2024-03-28T20:04:40Zhttp://ginmu.naramed-u.ac.jp/dspace-oai/request
oai:ginmu.naramed-u.ac.jp:10564/2682017-06-11T23:20:26Zhdl_10564_1578表紙、目次、総目次、投稿規定詳細、奥付(Vol.57 No.6)表紙目次総目次投稿規定詳細奥付奈良医学会奈良県立医科大学OtherOthersapplication/pdfJournal of Nara Medical Association Vol.57 No.613450069http://ginmu.naramed-u.ac.jp/dspace/handle/10564/268Journal of Nara Medical Association, 57(6)http://hdl.handle.net/10564/268http://ginmu.naramed-u.ac.jp/dspace/bitstream/10564/268/1/000p.%e8%a1%a8%e7%b4%99%e3%80%81%e7%9b%ae%e6%ac%a1%e3%80%81%e7%b7%8f%e7%9b%ae%e6%ac%a1%e3%80%81%e6%8a%95%e7%a8%bf%e8%a6%8f%e5%ae%9a%e8%a9%b3%e7%b4%b0%e3%80%81%e5%a5%a5%e4%bb%98%28Vol.57_No.6%29.pdf13450069AA11252383Journal of Nara Medical Association5762006-12-31jpnpublisher
oai:ginmu.naramed-u.ac.jp:10564/2692017-05-29T06:06:36Zhdl_10564_1578整形外科におけるマイクロサージャリーの現況と今後の展望MICROSUGERY IN THE FIELD OF ORTHOPAEDIC SURGERY矢島, 弘嗣microsurgerytoe transferreplantationfree flaphand transplantationマイクロサージャリーとは顕微鏡を用いて細い血管の吻合を行うことによって,
外傷や疾病を治療する手術のことである。1965年にここ奈良医大において初めての切断指再接
着術が成功して以来,整形外科領域においては必須の手術手技の一つとなった。その技術は切
断指再接着から足指の移植術へと応用され,その後皮膚,骨,関節,筋肉,神経,腱などのい
ろいろな組織の移植へと広がっていった。そして最近では同種手の移植がマイクロサージャリ
ーの手技を用いて行われ始めている。今後はロボット技術が導入され,さらに細い血管の吻合
が可能となり,全く新しい手術方法が導入される可能性がある。奈良医学会奈良県立医科大学ArticleDepartmental Bulletin Paperapplication/pdfJournal of Nara Medical Association Vol.57 No.6 p.159-16413450069http://ginmu.naramed-u.ac.jp/dspace/handle/10564/269Journal of Nara Medical Association, 57(6): 159-164http://hdl.handle.net/10564/269http://ginmu.naramed-u.ac.jp/dspace/bitstream/10564/269/1/159-164p.%e6%95%b4%e5%bd%a2%e5%a4%96%e7%a7%91%e3%81%ab%e3%81%8a%e3%81%91%e3%82%8b%e3%83%9e%e3%82%a4%e3%82%af%e3%83%ad%e3%82%b5%e3%83%bc%e3%82%b8%e3%83%a3%e3%83%aa%e3%83%bc%e3%81%ae%e7%8f%be%e6%b3%81%e3%81%a8%e4%bb%8a%e5%be%8c%e3%81%ae%e5%b1%95%e6%9c%9b.pdf13450069AA11252383Journal of Nara Medical Association5761591642006-12-31jpnpublisher
oai:ginmu.naramed-u.ac.jp:10564/2702017-05-29T06:06:31Zhdl_10564_1578脳における匂い感覚地図形成の分子メカニズムMOLECULAR MECHANISM FOR CONSTITUTING THE OLFACTORY SENSORY MAP IN THE BRAJN坪井, 昭夫odorant receptor geneolfactory sensory neuronmonoallelic expressionaxonal projectionolfactory sensory mapヒトの脳の複雑な機能は,多様に特殊化した神経細胞が自らの特異性を踏まえて
互いに連絡し合い,無数の神経回路を形成することによって支えられている。脳神経系の研究
では,神経細胞の個性獲得と,それに基づく特異的な神経接続の機構解明が重要な課題となっ
ている。嗅覚系は,個々の嗅細胞が発現する嗅覚受容体の種類と,それに基づいて行われる嗅
球上での軸索投射の位置が明瞭に定義できるという点で優れたシステムを提供している。した
がって,"神経回路がどのようにして形成され維持されるのか,神経回路が何らかの原因で破壊
された時,どのようにして再構築されるのか"を,嗅覚系をモデルにして明らかにすることは極
めて重要である。本稿では,嗅細胞における嗅覚受容体遺伝子の発現と,それにより規定され
る嗅球における匂い感覚地図形成の分子メカニズムについて考察する。奈良医学会奈良県立医科大学ArticleDepartmental Bulletin Paperapplication/pdfJournal of Nara Medical Association Vol.57 No.6 p.165-17413450069http://ginmu.naramed-u.ac.jp/dspace/handle/10564/270Journal of Nara Medical Association, 57(6): 165-174http://hdl.handle.net/10564/270http://ginmu.naramed-u.ac.jp/dspace/bitstream/10564/270/1/165-174p.%e8%84%b3%e3%81%ab%e3%81%8a%e3%81%91%e3%82%8b%e5%8c%82%e3%81%84%e6%84%9f%e8%a6%9a%e5%9c%b0%e5%9b%b3%e5%bd%a2%e6%88%90%e3%81%ae%e5%88%86%e5%ad%90%e3%83%a1%e3%82%ab%e3%83%8b%e3%82%ba%e3%83%a0.pdfAA1125238313450069Journal of Nara Medical Association5761651742006-12-31jpnpublisher
oai:ginmu.naramed-u.ac.jp:10564/2712017-05-29T06:06:56Zhdl_10564_1578病理解剖に関するアンケート調査結果と剖検に関する一考察A REPORT AND DISCUSSION OF THE RESULTS OF A QUESTIONNAIRE ON AUTOPSY野々村, 昭孝笠井, 孝彦榎本, 泰典武田, 麻衣子田村, 智美中峯, 寛和堤, 幹宏autopsy rateautopsy time schedulecomplete autopsylimited autopsyThe rate of autopsies of patients dying in hospital has now decreased not
only in Japan but also in the United States and European countries. Nara Medical
University Hospital now averages an autopsy rate of about 10% for the last several
years. We sent out a questionnaire on autopsy to all 80 Medical University Hospitals in
Japan, and received replies from 65 University Hospitals (81%). Autopsy time schedule,
number of participant pathologists and autopsy assistants were very variable from
hospital to hospital. Autopsy time schedules of the hospitals were classified into four
groups. Seven university hospitals have performed autopsy on business time schedules
only, eleven hospitals on business time schedules including Saturdays, forty hospitals on
daytime schedules irrespective of off-days and holidays, and the remaining seven
hospitals on 24-hour schedules. However, the most interesting point was that the mean
autopsy rate was not fundamentally different in the 4 groups with different autopsy time
schedules, that is; 16.3%, 19.7%, 16.4%, and 18.9%, respectively. The number of
pathologists and, especially, autopsy assistants is insufficient to establish a 24-hour
autopsy system at present in Nara Medical University Hospital. Cooperation with
clinicians and reconsideration of the allotted jobs of paramedical technologists in the
university hospital are indispensable to perform autopsies on a 24-hour schedule system
in our university hospital. When it is not possible to perform a complete autopsy, less
invasive or non-invasive alternatives to the complete autopsy, such as limited autopsy,
needle autopsy, endoscopic autopsy, and autopsy imagings using CT and/or MRI, may be
valqable tools capable of answering specific questions in situations.時間外病理解剖のあり方を考えるワーキンググループ
小西登(病理病態学),笹平智則(分子病理学),野々村昭孝(委員長,病理診断学),笠井孝彦(病理診断学),齋藤
能彦(循環器・腎臓・代謝内科),森井武志(呼吸器・血液内科),吉治仁志(消化器・内分泌代謝内科),川原誠(神
経内科),成清道博(消化器・一般外科,小児外科),三島秀明(脳神経外科),長阪重雄(心臓血管外科,呼吸器外
科),西尾健治(救急科),前田光一(総合診療科),丹羽欣正(中央臨床検:査部),西久保敏也(周産期医療センター),
池寛子(病院病理部),古西満(感染症センター),米田淳平(病院管理課)奈良医学会奈良県立医科大学ArticleDepartmental Bulletin Paperapplication/pdfJournal of Nara Medical Association Vol.57 No.6 p.175-18413450069http://ginmu.naramed-u.ac.jp/dspace/handle/10564/271Journal of Nara Medical Association, 57(6): 175-184http://hdl.handle.net/10564/271http://ginmu.naramed-u.ac.jp/dspace/bitstream/10564/271/1/175-184p.%e7%97%85%e7%90%86%e8%a7%a3%e5%89%96%e3%81%ab%e9%96%a2%e3%81%99%e3%82%8b%e3%82%a2%e3%83%b3%e3%82%b1%e3%83%bc%e3%83%88%e8%aa%bf%e6%9f%bb%e7%b5%90%e6%9e%9c%e3%81%a8%e5%89%96%e6%a4%9c%e3%81%ab%e9%96%a2%e3%81%99%e3%82%8b%e4%b8%80%e8%80%83%e5%af%9f.pdf13450069AA11252383Journal of Nara Medical Association5761751842006-12-31jpnpublisher
oai:ginmu.naramed-u.ac.jp:10564/2722017-06-11T23:20:26Zhdl_10564_1578奈良県立医科大学附属病院における肺癌に対する外来化学療法の現況 : 在院日数短縮含めてTHE PRESENT SITUATION OF OUTPATIENT CHEMOTHERAPY FOR ADVANCED LUNG CANCER IN NARA MEDICAL UNIVERSITY : INCLUDING REDUCTION OF HOSPITAL STAYS小林, 厚武田, 真幸小林, 真也木村, 弘神野, 正敏中村, 忍辻本, 昭子堀, 令子小林, 棋治樋野, 光夫辻, 力夫谷奥, 正俊lung canceroutpatient chemotherapyhospital staynon-small cell lung cancer (NSCLC)quality of life (QOL)The ideal chemotherapeutic effects for lung cancer are tumor contraction
and prolonged survival. In the case of advanced lung cancer patients lifetime left is
limited, it is desirable for such patients to spend their remaining days as long as possible
at home. In recent years, it is getting easy to perform chemotherapy for outpatients due
to the establistment of supportive therapy and medical service fee.
Our department started medical treatment for outpatients using an ambulatory
chemotherapy room in July 2005, and 20 patients with non-small cell lung cancer (NSCLC)
were treated in this room by June 2006. There was only one patient who required
emergency admission due to a complication, and no case with blood transfusion occurred.
On the other hand, the average length of hospital stays at our department started to
decrease after July 2005, and shortened from 43.7 days in 2004 to 35.1 days in 2005.
It is elucidated that the induction of chemotherapy for outpatients with NSCLC can result
in the improvement of quality of life (QOL), shortening of hospital stays, and reduction
of medical expenses.奈良医学会奈良県立医科大学ArticleDepartmental Bulletin Paperapplication/pdfJournal of Nara Medical Association Vol.57 No.6 p.185-19113450069http://ginmu.naramed-u.ac.jp/dspace/handle/10564/272Journal of Nara Medical Association, 57(6): 185-191http://hdl.handle.net/10564/272http://ginmu.naramed-u.ac.jp/dspace/bitstream/10564/272/1/185-191p.%e5%a5%88%e8%89%af%e7%9c%8c%e7%ab%8b%e5%8c%bb%e7%a7%91%e5%a4%a7%e5%ad%a6%e9%99%84%e5%b1%9e%e7%97%85%e9%99%a2%e3%81%ab%e3%81%8a%e3%81%91%e3%82%8b%e8%82%ba%e7%99%8c%e3%81%ab%e5%af%be%e3%81%99%e3%82%8b%e5%a4%96%e6%9d%a5%e5%8c%96%e5%ad%a6%e7%99%82%e6%b3%95%e3%81%ae%e7%8f%be%e6%b3%81__%e5%9c%a8%e9%99%a2%e6%97%a5%e6%95%b0%e7%9f%ad%e7%b8%ae%e5%90%ab%e3%82%81%e3%81%a6.pdf13450069AA11252383Journal of Nara Medical Association5761851912006-12-31jpnpublisher
oai:ginmu.naramed-u.ac.jp:10564/2732017-06-11T23:20:26Zhdl_10564_1578ONE CASE OF THE DOUBLE INFERIOR VENAE CAVAE FOUND IN A JAPANESE MANTohno, YoshiyukiTohno, SetsukoAzuma, ChoMoriwake, YumiNagai, RyokoNakatsuji, YukoNakayama, TomomichiNishii, Ryokodouble inferior venae cavaeanomaly of inferior vena cavaveinhumanOne case of the double inferior venae cavae was found in a 74-year-old man
during ordinary dissection practice at Nara Medical University School of Medicine in
2005. The persistent left inferior vena cava was a similar size as the right inferior vena
cava. The interiliac vein connected between the left and right inferior venae cavae.
According to the classification of Takemoto et al. (1978), the present case belonged to
type II-b-3.奈良医学会奈良県立医科大学ArticleDepartmental Bulletin Paperapplication/pdfJournal of Nara Medical Association Vol.57 No.6 p.193-19713450069http://ginmu.naramed-u.ac.jp/dspace/handle/10564/273Journal of Nara Medical Association, 57(6): 193-197http://hdl.handle.net/10564/273http://ginmu.naramed-u.ac.jp/dspace/bitstream/10564/273/1/193-197p.ONE_CASE_OF_THE_DOUBLE_INFERIOR_VENAE_CAVAE_FOUND_IN_A_JAPANESE_MAN.pdf13450069AA11252383Journal of Nara Medical Association5761931972006-12-31engpublisher