{"created":"2024-10-25T07:17:16.039598+00:00","id":2002519,"links":{},"metadata":{"_buckets":{"deposit":"e4ce6485-a5aa-4131-84ad-0aa82b3c4cee"},"_deposit":{"created_by":7,"id":"2002519","owners":[7],"pid":{"revision_id":0,"type":"depid","value":"2002519"},"status":"published"},"_oai":{"id":"oai:tokushima-u.repo.nii.ac.jp:02002519","sets":["1713829974766:1713854681789:1716364516449:1716365579777","1713853213384:1713853295607"]},"author_link":["1621","446","1620"],"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2013-08","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"3-4","bibliographicPageEnd":"220","bibliographicPageStart":"213","bibliographicVolumeNumber":"60","bibliographic_titles":[{"bibliographic_title":"The journal of medical investigation : JMI","bibliographic_titleLang":"en"}]}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"Background A congested flap is a good indication for leech therapy. However, determining the appropriate number of leeches as well as the appropriate application time in clinical cases is difficult. We analyzed hemodynamics in rabbit island flaps under leech therapy to find a suitable clinical procedure for determining the appropriate number of leeches to be used and the duration of therapy. Methods Island flaps were raised in 35 rabbit ears, and congestion was induced by venous clamping. Treatment involved use of 1 or 3 leeches and was begun 60 minutes after venous occlusion. Flaps were examined for area of surviving tissue, alterations in transcutaneous oxygen and carbon dioxide tension (TcPO2 and TcPCO2), and flow volume. Arteriole and venule diameters and flow velocities were examined microscopically. Results Flap survival area in the 3-leech therapy group was significantly larger than the 1-leech therapy group and the control group. With 3- leech therapy, TcPCO2 decreased significantly, as did arteriole and venule diameters. After clamp release, TcPCO2 and venule diameter continued to decrease in this group, and flow velocity increased significantly. Conclusions Leech therapy may salvage compromised flaps by replacing congested blood with new arterial blood and thus maintaining flap viability. TcPO2 and TcPCO2 monitoring may help evaluate the therapeutic effect and determine the appropriate number of leeches to apply and the duration of therapy.","subitem_description_language":"en","subitem_description_type":"Abstract"}]},"item_10001_source_id_9":{"attribute_name":"収録物ID","attribute_value_mlt":[{"subitem_source_identifier":"13431420","subitem_source_identifier_type":"ISSN"},{"subitem_source_identifier":"AA11166929","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_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_1715043197608":{"attribute_name":"アクセス権","attribute_value_mlt":[{"subitem_access_right":"open access"}]},"item_1722929371688":{"attribute_name":"出版社版DOI","attribute_value_mlt":[{"subitem_relation_name":[{"subitem_relation_name_language":"ja","subitem_relation_name_text":"10.2152/jmi.60.213"}],"subitem_relation_type_id":{"subitem_relation_type_id_text":"https://doi.org/10.2152/jmi.60.213","subitem_relation_type_select":"DOI"}}]},"item_1723180141928":{"attribute_name":"EID","attribute_value_mlt":[{"subitem_identifier_type":"URI","subitem_identifier_uri":"283569"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"柏木, 圭介","creatorNameLang":"ja"},{"creatorName":"カシワギ, ケイスケ","creatorNameLang":"ja-Kana"},{"creatorName":"Kashiwagi, Keisuke","creatorNameLang":"en"}]},{"creatorAffiliations":[{"affiliationNameIdentifiers":[{"affiliationNameIdentifier":"","affiliationNameIdentifierScheme":"ISNI","affiliationNameIdentifierURI":"http://www.isni.org/isni/"}],"affiliationNames":[{"affiliationName":"","affiliationNameLang":"ja"}]}],"creatorNames":[{"creatorName":"橋本, 一郎","creatorNameLang":"ja"},{"creatorName":"ハシモト, イチロウ","creatorNameLang":"ja-Kana"},{"creatorName":"Hashimoto, Ichiro","creatorNameLang":"en"}],"familyNames":[{"familyName":"橋本","familyNameLang":"ja"},{"familyName":"ハシモト","familyNameLang":"ja-Kana"},{"familyName":"Hashimoto","familyNameLang":"en"}],"givenNames":[{"givenName":"一郎","givenNameLang":"ja"},{"givenName":"イチロウ","givenNameLang":"ja-Kana"},{"givenName":"Ichiro","givenNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"1621","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"60221/profile-ja.html","nameIdentifierScheme":"徳島大学 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Yoshiro","creatorNameLang":"en"}],"familyNames":[{"familyName":"安倍","familyNameLang":"ja"},{"familyName":"アベ","familyNameLang":"ja-Kana"},{"familyName":"Abe","familyNameLang":"en"}],"givenNames":[{"givenName":"吉郎","givenNameLang":"ja"},{"givenName":"ヨシロウ","givenNameLang":"ja-Kana"},{"givenName":"Yoshiro","givenNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"446","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"208055/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/208055/profile-ja.html"},{"nameIdentifier":"40467808","nameIdentifierScheme":"e-Rad","nameIdentifierURI":"https://nrid.nii.ac.jp/ja/search/?qm=40467808"}]},{"creatorNames":[{"creatorName":"コウツ, クニオ","creatorNameLang":"ja"},{"creatorName":"コウツ, クニオ","creatorNameLang":"ja-Kana"},{"creatorName":"Kotsu, Kunio","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"ヤマノ, マサヒロ","creatorNameLang":"ja"},{"creatorName":"ヤマノ, マサヒロ","creatorNameLang":"ja-Kana"},{"creatorName":"Yamano, Masahiro","creatorNameLang":"en"}]},{"creatorAffiliations":[{"affiliationNameIdentifiers":[{"affiliationNameIdentifier":"","affiliationNameIdentifierScheme":"ISNI","affiliationNameIdentifierURI":"http://www.isni.org/isni/"}],"affiliationNames":[{"affiliationName":"","affiliationNameLang":"ja"}]}],"creatorNames":[{"creatorName":"中西, 秀樹","creatorNameLang":"ja"},{"creatorName":"ナカニシ, ヒデキ","creatorNameLang":"ja-Kana"},{"creatorName":"Nakanishi, Hideki","creatorNameLang":"en"}],"familyNames":[{"familyName":"中西","familyNameLang":"ja"},{"familyName":"ナカニシ","familyNameLang":"ja-Kana"},{"familyName":"Nakanishi","familyNameLang":"en"}],"givenNames":[{"givenName":"秀樹","givenNameLang":"ja"},{"givenName":"ヒデキ","givenNameLang":"ja-Kana"},{"givenName":"Hideki","givenNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"1620","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"60219/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/60219/profile-ja.html"},{"nameIdentifier":"90164235","nameIdentifierScheme":"e-Rad","nameIdentifierURI":"https://nrid.nii.ac.jp/ja/search/?qm=90164235"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_access","date":[{"dateType":"Available","dateValue":"2015-07-30"}],"displaytype":"detail","filename":"LID201507305001.pdf","filesize":[{"value":"1.22 MB"}],"format":"application/pdf","mimetype":"application/pdf","url":{"objectType":"fulltext","url":"https://tokushima-u.repo.nii.ac.jp/record/2002519/files/LID201507305001.pdf"},"version_id":"63e468d5-b759-4ae2-bd86-d5851ed0d1e4"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"leech therapy","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"congestion","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"island flap","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"microcirculation","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"TcPO2 and TcPCO2 monitoring","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":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"Quantitative analysis of hemodynamics of congested island flaps under leech therapy","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Quantitative analysis of hemodynamics of congested island flaps under leech therapy","subitem_title_language":"en"}]},"item_type_id":"40001","owner":"7","path":["1713853295607","1716365579777"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2015-07-30"},"publish_date":"2015-07-30","publish_status":"0","recid":"2002519","relation_version_is_last":true,"title":["Quantitative analysis of hemodynamics of congested island flaps under leech therapy"],"weko_creator_id":"7","weko_shared_id":-1},"updated":"2025-01-29T08:07:48.268819+00:00"}