2010-04 http://hdl.handle.net/10564/1476 2026-04-10T15:44:01Z 2026-04-10T15:44:01Z 植田, 剛 瀧, 順一郎 越智, 祥隆 吉田, 英晃 http://hdl.handle.net/10564/1144 2017-05-29T06:07:33Z 2010-04-29T15:00:00Z

タイトル: 内翻したMeckel憩室が先進部となった成人腸重積症の1例 著者: 植田, 剛; 瀧, 順一郎; 越智, 祥隆; 吉田, 英晃 抄録: We report a rare case of adult intussusception caused by an inverted Meckel's diverticulum. A 24-year-old man with intermittent abdominal pain was found by abdominal computed tomography to have target sign. We diagnosed intussusception, and couducted emergency surgery. At laparotomy, we found that the ileum had invaginated into the ascending colon. When the intussusception was relieved with Hutchinson's maneuver, an inverted diverticulum was observed at 80cm proximal to the ileocecum. The diverticulum was 7cm in size and was present on the opposite site of the mesentery. Histological findings showed all layers of small intestine and ectopic gastric mucosal tissue in the diverticulum. We diagnosed intussusception due to inverted Meckel' s diverticulum. Inverted Meckel's diverticulum should be considered as a probable cause of intestinal intussusception.

2010-04-29T15:00:00Z 森本, 陽子 宮川, 希 長谷川, 正俊 http://hdl.handle.net/10564/1143 2017-05-29T06:07:33Z 2010-04-29T15:00:00Z

タイトル: 肺癌の病期診断と治療方針決定におけるFDG-PETの有用性の検討 著者: 森本, 陽子; 宮川, 希; 長谷川, 正俊 抄録: CT images and FDG-PET images of 31 cases from 30 patients with histologically proven lung cancer were reviewed. The clinical stages and treatments determined by CT images alone (CT-stages and CT-treatments) were compared with those by CT and FDG-PET images (PET-stages and PET-treatments). The CT-stages were different from the PET-stages in 11 cases (35%). The CT-treatments were different from the PET-treatments in 10 cases (32%). These results suggest that the additional use of FDG-PET to the standard clinical staging by CT may have a great influence on the choice of optimal treatment strategies for lung cancer.

2010-04-29T15:00:00Z 岸本, 裕子 岡本, 希 車谷, 典男 http://hdl.handle.net/10564/1142 2017-05-29T06:07:33Z 2010-04-29T15:00:00Z

タイトル: 特別養護老人ホーム入所高齢者の生体リズムの特徴とその関連要因 著者: 岸本, 裕子; 岡本, 希; 車谷, 典男 抄録: It is universally recognized that biological rhythms in the frail elderly with disorders such as dementia are liable to disruptions; however, studies exploring the characteristic features of biological rhytims in the elderly and the factors causing disruptions of the rhytims in the frail elderly, especially those in need of care and residing in nursing homes are still few. We conducted the present study to examine the characteristics of the biological rhytlms and the factors causing disruptions of the rhythms in 50 residents of special nursing homes for the elderly (9 men and 41 women) using a contmuous portable instrument. The results revealed disrupted 24-hr rhytims in 22 subjects (44%), nearly half of the study subjects. The results also suggested the possible involvement of wake-sleep cycle reversal (P = 0.032) in the rhythm disruptions. Activitles of daily living (P = 0.046), poriomania (P = 0.039), and participation in actions (P = 0.039) were also found to be significant factors contributing to disruptions of the biological rhytlms. Seventeen residents (34%) showed considerable decrease in the activities of daily living. The present findings on the characteristics of biological rhythms and the factors involved in causing the disruptions of the rhythms in elderly nursing home residents provide basic information for considering interventions to improve care for the frail elderly in need of care in the clinical practice setting of nursing care for the aged.

2010-04-29T15:00:00Z 岡本, 康幸 http://hdl.handle.net/10564/1141 2017-05-29T06:07:33Z 2010-04-29T15:00:00Z

タイトル: パターン認識による臨床検査データの判読 著者: 岡本, 康幸 抄録: 臨床検査データの解釈にパターン認識の手法を用いることによって,コンピュー タによる自動判読や,パターンの中に隠された新たな病態情報を抽出することが期待される。 この目的のために筆者がこれまで行ってきた試みについて紹介する。内容は,数値データセッ トについてのパターン類似性を用いたマッチング検索,ニューラルネットによる学習を用いた 診断支援,波形データについてのゆらぎ解析による機能評価,画像データについての複雑性を 指標とした質的評価の定量化,である.

2010-04-29T15:00:00Z