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Title Alternative Q17・Q18・Q19
FullText URL 129_129.pdf
Author 岡山医学会|
Publication Title Journal of Okayama Medical Association
Published Date 2017-08-01
Volume volume129
Issue issue2
Start Page 129
End Page 130
ISSN 0030-1558
Related Url https://doi.org/10.4044/joma.129.129
language Japanese
Copyright Holders Copyright (c) 2017 岡山医学会
File Version publisher
DOI 10.4044/joma.129.129
NAID 130006039379
Title Alternative Achalasia treated with per-oral endoscopic myotomy (POEM)
FullText URL 129_115.pdf
Author Sugihara, Yuusaku| Harada, Keita| Kato, Ryo| Yamauchi, Kenji| Takashima, Shiho| Takei, Daisuke| Inokuchia, Toshihiro| Takahara, Masahiro| Kawano, Seiji| Hiraoka, Sakiko| Tanabe, Shunsuke| Noma, Kazuhiro| Shirakawa, Yasuhiro| Manabe, Noriaki| Inoue, Haruhiro| Okada, Hiroyuki|
Abstract Esophageal achalasia is a disorder of the lower esophageal sphincter muscle. Patients present with dysphagia, chest pain, vomiting, and aspiration. Esophageal achalasia had traditionally been treated with esophageal achalasia balloon dilatation and the Heller-Dor method, but in recent years, the use of per-oral endoscopic myotomy (POEM) has increased. Our patient, a 39-yr-old male, began experiencing dysphagia 4 years prior to his referral to our hospital. Based on the results of esophagogastroduodenoscopy, esophageal radiography and high-resolution manometry, we made the diagnosis of esophageal achalasia (Chicago classification type I) . After informed consent from the patient and his family and approval from our hospital's ethics committee were obtained, we performed a POEM. The patient was discharged on the 4th day post-surgery. At the 1-year post-operative examination, no worsening of symptoms and no relapse were observed. POEM is an excellent treatment method for esophageal achalasia from the perspective of therapeutic effect and prevention of invasion. We recommend that it be considered as the first-choice treatment for achalasia. However, accessibility to the procedure itself is limited due to the few adequately trained operators worldwide. POEM should thus be performed by an expert operator at a high-volume center.
Keywords POEM 食道アカラシア (esophageal achalasia)
Publication Title Journal of Okayama Medical Association
Published Date 2017-08-01
Volume volume129
Issue issue2
Start Page 115
End Page 121
ISSN 0030-1558
Related Url https://doi.org/10.4044/joma.129.115
language Japanese
Copyright Holders Copyright (c) 2017 岡山医学会
File Version publisher
DOI 10.4044/joma.129.115
NAID 130006039377
Title Alternative Adenocarcinoma in the jejunum 20 years after surgery for familial adenomatous polyposis
FullText URL 129_111.pdf
Author Sugihara, Yuusaku| Kawano, Seiji| Harada, Keita| Takashima, Shiho| Takei, Daisuke| Inokuchi, Toshihiro| Takahara, Masahiro| Hiraoka, Sakiko| Mori, Yoshiko| Kishimoto, Hiroyuki| Nagasaka, Takeshi| Okada, Hiroyuki|
Abstract A 58-year-old Japanese man visited a local clinic for the evaluation of a stomachache. He was diagnosed with intestinal obstruction. His medical history included a proctocolectomy at the age of 38 years, due to familial adenomatous polyposis (FAP). He was referred to our institution, where he underwent a computed tomography examination and endoscopy of the small intestine. The pathological diagnosis was adenocarcinoma. No invasive or metastatic lesions were observed. Therefore, partial resection of the ileum with lymphadenectomy and reconstruction of the ileostomy were performed. Pathological examination revealed that the tumor was type 2, pT3 (SS) , pN1, pPM0, pDM0, pRM0, INFb, ly1, v1, pEX0, PN0. Twenty-nine days after the surgery, the patient was diagnosed with lung metastasis and he underwent lung radiofrequency ablation. We suggest that long-term follow-up is necessary for patients after surgery for FAP, because of the risk of malignant disease developing in other organs.
Keywords 家族性大腸腺腫症 (familial adenomatous polyposis) 小腸癌 (jejunal cancer) 小腸内視鏡検査 (small intestine endoscope)
Publication Title Journal of Okayama Medical Association
Published Date 2017-08-01
Volume volume129
Issue issue2
Start Page 111
End Page 114
ISSN 0030-1558
Related Url https://doi.org/10.4044/joma.129.111
language Japanese
Copyright Holders Copyright (c) 2017 岡山医学会
File Version publisher
DOI 10.4044/joma.129.111
NAID 130006039373
Title Alternative Retroperitoneal abscess that ruptured the aorta: Invasive Klebsiella pneumoniae syndrome
FullText URL 129_107.pdf
Author Yamazakia, Kenji| Sakakima, Masanori| Nagakura, Yuka| Hashimoto, Hiroyuki| Tashiro, Takeshi| Miwa, Masashi| Yonemura, Katsuhiko|
Abstract An 80-year-old Japanese man was admitted to our hospital in April 2016 with an acute high-grade fever and back pain. A systemic contrast-enhanced computed tomography scan disclosed a retroperitoneal abscess around his aorta. The blood culture revealed Klebsiella pneumoniae. Antibiotics (Cefotaxime 1 g i.v. q 6 hours) were administered, but the patient's symptoms worsened. The abscess then ruptured the aorta. An emergency surgical repair was done, and the patient recovered. Invasive Klebsiella pneumoniae syndrome has been detected in southeast Asia over the past two decades, and here we describe a rare case of a retroperitoneal abscess caused by Klebsiella pneumoniae that ruptured the aorta.
Keywords invasive Klebsiella pneumoniae syndrome 腹部大動脈破裂 (ruptured abdominal aorta) 後腹膜膿瘍 (retroperitoneal abscess)
Publication Title Journal of Okayama Medical Association
Published Date 2017-08-01
Volume volume129
Issue issue2
Start Page 107
End Page 109
ISSN 0030-1558
Related Url https://doi.org/10.4044/joma.129.107
language Japanese
Copyright Holders Copyright (c) 2017 岡山医学会
File Version publisher
DOI 10.4044/joma.129.107
NAID 130006039375
Title Alternative The perception of chronic kidney disease in a general population in Okayama, Japan : 2015
FullText URL 129_101.pdf
Author Uchida, Haruhito A.| Sugiyama, Hitoshi| Miyazaki, Masashi| Wada, Jun| Shikata, Kenichi| Kashihara, Naoki| Makino, Hirofumi|
Abstract  Public education programs about chronic kidney disease (CKD) have been performed in Okayama, Japan for the past 10 years. The present study investigated the perception of CKD in a general population in Okayama. In October and November 2015, a questionnaire survey was distributed by 12 medical centers in five medical districts in Okayama prefecture. A total of 7,022 respondents who underwent their physical checkup at these centers answered the questionnaire. In response to a questionnaire item asking about the respondent's familiarity with the term "CKD," only 4% of the respondents answered "know it well" and 10% answered "unfamiliar." In contrast, in response to a questionnaire item asking about the respondent's familiarity with "chronic kidney disease," 27% answered "know it well" and 38% answered "unfamiliar." The leading avenue by which the respondents learned about CKD/chronic kidney disease was television, followed by newspapers, magazines, and a family doctor or nurse. The leading component which the respondents considered essential for the diagnosis of CKD/chronic kidney disease was proteinuria. A stratified analysis demonstrated a higher recognition of “CKD" or “chronic kidney disease" in the medical districts in northern Okayama prefecture compared to southern Okayama prefecture. These results indicated that the awareness of CKD in Okayama prefecture is still inadequate. Many people did not appear to realize that the term “CKD" represents "chronic kidney disease". Further continuous public education efforts are required to enlighten people about CKD/chronic kidney disease.
Keywords 慢性腎臓病 (chronic kidney disease) CKD 認知度 (perception) 岡山県 (Okayama) 医療圏別 (medical distinct)
Publication Title Journal of Okayama Medical Association
Published Date 2017-08-01
Volume volume129
Issue issue2
Start Page 101
End Page 105
ISSN 0030-1558
Related Url https://doi.org/10.4044/joma.129.101
language Japanese
Copyright Holders Copyright (c) 2017 岡山医学会
File Version publisher
DOI 10.4044/joma.129.101
NAID 130006039371
Title Alternative The development of a scale to measure stress recognition during the treatment of diabetes patients
FullText URL 129_93.pdf
Author Sumiyoshi, Kazuko| Kawata, Chieko| Okamoto, Tatsuo| Ohashi, Mutsuko| Mikane, Sakae| Takabayashi, Noriko| Futoyu, Yoshiko| Kim, Woesook| Wada, Jun| Shikata, Kenichi| Nakajima, Kazuo|
Abstract  The purpose of this study was to establish a measurement scale for "stress recognition in receiving treatment" in patients with diabetes. A self-completed questionnaire was distributed to 149 type-2 diabetes outpatients in March-May 2015 after authorization from Okayama Prefectural University and the ethics committee of the hospital.  The "stress recognition in receiving treatment" scale was designed as a second-order factor model consisting of 14 items and the following four factors : the respondent's sense of (1) the burden of being sick, (2) the burden on interpersonal relationships, (3) the burden of treatment, and (4) the burden of medical expenses.  Stress recognition in treatment means recognition of being stressed in the burdens related to the illness, interpersonal relationships, treatment and medical expenses.  The suitability of the questionnaire data was then evaluated with a structural equation model. The suitability of the factor model to the data satisfied the statistically acceptable standards as Comparative Fit Index (CFI) =0.931, Root Mean Square Error of Approximation (RMSEA) =0.096, Tucker-Lewis Index (TLI) =0.946.  As the construct validity was not examined by the scale created in this study or by existing scale, it was verified by using the degrees of mental healthiness and HbA1c that were proved to be associated with the sense of burden.  In addition, the construct validity of the questionnaire was supported by a significant correlation between the Japanese version of the WHO-Five Well-being Index (S-WHO-5-J) and the patients' HbA1c levels. The use of this measure is expected to contribute to the early detection of a decline in a diabetic patient's activities of daily living and to the early confirmation of patients' support status.
Keywords 糖尿病患者 (diabetes patients) 治療 (treatment) ストレス認知 (stress recognition) 尺度開発 (development of a scale)
Publication Title Journal of Okayama Medical Association
Published Date 2017-08-01
Volume volume129
Issue issue2
Start Page 93
End Page 99
ISSN 0030-1558
Related Url https://doi.org/10.4044/joma.129.93
language Japanese
Copyright Holders Copyright (c) 2017 岡山医学会
File Version publisher
DOI 10.4044/joma.129.93
NAID 130006039367
Title Alternative The 2016 Incentive Award of the Okayama Medical Association in Neuroscience (2016 Niimi Prize)
FullText URL 129_85.pdf
Author Shibata, Takashi|
Publication Title Journal of Okayama Medical Association
Published Date 2017-08-01
Volume volume129
Issue issue2
Start Page 85
End Page 87
ISSN 0030-1558
Related Url https://doi.org/10.4044/joma.129.85
language Japanese
Copyright Holders Copyright (c) 2017 岡山医学会
File Version publisher
DOI 10.4044/joma.129.85
NAID 130006039369
Title Alternative The 2016 Incentive Award of the Okayama Medical Association in General Medical Science (2016 Yuuki Prize)
FullText URL 129_81.pdf
Author Sakaguchi, Masakiyo|
Publication Title Journal of Okayama Medical Association
Published Date 2017-08-01
Volume volume129
Issue issue2
Start Page 81
End Page 83
ISSN 0030-1558
Related Url https://doi.org/10.4044/joma.129.81
language Japanese
Copyright Holders Copyright (c) 2017 岡山医学会
File Version publisher
DOI 10.4044/joma.129.81
NAID 130006039370
Title Alternative The 2016 Incentive Award of the Okayama Medical Association in Cardiovascular and Pulmonary Research (2016 Sunada Prize)
FullText URL 129_77.pdf
Author Saito, Yukihiro|
Publication Title Journal of Okayama Medical Association
Published Date 2017-08-01
Volume volume129
Issue issue2
Start Page 77
End Page 79
ISSN 0030-1558
Related Url https://doi.org/10.4044/joma.129.77
language Japanese
Copyright Holders Copyright (c) 2017 岡山医学会
File Version publisher
DOI 10.4044/joma.129.77
NAID 130006039362
FullText URL Acta_Neurochir_159_7_1329.pdf
Author Kidani, Naoya| Sugiu, Kenji| Hishikawa, Tomohito| Hiramatsu, Masafumi| Haruma, Jun| Nishihiro, Shingo| Takahashi, Yu| Date, Isao|
Keywords De novo aneurysm Hemodynamic stress Stent-assisted coil embolization Vertebral artery dissecting aneurysm
Published Date 2017-07
Publication Title Acta Neurochirurgica
Volume volume159
Issue issue7
Publisher Springer
Start Page 1329
End Page 1333
ISSN 00016268
NCID AA0050885X
Content Type Journal Article
language English
OAI-PMH Set 岡山大学
Copyright Holders https://creativecommons.org/licenses/by-nc-nd/4.0/deed.ja
File Version author
PubMed ID 28493024
DOI 10.1007/s00701-017-3204-2
Web of Science KeyUT 000403508400024
Related Url https://doi.org/10.1007/s00701-017-3204-2
FullText URL K0005280_fulltext.pdf
Author Ishigami, Shuta| Ohtsuki, Shinichi| Tarui, Suguru| Ousaka, Daiki| Eitoku, Takahiro| Kondo, Maiko| Okuyama, Michihiro| Kobayashi, Junko| Baba, Kenji| Arai, Sadahiko| Kawabata, Takuya| Yoshizumi, Ko| Tateishi, Atsushi| Kuroko, Yosuke| Iwasaki, Tatsuo| Sato, Shuhei| Kasahara, Shingo| Sano, Shunji| Oh, Hidemasa|
Keywords cell therapy congenital heart disease hypoplastic left heart syndrome stem cells
Note 学位審査副論文|
Published Date 2015-02
Publication Title Circulation Research
Volume volume116
Issue issue4
Publisher Lippincott Williams & Wilkins
Start Page 653
End Page 664
ISSN 00097330
NCID AA00133553
Content Type Journal Article
language English
OAI-PMH Set 岡山大学
Copyright Holders https://creativecommons.org/licenses/by-nc-nd/4.0/deed.ja
File Version author
PubMed ID 25403163
DOI 10.1161/circresaha.116.304671
Web of Science KeyUT 000349804900015
Related Url https://doi.org/10.1161/CIRCRESAHA.116.304671 http://ousar.lib.okayama-u.ac.jp/54044 http://ousar.lib.okayama-u.ac.jp/54263
FullText URL K0005273 other2.pdf
Author Sakamoto, Shinji| Takaki, Manabu| Okahisa, Yuko| Mizuki, Yutaka| Kodama, Masafumi| Ujike, Hiroshi| Uchitomi, Yosuke|
Note 学位審査副論文|
Published Date 2014-05
Publication Title Psychiatry Research
Volume volume216
Issue issue2
Publisher Elsevier
Start Page 288
End Page 289
ISSN 0165-1781
NCID AA0036432X
Content Type Journal Article
language English
OAI-PMH Set 岡山大学
Copyright Holders https://creativecommons.org/licenses/by-nc-nd/4.0/deed.ja
File Version author
PubMed ID 24576429
DOI 10.1016/j.psychres.2014.02.006
Web of Science KeyUT 000335099900020
Related Url https://doi.org/10.1016/j.psychres.2014.02.006
FullText URL K0005427_other1.pdf
Author Okano, Mitsuhiro| Fujiwara, Tazuko| Kariya, Shin| Higaki, Takaya| Makihara, Sei-ichiro| Haruna, Takenori| Noyama, Yasuyuki| Koyama, Takahisa| Omichi, Ryotaro| Orita, Yorihisa| Miki, Kentaro| Kanai, Kengo| Nishizaki, Kazunori|
Keywords Chronic rhinosinusitis with nasal polyps IL-10 IL-5 Poly(IC) Toll-like receptor
Note 学位審査副論文|
Published Date 2016-01
Publication Title Allergology international : official journal of the Japanese Society of Allergology
Volume volume65
Issue issue1
Publisher Elsevier
Start Page 96
End Page 102
ISSN 1323-8930
NCID AA11091750
Content Type Journal Article
language English
OAI-PMH Set 岡山大学
Copyright Holders https://creativecommons.org/licenses/by-nc-nd/4.0/deed.ja
File Version publisher
PubMed ID 26666485
DOI 10.1016/j.alit.2015.08.005
Web of Science KeyUT 000367238600015
Related Url isVersionOf https://doi.org/10.1016/j.alit.2015.08.005 http://ousar.lib.okayama-u.ac.jp/54846
FullText URL K0005439_other2.pdf
Author Onoda, Satoshi| Kimata, Yoshihiro| Matsumoto, Kumiko| Yamada, Kiyoshi|
Note 学位審査副論文|
Published Date 2016-01
Publication Title Plastic and Reconstructive Surgery
Volume volume137
Issue issue1
Publisher Lippincott Williams & Wilkins
Start Page 83e
End Page 91e
ISSN 00321052
NCID AA00775696
Content Type Journal Article
language English
OAI-PMH Set 岡山大学
Copyright Holders https://creativecommons.org/licenses/by-nc-nd/4.0/deed.ja
File Version author
PubMed ID 26710064
DOI 10.1097/PRS.0000000000001884
Web of Science KeyUT 000367333300001
Related Url https://doi.org/10.1097/PRS.0000000000001884
FullText URL K0005439_other1.pdf
Author Onoda, Satoshi| Kimata, Yoshihiro| Yamada, Kiyoshi| Seki, Noriko| Hiramatsu, Yuji|
Keywords gynecologic cancer lower limb lymphedema risk factor secondary lymphedema superficial groin lymph nodes
Note 学位審査副論文|
Published Date 2016-12
Publication Title journal of Surgical Oncology
Volume volume114
Issue issue8
Publisher Wiley-Liss
Start Page 940
End Page 946
ISSN 00224790
NCID AA00708010
Content Type Journal Article
language English
OAI-PMH Set 岡山大学
Copyright Holders https://creativecommons.org/licenses/by-nc-nd/4.0/deed.ja
File Version author
PubMed ID 27709601
DOI 10.1002/jso.24463
Web of Science KeyUT 000392939700007
Related Url https://doi.org/10.1002/jso.24463
FullText URL K0005576_abstract_review.pdf K0005576_summary.pdf K0005576_fulltext.pdf
Author Yodoya, Mitsuko|
Published Date 2017-06-30
Content Type Thesis or Dissertation
Grant Number 甲第5576号
Granted Date 2017-06-30
Thesis Type Doctor of Philosophy in Medical Science
Grantor 岡山大学
language English
FullText URL K0005569_abstract_review.pdf K0005569_summary.pdf K0005569_fulltext.pdf
Author Hiramatsu, Masafumi|
Published Date 2017-06-30
Content Type Thesis or Dissertation
Grant Number 甲第5569号
Granted Date 2017-06-30
Thesis Type Doctor of Philosophy in Medical Science
Grantor 岡山大学
language English
FullText URL K0005568_abstract_review.pdf K0005568_summary.pdf
Author Morikawa, Tatsuya|
Published Date 2017-06-30
Content Type Thesis or Dissertation
Grant Number 甲第5568号
Granted Date 2017-06-30
Thesis Type Doctor of Philosophy in Medical Science
Grantor 岡山大学
language English
FullText URL K0005567_abstract_review.pdf K0005567_summary.pdf K0005567_fulltext.pdf
Author Nakahara, Yasuo|
Keywords Children epidemiology intussusception maternal smoking
Published Date 2017-06-30
Content Type Thesis or Dissertation
Grant Number 甲第5567号
Granted Date 2017-06-30
Thesis Type Doctor of Philosophy in Medical Science
Grantor 岡山大学
language English
JaLCDOI 10.18926/OER/55231
Title Alternative Regional Revitalization through Education : An Example of Wake Town’s Education Policy
FullText URL oer_049_1_041_068.pdf
Author Iwabuchi, Yasushi| Yoshikawa, Miyuki| Nagamune, Takeshi|
Abstract This article analyzes the importance of education when attempting regional revitalization by considering the case of the introduction of‘ an English Education District’ and a public cram school in a Japanese town. As Japan faces a depopulated society, it is important for local administrations to maintain their local population through public policy that supports economic activities and improves living conditions. Wake Town in Okayama Prefecture has already undertaken a variety of actions, supported by the human resources of the national government and private companies, to promote its livability. This article elucidates the reason behind Wake Town's strong commitment to its education policy, which has resulted in, for example, the creation of a public cram school. This article focuses on three points: (1) the background of the education policy in Wake Town, (2) the management of the newly established public cram school, and (3) the evaluation of this school in the view of its students and their parents. Finally, the article argues that free public education is becoming increasingly important for community development in the global era ofthe 21st century.
Publication Title Okayama Economic Review
Published Date 2017-07-03
Volume volume49
Issue issue1
Start Page 41
End Page 68
ISSN 2433-4146
language Japanese
Copyright Holders Copyright © 2017 岡山大学経済学会
File Version publisher
NAID 120006313607