{"_buckets": {"deposit": "a0d90f7e-71dd-4624-afa2-85e9cc3363ec"}, "_deposit": {"id": "2016074", "owners": [1], "pid": {"revision_id": 0, "type": "depid", "value": "2016074"}, "status": "published"}, "_oai": {"id": "oai:u-ryukyu.repo.nii.ac.jp:02016074", "sets": ["1642838211991", "1642838412624"]}, "author_link": [], "item_1617186331708": {"attribute_name": "Title", "attribute_value_mlt": [{"subitem_1551255647225": "[原著］Our experience in treating 35 proctalgia cases : To clarify the disease etiology and the optimal therapeutic approach", "subitem_1551255648112": "ja"}]}, "item_1617186419668": {"attribute_name": "Creator", "attribute_type": "creator", "attribute_value_mlt": [{"creatorNames": [{"creatorName": "Tokumine, Fumio", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Takano, Masahiro", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Shimada, Akira", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Tsuji, Yoriyuki", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Kuromizu, Joji", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Muto, Yoshihiro", "creatorNameLang": "en"}]}]}, "item_1617186476635": {"attribute_name": "Access Rights", "attribute_value_mlt": [{"subitem_1522299639480": "open access", "subitem_1600958577026": "http://purl.org/coar/access_right/c_abf2"}]}, "item_1617186499011": {"attribute_name": "Rights", "attribute_value_mlt": [{"subitem_1522650717957": "ja", "subitem_1522651041219": "琉球医学会"}]}, "item_1617186609386": {"attribute_name": "Subject", "attribute_value_mlt": [{"subitem_1522299896455": "en", "subitem_1522300014469": "Other", "subitem_1523261968819": "proctalgia"}, {"subitem_1522299896455": "en", "subitem_1522300014469": "Other", "subitem_1523261968819": "coccygodinia"}, {"subitem_1522299896455": "en", "subitem_1522300014469": "Other", "subitem_1523261968819": "chronic perianal pain"}, {"subitem_1522299896455": "en", "subitem_1522300014469": "Other", "subitem_1523261968819": "etiology"}, {"subitem_1522299896455": "en", "subitem_1522300014469": "Other", "subitem_1523261968819": "therapy"}]}, "item_1617186626617": {"attribute_name": "Description", "attribute_value_mlt": [{"subitem_description": "Thirty-five patients with chronic anorectal pain of obscure origin were analyzed. This syndrome has yet to be elucidated and its cause is unclear. The above 35 cases were investigated in order to clarify this syndrome. We treated the patients with analgesics, sedatives, and nerve block to the trigger-point of anorectal pain among others. Twenty-eight of the cases had bowel movement disorders such as IBS, constipation, diarrhea and the medications for these disorders were administered simultaneously with good results. In 2 cases, antidepressants were also prescribed with good results. The follow-up questionares for 26 patients with follow-up terms ranging from 6-28 months (mean 17.8 months) revealed excellent results in 17 cases, fair results in 4 cases and poor results in 5 cases. In total, 77.7% of the patients showed an improvement in their symptoms. The remaining 6 patients could not be followed up and 3 patients had already died. After analyzing these data, we thus concluded that the etiology of this syndrome should be divided into 3 categories consisting of:a disorder of the central nervous system including psychological disorders, an injury or inflammation of the nervous tract, and a mechanical overload of the pelvic floor.", "subitem_description_type": "Other"}, {"subitem_description": "論文", "subitem_description_type": "Other"}]}, "item_1617186643794": {"attribute_name": "Publisher", "attribute_value_mlt": [{"subitem_1522300295150": "ja", "subitem_1522300316516": "琉球医学会"}, {"subitem_1522300295150": "en", "subitem_1522300316516": "Ryukyu Medical Association"}]}, "item_1617186702042": {"attribute_name": "Language", "attribute_value_mlt": [{"subitem_1551255818386": "eng"}]}, "item_1617186920753": {"attribute_name": "Source Identifier", "attribute_value_mlt": [{"subitem_1522646500366": "ISSN", "subitem_1522646572813": "1346888X"}, {"subitem_1522646500366": "ISSN", "subitem_1522646572813": "0289-1530"}, {"subitem_1522646500366": "NCID", "subitem_1522646572813": "AN10369445"}]}, "item_1617186941041": {"attribute_name": "Source Title", "attribute_value_mlt": [{"subitem_1522650068558": "ja", "subitem_1522650091861": "琉球医学会誌 = Ryukyu Medical Journal"}]}, "item_1617187056579": {"attribute_name": "Bibliographic Information", "attribute_value_mlt": [{"bibliographicIssueDates": {"bibliographicIssueDate": "1998", "bibliographicIssueDateType": "Issued"}, "bibliographicIssueNumber": "3", "bibliographicPageEnd": "72", "bibliographicPageStart": "69", "bibliographicVolumeNumber": "18"}]}, "item_1617258105262": {"attribute_name": "Resource Type", "attribute_value_mlt": [{"resourcetype": "journal article", "resourceuri": "http://purl.org/coar/resource_type/c_6501"}]}, "item_1617265215918": {"attribute_name": "Version Type", "attribute_value_mlt": [{"subitem_1522305645492": "VoR", "subitem_1600292170262": "http://purl.org/coar/version/c_970fb48d4fbd8a85"}]}, "item_1617605131499": {"attribute_name": "File", "attribute_type": "file", "attribute_value_mlt": [{"accessrole": "open_access", "download_preview_message": "", "file_order": 0, "filename": "v18p69.pdf", "future_date_message": "", "is_thumbnail": false, "mimetype": "", "size": 0, "url": {"objectType": "fulltext", "url": "https://u-ryukyu.repo.nii.ac.jp/record/2016074/files/v18p69.pdf"}, "version_id": "80c4568f-cd81-4287-b498-815f503a1cf9"}]}, "item_title": "[原著］Our experience in treating 35 proctalgia cases : To clarify the disease etiology and the optimal therapeutic approach", "item_type_id": "15", "owner": "1", "path": ["1642838211991", "1642838412624"], "permalink_uri": "http://hdl.handle.net/20.500.12000/0002016074", "pubdate": {"attribute_name": "PubDate", "attribute_value": "2010-07-02"}, "publish_date": "2010-07-02", "publish_status": "0", "recid": "2016074", "relation": {}, "relation_version_is_last": true, "title": ["[原著］Our experience in treating 35 proctalgia cases : To clarify the disease etiology and the optimal therapeutic approach"], "weko_shared_id": -1}