{"_buckets": {"deposit": "64cc1ccf-29c9-4dea-afa2-ee0fe3160069"}, "_deposit": {"id": "25815", "owners": [], "pid": {"revision_id": 0, "type": "depid", "value": "25815"}, "status": "published"}, "_oai": {"id": "oai:niigata-u.repo.nii.ac.jp:00025815", "sets": ["456", "1319"]}, "item_7_alternative_title_1": {"attribute_name": "その他のタイトル", "attribute_value_mlt": [{"subitem_alternative_title": "Present Condition and Future Considerations of Team Approach for TMD Patients in Our Hospital - The Second Report -"}]}, "item_7_biblio_info_6": {"attribute_name": "書誌情報", "attribute_value_mlt": [{"bibliographicIssueDates": {"bibliographicIssueDate": "1999-12", "bibliographicIssueDateType": "Issued"}, "bibliographicIssueNumber": "2", "bibliographicPageEnd": "13", "bibliographicPageStart": "5", "bibliographicVolumeNumber": "29", "bibliographic_titles": [{"bibliographic_title": "新潟歯学会雑誌"}, {"bibliographic_title": "新潟歯学会雑誌", "bibliographic_titleLang": "en"}]}]}, "item_7_description_4": {"attribute_name": "抄録", "attribute_value_mlt": [{"subitem_description": "The purpose of this study was to clarify concretely the present condition and future considerations of the team approach for TMD patients in our hospital from the viewpoint of the problems pointed out in our previous report. We studied clinico-statistical observation on TMD patients registered in polyclinic intensive oral care unit during 1997. The number of patients was 294 and the ratio of the patients attended on referral was 28.9%. Both numbers had increased only slightly since our unit was set up in November 1993. General characteristics of the patients were similar to those reported in the past studies about TMD patients. As to our team approach, cases in which more than one department were involved were less than 10 percent and referral to medical department was only one case. Regarding our treatment, splint therapy was main being used for more than 60 percent cases. The mean number of attendance was 6.4 times, and the mean duration of treatment was 3.6 months. As future considerations, we need to increase the use of physical therapy and psychosomatic treatment, strengthen the association with medical departments for that purpose, and expand the application of the treatments using dental specialty. Through those efforts, we need to improve the quality of our team approach toward true multidisciplinary approach. In addition, we should establish the system to manage patients for long term and strengthen the network with local dentists and medical doctors.", "subitem_description_type": "Abstract"}, {"subitem_description": "本論文の目的は、当院顎関節症診療体制の現状と課題について、前報で提示された課題の観点から具体的に明らかにすることである。平成9年に特殊歯科総合治療部に登録された顎関節症患者を対象に臨床統計的検討を行った｡平成9年の患者数は294名、紹介患者の比率は28.9%で、平成5年11月に特殊歯科総合治療部発足以来の増加は漸増にとどまっていた。登録患者の全般的な特徴は、顎関節症患者を対象とした従来の報告とほぼ同様であった｡チーム診療体制については、複数科が関与した症例の数は1割に満たず、医科への紹介は1例のみであった。治療については、スプリント療法が6割以上の症例で用いられ主体であった｡平均通院回数は6.4回、平均治療期間は3.6ヶ月であった｡今後は、理学療法と心身医学的療法の拡充、そのための関連医科との連携の強化、歯科の専門性を活かした治療適応の拡充を通じ、チーム診療の質の向上を計る必要があると考えられた。さらに、リコールを強化し長期に渡る患者管理体制を確立することや、診療体制の活動内容について紹介する磯会を増やし、地域ネットワークを強化する必要もあると考えられた｡", "subitem_description_type": "Abstract"}]}, "item_7_full_name_3": {"attribute_name": "著者別名", "attribute_value_mlt": [{"nameIdentifiers": [{"nameIdentifier": "152283", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Suzuki, Masahiro"}]}, {"nameIdentifiers": [{"nameIdentifier": "152284", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Nomura, Shuichi"}]}, {"nameIdentifiers": [{"nameIdentifier": "152285", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Iwakata, Shingo"}]}, {"nameIdentifiers": [{"nameIdentifier": "152286", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Taguchi, Naoyuki"}]}, {"nameIdentifiers": [{"nameIdentifier": "152287", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Kobayashi, Tadaharu"}]}, {"nameIdentifiers": [{"nameIdentifier": "152288", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Kobayashi, Tatsuaki"}]}, {"nameIdentifiers": [{"nameIdentifier": "152289", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Yamada, Kazuhiro"}]}, {"nameIdentifiers": [{"nameIdentifier": "152290", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Hayashi, Takafumi"}]}, {"nameIdentifiers": [{"nameIdentifier": "152291", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Fukushima, Masayoshi"}]}, {"nameIdentifiers": [{"nameIdentifier": "152292", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Kubota, Takehiko"}]}, {"nameIdentifiers": [{"nameIdentifier": "152293", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Ohshima, Kuniko"}]}, {"nameIdentifiers": [{"nameIdentifier": "152294", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Tanaka, Yutaka"}]}, {"nameIdentifiers": [{"nameIdentifier": "152295", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Kohno, Shoji"}]}]}, "item_7_publisher_7": {"attribute_name": "出版者", "attribute_value_mlt": [{"subitem_publisher": "新潟歯学会"}]}, "item_7_select_19": {"attribute_name": "著者版フラグ", "attribute_value_mlt": [{"subitem_select_item": "publisher"}]}, "item_7_source_id_11": {"attribute_name": "書誌レコードID", "attribute_value_mlt": [{"subitem_source_identifier": "AN0018300X", "subitem_source_identifier_type": "NCID"}]}, "item_7_source_id_9": {"attribute_name": "ISSN", "attribute_value_mlt": [{"subitem_source_identifier": "03850153", "subitem_source_identifier_type": "ISSN"}]}, "item_creator": {"attribute_name": "著者", "attribute_type": "creator", "attribute_value_mlt": [{"creatorNames": [{"creatorName": "鈴木, 正弘"}], "nameIdentifiers": [{"nameIdentifier": "152270", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "野村, 修一"}], "nameIdentifiers": [{"nameIdentifier": "152271", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "岩片, 信吾"}], "nameIdentifiers": [{"nameIdentifier": "152272", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "田口, 直幸"}], "nameIdentifiers": [{"nameIdentifier": "152273", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "小林, 正治"}], "nameIdentifiers": [{"nameIdentifier": "152274", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "小林, 龍彰"}], "nameIdentifiers": [{"nameIdentifier": "152275", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "山田, 一尋"}], "nameIdentifiers": [{"nameIdentifier": "152276", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "林, 孝文"}], "nameIdentifiers": [{"nameIdentifier": "152277", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "福島, 正義"}], "nameIdentifiers": [{"nameIdentifier": "152278", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "久保田, 健彦"}], "nameIdentifiers": [{"nameIdentifier": "152279", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "大島, 邦子"}], "nameIdentifiers": [{"nameIdentifier": "152280", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "田中, 裕"}], "nameIdentifiers": [{"nameIdentifier": "152281", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "河野, 正司"}], "nameIdentifiers": [{"nameIdentifier": "152282", "nameIdentifierScheme": "WEKO"}]}]}, "item_files": {"attribute_name": "ファイル情報", "attribute_type": "file", "attribute_value_mlt": [{"accessrole": "open_date", "date": [{"dateType": "Available", "dateValue": "2019-08-19"}], "displaytype": "detail", "download_preview_message": "", "file_order": 0, "filename": "NS_29(2)_5-13.pdf", "filesize": [{"value": "1.2 MB"}], "format": "application/pdf", "future_date_message": "", "is_thumbnail": false, "licensetype": "license_free", "mimetype": "application/pdf", "size": 1200000.0, "url": {"label": "NS_29(2)_5-13.pdf", "url": "https://niigata-u.repo.nii.ac.jp/record/25815/files/NS_29(2)_5-13.pdf"}, "version_id": "12782ca1-49eb-43b7-85dd-07a6c884b518"}]}, "item_keyword": {"attribute_name": "キーワード", "attribute_value_mlt": [{"subitem_subject": "temporomandibular disorders", "subitem_subject_scheme": "Other"}, {"subitem_subject": "顎関節症", "subitem_subject_scheme": "Other"}, {"subitem_subject": "team approach", "subitem_subject_scheme": "Other"}, {"subitem_subject": "チーム診療", "subitem_subject_scheme": "Other"}, {"subitem_subject": "clinico-statistical study", "subitem_subject_scheme": "Other"}, {"subitem_subject": "臨床統計的研究", "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": "当院における顎関節症チーム診療体制の現状と課題 : 第2報", "item_titles": {"attribute_name": "タイトル", "attribute_value_mlt": [{"subitem_title": "当院における顎関節症チーム診療体制の現状と課題 : 第2報"}, {"subitem_title": "当院における顎関節症チーム診療体制の現状と課題 : 第2報", "subitem_title_language": "en"}]}, "item_type_id": "7", "owner": "1", "path": ["456", "1319"], "permalink_uri": "http://hdl.handle.net/10191/23119", "pubdate": {"attribute_name": "公開日", "attribute_value": "2013-08-26"}, "publish_date": "2013-08-26", "publish_status": "0", "recid": "25815", "relation": {}, "relation_version_is_last": true, "title": ["当院における顎関節症チーム診療体制の現状と課題 : 第2報"], "weko_shared_id": null}