検索結果 47798 件
| JaLCDOI | 10.18926/AMO/54810 |
|---|---|
| フルテキストURL | 70_6_469.pdf |
| 著者 | Yamasaki, Yasushi| Takenaka, Ryuta| Hori, Keisuke| Takemoto, Koji| Kawano, Seiji| Kawahara, Yoshiro| Fujiki, Shigeatsu| Okada , Hiroyuki| |
| 抄録 | The usefulness of endoscopy in marginal ulcer bleeding has rarely been studied, and the optimal method for preventing rebleeding is unclear. Here we assessed the efficacy of endoscopy in marginal ulcer bleeding and examined the efficacy of proton pump inhibitors (PPIs) in the prevention of rebleeding. A total of 28 patients with marginal ulcer bleeding (21 men, 7 women; median age 58.5 years) were treated by endoscopy. We analyzed the clinical characteristics, results of endoscopic therapy, characteristics of rebleeding patients, and relation between the use of PPIs and the duration of rebleeding. Sixteen patients had active bleeding. Initial hemostasis was achieved in all patients. There were no procedure-related adverse events. Rebleeding occurred in one patient within the first month and in 7 patients thereafter. There was a significant difference in the rebleeding rate between the patients who received a PPI and those who did not. In a multivariate analysis, the non-use of PPIs was a risk factor for rebleeding (hazard ratio, 6.22). Therapeutic endoscopy is effective in achieving hemostasis from marginal ulcer bleeding. PPIs may prevent rebleeding from marginal ulcers. |
| キーワード | marginal ulcer upper gastrointestinal bleeding endoscopic hemostasis proton-pump inhibitor |
| Amo Type | Original Article |
| 出版物タイトル | Acta Medica Okayama |
| 発行日 | 2016-12 |
| 巻 | 70巻 |
| 号 | 6号 |
| 出版者 | Okayama University Medical School |
| 開始ページ | 469 |
| 終了ページ | 475 |
| 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Ⓒ 2016 by Okayama University Medical School |
| 論文のバージョン | publisher |
| 査読 | 有り |
| PubMed ID | 28003672 |
| JaLCDOI | 10.18926/AMO/54809 |
|---|---|
| フルテキストURL | 70_6_461.pdf |
| 著者 | Shiozaki, Kyoko| Morimatsu, Hiroshi| Matsusaki, Takashi| Iwasaki, Tatsuo| |
| 抄録 | Many patients suffer from postoperative serious adverse events (SAEs). Here we sought to determine the incidence of SAEs, assess the accuracy of currently used scoring systems in predicting postoperative SAEs, and determine whether a combination of scoring systems would better predict postoperative SAEs. We prospectively evaluated patients who underwent major surgery. We calculated 4 scores: American Society of Anesthesiologists physical status (ASA-PS) score, the Charlson Score, the POSSUM (Physiological and Operative Severity Score for the enUmeration of Mortality and morbidity) score, and the Surgical Apgar Score (SAS). We assessed the occurrence of SAEs. We assessed the association between each score and SAEs. We combined these scoring systems to find the best combination to predict the occurrence of SAEs. Among 284 patients, 43 suffered SAEs. All scoring systems could predict SAEs. However, their predictive power was not high (the area under the receiver operating characteristic curves [AUROC] 0.6-0.7). A combination of the ASA-PS score and the SAS was the most predictive of postoperative SAEs (AUROC 0.714). The incidence of postoperative SAEs was 15.1 . The combination of the ASA-PS score and the SAS may be a useful tool for predicting postoperative serious adverse events after major surgery. |
| キーワード | serious adverse events preoperative assessment intraoperative assessment ASA-PS surgical Apgar score |
| Amo Type | Original Article |
| 出版物タイトル | Acta Medica Okayama |
| 発行日 | 2016-12 |
| 巻 | 70巻 |
| 号 | 6号 |
| 出版者 | Okayama University Medical School |
| 開始ページ | 461 |
| 終了ページ | 467 |
| 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Ⓒ 2016 by Okayama University Medical School |
| 論文のバージョン | publisher |
| 査読 | 有り |
| PubMed ID | 28003671 |
| JaLCDOI | 10.18926/AMO/54808 |
|---|---|
| フルテキストURL | 70_6_455.pdf |
| 著者 | Tanino, Masaaki| Kobayashi, Motomu| Sasaki, Toshihiro| Takata, Ken| Takeda, Yoshimasa| Mizobuchi, Satoshi| Morita, Kiyoshi| Nagai, Taku| Morimatsu, Hiroshi| |
| 抄録 | Postoperative cognitive dysfunction (POCD) occurs in nearly one-third of patients after non-cardiac surgery. Many animal behavior studies have investigated the effect of general anesthesia on cognitive function. However, there have been no studies examining the effects on working memory specifically, with a focus on the retention of working memory. We demonstrate here that isoflurane anesthesia induces deficits in the retention of spatial working memory in rats, as revealed by an increase in isoflurane-induced across-phase errors in the delayed spatial win-shift (SWSh) task with a 30-min delay in an 8-arm radial arm maze on post-anesthesia days (PADs) 1,2,4, and 10. A post-hoc analysis revealed a significant increase in across-phase errors on PAD 1 and recovery on PAD 10 in the isoflurane group. In contrast, within-phase errors independent of the retention of working memory were unaffected by isoflurane. These results demonstrate that isoflurane anesthesia transiently impairs the retention of spatial working memory in rats. |
| キーワード | postoperative cognitive dysfunction isoflurane spatial working memory retention delayed spatial win-shift task |
| Amo Type | Original Article |
| 出版物タイトル | Acta Medica Okayama |
| 発行日 | 2016-12 |
| 巻 | 70巻 |
| 号 | 6号 |
| 出版者 | Okayama University Medical School |
| 開始ページ | 455 |
| 終了ページ | 460 |
| 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Ⓒ 2016 by Okayama University Medical School |
| 論文のバージョン | publisher |
| 査読 | 有り |
| PubMed ID | 28003670 |
| JaLCDOI | 10.18926/AMO/54807 |
|---|---|
| フルテキストURL | 70_6_449.pdf |
| 著者 | Watanabe, Noriyuki| Sugimoto, Yoshihisa| Tanaka, Masato| Mazaki, Tetsuro| Arataki, Shinya| Takigawa, Tomoyuki| Kataoka, Masaki| Kunisada, Toshiyuki| Ozaki, Toshifumi| |
| 抄録 | Metastatic epidural spinal cord compression (MESCC) is a common complication in patients with a malignant tumor, but it is difficult to decide the proper time to perform the necessary surgery. Here we analyzed the prognostic factors for postoperative walking ability. We retrospectively reviewed the cases of 112 MESCC patients treated surgically at our institute and divided them into ambulatory (n＝ 88) and non-ambulatory (n＝24) groups based on their American Spinal Injury Association (ASIA) Impairment Scale grades at the final follow-up. We also classified the patients preoperatively using the revised Tokuhashi score. We assessed the correlation between preoperative or intraoperative factors and postoperative walking ability in both groups. Of the 10 patients classified preoperatively as grade A or B, 2 (20 ) were ambulatory at the final follow-up. Of the 102 patients classified preoperatively as grade C, D or E, 86 (84 ) were ambulatory at the final follow-up (p＜0.001). There were no significant differences between the groups in the average total Tokuhashi score. Our analysis revealed that the severity of paralysis significantly affects neurological recovery in patients with MESCC. Patients with MESCC should receive surgery before the preoperative ASIA Impairment Scale grade falls below grade C. |
| キーワード | metastatic epidural spinal cord compression American Spinal Injury Association Impairment Scale Tokuhashi score walking ability prognostic factor |
| Amo Type | Original Article |
| 出版物タイトル | Acta Medica Okayama |
| 発行日 | 2016-12 |
| 巻 | 70巻 |
| 号 | 6号 |
| 出版者 | Okayama University Medical School |
| 開始ページ | 449 |
| 終了ページ | 453 |
| 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Ⓒ 2016 by Okayama University Medical School |
| 論文のバージョン | publisher |
| 査読 | 有り |
| PubMed ID | 28003669 |
| JaLCDOI | 10.18926/AMO/54806 |
|---|---|
| フルテキストURL | 70_6_441.pdf |
| 著者 | Kashihara, Naoko| Furumatsu, Takayuki| Kodama, Yuya| Tanaka, Takaaki| Ozaki, Toshifumi| |
| 抄録 | Concurrent meniscal repair with anterior cruciate ligament (ACL) reconstruction has shown good clinical outcomes, but it has a considerable risk of progressing to post-traumatic osteoarthritis of the knee. Here we investigated postoperative changes in the position of the lateral meniscus (LM) and assessed the short-term clinical results after concurrent LM repair with ACL reconstruction. Twentyseven patients underwent LM repair of a peripheral longitudinal tear concomitant with ACL reconstruction. We evaluated the preoperative and postoperative values of the Lysholm score and anteroposterior instability. The length and width of the lateral tibial plateau were determined by radiographic images. The length, width, body width, extrusion, and height of the LM were measured in magnetic resonance images and compared between the preoperative and postoperative measurements. Our analysis revealed that concurrent LM repair with ACL reconstruction improved the shortterm clinical outcomes. Although the body width and height of the LM did not change, the postoperative LM extrusion and LM width were significantly increased after the surgery. The post-traumatic transposition of the LM may not be completely prevented by LM repair concomitant with ACL reconstruction. |
| キーワード | lateral meniscus meniscal extrusion meniscal repair anterior cruciate ligament reconstruction |
| Amo Type | Original Article |
| 出版物タイトル | Acta Medica Okayama |
| 発行日 | 2016-12 |
| 巻 | 70巻 |
| 号 | 6号 |
| 出版者 | Okayama University Medical School |
| 開始ページ | 441 |
| 終了ページ | 448 |
| 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Ⓒ 2016 by Okayama University Medical School |
| 論文のバージョン | publisher |
| 査読 | 有り |
| PubMed ID | 28003668 |
| JaLCDOI | 10.18926/AMO/54805 |
|---|---|
| フルテキストURL | 70_6_435.pdf |
| 著者 | Yamashita, Miho| Hasegawa, Kosei| Higuchi, Yousuke| Miyai, Takayuki| Okada, Ayumi| Tanaka, Hiroyuki| Tsukahara, Hirokazu| |
| 抄録 | The urinary cross-linked N-terminal telopeptide of type I collagen (uNTx) levels in infantile osteogenesis imperfecta (OI) have not been well studied. Here we investigated the levels of uNTx in infants with OI and healthy infants. We collected spot urine samples from 30 infants with OI (male/female, 14/16; Sillence classification, I/II/III/IV: 15/3/6/6; age, 5.2±4.4 months) and 120 healthy infants (male/female, 75/45; age, 5.1±4.1 months) for the measurement of uNTx levels. The uNTx levels of the OI infants were significantly lower than those of the healthy infants (mean±SD, 1,363.7±530.1 vs. 2,622.2±1,202.6 nmol BCE/mmol Cr; p＜0.001). The uNTx levels of the infants with type I OI were significantly lower than those of the age-matched healthy infants, although an overlap was observed between the 2 groups. Among the 1-month-old infants, the uNTx levels of the infants with types I, III or IV OI were significantly lower than those of the healthy infants, without overlap (1,622.5±235.8 vs. 3,781.0±1,027.1 nmol BCE/mmol Cr; p＜0.001). These results indicate that uNTx levels are significantly lower in infants with OI than in healthy infants, and they suggest that uNTx might be useful as a reference for diagnosing OI. |
| キーワード | bone resorption marker bone turnover bone mass |
| Amo Type | Original Article |
| 出版物タイトル | Acta Medica Okayama |
| 発行日 | 2016-12 |
| 巻 | 70巻 |
| 号 | 6号 |
| 出版者 | Okayama University Medical School |
| 開始ページ | 435 |
| 終了ページ | 439 |
| 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Ⓒ 2016 by Okayama University Medical School |
| 論文のバージョン | publisher |
| 査読 | 有り |
| PubMed ID | 28003667 |
| 著者 | 岡山大学文学部| |
|---|---|
| 発行日 | 2016-12-26 |
| 出版物タイトル | 岡山大学文学部紀要 |
| 巻 | 66巻 |
| 資料タイプ | その他 |
| 著者 | 金関 猛| |
|---|---|
| 発行日 | 2016-12-26 |
| 出版物タイトル | 岡山大学文学部紀要 |
| 巻 | 66巻 |
| 資料タイプ | 紀要論文 |
| JaLCDOI | 10.18926/okadai-bun-kiyou/54802 |
| 著者 | 中谷 ひとみ| |
|---|---|
| 発行日 | 2016-12-26 |
| 出版物タイトル | 岡山大学文学部紀要 |
| 巻 | 66巻 |
| 資料タイプ | 紀要論文 |
| JaLCDOI | 10.18926/okadai-bun-kiyou/54801 |
| 著者 | 田中 秀和| |
|---|---|
| 発行日 | 2016-12-26 |
| 出版物タイトル | 岡山大学文学部紀要 |
| 巻 | 66巻 |
| 資料タイプ | 紀要論文 |
| JaLCDOI | 10.18926/okadai-bun-kiyou/54800 |
| JaLCDOI | 10.18926/okadai-bun-kiyou/54799 |
|---|---|
| タイトル（別表記） | A. Tatarinov ”Lexicon” Notes8（ U~Х） ─On the Confusion of /z/ with /d/─ |
| フルテキストURL | jfl_066_055_066.pdf |
| 著者 | 江口 泰生| |
| 出版物タイトル | 岡山大学文学部紀要 |
| 発行日 | 2016-12-26 |
| 巻 | 66巻 |
| 開始ページ | 55 |
| 終了ページ | 66 |
| ISSN | 0285-4864 |
| 言語 | 日本語 |
| 論文のバージョン | publisher |
| NAID | 120005970821 |
| JaLCDOI | 10.18926/okadai-bun-kiyou/54798 |
|---|---|
| タイトル（別表記） | The Launch and Development of Japanese Education for "Foreign Community Residents" in Soja City, Okayama Prefecture : Creating Systems for Regional Japanese Education with the Local Government |
| フルテキストURL | jfl_066_037_053.pdf |
| 著者 | 中東 靖恵| |
| 出版物タイトル | 岡山大学文学部紀要 |
| 発行日 | 2016-12-26 |
| 巻 | 66巻 |
| 開始ページ | 37 |
| 終了ページ | 53 |
| ISSN | 0285-4864 |
| 言語 | 日本語 |
| 論文のバージョン | publisher |
| NAID | 120005970820 |
| 著者 | 姜 克實| |
|---|---|
| 発行日 | 2016-12-26 |
| 出版物タイトル | 岡山大学文学部紀要 |
| 巻 | 66巻 |
| 資料タイプ | 紀要論文 |
| JaLCDOI | 10.18926/okadai-bun-kiyou/54797 |
| JaLCDOI | 10.18926/okadai-bun-kiyou/54796 |
|---|---|
| タイトル（別表記） | Post-Skinnerian Perspectives in Psychology（24）: The Concept of "Generalized Operant": Its Usefulness and some Problems. |
| フルテキストURL | jfl_066_001_020.pdf |
| 著者 | 長谷川 芳典| |
| 出版物タイトル | 岡山大学文学部紀要 |
| 発行日 | 2016-12-26 |
| 巻 | 66巻 |
| 開始ページ | 1 |
| 終了ページ | 20 |
| ISSN | 0285-4864 |
| 言語 | 日本語 |
| 論文のバージョン | publisher |
| NAID | 120005970818 |
| 著者 | 岡山大学文学部| |
|---|---|
| 発行日 | 2016-12-26 |
| 出版物タイトル | 岡山大学文学部紀要 |
| 巻 | 66巻 |
| 資料タイプ | その他 |
| 著者 | 岡山大学文学部| |
|---|---|
| 発行日 | 2016-07-25 |
| 出版物タイトル | 岡山大学文学部紀要 |
| 巻 | 65巻 |
| 資料タイプ | その他 |
| 著者 | 金関 猛| |
|---|---|
| 発行日 | 2016-07-25 |
| 出版物タイトル | 岡山大学文学部紀要 |
| 巻 | 65巻 |
| 資料タイプ | 紀要論文 |
| JaLCDOI | 10.18926/okadai-bun-kiyou/54792 |
| 著者 | 山本 秀樹| |
|---|---|
| 発行日 | 2016-07-25 |
| 出版物タイトル | 岡山大学文学部紀要 |
| 巻 | 65巻 |
| 資料タイプ | 紀要論文 |
| JaLCDOI | 10.18926/okadai-bun-kiyou/54791 |
| 著者 | 佐々木 守俊| |
|---|---|
| 発行日 | 2016-07-25 |
| 出版物タイトル | 岡山大学文学部紀要 |
| 巻 | 65巻 |
| 資料タイプ | 紀要論文 |
| JaLCDOI | 10.18926/okadai-bun-kiyou/54790 |
| 著者 | 岡山大学文学部| |
|---|---|
| 発行日 | 2016-07-25 |
| 出版物タイトル | 岡山大学文学部紀要 |
| 巻 | 65巻 |
| 資料タイプ | その他 |