{"created":"2023-06-19T08:38:51.379255+00:00","id":5784,"links":{},"metadata":{"_buckets":{"deposit":"99643612-e2bc-43ad-916b-67a228b81408"},"_deposit":{"created_by":2,"id":"5784","owners":[2],"pid":{"revision_id":0,"type":"depid","value":"5784"},"status":"published"},"_oai":{"id":"oai:gunma-u.repo.nii.ac.jp:00005784","sets":["719:760:761:769"]},"author_link":["17019","17018","17017"],"item_6_alternative_title_18":{"attribute_name":"その他のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"A Patient with Amyotrophic Lateral Sclerosis"}]},"item_6_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2007-02-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"52","bibliographicPageStart":"49","bibliographicVolumeNumber":"57","bibliographic_titles":[{"bibliographic_title":"The Kitakanto medical journal = 北関東医学"}]}]},"item_6_date_61":{"attribute_name":"更新日","attribute_value_mlt":[{"subitem_date_issued_datetime":"2017-03-27","subitem_date_issued_type":"Created"}]},"item_6_description_14":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_description":"application/pdf","subitem_description_type":"Other"}]},"item_6_description_39":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"subitem_description":"Journal Article","subitem_description_type":"Other"}]},"item_6_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"症例は73歳女性. 左上肢の筋力低下にて発症. 歩行障害が現れ, 筋萎縮性側索硬化症(ALS)と診断. 後に構\\n音障害と嚥下障害が現れ, 進行した. 患者本人とその家族共に延命治療を希望されなかった. 左上肢を中心に\\n疼痛を訴えるようになり, 緩和ケアとしてリン酸コデインを開始して45日目に永眠された. 日米の神経学会\\n治療ガイドラインで, ALS末期の疼痛緩和にオピオイドの使用を勧めている. 筋萎縮に伴って体重が減少す\\nるALS末期で, 欧米に比べ体格の小さい本邦の患者において, 強オピオイドではなくリン酸コデインから緩\\n和ケアを開始することを検討すべきである．","subitem_description_type":"Abstract"}]},"item_6_publisher_32":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"北関東医学会"}]},"item_6_source_id_7":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1343-2826","subitem_source_identifier_type":"ISSN"}]},"item_6_source_id_9":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AN10585677","subitem_source_identifier_type":"NCID"}]},"item_6_version_type_15":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"大竹, 弘哲"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"長嶋, 和明"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"田中, 聡一"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2020-12-25"}],"displaytype":"detail","filename":"57_49.pdf","filesize":[{"value":"282.9 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"57_49.pdf","url":"https://gunma-u.repo.nii.ac.jp/record/5784/files/57_49.pdf"},"version_id":"a3decef8-5233-4360-86ad-1b621b701888"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"ALS","subitem_subject_scheme":"Other"},{"subitem_subject":"オピオイド","subitem_subject_scheme":"Other"},{"subitem_subject":"リン酸コデイン","subitem_subject_scheme":"Other"},{"subitem_subject":"緩和ケア","subitem_subject_scheme":"Other"},{"subitem_subject":"ALS","subitem_subject_scheme":"Other"},{"subitem_subject":"pain","subitem_subject_scheme":"Other"},{"subitem_subject":"opioid","subitem_subject_scheme":"Other"},{"subitem_subject":"codein","subitem_subject_scheme":"Other"},{"subitem_subject":"palliative care","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":"疼痛の緩和ケアにリン酸コデインを用いた筋萎縮性側策硬化症の一例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"疼痛の緩和ケアにリン酸コデインを用いた筋萎縮性側策硬化症の一例"},{"subitem_title":"A Patient with Amyotrophic Lateral Sclerosis","subitem_title_language":"en"}]},"item_type_id":"6","owner":"2","path":["769"],"pubdate":{"attribute_name":"公開日","attribute_value":"2007-10-12"},"publish_date":"2007-10-12","publish_status":"0","recid":"5784","relation_version_is_last":true,"title":["疼痛の緩和ケアにリン酸コデインを用いた筋萎縮性側策硬化症の一例"],"weko_creator_id":"2","weko_shared_id":-1},"updated":"2023-06-19T11:45:21.548530+00:00"}