2006-12 http://hdl.handle.net/10564/1578 2026-04-10T15:42:24Z 2026-04-10T15:42:24Z Tohno, Yoshiyuki Tohno, Setsuko Azuma, Cho Moriwake, Yumi Nagai, Ryoko Nakatsuji, Yuko Nakayama, Tomomichi Nishii, Ryoko http://hdl.handle.net/10564/273 2017-06-11T23:20:26Z 2006-12-30T15:00:00Z

タイトル: ONE CASE OF THE DOUBLE INFERIOR VENAE CAVAE FOUND IN A JAPANESE MAN 著者: Tohno, Yoshiyuki; Tohno, Setsuko; Azuma, Cho; Moriwake, Yumi; Nagai, Ryoko; Nakatsuji, Yuko; Nakayama, Tomomichi; Nishii, Ryoko 抄録: One case of the double inferior venae cavae was found in a 74-year-old man during ordinary dissection practice at Nara Medical University School of Medicine in 2005. The persistent left inferior vena cava was a similar size as the right inferior vena cava. The interiliac vein connected between the left and right inferior venae cavae. According to the classification of Takemoto et al. (1978), the present case belonged to type II-b-3.

2006-12-30T15:00:00Z 小林, 厚 武田, 真幸 小林, 真也 木村, 弘 神野, 正敏 中村, 忍 辻本, 昭子 堀, 令子 小林, 棋治 樋野, 光夫 辻, 力夫 谷奥, 正俊 http://hdl.handle.net/10564/272 2017-06-11T23:20:26Z 2006-12-30T15:00:00Z

タイトル: 奈良県立医科大学附属病院における肺癌に対する外来化学療法の現況 : 在院日数短縮含めて 著者: 小林, 厚; 武田, 真幸; 小林, 真也; 木村, 弘; 神野, 正敏; 中村, 忍; 辻本, 昭子; 堀, 令子; 小林, 棋治; 樋野, 光夫; 辻, 力夫; 谷奥, 正俊 抄録: The ideal chemotherapeutic effects for lung cancer are tumor contraction and prolonged survival. In the case of advanced lung cancer patients lifetime left is limited, it is desirable for such patients to spend their remaining days as long as possible at home. In recent years, it is getting easy to perform chemotherapy for outpatients due to the establistment of supportive therapy and medical service fee. Our department started medical treatment for outpatients using an ambulatory chemotherapy room in July 2005, and 20 patients with non-small cell lung cancer (NSCLC) were treated in this room by June 2006. There was only one patient who required emergency admission due to a complication, and no case with blood transfusion occurred. On the other hand, the average length of hospital stays at our department started to decrease after July 2005, and shortened from 43.7 days in 2004 to 35.1 days in 2005. It is elucidated that the induction of chemotherapy for outpatients with NSCLC can result in the improvement of quality of life (QOL), shortening of hospital stays, and reduction of medical expenses.

2006-12-30T15:00:00Z 野々村, 昭孝 笠井, 孝彦 榎本, 泰典 武田, 麻衣子 田村, 智美 中峯, 寛和 堤, 幹宏 http://hdl.handle.net/10564/271 2017-05-29T06:06:56Z 2006-12-30T15:00:00Z

タイトル: 病理解剖に関するアンケート調査結果と剖検に関する一考察 著者: 野々村, 昭孝; 笠井, 孝彦; 榎本, 泰典; 武田, 麻衣子; 田村, 智美; 中峯, 寛和; 堤, 幹宏 抄録: The rate of autopsies of patients dying in hospital has now decreased not only in Japan but also in the United States and European countries. Nara Medical University Hospital now averages an autopsy rate of about 10% for the last several years. We sent out a questionnaire on autopsy to all 80 Medical University Hospitals in Japan, and received replies from 65 University Hospitals (81%). Autopsy time schedule, number of participant pathologists and autopsy assistants were very variable from hospital to hospital. Autopsy time schedules of the hospitals were classified into four groups. Seven university hospitals have performed autopsy on business time schedules only, eleven hospitals on business time schedules including Saturdays, forty hospitals on daytime schedules irrespective of off-days and holidays, and the remaining seven hospitals on 24-hour schedules. However, the most interesting point was that the mean autopsy rate was not fundamentally different in the 4 groups with different autopsy time schedules, that is; 16.3%, 19.7%, 16.4%, and 18.9%, respectively. The number of pathologists and, especially, autopsy assistants is insufficient to establish a 24-hour autopsy system at present in Nara Medical University Hospital. Cooperation with clinicians and reconsideration of the allotted jobs of paramedical technologists in the university hospital are indispensable to perform autopsies on a 24-hour schedule system in our university hospital. When it is not possible to perform a complete autopsy, less invasive or non-invasive alternatives to the complete autopsy, such as limited autopsy, needle autopsy, endoscopic autopsy, and autopsy imagings using CT and/or MRI, may be valqable tools capable of answering specific questions in situations. 内容記述: 時間外病理解剖のあり方を考えるワーキンググループ 小西登(病理病態学),笹平智則(分子病理学),野々村昭孝(委員長,病理診断学),笠井孝彦(病理診断学),齋藤 能彦(循環器・腎臓・代謝内科),森井武志(呼吸器・血液内科),吉治仁志(消化器・内分泌代謝内科),川原誠(神 経内科),成清道博(消化器・一般外科,小児外科),三島秀明(脳神経外科),長阪重雄(心臓血管外科,呼吸器外 科),西尾健治(救急科),前田光一(総合診療科),丹羽欣正(中央臨床検:査部),西久保敏也(周産期医療センター), 池寛子(病院病理部),古西満(感染症センター),米田淳平(病院管理課)

2006-12-30T15:00:00Z 坪井, 昭夫 http://hdl.handle.net/10564/270 2017-05-29T06:06:31Z 2006-12-30T15:00:00Z

タイトル: 脳における匂い感覚地図形成の分子メカニズム 著者: 坪井, 昭夫 抄録: ヒトの脳の複雑な機能は,多様に特殊化した神経細胞が自らの特異性を踏まえて 互いに連絡し合い,無数の神経回路を形成することによって支えられている。脳神経系の研究 では,神経細胞の個性獲得と,それに基づく特異的な神経接続の機構解明が重要な課題となっ ている。嗅覚系は,個々の嗅細胞が発現する嗅覚受容体の種類と,それに基づいて行われる嗅 球上での軸索投射の位置が明瞭に定義できるという点で優れたシステムを提供している。した がって,"神経回路がどのようにして形成され維持されるのか,神経回路が何らかの原因で破壊 された時,どのようにして再構築されるのか"を,嗅覚系をモデルにして明らかにすることは極 めて重要である。本稿では,嗅細胞における嗅覚受容体遺伝子の発現と,それにより規定され る嗅球における匂い感覚地図形成の分子メカニズムについて考察する。

2006-12-30T15:00:00Z