{"_buckets": {"deposit": "1fddf03c-2d54-493d-9459-b2e26a1c2102"}, "_deposit": {"id": "2016891", "owners": [1], "pid": {"revision_id": 0, "type": "depid", "value": "2016891"}, "status": "published"}, "_oai": {"id": "oai:u-ryukyu.repo.nii.ac.jp:02016891", "sets": ["1642838231050", "1642838412624"]}, "author_link": [], "item_1617186331708": {"attribute_name": "Title", "attribute_value_mlt": [{"subitem_1551255647225": "沖縄県における頭頸部悪性腫瘍医療の動向", "subitem_1551255648112": "ja"}, {"subitem_1551255647225": "Trends in the treatment of head and neck malignancies in the Okinawa Prefecture", "subitem_1551255648112": "en"}]}, "item_1617186419668": {"attribute_name": "Creator", "attribute_type": "creator", "attribute_value_mlt": [{"creatorNames": [{"creatorName": "真栄田, 裕行", "creatorNameLang": "ja"}]}, {"creatorNames": [{"creatorName": "Maeda, Hiroyuki", "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": "Head and neck region"}, {"subitem_1522299896455": "en", "subitem_1522300014469": "Other", "subitem_1523261968819": "malignant tumor"}, {"subitem_1522299896455": "en", "subitem_1522300014469": "Other", "subitem_1523261968819": "Okinawa"}, {"subitem_1522299896455": "en", "subitem_1522300014469": "Other", "subitem_1523261968819": "University of the Ryukyus"}, {"subitem_1522299896455": "en", "subitem_1522300014469": "Other", "subitem_1523261968819": "team medicine"}]}, "item_1617186626617": {"attribute_name": "Description", "attribute_value_mlt": [{"subitem_description": "Head and neck malignant tumors constitute an important area of investigation that is handled by the field of otolaryngology and head and neck surgery; yet, their pathologic etiology, efficacious [A1]treatment modalities, and overall prognosis are not widely understood. In this paper, we discuss the anatomy of the head and neck area, classic carcinogenic mechanisms due to tobacco and alcohol, virogenic driven carcinogenesis, basic concepts and historical changes in the treatment of head and neck cancers, as well as team medicine as a general approach with regard to head and neck cancers. In each section, we present trends in head and neck cancers in the Okinawa Prefecture. Characteristics include, but are not limited to: 1) limited movement of residents under the restraints of an island environment that maintained a genetic background, 2) unbalanced dietary habits, and 3) a high rate of smoking and alcohol consumption; and as a result, the incidence of head and neck cancers was significantly higher than it should be[A2]. According to the 2013-2015 Okinawa Prefecture Cancer Registration, among the head and neck cancer cases, the number of oral and pharyngeal cancers was the highest: with 155 cases in 2015. With respect to registrations per hospital, the number of registrations was the highest at the University of the Ryukyus Hospital (including other head and neck cancers). We also provide details of the treatment results for pharynx, larynx, tongue, and thyroid gland cancers separately. Though treatment results of head and neck cancers have improved in recent years, these treatment modalities still take a significant amount of work. [A3]Without a good human resources system in place, it is not possible and/or appropriate to continue providing high-level medical care. As an important future topic for discussion and examination[A4], the installation of a dedicated head and neck tumor center as well as improvements in pre- and post-support facilities, were suggested.", "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": "jpn"}]}, "item_1617186920753": {"attribute_name": "Source Identifier", "attribute_value_mlt": [{"subitem_1522646500366": "ISSN", "subitem_1522646572813": "1346-888X"}, {"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": [{"bibliographicIssueNumber": "1-2", "bibliographicPageEnd": "23", "bibliographicPageStart": "17", "bibliographicVolumeNumber": "36"}]}, "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": "AM", "subitem_1600292170262": "http://purl.org/coar/version/c_ab4af688f83e57aa"}]}, "item_1617605131499": {"attribute_name": "File", "attribute_type": "file", "attribute_value_mlt": [{"accessrole": "open_access", "download_preview_message": "", "file_order": 0, "filename": "v36(1-2)p17.pdf", "future_date_message": "", "is_thumbnail": false, "mimetype": "", "size": 0, "url": {"objectType": "fulltext", "url": "https://u-ryukyu.repo.nii.ac.jp/record/2016891/files/v36(1-2)p17.pdf"}, "version_id": "b3099b47-4bdd-46a1-9a68-bc6a8a96c8a1"}]}, "item_title": "沖縄県における頭頸部悪性腫瘍医療の動向", "item_type_id": "15", "owner": "1", "path": ["1642838231050", "1642838412624"], "permalink_uri": "http://hdl.handle.net/20.500.12000/0002016891", "pubdate": {"attribute_name": "PubDate", "attribute_value": "2018-12-26"}, "publish_date": "2018-12-26", "publish_status": "0", "recid": "2016891", "relation": {}, "relation_version_is_last": true, "title": ["沖縄県における頭頸部悪性腫瘍医療の動向"], "weko_shared_id": -1}