{"created":"2021-03-01T06:13:53.054766+00:00","id":9787,"links":{},"metadata":{"_buckets":{"deposit":"0b834543-6822-44af-8e64-1427e5c764a8"},"_deposit":{"id":"9787","owners":[],"pid":{"revision_id":0,"type":"depid","value":"9787"},"status":"published"},"_oai":{"id":"oai:niigata-u.repo.nii.ac.jp:00009787","sets":["453:456","471:537:538:946"]},"item_7_alternative_title_1":{"attribute_name":"その他のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"Long-term Outcomes and Late Effects of Childhood Cancer Treatment (Child Cancer Survivors : Long-Term Outcome and for a Better QOL Engagement)"}]},"item_7_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2012-02","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"68","bibliographicPageStart":"65","bibliographicVolumeNumber":"126","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":"小児悪性腫瘍は稀少疾患であり, かつては不治の病であったが, 現在5年生存率は約80%に達し, 治癒を見込めるようになった. 一方, 治療後数年ないし十数年を経て, 治療に伴う様々な晩期合併症が報告されるようになった. anthracycline系薬剤による心筋障害等成人領域でも認められる合併症から, 発達途上にある小児でなければ生じ得ない成長発達の異常, 性腺・二次性徴の異常, 精神心理面の問題, 生命予後に直結する二次性悪性腫瘍まで多岐に亘り, 社会性の獲得, 学習・進学, 更には就労, 結婚, 出産等にも大きな影響を与えている. 今後の目標は, ただ単に｢生き残ること｣から｢qualityの保たれた生存」へと進化しつつある. これからの小児悪性腫瘍の治療は, 治癒後の長い人生への影響を十分に考慮して行うべきである. また治療終了後は, 成人とは質的に異なる長期的で全人的, 系統的な医療介入が必要と考えられ, 多くの診療科の医師の他, 看護師・保健師, 臨床心理士, ソーシャルワーカーなど多種の医療者が関わるべきと考えられる.","subitem_description_type":"Abstract"}]},"item_7_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifier":"67683","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Watanabe, Akihiro"}]}]},"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":"渡辺, 輝浩"}],"nameIdentifiers":[{"nameIdentifier":"67682","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","filename":"126(2)_65-68.pdf","filesize":[{"value":"526.8 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"126(2)_65-68.pdf","url":"https://niigata-u.repo.nii.ac.jp/record/9787/files/126(2)_65-68.pdf"},"version_id":"417f6893-1047-45c3-a940-2c31fb9d9ed1"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"小児悪性腫瘍","subitem_subject_scheme":"Other"},{"subitem_subject":"長期予後","subitem_subject_scheme":"Other"},{"subitem_subject":"晩期合併症","subitem_subject_scheme":"Other"},{"subitem_subject":"長期フォローアップシステム","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":"1 小児悪性腫瘍の長期予後と晩期合併症(Child Cancer Survivors : 長期予後とQOLの改善に向けて,第654回新潟医学会)","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"1 小児悪性腫瘍の長期予後と晩期合併症(Child Cancer Survivors : 長期予後とQOLの改善に向けて,第654回新潟医学会)"},{"subitem_title":"1 小児悪性腫瘍の長期予後と晩期合併症(Child Cancer Survivors : 長期予後とQOLの改善に向けて,第654回新潟医学会)","subitem_title_language":"en"}]},"item_type_id":"7","owner":"1","path":["456","946"],"pubdate":{"attribute_name":"公開日","attribute_value":"2015-01-09"},"publish_date":"2015-01-09","publish_status":"0","recid":"9787","relation_version_is_last":true,"title":["1 小児悪性腫瘍の長期予後と晩期合併症(Child Cancer Survivors : 長期予後とQOLの改善に向けて,第654回新潟医学会)"],"weko_creator_id":"1","weko_shared_id":null},"updated":"2022-12-15T03:43:43.540421+00:00"}