検索結果 50170 件
| JaLCDOI | 10.18926/AMO/55854 |
|---|---|
| フルテキストURL | 72_2_137.pdf |
| 著者 | Takahashi, Yuko| Shien, Tadahiko| Sakamoto, Ai| Tsuyumu, Yuko| Yoshioka, Ryo| Uno, Maya| Hatono, Minami| Kochi, Mariko| Kawada, Kengo| Tsukioki, Takahiro| Iwamoto, Takayuki| Ikeda, Hirokuni| Taira, Naruto| Matsuoka, Junji| Nakatsuka, Mikiya| Doihara, Hiroyoshi| |
| 抄録 | Adverse effects on fertility are a significant problem for premenopausal breast cancer patients. Since April 2009, we have been referring young patients for fertility counseling provided by a multidisciplinary team. Here we evaluated the efficacy and safety of our current fertility preservation approach. We retrospectively analyzed the cases of 277 patients < 45 years old at diagnosis, which was made between 2009 and 2016. Seventy-two (26%) patients received fertility counseling. Seventeen (6%) of the 277 patients decided to preserve their fertility before starting adjuvant systemic therapy. Six (35%) patients underwent oocyte cryopreservation, and 11 (65%) married patients opted for embryo cryopreservation. There were no pregnancies among the patients undergoing oocyte cryopreservation, whereas 3 (27%) of the patients who opted for embryo cryopreservation became pregnant. Two (12%) patients stopped endocrine therapy after 2 years in an effort to become pregnant, but their breast cancers recurred. Though the problem of fertility loss for breast cancer patients is important and we should assess the infertility risk for all patients, we should also consider the prognosis. In June 2016, we launched a prospective multicenter cohort study to evaluate the efficacy and safety of fertility preservation in greater detail. |
| キーワード | fertility preservation multidisciplinary breast cancer young patients |
| Amo Type | Original Article |
| 出版物タイトル | Acta Medica Okayama |
| 発行日 | 2018-04 |
| 巻 | 72巻 |
| 号 | 2号 |
| 出版者 | Okayama University Medical School |
| 開始ページ | 137 |
| 終了ページ | 142 |
| 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 | 29674762 |
| JaLCDOI | 10.18926/AMO/55853 |
|---|---|
| フルテキストURL | 72_2_129.pdf |
| 著者 | Okura, Tomohiro| Fujii, Masakuni| Shiode, Junji| Ito, Yuri| Kojima, Toru| Nasu, Junichiro| Niguma, Takefumi| Yoshioka, Masao| Mimura, Tetsushige| Yamamoto, Kazuhide| |
| 抄録 | The impact of body mass index (BMI) on postoperative survival in Japanese patients with pancreatic cancer is unclear. We examined the relationship between preoperative BMI and the prognosis of Japanese patients who underwent surgery for pancreatic cancer to determine whether BMI affects these patients’ prognosis. Of the patients who underwent pancreatectomy between January 2004 and August 2015 at our institution, 246 were pathologically diagnosed with pancreatic tubular adenocarcinoma; the cancer was located in the pancreatic head (n=161) and in the body and tail (n=85). We classified the patients by BMI: underweight (n=22), normal weight (n=190), and overweight/obese (n=34) groups. We retrospectively analyzed medical records for patient characteristics, lesion location, disease stage, postoperative complications, chemotherapy, and prognosis. Lesion location, disease stage, postoperative complications, and chemotherapy were not significantly different among the BMI groups. The median survival times were as follows (days): all patients, 686; underweight, 485; normal weight, 694; and overweight/obese, 839. In a multivariate analysis, after adjusting for competing risk factors, low BMI was associated with an increased risk of death (normal weight: HR 0.58, p=0.038; overweight/obese: HR 0.54, p=0.059). High BMI was not found to be a postoperative factor for poor prognosis in Japanese pancreatic cancer patients. |
| キーワード | pancreatic cancer BMI prognosis surgery risk factor |
| Amo Type | Original Article |
| 出版物タイトル | Acta Medica Okayama |
| 発行日 | 2018-04 |
| 巻 | 72巻 |
| 号 | 2号 |
| 出版者 | Okayama University Medical School |
| 開始ページ | 129 |
| 終了ページ | 135 |
| 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 | 29674761 |
| JaLCDOI | 10.18926/AMO/55852 |
|---|---|
| フルテキストURL | 72_2_121.pdf |
| 著者 | Ochiai, Hirotaka| Shirasawa, Takako| Nanri, Hinako| Nishimura, Rimei| Hoshino, Hiromi| Kokaze, Akatsuki| |
| 抄録 | Several cross-sectional studies have shown that eating quickly is associated with overweight in children and adolescents. However, few cohort studies have examined this relationship. Here we investigated the relationship between eating quickly and overweight in a cohort study of fourth-grade schoolchildren (aged 9 or 10 years) who attended elementary schools in Ina-town, Japan. The children were followed for 3 years from 2001-2004 (at baseline) to 2004-2007. A questionnaire survey including information about eating speed (fast, medium, or slow) was administered, and height and weight measurements were obtained at baseline and follow-up. Overweight was defined according to the body mass index cutoff points proposed by the International Obesity Task Force. We used a Poisson regression model to examine the association between eating quickly at baseline and being overweight 3 years later. Data from 934 non-overweight children (465 boys, 469 girls) were analyzed. Eating quickly was not significantly associated with being overweight in the boys, whereas it was significantly associated with being overweight in the girls. Our analysis indicates that among girls, eating quickly leads to overweight, and that the modification of eating quickly could help prevent overweight in adolescents. |
| キーワード | eating quickly overweight schoolchildren cohort study |
| Amo Type | Original Article |
| 出版物タイトル | Acta Medica Okayama |
| 発行日 | 2018-04 |
| 巻 | 72巻 |
| 号 | 2号 |
| 出版者 | Okayama University Medical School |
| 開始ページ | 121 |
| 終了ページ | 128 |
| 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 | 29674760 |
| JaLCDOI | 10.18926/AMO/55851 |
|---|---|
| フルテキストURL | 72_2_115.pdf |
| 著者 | Miyagi, Yasunari| Tada, Katsuhiko| Takayoshi, Riko| Oguni, Nobutsugu| Sato, Yasushi| Shibata, Maki| Kiyokawa, Machiko| Hashimoto, Tadashi| Takada, Tomoyoshi| Oda, Takashi| Miyake, Takahito| |
| 抄録 | We devised biomathematics-based formulae to estimate the standard values of fetal growth of Japanese after 22 weeks' gestation. The growth rates of bi-parietal diameter (BPD), abdominal circumference (AC), femur length (FL), and estimated fetal body weight (EFBW) at the time of gestation were assumed to be proportional to the product of the value at the time and the rest value of an unknown maximum value, respectively. The EFBW was also assumed to follow a multiple logistic function of BPD, AC and FL to fit the standard values of Japanese fetuses published by the Japan Society of Ultrasonics in Medicine. The Mann-Whitney test was used for statistical analysis. The values as a function of gestational day, t, were as follows: BPD(t)=99.6/(1+exp (2.725−0.01837＊t)) (mm); AC(t)=39.7/(1+exp (2.454−0.01379＊t)) (cm); FL(t)=79.6/(1+exp (2.851−0.01710＊t)) (mm); EFBW(t)=8045.1/(1+exp (6.028−0.06582＊BPD(t)−0.1469＊AC(t)+ 0.07377＊FL(t))) (g). EFBW as a function of BPD, AC and FL was as follows: EFBW=8045.1/(1+exp (4.747+ 0.02584＊BPD+0.1010＊AC−0.1416＊FL)) (g). When the BPD, AC and FL were at −2 standard deviation (SD), −1SD, mean and + 2SD, the EFBW values calculated by the formula were statistically closer to the standard values than conventional formulas with p-values of 4.871×10−7, 4.228×10−7, 9.777×10−7 and 0.028, respectively. The formulae based on biomathematics might be useful to estimate the fetal growth standard values. |
| キーワード | fetal growth formulae biomathematics Japanese ultrasound |
| Amo Type | Original Article |
| 出版物タイトル | Acta Medica Okayama |
| 発行日 | 2018-04 |
| 巻 | 72巻 |
| 号 | 2号 |
| 出版者 | Okayama University Medical School |
| 開始ページ | 115 |
| 終了ページ | 119 |
| 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 | 29674759 |
| JaLCDOI | 10.18926/AMO/55850 |
|---|---|
| フルテキストURL | 72_2_105.pdf |
| 著者 | Kato, Ryo| Iwamuro, Masaya| Hiraoka, Sakiko| Takashima, Shiho| Inokuchi, Toshihiro| Takahara, Masahiro| Kondo, Yoshitaka| Tanaka, Takehiro| Okada, Hiroyuki| |
| 抄録 | To analyze the clinical characteristics of patients with ulcerative colitis who have upper gastrointestinal lesions, we retrospectively reviewed the data of 216 patients with ulcerative colitis who underwent esophagogastroduodenoscopy at our institute in April 2008-March 2016. We investigated the endoscopic features and compared the clinical characteristics between the patients with and without upper gastrointestinal lesions. Forty-two patients (19.4%) had upper gastrointestinal lesions, including multiple erosions (n=18), bamboo joint-like appearance (n=17), mucosa with white spots (n=4), friable mucosa (n=2), ulcer (n=1), and purulent deposits within the mucosa (n=1) in the stomach and/or duodenum. Compared to the patients without upper gastrointestinal lesions, those with upper gastrointestinal lesions showed significantly more frequent extraintestinal manifestations (19.0% vs. 8.0%, p<0.05) and a significant history of colectomy (33.3% vs. 12.1%, p<0.01). There were no significant differences with regard to the sex ratio, age at esophagogastroduodenoscopy, gastrointestinal symptoms, time since the diagnosis of ulcerative colitis, type of colitis at the initial diagnosis of ulcerative colitis, or gastric atrophy between the groups. In conclusion, gastroduodenal lesions were identified in 19.4% of the patients with ulcerative colitis. Esophagogastroduodenoscopy is particularly recommended for ulcerative colitis patients who show extraintestinal manifestations and for those who have undergone a colectomy. |
| キーワード | ulcerative colitis esophagogastroduodenoscopy gastritis |
| Amo Type | Original Article |
| 出版物タイトル | Acta Medica Okayama |
| 発行日 | 2018-04 |
| 巻 | 72巻 |
| 号 | 2号 |
| 出版者 | Okayama University Medical School |
| 開始ページ | 105 |
| 終了ページ | 113 |
| 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 | 29674758 |
| JaLCDOI | 10.18926/AMO/55849 |
|---|---|
| フルテキストURL | 72_2_99.pdf |
| 著者 | Sugihara, Yuusaku| Harada, Keita| Kato, Ryo| Yamauchi, Kenji| Takashima, Shiho| Takei, Daisuke| Yamasaki, Yasushi| Inokuchi, Toshihiro| Takahara, Masahiro| Hiraoka, Sakiko| Okada, Hiroyuki| |
| 抄録 | Peroral endoscopic myotomy (POEM) for treatment of esophageal motility disorders has recently been reported to be highly effective and less invasive than other treatment. POEM was recently introduced in Okayama University Hospital under the supervision of a physician from a high-volume center. To verify the safety and efficacy of POEM during its introduction in our institution. We examined 10 cases in whom POEM was performed between January 2016 and April 2017. The patients included 7 men and 3 women, with a median age (range) of 49 years (17-74) and median symptom duration of 6 years (1-21). Seven patients had a straight esophagus, and the remaining 3 had a sigmoid esophagus. According to the Chicago classification, 6 patients were diagnosed with type I achalasia, 2 with type II achalasia, and 2 with distal esophagus spasm. Treatment outcomes and adverse events were evaluated. Treatment success was defined as a > 3 decrease in Eckardt score or a score of <3 at the time of discharge. The treatment success rate was 90%, with the average Eckardt score decreasing significantly, from 4.7 to 0.9 (p<0.05). No mucosal perforation, severe infection, mediastinitis, severe bleeding, or gastroesophageal reflux occurred intraoperatively or postoperatively. POEM was introduced to Okayama University Hospital, and the first 10 cases were accomplished safely and effectively under the supervision of an expert physician from a high-volume center. |
| キーワード | achalasia Eckardt score peroral endoscopic myotomy (POEM) |
| Amo Type | Original Article |
| 出版物タイトル | Acta Medica Okayama |
| 発行日 | 2018-04 |
| 巻 | 72巻 |
| 号 | 2号 |
| 出版者 | Okayama University Medical School |
| 開始ページ | 99 |
| 終了ページ | 104 |
| 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 | 29674757 |
| タイトル（別表記） | Discovery Program for Global Learners at Okayama University and IB Education: Reflections on My University Experiences in Japan and the United States of America |
|---|---|
| フルテキストURL | 2017_001_010_017.pdf |
| 著者 | 鄭 幸子| |
| キーワード | 日米比較 文化人類学 振り返り Discovery Program for Global Learners at Okayama University グローバル・ディスカバリー・プログラム 国際バカロレア IB |
| 備考 | 寄稿論文| |
| 発行日 | 2017-12 |
| 出版物タイトル | 国際バカロレア教育研究 |
| 号 | 1号 |
| 出版者 | 日本国際バカロレア教育学会 |
| 開始ページ | 10 |
| 終了ページ | 17 |
| 資料タイプ | 学術雑誌論文 |
| 言語 | 日本語 |
| OAI-PMH Set | 岡山大学 |
| 論文のバージョン | publisher |
| フルテキストURL | kokugo_32_colophon.pdf |
|---|---|
| 著者 | 岡山大学教育学部国語研究会| |
| 出版物タイトル | 岡山大学国語研究 |
| 発行日 | 2018-03-20 |
| 巻 | 32巻 |
| ISSN | 2189-5414 |
| 言語 | 日本語 |
| 論文のバージョン | publisher |
| フルテキストURL | kokugo_32_(1)_(12).pdf |
|---|---|
| 著者 | 又吉 里美| |
| 出版物タイトル | 岡山大学国語研究 |
| 発行日 | 2018-03-20 |
| 巻 | 32巻 |
| 開始ページ | (1) |
| 終了ページ | (12) |
| ISSN | 2189-5414 |
| 言語 | 日本語 |
| 論文のバージョン | publisher |
| NAID | 120006416184 |
| フルテキストURL | kokugo_32_(13)_(25).pdf |
|---|---|
| 著者 | 岡 実咲| |
| 出版物タイトル | 岡山大学国語研究 |
| 発行日 | 2018-03-20 |
| 巻 | 32巻 |
| 開始ページ | (13) |
| 終了ページ | (25) |
| ISSN | 2189-5414 |
| 言語 | 日本語 |
| 論文のバージョン | publisher |
| NAID | 120006416183 |
| フルテキストURL | kokugo_32_016_028.pdf |
|---|---|
| 著者 | 小出 真規| |
| 出版物タイトル | 岡山大学国語研究 |
| 発行日 | 2018-03-20 |
| 巻 | 32巻 |
| 開始ページ | 16 |
| 終了ページ | 28 |
| ISSN | 2189-5414 |
| 言語 | 日本語 |
| 論文のバージョン | publisher |
| NAID | 120006416182 |
| フルテキストURL | kokugo_32_001_015.pdf |
|---|---|
| 著者 | 木村 功| |
| 出版物タイトル | 岡山大学国語研究 |
| 発行日 | 2018-03-20 |
| 巻 | 32巻 |
| 開始ページ | 1 |
| 終了ページ | 15 |
| ISSN | 2189-5414 |
| 言語 | 日本語 |
| 論文のバージョン | publisher |
| NAID | 120006416181 |
| フルテキストURL | kokugo_32_cover.pdf |
|---|---|
| 著者 | 岡山大学教育学部国語研究会| |
| 出版物タイトル | 岡山大学国語研究 |
| 発行日 | 2018-03-20 |
| 巻 | 32巻 |
| ISSN | 2189-5414 |
| 言語 | 日本語 |
| 論文のバージョン | publisher |
| フルテキストURL | olr_020_contents_eng.pdf |
|---|---|
| 著者 | 岡山大学大学院法務研究科| |
| 出版物タイトル | 臨床法務研究 |
| 発行日 | 2018-03 |
| 巻 | 20巻 |
| ISSN | 1881-1485 |
| 言語 | 日本語 |
| 論文のバージョン | publisher |
| フルテキストURL | olr_020_colophon.pdf |
|---|---|
| 著者 | 岡山大学大学院法務研究科| |
| 出版物タイトル | 臨床法務研究 |
| 発行日 | 2018-03 |
| 巻 | 20巻 |
| ISSN | 1881-1485 |
| 言語 | 日本語 |
| 論文のバージョン | publisher |
| フルテキストURL | olr_020_author.pdf |
|---|---|
| 著者 | 岡山大学大学院法務研究科| |
| 出版物タイトル | 臨床法務研究 |
| 発行日 | 2018-03 |
| 巻 | 20巻 |
| ISSN | 1881-1485 |
| 言語 | 日本語 |
| 論文のバージョン | publisher |
| タイトル（別表記） | Lecture for In-House Lawyers |
|---|---|
| フルテキストURL | olr_020_145_147.pdf |
| 著者 | 岡山大学大学院法務研究科| |
| 出版物タイトル | 臨床法務研究 |
| 発行日 | 2018-03 |
| 巻 | 20巻 |
| 開始ページ | 145 |
| 終了ページ | 147 |
| ISSN | 1881-1485 |
| 言語 | 日本語 |
| 論文のバージョン | publisher |
| NAID | 120006416180 |
| タイトル（別表記） | Okayama Administrative Law Research Group |
|---|---|
| フルテキストURL | olr_020_139_143.pdf |
| 著者 | 岡山大学大学院法務研究科| |
| 出版物タイトル | 臨床法務研究 |
| 発行日 | 2018-03 |
| 巻 | 20巻 |
| 開始ページ | 139 |
| 終了ページ | 143 |
| ISSN | 1881-1485 |
| 言語 | 日本語 |
| 論文のバージョン | publisher |
| NAID | 120006416179 |
| JaLCDOI | 10.18926/OLR/55836 |
|---|---|
| タイトル（別表記） | Okayama Prefecture Soja City HIKIKOMORI Support Center “One Touch” : Background of Establishment and its Achievement |
| フルテキストURL | olr_020_129_138.pdf |
| 著者 | 佐々木 恵| |
| 出版物タイトル | 臨床法務研究 |
| 発行日 | 2018-03 |
| 巻 | 20巻 |
| 開始ページ | 129 |
| 終了ページ | 138 |
| ISSN | 1881-1485 |
| 言語 | 日本語 |
| 論文のバージョン | publisher |
| NAID | 120006416178 |
| JaLCDOI | 10.18926/OLR/55835 |
|---|---|
| タイトル（別表記） | Issues of the Master Plan for Promotion of Utilization of Adult Guardianship |
| フルテキストURL | olr_020_107_127.pdf |
| 著者 | 上山 泰| |
| 出版物タイトル | 臨床法務研究 |
| 発行日 | 2018-03 |
| 巻 | 20巻 |
| 開始ページ | 107 |
| 終了ページ | 127 |
| ISSN | 1881-1485 |
| 言語 | 日本語 |
| 論文のバージョン | publisher |
| NAID | 120006416177 |