The terms of rigidity and spasticity are considered to denote different states in clinical neurology.
Rigospastic muscle consisted of tonic and phasic component, was demonstrated in the hemiplegia, spinal lesion and myeloradiculoneuropathy. Also on every case, each muscle was different in the distribution of rigid and spastic element and strength of the hypertonicity.
Effect to other muscles of obturator nerve block by dilute phenol was observed by stretch reflex.
The author experienced the secondary reaction of phenol block upon sciatic nerve of rabbits.

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From April, 1967 to March, 1970, 88 patients with biliary diseases have been treated at surgical clinic of Hirosaki National Hospital with various operative procedures. Among the series, 10 Roux-Y anastomosis were performed as reconstruction of common bile duct in 4 cases of choledochus stones, 2 cases of hepatic stones, 2 cases of postoperative stricture of the common duct, one case of the congenital choledochal cyst and a congenital stenosis of the common duct.
For a case of postoperative stricture, as direct choledochojejunostomy was impossible, Phi-con rubber tube bridging anastomosis was performed. After 16 months the tube was successfully removed operatively.
Some details of our present procedures were: 1) anastomosal stoma should be larger than 2 cm and wedge resection of choledochus wall is advisable to prevent postoperative stricture. 2) no tube is inserted to the anastomosal stoma as prosthesis, if the direct choledochojejunostomy is possible. 3) jejunal limb for the anastomosis is 35-40 cm long to secure adequate bile flow and to minimize reflux cholangitis. 4) gall bladder is removed if present.
The result of Roux-Y procedure is satisfactory. No stricture of anastomosal stoma nor reflux cholangitis is observed. The Roux-Y choledochojejunostomy should be evaluated as a excellent procedure for common bile duct reconstruction.

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Purpose: in order to investigate what kind of roles are supposed to be taken by the psychiatric department of general hospital in urban area for the benefit of the community, we followed up outpatients who mostly came from the community.
Research procedure: as a preliminary survey, we examined 415 new outpatients regarding their ways of attendance to outpatient clinic at the psychiatric dept, of Konodai National Hospital using their outpatients' case histories.
As a first step, we focused our attention on schizophrenic patients and examined the case histories of schizophrenic patients who were received as fresh outpatients from January to December in 1966.
Secondly, we examined the treatment histories and the way of adjustment using a questionnaire and home visiting interview.
Results: as the results of a preliminary survey, we found that the outpatients who were recom-mended to attend to hospital remarkably dropped out from the beginning month to the third month on their treatment process. The order of dropping out of outpatients is (1) neurotic patients, (2) schizo-phrenic patients, (3) epileptic patients.
According to the results of follow up study of schizophrenic patients during one year, the rate of patients who were residents of Ichikawa City was 15 percent. The rate of patients who had been continued to receive medical treatment was found to be 40 percent of all schizophrenic patients accepted as fresh cases for one year, and 25 percent patients of these continued cases was receiving medical treatment at the other clinics.
Also it became clear that the ways of adjustment of 60 percent discontinued patients were unex-pectedly good, and a quite few of them were not hospitalized and well adjusted.
The rate of these successful patients in Ichikawa City was 25 percent of whole patients. On the other hand, most patients who had ever been hospitalized were hospitalized for the second time.
From the above results, we found a large number of schizophrenic patients have not always necessity of hospitalization, and discussed repletion of outpatient clinic of hospital, community medical resources and cooperation of these resources.

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It is wellknown that determination of gastric secretion is important for diagnosis and treatment of digestive disease. Nowadays in almost all hospital gastric tube method is adopted as gastric juice test.
Theoretically Histamin or Histalog was considered to be most excellent as the stimulant. However these agent have side effect such as congestion and palpitation. From view of this point a new stimulant, Tetragastrin, synthesized hormon, was studyed. Injecting 1.50μg of gastrin intramuscularly, maximal acid concentration, time to reach to peak and side effect was investigated and compared with that of Histalog and Caffein,
The results are as follows.
Comparing the effect of Caffein, Histalog has three or four times high concentration of free acid and total acidity and time to reach to peak was shorted. Tetragastrin showed almost same effect and side effect in only one case.
From these result following conclusion is reasonable that gastrin is safety and excellent stimulant for gastric juice test.

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The Joint Study Unit of Medical Laborants of the National Sanatoria in Tohoku District of Japan tested the serological examinations for hemolytic streptococcus infection on the same material at several institutes and discussed exact control of ASLO test.
The results were as follows:
1. On the use of pipets, as the standard rule of the serological test, there were inadequate choice of pipets.
2. The unity of the technical factors caused the stable results.
3. There was little difference between the use of rabbit and human erythrocytes.
4. On the density of the erythrocyte-suspension, the perfect hemolytic inhibity point was just the same between 2 per cent and 5 per cent.
5. On present methods, the reaction time for neutralization required 5 minutes prolongation.
6. The activation of ASLO test showed a sign of decreased in 90 minutes.
7. There was 11 cases (45%) of abnormal titter in ASLO test out of 245 cases of student nurses.

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The authors examined hepatic function every two weeks for 3 months on all cases who recieved blood transfusion in Surg. Dept of Sendai National Hospital from April to September, 1969.
The following results were obtained.
1) it was found that 13 cases (9%) out of 144 examined cases developed serum hepatitis and 14 cases (9.7%) were suspected serum hepatitis.
2) the rate of outbreak of serum hepatitis was higher in cases undergoing operation of the upper abdomen, especially the stomach than of the other parts without distinction of cancer.
3) ninety percent of serum hepatitis broke out within 8 weeks after blood transfusion, and 74% of them recovered within 5 weeks after appearance of symptoms.
4) a relationship was found to exist between the rate of outbreak of hepatitis and volume of transfused blood, and administration of γ-globulin was effective in preventing serum hepatitis.
5) the restrictions on the use of whole blood transfusion, the infusion of separated blood components, the strict screening of donor and the administration of γ-globulin are nesessary for preventing serum hepatitis.

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Two cases of leiom yoma of the stomach were reported.
Case No, 1, The patient was a 71-years-old female who was admitted to the hospital with the chief complaints of hematemesis and tarry stool. An upper gastrointestinal series had shown a niche on the lesser curvature above the angle of the stomach. By GTF examination, an elevated change with a central ulceration, on the lesser curvature above the angle a little toward the anterior wall was noticed. Partial gastric resection was performed. On the operated stomach, a tumor, with a central ulceration, 3.4×3.0×2.0 cm in size was noticed on the lesser curvatue of the anterior wall. Microscopic sections revealed leiomyoma, but no evidence of malignancy.
Case No. 2. The patient was a 61-years-old male who was admitted to the hospital because of epigastric pain and epigastric fullness. An upper gastrointestinal series had shown a shape of tumor, having a niche, on the posterior wall of the corpus. Gastroscopy revealed a polyp on the anterior wall of the antrum and a large smooth elevation, having a central ulceration and the sign of “bridging folds”, on the posterior wall of the corpus. Gastrectomy was done. Resected specimen showed a polyp of the antrum and a tumor with a central ulceration, 4.0×4.0×2.0 cm in size on the posterior wall of the corpus. Microscopic examination revealed leiomyoma and hyperplastic polyp, but no evidence of malignancy.

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Aspirated foreign bodies are usually promptly diagnosed and removed. Occasionally, however, diagnosis may be delayed for weeks or years prior to the discovery of an intrabronchial foreignbody. This case was 4 years prior to discover of an intrabronchial foreign body.
Case: 12-years-old boy
About two years ago the patient was first admitted to a hospital, because of the hemo ptysis and cough with sudden onset. He received treatment for about one month without effect, then patient was admitted to our sanatorium' for further examination and treatment. He was diagnosed as the bronchiectasis of Bio on the right by chest X-ray and bronchography, for which right lower lobectomy was perfomed. Surgical specimen was examined histologically and tissue of plants was found microscopically.
The final diagnosis was foreign body bronchiectasis.

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