{"_buckets": {"deposit": "5fd1d39f-14d4-4af7-82e2-4ffa4412f448"}, "_deposit": {"created_by": 15, "id": "7454", "owners": [15], "pid": {"revision_id": 0, "type": "depid", "value": "7454"}, "status": "published"}, "_oai": {"id": "oai:mie-u.repo.nii.ac.jp:00007454", "sets": ["607"]}, "author_link": ["17629", "17630", "17631", "17632", "17625", "17626", "17627", "17628"], "item_10001_biblio_info_7": {"attribute_name": "書誌情報", "attribute_value_mlt": [{"bibliographicIssueDates": {"bibliographicIssueDate": "1991-10-01", "bibliographicIssueDateType": "Issued"}, "bibliographicIssueNumber": "10", "bibliographicPageEnd": "921", "bibliographicPageStart": "915", "bibliographicVolumeNumber": "34", "bibliographic_titles": [{"bibliographic_title": "糖尿病"}]}]}, "item_10001_creator_24": {"attribute_name": "著者別名", "attribute_type": "creator", "attribute_value_mlt": [{"creatorNames": [{"creatorName": "Yanase, Sachiko", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "17629", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Toyoda, Nagayasu", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "17630", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Arima, Mika", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "17631", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Uji, Yukitaka", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "17632", "nameIdentifierScheme": "WEKO"}]}]}, "item_10001_description_19": {"attribute_name": "フォーマット", "attribute_value_mlt": [{"subitem_description": "application/pdf", "subitem_description_type": "Other"}]}, "item_10001_description_5": {"attribute_name": "抄録", "attribute_value_mlt": [{"subitem_description": "症例は27歳, 20歳発症のインスリン依存型糖尿病で, 昭和63年4月糖尿病性ケトアシドーシスを発症したが, 妊娠と判明したため同年5月当科に紹介された. 入院時（妊娠8週)に網膜症は認められなかったが, インスリン療法により自己血糖値を指標にして急速に血糖を低下させたところ, 網膜症が発生し妊娠19週には両眼とも増殖性網膜症に進行した. 左眼には光凝固術が施行されたが, 自己血糖値が検査室の静脈血漿グルコース値に比べて高く測定されていることに気づき, 目標血糖値を適正化したところ, 網膜症は劇的に改善し, 右眼に予定されていた光凝固は中止された. 本症例における網膜症の増悪は, 罹病期間7年および妊娠という背景因子に加えて, 血糖値の急激で落差の大きい低下がその主因となったと考えられる. この大きな血糖値の落差を招いた原因の一つは, 自己血糖値の評価が不十分であったことによるものであり, ここに反省をこめて報告する.", "subitem_description_type": "Abstract"}, {"subitem_description": "A 27-year-old woman, diagnosed with IDDM at the age of 20, was admitted to a hospital in April 1988 because of diabetic ketoacidosis, and then found to be pregnant. In May 1988, she was referred to our hospital for control of her diabetes. At 8 weeks of pregnancy, no diabetic retinopathy was detected even though her glycemic control was poor. After normalizing her blood glucose level on the basis of self-monitoring, she developed retinopathy which progressed rapidly to the proliferative stage at 19 weels. Photocoagulation was performed in the left eye. Continuous subcutaneous insulin infusion (CSII) was started, and the target level for glycemic control was reset slightly higher, whereupon dramatic regerssion of the proliferative retinopathy was observed. It appears that the transient proliferative retinopathy in this case was caused by a rapid and large decrease in blood glucose levels.", "subitem_description_type": "Abstract"}]}, "item_10001_publisher_8": {"attribute_name": "出版者", "attribute_value_mlt": [{"subitem_publisher": "日本糖尿病学会"}]}, "item_10001_source_id_11": {"attribute_name": "書誌レコードID", "attribute_value_mlt": [{"subitem_source_identifier": "AN00166576", "subitem_source_identifier_type": "NCID"}]}, "item_10001_source_id_9": {"attribute_name": "ISSN", "attribute_value_mlt": [{"subitem_source_identifier": "0021-437X", "subitem_source_identifier_type": "PISSN"}]}, "item_10001_text_25": {"attribute_name": "その他のタイトル", "attribute_value_mlt": [{"subitem_text_value": "A case of insulin-dependent diabetes mellitus (IDDM) with rapid development and dramatic regression of proliferative retinopathy during pregnancy"}]}, "item_10001_text_70": {"attribute_name": "資源タイプ（三重大）", "attribute_value_mlt": [{"subitem_text_value": "Journal Article / 学術雑誌論文"}]}, "item_10001_version_type_20": {"attribute_name": "著者版フラグ", "attribute_value_mlt": [{"subitem_version_resource": "http://purl.org/coar/version/c_970fb48d4fbd8a85", "subitem_version_type": "VoR"}]}, "item_creator": {"attribute_name": "著者", "attribute_type": "creator", "attribute_value_mlt": [{"creatorNames": [{"creatorName": "柳瀬, 幸子", "creatorNameLang": "ja"}], "nameIdentifiers": [{"nameIdentifier": "17625", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "豊田, 長康", "creatorNameLang": "ja"}], "nameIdentifiers": [{"nameIdentifier": "17626", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "有馬, 美香", "creatorNameLang": "ja"}], "nameIdentifiers": [{"nameIdentifier": "17627", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "宇治, 幸隆", "creatorNameLang": "ja"}], "nameIdentifiers": [{"nameIdentifier": "17628", "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": "2017-02-18"}], "displaytype": "detail", "download_preview_message": "", "file_order": 0, "filename": "AN001665760341001.pdf", "filesize": [{"value": "484.1 kB"}], "format": "application/pdf", "future_date_message": "", "is_thumbnail": false, "licensetype": "license_note", "mimetype": "application/pdf", "size": 484100.0, "url": {"label": "AN001665760341001.pdf", "url": "https://mie-u.repo.nii.ac.jp/record/7454/files/AN001665760341001.pdf"}, "version_id": "a5ab8bc6-6f94-4dfc-b82a-62285a328dfa"}]}, "item_keyword": {"attribute_name": "キーワード", "attribute_value_mlt": [{"subitem_subject": "糖尿病妊婦", "subitem_subject_scheme": "Other"}, {"subitem_subject": "増殖性網膜症", "subitem_subject_scheme": "Other"}, {"subitem_subject": "自己血糖測定", "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": "journal article", "resourceuri": "http://purl.org/coar/resource_type/c_6501"}]}, "item_title": "自己血糖測定値を指標とする糖尿病管理中に増殖性網膜症の進展と寛解をみたインスリン依存型糖尿病妊婦の1例", "item_titles": {"attribute_name": "タイトル", "attribute_value_mlt": [{"subitem_title": "自己血糖測定値を指標とする糖尿病管理中に増殖性網膜症の進展と寛解をみたインスリン依存型糖尿病妊婦の1例", "subitem_title_language": "ja"}]}, "item_type_id": "10001", "owner": "15", "path": ["607"], "permalink_uri": "http://hdl.handle.net/10076/2811", "pubdate": {"attribute_name": "PubDate", "attribute_value": "2007-03-29"}, "publish_date": "2007-03-29", "publish_status": "0", "recid": "7454", "relation": {}, "relation_version_is_last": true, "title": ["自己血糖測定値を指標とする糖尿病管理中に増殖性網膜症の進展と寛解をみたインスリン依存型糖尿病妊婦の1例"], "weko_shared_id": -1}