巻号一覧
26 巻, 12 号
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佐分利 輝彦1972 年 26 巻 12 号 p. 1067-1075
発行日: 1972/11/20
公開日: 2011/10/19
ジャーナル フリーPDF形式でダウンロード (1353K) -
立野 育郎, 和泉 長成, 竹田 勇夫1972 年 26 巻 12 号 p. 1077-1081
発行日: 1972/11/20
公開日: 2011/10/19
ジャーナル フリーIn the radiation therapy of the neck region, it is difficult to have homogenous dose distribution in the center of the radiation field. The first reason is that both upper esophagus and larynx are close by skin surface on the upper part but they become deeper along the lower part of neck and the second reason is that the skin surface is uneven.
In our laboratory, an attempt has been made to make the variable compensating filter to obtain more homogenous dose distribution in the neck region for oblique incidence of Linac X-ray radiation.
Applying the method of Van de Geijn (1963), we have adopted a following simplified formula (Tsunemoto, 1965) to make the variable compensating filter.
The material of filter is 1.18g/cm3 of density and 8mm thick plastic plate. The seven plates make one block compensator placing one above the other and they are easily adjusted by sliding along the contour line of the neck.
We adopt μ of 0.0477cm-1, x of 5cm, λ of 0.0562cm-1 and w of 5×5cm. The thickness and the angle of compensating filter are calculated as 4.2cm and 53 degrees respectively by above mentioned formula.
Expedments have been performed by neck phantom made by Mix-Dp. The series of dose distribution are compared without filter, with triangular and parabolic filter by single and two portal opposing field X-ray radiation of 6 MeV Linac. Industdal X-ray film is exposed and isodensity is plotted by isodensity recorder, thus isodose distribution is obtained.
Results are as follows;
1) without filter: maximum dose is at a depth near the skin surface of the median line of the front neck.
2) parabolic and triangular filter: These two kinds of filter have shown homogenous dose distribution and localization of maximum dose point in the central part of neck. Triangular filter is more simply adjustable than parabolic filter.
The variable compensating filter is easily to make and has shown excellent dose distribution for neck region so that it can be easily applied for routine clinical use.抄録全体を表示PDF形式でダウンロード (11279K) -
―20剖検例のまとめ―安藤 烝, 手墳 正二, 岩沢 敬, 細谷 玄太郎, 来馬 真一, 樋田 豊治1972 年 26 巻 12 号 p. 1082-1093
発行日: 1972/11/20
公開日: 2011/10/19
ジャーナル フリー1) The clinical symptoms and pathological observations of the brain of twenty severe physically and mentally handicapped children were presented in a summary.
2) They were pathologically classified into four cases of embryofetopathy, eiglht cases of brain injury at birth, two cases of seqeul of nuclear icterus, three cases of brain injury during infancy, and three cases of degenerative diseases caused during infancy.
3) As the result of comparison of the pathological changes in the brain with the clinical symptoms, the following problems were pointed out:
i) The cases with the main change only in the cefebral white matter included the mild physically handicapped cases.
ii) There were more cases complicated with severe mental deficiency than expected, though the main change was located merely in the diencaphalon.
iii) In view of a number of cases complicated with convulsive fits, the discrimination of the brain changes due to coavulsion from that due to nuclear icterus or the lack of oxygen at birth is necessary.抄録全体を表示PDF形式でダウンロード (7592K) -
黒木 良和, 姫野 国祐1972 年 26 巻 12 号 p. 1094-1099
発行日: 1972/11/20
公開日: 2011/10/19
ジャーナル フリーThe authors report on the incidence of major and minor congenital abnormalities found in a survey of 448 consecutive new born infants in Fukuoka-chuo national hospital, with a review of the literature. Only those anomalies detectable by suface examination were studied.
Two per cent of the infants had major anomalies and 21.7 per cent had at least one minor anomaly.
The occurrence of a single minor anomaly was not unusual, but the finding of multiple minor anomalies in the same baby was unusual event except for those who had at least one major anomaly.
The detection of multiple minor anomalies in a baby may be valuable as an indicator of a more serious anomalies.
In addition, some peculiar pattern of minor anomalies may aid us in diagnosing a particular syndrome, for example, Down's syndrome.抄録全体を表示PDF形式でダウンロード (2462K) -
栗村 統, 増田 忠司, 浜田 金三郎, 香川 治子, 香川 和徳, 小林 康記, 小林 邦彦, 大屋 節子, 桐本 孝次1972 年 26 巻 12 号 p. 1100-1103
発行日: 1972/11/20
公開日: 2011/10/19
ジャーナル フリーThe course of acute hepatitis with detectioa of Australia antigen (Au-antigen) in serum could not significantly be differed from that without the antigen. However, the clinical course of hepatitis after transfusion seemed to be prolonged regardless of detection of Au-antigen.
Five out of 12 spouses of patients with acute hepatitis were confirmed to be carriers of Au-antigen. Furthermore, it is interested that these 5 cases were all young adults married within one year.抄録全体を表示PDF形式でダウンロード (5049K) -
宮本 侃治, 清野 昌一, 山上 晴子, 池田 佳子1972 年 26 巻 12 号 p. 1104-1112
発行日: 1972/11/20
公開日: 2011/10/19
ジャーナル フリーThe blood level of antiepileptic drugs is said to be influenced by individual disposition, transient intrinsic conditions and interactions of concomitant drugs. By knowing the blood level, preferable use of drugs in pharmacotherapy for epilepsy is appropriately performed and undesirable neuropsychiatric toxic symptoms are prevented, therefore the clinical significance in determining the drugs is appraised.
Among recently advanced determination methods, we employed a gas chromatographic analysis by which the quantitative estimation of diphenylhydantoin and phenobarbital is simultaneously carried out. Applying our methods to an epileptic patient with intoxication to determine consecutively the blood level of two drugs and correlate the increase in drug level with the occurrence of symptoms.
With respect to contemporary methods some of technological difflculties are pointed out. For routine practice standardization of the simplified determination method of antiepileptic drugs has to be established.抄録全体を表示PDF形式でダウンロード (19697K) -
松本 守海, 小林 君美, 加藤 康夫, 井上 律子, 清水 慶彦, 浅野 靖, 黒田 良三1972 年 26 巻 12 号 p. 1113-1115
発行日: 1972/11/20
公開日: 2011/10/19
ジャーナル フリーThere were 12 cases of spontaneous pneumothorax from 1960 to 1971 in Gifu-Byoin National Sanatorium. Analysis on the method of treatment of the patients is described.
Of the 12 patients, 10 were males and 2 were females, 10 were idiopathic and 2 were secondary, and 10 were younger than age of 40. All of those suffered from dyspnea. Of 9 patients operated, 7 were found to have bullainthe lung. of them, one was treated with thoracentesis, another with intercostal drainage, and the rest with operation.
We consider that operation should be performed in the cases of repeated spontaneous pneumothorax or incomplete expanding of lung with thoracentesis and internal drainage.抄録全体を表示PDF形式でダウンロード (462K) -
束村 道雄1972 年 26 巻 12 号 p. 1116-1122
発行日: 1972/11/20
公開日: 2011/10/19
ジャーナル フリー1) pattern of rifampicin resistance of mycobacterium tuberculosis (H37Rv and Aoyama-B) is a single step-pattern. only one phenotype of resistance is present in rifampicin resistance, no intermediate resistance-phenotype being observed. The organism is either susceptible to rifampicin or resistant to high concentrations of the antibiotics. Sponaneous resistant mutants are found at a rate of10-7 to 10-8 in bacterial population previously not exposed to the agent.
2) similar pattern of resistance development has been observed in thirteen strains recently isolated from patients previously not treated by this antibiotics. The rate of appearance of spontaaeous resistant mutants in these strains was ca. 10-8 in eleven strains and ca. 10-7in two strains.
3) rapid emergence of resistant population was observed in patients. By administration of rifampicin, susceptible population changed at once into highly resistant population. This finding agrees with the presence of single step-pattern.
4) when observed after incubation at 37°C for 4 weeks, colonies growing on a medium containing 12.5μg/ml rifampicin or less consisted of susceptible population, whereas colonies growing on a medium containing 25μg/ml rifampicn of more always proved to consist of resistant population.
When observed after incubation at 37°Cfor 6 weeks, colonies growing on a medium containing 25μg/ml or less usually consisted of susceptible population, whereas colonies growing on a medium containing 50μg/ml rifampicin or more consisted of resistant population.
In view of these results. of population analysis of colonies made on 22 patients strains, it has been considered that, when observed at 4 weeks, the critical concentration for defining resistance is 25μg/ml, and when observed at 6 weeks, the critical concentration is 50μg/ml (the medium used is Ogawa egg medium).抄録全体を表示PDF形式でダウンロード (1098K) -
―精神科コンサルテーシヨン・ワーク(昭和45年10-12月実態調査): 精神疾患者の身体合併症に関する研究(1)―清水 英利1972 年 26 巻 12 号 p. 1123-1141
発行日: 1972/11/20
公開日: 2011/10/19
ジャーナル フリーA 3 months survey of psychiatric consultation work was made at 24 national hospitals from Oct. 1 till Dec. 31, 1970. All new patients referred from other somatological clinics in hospital for psychiatric cliaical practice were registered and totalled. The results were as following:
1) 13.1% of all new out-patients of whole hospital was referred to psychiatric practice.
2) More than half of the referred cases were from the department of intemal medicine, others were, in order of the number of cases, from surgery, orthopaedics, obstetrico-gynaecology, pediatrics and otorhinology.
3) Somatic diseases:
Most Cases from the department of internal medicine are those of nervous, digestive and circulatory diseases; those from surgery, injury and tumor; those from orthopaedics, fracture and injury; those from obstetrico-gynaecology, obstetric patients and tumor; those from pediatrics, nervous diseases.
4) Psychiatric diagnosis:
In order of the number of cases, neurosis, organic mental diseases, manic depressive psycllosis, psychogenous reaction, epilepsy, schlzophrenia, and toxic mental disturbance were seen most commonly.
5) The duration suffering from mental diseases of the referred cases is mostly less than one month, while in many cases of depressive illness more than one month.
6) 42% of all referred cases were so severe mentally and somatically that they had to be admitted immediately to the psychiatric ward, and to be treated by both psychiatrist and doctors of somatological department, with the trouble some good nursing care.
7) In 38.5% of referred cases psychiatric diagnosis and its treatment were informed to referred doctors of somatological department; 49.4% of referred cases were treated at the psychiatric out-patient clinic; 7.4% were admitted immediately to the psychiatric ward; 4% were sent to another psychiatric hospitals.抄録全体を表示PDF形式でダウンロード (7456K) -
―剖検よりみた閉塞性胸膜炎の意義―森脇 滉, 平川 晃也, 岸川 英樹, 大野 正人1972 年 26 巻 12 号 p. 1143-1147
発行日: 1972/11/20
公開日: 2011/10/19
ジャーナル フリーTwo cases are reported of so-called “Vanishing tumor of the lung” (loculated interlobar pleural effusion secondary to congestive heart failure).
Loculated interlobar collection of fluid is relatively rare, and the pathogenesis of this localization is as yet notentirely elucidated. It has been discussed that the pleural adhesion (obliterative pleuritis) is one of the important factors. We agree with this view from our clinical experience.
Autopsy of these two cases disclosed that the obliteration of the general pleural cavity by adhesion, the requisite condition by Stewart, is not necessarily a prerequisite for the occurence of loculated effusion. It is the opinion of us that the only requirement of this condition is adhesive process in the peripheral portion of the interlobar fissure with free central interlobar space.抄録全体を表示PDF形式でダウンロード (6275K) -
野村 秀夫, 佐藤 廸男, 進士 雄二1972 年 26 巻 12 号 p. 1148-1150
発行日: 1972/11/20
公開日: 2011/12/02
ジャーナル フリーTill now we have few report about repeated anencephaly and no conclusive method of prevention against it.
We report our case and discussed the eleven cases of anencephaly in our clinic with referring to other reports.抄録全体を表示PDF形式でダウンロード (2249K) -
田村 和也, 小早 川清, 福井 興, 植村 富士男1972 年 26 巻 12 号 p. 1151-1155
発行日: 1972/11/20
公開日: 2011/10/19
ジャーナル フリーThis paper deals with a case of large protruded early gastric cancer (Type I) adjoining depressed and excavated early gastric cancer (Type IIc+III).
In October 1969, 70 years old man who complained of epigastric pain and full sensation of the stomach visited our clinic.
X-ray and gastrofiberscopic examinations of the stomach revealed a large reddened tumor with polypoid surface at the gastric angle, and the tumor inconspicuously shifted to depressed area with some coated lesions at the lower gastric body and his illness was diagnosed as Borrmann I type gastric cancer next to IIc type early gastric cancer.
Gastrectomy was made on December 9, 1969 by Billroth I method. Resected specimen showed 5×5cm area of tumor at the angle adjoined to 3×6.5cm area of depressed lesion at the lower gastric body including single small ulcer formation near to the posterior border of the depressed lesion.
The histological examination revealed that tubular adenocarcinoma existed in both the tumor and the depressed lesion and the cancer invaded to the submucosa of the stomach at several sites, but no metastasis to the adjacent lymphnodes was found. And it was diagnosed as an early gastric cancer of Type I+IIc+III.
An interesting finding was the almost perfect similarity of histological types between protruded lesion (Type I) and depressed and excavated lesion (IIc+III), so the depressed and excavated lesion might be formed by superficial spread of the cancer cells in the tumor, on the other hand there was a possibility of bi-centric cancer formation.抄録全体を表示PDF形式でダウンロード (7445K) -
12. 総蛋白とアルブミン(A/G比)柴田 久雄1972 年 26 巻 12 号 p. 1156-1157
発行日: 1972/11/20
公開日: 2011/10/19
ジャーナル フリーPDF形式でダウンロード (136K) -
1972 年 26 巻 12 号 p. 1158-1160
発行日: 1972/11/20
公開日: 2011/10/19
ジャーナル フリーPDF形式でダウンロード (410K) -
1972 年 26 巻 12 号 p. 1160-1161
発行日: 1972/11/20
公開日: 2011/10/19
ジャーナル フリーPDF形式でダウンロード (196K)
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