Conditions

close

result 48648 件

JaLCDOI 10.18926/AMO/52012
FullText URL 67_6_385.pdf
Author Tanaka, Masato| Arataki, Shinya| Sugimoto, Yoshihisa| Takigawa, Tomoyuki| Tetsunaga, Tomoko| Ozaki, Toshifumi|
Abstract Craniometaphyseal dysplasia is a rare genetic condition characterized by progressive thickening of bones in the skull and metaphyseal abnormalities in the long bones. This disorder often causes progressively symptomatic cranial nerve compression, but in rare cases foramen magnum stenosis may lead to quadriplegia. Chiari I malformation with craniometaphyseal dysplasia is extremely rare. The authors report on a 25-year-old woman with myelopathy due to Chiari I malformation along with craniometaphyseal dysplasia. There are only four previous case reports of this condition. The authors present here the fifth case report of this rare condition and summarize its characteristics.
Keywords craniometaphyseal dysplasia Chiari malformation cervicomedullary compression
Amo Type Case Report
Publication Title Acta Medica Okayama
Published Date 2013-12
Volume volume67
Issue issue6
Publisher Okayama University Medical School
Start Page 385
End Page 389
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language English
Copyright Holders CopyrightⒸ 2013 by Okayama University Medical School
File Version publisher
Refereed True
PubMed ID 24356723
Web of Science KeyUT 000328915700007
JaLCDOI 10.18926/AMO/52011
FullText URL 67_6_377.pdf
Author Sakoma, Yoshimasa| Sano, Hirotaka| Shinozaki, Nobuhisa| Itoigawa, Yoshiaki| Yamamoto, Nobuyuki| Itoi, Eiji|
Abstract The pathogenetic roles of the coracoacromial arch in the development of rotator cuff tears are still controversial. This study compared the anteroposterior coverage of the humeral head by the coracoacromial arch between shoulders with and without full-thickness rotator cuff tears. Forty-two shoulders from 21 embalmed cadaveric specimens were macroscopically examined. Specimens were divided into 2 groups:shoulders with full-thickness cuff tears (tear group) and those with intact cuff tendons (normal group). The coverage angle of each component of the coracoacromial arch was measured using true lateral photographs. We also measured the angle of the total arc of the coracoacromial arch, as well as the angle of the anterior acromial projection. These data were compared between the tear group and the normal group. Although no significant differences were observed in the total arc of the coracoacromial arch between the groups, the tear group had significantly less coverage by the coracoacromial ligament than did the normal group (p<0.05). Moreover, greater anterior acromial projection was observed in the tear group (p<0.05). These results suggest that greater coverage of the bony structures on the rotator cuff may correlate with the development of rotator cuff tears.
Keywords rotator cuff tear coracoacromial arch humeral head anatomy
Amo Type Original Article
Publication Title Acta Medica Okayama
Published Date 2013-12
Volume volume67
Issue issue6
Publisher Okayama University Medical School
Start Page 377
End Page 383
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language English
Copyright Holders CopyrightⒸ 2013 by Okayama University Medical School
File Version publisher
Refereed True
PubMed ID 24356722
Web of Science KeyUT 000328915700006
JaLCDOI 10.18926/AMO/52010
FullText URL 67_6_369.pdf
Author Yu, Shaonan| Wang, Xiaozhen| Liu, Guifeng| Zhu, Xuewei| Chen, Yan|
Abstract Despite high sensitivity to chemotherapy, the prognosis for triple-negative breast cancer (TNBC) remains poor because of its high rate of metastasis and low sensitivity to endocrine therapy. CXCR4 expression has been reported in many subtypes of human breast cancers, but it remains unknown whether CXCR4 is expressed in TNBC and whether CXCR4 expression in TNBC could be a prognostic indicator. TNBCs tissues were formalin fixed, paraffin embedded and hematoxylin-eosin (H&E) stained. Immunohistochemical staining was utilized to determine the CXCR4 expression in those specimens. Statistical analyses were performed using SPSS16.0 software to reveal the correlation of CXCR4 expression in TNBC specimens and cancer recurrence and cancer-related death. Our results showed that there was a strong association between CXCR4 overexpression and both menopause and the histological cancer grade of TNBC patients (p values were separately 0.004 and 0.001). The 5-y disease-free survival (DFS) and the 5-y overall survival (OS) were 57.69% and 58.33% for the low-CXCR4 group versus 42.11% and 44.74% for the high-CXCR4 group, respectively (p=0.031 and 0.048). CXCR4 overexpression plays an important role in triple-negative breast cancers, and may be a predictor of poor prognosis.
Keywords CXCR4 immunohistochemical staining triple-negative breast cancer
Amo Type Original Article
Publication Title Acta Medica Okayama
Published Date 2013-12
Volume volume67
Issue issue6
Publisher Okayama University Medical School
Start Page 369
End Page 375
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language English
Copyright Holders CopyrightⒸ 2013 by Okayama University Medical School
File Version publisher
Refereed True
PubMed ID 24356721
Web of Science KeyUT 000328915700005
JaLCDOI 10.18926/AMO/52009
FullText URL 67_6_359.pdf
Author Katashima, Kazunori| Kuroda, Masahiro| Ashida, Masakazu| Sasaki, Takanori| Taguchi, Takehito| Matsuzaki, Hidenobu| Murakami, Jun| Yanagi, Yoshinobu| Hisatomi, Miki| Hara, Marina| Kato, Hirokazu| Ohmura, Yuichi| Kobayashi, Tomoki| Kanazawa, Susumu| Harada, Sosuke| Takemoto, Mitsuhiro| Ohno, Seiichiro| Mimura, Seiichi| Asaumi, Junichi|
Abstract It is well known that many tumor tissues show lower apparent diffusion coefficient (ADC) values, and that several factors are involved in the reduction of ADC values. The aim of this study was to clarify how much each factor contributes to decreases in ADC values. We investigate the roles of cell density, extracellular space, intracellular factors, apoptosis and necrosis in ADC values using bio-phantoms. The ADC values of bio-phantoms, in which Jurkat cells were encapsulated by gellan gum, were measured by a 1.5-Tesla magnetic resonance imaging device with constant diffusion time of 30sec. Heating at 42℃ was used to induce apoptosis while heating at 48℃ was used to induce necrosis. Cell death after heating was evaluated by flow cytometric analysis and electron microscopy. The ADC values of bio-phantoms including non-heated cells decreased linearly with increases in cell density, and showed a steep decline when the distance between cells became less than 3μm. The analysis of ADC values of cells after destruction of cellular structures by sonication suggested that approximately two-thirds of the ADC values of cells originate from their cellular structures. The ADC values of bio-phantoms including necrotic cells increased while those including apoptotic cells decreased. This study quantitatively clarified the role of the cellular factors and the extracellular space in determining the ADC values produced by tumor cells. The intermediate diffusion time of 30msec might be optimal to distinguish between apoptosis and necrosis.
Keywords ADC apoptosis necrosis hyperthermia cell density
Amo Type Original Article
Publication Title Acta Medica Okayama
Published Date 2013-12
Volume volume67
Issue issue6
Publisher Okayama University Medical School
Start Page 359
End Page 367
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language English
Copyright Holders CopyrightⒸ 2013 by Okayama University Medical School
File Version publisher
Refereed True
PubMed ID 24356720
Web of Science KeyUT 000328915700004
JaLCDOI 10.18926/AMO/52008
FullText URL 67_6_351.pdf
Author Yokoyama, Yusuke| Abe, Nobuhiro| Fujiwara, Kazuo| Suzuki, Masahiko| Nakajima, Yoshikazu| Sugita, Naohiko| Mitsuishi, Mamoru| Nakashima, Yoshio| Ozaki, Toshifumi|
Abstract A computer-assisted navigation system to be used for total knee arthroplasties (TKAs) was reported to improve the accuracy of bone resection and result in precise implant placement, but the concomitant surgical invasion and time consumption are clinical problems. We developed a computed tomography (CT)-based navigation system (NNS) to be used for minimally invasive TKA. It requires only the reference points from a small limited area of the medial femoral condyle and proximal tibia through a skin incision to obtain optical images. Here we evaluated the usefulness and accuracy of the NNS in comparison with the commercially available BrainLAB image-free navigation system (BLS). In a clinical experiment, the registration times obtained with the NNS tended to be shorter than those obtained with the BLS, but not significantly so. The NNS group tended to be in the extended position in the sagittal plane of the distal femur within 3 degrees, and the BLS group showed rather flexed deviation in the sagittal plane of the anterior femur.
Keywords total knee arthroplasty navigation system minimally invasive surgery
Amo Type Original Article
Publication Title Acta Medica Okayama
Published Date 2013-12
Volume volume67
Issue issue6
Publisher Okayama University Medical School
Start Page 351
End Page 358
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language English
Copyright Holders CopyrightⒸ 2013 by Okayama University Medical School
File Version publisher
Refereed True
PubMed ID 24356719
Web of Science KeyUT 000328915700003
Related Url http://ousar.lib.okayama-u.ac.jp/metadata/52515
JaLCDOI 10.18926/AMO/52007
FullText URL 67_6_343.pdf
Author Yamane, Kentaro| Takigawa, Tomoyuki| Tanaka, Masato| Osaki, Syuhei| Sugimoto, Yoshihisa| Ozaki, Toshifumi|
Abstract Cervical spinal schwannoma is benign, and outcomes after surgical resection are generally excellent. A surgical dilemma sometimes arises as to whether to perform total tumor removal, which carries a risk of sacrificing the nerve root, or subtotal removal, where the risk can be tumor recurrence. The purpose of this study was to identify factors with the potential to predict clinical impairment after surgery for cervical spinal schwannomas. Thirty cases of cervical schwannomas treated surgically in our institute were retrospectively reviewed;initial symptoms, tumor location, Eden classification, surgical method, functional outcome, and tumor recurrence were investigated. All permanent motor deficits were the result of resecting functionally relevant nerve roots (i.e., C5-8). The rate of permanent sensory deficit was 11% after C1-4 nerve root resection, and 67% after C5-8 nerve root resection. Permanent neurological deficits occurred in 14% of patients younger than 40 years and 38% of those older than 40. Dumbbell tumors were associated with the need for total or ventral nerve root transection, as well as with a high incidence of tumor recurrence. The incidence of permanent neurological deficit was significantly higher in patients undergoing C5-8 nerve root resection, and tended to be higher in those over 40.
Keywords cervical spinal schwannoma neurological deficit nerve root resection tumor resection tumor recurrence
Amo Type Original Article
Publication Title Acta Medica Okayama
Published Date 2013-12
Volume volume67
Issue issue6
Publisher Okayama University Medical School
Start Page 343
End Page 349
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language English
Copyright Holders CopyrightⒸ 2013 by Okayama University Medical School
File Version publisher
Refereed True
PubMed ID 24356718
Web of Science KeyUT 000328915700002
JaLCDOI 10.18926/AMO/52006
FullText URL 67_6_333.pdf
Author Tazawa, Hiroshi| Kagawa, Shunsuke| Fujiwara, Toshiyoshi|
Abstract Autophagy is a catabolic process that produces energy through lysosomal degradation of intracellular organelles. Autophagy functions as a cytoprotective factor under physiological conditions such as nutrient deprivation, hypoxia, and interruption of growth factors. On the other hand, infection with pathogenic viruses and bacteria also induces autophagy in infected cells. Oncolytic virotherapy with replication-competent viruses is thus a promising strategy to induce tumor-specific cell death. Oncolytic adenoviruses induce autophagy and subsequently contribute to cell death rather than cell survival in tumor cells. We previously developed a telomerase-specific replication-competent oncolytic adenovirus, OBP-301, which induces cell lysis in tumor cells with telomerase activities. OBP-301-mediated cytopathic activity is significantly associated with induction of autophagy biomarkers. In this review, we focus on the tumor-suppressive role and molecular basis of autophagic machinery induced by oncolytic adenoviruses. Addition of tumor-specific promoters and modification of the fiber knob of adenoviruses supports the oncolytic adenovirus-mediated autophagic cell death. Autophagy is cooperatively regulated by the E1-dependent activation pathway, E4-dependent inhibitory pathway, and microRNA-dependent fine-tuning. Thus, future exploration of the functional role and molecular mechanisms underlying oncolytic adenovirus-induced autophagy would provide novel insights and improve the therapeutic potential of oncolytic adenoviruses.
Keywords oncolytic adenovirus autophagy E2F1 microRNA
Amo Type Review
Publication Title Acta Medica Okayama
Published Date 2013-12
Volume volume67
Issue issue6
Publisher Okayama University Medical School
Start Page 333
End Page 342
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language English
Copyright Holders CopyrightⒸ 2013 by Okayama University Medical School
File Version publisher
Refereed True
PubMed ID 24356717
Web of Science KeyUT 000328915700001
FullText URL O0004409_abstract_review.pdf O0004409_fulltext.pdf
Author Kusumoto, Masahiko|
Published Date 2013-09-30
Content Type Thesis or Dissertation
Grant Number 乙第4409号
Granted Date 2013-09-30
Thesis Type Doctor of Philosophy in Engineering
Grantor 岡山大学
language Japanese English
FullText URL O0004408_abstract_review.pdf O0004408_fulltext.pdf
Author Osawa, Fuminori|
Published Date 2013-09-30
Content Type Thesis or Dissertation
Grant Number 乙第4408号
Granted Date 2013-09-30
Thesis Type Doctor of Philosophy in Pharmaceutical Sciences
Grantor 岡山大学
language Japanese
Author 岡山大学大学院法務研究科|
Published Date 2013-11
Publication Title 臨床法務研究
Volume volume12
Content Type Others
Author Yoshioka, Fumio|
Published Date 2012-07-25
Publication Title 岡山大学文学部紀要
Volume volume57
Content Type Departmental Bulletin Paper
JaLCDOI 10.18926/okadai-bun-kiyou/52002
Author Yoshioka, Fumio|
Published Date 2011-07-25
Publication Title 岡山大学文学部紀要
Volume volume55
Content Type Departmental Bulletin Paper
JaLCDOI 10.18926/okadai-bun-kiyou/52001
Author Yoshioka, Fumio|
Published Date 2010-07-30
Publication Title 岡山大学文学部紀要
Volume volume53
Content Type Departmental Bulletin Paper
JaLCDOI 10.18926/okadai-bun-kiyou/52000
Author Kaneda, Noriko|
Published Date 2013-09-30
Publication Title
Content Type Thesis or Dissertation
FullText URL K0004871_abstract_review..pdf K0004871_fulltext.pdf
Author Furukawa, Yoko|
Published Date 2013-09-30
Content Type Thesis or Dissertation
Grant Number 甲第4871号
Granted Date 2013-09-30
Thesis Type Doctor of Philosophy in Law
Grantor 岡山大学
language Japanese
FullText URL K0004870_abstract_review.pdf K0004870_fulltext.pdf
Author Toyota, Teruaki|
Published Date 2013-09-30
Content Type Thesis or Dissertation
Grant Number 甲第4870号
Granted Date 2013-09-30
Thesis Type Doctor of Philosophy in Health Sciences
Grantor 岡山大学
language Japanese English
Author Harimoto, Takashi|
Published Date 2013-09-30
Publication Title
Content Type Thesis or Dissertation
Author Eguchi, Hitomi|
Published Date 2013-09-30
Publication Title
Content Type Thesis or Dissertation
FullText URL K0004867_abstract_review.pdf K0004867_fulltext.pdf
Author Hartwig, Claudia|
Published Date 2013-09-30
Content Type Thesis or Dissertation
Grant Number 甲第4867号
Granted Date 2013-09-30
Thesis Type Doctor of Philosophy in Environmental Science
Grantor 岡山大学
language Japanese English
FullText URL K0004866_abstract_review.pdf K0004866_fulltext.pdf
Author Siti Norbaizura Binti MD. Rejab|
Published Date 2013-09-30
Content Type Thesis or Dissertation
Grant Number 甲第4866号
Granted Date 2013-09-30
Thesis Type Doctor of Philosophy in Environmental Science
Grantor 岡山大学
language Japanese English