{"created":"2023-06-19T11:23:57.315907+00:00","id":4588,"links":{},"metadata":{"_buckets":{"deposit":"4ab9b08e-857f-40a7-be58-e28c0352b381"},"_deposit":{"created_by":3,"id":"4588","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"4588"},"status":"published"},"_oai":{"id":"oai:asahikawa-med.repo.nii.ac.jp:00004588","sets":["7","7:23"]},"author_link":["14226"],"item_5_biblio_info_21":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2006-10-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"68","bibliographicPageEnd":"51","bibliographicPageStart":"47","bibliographic_titles":[{"bibliographic_title":"ENTONI"}]}]},"item_5_description_33":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"滲出性中耳炎の成因および遷延化には複数の因子が複雑に絡み合っているため、単一の薬物が常に奏効するとは限らない。また、滲出性中耳炎症例の中には自然治癒が多く予後良好な急性中耳炎の治癒過程が含まれる可能性がある。この様な予後良好群を除外するのは難しいため、薬物療法の有効性を示すには高い自然治癒率を上回る治療成績が要求される。この疾患に対する薬物の効果を示すエビデンスが限られているのは以上のような理由による。結果として、エビデンスに基づいて作成された米国の「小児滲出性中耳炎診療ガイドライン(2004年版)」には、推奨できる薬物療法の記載はない。しかし、個々の患者のその時々の状態を適切に評価し、その病態に則して行う薬物療法はこれからも十分に価値のある治療であり続けると考えられる。この場合も、薬物療法の限界を理解し、薬物療法と観血的治療との適切なバランスを常に意識しながら治療に当たることが重要である。","subitem_description_language":"ja","subitem_description_type":"Abstract"}]},"item_5_description_36":{"attribute_name":"注記","attribute_value_mlt":[{"subitem_description":"雑誌掲載版","subitem_description_type":"Other"}]},"item_5_description_37":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"subitem_description":"text","subitem_description_type":"Other"}]},"item_5_description_41":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_description":"application/pdf","subitem_description_type":"Other"}]},"item_5_source_id_22":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1346-2067","subitem_source_identifier_type":"PISSN"}]},"item_5_text_44":{"attribute_name":"ID(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"2007049750"}]},"item_5_text_54":{"attribute_name":"閲覧数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"624"}]},"item_5_text_55":{"attribute_name":"ダウンロード数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"807"}]},"item_5_version_type_38":{"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":"林, 達哉","creatorNameLang":"ja"},{"creatorName":"ハヤシ, タツヤ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"14226","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":"2021-07-06"}],"displaytype":"detail","filename":"5381.pdf","filesize":[{"value":"4.2 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"5381.pdf","url":"https://asahikawa-med.repo.nii.ac.jp/record/4588/files/5381.pdf"},"version_id":"dc9636cf-871e-484b-b8a7-a0454ab31f47"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"滲出性中耳炎","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"小児","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"薬物療法","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"エビデンスに基づく推奨","subitem_subject_language":"ja","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":"【滲出性中耳炎update】 小児滲出性中耳炎に対する薬物療法","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"【滲出性中耳炎update】 小児滲出性中耳炎に対する薬物療法","subitem_title_language":"ja"}]},"item_type_id":"5","owner":"3","path":["6","7","23"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2013-08-21"},"publish_date":"2013-08-21","publish_status":"0","recid":"4588","relation_version_is_last":true,"title":["【滲出性中耳炎update】 小児滲出性中耳炎に対する薬物療法"],"weko_creator_id":"3","weko_shared_id":-1},"updated":"2024-07-26T09:03:18.090383+00:00"}