2024-03-28T16:35:41Zhttp://ginmu.naramed-u.ac.jp/dspace-oai/request
oai:ginmu.naramed-u.ac.jp:10564/1552017-06-11T23:20:26Zhdl_10564_1574表紙、目次、投稿規程、奥付(Vol.57 No.1)表紙目次投稿規程奥付奈良医学会奈良県立医科大学2008-05-28T07:29:37Z2008-05-28T07:29:37Z2006-02-28OtherOthers1782691 bytesapplication/pdfJournal of Nara Medical Association Vol.57 No.113450069http://hdl.handle.net/10564/15513450069AA11252383Journal of Nara Medical Association571jpnpublisher
oai:ginmu.naramed-u.ac.jp:10564/1562017-05-29T06:07:05Zhdl_10564_1574ADAMTS13解析によるTTP/HUS診断ANALYSIS OF ADAMTS13 IN PATIENTS WITH TTP/HUS松本, 雅則石指, 宏通八木, 秀男藤村, 吉博ADAMTS13VWFTTPHUSplatelet transfusionADAMTS13はvon Willebrand因子(VWF)を特異的に切断する酵素で,血栓性血小板減少性紫斑病(TTP)や溶血性尿毒症症候群(HUS)との関連で注目されている。本学輸血部では,同酵素活性が測定可能な本邦の代表的施設として,日本全国の医療機関からの依頼によって,過去7年間にTTP/HUS症例を582例集積した。それらの症例で,ADAMTS13活性と同インヒビター活性測定および同遺伝子解析を行ってきたので,その概要を報告する。また,ADAMTS13活性が著滅する症例において,血小板減少のメカニズムを解説し,血小板輸血が禁忌であるエビデンスを概説する。奈良医学会奈良県立医科大学2008-05-28T07:35:04Z2008-05-28T07:35:04Z2006-02-28ArticleDepartmental Bulletin Paper1109024 bytesapplication/pdfJournal of Nara Medical Association Vol.57 No.1 p.1-1013450069http://hdl.handle.net/10564/15613450069AA11252383Journal of Nara Medical Association571110jpnpublisher
oai:ginmu.naramed-u.ac.jp:10564/1572017-05-29T06:07:05Zhdl_10564_1574教室における食道癌の手術成績EVALUATION OF SURGICAL TREATMENT FOR ESOPHAGEAL CANCER IN OUR DEPARTMENT松本, 壮平山田, 行重成清, 道博上野, 正闘玉置, 英俊三木, 克彦若月, 幸平榎本, 浩士中島, 祥介渡辺, 明彦中谷, 勝紀surgical treatmentesophageal cancerDuring the last 11 years, from 1992 to 2002, 142 cases were operated on for esophageal cancer in our department. Operative procedures, clinicopathological findings and prognosis were investigated. The results were compared with those of other reports of treatment results of esophageal cancer in Japan. Age, sex, localization, macroscopic classification, histologic type, and histologic stage were almost the same as in those reports. Esophagectomy via posterior mediastinal route was often performed in our department. The five-year survival rate was 42% overall. The five-year survival rate was 100% in stage 0, 84% in stage I, 63% in stage IIA, 40% in stage IIB, 24% in stage III, 22.7% in stage IVA, and 0% in stage IVB. The survival rate was better than those of other reports.奈良医学会奈良県立医科大学2008-05-29T00:55:13Z2008-05-29T00:55:13Z2006-02-28ArticleDepartmental Bulletin Paper703266 bytesapplication/pdfJournal of Nara Medical Association Vol.57 No.1 p.11-2513450069http://hdl.handle.net/10564/15713450069AA11252383Journal of Nara Medical Association5711125jpnpublisher
oai:ginmu.naramed-u.ac.jp:10564/1582017-05-29T06:06:49Zhdl_10564_1574奈良県僻地検診における眼疾患と受診状況についてOCULAR DISEASES AT MEDICAL CHECKUPS IN REMOTE PLACES IN NARA PREFECTURE AND THE STATUS OF CONSULTATIONS湯川, 英一吉井, 稔章竹谷, 太原, 嘉昭葛城, 良昌ocular diseasemedical checkup in remote placeNara PrefectureglaucomaWe investigated ocular diseases observed at ophthalmological checkups in 5 villages in Nara Prefecture between October 2005 and November 2005, and reviewed the status of consultations at local ophthalmological clinics. A total of 74 persons underwent these checkups (26 males, 48 females), with a mean age of 66.9 years. Twenty-four of the 74 persons had ocular disease. Of seven patients with ocular fundus disorders such as branch retinal vein occlusion, age-related macular degeneration, and macular hole, six had periodically consulted local ophthalmological clinics. Glaucoma was noted in five patients including those in whom glaucoma was suspected. Only one patient was being treated at a local clinic. As glaucoma, which shows a chronic course, initially causes visual field defect prior to reduced visual acuity, it is asymptomatic in the initial phase in most patients. Currently, this disorder is an important etiological factor for blindness. Therefore, in the future, glaucoma should be considered at ophthalmological checkups in remote places.奈良医学会奈良県立医科大学2008-05-29T01:01:00Z2008-05-29T01:01:00Z2006-02-28ArticleDepartmental Bulletin Paper240037 bytesapplication/pdfJournal of Nara Medical Association Vol.57 No.1 p.27-3013450069http://hdl.handle.net/10564/15813450069AA11252383Journal of Nara Medical Association5712730jpnpublisher
oai:ginmu.naramed-u.ac.jp:10564/1592017-05-29T06:06:49Zhdl_10564_1574腹腔鏡補助下手術を施行したS状結腸子宮内膜症の2例TWO CASES OF ENDOMETRIOSIS IN THE SIGMOID COLON TREATED BY LAPAROSCOPY-ASSISTED SURGERY吉川, 周作稲次, 直樹増田, 勉榎本, 泰三内田, 秀樹中尾, 武大野, 隆山岡, 健太郎山口, 貴也庄, 雅之中島, 祥介endometriosissigmoid colonlaparoscopy-assisted surgeryWe report two cases of sigmoid endometriosis that were successfully treated by laparoscopy-assisted surgery. The patients were 44- and 28-year-old females, both complaining of abdominal pain. Preoperative examinations suggested endometriosis of the sigmoid colon. However, a definitive diagnosis could not be rendered. Both patients were treated with laparoscopy-assisted resection of the partial sigmoid colon. The postoperative course was uneventful and they were discharged home on day 20 and 21. No symptoms or diseases have recurred in 7-8 years after surgery. Laparoscopy can be beneficial in both the diagnosis and treatment of patients with intestinal endometriosis and laparoscopic surgery may remain the most effective treatment for symptomatic intestinal endometriosis.奈良医学会奈良県立医科大学2008-05-29T01:10:49Z2008-05-29T01:10:49Z2006-02-28ArticleDepartmental Bulletin Paper991135 bytesapplication/pdfJournal of Nara Medical Association Vol.57 No.1 p.31-3413450069http://hdl.handle.net/10564/15913450069AA11252383Journal of Nara Medical Association5713134jpnpublisher
oai:ginmu.naramed-u.ac.jp:10564/1602017-05-29T06:06:33Zhdl_10564_1574CTにて術前診断しえた魚骨による胃穿孔の1例PERFORATION OF THE STOMACH BY A FISH BONE DIAGNOSED WITH COMPUTED TOMOGRAPHY童, 仁明石, 諭今西, 正巳星田, 徹perforationfish bonestomachpanperitonitisWe report a case of perforation of the stomach by a fish bone. A 63-years-old woman was admitted to our hospital complaining of severe abdominal pain. On physical examination, tenderness and rebound tenderness were noted in the upper abdomen. Abdominal X-ray showed free air, and abdominal CT showed a 3.0cm linear foreign body. The problem was diagnosed preoperatively as perforation of the stomach due to a fish bone and the patient underwent emergency surgery. We found a fish bone penetrating the wall of the stomach. The fish bone was removed, and the perforation was directly sutured. Perforation of the digestive tract, especially the stomach, by ingested fish bones is relatively rare. When we suspected digestive tract perforation, we took this possibility into consideration, and it seemed that it was important to take enough medical history hearing and carry out through image inspection.奈良医学会奈良県立医科大学2008-05-29T01:15:48Z2008-05-29T01:15:48Z2006-02-28ArticleDepartmental Bulletin Paper2132202 bytesapplication/pdfJournal of Nara Medical Association Vol.57 No.1 p.35-4013450069http://hdl.handle.net/10564/16013450069AA11252383Journal of Nara Medical Association5713540jpnpublisher