jibi to rinsho
Online ISSN : 2185-1034
Print ISSN : 0447-7227
ISSN-L : 0447-7227
Volume 58, Issue 2
Displaying 1-9 of 9 articles from this issue
Original Article
  • Michiko YAMASHITA, Masako KUROKAWA, Toshio HANAI, Takashi NAKAGAWA
    2012 Volume 58 Issue 2 Pages 51-57
    Published: 2012
    Released on J-STAGE: January 18, 2013
    JOURNAL FREE ACCESS
    We investigated 84 children who visited the Fukuoka Welfare Center for hearing examinations and re-habilitation between 2008 and 2010. Fifty-two (62%) cases had undergone a newborn auditory screening. Thirty-nine (46%) had visited our infant center. The mean age of the infants was 6 months. Twenty-six (31%) cases had not undergone the newborn auditory screening. Their mean age was 2 years 1 month. These findings indicate that the auditory screening program in Fukuoka needs to be reevaluated so that children with hearing impairments can be identified and receive earlier intervention.
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  • Michio TOMIYAMA
    2012 Volume 58 Issue 2 Pages 58-71
    Published: 2012
    Released on J-STAGE: January 18, 2013
    JOURNAL FREE ACCESS
    The drug sensitivity of S. pneumoniae and H. influenzae isolated from children with acute otitis media or acute sinusitis in 2011 was investigated to assess the relationship between age and drug resistance as well as the drug sensitivity of antibacterial agents recommended in the treatment guidelines for pediatric acute otitis media and acute sinusitis. DRSP were detected significantly more frequently in children under 3 years of age in comparison to those 3 years of age or older, but there was no difference according to age for ABPC resistant H. influenzae. PSSP was more sensitive to AMPC than to CDTR, while PISP was more sensitive to CDTR than to AMPC. H. influenzae was the most sensitive to CDTR. The MIC90 of TBPM was 0.06 μg/ml for DRSP and 0.5 μg/ml for ABPC-resistant H. influenzae, thus suggesting that TBPM is the only antibacterial agent tested that had an MIC90 of 0.5 μg/ml for both of these drug-resistant bacteria.
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  • Takayuki SUETA, Tsutomu FUKUZAKI, Yoshiki ONISHI, Mayumi SUGAMURA, Mor ...
    2012 Volume 58 Issue 2 Pages 72-76
    Published: 2012
    Released on J-STAGE: January 18, 2013
    JOURNAL FREE ACCESS
    Radiotherapy and chemo-radiotherapy are generally effective for early laryngeal cancer. However, the local pain due to the mucositis induced by the irradiation often prevents the completion of treatment. Since 2005, we have administrated an opioid to control a pain if necessary. We divided 40 early laryngeal cancer patients into 2 groups of 20 patients, and the influence of treatment with the opioid was investigated in the two groups. One group received the induction of the opioid, and patients were treated from 2008 to 2010. The others were treated before 2004 and did not receive the opioid. Both groups frequently used various painkillers, however, the time after the initiation of treatment when subjects began taking the painkiller was shorter for the after induction group than the before induction group. Ten percent of patients paused radiation treatment in the after induction group, and 70% had to temporarily stop treatment in the before induction group. Thus, the interruption of radiation was significantly less frequent in the after induction group than the before induction group. Our results indicate that the introduction of opioids for radiation patients improved the course of cancer treatment.
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  • Tetsurou YASUI, Kyoko CHUJO, Moriyasu YAMAUCHI, Marie KUBOTA, Ryuji YA ...
    2012 Volume 58 Issue 2 Pages 77-82
    Published: 2012
    Released on J-STAGE: January 18, 2013
    JOURNAL FREE ACCESS
    Acute idiopathic thrombocytopenic purpura (AITP) is a condition caused as a result of platelet aggregation due to antiplatelet antibodies, which transport platelets into the reticuloendothelial system. An 81-year-old female was diagnosed with AITP with nasal bleeding after endoscopic sinus surgery (ESS). No abnormal findings were seen in the preoperative testing and the previous history in this case, so the invasive surgery and treatment were examined as the cause of the decrease in platelets. A variety of treatment methods were examined to ameliorate the AIPT, and this case was successfully treated with a steroid and gamma globulin. As a result, the treatment response was excellent.
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  • Akiko FUJIMURA, Toranoshin AYADA, Torahiko NAKASHIMA, Shizuo KOMUNE
    2012 Volume 58 Issue 2 Pages 83-88
    Published: 2012
    Released on J-STAGE: January 18, 2013
    JOURNAL FREE ACCESS
    This report presents the case of a 48-year-old male with an inflammatory myofibroblastic tumor (IMT) of the maxillary sinus. IMT is a distinct borderline lesion composed of myofibroblastic cells with a variable admixture of inflammatory cells. This disease is most often reported in the lungs, and it is uncommon in the head-and-neck region. It is generally difficult to diagnose IMT, because IMTs in the head and neck region have no specific features on computerized tomography and magnetic resonance imaging and fine-needle aspiration cytology is unreliable. A recurrence rate of approximately 25% has been reported for extra-pulmonary IMTs. Careful long-term observation with CT or MRI is important.
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  • Atsushi MATSUBARA, Hisanori NISHIZAWA, Hideichi SHINKAWA, Kohei HONDA, ...
    2012 Volume 58 Issue 2 Pages 89-95
    Published: 2012
    Released on J-STAGE: January 18, 2013
    JOURNAL FREE ACCESS
    We investigated the effects of monotherapy with mometasone furoate nasal spray (MFNS) in patients with perennial allergic rhinitis whose symptoms were not adequately improved by the treatment with antihistamines. After two or four weeks of administration of MFNS, the nasal symptoms (nasal discharge, sneezing, nasal discharge, and nasal stuffiness) significantly improved, The Japanese Allergic Rhinitis Standard Questionnaire (JRQLQ) showed that the patients' general state and 7 of 17 categories significantly improved. Moreover, a patient questionnaire regarding the usability of MFNS resulted in a good evaluation. These results suggested that MFNS might be useful for the improvement of nasal symptoms and QOL in patients with perennial allergic rhinitis whose symptoms are not adequately improved by treatment with antihistamines.
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