2007-02 http://hdl.handle.net/10564/1569 2026-04-10T15:42:26Z 2026-04-10T15:42:26Z 竹田, 幸祐 米田, 諭 小林, 洋三 松森, 篤史 安藤, 稔 西林, 公男 松村, 昌美 福井, 博 http://hdl.handle.net/10564/292 2017-05-29T06:07:05Z 2007-02-27T15:00:00Z

タイトル: サイトメガロウイルス感染症による十二指腸潰瘍の1例 著者: 竹田, 幸祐; 米田, 諭; 小林, 洋三; 松森, 篤史; 安藤, 稔; 西林, 公男; 松村, 昌美; 福井, 博 抄録: A 56-year-old man who had received bone marrow transplantation under the diagnosis of Hodgkin's lymphoma (Stage ⅣB) complained of tarry stool during of immunosuppresslve agent theropy. Upper gastrointestinal endoscopy revealed longitudinal ulcers in the second portion of the duodenum. Histological examination of the ulcer margin showed intranuclear inclusion bodies. Although we treated the patient with anti- CMV agent and proton pump inhibitor, he complained of tarry stool again. Upper gastrointestinal endoscopy revealed Dieulafoy's lesion in the superior duodenal angulus. However, it was difficult to observe this lesion by the rigid endoscope; we were able to observe and treat the condition by using endoscopic clipping with a transparent hood.

2007-02-27T15:00:00Z 服部, 宇孜 http://hdl.handle.net/10564/291 2017-05-29T06:06:29Z 2007-02-27T15:00:00Z

タイトル: 地域リハビリテーションチーム医療の連携 著者: 服部, 宇孜 抄録: To perform successful physical rehabilitation, it is usual that home training outside the care and rehabilitation facility is also needed. However, when a therapist only contributes to teaching the users of the care and rehabilitation facility to perform home training without support by staffs of comprehensive medical care and caregivers, the users are passive, resulting in less success in physical amelioration. Effects of a team approach by staffs of comprehensive medical care and caregivers on rehabilitation performance in the care and rehabilitation facility were explored. Aim: The subiects of this study were 40 rehabilitation vsers using a daycare center for 3 months. Methods: Using Functional Independence Measure (FIM), the difference in the scores between before and 3 months after the team approach was evaluated. Results: The overall score in January was 3594 points and that in April was 4396 points; and the difference was 802 points, indicating the increase of the score. Mean score per user in January was 89.9 points and that in April was 109.9 points, with a difference of 20.1 points, indicating the increase of the score per user. Discussion: The present results indicate that the team approach improved physical amelioration. Thus, a therapist should organize the team approach with staffs of comprehensive medical care and caregivers around the user. As a resvit, the users of the care and rehabilitation facility will be able to actively perform home training in their homes with support by staffs of comprehensive medical care and caregivers, leading to progress in the quality of life of the users and their families.

2007-02-27T15:00:00Z 服部, 宇孜 http://hdl.handle.net/10564/290 2017-05-29T06:07:04Z 2007-02-27T15:00:00Z

タイトル: パーキンソン氏病患者の病状把握のための評価表作成案 著者: 服部, 宇孜 抄録: Among the problems in today's medical care that we should consider are long waiting times and short office hours. Under these circumstances, the pathological state of the patient with Parkinson's disease easily changes during everyday life, even though periodical consultations with a doctor are carriedout. At present in medical institutions, medical exalnination and consultation hours are largely restricted and thus sufficient medical interrentions are not performed for this intractable disease. The aim of the present study was to develop an evaluation standard list composied of items corresponding to activities of daily living (ADL) specific for Parkinson's disease1) and quality of life (QOL)2) in order to understand psycho-physical function and ADL, and to arrive at a prognosis during a short medical examination by interview. The subjects for this study were 50 patients diagnosed with Parkinson's disease. I made a subjective QOL questionnaire and examined the subjective satisfaction of patients to their own QOL using this questionnaire. The items tightly correlated with satisfaction in daily life were falnily, role inthe home, relatives, costs of living, and satisfaction with house in home level. Using these tightly correlated items, an evaluation standard list that enables the shortening of appropriate medical examinations and treatments will be developed.

2007-02-27T15:00:00Z 湯川, 英一 丸岡, 真治 原, 嘉昭 片桐, 博都 森下, 仁子 http://hdl.handle.net/10564/289 2017-05-29T06:07:15Z 2007-02-27T15:00:00Z

タイトル: 天理市立病院における小児スポーツ眼外傷の発生状況 著者: 湯川, 英一; 丸岡, 真治; 原, 嘉昭; 片桐, 博都; 森下, 仁子 抄録: Among patients who visited the Ophthalmological Department of Tenri Municipal Hospital due to sports-related eye injuries between July 1997 and March 2006, children aged ≦ 15 years were studied retrospectively. The evaluation items were age, gender, sport that induced injury, cause of injury, and ocular findings at the initial consultation. In patients with a corrected visual acuity of ≦ 0.6, visual acuity was surveyed at the final observation as well as ocular findings. The subjects were 122 children with unilateral eye injury. The age at the time of injury was most frequently 13 years. The sport that most frequently induced injury was baseball, with injuries due to balls observed very frequently. At the time of the first consultation, 6 of the 122 patients had a corrected visual acuity of ≦ 0.5, and the other patients had a corrected visual acuity of > 0.6. The ocular finding most frequently observed was traumatic iritis; in baseball and football, injuries tra㎜atic macula hole occurred in 1 patient each. Ophthalmologists should not only perform treatment of injuries but also give instructions and education to sports instructors and athletes as a part of concrete measures to reduce the incidence of sports-related eye injuries and, in additoin, develop methods of preventing the aggravation of injuries that have unfortunately occurred.

2007-02-27T15:00:00Z