| Author | 岡山大学医学部保健学科| |
|---|---|
| Published Date | 2002-03-20 |
| Publication Title | 岡山大学医学部保健学科紀要 |
| Volume | volume12 |
| Issue | issue2 |
| Content Type | Others |
| Author | Goda, Noriko| Shirai, Kiyoko| Okazaki, Yuka| |
|---|---|
| Published Date | 2002-03-20 |
| Publication Title | 岡山大学医学部保健学科紀要 |
| Volume | volume12 |
| Issue | issue2 |
| Content Type | Others |
| JaLCDOI | 10.18926/15232 |
|---|---|
| Title Alternative | Investigation of collaboration among community-based medical facilities and patient support system in centralcommunity hospitals in Okayama |
| FullText URL | 012_2_123_129.pdf |
| Author | Nagamune, Noriyo| Nakanishi, Yoshiko| Kawata, Chieko| Ohta, Niwa| Hayashi, Yuko| Yasukata, Fumiko| |
| Abstract | 本研究の目的は, 1)県下中核病院の地域医療連携,患者支援活動の現状について面接調査を行い,その実態を明らかにすること, 2)その結果をもとに,今後の特定機能病院に求められる地域医療連携や患者支援のあり方を検討する上での参考にすること,の2点にあった｡県下10か所の地域中核病院を対象に,地域医療連携業務やその他の患者支援活動に関する質問紙を作成し,面接調査を行った｡その結果,医療連携部門の歴史や業務内容は様々であったが,どの病院も地域医療連携部門を設置することで,開業医との連携を強化し,紹介･逆紹介の円滑化を図ろうとしている状況がうかがえた｡特に連携業務の中 でも,開業医からの紹介患者を病院にスムーズに受け入れる機能を重視している傾向が見られた｡また,すべての対象病院が地域医療連携以外の患者支援活動を行う部門を有しており,医療相談や地域の医療保健施設との連携強化等の業務を主に行っていた｡これらの調査結果をもとに,特定機能病院である大学病院に求められる地域医療連携･患者支援のあり方について考察した｡ |
| Keywords | 地域医療連携 (collaboration among community-based medical facilities) 患者支援システム (patient support system) |
| Publication Title | 岡山大学医学部保健学科紀要 |
| Published Date | 2002-03-20 |
| Volume | volume12 |
| Issue | issue2 |
| Start Page | 123 |
| End Page | 129 |
| ISSN | 1345-0948 |
| language | Japanese |
| File Version | publisher |
| NAID | 120002307287 |
| JaLCDOI | 10.18926/15231 |
|---|---|
| Title Alternative | A case report of Homalogaster paloniae from the cecum of a bull in Fukuyama City |
| FullText URL | 012_2_119_122.pdf |
| Author | Saito, Tetsuro| Igami, Norio| Taguchi, Kazufumi| Shigeto, Kaduhiro| Takaoki, Mie| Tongu, Yasumasa| |
| Abstract | 広島県福山市のとちく場で1頭の牛の盲腸より22匹の吸虫を検出し､形態的特徴より総て平腹双口吸虫Homalogaster paloniaeの成虫と同定した｡この牛は岡山県真庭郡川上村で生まれ､そこで約10ヶ月飼育されていた｡福山市の牧場内には､この吸虫の中間宿主であるヒラマキモドキガイが生息するような環境はなく､岡山県で飼育されていた時にこの吸虫に感染した可能性が高いと推察された｡ |
| Keywords | 平腹双口吸虫 (Homalogaster paloniae) 牛 (bull) 盲腸 (cecum) 福山市 (Fukuyama City) |
| Publication Title | 岡山大学医学部保健学科紀要 |
| Published Date | 2002-03-20 |
| Volume | volume12 |
| Issue | issue2 |
| Start Page | 119 |
| End Page | 122 |
| ISSN | 1345-0948 |
| language | Japanese |
| File Version | publisher |
| NAID | 120002307372 |
| JaLCDOI | 10.18926/15230 |
|---|---|
| Title Alternative | マイクロコントローラを組み込んだ歯科インプラント動揺測定装置の開発 |
| FullText URL | 012_2_107_117.pdf |
| Author | Kusuma Wijaya, Sastra| Oka, Hisao| Saratani, Keiji| Matsutani, Yoshio| Tatsuta, Mitsuhiro| Kawazoe, Takayoshi| Kojima, Hideki| |
| Abstract | The aim of this study was to develop a portable device (IM checker) for measuring dental implant mobility using a microcontroller. A constant amplitude and frequency vibration was applied to a dental implant model and the acceleration signal was detected using measuring probe. Then the IM score was obtained using the criteria developed in this study. We made several implant models of different implant lengths, diameters and material of Rigolac® or Molteno®. There was a linear relationship between mechanical mobility at 400 Hz of the models and the IM scores (R(2) = 0.92). The IM checker could discriminate the mobility of dental implant models in twelve measurements with P < 0.01. There was no significant difference in the means of the IM score measured by four operators with P < 0.01. The results indicated that the IM checker had sufficient reliability and could be available in dental clinics. |
| Keywords | Tooth mobility (歯の動揺) mechanical mobility (機械モビリティ) dental implant (インプラント) manual examination (触診) |
| Publication Title | 岡山大学医学部保健学科紀要 |
| Published Date | 2002-03-20 |
| Volume | volume12 |
| Issue | issue2 |
| Start Page | 107 |
| End Page | 117 |
| ISSN | 1345-0948 |
| language | English |
| File Version | publisher |
| NAID | 120002307430 |
| JaLCDOI | 10.18926/15229 |
|---|---|
| Title Alternative | 加温後のtsAF8細胞の細胞周期 |
| FullText URL | 012_2_101_106.pdf |
| Author | Shibuya, Koichi| Kawasaki, Shoji| Kuroda, Masahiro| Asaumi, Jun-ichi| Kato, Hirokazu| Hiraki, Yoshio| |
| Abstract | Thermotolerance in tsAF8 cells develops during incubation at 34℃ after heating at 45℃, while it is suppressed by the following incubation at a non-permissive temperature of 39.7℃ after the same heating. The incubation temperature after heating may affect the cell cycle and consequently thermotolerance. In the present study, a relationship between the thermotolerance and the cell cycle of tsAF8 was investigated. The cell cycle fractions and DNA synthesis were measured by flow cytometry using double staining with propidium iodide and bromodeoxyuridine. When the tsAF8 cells were heated at 45℃ for 20 min, and thereafter incubated at 34℃, bromodeoxyuridine uptake in the S phase cells (DNA synthesis) was recovered to 65.1% 6 h after the heating, and the cells showed gradual accumulation in the G(2)/M phase. When the cells were incubated at 39.7℃ after heating at 45℃ for 20 min, then showed inhibition of thermotolerance development, the DNA synthesis was recovered to 15.1% temporarily 6 h after the heating, but it became 0% after 12 h, and the cells did not remarkably accumulate in any phases of the cell cycle. This inhibition of DNA synthesis at 39.7℃ was considered to be the result of cell survival decreasing by a step-down heating. However, the relationship between the thermotolerance and the cell cycle was not found out in tsAF8 cells, because the cells did not accumulate in any phases of the cell cycle under the inhibitory condition of thermotolerance. |
| Keywords | thermotolerance (温熱耐性) hyperthermia (ハイパーサーミア) tsAF8 cell cycle (細胞周期) |
| Publication Title | 岡山大学医学部保健学科紀要 |
| Published Date | 2002-03-20 |
| Volume | volume12 |
| Issue | issue2 |
| Start Page | 101 |
| End Page | 106 |
| ISSN | 1345-0948 |
| language | English |
| File Version | publisher |
| NAID | 120002307264 |
| JaLCDOI | 10.18926/15228 |
|---|---|
| Title Alternative | 放射線エネルギーの違いによる喉頭癌における吸収線量の影響 |
| FullText URL | 012_2_091_099.pdf |
| Author | Aoyama, Hideki| Nakagiri, Yoshitada| Inoue, Mitsuhiro| Inamura, Keiji| Tahara, Seiji| Uno, Hirofumi| Morioka, Yasuki| Hiraki, Yoshio| |
| Abstract | We investigated the usefulness of Gafchromic MD-55 film (Nuclear Associates, Inc.) for measuring the radiation doses on the radiotherapy of laryngeal cancers. Since larynx has thin wedge-shaped structure in anterior neck adjacent to airway, the radiation doses to the lesion may be diminished because of build-up and build-down. So, the dose has been measured with conventional measuring systems such as thermoluminescent dosimetry (TLD). However, it was not possible to evaluate the dose distribution correctly using TLD, because it is impossible to float a TLD chip in an air cavity. In this study, we employed Gafchromic MD-55 film as a dosimeter, for it can be set on the area of interest and with a measurability of dose range of 3 to 100 Gy, though it has no energy dependency. And this radiometer is composition near the soft tissue of the human body. The dose distributions to larynx were investigated with this film using neck phantom under each radiation beam energy of 4, 6 and 10 MV x-rays. Our neck phantom is made from acrylic resin and simulates a normal larynx on the basis of image information of computed tomography (CT). Moreover we observed secondary build-up and build-down curves in tissue in the vicinity of air cavities, especially at 10 MV x-rays. These findings suggest that patients with TI-T2 glottic cancers with anterior commissure invasion may receive more effective treatment with 4 MV x-rays rather than with 6 MV and 10 MV x-rays. |
| Keywords | Gafchromic MD-55-2 film radiation dose build-up build-down glottic cancer |
| Publication Title | 岡山大学医学部保健学科紀要 |
| Published Date | 2002-03-20 |
| Volume | volume12 |
| Issue | issue2 |
| Start Page | 91 |
| End Page | 99 |
| ISSN | 1345-0948 |
| language | English |
| File Version | publisher |
| NAID | 120002307342 |
| JaLCDOI | 10.18926/15227 |
|---|---|
| Title Alternative | Suitability on the densitometry systematize in Laser Densitometer Model 1710 for Gafchromic MD-55-2 film |
| FullText URL | 012_2_083_090.pdf |
| Author | Aoyama, Hideki| Nakagiri, Yoshitada| Inoue, Mitsuhiro| Inamura, Keiji| Tahara, Seiji| Uno, Hirofumi| Morioka, Yasuki| Hiraki, Yoshio| |
| Abstract | 医療の高度化に伴い,放射線治療分野においても急速な技術革新が行われている｡QOL(Quality of Life)を考慮に入れた治療が求められる多くの場合,放射線治療が大きな選択肢の一つであることは言うまでもない｡このような状況下の中で,正常組織に影響を与えず病巣に限局した放射線を照射する技術が開発され,外照射においては,欧米に習い我が国でも研究段階から臨床へ移り変わろうとしている｡その際に,投与線量評価を欠かすことができないが,従来から使用されているいずれの線量計も新しい治療法に対応しきれていない｡そこで,フィルムタイプ線量計, Gafchromic MD-55-2 film の開発により,いくつかの問題が解決されてきている｡しかし,この線量計を精度良く測定する濃度測定器が必要になるが,現段階において規格化されたガイドラインが存在しないのが現状である｡そこで本研究では,当施設で保有しているⅩ線フィルム線量測定用 Laser Densitometer Model 1710 を用いて Gafchromic MD-55-2 fllm による線量測定を行い,問題点の抽出を行うとともに線量測定精度の考察を行った｡ |
| Keywords | Gafchromic MD-55-2 film Laser Densitometer Model 1710 濃度測定器制御ソフトウェア (Control software of densitometry system) 測定精度 (Accuracy of measurement) |
| Publication Title | 岡山大学医学部保健学科紀要 |
| Published Date | 2002-03-20 |
| Volume | volume12 |
| Issue | issue2 |
| Start Page | 83 |
| End Page | 90 |
| ISSN | 1345-0948 |
| language | Japanese |
| File Version | publisher |
| NAID | 120002307935 |
