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3 Special IssueMedical Care and Education in Tokushima : Their Present and Future Reviews Original Case report

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16 スポーツと腰痛 1 3 図1 2 腰椎分離症の病期分類 図1 5 成人発症新鮮腰椎分離症 陸上 五輪選手 断に難渋する謎の腰痛となることもある 図1 6は CT に て明瞭な椎間関節性の腰痛である プロ野球選手で左投 げ投手に生じた右腰痛である ブロックにて改善した 伸展時腰痛や 伸展 回旋時腰痛があり さらに分離 症が見られない場合は疑わなければならない 投手や陸 上の投擲種目の聞き手の逆側に生じることが多いという 特徴がある 図1 7は女子投擲競技オリンピック選手の 図13 腰椎分離症の腰痛 pain generator 図1 6 左投げプロ野球投手に生じた右椎間関節炎 図14 癒合症例 8歳男子 野球部 右が進行期で左が初期分離 である 6ヵ月の装具療法で癒合した 椎間関節炎 伸展や回旋と繰り返す競技の場合 疲労骨折となる腰 椎分離症に至る可能性が高い 疲労骨折を免れた場合 椎間関節への負荷のため 椎間関節に炎症性変化をきた す CT 上強い変化を生じている場合は診断がつくこと もあるが 多くは 椎間関節ブロックが必要であり 診 図1 7 椎間関節変形とブロック 投擲 五輪選手

17 et al et al et al et al et al et al et al et al et al et al et al

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19 Sports Related Lumbar Spine Disorders and Minimally Invasive Endoscopic Surgery Koichi Sairyo Department of Orthopedic Surgery, Institute of Biomedical Sciences, Tokushima University Graduate School, Tokushima, Japan

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24 et al et al et al et al

25 The Importance of Nutritional Management and Nutrition Therapy Yasuhiro Hamada Department of Therapeutic Nutrition, Institute of Biomedical Sciences, Tokushima University Graduate School, Tokushima, Japan Department of Nutrition, Tokushima University Hospital, Tokushima, Japan

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31 Employment of Newly Graduated Nurses by Psychiatric Hospitals in Shikoku region Mutsuko Kataoka, Misao Miyagawa, Yumi Kuwamura, Yuko Yasuhara, Tetsuya Tanioka,and Kazushi Mifune Mifune Hospital, Kagawa, Japan Department of Nursing, Faculty of Health and Welfare Tokushima Bunri University, Tokushima, Japan Institute of Health Biosciences, the University of Tokushima Graduate School, Tokushima, Japan

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35 et al et al et al et al

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37 A case of the advanced gastric cancer of which second line chemotherapy using Trastuzumab/Capecitabine/Cisplatin therapy was effective Yasuhiro Yuasa, Hiroshi Okitsu, Masakazu Goto, Hiroshi Edagawa, Osamu Mori, Ryotaro Tani, Shunsuke Kuramoto, Daisuke Matsumoto, and Atsushi Tomibayashi Department of Digestive Surgery, Tokushima Red Cross Hospital, Tokushima, Japan

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39 in house ex vivo in vivo in vivo in vivo in house

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47 γ γ γ γ γ γ γ γ γ γ γ

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53 Oncol Rep Scientific World Journal. 2013

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58 C. albicansc. parapsilosisc. glabrata

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64 Editor-in-Chief Editors Published by Tokushima Medical Association in

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Special IssueOncology Nutrition Reviews Proceeding DNA β Nutrition and physical activity and the prevention of cancer Yutaka Taketani Department of Clinical Nutrition, Institute of Health Biosciences,

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