{"_buckets": {"deposit": "4e405f43-51bb-44b0-bf2d-146c1939fbc4"}, "_deposit": {"id": "4217", "owners": [], "pid": {"revision_id": 0, "type": "depid", "value": "4217"}, "status": "published"}, "_oai": {"id": "oai:soar-ir.repo.nii.ac.jp:00004217"}, "item_6_alternative_title_1": {"attribute_name": "\u305d\u306e\u4ed6\uff08\u5225\u8a00\u8a9e\u7b49\uff09\u306e\u30bf\u30a4\u30c8\u30eb", "attribute_value_mlt": [{"subitem_alternative_title": "Clinical Status and Daily-Life Activity of Patients with Amyotrophic Lateral Sclerosis in Nagano Prefecture"}]}, "item_6_biblio_info_6": {"attribute_name": "\u66f8\u8a8c\u60c5\u5831", "attribute_value_mlt": [{"bibliographicIssueDates": {"bibliographicIssueDate": "2007-08-10", "bibliographicIssueDateType": "Issued"}, "bibliographicIssueNumber": "4", "bibliographicPageEnd": "190", "bibliographicPageStart": "181", "bibliographicVolumeNumber": "55", "bibliographic_titles": [{"bibliographic_title": "\u4fe1\u5dde\u533b\u5b66\u96d1\u8a8c"}]}]}, "item_6_description_20": {"attribute_name": "\u6284\u9332", "attribute_value_mlt": [{"subitem_description": "The clinical status and daily-life activity of 136 patients with amyotrophic lateral sclerosis (ALS) living in Nagano prefecture were evaluated. The mean age of the patients was 67.4 \u00b1 10.4 years, and the mean age at onset was 61.0 \u00b1 12.3 years. Thirty-nine patients (29.1%)developed the disease after 70 years of age. The mean duration of disease was 6.5 years (maximum 41 years), and 26 patients showed a duration of disease of over 10 years. Sixteen of these patients did not need artificial nutritional or respiratory support. Sixty-seven patients (49.3%) needed total support for dressing and 54 (39.7%) for walking/moving. Forty-nine (36.3%) were unable to speak, and 49 (36.0%)needed tube feeding. Sixty-six (48.5%)had respiratory difficulties, and 34 needed mechanical ventilation. Only 27 patients (19.9 %)were almost independent. Out of 133 patients, 99 (74.4%)lived in their own home, with the remainder being hospitalized or institutionalized. Of the 34 patients requiring mechanical ventilation, 19 (55.9 %) lived in their own home, 12 were hospitalized, and 3 were institutionalized. A tendency of late-onset for ALS patients, which has been recently reported worldwide, was confirmed in Nagano. There were a significant number of ALS patients who had not developed bulbar palsy or respiratory failure regardless of duration of disease. As expected, artificial respiratory support was a major factor in the confinement of ALS patients to hospitals or nursing institutions.", "subitem_description_type": "Abstract"}]}, "item_6_description_30": {"attribute_name": "\u8cc7\u6e90\u30bf\u30a4\u30d7\uff08\u30b3\u30f3\u30c6\u30f3\u30c4\u306e\u7a2e\u985e\uff09", "attribute_value_mlt": [{"subitem_description": "Article", "subitem_description_type": "Other"}]}, "item_6_description_31": {"attribute_name": "\u30d5\u30a9\u30fc\u30de\u30c3\u30c8\uff1amime\u30bf\u30a4\u30d7", "attribute_value_mlt": [{"subitem_description": "application/pdf", "subitem_description_type": "Other"}]}, "item_6_description_5": {"attribute_name": "\u5f15\u7528", "attribute_value_mlt": [{"subitem_description": "\u4fe1\u5dde\u533b\u5b66\u96d1\u8a8c 55(4): 181-190(2007)", "subitem_description_type": "Other"}]}, "item_6_link_3": {"attribute_name": "\u4fe1\u5dde\u5927\u5b66\u7814\u7a76\u8005\u7dcf\u89a7\u3078\u306e\u30ea\u30f3\u30af", "attribute_value_mlt": 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