{"_buckets": {"deposit": "a646286e-ddb5-47f7-a1ec-b9380be68c4e"}, "_deposit": {"id": "2000522", "owners": [1], "pid": {"revision_id": 0, "type": "depid", "value": "2000522"}, "status": "published"}, "_oai": {"id": "oai:niigata-u.repo.nii.ac.jp:02000522", "sets": []}, "author_link": [], "item_1627361970403": {"attribute_name": "\u51fa\u7248\u30bf\u30a4\u30d7", "attribute_value_mlt": [{"subitem_version_resource": "http://purl.org/coar/version/c_970fb48d4fbd8a85", "subitem_version_type": "VoR"}]}, "item_7_biblio_info_6": {"attribute_name": "\u66f8\u8a8c\u60c5\u5831", "attribute_value_mlt": [{"bibliographicIssueDates": {"bibliographicIssueDate": "2014-12", "bibliographicIssueDateType": "Issued"}, "bibliographicIssueNumber": "2", "bibliographicPageEnd": "98", "bibliographicPageStart": "93", "bibliographicVolumeNumber": "44", "bibliographic_titles": [{"bibliographic_title": "\u65b0\u6f5f\u6b6f\u5b66\u4f1a\u96d1\u8a8c", "bibliographic_titleLang": "ja"}]}]}, "item_7_description_4": {"attribute_name": "\u6284\u9332", "attribute_value_mlt": [{"subitem_description": "We present a case involving a 79-year-old man who received postoperative care as an outpatient after surgical treatment of left small cell lung cancer and right non-small cell lung cancer in Niigata University Medical and Dental Hospital. Because the patient\u0027s vital conditions had suddenly worsened and were accompanied by a high fever on 19 March 2014, the patient was admitted to the hospital on an emergency basis on 22 March. The patient had pneumonia with a patchy shadow in the right inferior lung lobe and a swollen cystic liver with internal bleeding, as occur with stroke. The patient\u0027s general condition gradually improved after establishment of an intravenous drip with antibiotics and antipyretics. However, he frequently coughed when he attempted to orally ingest medicine; he was then admitted to the Unit of Dysphagia Rehabilitation. The patient\u0027s general condition indicated undernutrition and high inflammatory marker levels. Thus, swallowing function examination was first performed and showed insufficient and poor oral hygiene with dry mucous membranes and a modified water swallow test score of 3b. On endoscopic examination 3 days after starting therapy, although pharyngeal residue remained after swallowing, clearance in the pharyngeal region was accomplished by adding swallowing of thickened water. Therefore, direct therapy was started by administering meals adjusted to a paste form on day 4. Prosthodontic insertion of complete dentures was commenced on day 15 to restore the patient\u0027s masticatory function and allow him to intake oral food. Videofluoroscopic examination on day 17 indicated that the patient\u0027s meals required thickening. The complete dentures were equipped in both jaws on day 28, and fitting adjustments were practiced several times. Reexamination of swallowing function on day 32 showed remarkable improvement in both the oral environment and swallowing function; the modified water swallow test score was 5. These improvements enabled the food consistency to be changed to solid food. On day 42, the second videofluoroscopic evaluation showed lower penetration than in the first trial. However, adjustment to a thickened meal was still required because swallowing of water caused silent aspiration. As the patient\u0027s oral health improved under our intervention, his swallowing function became satisfactory and stable. The patient was transferred to another hospital on day 43.", "subitem_description_language": "en", "subitem_description_type": "Abstract"}, {"subitem_description": 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"Other"}, {"subitem_subject": "\u53e3\u8154\u30b1\u30a2", "subitem_subject_language": "ja", "subitem_subject_scheme": "Other"}, {"subitem_subject": "oral health care", "subitem_subject_language": "en", "subitem_subject_scheme": "Other"}]}, "item_language": {"attribute_name": "\u8a00\u8a9e", "attribute_value_mlt": [{"subitem_language": "jpn"}]}, "item_resource_type": {"attribute_name": "\u8cc7\u6e90\u30bf\u30a4\u30d7", "attribute_value_mlt": [{"resourcetype": "departmental bulletin paper", "resourceuri": "http://purl.org/coar/resource_type/c_6501"}]}, "item_title": "\u53e3\u8154\u6a5f\u80fd\u306e\u6539\u5584\u304c\u56a5\u4e0b\u6a5f\u80fd\u56de\u5fa9\u306b\u5bc4\u4e0e\u3057\u305f\u4e00\u4f8b", "item_titles": {"attribute_name": "\u30bf\u30a4\u30c8\u30eb", "attribute_value_mlt": [{"subitem_title": "\u53e3\u8154\u6a5f\u80fd\u306e\u6539\u5584\u304c\u56a5\u4e0b\u6a5f\u80fd\u56de\u5fa9\u306b\u5bc4\u4e0e\u3057\u305f\u4e00\u4f8b", "subitem_title_language": "ja"}, {"subitem_title": "The improvement in the oral function contributed to the achievement of the recovery in swallowing function : Case Report", "subitem_title_language": "en"}]}, "item_type_id": "7", "owner": "1", "path": ["453/456", "432/1291/1292/1653546419953"], "permalink_uri": "http://hdl.handle.net/10191/0002000522", "pubdate": {"attribute_name": "PubDate", "attribute_value": "2022-05-26"}, "publish_date": "2022-05-26", "publish_status": "0", "recid": "2000522", "relation": {}, "relation_version_is_last": true, "title": ["\u53e3\u8154\u6a5f\u80fd\u306e\u6539\u5584\u304c\u56a5\u4e0b\u6a5f\u80fd\u56de\u5fa9\u306b\u5bc4\u4e0e\u3057\u305f\u4e00\u4f8b"], "weko_shared_id": -1}