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フルテキストURL ClinMicrobiolInfect_19_2_173.pdf
著者 Sinha, A.| SenGupta, S.| Guin, S.| Dutta, S.| Ghosh, S.| Mukherjee, P.| Mukhopadhyay, A. K.| Ramamurthy, T.| Takeda, Y.| Kurakawa, T.| Nomoto, K.| Nair, G. B.| Nandy, R. K.|
キーワード Real-time PCR Diarrhoea Polymicrobial infection
備考 This is an Accepted Manuscript of an article published by Elsevier B.V|
発行日 2013-02
出版物タイトル Clinical Microbiology and Infection
19巻
2号
出版者 Elsevier B.V
開始ページ 173
終了ページ 180
ISSN 1198743X
NCID AA11098239
資料タイプ 学術雑誌論文
言語 英語
OAI-PMH Set 岡山大学
論文のバージョン author
PubMed ID 22268636
DOI 10.1111/j.1469-0691.2011.03746.x
Web of Science KeyUT 000314656100019
関連URL isVersionOf https://doi.org/10.1111/j.1469-0691.2011.03746.x
JaLCDOI 10.18926/AMO/56654
フルテキストURL 73_2_177.pdf
著者 Okita, Atsushi| Ohtani, Jun|
抄録 We report a rare case of fistulation to the jejunum after percutaneous endoscopic gastrostomy (PEG). An 85-year-old man with previous cerebral infarction and swallowing disturbance underwent PEG. Nine months later, he developed a high fever and discharge around the gastrostomy button. He was diagnosed with aspiration pneumonia, and administered antibiotic therapy. Examination showed digestive fluid around the gastrostomy button. Gastrointestinal contrast-enhanced CT revealed a gastrojejunocutaneous fistula. The button was removed, and the fistula closed naturally. PEG was performed again. The patient’s postoperative course was uneventful. Gastrojejunocutaneous fistula should be considered in cases involving increased discharge from a gastrostomy fistula.
キーワード percutaneous endoscopic gastrostomy gastrojejunocutaneous fistula
Amo Type Case Report
出版物タイトル Acta Medica Okayama
発行日 2019-04
73巻
2号
出版者 Okayama University Medical School
開始ページ 177
終了ページ 180
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Ⓒ 2019 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 31015753
JaLCDOI 10.18926/AMO/56652
フルテキストURL 73_2_161.pdf
著者 Okamoto, Sachiyo| Matsuoka, Ken-ichi| Sakamoto, Maiko| Usui, Yoshiaki| Fujiwara, Yuki| Kondo, Takumi| Tani, Katsuma| Saeki, Kyosuke| Meguri, Yusuke| Asada, Noboru| Ennishi, Daisuke| Nishimori, Hisakazu| Fujii, Keiko| Fujii, Nobuharu| Maeda, Yoshinobu|
抄録 Second allogeneic stem cell transplantation (allo-SCT) is a potentially curative therapy for patients who relapse after first allo-SCT. Human leukocyte antigen (HLA)-haploidentical related donors provide the broad opportunity to conduct second SCT at the appropriate time, but the efficacy of second SCT from haploidentical donors after relapse has not been established. We retrospectively analyzed the records of 33 patients who underwent second SCT. Twenty patients underwent haplo-SCT with low-dose antithymocyte globulin (ATG), and the other 13 patients underwent conventional- SCTs, including HLA-matched related peripheral blood, unrelated bone marrow or cord blood. Three years after the second SCT, the overall survival (OS) and progression-free survival (PFS) of all patients were 32.5% and 23.9%. Multivariate analyses indicated that non-complete response at second SCT, less than 1-year interval to relapse after first- SCT, and total score ≥ 3 on the hematopoietic cell transplantation-specific comorbidity index were significantly associated with a lower PFS rate. The haplo- and conventional- SCT groups showed equivalent results regarding OS, PFS, cumulative incidences of relapse, non-relapse mortality and graft-versus-host disease. The neutropenic period after transplantation was significantly shorter in haplo- SCT than conventional- SCT (10.5 days vs. 16 days, p=0.001). Our analysis revealed that haplo-SCT could be an alternative therapeutic option for relapsed patients after first SCT.
キーワード allogeneic stem cell transplantation haploidentical stem cell transplantation relapse anti-T lymphocyte globulin
Amo Type Original Article
出版物タイトル Acta Medica Okayama
発行日 2019-04
73巻
2号
出版者 Okayama University Medical School
開始ページ 161
終了ページ 171
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Ⓒ 2019 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 31015751
JaLCDOI 10.18926/AMO/56649
フルテキストURL 73_2_135.pdf
著者 Maeba, Takahiro| Yonezawa, Tomoko| Ono, Mitsuaki| Tomono, Yasuko| Heljasvaara, Ritva| Pihlajaniemi, Taina| Inagawa, Kiichi| Oohashi, Toshitaka|
抄録 The basement membrane (BM) is composed of various extracellular molecules and regulates tissue regeneration and maintenance. Here, we demonstrate that collagen XVIII was spatiotemporally expressed in the BM during skin wound healing in a mouse excisional wound-splinting model. Re-epithelialization was detected at days 3 and 6 post-wounding. The ultrastructure of epidermal BM was discontinuous at day 3, whereas on day 6 a continuous BM was observed in the region proximal to the wound edge. Immunohistochemistry demonstrated that collagen XVIII was deposited in the BM zone beneath newly forming epidermis in day 3 and 6 wounds. Laminin-332, known to be the earliest BM component appearing in wounds, was colocalized with collagen XVIII in the epidermal BM zone at days 3 and 6. The deposition of α1(IV) collagen and nidogen-1 in the epidermal BM zone occurred later than that of collagen XVIII. We also observed the short isoform of collagen XVIII in the epidermal BM zone at day 3 post-wounding. Collectively, our results suggested that collagen XVIII plays a role in the formation of the dermal-epidermal junction during re-epithelialization, and that it is the short isoform that is involved in the early phase of re-epithelialization.
キーワード collagen XVIII basement membrane wound healing re-epithelialization skin
Amo Type Original Article
出版物タイトル Acta Medica Okayama
発行日 2019-04
73巻
2号
出版者 Okayama University Medical School
開始ページ 135
終了ページ 146
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Ⓒ 2019 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 31015748
JaLCDOI 10.18926/AMO/56648
フルテキストURL 73_2_127.pdf
著者 Iwasaki, Yukari| Miyahara, Kimiko| Miyatake, Nobuyuki| Nakatsuka, Mikiya|
抄録 We aimed to clarify the state of thyroid function in female high school long-distance runners. We evaluated the associations between thyroid function and menstrual condition, bone mineral density (BMD), nutritious status, and body composition. The subjects’ height and weight were measured, along with fat percentage, fat mass, muscle mass, and BMD with dual-energy X-ray absorptiometry. A nutrition and dietary survey measured the subjects’ intake of energy and nutrients based on meals provided at the subjects’ dorm for 3 days in July of 2016 and 2017. Blood parameters including thyroid hormone and estradiol were measured. Most of the subjects (81.3%) were underweight (body mass index <18.5). The thyroid hormone free T3 value was decreased, but TSH was not increased and was similar to that observed in individuals with anorexia nervosa. In our subjects, thyroid hormone was associated with BMD and nutritional intake. To improve the menstruation abnormality of female athletes and to increase their bone density, the athletes’ weight should be managed by proper nutrient intake and the maintenance of their thyroid function.
キーワード thyroid function nutritious status female high school long-distance runners bone mineral density menstrual condition
Amo Type Original Article
出版物タイトル Acta Medica Okayama
発行日 2019-04
73巻
2号
出版者 Okayama University Medical School
開始ページ 127
終了ページ 133
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Ⓒ 2019 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 31015747
JaLCDOI 10.18926/AMO/56647
フルテキストURL 73_2_117.pdf
著者 Yamasaki, Yukie| Tamiya, Nanako| Yamamoto, Hideki| Miyaishi, Satoru|
抄録 According to the World Health Organization’s World Report, approx. 950,000 children and young people < 18 years old die from an injury each year, and unintentional injury deaths account for a large portion of these cases. Here we used medico-legal documents to epidemiologically analyze the cases of unintentional injury deaths among children < 5 years old in Okayama Prefecture, Japan from 2001 to 2015. Age, sex, manner/cause of death, and various circumstances of the incident were investigated. There were 73 unintentional injury deaths during the study period. Drowning (n=29), suffocation (n=24), and transport accidents (n=13) were the major categories of unintentional injury deaths. Twenty-two cases (30.1%) were autopsied. Differences in the characteristics of the unintentional injury deaths by age were observed. Information which cannot be obtained from Vital Statistics was available from medico-legal documents, and detailed characteristics of unintentional injury deaths among children < 5 years old were elucidated. Investigating medico-legal information is one of the meaningful measures for the prevention of unintentional injury deaths among children in Japan.
キーワード child death unintentional injury prevention medico-legal document
Amo Type Original Article
出版物タイトル Acta Medica Okayama
発行日 2019-04
73巻
2号
出版者 Okayama University Medical School
開始ページ 117
終了ページ 125
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Ⓒ 2019 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 31015746
JaLCDOI 10.18926/bgeou/56528
タイトル(別表記) Nodal Point of Yasuo Kuniyoshi and Art Movement in Setouchi
フルテキストURL bgeou_170_015_039.pdf
著者 才士 真司|
抄録  岡山大学大学院教育学研究科国吉康雄記念・美術教育研究と地域創生講座では、1889 年、岡山市に誕生し、米国で活躍した洋画家で社会活動家でもある国吉康雄の調査・研究活動を行なってきた。この成果として、国吉康雄と、国吉康雄作品をコレクション活動の原点とし、アート作品の設置理由に、近代以降の瀬戸内海の歴史の顕彰を含む、『ベネッセアートサイト直島』の運動、及びこれに関連する瀬戸内のアートプロジェクトとを繋ぐ企画展覧会を、2019 年4 月、岡山市が運営する岡山シティーミュージアムにおいて実施する。本論は、この企画展、『X-O. Modern(クロスオーバーモダン)SETOUCHI ⇄ Y.Kuniyoshi ⇄ NEW YORK』(仮)の展示計画作成のための考察である。
キーワード 国吉康雄 アート 地域 ベネッセアートサイト直島 瀬戸内国際芸術祭 瀬戸内海
出版物タイトル 岡山大学大学院教育学研究科研究集録
発行日 2019-02-22
170巻
開始ページ 15
終了ページ 39
ISSN 1883-2423
言語 日本語
論文のバージョン publisher
NAID 120006583686
JaLCDOI 10.18926/AMO/56462
フルテキストURL 73_1_77.pdf
著者 Morita, Mio| Matsumoto, Hiroshi| Shirakawa, Yasuhiro| Noma, Kazuhiro| Tanabe, Shunsuke| Kimata, Yoshihiro|
抄録 Anterior cervical plate fixation is a common surgical treatment for cervical spine trauma, disc herniation, or cervical spondylosis. Esophageal perforation following anterior cervical plate fixation is a rare but serious complication. Management of esophageal perforation is controversial; however, we suggest treating most cases surgically because this condition is slow to heal and often fatal. We managed 2 cases of esophageal perforation following anterior cervical plate fixation by flap reconstruction with the pectoralis major muscle in one case and a jejunal free flap in the other. Here, we report our experience and review the surgical indications.
キーワード anterior cervical plate fixation esophageal perforation reconstruction pectoralis major flap jejunal free flap
Amo Type Case Report
出版物タイトル Acta Medica Okayama
発行日 2019-02
73巻
1号
出版者 Okayama University Medical School
開始ページ 77
終了ページ 80
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Ⓒ 2019 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 30820058
JaLCDOI 10.18926/AMO/56457
フルテキストURL 73_1_43.pdf
著者 Ikeda, Ailee| Takaki, Akinobu| Yasunaka, Tetsuya| Oyama, Atsushi| Adachi, Takuya| Wada, Nozomu| Onishi, Hideki| Ikeda, Fusao| Shiraha, Hidenori| Yoshida, Kazuhiro| Kuise, Takashi| Nobuoka, Daisuke| Yoshida, Ryuichi| Umeda, Yuzo| Yagi, Takahito| Fujiwara, Toshiyoshi| Okada, Hiroyuki|
抄録 Post-orthotopic liver transplantation (OLT) hepatitis B recurrence is well-controlled with a nucleos(t)ide analogue and hepatitis B immunoglobulin (HBIG) combination, but the high cost and the potential risk of unknown infection associated with HBIG remain unresolved issues. Low-cost recombinant hepatitis B virus (HBV) vaccine administration is a potential solution to these problems. We retrospectively analyzed the rate and predictive factors of HBV vaccine success in 49 post-OLT patients: liver cirrhosis-type B (LC-B), n=28 patients; acute liver failure-type B (ALF-B), n=8; and non-HBV-related end-stage liver disease (non-B ESLD) who received a liver from anti-hepatitis B core antibody-positive donors, n=13. A positive anti-hepatitis B surface antibody response was achieved in 29% (8/28) of the LC-B group, 88% (7/8) of the ALF-B group, and 44% (4/9) of the adult non-B ESLD group. All four non-B ESLD infants showed vaccine success. The predictive factors for a good response in LC-B were young age, marital donor, and high donor age. ALF-B and non-B ESLD infants are thus good vaccination candidates. LC-B patients with marital donors are also good candidates, perhaps because the donated liver maintains an efficient immune memory to HBV, as the donors had already been infected in adulthood and showed adequate anti-HBV immune responses.
キーワード acute liver failure hepatitis B hepatitis B vaccine liver cirrhosis liver transplantation
Amo Type Original Article
出版物タイトル Acta Medica Okayama
発行日 2019-02
73巻
1号
出版者 Okayama University Medical School
開始ページ 41
終了ページ 50
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Ⓒ 2019 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 30820053
JaLCDOI 10.18926/AMO/56456
フルテキストURL 73_1_29.pdf
著者 Matsumoto, Atsushi| Nakamura, Takehiro| Shinomiya, Aya| Kawakita, Kenya| Kawanishi, Masahiko| Miyake, Keisuke| Kuroda, Yasuhiro| Keep, Richard F.| Tamiya, Takashi|
抄録 Cerebral vasospasm (CVS) is a major contributor to the high morbidity and mortality of aneurysmal subarachnoid hemorrhage (aSAH) patients. We measured histidine-rich glycoprotein (HRG), a new biomarker of aSAH, in cerebrospinal fluid (CSF) to investigate whether HRG might be an early predictor of CVS. A total of seven controls and 14 aSAH patients (8 males, 6 females aged 53.4±15.4 years) were enrolled, and serial CSF and serum samples were taken. We allocated these samples to three phases (T1-T3) and measured HRG, interleukin (IL)-6, fibrinopeptide A (FpA), and 8-hydroxy-2’-deoxyguanosine (8OHdG) in the CSF, and the HRG in serum. We also examined the release of HRG in rat blood incubated in artificial CSF. In contrast to the other biomarkers examined, the change in the CSF HRG concentration was significantly different between the nonspasm and spasm groups (p<0.01). The rat blood/CSF model revealed a time course similar to that of the human CSF samples in the non-spasm group. HRG thus appears to have the potential to become an early predictor of CVS. In addition, the interaction of HRG with IL-6, FpA, and 8OHdG may form the pathology of CVS.
キーワード biomarker histidine-rich glycoprotein predictor subarachnoid hemorrhage vasospasm
Amo Type Original Article
出版物タイトル Acta Medica Okayama
発行日 2019-02
73巻
1号
出版者 Okayama University Medical School
開始ページ 29
終了ページ 39
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Ⓒ 2019 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 30820052
JaLCDOI 10.18926/AMO/56452
フルテキストURL 73_1_1.pdf
著者 Morizane, Shin|
抄録 Excessive protease activity is a characteristic abnormality that affects the epidermal barrier in patients with atopic dermatitis (AD). Kallikrein-related peptidases (KLKs) are excessively expressed in AD lesions, and it is suggested that the abnormal action of KLKs is involved in the skin barrier dysfunction in AD. In other words, overexpressed KLKs disrupt the normal barrier function, and due to that breakdown, external substances that can become antigens of AD easily invade the epidermis, resulting in dermatitis, coupled with the induction of Th2 cytokines. Further investigations are required to elucidate the role of KLKs in AD; this knowledge could contribute to the design of new therapeutic and prophylactic drugs for AD.
キーワード atopic dermatitis kallikrein-related peptidases epidermal barrier dysfunction
Amo Type Review
出版物タイトル Acta Medica Okayama
発行日 2019-02
73巻
1号
出版者 Okayama University Medical School
開始ページ 1
終了ページ 6
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Ⓒ 2019 by Okayama University Medical School
論文のバージョン publisher
査読 有り
PubMed ID 30820048
フルテキストURL Nat_Plants_4_1044.pdf
著者 Takami, Tsuneaki| Ohnishi, Norikazu| Kurita, Yuko| Iwamura, Shoko| Ohnishi, Miwa| Kusaba, Makoto| Mimura, Tetsuro| Sakamoto, Wataru|
備考 This is an Accepted Manuscript of an article published by Springer Nature Publishing AG|
発行日 2018-05-12
出版物タイトル Nature Plants
4巻
出版者 Springer Nature Publishing AG
開始ページ 1044
終了ページ 1055
ISSN 20550278
NCID AA1273934X
資料タイプ 学術雑誌論文
言語 英語
OAI-PMH Set 岡山大学
論文のバージョン author
PubMed ID 30420711
DOI 10.1038/s41477-018-0291-x
関連URL isVersionOf https://doi.org/10.1038/s41477-018-0291-x
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/56371
フルテキストURL 72_6_547.pdf
著者 Watanabe, Akihisa| Ono, Qana| Nishigami, Tomohiko| Hirooka, Takahiko| Machida, Hirohisa|
抄録 Distinct anatomic variants of the scapula such as the critical shoulder angle (CSA) were found to be associated with rotator cuff tears (RCTs), but it is unclear whether the CSA is a risk factor in Japanese. Here we sought to determine whether the CSA is associated with RCTs in a Japanese population, and whether the CSA is a more useful parameter than the conventionally used parameters. Our RCT group and non-RCT group each consisted of 54 consecutive cases. We compared the groups’ values of CSA, the acromion index (AI), and the lateral acromion angle (LAA) obtained by X-ray imaging. Receiver operating characteristic (ROC) analyses were performed to determine cutoff values and the area under the curve (AUC), and to assess the odds ratio. The means of the CSA and the AI in the RCT group were significantly larger (36.3° vs. 33.7°, 0.74 vs 0.68), but the LAA did not show a significant between-group difference. The AUCs for the CSA and AI were 0.678 and 0.658, the cutoff values were 35.0° and 0.72, and the odds ratios were 3.1 and 2.5, respectively. In conclusion, the CSA was a strong risk factor compared to the AI and LAA for rotator cuff tears.
キーワード rotator cuff tear risk factor critical shoulder angle acromion index lateral acromion angle
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 547
終了ページ 551
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 30573908
NAID 120006545156
フルテキストURL PhysRevB_97_094525.pdf
著者 Terashima, K.| Paris, E.| Simonelli, L.| Salas-Colera, E.| Puri, A.| Wakita, T.| Yamada, Y.| Nakano, S.| Idei, H.| Kudo, K.| Nohara, M.| Muraoka, Y.| Mizokawa, T.| Yokoya, T.| Saini, N. L.|
備考 This is an article published by American Physical Society|
発行日 2018-09-28
出版物タイトル Physical Review B
98巻
9号
出版者 American Physical Society
開始ページ 094525
ISSN 24699950
NCID AA11187113
資料タイプ 学術雑誌論文
言語 英語
OAI-PMH Set 岡山大学
論文のバージョン publisher
DOI 10.1103/PhysRevB.98.094525
Web of Science KeyUT 000446178800008
関連URL isVersionOf https://doi.org/10.1103/PhysRevB.98.094525
フルテキストURL mjou_061_001_018.pdf
著者 Yang, Yu|
抄録 Let R be a complete discrete valuation ring with algebraically residue field of characteristic p > 0 and X a stable curve over R. In the present paper, we study the geometry of coverings of X. Under certain assumptions, we prove that, by replacing R by a finite extension of R, there exists a morphism of stable curves f : Y → X over R such that the morphism fη : Yη → Xη induced by f on generic fibers is finite étale and the morphism fs : Ys → Xs induced by f on special fibers is non-finite.
キーワード stable curve stable covering vertical point admissible covering
発行日 2019-01
出版物タイトル Mathematical Journal of Okayama University
61巻
1号
出版者 Department of Mathematics, Faculty of Science, Okayama University
開始ページ 1
終了ページ 18
ISSN 0030-1566
NCID AA00723502
資料タイプ 学術雑誌論文
言語 英語
著作権者 Copyright©2019 by the Editorial Board of Mathematical Journal of Okayama University
フルテキストURL PhysRevB_97_104511.pdf
著者 Kobayashi, Kaya| Ai, Yukio| Jeschke, Harald O.| Akimitsu, Jun|
備考 This is an article published by American Physical Society|
発行日 2018-03-26
出版物タイトル Physical Review B
97巻
出版者 American Physical Society
開始ページ 104511
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
論文のバージョン publisher
DOI 10.1103/PhysRevB.97.104511
Web of Science KeyUT 000428238600008
関連URL isVersionOf https://doi.org/10.1103/PhysRevB.97.104511
フルテキストURL K0005825_abstract_review.pdf K0005825_fulltext.pdf
著者 押目 典宏|
発行日 2018-09-27
資料タイプ 学位論文
学位授与番号 甲第5825号
学位授与年月日 2018-09-27
学位・専攻分野 博士(工学)
授与大学 岡山大学
言語 英語
フルテキストURL K0005799_abstract_review.pdf K0005799_fulltext.pdf K0005799_summary.pdf
著者 青山 克幸|
発行日 2018-09-27
資料タイプ 学位論文
学位授与番号 甲第5799号
学位授与年月日 2018-09-27
学位・専攻分野 博士(医学)
授与大学 岡山大学
言語 英語
JaLCDOI 10.18926/AMO/56252
フルテキストURL 72_5_525.pdf
著者 Kakutani, Rika| Kondo, Naoki| Mochizuki, Tomoharu| Fujisawa, Junichi| Endo, Naoto|
抄録 The bilateral shoulder pain of an 81-year-old Japanese woman due to falls persisted despite celecoxib treatment, and plain X-rays later showed bilateral collapsed humeral heads. After ruling out osteoarthritis, infectious arthritis, crystal-induced arthritis, neuropathic arthropathy, and osteonecrosis, we diagnosed bilateral shoulder joint rapidly destructive arthrosis (RDA). Lumbar bone mineral density showed very low T-score (−4.1). Primary osteoporosis was observed. Histology of biopsied humeral head indicated the features of fracture healing process: callus formation and osteoclasts without empty lacunae. Her history thus included an insufficiency fracture due to severe osteoporosis. Bilateral humeral head replacement was performed; her shoulder joint function improved. This case is extremely rare in that RDA was caused by simultaneous bilateral shoulder joint collapse within a very short time, with minimal or low mechanical stress and severe osteoporosis.
キーワード rapidly destructive arthrosis differential diagnosis humeral head replacement osteoporosis shoulder joint
Amo Type Case Report
出版物タイトル Acta Medica Okayama
発行日 2018-10
72巻
5号
出版者 Okayama University Medical School
開始ページ 525
終了ページ 530
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 30369611