Japanese Journal of National Medical Services
Online ISSN : 1884-8729
Print ISSN : 0021-1699
ISSN-L : 0021-1699
Volume 12, Issue 11
Displaying 1-18 of 18 articles from this issue
  • Tomio KANEKI, Shozo TAMADA, Shuichi SEGAWA, Minoru TOYOTA, Yosuke YAMA ...
    1958 Volume 12 Issue 11 Pages 839-848
    Published: 1958
    Released on J-STAGE: October 19, 2011
    JOURNAL FREE ACCESS
    Pulmonary infections have been considered to be very difficult to be cured, even with antibiotics and their prognosis is by no means very good. By means of antibiotics and chemotherapeutics, the authors treated 4 cases of pulmonary infections with cavities, of which 1 case was the galloping form clinically and accompanied with diabetes mellitus. Two cases of them completely recovered, and the other 2 recovered as far as the treatment of internal medicine could reach. The results obtained were as follows:
    1) In the drug treatment of pulmonary infections, tetracycline that has a wide antibacterial spectrum was more effective than the others.
    2) If possible, the kind of infected bacilli should be detected in the first place and the bacilli sensitivity to antibiotics and chemotherapeutics utilized shall be examined. Thus the most sensitive one should be selected.
    3) By means of the above measures, complete cure of pulmonary infections shall be not difficult to attain, and the period required for the treatment shall be thus be shortened.
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  • Muneto KUBO, Akira YAMAZAKI
    1958 Volume 12 Issue 11 Pages 849-853
    Published: 1958
    Released on J-STAGE: October 19, 2011
    JOURNAL FREE ACCESS
    In the last papers, the authors reported 63 cases of incompatible transfusion. The present report deals with another new 30 cases.
    There are many causes for the incompatible transfusion, i. e., errors in the determination of blood-grouping, misunderstanding in regard to Rh factors, transfusion of the blood that was cross-matched with the blood of the other, transfusion of hemolysed, etc. The initial symptoms in case of incompatible transfusion were that of shock, accelerated pulses, low blood pressure etc. and these were less generally under the general anaesthesia. However, even under the general anaesthesia, it is rare that none of abnormal symptoms can be observed. In the fatal case from incompatible transfusion, symptoms will start in the first place with shock condition and then oliguria, uremia and so-called lower nephron nephrosis will develop. Thus, as the counter-measure or therapy, one must treat the shock, by all means. If one could manage to arrest the shock, then the oliguria and uremia shall be treated. The authors also conducted the examinations of antibodies in the cases of incompatible transfusion, and of which results shall be reported in the future.
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  • (A Case of Radiation Injury due to Engagement in Telecobalt Treatment)
    Hiroshi TSUNEMOTO, Takashi HONDA
    1958 Volume 12 Issue 11 Pages 854-858
    Published: 1958
    Released on J-STAGE: October 19, 2011
    JOURNAL FREE ACCESS
    The Kanazawa National Hospital had designed and constructed the radiation booth for the telecobalt treatment, that had been supposed almost complete in regard to the protection from radiation, and the authors conducted the telecobalt therapy in it. In the mean time, a 19 years of old technician, working in the telecobalt therapy booth, developed the symptoms of radiation injury with peculiar clinical course and blood picture. While this radiation hazard occurred subsequent to 2 months of engagement in the telecobalt control booth, the dose of the radiation, to which he had been exposed in that period, was 52mr at the largest level per week, which is far below the International Maximal Permissible Dose, i. e., 300mr per week.
    Considering from this case, the authors deem this international level, i. e., 300mr per week, should be revised to one-sixth or 50mr.
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  • Norimitsu SHIROTA
    1958 Volume 12 Issue 11 Pages 859-865
    Published: 1958
    Released on J-STAGE: October 19, 2011
    JOURNAL FREE ACCESS
    The author made investigation on 29 cases that suffered from exacerbation during or shortly after the discontinuance of chemotherapy for pulmonary tuberculosis which had been continued more than 6 and half months and less than 43 months. The results obtained were as follows:
    1) The occurrence of exacerbation was more frequent among the cases under 30 years of age group, the cases with their original foci in the upper pulmonary field, infiltratory cases, the cases with extensive foci, and those with cavity and those with bacillary expectoration.
    2) Among the 29 cases of exacerbation, 14 cases showed hemoptysis. It seems to suggest relative frequency of hemoptysis among the cases of exacerbation during or after chem otherapy.
    3) The occurrence of exacerbation during chemotherapy was relatively more frequent among the cases treated with INH and PAS and the cases treated with SM in combination, and among the cases in which the administration of SM had been discontinued.
    4) The frequency of exacerbation was lower in case the chemotherapy was continued for longer term and the higher, the shorter. It was quite high among the cases with their chemotherapy discontinued in less than 24 months.
    5) The larger the amount of chemotherapeutics administered, the lower the frequency. It was particularly high in the cases given below 100g of SM or 4, 000g of PAS in total, and was relatively high in the cases in which less than 45g of INH was administered.
    6) The exacerbation occurred most frequently within 2 months after the shift of the kind of chemotherapy or its partial or total discontinuance.
    7) No special correlation between drug-resistance and exacerbation could be established.
    8) By subsequent continuance or resumption of chemotherapy, alleviation was roentgenographically observed in 12 of the 29 cases.
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  • Tashiharu OTAKE
    1958 Volume 12 Issue 11 Pages 866-870
    Published: 1958
    Released on J-STAGE: October 19, 2011
    JOURNAL FREE ACCESS
    By means of the Takamatsu-Gomori's method, the author examined the phosphatase reaction in gingival of pulmonary tuberculosis patients. The results were as follows:
    1) In the gingivas of pulmonary tuberculosis patients, there was no histological findings in regard to tuberculosis proper. However, phosphatase reaction was slightly accelerated than the normal.
    2) There was no significant difference in the intensities of the phosphatase reactions in relation with the condition and term of pulmonary tuberculosis.
    3) The intensity of phosphatase reactions in various parts was in the following order: in the connective tissue of the deeper layer ; in the compact connective tissue beneath the papilli; in the submucosal tissue migrating in the epithelial tissue; in the tissue with the inflammatory infiltration, and in the vascular vessels. Phosphatase reaction was negative in the epithelial tissue as well as the tissue where the round cell infiltration existed.
    4) Based upon the above data, it is considered that the presence of phosphatase reaction in the gingivas has the significance of the developing defence mechanism against inflammation, and that in case of pulmonary tuberculosis, it is much influenced by clinical states, by the seriousness of inflammation, and that phosphatase reaction is accelerated by the secondary inflammation of peridental tissue together with the descending defence mechanism of the whole body.
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  • Keiko SAITO
    1958 Volume 12 Issue 11 Pages 871-876
    Published: 1958
    Released on J-STAGE: October 19, 2011
    JOURNAL FREE ACCESS
    Simultaneous measurements of the sugar-level and chloride-level in the cerebrospinal fluids in 7 cases of tuberculous meningitis of children were conducted together with the observation of clinical symptoms since 1952, and the following results were obtained:
    1) In the earlier stage of the disease, sugar-level as well as chloride-level in the cerebrospinal fluids were low in the majority of the measurements.
    2) Sugar-level inclined to fluctuate both in recovered cases and non-recovered (fatal) cases.
    3) On the contrary, chloride-level readings (measured as NaCl value) were generally stable. In recovered cases, chloride levels reached normal range earlier than sugar-levels did, while in the non-recovered (fatal) cases, chloride levels were within normal range in the majority of the cases.
    4) Therefore, if chloride-levels continued to be low in the course of tuberculous meningitis, its prognosis should be considered to be serious in spite of apparent recovery.
    5) Although the degree of the state of consciousness is an important factors in the determination of the prognosis of tuberculous meningitis, it is evident by the laboratory findings that the sugar-chloride analysis should be carefully taken in consideration as well. However, chloride-levels, which will tend to be stabile during the course of the disease, may be of more importance than the sugar-levels, which tend to fluctuate.
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  • Hideo KOREMATSU
    1958 Volume 12 Issue 11 Pages 877-879
    Published: 1958
    Released on J-STAGE: October 19, 2011
    JOURNAL FREE ACCESS
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  • Ryonosuke ODA
    1958 Volume 12 Issue 11 Pages 880-884
    Published: 1958
    Released on J-STAGE: October 19, 2011
    JOURNAL FREE ACCESS
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  • Yashikuni IDE, Noriyuki ONISHI, Tetsuo KUSAKA
    1958 Volume 12 Issue 11 Pages 885-888
    Published: 1958
    Released on J-STAGE: October 19, 2011
    JOURNAL FREE ACCESS
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  • Shu AKAMATSU, Shigetaka TAKEO
    1958 Volume 12 Issue 11 Pages 889-891
    Published: 1958
    Released on J-STAGE: October 19, 2011
    JOURNAL FREE ACCESS
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  • Takanobu AIDA
    1958 Volume 12 Issue 11 Pages 892-894
    Published: 1958
    Released on J-STAGE: October 19, 2011
    JOURNAL FREE ACCESS
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  • Teruo HARA, Shichiro KONO
    1958 Volume 12 Issue 11 Pages 895-897
    Published: 1958
    Released on J-STAGE: October 19, 2011
    JOURNAL FREE ACCESS
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  • Minoru YAMADA
    1958 Volume 12 Issue 11 Pages 898-899
    Published: 1958
    Released on J-STAGE: October 19, 2011
    JOURNAL FREE ACCESS
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  • Mizuho YAMADA, Tetsuo YANAI, Tsutomu NISHIURA
    1958 Volume 12 Issue 11 Pages 900-901
    Published: 1958
    Released on J-STAGE: October 19, 2011
    JOURNAL FREE ACCESS
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  • Toshilni NAKAGAWA, Kazuyuki YONEZU, Takeshi MINAMI
    1958 Volume 12 Issue 11 Pages 902-904
    Published: 1958
    Released on J-STAGE: October 19, 2011
    JOURNAL FREE ACCESS
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  • Shigenobu KOBAYASHI, Seisaku YAMADA
    1958 Volume 12 Issue 11 Pages 905-906
    Published: 1958
    Released on J-STAGE: October 19, 2011
    JOURNAL FREE ACCESS
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  • Toru HACHIYA, Masao OCHIAI, Keiji ISHIJIMA
    1958 Volume 12 Issue 11 Pages 907-910
    Published: 1958
    Released on J-STAGE: October 19, 2011
    JOURNAL FREE ACCESS
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  • 1958 Volume 12 Issue 11 Pages 913-917
    Published: 1958
    Released on J-STAGE: October 19, 2011
    JOURNAL FREE ACCESS
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