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2 no.511 vol.49 no CODE CN(1)511

3

4

5 CLINICIAN 02 NO

6 Bone and Joint Decade Bone and Joint Decade 3 CLINICIAN 02 NO. 511

7 CLINICIAN 02 NO

8 Bone and Joint Decade 5 CLINICIAN 02 NO. 511

9 CLINICIAN 02 NO

10 7 CLINICIAN 02 NO. 511

11 cooling CLINICIAN 02 NO

12 9 CLINICIAN 02 NO. 511

13 CLINICIAN 02 NO

14 . 11 CLINICIAN 02 NO. 511

15 thrust CLINICIAN 02 NO

16 drilling abrasion arthroplasty 13 CLINICIAN 02 NO. 511

17 CLINICIAN 02 NO

18 15 CLINICIAN 02 NO. 511

19 CLINICIAN 02 NO

20 17 CLINICIAN 02 NO. 511

21 CLINICIAN 02 NO

22 19 CLINICIAN 02 NO. 511

23 CLINICIAN 02 NO

24 21 CLINICIAN 02 NO. 511

25 over use CLINICIAN 02 NO

26 23 CLINICIAN 02 NO. 511

27 CLINICIAN 02 NO

28 25 CLINICIAN 02 NO. 511

29 dermatome cervical angina CLINICIAN 02 NO

30 27 CLINICIAN 02 NO. 511

31 spinal instrumentation cage CLINICIAN 02 NO

32 29 CLINICIAN 02 NO. 511

33 31 CLINICIAN 02 NO. 511

34 CLINICIAN 02 NO

35 33 CLINICIAN 02 NO. 511

36 CLINICIAN 02 NO

37 Hagino, H., Yamamoto, K., Ohshiro, H., et al. : Changing incidence of hip, distal radius, and proximal humerus fractures in Tottori Prefecture, Japan. Bone, 24, (1999) Suzuki, T., Yoshida, H., Hashimoto, T., et al. : Casecontrol study of risk factors for hip fractures in the Japanese elderly by a Mediterranean Osteoporosis Study (MEDOS)questionnaire. Bone, 21, (1997) Gullberg, B., Johnell, O., Kanis, JA., : World-wide projection for hip fracture. Osteoporos. Int., 7, (1997) 35 CLINICIAN 02 NO. 511

38 CLINICIAN 02 NO

39 37 CLINICIAN 02 NO. 511

40 CLINICIAN 02 NO

41 39 CLINICIAN 02 NO. 511

42 post fall syndrome CLINICIAN 02 NO

43 Overstall, P W., et al 41 CLINICIAN 02 NO. 511

44 CLINICIAN 02 NO

45 43 CLINICIAN 02 NO. 511

46 Osteoporosis Japan vol. 6,601(1998) Overstall, PW., et al : Falls in the elderly related to postural imbalance. Brit. Med. J 1., (1997) CURRENT THERAPY 16, (1998) Gerontology Vol.11(4), (1999) CLINICIAN 02 NO

47 45 CLINICIAN 02 NO. 511

48 transcatheter arterial embolization TAE CLINICIAN 02 NO

49 rigid fixation primary fracture healing minimum invasive surgery closed reduction fitting dinamization 47 CLINICIAN 02 NO. 511

50 bone transport Methylpredonisolon sodium succinate Bracken CLINICIAN 02 NO

51 pedicle screw Harrington rod Luque rod hook rod wire pedicle screw and rod system Kaneda device plate and screw system screw bone quality 49 CLINICIAN 02 NO. 511

52 implant CLINICIAN 02 NO

53 51 CLINICIAN 02 NO. 511

54 fatigue microdamage microdamage microdamage Locomotion system CLINICIAN 02 NO

55 locomotion system microdamage 53 CLINICIAN 02 NO. 511

56 microdamage bulk stain microdamage microdamage osteocyte lacunae microdamage CLINICIAN 02 NO

57 microdamage stress fracture insufficiency fracture microdamage microdamage microdamage microdamage microdamage mechanosensor microdamage microdamage microdamage microdamage microdamage 55 CLINICIAN 02 NO. 511

58 microdamage Locomotion system microdamage Reifsnider, KL., Shulta, K., Dyke, JC., : Lon-term fatigue charasteristics of composite materials. In Long term behavior of composite materials STP813, American Society for testing and materials, Philadelphia (1983) Burr, DB., Stafford, T., : Validity of the bulk staining technique to separate artififactual from in vivo microdamage. Clin. Orthop., 260, 305(1990) Mori, S., Harruff, R., Ambrousius, W., Burr, DB., : Trabecular bone volume and microdamage accumulation in the femoral heads with and without femoral neck fractures, Bone, 12, 521(1997) Mori, S., Li, J., Kawaguchi, Y., : The histological appearance of stress fractures. In musculoskeltal fatigue and stress fractures(ed. Burr DB, Milgrom C.), CRCpress(2001) Mori, S., Burr, DB., : Increased intracortical remodeling following fatigue damage. Bone, 14, (1993) CLINICIAN 02 NO

59 57 CLINICIAN 02 NO. 511 Rosai gastro-intestinal stromal tumor Miettinen stem

60 CLINICIAN 02 NO cell factor Wv Wv Huizinga

61 59 CLINICIAN 02 NO. 511

62 CLINICIAN 02 NO

63 61 CLINICIAN 02 NO. 511 germline mutation desmin Hirota, S., et al. : Gain-of-function mutation of c-kit in human gastrointestinal stromal tumors. Science, 279, (1998) 2) Nishida, T., et al. : Familial gastrointestinal stromal tumors with germline mutation of the KIT gene. Nature Genetics, 19, (1998) 3) Taniguchi, M., et al. : Effect of c-kit Mutation on Prognosis of Gastrointestinal Stromal Tumors. Cancer Res., 59, (1999) 4) Rosai, J., : Stromal tumors. Ackerman s Surgical Pathology. 8th ed. Mosby-Year Book, Inc, St Louis, Chicago, (1996) 5) Miettinen, M., et al. : Gastrointestinal stromal tumors value of CD34antigen in their identification and

64 CLINICIAN 02 NO separation from true leiomyomas and shcwannomas. Am. J. Pathol., 19, (1995) 6) Maeda, H., et al. : Requirement of c-kit for development of intestinal pacemaker system. Development 116, (1992) 7) Kitamura, Y., et al. : Coincidental development of forestomach papilloma and prepyloric ulcer in nontreated mutant mice of W/Wv and Sl/Sld genotypes. Cancer Res., 40, (1980) 8) Huizinga, JD., et al. : W/kit gene required for interstitial cells of Cajar and for intestinal pacemaker activity. Nature373, (1995)

65 µ MRI 63 CLINICIAN 02 NO. 511

66 Hgmin µ µ µ CLINICIAN 02 NO

67 65 CLINICIAN 02 NO. 511

68 peak bone mass CLINICIAN 02 NO

69 D K 67 CLINICIAN 02 NO. 511

70 polymorphism single nucleotide polymorphisms, SNPs regulatory SNPs rsnps coding SNPs csnps silent SNPs CLINICIAN 02 NO

71 ssnps 69 CLINICIAN 02 NO. 511

72 CLINICIAN 02 NO

73 71 CLINICIAN 02 NO. 511

74 CLINICIAN 02 NO

75 empty vertebra 73 CLINICIAN 02 NO. 511

76 CLINICIAN 02 NO

77 K PSL menatetrenone etidronate YAM 75 CLINICIAN 02 NO. 511

78 Etid. Alend. Rised. Rised. Alend. Etid. Adachi Saag Cohen Reid Adachi yr yr yr yr yr yr CEREERRRRARR NNT Adachi Saag Cohen Reid Adachi CLINICIAN 02 NO

79 Intermittent etidronate therapy to prevent corticosteroidinduced osteoporosis. New Engl. J. Med., 337, Adachi, J. D., Bensen, W. G., Brown, J.,, et al. : Rheum., 44(7), (2001) on Glucocorticoid-Induced Osteoporosis. Arthritis American College of Rheumatology Ad Hoc Committee glucocorticoid-induced osteoporosis Update Recommendations for the prevention and treatment of Buckley, L., Greenwald, M., Hochberg, M., et al. : (1998) Consensus Group on management of glucocorticoidinduced osteoporosis : an update. J, Int. Med., 244(4), Eastell, R., Reid, D.M., Compston, J., et al. : A UK Japan. Osteoporosis BONE. Semin. Arthritis Rheum., 29, 228 THE 251(2000) Management of corticosteroid-induced osteoporosis. Adachi, J. D., Olszynski W. P., Hanley D. A., et al. : Arthritis Rheum., 44(1), (2001) vertebral fracture in patients receiving glucocorticoids. Adachi, J. D., Saag, K. G., Delmas, P. D., et al. : Twoyear effects of alendronate on bone mineral density and & Mineral Research. 15(6), (2000) Induced Osteoporosis Treatment Study. Journal of Bone women : a randomized trial. European Corticosteroid- corticosteroid-induced osteoporosis in men and safety of daily risedronate in the treatment of Reid, DM., Hughes, RA., Laan, RF., et al. : Efficacy and Arthritis Rheum., 42(11), (1999) Cohen, S., Levy, R. M., Keller, M., et al. : Risedronate (1998) therapy prevents corticosteroid-induced bone loss. (1997) Saag, K., Emkey, R., Schnitzer, T., et al. : Alendronate for the prevention and treatment of glucocorticoidinduced osteoporosis. New Engl. J. Med., 339, CLINICIAN 02 NO. 511

80 quality of life patient-based outcome CLINICIAN 02 NO

81 T T L 79 CLINICIAN 02 NO. 511

82 senile kyphosis gibbus.. CLINICIAN 02 NO

83 . 81 CLINICIAN 02 NO. 511

84 Silverman, SL., : The osteoporosis assessment questionnaire(opaq) : A reliable and valid diseasetargeted measure of health-related quality of life (HRQOL)in osteoporosis. Quality of Life Research 9, (2000) CLINICIAN 02 NO

85 Leidig-Bruckner, G., Minne, HW., Schlaich, C., Wagner, G., Scheidt-Nave, C., Bruckner, T., Gebest, HJ., Ziegler, R., : Clinical grading of spinal osteoporosis : quality of life components and spinal deformity in women with chronic low back pain and women with vertebral osteoporosis. J. Bone. Miner. Res., 12, (1997) Ensrud, KE., Thompson, DE., Cauley, JA., Nevitt, MC., Kado,DM.,Hochberg,MC.,Santora,AC.,Black,DN.,: Prevalent vertebral deformities predict mortality and hospitalization in older women with low bone mass. J. Am. Geriatr. Soc., 48, (2000) Suppl. 3, (2002) QOL. Osteoporosis Japan., 9, (2001) Osteoporosis. Japan., 9, (2001) Osteoporosis Japan., 9, (2001) QOL. Osteoporosis Japan. 9, (2001) Nevitt, MC., Thompson, DE., Black, DE., Rubin, SR., Ensrud, K., Yates, AJ., Cummings, SR., : Effect of Alendronate on limited-activity days and bed-disability days caused by back pain in postmenopousal women with existing vertebral fractures. Arch. Intern. Med., 160,77 85(2000) Liberman,UA.,Weiss,SR.,Broell,J.,Minne,HW.,Quan, H., Bell, NH., Rodriguez-Portales, J., Downs, RW., Dequeker, J., Favus, M., Seeman, E., Recker, RR., Capizzi, T., Santora, AC., Lombardi, A., Shah, RV., Hirsch, Lj., Karpf, DB., Effect of oral alendronate on bone mineral density and the incidence of fractures in postmenopausal osteoporosis. New Engl. J. Med., 333, (1995) 83 CLINICIAN 02 NO. 511

86 Embryonic stem cell CLINICIAN 02 NO

87 85 CLINICIAN 02 NO. 511

88 ml ml CLINICIAN 02 NO

89 87 CLINICIAN 02 NO. 511

90 CLINICIAN 02 NO

91 Takakura Y., et al : Ankle arthroplasty. A comparative study of cemented metal and uncemented ceramic prostheses. Clin. Orthop., 252, (1990) Ohgushi, H., et al : Stem cell technology and bioceramics : from cell to gene engineering. J. Biomed Mater Res.,48, (1999) 89 CLINICIAN 02 NO. 511

92 91 CLINICIAN 02 NO. 511

93 evidence based medicine CLINICIAN 02 NO

94 93 CLINICIAN 02 NO. 511

95 CLINICIAN 02 NO

96 95 CLINICIAN 02 NO. 511

97 CLINICIAN 02 NO

98 97 CLINICIAN 02 NO. 511

99 CLINICIAN 02 NO

100 99 CLINICIAN 02 NO. 511

101 CLINICIAN 02 NO

102 101 CLINICIAN 02 NO. 511

103 CLINICIAN 02 NO

104 103 CLINICIAN 02 NO. 511

105 CLINICIAN 02 NO

106 Lennard poor metabolizerpm extensive metabolizerem 105 CLINICIAN 02 NO. 511

107 CLINICIAN 02 NO

108 107 CLINICIAN 02 NO. 511

109 encainide Beckmann CLINICIAN 02 NO

110 Na Na 109 CLINICIAN 02 NO. 511

111 Circulation, 105, (2002) phenotypes : a simulation study of mechanism. that causes both Brugada and long-qt syndrome Clancy, CE., and Rudy, Y., : Na(+)channel mutation (1989) metaboliser phenotype. Br. J. Clin. Pharmacol., 28, Br. Med. J., 297, 1316(1988) flecainidetoxicity. Gross, AS., et al. : Stereoselective disposition of flecainide in relation to the sparteine/debrisoquine 156(1991) Beckmann, J., et al. : Is there a genetic factor in Chinese subjects. Clin. Pharmacol. Ther., 50, 150 (1999) Zhou, HH., and Woods, AJ., : Increased suppression of exercise-induced increase in renin by propranolol in genotypes. Clin. Pharmacol. Ther., 65, enantiomers in Chinese subjects of major CYP2D6 Huang, J-D., et al. : Pharmacokinetics of metoprolol Engl. J. Med., 307, (1982) determinant of metoprolol metabolism and response. N. Lennard, MS., et al. : Oxidation phenotype-a major Clin. Pharmacol. Ther., (1998) having different CYP2C9 and CYP2C19genotypes. (2002) Takahashi, H., et al. : Metabolism of warfarin enantiomers in Japanese patients with heart disease during warfarin therapy. JAMA, 287, genetic variants and anticoagulation-related outcomes Higashi, MK., et al. : Association between CYP2C9 CLINICIAN 02 NO

112 111 CLINICIAN 02 NO. 511

113 CLINICIAN 02 NO

114 113 CLINICIAN 02 NO. 511

115 CLINICIAN 02 NO

116 115 CLINICIAN 02 NO. 511

117 CLINICIAN 02 NO

118 empty sella MRI PRL PRL Bromocriptine Dopamine Levothyroxine sodiumµgday MRI PRL 117 CLINICIAN 02 NO. 511

119 germ cell tumor astrocytoma Niepce TSH negative feedback TSH TRH TSH PRL PRL PRL PRL PRL TRH PRL dopamine PRL dopamine CLINICIAN 02 NO

120 119 CLINICIAN 02 NO. 511

121 Sports injury

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