{"_buckets": {"deposit": "ce7f0f1c-87ef-45c4-82b2-a1b33706a656"}, "_deposit": {"id": "8413", "owners": [], "pid": {"revision_id": 0, "type": "depid", "value": "8413"}, "status": "published"}, "_oai": {"id": "oai:niigata-u.repo.nii.ac.jp:00008413", "sets": ["456", "894"]}, "item_7_alternative_title_1": {"attribute_name": "その他のタイトル", "attribute_value_mlt": [{"subitem_alternative_title": "The Challenge to Spinal Deformity"}]}, "item_7_biblio_info_6": {"attribute_name": "書誌情報", "attribute_value_mlt": [{"bibliographicIssueDates": {"bibliographicIssueDate": "2016-10", "bibliographicIssueDateType": "Issued"}, "bibliographicIssueNumber": "10", "bibliographicPageEnd": "558", "bibliographicPageStart": "551", "bibliographicVolumeNumber": "130", "bibliographic_titles": [{"bibliographic_title": "新潟医学会雑誌"}, {"bibliographic_title": "新潟医学会雑誌", "bibliographic_titleLang": "en"}]}]}, "item_7_description_4": {"attribute_name": "抄録", "attribute_value_mlt": [{"subitem_description": "脊柱変形は脊柱の3次元的な弯曲異常であり，高度進行例では重篤な呼吸機能障害や神経障害を引き起こす．脊柱変形はその原因によって，1.特発性，2.先天性，3.症候（群）性に分類されるが，一般的に発症年齢が低いほど，また，その際の角度が大きいほど，進行する確率が高い．現在有効性が確立されている治療は装貝と手術以外には無い．装具の有効性には議論があったが，近年のランダム化比較試験によってその有効性が証明された．遅滞なく装具療法を開始するためには早期発見が重要で，学校検診は有効であるが，校医や養護教諭との連携および啓発が不可欠である．最も多い思春期特発性側弯症は，遺伝子解析などによって原因が解明されつつある.手術治療も進歩が著しく，適切な時期に手術を施行すれば良好な成績が得られる．一方，10歳未満で発症する早期発症側弯症の治療も進歩はしているが，未だに挑戦的な分野である．", "subitem_description_type": "Abstract"}]}, "item_7_full_name_3": {"attribute_name": "著者別名", "attribute_value_mlt": [{"nameIdentifiers": [{"nameIdentifier": "58737", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Hirano, Toru"}]}]}, "item_7_publisher_7": {"attribute_name": "出版者", "attribute_value_mlt": [{"subitem_publisher": "新潟医学会"}]}, "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": "AN00182415", "subitem_source_identifier_type": "NCID"}]}, "item_7_source_id_9": {"attribute_name": "ISSN", "attribute_value_mlt": [{"subitem_source_identifier": "00290440", "subitem_source_identifier_type": "ISSN"}]}, "item_creator": {"attribute_name": "著者", "attribute_type": "creator", "attribute_value_mlt": [{"creatorNames": [{"creatorName": "平野, 徹"}], "nameIdentifiers": [{"nameIdentifier": "58736", "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": "2019-08-06"}], "displaytype": "detail", "download_preview_message": "", "file_order": 0, "filename": "130(10)_551-558.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": "130(10)_551-558.pdf", "url": "https://niigata-u.repo.nii.ac.jp/record/8413/files/130(10)_551-558.pdf"}, "version_id": "7c9b3cb0-7720-45cf-92f5-25f96058c012"}]}, "item_keyword": {"attribute_name": "キーワード", "attribute_value_mlt": [{"subitem_subject": "脊柱変形", "subitem_subject_scheme": "Other"}, {"subitem_subject": "思春期特発性側弯症", "subitem_subject_scheme": "Other"}, {"subitem_subject": "早期発症側弯症", "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": "脊柱変形への挑戦", "item_titles": {"attribute_name": "タイトル", "attribute_value_mlt": [{"subitem_title": "脊柱変形への挑戦"}, {"subitem_title": "脊柱変形への挑戦", "subitem_title_language": "en"}]}, "item_type_id": "7", "owner": "1", "path": ["456", "894"], "permalink_uri": "http://hdl.handle.net/10191/47251", "pubdate": {"attribute_name": "公開日", "attribute_value": "2017-04-06"}, "publish_date": "2017-04-06", "publish_status": "0", "recid": "8413", "relation": {}, "relation_version_is_last": true, "title": ["脊柱変形への挑戦"], "weko_shared_id": null}