JaLCDOI 10.18926/AMO/30754
フルテキストURL fulltext.pdf
著者 Matsuo, Toshihiko| Narita, Akiko| Senda, Masuo| Hasebe, Satoshi| Ohtsuki, Hiroshi|
抄録 <p>The purposes of this study were to examine whether body sway is altered immediately after strabismus surgery in children and to find preoperative clinical factors associated with body sway. In a prospective study, body sway was measured on 1-3 days before surgery and on the third day after surgery; for the measurements, computerized static stabilometry was carried out on 28 consecutive patients with strabismus (age range: 3 to 12 years old; mean: 7.4) who underwent strabismus surgery under general anesthesia. The linear length of the sway path (cm), the linear length of the sway path in a particular unit of time (cm/second), and the area of the sway path (cm2), indicative of the extent of body sway, all increased significantly among a total of 28 patients in both conditions of the patient's eyes open and closed, as well as among those in a subgroup of 16 patients with exotropia, after they had undergone strabismus surgery (p &#60; 0.05, Wilcoxon signed ranks test). The center of pressure along the Y axis of orientation from the toe to the heel was found to deviate significantly toward the heel postoperatively, as compared with the preoperative center in the subgroup of 16 patients with exotropia (p &#60; 0.05). Before surgery, 15 patients with no stereoacuity exhibited a greater amount of body sway when their eyes were open than did 13 patients with measurable stereoacuity (p &#60; 0.05, Mann-Whitney U-test). In the subgroup of 16 patients with exotropia when their eyes open, 3 patients with abnormal head posture exhibited more extensive body sway than did 13 patients without abnormal head posture (p &#60; 0.05). Body sway was found to significantly increase immediately after strabismus surgery in children with strabismus. Stereoacuity and abnormal head posture are 2 clinical factors associated with preoperative postural instability.</p>
キーワード body sway strabismus surgery exotropia estropia stabilometry
Amo Type Article
発行日 2006-02
出版物タイトル Acta Medica Okayama
60巻
1号
出版者 Okayama University Medical School
開始ページ 13
終了ページ 24
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 English
論文のバージョン publisher
査読 有り
PubMed ID 16508685
Web of Science KeyUT 000235538900002
JaLCDOI 10.18926/AMO/30517
フルテキストURL fulltext.pdf
著者 Kawai, Akira| Harada, Yoshiaki| Senda, Masuo| Sugihara, Shinsuke| Inoue, Hajime|
抄録 <p>We report herein the results of anterior or posterior neural decompression with spinal stabilization in 16 patients with spinal metastases. Intractable back pain was relieved in 14 patients (87.5%) and 4 had complete pain relief. Neurologic recovery was observed in 8 out of 13 patients (61.5%) who had some neurologic deficits before surgery. The activities of daily living improved in 7 of 9 (77.7%), and 5 out of 8 patients (62.5%) who had been unable to walk before surgery became ambulatory after surgery. The average operation time was 3h 15 min with an average blood loss of 2150 ml. No patient died within 1 month after surgery and the median survival was 19.1 months. The results indicated that, if properly indicated, anterior or posterior neural decompression and spinal stabilization is a safe and effective treatment for patients with spinal metastases to improve the quality of life for the patients' remaining years.</p>
キーワード spine neoplasm metastasis operation stabilization
Amo Type Article
発行日 1996-02
出版物タイトル Acta Medica Okayama
50巻
1号
出版者 Okayama University Medical School
開始ページ 29
終了ページ 35
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 English
論文のバージョン publisher
査読 有り
PubMed ID 8701779
Web of Science KeyUT A1996TY06000005
JaLCDOI 10.18926/AMO/30514
フルテキストURL fulltext.pdf
著者 Asahara, Hiroshi| Kawai, Akira| Harada, Yoshiaki| Senda, Masuo| Inoue, Hajime|
抄録 <p>&#60;P&#62;In this study, 42 cases of spinal schwannomas are reviewed. We analyzed the therapeutic results of patients with spinal schwannomas in order to investigate the factors which affect the clinical outcomes. Early diagnosis and treatment could help procure a good result for the patient. The delay in diagnosis and the subsequent duration of symptoms was significantly longer in cases of lumbar lesions compared to cervical and thoracic lesions. Tumor recurrence was rare, but in some cases where complete resection was not possible, close follow-up of the patients postoperatively with MRI was indicated.&#60;/P&#62;</p>
キーワード schwannoma spinal tumor
Amo Type Article
発行日 1996-02
出版物タイトル Acta Medica Okayama
50巻
1号
出版者 Okayama University Medical School
開始ページ 25
終了ページ 28
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 English
論文のバージョン publisher
査読 有り
PubMed ID 8701778
Web of Science KeyUT A1996TY06000004
JaLCDOI 10.18926/AMO/30503
フルテキストURL fulltext.pdf
著者 Touno, Midori| Senda, Masuo| Nakago, Kie| Yokoyama, Yoshiki| Inoue, Hajime|
抄録 <p>To study the pathology of muscle atrophy in rheumatoid arthritis (RA), we examined the vastus medialis in rheumatoid patients histologically. The relationship of the findings to their ambulatory ability and long-term steroid therapy was investigated. The muscles of the RA patients were also compared with those of patients with osteoarthritis (OA). Specimens of the vastus medialis were collected from 29 knees of 23 patients with RA and 16 knees of 13 patients with OA during total knee arthroplasty. Muscle fibers were classified according to their type, and the ratio between the area of single type I and type II fibers as well as the ratio between the total area of these fibers was calculated. The total area of type II fibers in the RA group was significantly greater than in the OA group (P &#60; 0.05). In the RA group, the mean proportion of the type II fibers relative to the total muscle fiber area tended to increase with the decline of ambulatory ability, while there was no such increase in the OA group. The proportion of type II fibers was increased significantly in RA patients on long-term steroid therapy when compared to those without therapy. In the ratio of the area of a single fiber, there was no clear relationship to ambulatory ability and long-term steroid therapy. It is considered that muscle atrophy in RA is not solely disuse atrophy, but also has a close relationship to steroid therapy and the pathology of the disease itself.</p>
キーワード muscle atrophy muscle fiber type vastus medialis rheumatoid arthritis
Amo Type Article
発行日 1996-06
出版物タイトル Acta Medica Okayama
50巻
3号
出版者 Okayama University Medical School
開始ページ 157
終了ページ 164
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 English
論文のバージョン publisher
査読 有り
PubMed ID 8805856
Web of Science KeyUT A1996UU60400007
JaLCDOI 10.18926/AMO/30474
フルテキストURL fulltext.pdf
著者 Takahara, Yasuhiro| Senda, Masuo| Hashizume, Hiroyuki| Yagata, Yukihisa| Inoue, Hajime|
抄録 <p>We observed differences in the capillary architecture of the skeletal muscles that have different fiber metabolism. The soleus, the vastus intermedius and the tibialis anterior muscles of adult Wistar rats were prepared using two different techniques. Samples for adenosine triphosphatase (ATPase) staining were prepared following Dubovitz's method, and the distributions of fiber type, Types 1, 2A and 2B, were analyzed. Then, corrosion casts of capillary architecture of these muscles prepared following Murakami's method were observed with a scanning electron microscope (SEM) and compared with the fiber distribution. The fiber type composition of the soleus muscle showed Type 1 (slow-twitch) dominance and that of the vastus intermedius and the tibialis anterior muscle showed Type 2 (fast-twitch) dominance. The capillaries of the soleus muscle were tortuous, and this was thought to be advantageous for blood supply. In contrast, the capillaries of the vastus intermedius and tibialis anterior muscles had a relatively parallel pattern. Additionally, two different patterns of capillary architecture that appeared to correspond to certain metabolic characteristic of different muscle fiber types were preserved with corrosion casting. In conclusion, comparative studies on capillary architecture of the skeletal muscles are useful for analyses of its function. </p>
キーワード skeletal muscle ATPase staining muscle fiber type corrosion cast capillary architecture
Amo Type Article
発行日 1996-08
出版物タイトル Acta Medica Okayama
50巻
4号
出版者 Okayama University Medical School
開始ページ 211
終了ページ 218
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 English
論文のバージョン publisher
査読 有り
PubMed ID 8874583
Web of Science KeyUT A1996VE60800005
JaLCDOI 10.18926/14885
タイトル(別表記) QOL in RA patients
フルテキストURL 72_071_073.pdf
著者 横井 正| 千田 益生| 光延 文裕| 保崎 泰弘| 芦田 耕三| 西田 典数| 柘野 浩史| 岡本 誠| 高田 真吾| 谷崎 勝朗| 井上 一|
抄録 近年QOLが重視されるようになってきている。MOS short form 36 health survey (以下SF-36と略す)は,国際的レベルでの基準とされるべく開発された非疾患特異的HRQOL尺度である。今回我々は当院でリハビリテーションをうけているRA患者を対象にSF-36を用いてQOL評価を行った。SFl36の8項目をそれぞれ算出し,国民標準値との比較を行った. すべての項目において標準値を下回っていたが,特に,日常役割機能(身体),日常役割機能(精神),身体の痛み,身体横能において大きな開きを認めた。また,PCSは平均35.8であり,MCSは平均49.1であった。以上より,RA患者は身体に強い痛みを伴っているため精神健康面より身体横能面において制限を有していることが分かった。
抄録(別表記) We have recently regarded the QOL as important. SF-36 is a measure of HRQOL made as an international standard. We investigated the QOL in RA patients who under went rehabilitation in our hospital using SF-36. We calculated 8 items of SF-36 and compared those with Japanese standards. All items in RA patients were lower than Japanese standards. PCS was 35.8 on average and MCS was 49.1 on average.
キーワード SF-36 生活の質 (Quality of Life) 慢性関節リウマチ (Rheumatoid Arthritis)
出版物タイトル 岡大三朝分院研究報告
発行日 2002-02-01
72巻
開始ページ 71
終了ページ 73
ISSN 0918-7839
言語 Japanese
論文のバージョン publisher
NAID 120002308553
著者 横井 正| 千田 益生| 浜田 全紀| 光廷 文裕| 保崎 泰弘| 芦田 耕三| 岩垣 尚史| 永田 拓也| 藤井 誠| 高田 真吾| 谷崎 勝朗| 井上 一|
発行日 2004-02-01
出版物タイトル 岡大三朝医療センター研究報告
74巻
資料タイプ 紀要論文
著者 横井 正| 千田 益生| 光延 文裕| 保崎 泰弘| 芦田 耕三| 西田 典数| 柘野 浩史| 岡本 誠| 永田 拓也| 高田 真吾| 谷崎 勝朗| 井上 一|
発行日 2003-02-01
出版物タイトル 岡大三朝医療センター研究報告
73巻
資料タイプ 紀要論文
著者 千田 益生|
発行日 1987-03-31
出版物タイトル
資料タイプ 学位論文