Author Naomoto, Yoshio| Yamatsuji, Tomoki| Shirakawa, Yasuhiro| Takaoka, Munenori| Fujiwara, Yasuhiro| Tanabe, Shunsuke|
Published Date 2008-05-01
Publication Title 岡山医学会雑誌
Volume volume120
Issue issue1
Content Type Journal Article
Author Ishii, Tatsuhiro| Murakami, Jun| Notohara, Kenji| Sasamoto, Hiromi| Kambara, Takeshi| Shirakawa, Yasuhiro| Naomoto, Yoshio| Ouchida, Mamoru| Shimizu, Kenji| Jeremy, R. Jass| Matsubara, Nagahide| Tanaka, Noriaki|
Published Date 2007-09-03
Publication Title 岡山医学会雑誌
Volume volume119
Issue issue2
Content Type Journal Article
Author Matsuoka, Junji| Tabuchi, Yoko| Ito, Mitsuya| Ono, Ryoko| Imada, Takako| Motoki, Takayuki| Matsukawa, Hiroyosi| Ohmori, Masako| Yanai, Hiroyuki| Naomoto, Yoshio| Tanaka, Noriaki|
Published Date 2006-09-01
Publication Title 岡山医学会雑誌
Volume volume118
Issue issue2
Content Type Journal Article
Author Matsuoka, Junji| Tabuchi, Yoko| Ono, Ryoko| Imada, Takako| Umeoka, Tatsuo| Watanabe, Naoki| Motoki, Takayuki| Matsukawa, Hiroyosi| Naomoto, Yoshio| Tanaka, Noriaki| Yanai, Hiroyuki| Omori, Masako|
Published Date 2006-09-01
Publication Title 岡山医学会雑誌
Volume volume118
Issue issue2
Content Type Journal Article
Author Matsuoka, Junji| Tabuchi, Yoko| Ito, Mitsuya| Ono, Ryoko| Imada, Takako| Matsukawa, Hiroyosi| Motoki, Takayuki| Naomoto, Yoshio| Kanazawa, Susumu|
Published Date 2006-09-01
Publication Title 岡山医学会雑誌
Volume volume118
Issue issue2
Content Type Journal Article
Title Alternative Two cases of acute pulmonary embolism after esophageal cancer operation
FullText URL 118_41.pdf
Author Kanazawa, Takashi| Watababe, Nobuyuki| Naomoto, Yoshio| Kobayashi, Masahiko| Shirakawa, Yasuhiro| Yamatsuji, Tomoki| Kobayashi, Naoya| Fujiwara, Tohsiyoshi| Matsubara, Nagahide| Iwagaki, Hiromi| Matsuoka, Junji| Tanaka, Noriaki|
Abstract We encountered two cases of pulmonary embolism (PE)/venous thrombs (DVT) after surgery for esophageal cancer. The first case was a 58-year-old male. He underwent a subtotal esophagectomy and reconstruction using the stomach via the subcutaneus route. His postoperative course was stable; however, 13 days after the operation、 he had an elevated fever and pulmonary thrombi were observed on CT-scan screening. Scintigraphy confirmed the thrombi. An inferior vena cava filter (IVCF) was inserted and anti-coagulation therapy using heparin was started. His fever subsided, and 35 days after the operation, the thrombi disappeared. He was discharged thereafter and is being followed up using warfarin. The second case was a 74-year-old male. He also underwent subtotal esophagectomy and reconstruction using the stomach via the subcutaneus route. A central line was inserted via right femoral vein; however, the artery was injured and pressurization to the vessel was needed. His post-operative course was stable and symptom-free; however, ultrasound screening detected DVT in his right femoral vein. IVCF was mserted and anti-coagulation therapy was begun, thrombi disappeared 8 days after the therapy.
Keywords 食道癌 (esophageal cancer) 肺塞栓症 (pulmonary embolism) 深部静脈血栓症 (deep venous thrombs)
Publication Title 岡山医学会雑誌
Published Date 2006-05-01
Volume volume118
Issue issue1
Start Page 41
End Page 45
ISSN 0030-1558
language 日本語
Copyright Holders Copyright© 岡山医学会
File Version publisher
DOI 10.4044/joma1947.118.1_41
NAID 10017417131
Author Kamikawa, Yasuaki| Naomoto, Yoshio| Haisa, Minoru| Uetsuka, Hirokazu| Inoue, Fumiyuki| Hamada, Madoka| Mori, Jun| Kaneko, Akihisa| Yagi, Takahito| Okabayashi, Takahiro| Tanaka, Noriaki| Orita, Kunzo|
Published Date 1995-08-31
Publication Title 岡山医学会雑誌
Volume volume107
Issue issue7-8
Content Type Journal Article
Author Kataoka, Kazuhiko| Naomoto, Yoshio| Muro, Masahiko| Kojima, Kazushi| Horiki, Sadayuki| Hizuta, Akio| Tanaka, Noriaki| Orita, Kunzo|
Published Date 1992
Publication Title 岡山医学会雑誌
Volume volume104
Issue issue1-2
Content Type Journal Article
Author Inoue, Fumiyuki| Kamikawa, Yasuaki| Naomoto, Yoshio| Gouchi, Akira| Orita, Kunzo| Hata, Takato| Kuinose, Masahiko| Nanba, Hirofumi| Taniguchi, Gyou|
Published Date 1992-10
Publication Title 岡山医学会雑誌
Volume volume104
Issue issue9-10
Content Type Journal Article
Author Matsuoka, Junji| Naomoto, Yoshio| Tabata, Masahiro| Shirakawa, Yasuhiro| Hotta, Katsuyuki| Tanimoto, Mitsune| Tanaka, Noriaki|
Published Date 2009-04-01
Publication Title 岡山医学会雑誌
Volume volume121
Issue issue1
Content Type Journal Article
JaLCDOI 10.18926/15189
Title Alternative Quantitative evaluation method of swallowing hypofunctionby aging using Impedance Pharyngography (IPG)
FullText URL 015_1_001_007.pdf
Author Kusuhara, Toshimasa| Nakamura, Takao| Mori, Keiko| Yamamoto, Yoshitake| Shirakawa, Yasuhiro| Naomoto, Yoshio|
Abstract インピーダンス咽頭図(Impedance Pharyngography, 以下IPG)は嚥下活動中の頸部電気インピーダンスを測定するもので,嚥下機能評価を簡便かつ無侵襲に行うことができる手法である。IPG波形は嚥下機能を反映するものであるが嚥下機能の減退による波形への影響はその原因により様々である。すなわち嚥下機能の状態が異なる被験者のIPG波形を直接比較・診断することは測定者の主観に依存することになり客観性に欠ける。本研究では,まず青年健常者のNormal IPGをもとに嚥下機能が反映される波形の特徴を評価するパラメータとして,咽頭通過時間,インピーダンス変化率,類似度,嚥下音タイミングの4つを採用し,IPCを定量的に評価する手法を提案した。また,この評価法を高齢者のIPGに適用し,青年健常者に比べて嚥下活動に関与する器官が円滑に活動を履行する能力に減退が生じる様子を定量的に示した。
Abstract Alternative Impedance Pharyngography (IPG) measures neck electrical impedance during swallowing. IPG method is simple procedures and the technique which can perform noninvasive evaluation of swallowing function. IPG waveform reflects swallowing function. However, the influence on IPG waveform by swallowing hypofunction is various by the causes. That is, it will be dependent on a measurement person's subjectivity to compare directly IPG waveforms of subjects whose states of swallowing function differs, and objectivity is missing.
Keywords 嚥下活動 (swallowing) 嚥下障害 (dysphagia) 生体電気インピーダンス (bio-electrical impedance) インピーダンス咽頭図 (Impedance Pharyngography (IPG)) 嚥下機能評価 (assessment of swallowing function)
Publication Title 岡山大学医学部保健学科紀要
Published Date 2004-12-15
Volume volume15
Issue issue1
Start Page 1
End Page 7
ISSN 1345-0948
language 日本語
File Version publisher
NAID 120002307994
JaLCDOI 10.18926/15214
Title Alternative Examination of informed consent to preoperative esophagus cancer patient
FullText URL 013_2_067_075.pdf
Author Mori, Keiko| Kanao, Naomi| Nanba, Kayo| Ishikawa, Takako| Saito, Shinya| Naomoto, Yoshio|
Abstract 食道がん患者が食道切除術を受けることを自己決定する場合には,食道癌であることの告知と、食道癌に対する治療方法に関するインフォームド・コンセントが重要となる。食道がん患者の治療法選択における自己決定を指向したインフォームド・コンセントの有り様について,質的帰納的に分析した文献は少ない。今回,食道がん患者に対して,半構成的質問用紙を用いて,面接を実施することで,患者が治療法として手術を自己決定するために役立つインフォームド・コンセントとはどのようにあればいいかを明らかにした。その結果,患者が食道切除術を受けることを決めるためには,①患者の理解度にあわせ,何度かに分けてインフォームド・コンセントが行われる必要があること,②術後に起こってくる症状,特に患者にとって苦痛を伴う検査,処置等については,患者のパーソナリティーを考えながら,術後のイメージがわくような説明が必要であること,③患者の自己決定に至る過程のみならず,インフォームド・コンセント後においても,患者や家族を支援する体制が重要であること,が明らかになった。
Abstract Alternative It is important for the patients with esophageal cancer to receive truth telling about their illness as well as to have informed consent fully concerning treatment method when making self-decision. There have been few reports about the self-decision oriented informed consent which were analyzed with qualitative induction research. We therefore conducted qualitative research using semi-structured questionnaire to elucidate how an informed consent should be conducted to support the patients to make self-decision for accepting surgical treatment. As results, 1. Informed consent should not be an event but a process according to capacity of the patients for understanding their own illness. 2. Explanation about the condition following an operation, especially about the symptom or the procedure causing pain, should be supportive for the patients with picturing a specific image, considering the personality of the patients. 3. Supportive system for patients after receiving informed consent and making a decision accepting surgical treatment should be improved because of insufficient sharing of information among medical team members.
Keywords インフォームド・コンセント (Informed consent) 食道がん (esophagus cancer) 治療法の選択 (selecting treatment method) 自己決定 (self-determination)
Publication Title 岡山大学医学部保健学科紀要
Published Date 2003-03-20
Volume volume13
Issue issue2
Start Page 67
End Page 75
ISSN 1345-0948
language 日本語
File Version publisher
NAID 120002307148
Author Fukazawa, Takuya| Matsuoka, Junji| Yamatsuji, Tomoki| Tanaka, Noriaki| Naomoto, Yoshio|
Published Date 2009-12-01
Publication Title 岡山医学会雑誌
Volume volume121
Issue issue3
Content Type Journal Article
Author Watanabe, Nobuyuki| Takaoka, Munenori| Sakurama, Kazufumi| Tomono, Yasuko| Hatakeyama, Shinji| Ohmori, Osamu| Motoki, Takayuki| Shirakawa, Yasuhiro| Yamatsuji, Tomoki| Haisa, Minoru| Matsuoka, Junji| Beer, David G.| Nagatsuka, Hitoshi| Tanaka, Noriaki| Naomoto, Yoshio|
Published Date 2010-04-01
Publication Title 岡山医学会雑誌
Volume volume122
Issue issue1
Content Type Journal Article
Author Nagasaka, Takeshi| Tanaka, Noriaki| Sun, Dong-Sheng| Naomoto, Yoshio| Mastubara, Nagahide| Yagi, Takahito| Fujiwara, Toshiyoshi|
Published Date 2010-08-02
Publication Title 岡山医学会雑誌
Volume volume122
Issue issue2
Content Type Journal Article
Author Tanabe, Shunsuke| Shirakawa, Yasuhiro| Maeda, Naoaki| Ohara, Toshiaki| Noma, Kazuhiro| Sakurama, Kazufumi| Yanai, Hiroyuki| Yamatsuji, Tomoki| Naomoto, Yoshio| Fujiwara, Toshiyoshi|
Published Date 2012-08-01
Publication Title 岡山医学会雑誌
Volume volume124
Issue issue2
Content Type Journal Article