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3 Special IssueDonor action! : urgent need to avoid an oversea transplantation, the only way to save life Reviews Originals Case report

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6 8 3 移植医療の現状と推進に向けての取り組み 図4a 臓器の移植に関する法律 図2 わが国における透析 腎移植患者数の推移 20 06年末現在 2 6万人弱が透析療法を受けており 腎移植は1 1 3 6 例実施された 提供腎が少ない事から 生体間移植が大部分を占 めているのが 特徴的であり ABO 血液型不適合や夫婦間移植も 年々増加傾向にある 図3 心停止後の腎臓提供件数 1 9 9 5 4 2 0 0 8 4 3 0 図4b 臓器の移植に関する法律 表2 移植希望登録者状況 2 0 0 8年4月3 0日現在 現登録者数 心臓 肺 肝臓 10 4 1 2 1 1 9 4 腎臓 膵臓 1 2 0 2 5 1 5 8 徳島県 7 1 小腸 2 既登録者の転帰 一度登録された方が現登録からはずれた理由 死体移植済み 51 4 0 48 2 1 0 7 4 5 3 取消 12 2 58 1 3 1 1 4 10 0 死亡 10 5 1 4 7 2 6 5 2 2 0 7 2 0 0 生体移植済み 2 2 12 5 1 5 9 8 3 1 海外渡航移植 33 2 19 0 0 その他 不明 0 0 0 1 2 0 0 累計 3 0 5 3 3 4 7 0 9 3 1 0 6 3 23 6 5 する倫理的問題も浮上し 現法では小児の心臓移植が国 内でできない 3 臓器移植に関する法律 図4a b c は 本人の 図4c 臓器の移植に関する法律

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9 Current situation of organ transplantation and the action toward its promotion Tamaki Kaji Tokushima Transplantation Coordinator, Tokushima Red Cross Hospital, Tokushima, Japan

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14 Current status and problems of corneal transplantations in Japan and Tokushima Prefecture Hiroshi Eguchi Department of Ophthalmology, Institute of Health Biosciences, the University of Tokushima Graduate School, Tokushima, Japan

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22 Role of the emergency physician in organ donation Disuke Naka Department of Neurosurgery, Japanese Red Cross Society, Wakayama Medical Center, Wakayama, Japan

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26 Possible strategies for the increase of organ donation in Japan, with special reference to the current situation in the United States Toru Ikegami, Mitsuo Shimada, Satoru Imura, Yuji Morine, and Hirofumi Kanemura Department of Surgery, Tokushima University Hospital, Tokushima, Japan

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32 The acts of supporting the family of a brain-dead donor by organ transplant coordinators Setsuko Onaka Japan Organ Transplant Network, Tokyo, Japan

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39 et al. in vitro et al. et al. et al. et al. Hyperphosphatemia and cardiovascular disease Emi Shuto, Yutaka Taketani, Tohru Sakai, and Eiji Takeda Department of Clinical Nutrition ; and Department of Public Health and Applied Nutrition, Institute of Health Biosciences, the University of Tokushima Graduate School, Tokushima, Japan

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44 The means to prevent diabetes mellitus by Tokushima City Medical Association Miho Tsuruo, Machiko Komatsu, Katsunori Nakase, Yoshifumi Fujita, Tomoko Bando, Masanobu Tayama, Matome Toyosaki, Shigeyo Maruoka, Yukiko Kume, Erika Takayama, Yuichi Fujinaka,Ken-ichiAihara, Masaaki Mihara, Mizuho Kinouchi, Toshio Matsumoto, Masafumi Akaike, Chisato Kosugi, Toshio Hosaka, Makoto Funaki, Atsuhisa Shirakami, Yasumi Shintani, Shinichi Fujinaka, Yoshihiko Noma, Yasue Fukushima, Kenji Shima, and Shyu Kawashima Tokushima City Medical Association ; Tokushima Public Health Center ; Department of Medicine and Bioregulatory Sciences ; Department of Cardiovascular Medicine, Institute of Health Biosciences, the University of Tokushima Graduate School ; Clinical Research Center for Diabetes, Tokushima University Hospital ; and Tokushima Medical Association (Working Team for Measures against Diabetes Mellitus), Tokushima, Japan

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50 Practice and evaluation of education for community medicine in medical students Kenji Tani and Atsuro Saijo Department of Community and Primary Care Medicine, Institute of Health Biosciences, the University of Tokushima Graduate School, Tokushima, Japan

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53 Pain control and kampo herbal medicine Hidenori Miyamoto, Jun Higashijima, Hideyuki Miyamoto, and Mitsuo Shimada Shiseikai Miyamoto Hospital, Anan, Tokushima, Japan ; and Department of Digestive and Pediatric Surgery, Institute of Health Bioscience, the University of Tokushima Graduate School, Tokushima, Japan et al

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59 Clinical characteristics and short-tern prognosis of acute pulmonary embolism in Tokushima -results of a multicenter registry in Tokushima Pulmonary Embolism Study Group- Naoki Suzuki and Yoshikazu Hiasa Tokushima Pulmonary Embolism Study Group, Tokushima, Japan

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67 et al. Clinical studies of metabolic syndrome and the fraction of serum fatty acids on medical examination subjects Hiroaki Mitani Mitani Clinic, Anan, Tokushima, Japan ω γ ω

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73 Advanced testicular cancer with the earliest complaint of dyspnea successfully treated by combined modality therapy : a case report Tomoteru Kishimoto, Takushi Narota, Tadanobu Hosokawa, Kentaro Yura, Tomoya Fukawa, Takahiro Koizumi, Shinichiro Kinouchi, Kunihisa Yamaguchi, Ryuichi Taue, Yasuyo Yamamoto, Hiroyoshi Nakatsuji, Hirofumi Izaki, Masayuki Takahashi, Tomoharu Fukumori, and Hiro-omi Kanayama Department of Urology, Institute of Health Bioscience the University of Tokushima Graduate School, Tokushima, Japan ; and Department of Urology, Tokushima Red Cross Hospital, Tokushima, Japan β α

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