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タイトル(別表記) The 48th Okayama Rheumatology Conference
フルテキストURL 130_97.pdf
著者 岡山医学会|
出版物タイトル 岡山医学会雑誌
発行日 2018-08-01
130巻
2号
開始ページ 97
終了ページ 99
ISSN 0030-1558
関連URL isVersionOf https://doi.org/10.4044/joma.130.97
言語 日本語
著作権者 Copyright (c) 2018 岡山医学会
論文のバージョン publisher
DOI 10.4044/joma.130.97
NAID 130007481074
フルテキストURL 130_95.pdf
著者 瀬崎 宏之|
出版物タイトル 岡山医学会雑誌
発行日 2018-08-01
130巻
2号
開始ページ 95
終了ページ 96
ISSN 0030-1558
言語 日本語
著作権者 Copyright (c) 2018 岡山医学会
論文のバージョン publisher
タイトル(別表記) Anti-resorptive agents-related osteonecrosis of the jaw
フルテキストURL 130_91.pdf
著者 片岡 祐子|
出版物タイトル 岡山医学会雑誌
発行日 2018-08-01
130巻
2号
開始ページ 91
終了ページ 93
ISSN 0030-1558
関連URL isVersionOf https://doi.org/10.4044/joma.130.91
言語 日本語
著作権者 Copyright (c) 2018 岡山医学会
論文のバージョン publisher
DOI 10.4044/joma.130.91
NAID 130007481036
タイトル(別表記) Drug interaction (42. Drug interaction of new-generation antiepileptic drugs)
フルテキストURL 130_85.pdf
著者 建部 泰尚| 江角 悟| 北村 佳久| 千堂 年昭|
出版物タイトル 岡山医学会雑誌
発行日 2018-08-01
130巻
2号
開始ページ 85
終了ページ 89
ISSN 0030-1558
関連URL isVersionOf https://doi.org/10.4044/joma.130.85
言語 日本語
著作権者 Copyright (c) 2018 岡山医学会
論文のバージョン publisher
DOI 10.4044/joma.130.85
NAID 130007481033
タイトル(別表記) Introduction of the dessin class in medical education:Sublimation from dessin to art
フルテキストURL 130_81.pdf
著者 大塚 益美| 松本 洋| 木股 敬裕|
出版物タイトル 岡山医学会雑誌
発行日 2018-08-01
130巻
2号
開始ページ 81
終了ページ 84
ISSN 0030-1558
関連URL isVersionOf https://doi.org/10.4044/joma.130.81
言語 日本語
著作権者 Copyright (c) 2018 岡山医学会
論文のバージョン publisher
DOI 10.4044/joma.130.81
NAID 130007481043
タイトル(別表記) Q24・Q25
フルテキストURL 130_79.pdf
著者 岡山医学会|
出版物タイトル 岡山医学会雑誌
発行日 2018-08-01
130巻
2号
開始ページ 79
終了ページ 80
ISSN 0030-1558
関連URL isVersionOf https://doi.org/10.4044/joma.130.79
言語 日本語
著作権者 Copyright (c) 2018 岡山医学会
論文のバージョン publisher
DOI 10.4044/joma.130.79
NAID 130007481038
タイトル(別表記) A new training system for board-certified surgeons
フルテキストURL 130_73.pdf
著者 藤原 俊義|
出版物タイトル 岡山医学会雑誌
発行日 2018-08-01
130巻
2号
開始ページ 73
終了ページ 78
ISSN 0030-1558
関連URL isVersionOf https://doi.org/10.4044/joma.130.73
言語 日本語
著作権者 Copyright (c) 2018 岡山医学会
論文のバージョン publisher
DOI 10.4044/joma.130.73
NAID 130007481047
タイトル(別表記) An effective case of peroral endoscopic myotomy for esophageal abnormal peristalsis after Heller-Dor myotomy
フルテキストURL 130_67.pdf
著者 杉原 雄策| 原田 馨太| 加藤 諒| 山内 健司| 髙嶋 志保| 山崎 泰史| 井口 俊博| 高原 政宏| 川野 誠司| 平岡 佐規子| 眞部 紀明| 大塚 文男| 岡田 裕之|
抄録 Esophageal achalasia is a disorder of the lower esophageal sphincter muscle. Our patient, a Japanese male in his 80's, had been experiencing dysphagia for almost 60 years. He was treated with balloon dilations and Heller-Dor 5 years prior to his present admission. Esophagogastroduodenoscopy, esophageal radiography, and high-myotomy manometry indicated that the symptoms were likely due to abnormal peristalsis. With the patient’s informed consent, we performed a peroral endoscopic myotomy(POEM). The patient was discharged 4 days post-surgery. At the 6-month postoperative examination, no worsening of symptoms or relapse was observed. POEM is an excellent treatment method for esophageal achalasia from the perspective of therapeutic effect. We recommend that POEM be considered as the first-choice treatment for abnormal peristalsis after a Heller-Dor myotomy.
キーワード POEM(peroral endoscopic myotomy) 食道アカラシア(esophageal achalasia)
出版物タイトル 岡山医学会雑誌
発行日 2018-08-01
130巻
2号
開始ページ 67
終了ページ 71
ISSN 0030-1558
関連URL isVersionOf https://doi.org/10.4044/joma.130.67
言語 日本語
著作権者 Copyright (c) 2018 岡山医学会
論文のバージョン publisher
DOI 10.4044/joma.130.67
NAID 130007481050
タイトル(別表記) Pathologic clarification of graft-versus-host disease and novel therapeutic strategies
フルテキストURL 130_61.pdf
著者 前田 嘉信|
出版物タイトル 岡山医学会雑誌
発行日 2018-08-01
130巻
2号
開始ページ 61
終了ページ 65
ISSN 0030-1558
関連URL isVersionOf https://doi.org/10.4044/joma.130.61
言語 日本語
著作権者 Copyright (c) 2018 岡山医学会
論文のバージョン publisher
DOI 10.4044/joma.130.61
NAID 130007481045
タイトル(別表記) The 2017 Incentive Award of the Okayama Medical Association in Cardiovascular and Pulmonary Research (2017 Sunada Prize)
フルテキストURL 130_57.pdf
著者 春間 純|
出版物タイトル 岡山医学会雑誌
発行日 2018-08-01
130巻
2号
開始ページ 57
終了ページ 59
ISSN 0030-1558
関連URL isVersionOf https://doi.org/10.4044/joma.130.57
言語 日本語
著作権者 Copyright (c) 2018 岡山医学会
論文のバージョン publisher
DOI 10.4044/joma.130.57
NAID 130007481048
タイトル(別表記) The 2017 Incentive Award of the Okayama Medical Association in Cancer Research (2017 Hayashibara Prize and Yamada Prize)
フルテキストURL 130_55.pdf
著者 藤原 雅樹|
出版物タイトル 岡山医学会雑誌
発行日 2018-08-01
130巻
2号
開始ページ 55
終了ページ 56
ISSN 0030-1558
関連URL isVersionOf https://doi.org/10.4044/joma.130.55
言語 日本語
著作権者 Copyright (c) 2018 岡山医学会
論文のバージョン publisher
DOI 10.4044/joma.130.55
NAID 130007481046
タイトル(別表記) The 2017 Incentive Award of the Okayama Medical Association in General Medical Science (2017 Yuuki Prize)
フルテキストURL 130_51.pdf
著者 平木 隆夫|
出版物タイトル 岡山医学会雑誌
発行日 2018-08-01
130巻
2号
開始ページ 51
終了ページ 53
ISSN 0030-1558
関連URL isVersionOf https://doi.org/10.4044/joma.130.51
言語 日本語
著作権者 Copyright (c) 2018 岡山医学会
論文のバージョン publisher
DOI 10.4044/joma.130.51
NAID 130007481049
JaLCDOI 10.18926/AMO/56381
フルテキストURL 72_6_611.pdf
著者 Tsunoda, Koichi| Kobayashi, Rika| Kada, Akiko| Saito, Akiko M.| Misawa, Hayato| Horibe, Keizo| Goto, Fumiyuki| Tsunoda, Atsunobu| Sasaki, Toru| Takanosawa, Minako| Nishino, Hiroshi| Kondoh, Kenji| Sugiyama, Yoichiro| Hisa, Yasuo|
抄録 The oropharynx is examined with a light source such as an electric light, a penlight, or a forehead mirror based on an acquired visual field using a tongue depressor. However, it is extremely difficult to obtain objective and reproducible images of tissue within the pharynx required in recent years with these methods, and insufficient progress in the examination tools has been made. There is an increasing need to develop a method for display during oropharyngeal examination. We conducted the present study to develop a novel oropharyngeal endoscope as an objective observation method.
キーワード tongue depressor oropharyngeal scope oral pharyngeal otorhinolaryngology
Amo Type Clinical Study Protocol
出版物タイトル Acta Medica Okayama
発行日 2018-12
72巻
6号
出版者 Okayama University Medical School
開始ページ 611
終了ページ 614
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Ⓒ 2018 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 30573918
NAID 120006545166
JaLCDOI 10.18926/AMO/56380
フルテキストURL 72_6_605.pdf
著者 Mitsui, Yosuke| Sadahira, Takuya| Maruyama, Yuki| Wada, Koichiro| Tanimoto, Ryuta| Sugimoto, Morito| Araki, Motoo| Watanabe, Masami| Yanai, Hiroyuki| Watanabe, Toyohiko| Nasu, Yasutomo|
抄録 Metastatic prostate cancer (PCa) cases that cannot be detected on repeat prostate biopsy are extremely rare. Our patient was a 51-year-old Japanese man diagnosed as metastatic PCa by histopathological examination of lesions obtained bone biopsy and lymph node dissection. The primary tumor was not detected after repeated prostate biopsy. Metastatic PCa was diagnosed based on immunohistochemical staining: PSA, AR, P504S, and NKX3.1 of bone and lymph node with metastasis. We speculate that the primary PCa was “burned-out,” demonstrating remote metastases with no apparent primary tumor in the prostate. Burned-out PCa may be difficult to diagnose and treat due to its rarity.
キーワード prostate cancer metastasis unknown primary tumor repeat biopsy CRPC
Amo Type Case Report
出版物タイトル Acta Medica Okayama
発行日 2018-12
72巻
6号
出版者 Okayama University Medical School
開始ページ 605
終了ページ 609
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Ⓒ 2018 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 30573917
NAID 120006545165
JaLCDOI 10.18926/AMO/56379
フルテキストURL 72_6_601.pdf
著者 Hashimoto, Kazuhiko| Nishimura, Shunji| Iemura, Shunki| Akagi, Masao|
抄録 Salmonella osteomyelitis is extremely rare; only a few cases have been reported in healthy adults. We describe a case of salmonella osteomyelitis in an otherwise healthy 20-year-old Japanese woman who presented with distal tibial pain. X-ray and magnetic resonance imaging showed a lesion suspected to be a bone cyst. Osteomyelitis was diagnosed when pus was observed during an open biopsy. The bacterial culture examination yielded salmonella. Surgical drainage and antibiotic treatment were performed, after which no recurrence was observed. To our best knowledge, this is the first report of salmonella osteomyelitis of the distal tibia in an otherwise healthy individual.
キーワード osteomyelitis salmonella tibia healthy woman
Amo Type Case Report
出版物タイトル Acta Medica Okayama
発行日 2018-12
72巻
6号
出版者 Okayama University Medical School
開始ページ 601
終了ページ 604
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Ⓒ 2018 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 30573916
NAID 120006545164
JaLCDOI 10.18926/AMO/56378
フルテキストURL 72_6_595.pdf
著者 Sugihara, Yuusaku| Harada, Keita| Kato, Ryo| Yamauchi, Kenji| Sakae, Hiroyuki| Kawano, Seiji| Hiraoka, Sakiko| Kawahara, Yoshiro| Otsuka, Fumio| Okada, Hiroyuki|
抄録 The indications for peroral endoscopic myotomy (POEM) have been expanded to include diffuse esophageal spasm (DES). A 67-year-old Japanese man presented with a 4-year history of dysphagia. Endoscopy and upper gastrography revealed abnormal peristaltic movements involving interruption of normal peristalsis, and a diverticulum located at the 2 o’clock esophageal position. High-resolution manometry indicated DES. POEM with a long (15 cm) myotomy was performed for the abnormal contractions, which subsequently disappeared along with dysphagia improvement. Our results suggest that esophageal motility disorders accompanying a diverticulum may be eliminated by POEM without treating the diverticulum itself. We speculate that POEM ameliorates esophageal diverticulum by reducing internal esophageal pressure.
キーワード diffuse esophageal spasm (DES) diverticulum, peroral endoscopic myotomy (POEM) high-resolution manometry (HRM)
Amo Type Case Report
出版物タイトル Acta Medica Okayama
発行日 2018-12
72巻
6号
出版者 Okayama University Medical School
開始ページ 595
終了ページ 600
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Ⓒ 2018 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 30573915
NAID 120006545163
JaLCDOI 10.18926/AMO/56377
フルテキストURL 72_6_591.pdf
著者 Shimoyama, Yuichiro| Umegaki, Osamu| Inoue, Satsuki| Agui, Tomoyuki| Kadono, Noriko| Minami, Toshiaki|
抄録 A neutrophil-to-lymphocyte ratio (NLR) > 7 is reportedly an independent marker of mortality in patients with bacteremia. However, no studies have shown an association between inflammation-based prognostic scores (including the Glasgow Prognostic Score, the NLR, the platelet-to-lymphocyte ratio, the Prognostic Nutritional Index, and the Prognostic Index) and mortality in patients with pneumonia. We retrospectively examined the cases of 33 patients diagnosed with pneumonia who were treated in the ICU of Osaka Medical College Hospital between January 2014 and June 2016. A multivariate analysis revealed that the NLR was a significant predictor of mortality in these pneumonia patients.
キーワード inflammation-based prognostic score pneumonia in-hospital mortality
Amo Type Short Communication
出版物タイトル Acta Medica Okayama
発行日 2018-12
72巻
6号
出版者 Okayama University Medical School
開始ページ 591
終了ページ 593
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Ⓒ 2018 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 30573914
NAID 120006545162
JaLCDOI 10.18926/AMO/56376
フルテキストURL 72_6_583.pdf
著者 Park, Se-Jin| Jeong, Hwa-Jae| Shin, Hun-Kyu| Park, Jai Hyung| Lee, Jaewook| Cho, Yongun| Lee, Seok Won| Murase, Tsuyoshi| Ikemoto, Sumika| Sugamoto, Kazuomi| Kim, Eugene|
抄録 We retrospectively evaluated the altered biomechanics of the talus in 15 adult patients (7 males, 8 females) with chronic lateral ankle instability when the ankle joint moved actively from full dorsiflexion to full plantarflexion under a non-weight bearing condition. CT images were taken for the unstable ankle and the contralateral normal (control) ankle. Three-dimensional surface models of both ankle joints were reconstructed from the CT data, and we used a computer simulation program to compare both ankle motions of inversion/eversion in the coronal plane, plantarflexion/dorsiflexion in the sagittal plane, and internal rotation/external rotation in the axial plane. This evaluation method provides in vivo, dynamic, and 3D results of ankle motion. In the ankles with chronic lateral instability and the controls, the average talar rotational movement of inversion (+)/eversion (−) was 19.0° and 15.5° and the internal rotation (+)/external rotation (−) was 30.4° and 20.7°, respectively. Paired t-tests revealed significant differences in the amount of inversion (+)/eversion (−) (p=0.012) and internal rotation (+)/external rotation (−) (p<0.001) between unstable and normal ankle joints. The difference of mean rotational movement in internal rotation (9.7°) was greater than that of inversion (3.5°). Rotational instability should be considered when evaluating chronic lateral ankle instability.
キーワード three-dimensional motion analysis chronic lateral ankle instability talus ankle joint
Amo Type Original Article
出版物タイトル Acta Medica Okayama
発行日 2018-12
72巻
6号
出版者 Okayama University Medical School
開始ページ 583
終了ページ 589
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Ⓒ 2018 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 30573913
NAID 120006545161
JaLCDOI 10.18926/AMO/56375
フルテキストURL 72_6_577.pdf
著者 Makino, Takuma| Orita, Yorihisa| Tachibana, Tomoyasu| Marunaka, Hidenori| Miki, Kentaro| Akisada, Naoki| Akagi, Yusuke| Usui, Yoshiyuki| Sato, Yasuharu| Yoshino, Tadashi| Nishizaki, Kazunori|
抄録 Since no diagnostic method has been established to distinguish follicular thyroid carcinoma (FTC) from follicular thyroid adenoma (FTA), surgery has been the only way to reach a diagnosis of follicular neoplasm. Here we investigated the computed tomography (CT) features of follicular neoplasms, toward the goal of being able to identify specific CT features allowing the preoperative differentiation of FTC from FTA. We retrospectively analyzed the cases of 205 patients who underwent preoperative CT of the neck and were histopathologically diagnosed with FTC (n=31) or FTA (n=174) after surgery between January 2002 and June 2016 at several hospitals in Japan. In each of these 205 cases, non-enhanced and contrast-enhanced CT images were obtained, and we analyzed the CT features. On univariate analysis, inhomogeneous features of tumor lesions on contrast-enhanced CT were more frequently observed in FTC than in FTA (p=0.0032). A multivariate analysis identified inhomogeneous features of tumor lesions on contrast-enhanced CT images as an independent variable indicative of FTC (p=0.0023). CT thus offers diagnostic assistance in distinguishing FTC from FTA.
キーワード computed tomography follicular thyroid carcinoma follicular thyroid adenoma preoperative diagnosis
Amo Type Original Article
出版物タイトル Acta Medica Okayama
発行日 2018-12
72巻
6号
出版者 Okayama University Medical School
開始ページ 577
終了ページ 581
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Ⓒ 2018 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 30573912
NAID 120006545160
JaLCDOI 10.18926/AMO/56374
フルテキストURL 72_6_567.pdf
著者 Yagi, Takahito| Takagi, Kosei| Umeda, Yuzo| Yoshida, Ryuichi| Nobuoka, Daisuke| Kuise, Takashi| Fujiwara, Toshiyoshi|
抄録 Living donor liver transplantation (LDLT) is the final therapeutic arm for pediatric end-stage liver diseases. Toward the goal of achieving further improvement in LDLT survival, we investigated factors affecting recipient survival. We evaluated the prognostic factors of 60 pediatric recipients (< 16 years old) who underwent LDLT between 1997 and 2015. In a univariate analysis, non-cholestatic (NCS) disease, graft/recipient body weight ratio, cold and warm ischemic times, and intraoperative blood loss were significant factors impacting survival. In a multivariate analysis, NCS disease was the only significant factor worsening survival (p=0.0021). One-and 5-year survival rates for the cholestatic disease (CS, n=43) and NCS (n=17) groups were 100% vs. 70.6% and 97.4% vs. 58.8% (p=0.004, log-rank). Intergroup comparisons revealed that CS was significantly associated with operation time, cold ischemia, hepatomegaly of the native liver, and portal plasty. These data suggest that a cirrhotic, swollen, artery-dominant liver did not increase graft size-related risks despite the surgical complexity of preceding operations. The NCS group’s poorer survival originated from recurrence of the primary disease and liver manifestation of systemic disease untreatable by transplantation. Improving the survival of pediatric recipients requires intensive efforts to prevent primary disease relapse and more rapid diagnoses to exclude contraindications from NCS disease.
キーワード liver transplantation living donor pediatrics prognostic factor cholestatic disease
Amo Type Original Article
出版物タイトル Acta Medica Okayama
発行日 2018-12
72巻
6号
出版者 Okayama University Medical School
開始ページ 567
終了ページ 576
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Ⓒ 2018 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 30573911
NAID 120006545159