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Volume 45, Issue 1
Displaying 1-11 of 11 articles from this issue
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Angiography: In Comparison with Digital Subtraction AngiographyHaruhiko TASHIRO, Atsunori MORIKAWA, Yusuke KAMEI, Kenichiro HANABUSA1996 Volume 45 Issue 1 Pages 1-5
Published: May 30, 1996
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSCerebral MR angiography is a noninvasive angiographic technique based on either time-of-flight or phase-contrast method. The 3D-TOF method widely used has certain disaduantages: its poor visualization of slow flow vessels and distal vasculature in a thick imaging slab due to the effect of progressive saturation of inflow spines. To assess the effectiveness of MR angiography in comparison with that of digital subsraction angiography, we investigated the MRA data on 14 cases. A 1.5T system (Signa Advantage ; GE Medical System) was used in this study. The subjects were 8 males and 6 females. The compatibilities between the findings of MRA and DSA were 79% and the sensitivity of cerebral aneurysms was 70%. Because the contrast of the vessels comes from changes in blood flow, artifactual signal loss can be caused by slight changes in normal blood streams such as eddy flow or decrease in flow velocity. In conclusion, MR angiography is considered to be a safe and useful screening technique for the detection of aneurysms. However, the performance of the modern MRA system is limited because of the presence of false aneurysms.View full abstractDownload PDF (4774K) -
Asako NAKAMURA, Tamami KANAI, Fumiko YODA, Midori YAMAURA1996 Volume 45 Issue 1 Pages 6-9
Published: May 30, 1996
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSWe have started to hold regular conferences with patients on walking rounds in order to listen to their problems as much as possible and to make it easy to obtain informed consent from our patients. To sound our patients' opinions about our approach, we distributed questionnaires to a total of 332 patients between August and December 1994. The survey found the 103 patients joined the conferences for more than one week. Ninety-eight patients commented favorably foward the conferences and about 90% said that they have become able to reveal their thoughts and ask the physicians and nurse what they wanted to ask. A lotal of 82 patients said that they understood the purpose of their therapy, while 27 patients said that they had difficulty speaking to us at beside in the presence of other patients in the same room. With these results, we attained our purpose of sharing in their problems and making it easy to obtain informed consent. However, we feel a need to take measures to assure the privacy of the patients.View full abstractDownload PDF (6229K) -
Shuzo SHINTANI, Yoshiharu MIURA, Tatsuo SHIIGAI, Minoru KODERA1996 Volume 45 Issue 1 Pages 10-18
Published: May 30, 1996
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSWe present here five cases of moyamoya disease-like phenomenon in the elderly patients who had moyamoya vessels in the basal ganglia as a sequela of occlusion of middle cerebral artery (MCA) and/ or anterior cerebral artery (ACA). Ages ranged from 59 to 77 years (mean age: 67.6). Clinical manifestations included transient ischemic attacks (TIAs), reversible ischemic neurological deficits (RINDs) and mild hemiparesis. All the patients were living normal daily lives despite recurrent cerebral ischemic attacks. They had some risks of cerebrovascular disease, such as hypertension, and hyperlipemia. Angiography showed either MCA or ACA occlusion or both. Retrograde leptomeningeal filling of the ischemic region was maintained by the posterior cerebral artery (PCA) and ACA. Obstruction of the intracranial internal carotid artery was not visible. These neuroradiologic findings were not consistent with the criteria for moyamoya disease. The present cases may be related to congenital or acquired abnormalities in the main trunks of cerebral arteries.View full abstractDownload PDF (20514K) -
Hiroshi NAGAMI1996 Volume 45 Issue 1 Pages 19-23
Published: May 30, 1996
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSWhile the importance of domestic agriculture is stressed, Japan's imports of agricultural products are increasing year by year. From the standpoint of public health, what matters most is pesticide residues in imported agricultural products, in particular, the residues of chemicals applied after harvest for long-distance transport and long-term conservation.
Recentv, we have completed a simultaneous analytical method to detect two sprout inhibitors-maleic hydrazide and chlorpropham-in potato chips. The recovery rates and detection limits of maleic hydrazide and chlorpropham by this method were worked out at 81±5, 79±4%, 0.1, 0.01μg/g-raw, respectively.
A residue survey was carried out in potato chips on the market. The detection rate of maleic hydrazide was 25% with the maximum amount of 0.3μg/g-raw. The detection rate of chlorpropham was 45% with the maximum amount of 0.11μg/g-raw.View full abstractDownload PDF (501K) -
Importance of Microscopic Examination of HemogramKazuko KAWASHIMA, Yo YASUDA, Tadashi ARAI, Yuji ITO, Kazuyoshi HAYAKAW ...1996 Volume 45 Issue 1 Pages 24-27
Published: May 30, 1996
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSDuring the one-year period from April 1992 through March 1993, we measured 25, 498 blood samples by the use of a sequential multichannel autoanalyzer, which our hospital installed in August 1991. Of the total, 4, 707 samples were thoroughly examined under the microscope. They included those from the patients for which physicians indicated laboratory testing, those samples whose white cell counts were less than 3, 000/μlor more than 10, 000/μl, the cases in which the amount of hemoglobin was less than 10.0g/dl, and the samples which defied blood typing. The result was that three cases of myelodysplastic syndrome were detected, although the autoanalyzer failed to find any abnormalities in these three cases.
Laboratory technicians in hospital are so busy that they hardly have time enough for thoroughgoing examination of hemogram. Nevertheless, the recent experience has brought home to us the importance of a microscopic scrutiny, into hemogram and its application to diagnosis.View full abstractDownload PDF (391K) -
Infarctions in Kainan General HospitalKoji MIZUTANI, Tomotaka SUMIDA, Shinichi UMEDA, Naoto YAMAMOTO, Toshih ...1996 Volume 45 Issue 1 Pages 28-32
Published: May 30, 1996
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSMany reports say that DWI (diffusion-weighted-image) is very useful for the diagnosis of cerebral infarction, especially in the acute phase, but it is difficult to have a fine image because DWI is very sensitive to artifacts caused by the “body-move” of the patient.
About the degree of MPG (motion probing gradient), criteria are yet to be established. Many persons try in their own way. With MPG5, the intensity of CSF and that of the focal lesion are almost equal, so that it is difficult to distinguish infarcts from adjacent ventricles.
The stronger the degree of MPG is, the more artifacts or noises we get, We recommend MPG6 or 7 in the right-left direction.View full abstractDownload PDF (11817K) -
Experiences with 29 CasesNobuko MIZUI1996 Volume 45 Issue 1 Pages 33-36
Published: May 30, 1996
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSThe object of this study was to determine options for rehabilitation of patientswith advanced cancer. The results are based on our experiences working with these patients to improve their quality of life (QOL) through physical and occupational therapy.
The subjects consisted of 29 inpatients, 12 males and 17 females, aged 39 to 82 years old, and all of the patients had advanced cancer of various origins. In order to investigate the physical and mental effects of rehabilitation we divided the patients into two groups. The first group consisted 13 patients with functional disorders due to medical treatment of complications. With 1 or 2 months of physical and occupational therapy, 10 of the 13 patients regained their physical function and were able to be released from the hospital. The other 3 patients who did not experience functional improvement, died. The second group consisted of patients who received mental support more than physically, through physical and occupational therapy and psychological counseling. In this group, 11 of 16 patients showed favorable response to rehabilitation. Three of the patients refused all medical treatment including rehabilitation, and the remaining 2 patients had no obvious response due to their poor physical condition.
Our results show that rehabilitation helps patients to regain physical function and is an acceptable option for most patients. Maintaining one's physical function is an important step before the patient with advanced cancer leaves hospital, and it improves the patients QOL. In addition, lkight exercise supervised by a physical therapist and an occupational therapist could make the inpatient feel more comfortable and refreshed. The therapist generally works with the patient for more than 40 minutes which might help to establish a good relationship.
In concluson, there are many rehabilitation options for members of oncology terminal care units.View full abstractDownload PDF (483K) -
Through Creative PlayMisao KOBAYASHI, Mutsuko ITO, Akemi TEISHI, Akiko NARA, Mihoko YOSHIDA ...1996 Volume 45 Issue 1 Pages 37-40
Published: May 30, 1996
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSMany young mothers get nervos when their children in hospital fret or cry at night. This problem has been regarded as a result, at least in part, of a deficiency in nursing time and experience of child care in this age of nuclear family or dualincome family. We thought, that it would be possible to reduce their anxiety if they were trained and had personal experience getting contact with other children and nurses.
By way of acting out this idea, we invited them to participate in creative play such as “origami”(the craft of paper folding) and evaluated how it worked based on a questionnaire obtained from 50 mothers. The results indicated that they became able to take care of thier children properly according to the health condition of each child after having relationships with other children, mothers and nurses through the group play. Such experience has naturally helped the mothers to gain knowledge and skill in child care. In the present surrey, 96% of the respondents said that they were happy to be together with their children in a hospital, and all acknowledged that they had learned many things through communication with other children and mothers. We conclude that this way of learning by experience through creative play is effective in relieving the anxiety of mothers about child care in a pediatric hospital.View full abstractDownload PDF (4128K) -
Akira SASAKI, Hirohiko YAMASE1996 Volume 45 Issue 1 Pages 41-46
Published: May 30, 1996
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSWe report 3 cases of sudden death while the students are at school. In Japan 120-150 cases, mainly related to sports, are reported in a year. In Gifu Prefecture (population: 2, 000, 000), only 1 or 2 cases probably occur in a year. While here in Mizunami City (population: 40, 000), we had 3 cases for the last 10 years. This is a higher occurrence rate than in other cities.
The 1st case was caused by brain-stem bleeding; the 2nd, rupture of the wall of the aorta associated with Marfan syndrome, and the 3rd, fatal arrythmia related to Wolff-Parkinson-White syndrome.
Measures to prevent the incidence are summed up as follows:
(1) Teachers, school doctors and hospital staffs should have closer contact
(2) We should critically review the standards for cardiac disease management and make a thorough examination of the heart at the time of regular health screening by several ways, such as UCG, Holter ECG and treadmill ECG, to find high-risk students.
(3) 60% of the cases of sudden death were of cardiac origin, and 40% were due to central nervous system disorder, bronchial asthma etc., so we should also watch over these conditions.View full abstractDownload PDF (2890K) -
Masahiro YAMADA, Hirohiko YAMASE, Hiroyuki NOSAKA, Mitsuru YAMAGUCHI, ...1996 Volume 45 Issue 1 Pages 47-51
Published: May 30, 1996
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSA 73-year-old man visited our hospital with complaints of fever, epigastric painand jaundice. Laboratory examinations showed elevation of GOT, GPT, ALP, LAP and amylase. Abdominal ultrasonography revealed gall bladder stones. Endoscopic findings showed parapapillary diverticulum, but the common bile duct stone was not revealed by endoscopic retrograde cholangiography. He was conservatively treated and then discharged. Two months after, the patient was readmitted for cholecystitis and underwent cholecystectomy. After further 2 months, he was again admitted for the same symptoms as those on first admission. We diagnosed this case as Lemmel's syndrome and performed emergency endoscopy. Endoscopic findings revealed the meal rest inside the parapapillary diverticulum. After we removed the meal rest obstructing the orifice of the papilla of Vater using grasping forceps, we performed EST. Purulent bile gushed out from the orifice. Two years have elapsed since them. Cholangitis has not recurred during this period. Therefore, we concluded that EST is effective in treating Lemmel's syndrome.View full abstractDownload PDF (10812K) -
1996 Volume 45 Issue 1 Pages 52-55
Published: May 30, 1996
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSDownload PDF (580K)
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