{"_buckets": {"deposit": "1733bfb2-cc4e-4ece-892e-44e8092e793e"}, "_deposit": {"created_by": 3, "id": "776", "owners": [3], "pid": {"revision_id": 0, "type": "depid", "value": "776"}, "status": "published"}, "_oai": {"id": "oai:dmu.repo.nii.ac.jp:00000776", "sets": ["50"]}, "author_link": ["3233", "3232", "3226", "3230", "3221", "3222", "3225", "3229", "3234", "3231", "3224", "3228", "3227", "3223"], "item_2_biblio_info_12": {"attribute_name": "書誌情報", "attribute_value_mlt": [{"bibliographicIssueDates": {"bibliographicIssueDate": "2009-07-25", "bibliographicIssueDateType": "Issued"}, "bibliographicIssueNumber": "2", "bibliographicPageEnd": "108", "bibliographicPageStart": "105", "bibliographicVolumeNumber": "36", "bibliographic_titles": [{"bibliographic_title": "Dokkyo journal of medical sciences"}]}]}, "item_2_description_10": {"attribute_name": "抄録(日)", "attribute_value_mlt": [{"subitem_description": "[目的]バセドウ病 (GD) と破壊性甲状腺炎 (DT) の迅速鑑別法にはTSHレセプター抗体の有無,甲状腺エコー検査,遊離T3/T4 (FT3/FT4),総T3/T4比 (T3/T4),総ALP (T-ALP),甲状腺血流が有用とされている.そのうち最も鋭敏な指標となりうる項目を検討した.[方法]2007年から未治療で当科を受診したGD:15名,無痛性甲状腺炎(PT):8名,亜急性甲状腺炎( SAT):10名( DT:18名) を対象として,FT3/FT4,T3/T4,T-ALP,上甲状腺動脈平均血流速度( mean velocity STA) を測定した.[結果]年齢:GD51.2± 18.8歳,DT49.3±21.0歳,FT3/FT4:GD3.3±1.0,DT2.9±1.9,T3/T4:GD15.9±4.7,DT15.2± 3.3,T-ALP( U/l):GD431.3 ±196.6,DT299.1±163.2,mean velocitySTA( cm/s):GD65.0±8.7,DT41.0± 7.0,(P \u003c 0.0001).[結論]今回の検討ではmean velocity STA がGD とDT の鑑別に最も有用であった.", "subitem_description_type": "Other"}]}, "item_2_description_11": {"attribute_name": "抄録(英)", "attribute_value_mlt": [{"subitem_description": "It is important to make a rapid differentialdiagnosis of Graves\u0027Diseases (GD) and Destructive Thyroiditis(DT). However, it is often difficult to make a distinctionwithout measurement of radioactive iodine uptake(RAIU). Instead of measurement of RAIU, measuringFreeT3/FT4ratio (FT3/FT4), totalT3/T4ratio (T3/T4),total alkaline phosp hatase activity( T-ALP), blood flow inthe thyroid, is useful for differential diagnosis. We searchedfor the parameters is most sensitive parameter for rapiddifferential diagnosis.Patients and Methods:We investigated on 33 patientswith untreated hyperthyroidism (15 with GD and 18 withDT). When 33 patients were first seen in our hospital, wemeasured FT3/FT4, T3/T4, T-ALP, and mean velocity inthe superior thyroid arteries( STA).Results:In comparison between GD and DT, mean velocitySTA was significantly increased in patients with GD.In the group of GD, FT3/FT4 and T-ALP tend to be higherin patients with GD but without statistical significance.Conclusion:Mean velocity STA might be the most sensitiveparameter for rapid differential diagnosis of GD andDT.", "subitem_description_type": "Other"}]}, "item_2_description_15": {"attribute_name": "表示順", "attribute_value_mlt": [{"subitem_description": "8", "subitem_description_type": "Other"}]}, "item_2_description_16": {"attribute_name": "アクセション番号", "attribute_value_mlt": [{"subitem_description": "KJ00006363261", "subitem_description_type": "Other"}]}, "item_2_description_8": {"attribute_name": "記事種別(日)", "attribute_value_mlt": [{"subitem_description": "症例報告", "subitem_description_type": "Other"}]}, "item_2_source_id_1": {"attribute_name": "雑誌書誌ID", "attribute_value_mlt": [{"subitem_source_identifier": "AA00629581", "subitem_source_identifier_type": "NCID"}]}, "item_2_source_id_19": {"attribute_name": "ISSN", "attribute_value_mlt": [{"subitem_source_identifier": "03855023", "subitem_source_identifier_type": "ISSN"}]}, "item_2_text_6": {"attribute_name": "著者所属(日)", "attribute_value_mlt": [{"subitem_text_value": "獨協医科大学内科学(内分泌代謝)"}, {"subitem_text_value": "獨協医科大学内科学(内分泌代謝)"}, {"subitem_text_value": "獨協医科大学内科学(内分泌代謝)"}, {"subitem_text_value": "獨協医科大学内科学(内分泌代謝)"}, {"subitem_text_value": "獨協医科大学内科学(内分泌代謝)"}, {"subitem_text_value": "獨協医科大学内科学(内分泌代謝)"}, {"subitem_text_value": "獨協医科大学内科学(内分泌代謝)"}]}, "item_2_text_7": {"attribute_name": "著者所属(英)", "attribute_value_mlt": [{"subitem_text_language": "en", "subitem_text_value": "Department of Endocrinology and Metabolism, Dokkyo University School of Medicine"}, {"subitem_text_language": "en", "subitem_text_value": "Department of Endocrinology and Metabolism, Dokkyo University School of Medicine"}, {"subitem_text_language": "en", "subitem_text_value": "Department of Endocrinology and Metabolism, Dokkyo University School of Medicine"}, {"subitem_text_language": "en", "subitem_text_value": "Department of Endocrinology and Metabolism, Dokkyo University School of Medicine"}, {"subitem_text_language": "en", "subitem_text_value": "Department of Endocrinology and Metabolism, Dokkyo University School of Medicine"}, {"subitem_text_language": "en", "subitem_text_value": "Department of Endocrinology and Metabolism, Dokkyo University School of Medicine"}, {"subitem_text_language": "en", "subitem_text_value": "Department of Endocrinology and Metabolism, Dokkyo University School of Medicine"}]}, "item_2_title_3": {"attribute_name": "論文名よみ", "attribute_value_mlt": [{"subitem_title": "バセドウ ビョウ ト ハカイセイ コウジョウセン エン ノ ショシンジ ニオケル ジンソク カンベツホウ"}]}, "item_creator": {"attribute_name": "著者", "attribute_type": "creator", "attribute_value_mlt": [{"creatorNames": [{"creatorName": "中野, 亜有子"}, {"creatorName": "ナカノ, アユコ", "creatorNameLang": "ja-Kana"}], "nameIdentifiers": [{"nameIdentifier": "3221", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "鈴木, 國弘"}, {"creatorName": "スズキ, クニヒロ", "creatorNameLang": "ja-Kana"}], "nameIdentifiers": [{"nameIdentifier": "3222", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "富澤, 敦子"}, {"creatorName": "トミザワ, アツコ", "creatorNameLang": "ja-Kana"}], "nameIdentifiers": [{"nameIdentifier": "3223", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "平間, 記子"}, {"creatorName": "ヒラマ, ノリコ", "creatorNameLang": "ja-Kana"}], "nameIdentifiers": [{"nameIdentifier": "3224", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "伴場, 信之"}, {"creatorName": "バンバ, ノブユキ", "creatorNameLang": "ja-Kana"}], "nameIdentifiers": [{"nameIdentifier": "3225", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "服部, 良之"}, {"creatorName": "ハットリ, ヨシユキ", "creatorNameLang": "ja-Kana"}], "nameIdentifiers": [{"nameIdentifier": "3226", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "笠井, 貴久男"}, {"creatorName": "カサイ, キクオ", "creatorNameLang": "ja-Kana"}], "nameIdentifiers": [{"nameIdentifier": "3227", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Ayuko, Nakano", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "3228", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Kunihiro, Suzuki", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "3229", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Atsuko, Tomizawa", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "3230", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Noriko, Hirama", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "3231", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Nobuyuki, Banba", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "3232", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Yoshiyuki, Hattori", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "3233", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Kikuo, Kasai", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "3234", "nameIdentifierScheme": "WEKO"}]}]}, "item_files": {"attribute_name": "ファイル情報", "attribute_type": "file", "attribute_value_mlt": [{"accessrole": "open_date", "date": [{"dateType": "Available", "dateValue": "2017-05-24"}], "displaytype": "detail", "download_preview_message": "", "file_order": 0, "filename": "KJ00006363261.pdf", "filesize": [{"value": "231.1 kB"}], "format": "application/pdf", "future_date_message": "", "is_thumbnail": false, "licensetype": "license_free", "mimetype": "application/pdf", "size": 231100.0, "url": {"label": "KJ00006363261.pdf", "url": 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