医療
Online ISSN : 1884-8729
Print ISSN : 0021-1699
ISSN-L : 0021-1699
7 巻, 8 号
選択された号の論文の13件中1~13を表示しています
  • 小山 善之, 藤岡 萬雄
    1953 年 7 巻 8 号 p. 473-474
    発行日: 1953/08/10
    公開日: 2011/10/19
    ジャーナル フリー
  • 相澤 八郎, 野中 陽二, 小安 雅朗, 加藤 一夫, 高木 有
    1953 年 7 巻 8 号 p. 475-479
    発行日: 1953/08/10
    公開日: 2011/10/19
    ジャーナル フリー
    0.5 gram daily, totalling of 40 grams on the average of streptomycin was given to 24 cases of chronic bone and joint tuberculosis and a follow up study for three month period was made. The results are as follows:
    In 12 cases in which the destruction of vertebral body was shown in high degree by x-ray, none showed a good result (improved in 25% and no change or made worse in 75%).
    Our study confirmed the generally held view that streptomycin is not effective for chronic type of bone and joint tuberculosis. It did not benefit this condition from stand point of closure of fistulae, x-ray findings, and erythrocyte sedimentation rate. However, concerning the temperature, bodyweight and appetite it was found that there seemed to have no difference between the acute and chronic conditions.
    The over-all results are as follows:
    These data represent the results of 3 month treatment with streptomycin. In order to reach the final conclusion it is necessary to carry out observations for a longer duration with a larger number of cases. However, it is felt that from our study one can evaluate as to what effect streptomycin may render in the treatment of chronic bone and joint tuberculosis.
  • 石田 啓
    1953 年 7 巻 8 号 p. 480-486
    発行日: 1953/08/10
    公開日: 2011/10/19
    ジャーナル フリー
    Owing to the fact that the Donaggio reaction of urine is likely to show degrees of fatigability, I applied this test to determine the capacity of work prescribed to the tuberculous patients.
    Method of study: The original Donaggio method was used to confirm the Donaggio value. However, the actual determination of D, value for the patients was done by Yokomichi, Sato and others' modified methods.
    In 80 patients who were under occupational therapy, D, value was examined for a period of one and half years by testing urine every morning on rising, before and after the allotted working hours, and after dinner.
    The results are as follows:
    1) On investigation of 496 cases of tuberculous patients and together 117 healthy pasons as control, it was found that patients under therapy showed higher index figures than the general tuberculous patients.
    2) On continual observations of D. index on each patient following average figures were obtained. The group of patients who worked one hour gained 2.5 after the work, two hours 2.4, four hours 3.4, six hours 5.4, and eight hours 4.9. Thus it is evident that the length of working hours does not always correspond to the increase of D. value. However, in the control whose assigned work was one hour showed 1.3, two hours 1.4, four hours 1.9, six hours 3.9, and eight hours 3.8. Thus the D. value showed a gradual elevation; for instance fatigue ration of eight hour work was only three times that of two hour work. Furthermore there were no significant differences between the ratio of one and two hours, and also six and eight hours.
    3) According to the variations of D. value at different intervals as mentioned above I ordered the patients to shorten or to discontinue their work depending on the change of D. value
  • 西島 輝夫
    1953 年 7 巻 8 号 p. 487-490
    発行日: 1953/08/10
    公開日: 2011/10/19
    ジャーナル フリー
    25 pulmonary tuberculous patients who exhibited normal temperature and pulse, were tested for metabolism. Of this number artificial pneumoperitoneum treatment was given in 20 patients Following are results obtained on the study of pneumoperitoneum upon the basal metabolic rate.
    1. The rate of the basal metabolism does not seem to increase merely by the extent of the pulmonary lesions, but an increase is noted to some degree with the activity of the lesions. Thus, the basal metabolic rate was found low in the arrested and in the inactive cases. That is, the rate seems to be in parallel with the clinical classification
    2. The respiratory quotients seem to be generally lower in those in which pulmonary lesions are extensive and or active as compared with minimal involved or inactive ones
    3. The basal metabolism which showed a high rate before the artificial pneumoperitoneum treatment was instituted, seems to become lowered little by this therapy, and in those in which the rate was normal before treatment seems to be almost unchanged or to increase vary ing degrees.
    4, No notable influences of the artificial pneumoperitoneum upon the basal metabolic rate were observed in 24 hours, a week, and 6 months after the application of the artificial pneumoperitoneum. This seems to be not difficult to understand.
    When one considers that the effect of the artificial pneumoperitoneum cannot definitely be expected within 6 months. This is obvious due to the fact that the increase of the basal metabolic rate is caused by many various factors of pulmonary tuberculois.
    5. In cases in which the basal metabolic rate does not decrease in spite of a long-term application of the artificial pneumoperitoneum, the increase of the rate is noted, it may be considered that the patients, condition has turned for worse or has developed complications. This assumption may be made because of the fact that the basal metabolic rate in pulmonary tuberculosis tends to rise in active stage, and to lower after the institution of artificial pneumoperitoneum
  • 中谷 朝之
    1953 年 7 巻 8 号 p. 491-495
    発行日: 1953/08/10
    公開日: 2011/10/19
    ジャーナル フリー
    By the use of streptomycin and isoniazid separately, tubercle bacilli are known to easily acquire resistance against these therapeutic agents, and once acquired the resistance against streptomycin is considered stable. No reports have yet appeared in Japan on the resistance against isoniazid.
    By means of 3% KH2PO4 medium and_Masatoshi Ogawa's rapid culture method the resistance of tubercle bacilli which were obtained from patients who had received until 3 to 20 months previously the treatment with a large quantity of streptomycin and isoniazid separately. In this study the author found that while the resistance against streptomycin is difficult to alter, the resistance against isoniazid seems to show a tendency to weakening.
    Ogawa's rapid culture method is a convenient method when a large number of tubercle bacilli are found in the sputum
  • 一番ケ瀬 寛
    1953 年 7 巻 8 号 p. 496-500
    発行日: 1953/08/10
    公開日: 2011/10/19
    ジャーナル フリー
    I tested the bactericidal actions of Mikulicz-soap, Invert soap and Isopropyl alcohol. I calculated the phenol coefficient and compared these actions and prices with other common disinfectants. Bacteria tested were Coli communis and Staphylococcus aureus. The method depended on Nippon-koshueisei-zasshi.
    Mikulicz-soap has been used in many hospitals to purify doctors hands before operation. Invert soap is relatively new disinfectant. It has secured a prominant and important place in the fields of medicinal and general disinfection during the past decade. These days Isopropyl alcohol has been regarded as fine disinfectant in America.
    1) Mikulicz-soap has no germicidal action in short time and the price is high. So it is considered that the use of it is not wise.
    2) Invert soap proved superior action in test. It is better than not only Cresol soap but Corrosive sublimate in same concentration. As Invert soap is a cationic surface active agent and has good wetting ability, it is suitable to purify the skin. There are many ways to benefit. But it is said that Invert soap has little action to tubercle bacillus. In this point Corrosive sublimate is better than Invert soap and we must notice that it is very low-priced.
    3) Isopropyl alcohol has more strong germicidal action than Ethyl alcohol. The price is more reasonable. We may use it more weiterly. It is said not to affect the potency of solutions of insulin, and that may be employed in rubbing compounds as a skin conditionary agent in skin massage for its rubefacient action in the care of bed fast patients.
    There is no disinfectant which satisfy all the necessary properties as antiseptics. When we use the germicide we must understand the specificity of it and consider the price
  • (第3報) 無効例に對する検討及び剖検例
    中村 滋, 山口 正民, 平山 稔, 高啓 一郎
    1953 年 7 巻 8 号 p. 501-502
    発行日: 1953/08/10
    公開日: 2011/10/19
    ジャーナル フリー
  • (第1報) 齒齦出血に對するストレプトマイシンの効果
    森本 佐
    1953 年 7 巻 8 号 p. 503-504
    発行日: 1953/08/10
    公開日: 2011/10/19
    ジャーナル フリー
  • 丸野 秀親, 高浦 一
    1953 年 7 巻 8 号 p. 505-506
    発行日: 1953/08/10
    公開日: 2011/10/19
    ジャーナル フリー
  • 粟田 景次, 芹川 宏
    1953 年 7 巻 8 号 p. 507-508
    発行日: 1953/08/10
    公開日: 2011/10/19
    ジャーナル フリー
  • 古川 明, 植村 剛, 小原 元雄, 武田 直衛, 江口 忠夫
    1953 年 7 巻 8 号 p. 509-510
    発行日: 1953/08/10
    公開日: 2011/10/19
    ジャーナル フリー
  • 牧野 進, 古城 雄二, 高橋 弘
    1953 年 7 巻 8 号 p. 511-514
    発行日: 1953/08/10
    公開日: 2011/10/19
    ジャーナル フリー
  • 渡辺 三郎, 山中 和江, 山村 雄一, 中村 滋, 内田 誉, 田村 史郎, 吉川 敦士, 今津 史郎, 山口 正民, 山村 好弘, 谷 ...
    1953 年 7 巻 8 号 p. 515-516
    発行日: 1953/08/10
    公開日: 2011/10/19
    ジャーナル フリー
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