{"created":"2021-03-01T06:08:03.113106+00:00","id":4217,"links":{},"metadata":{"_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","sets":["461:463:464:511"]},"author_link":["9621","9622","9623","9624","9625","9626"],"item_1628147817048":{"attribute_name":"出版タイプ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_6_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2007-08-10","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"4","bibliographicPageEnd":"190","bibliographicPageStart":"181","bibliographicVolumeNumber":"55","bibliographic_titles":[{"bibliographic_title":"信州医学雑誌"}]}]},"item_6_description_20":{"attribute_name":"抄録","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 ± 10.4 years, and the mean age at onset was 61.0 ± 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":"資源タイプ（コンテンツの種類）","attribute_value_mlt":[{"subitem_description":"Article","subitem_description_type":"Other"}]},"item_6_description_5":{"attribute_name":"引用","attribute_value_mlt":[{"subitem_description":"信州医学雑誌 55(4): 181-190(2007)","subitem_description_type":"Other"}]},"item_6_link_3":{"attribute_name":"信州大学研究者総覧へのリンク","attribute_value_mlt":[{"subitem_link_text":"吉田, 邦広","subitem_link_url":"http://soar-rd.shinshu-u.ac.jp/profile/ja.yhfNHFkh.html"}]},"item_6_publisher_4":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"信州医学会"}]},"item_6_relation_48":{"attribute_name":"DOI","attribute_value_mlt":[{"subitem_relation_name":[{"subitem_relation_name_text":"10.11441/shinshumedj.55.181"}],"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"https://doi.org/10.11441/shinshumedj.55.181","subitem_relation_type_select":"DOI"}}]},"item_6_source_id_35":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0037-3826","subitem_source_identifier_type":"PISSN"}]},"item_6_source_id_40":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AN00120815","subitem_source_identifier_type":"NCID"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"吉田, 邦広","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"矢彦沢, 裕之","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"田畑, 賢一","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"大原, 慎司","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"羽生, 憲直","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"池田, 修一","creatorNameLang":"ja"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2015-09-24"}],"displaytype":"detail","filename":"Shinshu_Med55-4-04.pdf","filesize":[{"value":"995.5 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"Shinshu_Med55-4-04.pdf","url":"https://soar-ir.repo.nii.ac.jp/record/4217/files/Shinshu_Med55-4-04.pdf"},"version_id":"4d80d2ca-fca9-448b-8b4a-136db2e65fe9"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"amyotrophic lateral sclerosis","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"age at onset","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"daily-life activity","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"bulbar palsy","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"respiratory failure","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"筋萎縮性側索硬化症","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"発症年齢","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"日常生活動作","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"球麻痺","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"呼吸不全","subitem_subject_language":"ja","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"長野県在住の筋萎縮性側索硬化症患者の臨床的重症度と療養実態","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"長野県在住の筋萎縮性側索硬化症患者の臨床的重症度と療養実態","subitem_title_language":"ja"},{"subitem_title":"Clinical Status and Daily-Life Activity of Patients with Amyotrophic Lateral Sclerosis in Nagano Prefecture","subitem_title_language":"en"}]},"item_type_id":"6","owner":"1","path":["511"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2009-12-04"},"publish_date":"2009-12-04","publish_status":"0","recid":"4217","relation_version_is_last":true,"title":["長野県在住の筋萎縮性側索硬化症患者の臨床的重症度と療養実態"],"weko_creator_id":"1","weko_shared_id":-1},"updated":"2023-03-06T01:16:34.797043+00:00"}