2024-03-28T19:16:06Zhttp://ginmu.naramed-u.ac.jp/dspace-oai/request
oai:ginmu.naramed-u.ac.jp:10564/17262017-06-11T23:20:26Zhdl_10564_1725表紙、目次、投稿規定、奥付(Vol.62 No.1-2)表紙目次投稿規定奥付奈良医学会奈良県立医科大学2011-11-04T04:02:23Z2011-11-04T04:02:23Z2011-04-30OtherOthers922788 bytesapplication/pdfJournal of Nara Medical Association Vol.62 No.1-213450069http://hdl.handle.net/10564/172613450069AA11252383Journal of Nara Medical Association621-2jpnpublisher
oai:ginmu.naramed-u.ac.jp:10564/17272017-05-29T06:07:42Zhdl_10564_1725研究施設の中の動物たちとリファインメントREFINEMENT FOR ANIMALS KEPT IN RESEARCH INSTITUTION久保, 薫3Rrefinementmicrobiological monitoringhumane endpointanesthesia動物実験の基本理念として,Russell&Burchは「人道的実験技術の原則(The Principles of Humane Experinlental Technique)」(1959年)の中で「3R」を提唱した.すなわち,実験者は代替法の利用(Replacement),使用動物数の削減(Reduction),苦痛の軽減(Refinement)について可能な限り実践することが,倫理的な動物実験の基本理念である.この理念は, 2005年の「動物の愛護及び管理に関する法律」の改正において明文化された.本稿では,Refinementに含まれている「適正な飼育環境と衛生管理」,「動物実験における苦痛の程度の予想と人道的エンドポイントの実施」,「苦痛軽減のための麻酔」を取り上げ,Refinementを理解し,動物実験計画の立案,実験計画に基づく実験処置,実験結果の分析,評価,検証に実践されるようにまとめた.奈良医学会奈良県立医科大学2011-11-04T04:13:28Z2011-11-04T04:13:28Z2011-04-30ArticleDepartmental Bulletin Paper1318548 bytesapplication/pdfJournal of Nara Medical Association Vol.62 No.1-2 p.1-1013450069http://hdl.handle.net/10564/172713450069AA11252383Journal of Nara Medical Association621-2110jpnpublisher
oai:ginmu.naramed-u.ac.jp:10564/17282015-03-05T03:44:24Zhdl_10564_1725臍帯血移植の奇跡的経験CORD BLOOD TRANSPLANTATION CAN WORK WONDERS森井, 武志天野, 逸人田中, 晴之CBTNSTRISTGVL臍帯血移植はその利便性から近年急速に施行件数が増加しているが,施設間で治療成績の差が大きく評価が定まらないため現状では臨床試験としておこなうべき治療法とされている.当科では奇跡的ともいえる劇的な治療効果を多数経験しているので代表的な5例を提示し臍帯血移植の有用性を紹介する. [症例1]72歳男性,骨髄異形成症候群白血化,移植後4年間寛解維持. [症例2]49歳男性,NK細胞リンパ腫・鼻型,治療抵抗性,中枢神経浸潤,移植後79か月間無病生存中. [症例3]22歳男性,神経芽細胞腫,全身骨転移あり,移植後20か月生存. [症例4]66歳男性,急性型ATL,中枢神経浸潤,非寛解で移植,移植後34か月間無病生存中. [症例5]22歳女性,EBV陽性T細胞リンパ増殖異常症,皮膚潰瘍形成あり,移植後32か月間無病生存中.個人の特定が出来ると思われる写真が掲載されているため本文PDFの登録はなし奈良医学会奈良県立医科大学2011-11-04T04:44:38Z2011-11-04T04:44:38Z2011-04-30ArticleDepartmental Bulletin Paper6 bytestext/plainJournal of Nara Medical Association Vol.62 No.1-2 p.11-2013450069http://hdl.handle.net/10564/172813450069AA11252383Journal of Nara Medical Association621-21120jpnpublisher
oai:ginmu.naramed-u.ac.jp:10564/17292017-06-11T23:20:26Zhdl_10564_1725PSYCHOTHERAPEUTIC NURSING FOR A PATIENT WITH AMYOTROPHIC LATERAL SCLEROSISJikumaru, Kiyokoamyotrophic lateral sclerosisALSPsychotherapeutic Nursingroles and functionsThe Psychotherapeutic Nursing (PTN) is a holistic care to ease physical pain and emotional-social agony, and to support psychological development and growth of patients with physical illness or injury. This approach is expected to help them become
aware of, and satisfy, their suppressed needs and desires. In this research, the author, a nurse and psychotherapist, applied the PTN to a patient in a terminal stage of amyotrophic lateral sclerosis (ALS), and investigated the psychological process of the patient under the PTN. The patient, once overwhelmed by anticipatory anxiety and fear of death, overcame conflicts and fear of death, came to adapt himself to his miserable fate, accepted death, and finally passed away in peace with the intervention of PTN. In this process, the author supported him in expressing and then satisfying his definite and specific needs and desires with arrangement of human and physical resources. Information and ideas were exchanged among the staff so that the same goal could be shared, and the entire ward functioned psychotherapeutically. The patient died a peaceful death, being respected as a human being.奈良医学会奈良県立医科大学2011-11-04T06:08:45Z2011-11-04T06:08:45Z2011-04-30ArticleDepartmental Bulletin Paper1170702 bytesapplication/pdfJournal of Nara Medical Association Vol.62 No.1-2 p.21-3313450069http://hdl.handle.net/10564/172913450069AA11252383Journal of Nara Medical Association621-22133engpublisher
oai:ginmu.naramed-u.ac.jp:10564/17302017-05-29T06:07:43Zhdl_10564_1725主膵管に近接した膵頭部インスリノーマを核出しえた1例A CASE OF ENUCLEATION PROCEDURE FOR AN INSULINOMA OF PANCREATIC HEAD LOCATED NEAR THE MAIN PANCREATIC DUCT : A CASE REPORT植田, 剛瀧, 順一郎越智, 祥隆吉田, 英晃insulinomaenucleationintraoperative ultrasonographyA 76 year-old man had presented consciousness disturbance since about 2000 ; it was diagnosed as transient cerebral ischemic attack or an epilepsy stroke. He
was found to have hypoglycemia at the end of 2004 and was admitted to our hospital for
a careful examination. Abdominal enhanced CT showed a hypervascular round mass about 15 mm in diameter located in the pancreatic head. An arterial stimulation venous sampling suggested that the tumor was fed by the inferior pancreaticoduodenal artery
and the gastroduodenal artery. The tumor was interpreted as consistent with islet cell
tumor, so-called insulinoma, in the pancreatic head. He underwent surgical resection at the end of April, 2005. By intraoperative ultrasonography, the tumor was shown to be in the pancreatic head, located near the main pancreatic duct and common bile duct. We used a Cavitron Ultrasonic Surgical Aspirator and could enucleate while confirming the relation of the tumor and the main pancreatic duct in real time by intraoperative ultrasonography.奈良医学会奈良県立医科大学2011-11-04T07:35:03Z2011-11-04T07:35:03Z2011-04-30ArticleDepartmental Bulletin Paper1595207 bytesapplication/pdfJournal of Nara Medical Association Vol.62 No.1-2 p.35-4113450069http://hdl.handle.net/10564/173013450069AA11252383Journal of Nara Medical Association621-23541jpnpublisher
oai:ginmu.naramed-u.ac.jp:10564/17312017-05-29T06:07:43Zhdl_10564_1725腹膜刺激症状により発症した魚骨による回腸穿孔の一例A CASE OF ILEUM PERFORATION BY FISH BONE PRESENTING WITH CLINICAL MANIFESTATIONS OF PERITONITIS辻, 裕樹岡村, 和哉相原, 洋祐吉治, 仁志山尾, 純一池中, 康英野口, 隆一森岡, 千恵中西, 啓祐白井, 勇作福井, 博石岡, 興平中村, 信治中島, 祥介ileum perforationfish boneperitonitisWe report herein a rare case of ileum perforation by fish bone associated with severe manifestations of peritonitis. A 54-year-old man with chronic hepatitis C (CHC) and nephrotic syndrome was admitted into our hospital to receive interferon therapy. A couple of days after admission, he suddenly complained of a severe abdominal pain with diffuse tenderness. Enhanced computed tomography revealed an ileum perforation by a sharp thin object. Since he had severe clinical manifestations of peritonitis, an emergency operation was performed. This surgery revealed an ileum perforation by needle-like material and opaque ascites. Histological examination showed acute mucosal inflammation of the ileum with a fish bone. In most cases, the perforation hole is small, and the main clinical manifestation is usually localized limited abdominal pain but not diffuse tenderness. In these cases, conservative therapies such as endoscopic approach can be selected but not an emergency operation. However, when there is ascites, severe peritonitis can immediately result from leak of several toxic substances such as the ileum juice, endotoxin, and microbacteria into the peritoneal cavity. We have to take into account that even a small perforation by a fish bone may rapidly cause diffuse peritonitis under the condition of ascites such as nephrotic syndrome.奈良医学会奈良県立医科大学2011-11-08T05:36:29Z2011-11-08T05:36:29Z2011-04-30ArticleDepartmental Bulletin Paper1137090 bytesapplication/pdfJournal of Nara Medical Association Vol.62 No.1-2 p.43-4813450069http://hdl.handle.net/10564/173113450069AA11252383Journal of Nara Medical Association621-24348jpnpublisher