{"created":"2023-06-19T11:24:37.755737+00:00","id":5373,"links":{},"metadata":{"_buckets":{"deposit":"a509c5a6-14c3-4e09-95e8-cd5585a167d3"},"_deposit":{"created_by":1,"id":"5373","owners":[1],"pid":{"revision_id":0,"type":"depid","value":"5373"},"status":"published"},"_oai":{"id":"oai:asahikawa-med.repo.nii.ac.jp:00005373","sets":["7","7:23"]},"author_link":["16872"],"item_5_biblio_info_21":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2015-06-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1161","bibliographicPageEnd":"12","bibliographicPageStart":"10","bibliographic_titles":[{"bibliographic_title":"北海道医報"}]}]},"item_5_description_33":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"　一部の特殊な症例を除いて、ほとんどの脂肪肝は常習性の飲酒によるアルコール性脂肪肝か肥満、耐糖能異常、脂質代謝異常を背景に発症してくる非アルコール性脂肪性肝疾患（NAFLD:non-alcoholic fatty liver disease)のどちらかである。これまで肝硬変・肝癌発症の原因の9割がB型・C型ウイルス性肝炎であったが、これら肝炎の抗ウイルス療法の進歩によって、今後はNAFLDの一病型である非アルコール性脂肪肝炎（NASH:non-alcoholic steatohepatitis)が原因の非B非C型肝硬変・肝癌の比率が増加してくることが考えられる。日常診療においてNASH症例を的確に診断し、上手くマネージメントし、ケアすることが求められる。しかし、その診断およびハイリスク群の予測は容易ではない。本稿では内科実地診療に役立つNAFLD/NASHの病理、疫学、病態メカニズム、診断、治療の最新知見をレビューする。","subitem_description_type":"Abstract"}]},"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_relation_27":{"attribute_name":"医中誌ID","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"2015259522","subitem_relation_type_select":"ICHUSHI"}}]},"item_5_source_id_22":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0913-0217","subitem_source_identifier_type":"ISSN"}]},"item_5_text_44":{"attribute_name":"ID(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"2015259522"}]},"item_5_text_54":{"attribute_name":"閲覧数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"470"}]},"item_5_text_55":{"attribute_name":"ダウンロード数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"418"}]},"item_5_text_7":{"attribute_name":"著者 ローマ字","attribute_value_mlt":[{"subitem_text_value":"Ohtake, Takaaki"}]},"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":"大竹, 孝明"},{"creatorName":"オオタケ, タカアキ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"16872","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":"6349.pdf","filesize":[{"value":"534.1 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"6349.pdf","url":"https://asahikawa-med.repo.nii.ac.jp/record/5373/files/6349.pdf"},"version_id":"1952f953-85de-4d1e-86e3-e2b89a20ab9c"}]},"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":"生涯教育シリーズ　消化器疾患診療の最前線　非アルコール性脂肪性肝疾患(NAFLD)診療の現況","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"生涯教育シリーズ　消化器疾患診療の最前線　非アルコール性脂肪性肝疾患(NAFLD)診療の現況"}]},"item_type_id":"5","owner":"1","path":["6","7","23"],"pubdate":{"attribute_name":"公開日","attribute_value":"2016-02-29"},"publish_date":"2016-02-29","publish_status":"0","recid":"5373","relation_version_is_last":true,"title":["生涯教育シリーズ　消化器疾患診療の最前線　非アルコール性脂肪性肝疾患(NAFLD)診療の現況"],"weko_creator_id":"1","weko_shared_id":-1},"updated":"2023-06-19T12:22:58.964273+00:00"}