{"created":"2024-10-23T10:21:39.239323+00:00","id":2002257,"links":{},"metadata":{"_buckets":{"deposit":"565b3aba-e873-4396-ab9e-2cefeccf707e"},"_deposit":{"created_by":7,"id":"2002257","owners":[7],"pid":{"revision_id":0,"type":"depid","value":"2002257"},"status":"published"},"_oai":{"id":"oai:tokushima-u.repo.nii.ac.jp:02002257","sets":["1713853213384:1713853296295:1716267876683:1716268551628"]},"author_link":["1626","1536"],"control_number":"2002257","item_10001_alternative_title_1":{"attribute_name":"タイトル別表記","attribute_value_mlt":[{"subitem_alternative_title":"重症心身障害児に対する喉頭気管分離・気管食道吻合術と喉頭気管分離術の臨床的効果","subitem_alternative_title_language":"ja"}]},"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2012-12-20","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"4","bibliographicPageEnd":"731","bibliographicPageStart":"728","bibliographicVolumeNumber":"45","bibliographic_titles":[{"bibliographic_title":"Auris Nasus Larynx","bibliographic_titleLang":"en"}]}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"Objective: Outcomes of tracheoesophageal diversion and laryngotracheal separation were evaluated in 15 neurologically impaired children treated for intractable aspiration.\nMethods: A retrospective analysis of the hospital records was carried out in 15 consecutive pediatric patients who underwent either tracheoesophageal diversion or laryngotracheal separation with trumpet-shaped tracheotomy from 1999 to 2006 in Kagawa Children’s Hospital.\nResults: The number of hospital admissions for aspiration pneumonia after surgery was significantly decreased in 6 patients who were cared for at home. The parent-reported number of secretion suctioning was decreased after surgery especially in patients with pre-operative tracheotomy or intubation. Four patients fed through naso-gastric tube progressed with oral diet post-operatively, whereas 3 patients who had pre-operative tracheotomy developed temporary post-operative tracheocutaneous fistula that was managed by local wound care.\nConclusion: It is suggested that tracheoesophageal diversion and laryngotracheal separation decrease the morbidity of pediatric patients and improve their quality of life and that of their parents. It is suggested that the risk of developing post-operative fistula is higher in pediatric patients with than without pre-operative tracheotomy.","subitem_description_language":"en","subitem_description_type":"Abstract"}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"Elsevier","subitem_publisher_language":"en"}]},"item_10001_rights_15":{"attribute_name":"権利情報","attribute_value_mlt":[{"subitem_rights":"© 2012 Elsevier Ireland Ltd. All rights reserved.","subitem_rights_language":"en"}]},"item_10001_source_id_9":{"attribute_name":"収録物ID","attribute_value_mlt":[{"subitem_source_identifier":"03858146","subitem_source_identifier_type":"ISSN"},{"subitem_source_identifier":"AA00061157","subitem_source_identifier_type":"NCID"},{"subitem_source_identifier":"AA11522116","subitem_source_identifier_type":"NCID"}]},"item_10001_version_type_20":{"attribute_name":"出版タイプ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_be7fb7dd8ff6fe43","subitem_version_type":"NA"}]},"item_1714461018643":{"attribute_name":"報告番号","attribute_value_mlt":[{"subitem_dissertationnumber":"甲第2657号"}]},"item_1714461102074":{"attribute_name":"学位名","attribute_value_mlt":[{"subitem_degreename":"博士（医学）","subitem_degreename_language":"ja"}]},"item_1714461118377":{"attribute_name":"学位授与年月日","attribute_value_mlt":[{"subitem_dategranted":"2013-12-26"}]},"item_1714461137393":{"attribute_name":"学位授与機関","attribute_value_mlt":[{"subitem_degreegrantor":[{"subitem_degreegrantor_language":"ja","subitem_degreegrantor_name":"徳島大学"}]}]},"item_1715043197608":{"attribute_name":"アクセス権","attribute_value_mlt":[{"subitem_access_right":"open access"}]},"item_1718868208704":{"attribute_name":"備考","attribute_value_mlt":[{"subitem_textarea_language":"ja","subitem_textarea_value":"内容要旨・審査要旨・論文本文の公開\n内容要旨・審査要旨 : LID201403051002.pdf\n論文本文 : k2657_fulltext.pdf\n本論文は，著者Izumi Chidaの学位論文として提出され，学位審査・授与の対象となっている。\n著者の申請により要約(2014-05-23公開)に替えて論文全文を公開(2019-12-17)\n学位授与者所属 : 徳島大学大学院医科学教育部（医学専攻）"}]},"item_1718868303842":{"attribute_name":"学位記番号","attribute_value_mlt":[{"subitem_text_language":"ja","subitem_text_value":"甲医第1183号"}]},"item_1722929371688":{"attribute_name":"出版社版DOI","attribute_value_mlt":[{"subitem_relation_name":[{"subitem_relation_name_language":"ja","subitem_relation_name_text":"10.1016/j.anl.2012.11.001"}],"subitem_relation_type_id":{"subitem_relation_type_id_text":"https://doi.org/10.1016/j.anl.2012.11.001","subitem_relation_type_select":"DOI"}}]},"item_1723180141928":{"attribute_name":"EID","attribute_value_mlt":[{"subitem_identifier_type":"URI","subitem_identifier_uri":"277651"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"千田, いづみ","creatorNameLang":"ja"},{"creatorName":"チダ, イヅミ","creatorNameLang":"ja-Kana"},{"creatorName":"Chida, Izumi","creatorNameLang":"en"}]},{"creatorAffiliations":[{"affiliationNameIdentifiers":[{"affiliationNameIdentifierScheme":"ISNI","affiliationNameIdentifierURI":"http://www.isni.org/isni/"}],"affiliationNames":[{"affiliationNameLang":"ja"}]}],"creatorNames":[{"creatorName":"田村, 公一","creatorNameLang":"ja"},{"creatorName":"タムラ, コウイチ","creatorNameLang":"ja-Kana"},{"creatorName":"Tamura, Koichi","creatorNameLang":"en"}],"familyNames":[{"familyName":"田村","familyNameLang":"ja"},{"familyName":"タムラ","familyNameLang":"ja-Kana"},{"familyName":"Tamura","familyNameLang":"en"}],"givenNames":[{"givenName":"公一","givenNameLang":"ja"},{"givenName":"コウイチ","givenNameLang":"ja-Kana"},{"givenName":"Koichi","givenNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"1626","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"00217192","nameIdentifierScheme":"e-Rad_Researcher","nameIdentifierURI":"https://nrid.nii.ac.jp/ja/search/?qm=00217192"}]},{"creatorNames":[{"creatorName":"中川, 伸一","creatorNameLang":"ja"},{"creatorName":"ナカガワ, シンイチ","creatorNameLang":"ja-Kana"},{"creatorName":"Nakagawa, Shin-ichi","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"安藤, 正裕","creatorNameLang":"ja"},{"creatorName":"アンドウ, マサヒロ","creatorNameLang":"ja-Kana"},{"creatorName":"Ando, Masahiro","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"クノ, エミ","creatorNameLang":"ja"},{"creatorName":"クノ, エミ","creatorNameLang":"ja-Kana"},{"creatorName":"Kuno, Emi","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"ホシカワ, ヒロシ","creatorNameLang":"ja"},{"creatorName":"ホシカワ, ヒロシ","creatorNameLang":"ja-Kana"},{"creatorName":"Hoshikawa, Hiroshi","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"モリ, ノゾム","creatorNameLang":"ja"},{"creatorName":"モリ, ノゾム","creatorNameLang":"ja-Kana"},{"creatorName":"Mori, Nozomu","creatorNameLang":"en"}]},{"creatorAffiliations":[{"affiliationNameIdentifiers":[{"affiliationNameIdentifierScheme":"ISNI","affiliationNameIdentifierURI":"http://www.isni.org/isni/"}],"affiliationNames":[{"affiliationNameLang":"ja"}]}],"creatorNames":[{"creatorName":"武田, 憲昭","creatorNameLang":"ja"},{"creatorName":"タケダ, ノリアキ","creatorNameLang":"ja-Kana"},{"creatorName":"Takeda, Noriaki","creatorNameLang":"en"}],"familyNames":[{"familyName":"武田","familyNameLang":"ja"},{"familyName":"タケダ","familyNameLang":"ja-Kana"},{"familyName":"Takeda","familyNameLang":"en"}],"givenNames":[{"givenName":"憲昭","givenNameLang":"ja"},{"givenName":"ノリアキ","givenNameLang":"ja-Kana"},{"givenName":"Noriaki","givenNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"1536","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"60049/profile-ja.html","nameIdentifierScheme":"徳島大学 教育研究者総覧","nameIdentifierURI":"http://pub2.db.tokushima-u.ac.jp/ERD/person/60049/profile-ja.html"},{"nameIdentifier":"30206982","nameIdentifierScheme":"e-Rad_Researcher","nameIdentifierURI":"https://nrid.nii.ac.jp/ja/search/?qm=30206982"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_access","date":[{"dateType":"Available","dateValue":"2014-03-06"}],"displaytype":"detail","filename":"LID201403051002.pdf","filesize":[{"value":"186 KB"}],"format":"application/pdf","mimetype":"application/pdf","url":{"objectType":"abstract","url":"https://tokushima-u.repo.nii.ac.jp/record/2002257/files/LID201403051002.pdf"},"version_id":"944aa7d0-d9a7-4817-a577-e2fddbddf212"},{"accessrole":"open_access","date":[{"dateType":"Available","dateValue":"2019-12-17"}],"displaytype":"detail","filename":"k2657_fulltext.pdf","filesize":[{"value":"819 KB"}],"format":"application/pdf","mimetype":"application/pdf","url":{"objectType":"fulltext","url":"https://tokushima-u.repo.nii.ac.jp/record/2002257/files/k2657_fulltext.pdf"},"version_id":"33f375be-a7d5-46dc-a6b2-81384ff6ff1d"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"Tracheoesophageal diversion","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Laryngotracheal separation","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Trumpet-shaped tracheotomy","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Intractable aspiration","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Neurologically impaired children","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"doctoral thesis","resourceuri":"http://purl.org/coar/resource_type/c_db06"}]},"item_title":"Clinical outcomes of tracheoesophageal diversion and laryngotracheal separation in neurologically impaired children","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Clinical outcomes of tracheoesophageal diversion and laryngotracheal separation in neurologically impaired children","subitem_title_language":"en"}]},"item_type_id":"40001","owner":"7","path":["1716268551628"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2014-03-05"},"publish_date":"2014-03-05","publish_status":"0","recid":"2002257","relation_version_is_last":true,"title":["Clinical outcomes of tracheoesophageal diversion and laryngotracheal separation in neurologically impaired children"],"weko_creator_id":"7","weko_shared_id":-1},"updated":"2025-02-13T07:11:20.570153+00:00"}