検索結果 47822 件
| 著者 | 梶村 外吉| |
|---|---|
| 発行日 | 1929-08-31 |
| 出版物タイトル | 岡山医学会雑誌 |
| 巻 | 41巻 |
| 号 | 8号 |
| 資料タイプ | 学術雑誌論文 |
| 著者 | 梶村 外吉| |
|---|---|
| 発行日 | 1929-08-31 |
| 出版物タイトル | 岡山医学会雑誌 |
| 巻 | 41巻 |
| 号 | 8号 |
| 資料タイプ | 学術雑誌論文 |
| 著者 | 梶村 外吉| |
|---|---|
| 発行日 | 1929-08-31 |
| 出版物タイトル | 岡山医学会雑誌 |
| 巻 | 41巻 |
| 号 | 8号 |
| 資料タイプ | 学術雑誌論文 |
| 著者 | 森川 尚| |
|---|---|
| 発行日 | 1929-08-31 |
| 出版物タイトル | 岡山医学会雑誌 |
| 巻 | 41巻 |
| 号 | 8号 |
| 資料タイプ | 学術雑誌論文 |
| 著者 | 根岸 顯藏| |
|---|---|
| 発行日 | 1929-08-31 |
| 出版物タイトル | 岡山医学会雑誌 |
| 巻 | 41巻 |
| 号 | 8号 |
| 資料タイプ | 学術雑誌論文 |
| 著者 | 村上 立男| |
|---|---|
| 発行日 | 1929-08-31 |
| 出版物タイトル | 岡山医学会雑誌 |
| 巻 | 41巻 |
| 号 | 8号 |
| 資料タイプ | 学術雑誌論文 |
| 著者 | 赤岩 亨二| |
|---|---|
| 発行日 | 1929-08-31 |
| 出版物タイトル | 岡山医学会雑誌 |
| 巻 | 41巻 |
| 号 | 8号 |
| 資料タイプ | 学術雑誌論文 |
| 著者 | 高橋 昌造| |
|---|---|
| 発行日 | 1929-08-31 |
| 出版物タイトル | 岡山医学会雑誌 |
| 巻 | 41巻 |
| 号 | 8号 |
| 資料タイプ | 学術雑誌論文 |
| 著者 | 大道 直一| |
|---|---|
| 発行日 | 1929-08-31 |
| 出版物タイトル | 岡山医学会雑誌 |
| 巻 | 41巻 |
| 号 | 8号 |
| 資料タイプ | 学術雑誌論文 |
| 著者 | 須之内 權三| |
|---|---|
| 発行日 | 1929-08-31 |
| 出版物タイトル | 岡山医学会雑誌 |
| 巻 | 41巻 |
| 号 | 8号 |
| 資料タイプ | 学術雑誌論文 |
| 著者 | 吉栖 生一| |
|---|---|
| 発行日 | 1929-08-31 |
| 出版物タイトル | 岡山医学会雑誌 |
| 巻 | 41巻 |
| 号 | 8号 |
| 資料タイプ | 学術雑誌論文 |
| 著者 | 得能 倫二| |
|---|---|
| 発行日 | 1929-08-31 |
| 出版物タイトル | 岡山医学会雑誌 |
| 巻 | 41巻 |
| 号 | 8号 |
| 資料タイプ | 学術雑誌論文 |
| 著者 | 岡島 壽| |
|---|---|
| 発行日 | 1929-08-31 |
| 出版物タイトル | 岡山医学会雑誌 |
| 巻 | 41巻 |
| 号 | 8号 |
| 資料タイプ | 学術雑誌論文 |
| 著者 | 小橋 政香| |
|---|---|
| 発行日 | 1929-08-31 |
| 出版物タイトル | 岡山医学会雑誌 |
| 巻 | 41巻 |
| 号 | 8号 |
| 資料タイプ | 学術雑誌論文 |
| JaLCDOI | 10.18926/AMO/46635 |
|---|---|
| フルテキストURL | 65_3_215.pdf |
| 著者 | Waseda, Koichi| Tanimoto, Yasushi| Hasegawa, Kenjiro| Miyahara, Nobuaki| Nojima, Daisuke| Ikeda, Genyo| Kanehiro, Arihiko| Okada, Chiharu| Kimata, Yoshihiro| Tanimoto, Mitsune| |
| 抄録 | Churg-Strauss syndrome (CSS) is a granulomatous necrotizing vasculitis of unknown etiology associated with bronchial asthma. Despite affecting small to medium-sized vessels, necrosis of the digits due to vasculitis is extremely rare. We report a case of CSS with necrosis of the toe tips. A 37-year-old woman with asthma, who had been diagnosed with CSS 2 years ago, was admitted to our hospital with an exacerbation of CSS. The patient had a high grade fever and complained of abdominal pain and numbness of the lower extremities. Blood examination revealed marked eosinophilia. The fever pattern, abdominal pain and blood eosinophilia showed improvement by combination treatment with prednisolone and cyclophosphamide. However, the color of her right toe tips changed, and necrosis finally resulted despite antithrombotic therapy. Arteriography showed narrowing of the dorsalis pedis artery and of the more peripheral arteries of her right leg. Stump plasty with negative pressure dressing therapy for the toe tips, but not amputation, was done to preserve the leg function. While numbness of the extremities remained, no recurrence of necrosis was seen. Clinicians need to be aware that rare complications of CSS, including necrosis of the digits, can occur. |
| キーワード | bronchial asthma Churg-Strauss syndrome eosinophilia necrosis of toe tips stump plasty |
| Amo Type | Case Report |
| 出版物タイトル | Acta Medica Okayama |
| 発行日 | 2011-06 |
| 巻 | 65巻 |
| 号 | 3号 |
| 出版者 | Okayama University Medical School |
| 開始ページ | 215 |
| 終了ページ | 218 |
| 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Ⓒ 2011 by Okayama University Medical School |
| 論文のバージョン | publisher |
| 査読 | 有り |
| PubMed ID | 21709721 |
| Web of Science KeyUT | 000292017500010 |
| JaLCDOI | 10.18926/AMO/46634 |
|---|---|
| フルテキストURL | 65_3_211.pdf |
| 著者 | Nakanishi, Kazuo| Yamane, Kentarou| Tanaka, Masato| Misawa, Haruo| Saiga, Kenta| Ozaki, Toshifumi| |
| 抄録 | Here we report a case of surgery for kyphosis of the thoracolumbar spine in an elderly patient, in whom surgery was performed because the patient had developed intractable digestive symptoms. The case was that of a 76-year-old female with complaints of back pain and dysphagia. When videofluoroscopic examination (VF) of swallowing was performed in the cardia of the stomach, images that indicated stagnation and the reflux of food were observed. It was easier for the patient to swallow food in the extension position. We performed corrective fusion of the posterior spine. After the surgery, the kyphosis angle was improved to 27°, the patient's back pain was alleviated, and it became easier for the patient to swallow food. VF also showed that the patient's difficulties with the passage of food had improved. We believe that surgery is a good treatment option for cases of kyphosis with digestive symptoms and deteriorating activities of daily living (ADL), even in the absence of pain and paralysis. VF is also useful for performing evaluations before and after surgery. |
| キーワード | kyphosis dysphagia videofluoroscopic examination of swallowing (VF) fusion |
| Amo Type | Case Report |
| 出版物タイトル | Acta Medica Okayama |
| 発行日 | 2011-06 |
| 巻 | 65巻 |
| 号 | 3号 |
| 出版者 | Okayama University Medical School |
| 開始ページ | 211 |
| 終了ページ | 214 |
| 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Ⓒ 2011 by Okayama University Medical School |
| 論文のバージョン | publisher |
| 査読 | 有り |
| PubMed ID | 21709720 |
| Web of Science KeyUT | 000292017500009 |
| JaLCDOI | 10.18926/AMO/46633 |
|---|---|
| フルテキストURL | 65_3_205.pdf |
| 著者 | Akavipat, Phuping| Sookplung, Pimwan| Kaewsingha, Pranee| Maunsaiyat, Patcharin| |
| 抄録 | To identify the diagnostic properties of the Full Outline of Unresponsiveness (FOUR) score and the discharge outcome, 318 patients were studied. The evaluators rated the patients on admission or when they had mental status alteration with the FOUR score. The course of treatment was determined based on the clinical. The mortality rate and Glasgow Outcome Scale were recorded. Adjusted regression models and prognostic performance were tested by calculation of the receiver operating characteristic curve. One-hundred and twenty-two patients (40.1%) had a poor outcome defined as a Glasgow Outcome Scale score from 3-5, and 38 patients (12.5%) died. The area under the characteristic curve (AUC) for poor outcome and in-hospital mortality were 0.88 (95% CI, 0.83-0.92) and 0.92 (95% CI, 0.87-0.97). The cut-off point of 14 showed sensitivity and specificity of the total FOUR score predicting poor outcomes at 0.77 (95% CI, 0.69-0.84) and 0.95 (95% CI, 0.90-0.97), while the cut-off point of 10 showed the values for in-hospital mortality at 0.71 (95% CI, 0.55-0.83) and 0.93 (95% CI, 0.90-0.96). The total FOUR score showed satisfactory prognostic value for predicting outcome. The cut-off points for the poor outcome and in-hospital mortality are 14 and 10, respectively. |
| キーワード | consciousness evaluation mortality outcome Full Outline of Unresponsiveness (FOUR) |
| Amo Type | Original Article |
| 出版物タイトル | Acta Medica Okayama |
| 発行日 | 2011-06 |
| 巻 | 65巻 |
| 号 | 3号 |
| 出版者 | Okayama University Medical School |
| 開始ページ | 205 |
| 終了ページ | 210 |
| 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Ⓒ 2011 by Okayama University Medical School |
| 論文のバージョン | publisher |
| 査読 | 有り |
| PubMed ID | 21709719 |
| Web of Science KeyUT | 000292017500008 |
| JaLCDOI | 10.18926/AMO/46632 |
|---|---|
| フルテキストURL | 65_3_199.pdf |
| 著者 | Endo, Michiko| Nakanishi, Yumiko| Miyatake, Nobuyuki| |
| 抄録 | Using the homeostasis model assessment (HOMA) index, we investigated the link between insulin resistance and lifestyle in Japanese female university students. We used data for 57 Japanese female university students (21.0±0.8 years) who were enrolled in a cross-sectional investigation study. We performed full blood examinations, and anthropometric parameters, nutrient oral intake and daily step counts were measured. The mean HOMA index for the subjects was 1.3±0.6, and 12 subjects were over the level of 1.6, which is considered to indicate insulin resistance in Japan. The HOMA index was positively correlated with abdominal circumference (r＝0.542, p＜0.0001), triglycerides, low density lipoprotein (LDL) cholesterol and systolic blood pressure. In addition, the HOMA index was negatively correlated with n-3 fatty acid and positively correlated with the n-6/n-3 fatty acid ratio (r＝0.304, p＝0.0216). Daily step count was negatively correlated with the HOMA index, but not at a significant level (r＝－0.237, p＝0.0809). Higher HOMA index in some Japanese female university students was noted, and that was associated with lifestyle, especially n-6/n-3 fatty acid ratio of nutrient oral intake. |
| キーワード | the homeostasis model assessment (HOMA) index lifestyle n-6/n-3 fatty acid ratio female university students |
| Amo Type | Original Article |
| 出版物タイトル | Acta Medica Okayama |
| 発行日 | 2011-06 |
| 巻 | 65巻 |
| 号 | 3号 |
| 出版者 | Okayama University Medical School |
| 開始ページ | 199 |
| 終了ページ | 204 |
| 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Ⓒ 2011 by Okayama University Medical School |
| 論文のバージョン | publisher |
| 査読 | 有り |
| PubMed ID | 21709718 |
| Web of Science KeyUT | 000292017500007 |
| JaLCDOI | 10.18926/AMO/46631 |
|---|---|
| フルテキストURL | 65_3_193.pdf |
| 著者 | Kawaura, Akihiko| Tanida, Noritoshi| Akiyama, Junichi| Nonaka, Kouji| Mizutani, Masatoshi| Sawada, Kenji| Nakagawa, Kimie| Tsugawa, Naoko| Izumi, Keisuke| Ii, Kunio| Okano, Toshio| Takeda, Eiji| |
| 抄録 | Sixty-three male 5-week-old Syrian hamsters received the carcinogen N-nitrosobis(2-oxopropyl)amine (BOP) s.c. in 5 weekly injections (the first, 70mg/kg body, and the remaining, 20mg/kg each). The hamsters that received BOP were given intragastric administration of 0.2ml of medium chain triglyceride (MCT) with or without 0.04μg of 1α-hydroxyvitamin D3 [1α(OH)D3] through a feeding tube for 12 weeks. Thus, 3 groups were assigned:Group 1;BOP alone (n＝20), Group 2;BOP＋MCT (n＝18) and Group 3;BOP＋1α(OH)D3 (n＝25). The mean body weight of Group 3 was lower than those of Groups 1 and 2 at the end of the experiment (p＜0.001,Tukey-Kramer HSD test). At the end of week 12, all surviving hamsters were put to sleep. The incidences of liver tumors were 80%, 72% and 32% in Groups 1, 2 and 3, respectively. The incidence of tumors in Group 3 was significantly lower than in Group 1 and Group 2 (p＜0.05, χ2-test). All tumors were cholangiocarcinoma. These results indicated that BOP-induced cholangiocarcinogenesis was suppressed by the supplemental administration of 1α(OH)D3. |
| キーワード | 1α-hydroxyvitamin D3 N-nitrosobis(2-oxopropyl)amine cholangiocarcinogenesis Syrian hamsters |
| Amo Type | Original Article |
| 出版物タイトル | Acta Medica Okayama |
| 発行日 | 2011-06 |
| 巻 | 65巻 |
| 号 | 3号 |
| 出版者 | Okayama University Medical School |
| 開始ページ | 193 |
| 終了ページ | 197 |
| 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Ⓒ 2011 by Okayama University Medical School |
| 論文のバージョン | publisher |
| 査読 | 有り |
| PubMed ID | 21709717 |
| Web of Science KeyUT | 000292017500006 |
| JaLCDOI | 10.18926/AMO/46630 |
|---|---|
| フルテキストURL | 65_3_185.pdf |
| 著者 | Watanabe, Kumi| Okada, Ayumi| Okabe, Nobuyuki| Onishi, Masaru| Morishima, Tsuneo| |
| 抄録 | The purpose of this study was to investigate the psychological needs of children and adolescents with eating disorders (ED) directed toward their mothers. Patients with ED have low self-assertion and various abnormal eating behaviors. Therefore, mothers face difficulty in understanding their children's psychological needs, and the mother-child relationship is sometimes strained. We developed a One-Message Question (OMQ)-structured interview. The OMQ was easy to answer, and it helped the patients with ED. We examined the relationship between psychological needs and illness phase of the children and adolescents, and we discuss the viability of implementing the OMQ in clinical settings. The subjects were 23 patients and their parents. Their parents were just asked about the patients' background. The mean age of the patients was 15.8 years, and the average age of ED onset was 13.5 years. The EDs were anorexia nervosa (n＝20) and bulimia nervosa (n＝3). The phases of patients' illness were identified as anorexic (n＝5), bulimic (n＝7), chronic (n＝3), and stable (n＝8). All subjects provided specific responses to the OMQ-structured interview. Data analyses revealed the following seven categories of patients' psychological needs directed toward their mothers:attachment, cooperation in meeting their goals, longing for love, changing attitude toward family members, respect for self-reliance, expression of apology, and expression of appreciation. These findings suggested that the OMQ-structured interview may prove useful for mothers to understand their children's psychological needs and may encourage positive interactions as a foundation for future recovery. |
| キーワード | family support mother-child relationships eating disorders in children and adolescents interview methods team approach |
| Amo Type | Original Article |
| 出版物タイトル | Acta Medica Okayama |
| 発行日 | 2011-06 |
| 巻 | 65巻 |
| 号 | 3号 |
| 出版者 | Okayama University Medical School |
| 開始ページ | 185 |
| 終了ページ | 192 |
| 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Ⓒ 2011 by Okayama University Medical School |
| 論文のバージョン | publisher |
| 査読 | 有り |
| PubMed ID | 21709716 |
| Web of Science KeyUT | 000292017500005 |