more synchronous adenomas. |
キーワード | endoscopic submucosal dissection laterally spreading tumor metachronous recurrence local recurrence post-ESD colonoscopic surveillance |
Amo Type | Original Article |
出版物タイトル | Acta Medica Okayama |
発行日 | 2017-12 |
巻 | 71巻 |
号 | 6号 |
出版者 | Okayama University Medical School |
開始ページ | 475 |
終了ページ | 483 |
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 | 29276220 |
JaLCDOI | 10.18926/AMO/55583 |
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フルテキストURL | 71_6_467.pdf |
著者 | Obata, Kengo| Yumoto, Tetsuya| Fuke, Soichiro| Tsukahara, Kohei| Naito, Hiromichi| Iida, Atsuyoshi| Takahashi, Tetsuya| Ujike, Yoshihito| Nakao, Atsunori| |
抄録 | Early mobilization is advocated to prevent intensive care unit-acquired physical weakness, but the patient's workload and its changes in response to body position changes have not been established. We used indirect calorimetry to determine the energy expenditure (EE) in response to body position changes, and we assessed EE's correlation with respiratory parameters in healthy volunteers: 8 males and 8 females, mean age 23.4±1.3 years. The subjects started in the resting supine position followed by a 30° head-up position, a 60° head-up position, an upright sitting position, a standing position, and the resting supine position. EE was determined in real time by indirect calorimetry monitoring the subject’s respiratory rate, tidal volume (VT), and minute volume (MV). The highest values were observed immediately after the subjects transitioned from standing to supine, and this was significantly higher compared to the original supine position (1,450±285 vs. 2,004±519 kcal/day, p<0.01). Moderate correlations were observed between VT and EE (r=0.609, p<0.001) and between MV and EE (r=0.576, p<0.001). Increasing VT or MV indicates an increasing patient workload during mobilization. Monitoring these parameters may contribute to safe rehabilitation. Further studies should assess EE in critically ill patients. |
キーワード | early mobilization energy expenditure indirect calorimetry rehabilitation body position |
Amo Type | Original Article |
出版物タイトル | Acta Medica Okayama |
発行日 | 2017-12 |
巻 | 71巻 |
号 | 6号 |
出版者 | Okayama University Medical School |
開始ページ | 467 |
終了ページ | 473 |
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 | 29276219 |