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Volume 24, Issue 8
Displaying 1-9 of 9 articles from this issue
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Kozo ENDO1970 Volume 24 Issue 8 Pages 620-627
Published: August 20, 1970
Released on J-STAGE: October 19, 2011
JOURNAL FREE ACCESSThe cause of the prolapse of the uterus has been argued interminably for the last half-century. In Japan, most of authors believe that its cause is the separation of musculus levatorr ani. The recent view in the world, however, maintain that the most important factor responsible for the support of the female generative organs is the endopelvic fascia. According to my opinion, the prolapse is the condition which can be described as the movability of the organ being exceeded far from normal limit, due to relaxation of endopelvic fascia. The principal aim of the Manchester operation is the repair of the relaxed uterine supporting ligaments, the principal parts of endopelvic fascia. Since more than 15 years, I have been performing the Manchester operation and vaginal hysterectomy as routine procedures for the uterine prolapse. The principle of both operation is the shortening of the ligaments. The effect of these operation has not been accepted by most of Japanese authorities, although I believe these operations will be gradually popular.View full abstractDownload PDF (937K) -
The First Report Significance of Determination of LAP and Zinc in Pancreozymin Secretin TestYasushi ITO, Hisao SHIBATA, Hiroshi KASHIMA1970 Volume 24 Issue 8 Pages 629-634
Published: August 20, 1970
Released on J-STAGE: October 19, 2011
JOURNAL FREE ACCESSTo clarify the usefulness of measurement of Leucine amino peptidase (LAP) and Zinc in duodenal fluid, pancreozymin secretin test was done in 62 cases including chronic pancreatitis, liver cirrhosis, bile duct disease, gastroentestinal disease. LAP and Zinc in the duodenal fluid was measured.
Result was as follows;
In 17 cases with chronic pancreatitis, it was revealed that total volume of duodenal fluid, Bicarbonate out put and amylase out put was significantly decreased.
In 15 cases with bile duct disease these values were slightly decreased.
LAP concentration was lower in cases with bile duct disease than that with chronic pancreatitis.
Zinc out put in post secretin phase was decreased in chronic pancreatitis.
Based on these results, it was concluded that pancreozymin secretin test was usefull in differential diagnosis of chronic pancreatitis.
However, in same cases with bile duct disease showed low total volume, amylase and Bicarbonate.
LAP in post pancreozymic phase and Zinc out put in post secretin phase were important to differentiate the chronic pancreatitis from bile duct disease.
Further studies into significance of Zinc in duodenal fluid is needed.View full abstractDownload PDF (550K) -
Mitsumasa ABE1970 Volume 24 Issue 8 Pages 635-644
Published: August 20, 1970
Released on J-STAGE: October 19, 2011
JOURNAL FREE ACCESSWe once had two patients who died after only premeditation. Both of them were over 60 years of age, with cancerous diseases and with little abnormal findings in EKG, blood and urinary examinations. After having such cases, we have used loading tests in EKG to reveal the latent risk of patient. Master's two step test is commonly used as an exercise test. Such an exercise test presents, however, somewhat different aspects from the influence of anesthesia and hence will not give any prediction in the abnormal course of operation and anesthesia. So we studied the hypoxia test in EKG as a preoperative examination, giving the patients 10% O2 with anesthetic apparatus and recorded their blood pressure, pulse rate, tidal volume and acid-dase balance in arterial blood.
The results are as followings;
1) Main EKG changes in hypoxia test are the depressed ST segment with or without the inverse or flat T wave.
2) Tidal volume showed no significant change; but, about 10% increase is seen in respiration rate.
3) Change of the ST-T in the hypoxia test returns to the initial pattern after 1 minute inhalation of 100% oxygen.
4) Changes of the ST-T which were seen in the induction and extubation during anesthesia were seemed to be similar to the change in the hypoxia test.
5) In the cases which showed positive in the hypoxia test, more remarkable changes in blood pressure during anesthesia were seen than those cases which showed positive in Master's two step test.
6) As the hypoxia test in EKG is useful to find the latent risk, it is said to be a beneficial method for the anesthesiologist to determine whether an operation should be postponed or not under discussion.View full abstractDownload PDF (5519K) -
Toshihiko HARA, Tatsuhiko MURATA1970 Volume 24 Issue 8 Pages 645-647
Published: August 20, 1970
Released on J-STAGE: October 19, 2011
JOURNAL FREE ACCESSEnzyme examination of serum GOT and GPT is widely performed in clinics. The standard method for the assay of these enzymes was first proposed by Wroblewski and Karmen, who measured the oxidation velocity of DPNH by coupling the transaminases with DPNH-oxidizing enzymes. This method requires too much time for the examination. The alternate of this method is now rather common, in which 2, 4-dinitrophenyl hydrazine is used as a trapping agent and the hydrazones of both substrate and product are measured colorimetrically. Although the latter method is more advantageous in carrying out with many samples, measurement error is apt to be caused.
We have tried to assay transaminases essentially according to Wroblewski and Karmen, but using a recorder to spare working time, and obtained a good result. This paper deals with several problems when one uses a recorder for routine examinations of transaminases: 1) how to use a recorder, 2) sources of error, 3) relation to the hydrazine method.View full abstractDownload PDF (295K) -
Kenji KUMAGAI, Takeki SATO1970 Volume 24 Issue 8 Pages 649-657
Published: August 20, 1970
Released on J-STAGE: October 19, 2011
JOURNAL FREE ACCESSWe have experienced a case of pulmonary embolus complicating miliary tuberculcsis.
In Japan there are a few reported cases on the pulmonary embolus (pulmc nary infarction), therefore we have reviewed about this following case.
A 67-years-old woman was admitted on Semptember 2, 1968, with fever of 39°C, miliary shadows of both lung fields on chest X ray film and tbc-bacilli positive sputum.
In the course of 5 months antituberculous medication with SM, INH and PAS, she felt improved. Fever continued within normal level, tbc-bacilli in sputum became negative and findings of the chest x-ray film was also improved.
On February 10, 1969 she complained of cyanosis, tachycardia, shortness of breath, faintness and substernal pain radiated to the left shoulder followed by fever of 38°C with chills.
Blood pressure dropped to 76/52 mmHg. Laboratory data were as follows: ESR 68mm, Serum-LDH 1000μ, GOT 32 and W. B. C. 8, 200. E. K. G. revealed QIII, QaVF, negative TII, III and deep SI.
Chest x-ray film disclosed diffuse infiltrative densities suggesting pneumonia on both lung fields, especially on right side and elevated diaphragm.
Digitalis, predonisolone and antibiotics were given and O2 inhalation continued for 2 weeks, and her blood pressure recovered to 110/64 mmHg. Serum LDH and SGOT became within normal. Disappearance of SIQIII pattern and only ST segment depression in V5-6 in E. K. G. Roentgenographically pneumonia shadows diminished and elevated right diaphragm sank to the normal level.View full abstractDownload PDF (5629K) -
Susumu NAKANO, Yoshihiro SHIMIZU, Hiromichi TANIGUCHI, Kazuo ONODA, Ta ...1970 Volume 24 Issue 8 Pages 659-663
Published: August 20, 1970
Released on J-STAGE: October 19, 2011
JOURNAL FREE ACCESSThis is the case report of a 13-years-old girl with congenital absence of the right pulmonary artery associated with patent ductus arteriosus. In the present report clinical presentation, diagnostic consideration and treatment of this disease are discussed.View full abstractDownload PDF (2924K) -
Hiroyuki OSADA, Kazuya TAMURA, Michinori TAMURA, Uzuhiko TAMURA1970 Volume 24 Issue 8 Pages 665-671
Published: August 20, 1970
Released on J-STAGE: October 19, 2011
JOURNAL FREE ACCESSDownload PDF (7665K) -
Yoichi OTSUKA, Ken SUTO, Hiroshi TSUCHIDA, Naomasa YAMAGATA, Kazunori ...1970 Volume 24 Issue 8 Pages 673-676
Published: August 20, 1970
Released on J-STAGE: October 19, 2011
JOURNAL FREE ACCESSDownload PDF (4088K) -
1970 Volume 24 Issue 8 Pages 677-679
Published: August 20, 1970
Released on J-STAGE: October 19, 2011
JOURNAL FREE ACCESSDownload PDF (278K)
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