{"created":"2023-06-20T15:56:34.588932+00:00","id":13506,"links":{},"metadata":{"_buckets":{"deposit":"73832364-5d77-4dc9-8350-b0cbeac5639d"},"_deposit":{"created_by":22,"id":"13506","owners":[22],"pid":{"revision_id":0,"type":"depid","value":"13506"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00013506","sets":["100:90:498"]},"author_link":["49594"],"item_10002_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2017-12","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"7","bibliographicPageStart":"2","bibliographicVolumeNumber":"38","bibliographic_titles":[{"bibliographic_title":"京都第二赤十字病院医学雑誌"},{"bibliographic_title":"Medical journal of Kyoto Second Red Cross Hospital","bibliographic_titleLang":"en"}]}]},"item_10002_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"男性更年期障害は、加齢、ストレス、男性ホルモン(アンドロゲン)低下などが原因で生じる。その内、加齢に伴う男性ホルモンの減少によって生じる病態は近年、加齢男性性腺機能低下症候群Late-onset hypogenadism(LOH症候群)と呼ばれており、当科では2004年3月より男性更年期外来を開設し、診療にあたっている。LOH症候群の本質はアンドロゲン低下に伴う多臓器機能障害である。男性において、アンドロゲンは多くの重要な生理的役割を担っており、筋・骨・中枢神経系・前立腺・骨髄・皮膚・性機能への影響がある。しかし、いわゆる「男性更年期障害」の症状は大きく精神症状・身体症状・性機能症状の3つに分類され、当科では男性ホルモン補充療法を中心に治療を行っている。ただし、その症状のほとんどが「うつ病」などの精神神経科疾患と重なる場合が多く、症状からだけでは、はたして本当に「男性ホルモンの低下=LOH症候群」が主要な原因であるのかどうかの鑑別は難しい。そのため患者の状態により適宜、精神神経科との連携を密に行うことが必須である。","subitem_description_type":"Abstract"}]},"item_10002_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"京都第二赤十字病院"}]},"item_10002_source_id_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{}]},"item_10002_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0389-4908","subitem_source_identifier_type":"ISSN"}]},"item_10002_version_type_20":{"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":"邵, 仁哲"}],"nameIdentifiers":[{},{},{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2018-03-16"}],"displaytype":"simple","filename":"kyo2_000091.pdf","filesize":[{"value":"953.2 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"kyo2_000091","url":"https://redcross.repo.nii.ac.jp/record/13506/files/kyo2_000091.pdf"},"version_id":"da642c79-2d5a-41f9-afa4-adfb0e2e788a"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"男性更年期障害","subitem_subject_scheme":"Other"},{"subitem_subject":"LOH 症候群","subitem_subject_scheme":"Other"},{"subitem_subject":"アンドロゲン","subitem_subject_scheme":"Other"},{"subitem_subject":"アンドロゲン補充療法","subitem_subject_scheme":"Other"},{"subitem_subject":"テストステロン","subitem_subject_scheme":"Other"},{"subitem_subject":"Male menopausal disorder","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"late-onset hypogonadism (LOH)","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"androgen","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"androgen replacement therapy","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"testosterone","subitem_subject_language":"en","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":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"男性更年期障害について　LOH症候群の観点から","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"男性更年期障害について　LOH症候群の観点から"},{"subitem_title":"Male menopausal disorder  From the perspective of late-onset hypogonadism","subitem_title_language":"en"}]},"item_type_id":"10002","owner":"22","path":["498"],"pubdate":{"attribute_name":"公開日","attribute_value":"2018-03-16"},"publish_date":"2018-03-16","publish_status":"0","recid":"13506","relation_version_is_last":true,"title":["男性更年期障害について　LOH症候群の観点から"],"weko_creator_id":"22","weko_shared_id":-1},"updated":"2023-06-20T17:38:31.504339+00:00"}