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Yoshitsugu Nohara
1983 年 22 巻 1 号 p.
1
発行日: 1983年
公開日: 2006/03/27
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Hiroshi NAKAMURA, Rokuro IZUCHI, Takashi HAGIWARA, Seiya IZUMI, Jouich ...
1983 年 22 巻 1 号 p.
2-8
発行日: 1983年
公開日: 2006/03/27
ジャーナル
フリー
This is a report on a statistical study comparing the Kaup index and the level of tobacco consumption of patients with idiopathic spontaneous pneumothorax and those of healthy subjects. Astatistically significant difference was found between the average Kaup index of the patients with idiopathic spontaneous pneumothorax and that of normal healthy individuals in Japan as published by the Ministry of Health and Welfare. A statistically significant difference was also found in the physical features between 2, 433 males with idiopathic pneumothorax and 1, 906 healthy males when compared by means of the Kaup index. Again, a statistically significant difference was noted in the level of tobacco consumption between the males with idiopathic pneumothorax and normal males when compared by means of the Brinkmann index. The Kaup index of idiopathic pneumothorax patients was lower than that of healthy subjects, while the level of tobacco consumption of the former was higher. Idiopathic spontaneous pneumothorax is related to thin and tall individuals and the level of tobacco consumption among such patients is higher than among healthy subjects.
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Takashi ISOBE, Takuo FUJITA, Shokou KINOSHITA, Chizuru TERAO, Nobuo YA ...
1983 年 22 巻 1 号 p.
9-13
発行日: 1983年
公開日: 2006/03/27
ジャーナル
フリー
Pseudothrombocytopenia is an in vitro phenomenon of platelet agglutination and clumping in the presence of EDTA on the electronical measurement of platelet count. Agglutinins reacting with platelet antigens belong to one heavy and one light chain of immunoglobulins with or without complement by immunofluorescence. The platelets are markedly agglutinated in EDTA, but scarcely in the presence of other anticoagulants. Agglutinations seem to occur more readily at cold temperature rather than at 37°C.
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Hiroshi SEKIMOTO, Osafumi SHIMADA, Masato MAKANISHI, Toshimi NAKANO, O ...
1983 年 22 巻 1 号 p.
14-20
発行日: 1983年
公開日: 2006/03/27
ジャーナル
フリー
Seven healthy volunteers and 3 hospitalized patients were given the same diet for 6 days. The mean intake of cholesterol was 359 mg/day. There was a large difference in the fecal amount of cholesterol and coprostanol amongthe subjects. The ratio of coprostanol/cholesterol ranged from 0.01 to 4.27. The subjects whose feces contained smaller amountof coprostanol excreted larger amounts of β-sitosterol and crude fiber, suggesting that the various activities of intestinal flora were lower than the other subjects.The difference in the activity of intestinal flora to convert cholesterol into coprostanol was ascertained by incubating the feces anaerobically with egg yolk in vitro. It was also demonstrated that cholesterol was synthesized de novo and the amount corresponded to 0.1-0.6 g/day. The amounts of sterols in the feces of the other 17 hospitalized patients were also determined and there was an inverse relationship between the serum cholesterol and coprostanol/cholesterol ratio in the feces. These results suggested that the conversion of cholesterol into coprostanol by the intestinal flora might have an important role in the regulation of serum cholesterol level.
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Masahiko OKADA, Mihoko OKADA
1983 年 22 巻 1 号 p.
21-25
発行日: 1983年
公開日: 2006/03/27
ジャーナル
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We have developed a computer method to make a diagnosis for an emergency patient using the data reported by a person who has no technical knowledge of medicine such as a member of the public or an ambulance attendant. The speedy instruction will be made possible by a computer diagnosis, by which an ambulance attendant could deliver the patient expeditiously to the most appropriate medical facility. We first conducted a survey by means of questionnaire and investigated the relationship between the patients'data and diagnosis of medical doctors. It was shown that fairly accurate diagnosis could be made on treatment, hospitalization, an appropriate medical department and need of urgent care, using simple information like age, sex, cause of illness or injury, and 15 symptoms which trained laymen could judge.Accuracy of the diagnosis was 79.3% on the average.
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Takashi HORIE, Satoshi ENOMOTO, Tomoji INAZAWA, Akiharu OKUMA, Yoshifu ...
1983 年 22 巻 1 号 p.
26-30
発行日: 1983年
公開日: 2006/03/27
ジャーナル
フリー
In order to investigate the differences between EIA positive and negative subjects, pulmonary function data at rest, atopic tendency and bronchial sensitivity and reactivity were compared. Pulmonary function data revealed no significant difference between two groups except closing volumewhich was higher in EIA positive patients (p < 0.01) and also Rrs which was higher in EIA positive patients only in female (p < 0.05). Incidence of positive skin tests and higher levels of IgE were more frequent in EIA positive, however, IgE was not significantly different. Relationship between % fall of FEV
1 after exercise and bronchial sensitivity was examined, however, no correlation was found in two parameters. Bronchial reactivity was not different in two groups. This suggests that EIA positive patients cannot be distinguished from EIA negative by pulmonary function data at rest or by atopic tendency, and also that different mechanisms play a role to produce airway constriction following exercise and inhalation challenge.
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Kozo MIZUIRI, Yasuo OSHIMA, Takahito ITO, Sadao WAKAMATSU, Kazuhiko NA ...
1983 年 22 巻 1 号 p.
31-36
発行日: 1983年
公開日: 2006/03/27
ジャーナル
フリー
Two cases of portal-systemic shunt were presented. A 70 year-old cirrhotic female, whowas suffered from mental confusion, underwent portal venography which demonstrated a large varicose veinconnecting the inferior mesenteric vein with the left renal vein. The mean portal pressure was 15 cm saline. There were no esophagogastric varices. A 47 year-old cirrhotic female, whowas admitted for evaluation of liver dysfunction found incidentally, underwent portal venography which revealed a dilated coronary vein connecting to the left renal vein. The portal pressure was 23 cm saline. There was no evidence of esophageal varices. Portal venography was performed through the ileocolic vein in both cases. In general, bleeding varices may develop most commonlyin coronary-azygous system and less frequently in the territory of the superior and inferior mesenteric veins. On the contrary, retroperitoneal portal-systemic shunts is likely to cause hepatic encephalopathy rather than to develop bleeding varices. Thus, it is necessary to perform abdominal angiography in patients with hematochezia of unknownetiology or recurrent episodes of hepatic encephalopathy.
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Tohru OGIHARA, Yasutaka INAGAKI, Shigeyuki NAGATA, Yasuyoshi KIRYU, Sh ...
1983 年 22 巻 1 号 p.
37-39
発行日: 1983年
公開日: 2006/03/27
ジャーナル
フリー
We describe a case of a 47-year-old man with retroperitoneal poorly differentiated myxoid liposarcoma. The retroperitoneal invasion of the sarcoma caused hydroureter-nephrosis, rectal stenosis and also exaggerated steroid induced diabetes mellitus. A remarkable regression was achieved by systemic combination of chemotherapy with prednisolone, cyclophosphamide, vincristine sulfate and actinomycin D. This combination chemotherapy is worth trying if a patient has inoperable liposarcoma. It can also be used to reduce local recurrence rate after surgical or radiation therapy, or both, against liposarcoma.
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Shiro TANAKA, Satoru FUJII, Makoto OHASHI, Masaki YAMAMOTO, Junichi SE ...
1983 年 22 巻 1 号 p.
40-44
発行日: 1983年
公開日: 2006/03/27
ジャーナル
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A 56-year old diabetic patient of over 20 years duration was admitted with gangrene of right foot. About a month prior to admission he injured the fourth toe of the right leg when he cut the toe nail. Two weeks later necrotic ulcer was present on it with cellulitis and 2nd, 3rd and 5th toes were also affected. Then his entire right leg was swollen and he developed fever. In spite of the treatment with antibiotics and insulin, gangrenous lesions progressed and subcutaneous emphysema was palpable beneath the inflamed area. On the 9th hospital day amputation was carried out below the knee. He had a good recovery 6 weeks after the amputation. Aerobic and anerobic cultures from the foot yielded bacteroides and pseudomonas aerginosa. Clostridia were not isolated. A review was also carried out on ten diabetic cases of nonclostridial gas gangrene in the lower limb in Japan.
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Seiji TAMAYA, Tetsuri KONDO, Hajime YAMABAYASHI
1983 年 22 巻 1 号 p.
45-49
発行日: 1983年
公開日: 2006/03/27
ジャーナル
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A case of diaphragmatic flutter following status asthmaticus is presented. The initial symptom was tachypnea resembling hyperventilation syndrome.Whenspontaneous ventilation wascompletely suppressed for 15 minutes with intravenous administration of pethidine, levels of arterial blood gases were not much deviated from normal limits, because of possible high frequency ventilation. Although the medical therapeutics previously reported in literatures, including diphenylhydantoin, were ineffective in this case, butylophenones provided favourable results despite of somecomplications. The etiology and managementof diaphragmatic flutter are discussed.
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Hiroo IMURA
1983 年 22 巻 1 号 p.
50-53
発行日: 1983年
公開日: 2006/03/27
ジャーナル
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Yuichi SHIOKAWA, Soichi IIJIMA
1983 年 22 巻 1 号 p.
54-55
発行日: 1983年
公開日: 2006/03/27
ジャーナル
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Masayuki ANDO
1983 年 22 巻 1 号 p.
55-57
発行日: 1983年
公開日: 2006/03/27
ジャーナル
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Saburo ONISHI, Kenichi ITO
1983 年 22 巻 1 号 p.
57-59
発行日: 1983年
公開日: 2006/03/27
ジャーナル
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Tadashi KANOH, Norimasa YASUDA
1983 年 22 巻 1 号 p.
59-61
発行日: 1983年
公開日: 2006/03/27
ジャーナル
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Hideto SAKAI
1983 年 22 巻 1 号 p.
62
発行日: 1983年
公開日: 2006/03/27
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Yukie NIWA, Mitsuo M YOKOYAMA
1983 年 22 巻 1 号 p.
63
発行日: 1983年
公開日: 2006/03/27
ジャーナル
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Yuzuru KOBAYASHI
1983 年 22 巻 1 号 p.
64-65
発行日: 1983年
公開日: 2006/03/27
ジャーナル
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Tetsuhei OGAWA
1983 年 22 巻 1 号 p.
65-67
発行日: 1983年
公開日: 2006/03/27
ジャーナル
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Hiroichi TANIMOTO, Akio TACHIBANA
1983 年 22 巻 1 号 p.
67
発行日: 1983年
公開日: 2006/03/27
ジャーナル
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Yuichi SHIOKAWA
1983 年 22 巻 1 号 p.
68b-70
発行日: 1983年
公開日: 2006/03/27
ジャーナル
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Eiro TSUBURA
1983 年 22 巻 1 号 p.
68a
発行日: 1983年
公開日: 2006/03/27
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