{"created":"2023-06-20T15:56:34.782867+00:00","id":13509,"links":{},"metadata":{"_buckets":{"deposit":"7646300e-5998-4293-ab53-1d10d9fdb2bf"},"_deposit":{"created_by":22,"id":"13509","owners":[22],"pid":{"revision_id":0,"type":"depid","value":"13509"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00013509","sets":["100:90:498"]},"author_link":["49606","393","49607","49611","25678","49610","49609","49608"],"item_5_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2017-12","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"27","bibliographicPageStart":"21","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_5_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"症例は43歳女性。分娩時大量出血の後、産褥2ヵ月目の乳汁分泌不全を主訴に受診した。内分泌負荷試験と画像検査の結果、Sheehan症候群と診断し、無月経に対しKaufmann療法を開始した。自覚症状がなかったため、他のホルモン補充は行わず経過観察とした。1年後の内分泌学的検査では、変化を認めなかった。しかし、成人下垂体機能低下症QOL尺度(Japanese Adult Hypopituitarism Questionnaire;JAHQ)が100点満点中51.5点と低値であったため、診断から13ヵ月後に潜在性副腎皮質機能低下症に対しヒドロコルチゾン5mg/日の内服を開始した。その後、JAHQの順調な改善を認めた。JAHQを用いて軽微な症状を拾い上げることが患者QOLの正確な評価や治療開始の判断に有効であった。","subitem_description_type":"Abstract"}]},"item_5_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifierScheme":"WEKO"}],"names":[{"name":"NAKAJIMA, Hanako"}]}]},"item_5_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"京都第二赤十字病院"}]},"item_5_source_id_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AN00357778","subitem_source_identifier_type":"NCID"}]},"item_5_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0389-4908","subitem_source_identifier_type":"ISSN"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"中島, 華子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"加藤, さやか"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"小牧, 和美"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"村上, 徹"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"門野, 真由子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"井上, 衛"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"長谷川, 剛二"}],"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_000094.pdf","filesize":[{"value":"1.5 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"kyo2_000094","url":"https://redcross.repo.nii.ac.jp/record/13509/files/kyo2_000094.pdf"},"version_id":"a0c99bda-249f-4919-bbd5-4923541e8b9e"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"Sheehan 症候群","subitem_subject_scheme":"Other"},{"subitem_subject":"副腎不全","subitem_subject_scheme":"Other"},{"subitem_subject":"Japanese Adult Hypopituitarism Questionnaire（JAHQ)","subitem_subject_scheme":"Other"},{"subitem_subject":"分娩後出血","subitem_subject_scheme":"Other"},{"subitem_subject":"Sheehanʼs syndrome","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"adrenocortical insufficiency","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Japanese Adult Hypopituitarism Questionnaire(JAHQ)","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Postpartum Hemorrhage","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":"technical report"}]},"item_title":"Japanese Adult Hypopituitarism Questionnaire(JAHQ)が有用であった潜在性副腎機能低下を呈するSheehan症候群の1例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Japanese Adult Hypopituitarism Questionnaire(JAHQ)が有用であった潜在性副腎機能低下を呈するSheehan症候群の1例"},{"subitem_title":"A case of Sheehan syndrome with subclinical adrenocortical insufficiency showing the utility of the Japanese Adult Hypopituitarism Questionnaire(JAHQ)","subitem_title_language":"en"}]},"item_type_id":"5","owner":"22","path":["498"],"pubdate":{"attribute_name":"公開日","attribute_value":"2018-03-16"},"publish_date":"2018-03-16","publish_status":"0","recid":"13509","relation_version_is_last":true,"title":["Japanese Adult Hypopituitarism Questionnaire(JAHQ)が有用であった潜在性副腎機能低下を呈するSheehan症候群の1例"],"weko_creator_id":"22","weko_shared_id":-1},"updated":"2023-06-20T18:58:13.485926+00:00"}