Journal of the Japanese Society of Pediatric Surgeons
Online ISSN : 2187-4247
Print ISSN : 0288-609X
ISSN-L : 0288-609X
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Volume 40, Issue 7
Displaying 1-50 of 66 articles from this issue
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  • [title in Japanese]
    Article type: Cover
    2004 Volume 40 Issue 7 Pages Cover1-
    Published: December 20, 2004
    Released on J-STAGE: January 01, 2017
    DOIhttps://doi.org/10.11164/jjsps.40.7_Cover1
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  • [title in Japanese]
    Article type: Cover
    2004 Volume 40 Issue 7 Pages Cover2-
    Published: December 20, 2004
    Released on J-STAGE: January 01, 2017
    DOIhttps://doi.org/10.11164/jjsps.40.7_Cover2
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  • [title in Japanese]
    Article type: Bibliography
    2004 Volume 40 Issue 7 Pages Misc1-
    Published: December 20, 2004
    Released on J-STAGE: January 01, 2017
    DOIhttps://doi.org/10.11164/jjsps.40.7_Misc1
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  • [title in Japanese]
    Article type: Appendix
    2004 Volume 40 Issue 7 Pages App1-
    Published: December 20, 2004
    Released on J-STAGE: January 01, 2017
    DOIhttps://doi.org/10.11164/jjsps.40.7_App1
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  • [title in Japanese]
    Article type: Appendix
    2004 Volume 40 Issue 7 Pages App2-
    Published: December 20, 2004
    Released on J-STAGE: January 01, 2017
    DOIhttps://doi.org/10.11164/jjsps.40.7_App2
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  • [title in Japanese]
    Article type: Appendix
    2004 Volume 40 Issue 7 Pages App3-
    Published: December 20, 2004
    Released on J-STAGE: January 01, 2017
    DOIhttps://doi.org/10.11164/jjsps.40.7_App3
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  • [title in Japanese]
    Article type: Appendix
    2004 Volume 40 Issue 7 Pages App4-
    Published: December 20, 2004
    Released on J-STAGE: January 01, 2017
    DOIhttps://doi.org/10.11164/jjsps.40.7_App4
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  • [title in Japanese]
    Article type: Appendix
    2004 Volume 40 Issue 7 Pages App5-
    Published: December 20, 2004
    Released on J-STAGE: January 01, 2017
    DOIhttps://doi.org/10.11164/jjsps.40.7_App5
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  • [title in Japanese]
    Article type: Appendix
    2004 Volume 40 Issue 7 Pages App6-
    Published: December 20, 2004
    Released on J-STAGE: January 01, 2017
    DOIhttps://doi.org/10.11164/jjsps.40.7_App6
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  • [title in Japanese]
    Article type: Appendix
    2004 Volume 40 Issue 7 Pages App7-
    Published: December 20, 2004
    Released on J-STAGE: January 01, 2017
    DOIhttps://doi.org/10.11164/jjsps.40.7_App7
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  • [title in Japanese]
    Article type: Appendix
    2004 Volume 40 Issue 7 Pages App8-
    Published: December 20, 2004
    Released on J-STAGE: January 01, 2017
    DOIhttps://doi.org/10.11164/jjsps.40.7_App8
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  • [title in Japanese]
    Article type: Appendix
    2004 Volume 40 Issue 7 Pages App9-
    Published: December 20, 2004
    Released on J-STAGE: January 01, 2017
    DOIhttps://doi.org/10.11164/jjsps.40.7_App9
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  • [title in Japanese]
    Article type: Appendix
    2004 Volume 40 Issue 7 Pages App10-
    Published: December 20, 2004
    Released on J-STAGE: January 01, 2017
    DOIhttps://doi.org/10.11164/jjsps.40.7_App10
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  • [title in Japanese]
    Article type: Appendix
    2004 Volume 40 Issue 7 Pages App11-
    Published: December 20, 2004
    Released on J-STAGE: January 01, 2017
    DOIhttps://doi.org/10.11164/jjsps.40.7_App11
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  • [title in Japanese]
    Article type: Appendix
    2004 Volume 40 Issue 7 Pages App12-
    Published: December 20, 2004
    Released on J-STAGE: January 01, 2017
    DOIhttps://doi.org/10.11164/jjsps.40.7_App12
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  • [title in Japanese]
    Article type: Index
    2004 Volume 40 Issue 7 Pages Toc1-
    Published: December 20, 2004
    Released on J-STAGE: January 01, 2017
    DOIhttps://doi.org/10.11164/jjsps.40.7_Toc1
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  • The Usefulness of a Laparoscopic Examination for a Unilateral Inguinal Hernia in Children
    Yoshiaki Kinoshita, Masayuki Kubota, Minoru Yagi, Naoki Okuyama, Sator ...
    Article type: Article
    2004 Volume 40 Issue 7 Pages 879-883
    Published: December 20, 2004
    Released on J-STAGE: January 01, 2017
    DOIhttps://doi.org/10.11164/jjsps.40.7_879
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    Purpose : Various procedures have been used for the treatment of unilateral inguinal hernia in children to detect the patency of contralateral processus vaginalis. We performed a laparoscopic contralateral examination and herein discuss the usefulness of this innovative method for making a precise diagnosis. Methods : Seventy-nine cases with unilateral inguinal hernia were examined. Using a 70° angle laparoscope, the shape of the internal inguinal ring could be classified into four types as follows: a Flat type, a Slit type, a Covered type, and a Hole type. Results : The Flat type was found in 40 cases, the Slit type was seen in 3 cases, the Covered type was observed in 28 cases, and the Hole type was present in 8 cases. The Slit type and the Covered type both tended to more frequently be recognized in boys. The findings of silk sign and the findings of a laparoscopic contralateral examination coincided in 63 out of 79 cases (79.7%). Conclusions : In both the Flat type (the peritoneum was completely closed) and the Hole type (the processus vaeinalis was almost always patent), patency could be easily identified. However, some Slit type and Covered type cases were difficult to diagnose. In such cases, using a probe or fine foreceps was found to be useful for making a diagnosis. Although a laparoscopic contralateral examination is superior to such conventional procedures as looking for a silk sign among others when making a diagnosis, the use of additional procedures is necessary to make a more definite diagnosis.
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  • A Case of Congenital Colonic Atresia With Heal Stenosis
    Ayako Takenouchi, Hideo Yoshida, Tadao Matsunaga, Katsunori Kouchi, Ya ...
    Article type: Article
    2004 Volume 40 Issue 7 Pages 884-889
    Published: December 20, 2004
    Released on J-STAGE: January 01, 2017
    DOIhttps://doi.org/10.11164/jjsps.40.7_884
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    A case of congenital colonic atresia with ileal stenosis is reported. A one-day-old boy was referred to our institution with abdominal distension and vomiting. Plain abdominal X-ray showed a hugely dilated loop in the right upper abdomen. A barium enema showed microcolon. During surgery, membranous stenosis of the ileum and type III atresia of the ascending colon were noted. The stenotic ileum was resected and anastomosed, and colostomy was constructed at the site of colonic atresia. At 3 months of age, colostomy was closed by anastomosing the site of atresia between the ascending colon and transverse colon. However, he underwent re-anastomosis 2 times because of anastomotic stricture. We reviewed 126 cases of colonic atresia in the Japanese literature. Atresias in the descending and sigmoid region should not be treated by primary anastomosis because the proximal colon is hugely dilated in general. It is difficult to preserve the ileocecal valve in the atresias proximal to the splenic flexure generally; however, delayed-primary anastomosis and decompression by tube enterostomy may increase the chance for preserving the ileocecal valve. In addition, in cases with associated birth defects, such as ileal stenosis or atresia, colostomy is recommended.
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  • Neonatal Testicular Torsion at Birth : A Report of a Case
    Ken-ichi Murakami, Hideo Takamatsu, Hiroyuki Tahara, Tatsuru Kaji, Hir ...
    Article type: Article
    2004 Volume 40 Issue 7 Pages 890-894
    Published: December 20, 2004
    Released on J-STAGE: January 01, 2017
    DOIhttps://doi.org/10.11164/jjsps.40.7_890
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    We report a neonatal case of testicular torsion. A 0-day-old boy presented with bilateral scrotal swelling at birth. A CT scan showed a non-homogenous mass without enhancement in the left scrotum and a hydrocele in the right scrotum. An ultrasonogram showed a low echoic lesion with a mosaic pattern in the left testis. Preoperative diagnosis was left testicular torsion. Operatively, the left testis was necrotic with 180° counter-clock wise torsion at operation. A resection of the left testis and fixation of the right were performed. It may be very difficult to make an accurate diagnosis in neonates with scrotal swelling. The prompt decision to operate is necessary to salvage the testis if testicular torsion is suspected. Because neonates with testicular torsion present few symptoms, we should take into account testicular torsion.
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  • Neonatal and Fetal Adrenal Hemorrhage, Two Case Reports
    Kumiko Kobayashi, Kouju Nitta, Shinichi Naitou, Yasushi Iinuma
    Article type: Article
    2004 Volume 40 Issue 7 Pages 895-900
    Published: December 20, 2004
    Released on J-STAGE: January 01, 2017
    DOIhttps://doi.org/10.11164/jjsps.40.7_895
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    Two cases of adrenal hemorrhage are reported. The first case is a 4-day-old male who had icterus. He presented with a high density mass in the right suprarenal region by CT. On follow-up examination 2 weeks after the first examination, the mass decreased in size and changed to a cystic mass. He was diagnosed as having right adrenal hemorrhage. The second case is a female neonate who had been diagnosed as having a right suprarenal cyst by US prenatally at 36 weeks of gestation. The cyst showed septa-like-lesion when she was 10 days old by US, but it decreased in size at the age of 2 months. She was diagnosed with right adrenal hemorrhage. Differentiation of an adrenal hemorrhage from cystic neuroblastoma is important, especially when it was found during a prenatal period. But, differential diagnosis is very difficult. We diagnosed that the masses of the 2 cases were adrenal hemorrhage by following them up for 2 months, and could avoid the need for surgery.
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  • A Case of Simple Ulcer With Heal Perforation at the Anal Side of Meckel's Diverticulum
    Daiji Iwami, Satoru Shimaoka, Izumi Mochizuki, Sadahide Ono
    Article type: Article
    2004 Volume 40 Issue 7 Pages 901-904
    Published: December 20, 2004
    Released on J-STAGE: January 01, 2017
    DOIhttps://doi.org/10.11164/jjsps.40.7_901
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    Simple ulcer is one of the rare intestinal diseases. It is characterized by intractable recurrent chronic ulcerative lesions in the bowel. We report a case of perforative simple ulcer of the distal ileum at the anal side of Meckel's diverticulum. A 9-year-old girl was admitted to the hospital developing right lower abdominal pain and muscle guarding. An emergency operation was performed under a diagnosis of acute appendicitis with peritonitis. At laparotomy, a punched-out perforated ulcer was observed at the mesenteric side of the ileum about 25cm proximal to the ileocaecal valve and 50cm distal to coexistent Meckel's diverticulum. No other lesions were noted in the colon or ileum. Partial resection of the ileum, diverticulectomy and appendectomy were carried out. Histological examination of the site of the perforation revealed only non-specific inflammation. and the diagnosis was simple ulcer of the ileum. Heterotopic pancreas was found in the diverticulum. The patient has been well without recurrence for 24 months.
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  • Intussusception in Siblings : A Case Report
    Rie Watanabe, Akira Toki, Masashi Yatsuzuka, Jun-ichi Suzuki, Komei Su ...
    Article type: Article
    2004 Volume 40 Issue 7 Pages 905-909
    Published: December 20, 2004
    Released on J-STAGE: January 01, 2017
    DOIhttps://doi.org/10.11164/jjsps.40.7_905
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    We report a pair of brothers who developed acute idiopathic ileocolic intussusceptions. In both cases they were admitted at the age of 2 years because of colicky abdominal pain and vomiting. Their laboratory data showed some infection before crisis. Hydrostatic reductions were made successfully after 9 hours duration. The barium enema showed the cecum mobile in the younger brother. Sixty-four cases including our case have been summarized. Five cases had anatomic abnormalities such as cecum mobility and malrotation. Although this abnormality was found in one sibling, the other, it was not found in. Common infection as an etiologic factor was recognized in 4 siblings. Etiology of intussusception in siblings depends on not only the anatomic factors but also environmental factors.
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  • A Novel Repair With Mesh Plug and on Lay Sheet in Recurrent Diaphragmatic Hernia
    Kiminobu Sugito, Tsugumichi Koshinaga, Mayumi Hoshino, Mikiya Inoue, H ...
    Article type: Article
    2004 Volume 40 Issue 7 Pages 910-913
    Published: December 20, 2004
    Released on J-STAGE: January 01, 2017
    DOIhttps://doi.org/10.11164/jjsps.40.7_910
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    Congenital diaphragmatic hernia (CHD) is one of the most challenging neonatal diagnoses faced by pediatric surgeons. When primary muscle closure is impossible, closing the defect with a prosthetic patch has become the standard of care. But there is a problem of recurrence. We experienced a case of a repair using a mesh plug in recurrent congenital diaphragmatic hernia. We show the advantages and demerits of this procedure.
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  • A Case of Juvenile Fibroadenoma in an Eleven-Month-Old Girl
    Kazuhiro Ohtsu, Yasuhiko Furuta, Yosiyuki Onitake
    Article type: Article
    2004 Volume 40 Issue 7 Pages 914-918
    Published: December 20, 2004
    Released on J-STAGE: January 01, 2017
    DOIhttps://doi.org/10.11164/jjsps.40.7_914
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    The case of an eleven-month-old girl with a juvenile fibroadenoma is reported. Enlargement of her right breast was noted since she was seven months old. On initial presentation to our hospital at ten months old, palpation revealed firm, well mobile, and non-tender mass without erythema in her right breast. The size of the tumor was 5cm in diameter. Fine needle aspiration cytology demonstrated class II, fibroadenoma. The patient underwent resection of the tumor at eleven months old through an inframammary incision sparing normal breast tissue, and the size of the tumor by palpation was 6cm in diameter. Histologic examination confirmed the diagnosis of juvenile fibroadenoma, and MIB-1 labeling index in stromal cells showed approximately 10%. At 18 months after operation, the patient is symptom-free and has had no recurrence.
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  • [title in Japanese]
    [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Article type: Article
    2004 Volume 40 Issue 7 Pages 919-934
    Published: December 20, 2004
    Released on J-STAGE: January 01, 2017
    DOIhttps://doi.org/10.11164/jjsps.40.7_919
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  • [title in Japanese]
    [in Japanese], [in Japanese], [in Japanese], [in Japanese]
    Article type: Article
    2004 Volume 40 Issue 7 Pages 935-
    Published: December 20, 2004
    Released on J-STAGE: January 01, 2017
    DOIhttps://doi.org/10.11164/jjsps.40.7_935_1
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  • [title in Japanese]
    [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Article type: Article
    2004 Volume 40 Issue 7 Pages 935-
    Published: December 20, 2004
    Released on J-STAGE: January 01, 2017
    DOIhttps://doi.org/10.11164/jjsps.40.7_935_2
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  • [title in Japanese]
    [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Article type: Article
    2004 Volume 40 Issue 7 Pages 935-
    Published: December 20, 2004
    Released on J-STAGE: January 01, 2017
    DOIhttps://doi.org/10.11164/jjsps.40.7_935_3
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  • [title in Japanese]
    [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Article type: Article
    2004 Volume 40 Issue 7 Pages 935-936
    Published: December 20, 2004
    Released on J-STAGE: January 01, 2017
    DOIhttps://doi.org/10.11164/jjsps.40.7_935_4
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  • [title in Japanese]
    [in Japanese], [in Japanese], [in Japanese]
    Article type: Article
    2004 Volume 40 Issue 7 Pages 936-
    Published: December 20, 2004
    Released on J-STAGE: January 01, 2017
    DOIhttps://doi.org/10.11164/jjsps.40.7_936_1
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  • [title in Japanese]
    [in Japanese], [in Japanese], [in Japanese]
    Article type: Article
    2004 Volume 40 Issue 7 Pages 936-
    Published: December 20, 2004
    Released on J-STAGE: January 01, 2017
    DOIhttps://doi.org/10.11164/jjsps.40.7_936_2
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  • [title in Japanese]
    [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Article type: Article
    2004 Volume 40 Issue 7 Pages 936-
    Published: December 20, 2004
    Released on J-STAGE: January 01, 2017
    DOIhttps://doi.org/10.11164/jjsps.40.7_936_3
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  • [title in Japanese]
    [in Japanese], [in Japanese], [in Japanese]
    Article type: Article
    2004 Volume 40 Issue 7 Pages 936-
    Published: December 20, 2004
    Released on J-STAGE: January 01, 2017
    DOIhttps://doi.org/10.11164/jjsps.40.7_936_4
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  • [title in Japanese]
    [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Article type: Article
    2004 Volume 40 Issue 7 Pages 936-937
    Published: December 20, 2004
    Released on J-STAGE: January 01, 2017
    DOIhttps://doi.org/10.11164/jjsps.40.7_936_5
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  • [title in Japanese]
    [in Japanese], [in Japanese], [in Japanese]
    Article type: Article
    2004 Volume 40 Issue 7 Pages 937-
    Published: December 20, 2004
    Released on J-STAGE: January 01, 2017
    DOIhttps://doi.org/10.11164/jjsps.40.7_937_1
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  • [title in Japanese]
    [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Article type: Article
    2004 Volume 40 Issue 7 Pages 937-
    Published: December 20, 2004
    Released on J-STAGE: January 01, 2017
    DOIhttps://doi.org/10.11164/jjsps.40.7_937_2
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  • [title in Japanese]
    [in Japanese], [in Japanese], [in Japanese]
    Article type: Article
    2004 Volume 40 Issue 7 Pages 937-
    Published: December 20, 2004
    Released on J-STAGE: January 01, 2017
    DOIhttps://doi.org/10.11164/jjsps.40.7_937_3
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  • [title in Japanese]
    [in Japanese], [in Japanese], [in Japanese], [in Japanese]
    Article type: Article
    2004 Volume 40 Issue 7 Pages 937-938
    Published: December 20, 2004
    Released on J-STAGE: January 01, 2017
    DOIhttps://doi.org/10.11164/jjsps.40.7_937_4
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  • [title in Japanese]
    [in Japanese], [in Japanese], [in Japanese], [in Japanese]
    Article type: Article
    2004 Volume 40 Issue 7 Pages 938-
    Published: December 20, 2004
    Released on J-STAGE: January 01, 2017
    DOIhttps://doi.org/10.11164/jjsps.40.7_938_1
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  • [title in Japanese]
    [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Article type: Article
    2004 Volume 40 Issue 7 Pages 938-
    Published: December 20, 2004
    Released on J-STAGE: January 01, 2017
    DOIhttps://doi.org/10.11164/jjsps.40.7_938_2
    JOURNAL FREE ACCESS
    Download PDF (202K)
  • [title in Japanese]
    [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Article type: Article
    2004 Volume 40 Issue 7 Pages 938-
    Published: December 20, 2004
    Released on J-STAGE: January 01, 2017
    DOIhttps://doi.org/10.11164/jjsps.40.7_938_3
    JOURNAL FREE ACCESS
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  • [title in Japanese]
    [in Japanese], [in Japanese], [in Japanese]
    Article type: Article
    2004 Volume 40 Issue 7 Pages 938-
    Published: December 20, 2004
    Released on J-STAGE: January 01, 2017
    DOIhttps://doi.org/10.11164/jjsps.40.7_938_4
    JOURNAL FREE ACCESS
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  • [title in Japanese]
    [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Article type: Article
    2004 Volume 40 Issue 7 Pages 939-
    Published: December 20, 2004
    Released on J-STAGE: January 01, 2017
    DOIhttps://doi.org/10.11164/jjsps.40.7_939_1
    JOURNAL FREE ACCESS
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  • [title in Japanese]
    [in Japanese], [in Japanese], [in Japanese], [in Japanese]
    Article type: Article
    2004 Volume 40 Issue 7 Pages 939-
    Published: December 20, 2004
    Released on J-STAGE: January 01, 2017
    DOIhttps://doi.org/10.11164/jjsps.40.7_939_2
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  • [title in Japanese]
    Article type: Appendix
    2004 Volume 40 Issue 7 Pages 940-945
    Published: December 20, 2004
    Released on J-STAGE: January 01, 2017
    DOIhttps://doi.org/10.11164/jjsps.40.7_940
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  • [title in Japanese]
    Article type: Appendix
    2004 Volume 40 Issue 7 Pages 946-948
    Published: December 20, 2004
    Released on J-STAGE: January 01, 2017
    DOIhttps://doi.org/10.11164/jjsps.40.7_946
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  • [title in Japanese]
    Article type: Appendix
    2004 Volume 40 Issue 7 Pages 949-986
    Published: December 20, 2004
    Released on J-STAGE: January 01, 2017
    DOIhttps://doi.org/10.11164/jjsps.40.7_949
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  • [title in Japanese]
    Article type: Appendix
    2004 Volume 40 Issue 7 Pages 987-1000
    Published: December 20, 2004
    Released on J-STAGE: January 01, 2017
    DOIhttps://doi.org/10.11164/jjsps.40.7_987
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  • [title in Japanese]
    Article type: Appendix
    2004 Volume 40 Issue 7 Pages A1-A7
    Published: December 20, 2004
    Released on J-STAGE: January 01, 2017
    DOIhttps://doi.org/10.11164/jjsps.40.7_A1
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  • [title in Japanese]
    Article type: Appendix
    2004 Volume 40 Issue 7 Pages B1-B6
    Published: December 20, 2004
    Released on J-STAGE: January 01, 2017
    DOIhttps://doi.org/10.11164/jjsps.40.7_B1
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