| Title Alternative | Idiopathic interstitial pneumonias: Idiopathic pulmonary fibrosis |
|---|---|
| Author | Higo, Hisao| |
| Keywords | 特発性肺線維症 UIP パターン 多分野による集学的検討 |
| Publication Title | Journal of Okayama Medical Association |
| Published Date | 2023-04-01 |
| Volume | volume135 |
| Issue | issue1 |
| Start Page | 36 |
| End Page | 38 |
| ISSN | 0030-1558 |
| Related Url | isVersionOf https://doi.org/10.4044/joma.135.36 |
| language | Japanese |
| Copyright Holders | Copyright (c) 2023 岡山医学会 |
| File Version | publisher |
| DOI | 10.4044/joma.135.36 |
| Title Alternative | Hereditary diffuse leukoencephalopathy with spheroids |
|---|---|
| Author | Yunoki, Taijun| Yamashita, Toru| |
| Keywords | 神経軸索スフェロイド形成を伴う遺伝性びまん性白質脳症 若年性認知症 大脳白質病変 |
| Publication Title | Journal of Okayama Medical Association |
| Published Date | 2023-04-01 |
| Volume | volume135 |
| Issue | issue1 |
| Start Page | 34 |
| End Page | 35 |
| ISSN | 0030-1558 |
| Related Url | isVersionOf https://doi.org/10.4044/joma.135.34 |
| language | Japanese |
| Copyright Holders | Copyright (c) 2023 岡山医学会 |
| File Version | publisher |
| DOI | 10.4044/joma.135.34 |
| Title Alternative | Experience with a nosocomial cluster of novel coronavirus infection and the cluster response algorithm |
|---|---|
| Author | Fujita, Koji| Ocho, Kazuki| Kadowaki, Tomoka| Yorifuji, Takashi| Otsuka, Fumio| |
| Abstract | The novel coronavirus disease (COVID-19) pandemic that began in 2019 is yet to end, as of the summer of 2022. During the pandemic, community-acquired infections spread easily to healthcare-associated facilities, resulting in COVID-19 clusters among high-risk individuals that have been difficult to contain. Our regional base hospital also experienced a nosocomial cluster of COVID-19 in October 2020 that took 30 days to contain and affected 9 hospital staff and 14 patients. Six patients died due to COVID-19, and six died due to COVID-19-related complications. Two patients were discharged alive. Patient characteristics included ① advanced age (79.0±8.1 years), ② dementia (64.3%), ③ low Prognostic Nutrition Index (31.1 ±7.9), ④ zinc deficiency (50.2±13.1μg/dL), ⑤ vitamin C deficiency (1.6±1.9μg/mL), ⑥ elevated urea nitrogen-to-creatinine ratio (27.4±23.5), ⑦ anticancer and immunosuppressive drug use (78.6%), and ⑧ malignancy (75.6%). This cluster had a very high mortality rate, but the viral spread was contained in a short period. Algorithmizing the cluster response was crucial to controlling this cluster. We report on our actual cluster response algorithm, as well as our strategy and response procedure during the pandemic. |
| Keywords | 新型コロナウイルス感染症（COVID-19） 院内クラスター（nosocomial cluster） 対応アルゴリズム（response algorithm） |
| Publication Title | Journal of Okayama Medical Association |
| Published Date | 2023-04-01 |
| Volume | volume135 |
| Issue | issue1 |
| Start Page | 22 |
| End Page | 33 |
| ISSN | 0030-1558 |
| Related Url | isVersionOf https://doi.org/10.4044/joma.135.22 |
| language | Japanese |
| Copyright Holders | Copyright (c) 2023 岡山医学会 |
| File Version | publisher |
| DOI | 10.4044/joma.135.22 |
| Title Alternative | Current status and problems regarding HCC screening for the NAFLD patients |
|---|---|
| Author | Otsuka, Motoyuki| |
| Keywords | 脂肪肝 NASH 肝癌 スクリーニング |
| Publication Title | Journal of Okayama Medical Association |
| Published Date | 2023-04-01 |
| Volume | volume135 |
| Issue | issue1 |
| Start Page | 18 |
| End Page | 21 |
| ISSN | 0030-1558 |
| Related Url | isVersionOf https://doi.org/10.4044/joma.135.18 |
| language | Japanese |
| Copyright Holders | Copyright (c) 2023 岡山医学会 |
| File Version | publisher |
| DOI | 10.4044/joma.135.18 |
| Title Alternative | Morphological perspectives on the fate determination of neural progenitor cells |
|---|---|
| Author | Kawaguchi, Ayano| |
| Keywords | 神経発生 神経前駆細胞 非対称分裂 |
| Publication Title | Journal of Okayama Medical Association |
| Published Date | 2023-04-01 |
| Volume | volume135 |
| Issue | issue1 |
| Start Page | 12 |
| End Page | 17 |
| ISSN | 0030-1558 |
| Related Url | isVersionOf https://doi.org/10.4044/joma.135.12 |
| language | Japanese |
| Copyright Holders | Copyright (c) 2023 岡山医学会 |
| File Version | publisher |
| DOI | 10.4044/joma.135.12 |
| Title Alternative | The 2021 Incentive Award of the Okayama Medical Association in Cancer Research (2021 Hayashibara Prize and Yamada Prize) |
|---|---|
| Author | Yamasaki, Yasushi| |
| Publication Title | Journal of Okayama Medical Association |
| Published Date | 2023-04-01 |
| Volume | volume135 |
| Issue | issue1 |
| Start Page | 9 |
| End Page | 11 |
| ISSN | 0030-1558 |
| Related Url | isVersionOf https://doi.org/10.4044/joma.135.9 |
| language | Japanese |
| Copyright Holders | Copyright (c) 2023 岡山医学会 |
| File Version | publisher |
| DOI | 10.4044/joma.135.9 |
| Title Alternative | The 2021 Incentive Award of the Okayama Medical Association in Cardiovascular and Pulmonary Research (2021 Sunada Prize) |
|---|---|
| Author | Kobayashi, Yasuyuki| |
| Publication Title | Journal of Okayama Medical Association |
| Published Date | 2023-04-01 |
| Volume | volume135 |
| Issue | issue1 |
| Start Page | 6 |
| End Page | 8 |
| ISSN | 0030-1558 |
| Related Url | isVersionOf https://doi.org/10.4044/joma.135.6 |
| language | Japanese |
| Copyright Holders | Copyright (c) 2023 岡山医学会 |
| File Version | publisher |
| DOI | 10.4044/joma.135.6 |
| Title Alternative | The 2021 Incentive Award of the Okayama Medical Association in General Medical Science (2021 Yuuki Prize) |
|---|---|
| Author | Yamaguchi, Satoshi| |
| Publication Title | Journal of Okayama Medical Association |
| Published Date | 2023-04-01 |
| Volume | volume135 |
| Issue | issue1 |
| Start Page | 3 |
| End Page | 5 |
| ISSN | 0030-1558 |
| Related Url | isVersionOf https://doi.org/10.4044/joma.135.3 |
| language | Japanese |
| Copyright Holders | Copyright (c) 2023 岡山医学会 |
| File Version | publisher |
| DOI | 10.4044/joma.135.3 |
| Title Alternative | The 2021 Incentive Award of the Okayama Medical Association in General Medical Science (2021 Yuuki Prize) |
|---|---|
| Author | Harada, Ko| |
| Publication Title | Journal of Okayama Medical Association |
| Published Date | 2023-04-01 |
| Volume | volume135 |
| Issue | issue1 |
| Start Page | 1 |
| End Page | 2 |
| ISSN | 0030-1558 |
| Related Url | isVersionOf https://doi.org/10.4044/joma.135.1 |
| language | Japanese |
| Copyright Holders | Copyright (c) 2023 岡山医学会 |
| File Version | publisher |
| DOI | 10.4044/joma.135.1 |
| Title Alternative | The 28th Annual Meeting of the Japanese Society for Hereditary Tumors |
|---|---|
| Author | Fujiwara, Toshiyoshi| Tanakaya, Kohji| Shigeyasu, Kunitoshi| |
| Publication Title | Journal of Okayama Medical Association |
| Published Date | 2022-12-01 |
| Volume | volume134 |
| Issue | issue3 |
| Start Page | 192 |
| End Page | 194 |
| ISSN | 0030-1558 |
| Related Url | isVersionOf https://doi.org/10.4044/joma.134.192 |
| language | Japanese |
| Copyright Holders | Copyright (c) 2022 岡山医学会 |
| File Version | publisher |
| DOI | 10.4044/joma.134.192 |
| Title Alternative | Advance care planning (ACP) |
|---|---|
| Author | Katayama, Hideki| |
| Publication Title | Journal of Okayama Medical Association |
| Published Date | 2022-12-01 |
| Volume | volume134 |
| Issue | issue3 |
| Start Page | 187 |
| End Page | 189 |
| ISSN | 0030-1558 |
| Related Url | isVersionOf https://doi.org/10.4044/joma.134.187 |
| language | Japanese |
| Copyright Holders | Copyright (c) 2022 岡山医学会 |
| File Version | publisher |
| DOI | 10.4044/joma.134.187 |
| Title Alternative | Drug interaction (55. Examples of drug interaction of great concern during pregnancy) |
|---|---|
| Author | Shiromizu, Shoya| Esumi, Satoru| Zamami, Yoshito| |
| Publication Title | Journal of Okayama Medical Association |
| Published Date | 2022-12-01 |
| Volume | volume134 |
| Issue | issue3 |
| Start Page | 185 |
| End Page | 186 |
| ISSN | 0030-1558 |
| Related Url | isVersionOf https://doi.org/10.4044/joma.134.185 |
| language | Japanese |
| Copyright Holders | Copyright (c) 2022 岡山医学会 |
| File Version | publisher |
| DOI | 10.4044/joma.134.185 |
| Title Alternative | Primary biliary cholangitis : PBC |
|---|---|
| Author | Takaki, Akinobu| Takeuchi, Yasuto| Yasunaka, Tetsuya| |
| Keywords | 原発性胆汁性胆管炎 原発性胆汁性肝硬変 ウルソデオキシコール酸 ベザフィブラート |
| Publication Title | Journal of Okayama Medical Association |
| Published Date | 2022-12-01 |
| Volume | volume134 |
| Issue | issue3 |
| Start Page | 180 |
| End Page | 184 |
| ISSN | 0030-1558 |
| Related Url | isVersionOf https://doi.org/10.4044/joma.134.180 |
| language | Japanese |
| Copyright Holders | Copyright (c) 2022 岡山医学会 |
| File Version | publisher |
| DOI | 10.4044/joma.134.180 |
| Title Alternative | Achondroplasia |
|---|---|
| Author | Hasegawa, Kosei| Futagawa, Natsuko| Miyahara, Hiroyuki| Tsukahara, Hirokazu| |
| Keywords | 骨系統疾患 FGFR3 指定難病 成長ホルモン ガイドライン |
| Publication Title | Journal of Okayama Medical Association |
| Published Date | 2022-12-01 |
| Volume | volume134 |
| Issue | issue3 |
| Start Page | 176 |
| End Page | 179 |
| ISSN | 0030-1558 |
| Related Url | isVersionOf https://doi.org/10.4044/joma.134.176 |
| language | Japanese |
| Copyright Holders | Copyright (c) 2022 岡山医学会 |
| File Version | publisher |
| DOI | 10.4044/joma.134.176 |
| Title Alternative | An in-hospital relapse case of an elderly COVID-19 patient on steroids |
|---|---|
| Author | Fujita, Koji| Ocho, Kazuki| |
| Abstract | During a pandemic like the novel coronavirus infection 2019 (COVID-19), the availability of inpatient beds is always a major issue. Thus, it is extremely important to release patients from isolation efficiently in order to maintain stable bed operations. However, in clinical practice, patients may develop fever again, before or after the timing specified by the Ministry of Health, Labor and Welfare (MHLW) for lifting isolation, and hence it may be difficult to determine whether the fever is due to a delay in recovery or due to relapse. The diagnosis of relapse is based primarily on the recurrence of symptoms consistent with COVID-19 and a positive PCR result, but few reports have focused on comparing the patterns of variation in two or more blood test findings over the course of the disease. In the present study, we study a case of relapse in an elderly patient on immunosuppressive drugs. Understanding the unique patterns of variability between baseline blood test values and acute infection test values in each individual patient may serve as an adjunctive tool to help diagnose COVID-19 relapse. |
| Keywords | 再燃（relapse） 新型コロナウイルス感染症（COVID-19） 高齢者（elderly） ステロイド（steroids） |
| Publication Title | Journal of Okayama Medical Association |
| Published Date | 2022-12-01 |
| Volume | volume134 |
| Issue | issue3 |
| Start Page | 171 |
| End Page | 175 |
| ISSN | 0030-1558 |
| Related Url | isVersionOf https://doi.org/10.4044/joma.134.171 |
| language | Japanese |
| Copyright Holders | Copyright (c) 2022 岡山医学会 |
| File Version | publisher |
| DOI | 10.4044/joma.134.171 |
| Title Alternative | A case of duodenal diverticulitis in a patient receiving tocilizumab for rheumatoid arthritis |
|---|---|
| Author | Iwamuro, Masaya| Baba, Yuki| Kawahara, Yoshiro| Okada, Hiroyuki| |
| Abstract | A Japanese woman was diagnosed with rheumatoid arthritis at the age of 41. At the age of 56, her rheumatoid arthritis worsened and a subcutaneous injection of tocilizumab and oral prednisolone was administered, which led to an improvement of arthritis. At the age of 57, right lower abdominal pain and vomiting suddenly appeared. Abdominal computed tomography showed a parapapillary diverticulum in the descending duodenum. The diverticulum was filled with residue, and an inflammation of the surrounding adipose tissue was observed; no free air was found. The patient was diagnosed with duodenal diverticulitis and treated with antibiotics, which resulted in an uneventful recovery. The maximum value of CRP was 1.88㎎/dL on the third day of hospitalization. Esophagogastroduodenoscopy performed on the 8th day of hospitalization revealed a parapapillary diverticulum with adhesion of pus and redness of the mucosa at the opening of the diverticulum, consistent with diverticulitis. This case highlights that diverticulitis in infrequent areas such as the duodenum may occur in patients who are treated with tocilizumab. In addition, inflammation of diverticulitis may be underestimated because abnormal laboratory values such as those induced by inflammatory reactions are less likely to occur during tocilizumab treatment. |
| Keywords | トシリズマブ（tocilizumab） 十二指腸憩室（duodenal diverticulum） 憩室炎（diverticulitis） |
| Publication Title | Journal of Okayama Medical Association |
| Published Date | 2022-12-01 |
| Volume | volume134 |
| Issue | issue3 |
| Start Page | 166 |
| End Page | 170 |
| ISSN | 0030-1558 |
| Related Url | isVersionOf https://doi.org/10.4044/joma.134.166 |
| language | Japanese |
| Copyright Holders | Copyright (c) 2022 岡山医学会 |
| File Version | publisher |
| DOI | 10.4044/joma.134.166 |
| Title Alternative | A descriptive analysis for the comparison of the symptoms and severity of coronavirus disease 2019 (COVID-19) in each epidemic period in Okayama City |
|---|---|
| Author | Matsuo, Rumi| Matsumoto, Naomi| Kadowaki, Tomoka| Mitsuhashi, Toshiharu| Takao, Soshi| Yorifuji, Takashi| |
| Abstract | Japan experienced four major epidemic periods (i.e., the 3rd-6th waves) of COVID-19 from January 2020 to March 2022. A different strain predominated in each period: the wild-type strain, an Alpha variant, a Delta variant, and an Omicron variant were predominant in waves 3, 4, 5, and 6, respectively. In this study, we conducted a descriptive analysis to investigate the differences in symptoms and severity during each epidemic period. We analyzed a total of 31,037 patients with COVID-19 who were reported to the Okayama City Public Health Center between February 1, 2020 and March 31, 2022. We described and compared the proportion of symptoms, the number and proportion of severe COVID-19 cases, and the number and proportion of deaths for each epidemic period. We also compared the proportion of severe COVID-19 cases depending on the number of vaccinations for the 5th and 6th waves. Differences in symptoms and severity were observed in each epidemic period. In the 5th and 6th waves, the results suggested that vaccination had a preventive effect against severe COVID-19. |
| Keywords | 新型コロナウイルス感染症（coronavirus disease 2019 ） COVID-19 症状（symptom） 重症度（severity） ワクチン（vaccination） |
| Publication Title | Journal of Okayama Medical Association |
| Published Date | 2022-12-01 |
| Volume | volume134 |
| Issue | issue3 |
| Start Page | 160 |
| End Page | 165 |
| ISSN | 0030-1558 |
| Related Url | isVersionOf https://doi.org/10.4044/joma.134.160 |
| language | Japanese |
| Copyright Holders | Copyright (c) 2022 岡山医学会 |
| File Version | publisher |
| DOI | 10.4044/joma.134.160 |
| Title Alternative | Endoscopic and exoscopic neurosurgery |
|---|---|
| Author | Date, Isao| |
| Keywords | 神経内視鏡 神経外視鏡 脳神経外科 heads-up surgery |
| Publication Title | Journal of Okayama Medical Association |
| Published Date | 2022-12-01 |
| Volume | volume134 |
| Issue | issue3 |
| Start Page | 152 |
| End Page | 159 |
| ISSN | 0030-1558 |
| Related Url | isVersionOf https://doi.org/10.4044/joma.134.152 |
| language | Japanese |
| Copyright Holders | Copyright (c) 2022 岡山医学会 |
| File Version | publisher |
| DOI | 10.4044/joma.134.152 |
| Title Alternative | Non-vascular interventional radiology for lung cancer |
|---|---|
| Author | Hiraki, Takao| |
| Keywords | 肺癌（lung cancer） インターベンショナルラジオロジー（interventional radiology） 非血管系（non-vascular） |
| Publication Title | Journal of Okayama Medical Association |
| Published Date | 2022-12-01 |
| Volume | volume134 |
| Issue | issue3 |
| Start Page | 145 |
| End Page | 151 |
| ISSN | 0030-1558 |
| Related Url | isVersionOf https://doi.org/10.4044/joma.134.145 |
| language | Japanese |
| Copyright Holders | Copyright (c) 2022 岡山医学会 |
| File Version | publisher |
| DOI | 10.4044/joma.134.145 |
| Title Alternative | The 2021 Incentive Award of the Okayama Medical Association in Cancer Research (2021 Hayashibara Prize and Yamada Prize) |
|---|---|
| Author | Kakiuchi, Yoshihiko| |
| Publication Title | Journal of Okayama Medical Association |
| Published Date | 2022-12-01 |
| Volume | volume134 |
| Issue | issue3 |
| Start Page | 142 |
| End Page | 144 |
| ISSN | 0030-1558 |
| Related Url | isVersionOf https://doi.org/10.4044/joma.134.142 |
| language | Japanese |
| Copyright Holders | Copyright (c) 2022 岡山医学会 |
| File Version | publisher |
| DOI | 10.4044/joma.134.142 |
