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 41, Issue 6

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[title in Japanese]

Article type: Cover
2005 Volume 41 Issue 6 Pages Cover1-
Published: October 20, 2005
Released on J-STAGE: January 01, 2017

DOIhttps://doi.org/10.11164/jjsps.41.6_Cover1

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[title in Japanese]

Article type: Cover
2005 Volume 41 Issue 6 Pages Cover2-
Published: October 20, 2005
Released on J-STAGE: January 01, 2017

DOIhttps://doi.org/10.11164/jjsps.41.6_Cover2

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[title in Japanese]

Article type: Appendix
2005 Volume 41 Issue 6 Pages App1-
Published: October 20, 2005
Released on J-STAGE: January 01, 2017

DOIhttps://doi.org/10.11164/jjsps.41.6_App1

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[title in Japanese]

Article type: Appendix
2005 Volume 41 Issue 6 Pages App2-
Published: October 20, 2005
Released on J-STAGE: January 01, 2017

DOIhttps://doi.org/10.11164/jjsps.41.6_App2

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[title in Japanese]

Article type: Appendix
2005 Volume 41 Issue 6 Pages App3-
Published: October 20, 2005
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DOIhttps://doi.org/10.11164/jjsps.41.6_App3

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[title in Japanese]

Article type: Appendix
2005 Volume 41 Issue 6 Pages App4-
Published: October 20, 2005
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DOIhttps://doi.org/10.11164/jjsps.41.6_App4

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[title in Japanese]

Article type: Appendix
2005 Volume 41 Issue 6 Pages App5-
Published: October 20, 2005
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DOIhttps://doi.org/10.11164/jjsps.41.6_App5

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[title in Japanese]

Article type: Appendix
2005 Volume 41 Issue 6 Pages App6-
Published: October 20, 2005
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DOIhttps://doi.org/10.11164/jjsps.41.6_App6

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[title in Japanese]

Article type: Appendix
2005 Volume 41 Issue 6 Pages App7-
Published: October 20, 2005
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DOIhttps://doi.org/10.11164/jjsps.41.6_App7

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[title in Japanese]

Article type: Appendix
2005 Volume 41 Issue 6 Pages App8-
Published: October 20, 2005
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DOIhttps://doi.org/10.11164/jjsps.41.6_App8

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[title in Japanese]

Article type: Appendix
2005 Volume 41 Issue 6 Pages App9-
Published: October 20, 2005
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DOIhttps://doi.org/10.11164/jjsps.41.6_App9

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[title in Japanese]

Article type: Appendix
2005 Volume 41 Issue 6 Pages App10-
Published: October 20, 2005
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DOIhttps://doi.org/10.11164/jjsps.41.6_App10

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[title in Japanese]

Article type: Appendix
2005 Volume 41 Issue 6 Pages App11-
Published: October 20, 2005
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DOIhttps://doi.org/10.11164/jjsps.41.6_App11

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[title in Japanese]

Article type: Appendix
2005 Volume 41 Issue 6 Pages App12-
Published: October 20, 2005
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DOIhttps://doi.org/10.11164/jjsps.41.6_App12

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[title in Japanese]

Article type: Appendix
2005 Volume 41 Issue 6 Pages App13-
Published: October 20, 2005
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DOIhttps://doi.org/10.11164/jjsps.41.6_App13

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[title in Japanese]

Article type: Appendix
2005 Volume 41 Issue 6 Pages App14-
Published: October 20, 2005
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DOIhttps://doi.org/10.11164/jjsps.41.6_App14

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[title in Japanese]

Article type: Appendix
2005 Volume 41 Issue 6 Pages App15-
Published: October 20, 2005
Released on J-STAGE: January 01, 2017

DOIhttps://doi.org/10.11164/jjsps.41.6_App15

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[title in Japanese]

Article type: Index
2005 Volume 41 Issue 6 Pages Toc1-
Published: October 20, 2005
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DOIhttps://doi.org/10.11164/jjsps.41.6_Toc1

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[title in Japanese]

[in Japanese]

Article type: Article
2005 Volume 41 Issue 6 Pages 773-775
Published: October 20, 2005
Released on J-STAGE: January 01, 2017

DOIhttps://doi.org/10.11164/jjsps.41.6_773

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Twenty-Eight Cases of Surgical Treatment for Gastrointestinal Perforation in Newborn Infants

Tomoko Yamamoto, Katsumi Yoshizawa, Shinpachi Ishizone, Tomohiko Nakam ...

Article type: Article
2005 Volume 41 Issue 6 Pages 776-782
Published: October 20, 2005
Released on J-STAGE: January 01, 2017

DOIhttps://doi.org/10.11164/jjsps.41.6_776

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Purpose : Infants, especially extremely low birth weight infants, continue to have a high mortality after gastrointestinal perforation. This report describes 28 patients with gastrointestinal perforation and what factors determine the prognosis. Methods : During the period from 1993 to 2002, 28 cases of gastrointestinal perforation in neonates were treated surgically in our hospital. The overall mortality rate was 32.1% (9 of 28). All 14 infants weighing more than 1,000g survived; however, 9 of the 14 infants weighing less than 1,000g died, and their mortality rate was 64.3%. The site of perforation was the small bowel in 23, colon in 2, gastric in 2, and duodenal in 1. All 28 infants underwent direct treatment for perforation : ileostomy (11), resection with anastomosis and ileostomy (9), or only primary closure of the perforation (8). We compared the survival group with the death group in terms of various factors. Results : The mean birth weight was 2,269.7g, and the mean gestational age was 33 weeks 3 days in survival group. On the other hand, the mean birth weight was 698.8g, and the mean gestational age was 24 weeks 6 days death group. Although the morbidity of patent ductus arteriosus and postoperative DIC in the death group were high, there was no difference in other factors. The main cause of death was immaturity of systems and overwhelming infection. Conclusion : The most important points in management for infants with gastrointestinal perforation are early direct treatment for perforation and control of systemic infection.

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Treatment of Vaginal Agenesis With a Functioning Uterus : Two Cases Presenting With Acute Abdomen

Etsuji Ukiyama, Yasuo Ito, Yuji Nirasawa, Yoshiko Watanabe, Fumiko Yos ...

Article type: Article
2005 Volume 41 Issue 6 Pages 783-788
Published: October 20, 2005
Released on J-STAGE: January 01, 2017

DOIhttps://doi.org/10.11164/jjsps.41.6_783

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Two patients presented to our hospital with acute abdomen. These fourteen-year-old and fifteen-year-old girls were suffering from hydrometrocolpos with lower vaginal agenesis and functioning uterus. Emergency operations were undertaken for drainage of the hydrometrocolpos. The drainage operation from the vestibule failed and exploration was needed for drainage. After drainage, extension of the vestibular epithelium was performed by the Frank procedure. The epithelium was elongated to 4.5 and 3.7cm. The hydrometrocolpos and the lower vagina were anastomosed nine and five months after the drainage. After the operation, a "prosthesis" was inserted to the neovagina. The Frank procedure has drawbacks as well as advantages. The drawbacks are the longer period needed for treatment, the skill necessary for elongation and patient cooperation. The advantages are cosmetic outcome and minimum intervention. The patients and their families are satisfied with the results.

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Massive Bowel Necrosis Caused by Acute Superior Mesenteric and Portal Vein Thrombosis With Antithrombin III Deficiency : A Case Report

Masayuki Obatake, Tomoko Tanaka, Kenji Tanaka, Takeshi Nagayasu

Article type: Article
2005 Volume 41 Issue 6 Pages 789-795
Published: October 20, 2005
Released on J-STAGE: January 01, 2017

DOIhttps://doi.org/10.11164/jjsps.41.6_789

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Acute mesenteric and portal vein thrombosis (MVT) is a relatively rare disease, and is generally difficult to diagnosis. Initial treatment can tend to be delayed and the condition can be fatal. Recently, in line with the increased recognition of disorders predisposing to MVT, some cases of MVT were explained as some systemic hypercoagulable states such as deficiency of antithrombin III (AT-III), protein S, or protein C. AT-III deficiency accounts for approximately 1-2% of venous thrombosis. We present a 17-year-old girl with acute superior mesenteric vein and portal vein thrombosis, which was associated with extensive infarcted bowel and required an emergency operation with the massive bowel resection. Postoperative thrombolysis was carried out by continuous infusion of urokinase at a dosage of 60,000U/24hr and 15,000U/24hr of heparin sodium via a portal vein catheter. A totally planted venous access system was made on her left chest wall for total parenteral nutrition because of her short bowel disease. In a search for the etiology of the thrombosis, repeated laboratory examination showed that only AT-III activity continued at a low level of 23-30% (reference value : 79-121).

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A Definitive Surgery for Hirschsprung's Disease for a 14-Year-Old Male Patient

Tohru Nishimura, Takashi Shimotake, Tomoki Tsuda, Shigeyoshi Aoi, Eiic ...

Article type: Article
2005 Volume 41 Issue 6 Pages 796-800
Published: October 20, 2005
Released on J-STAGE: January 01, 2017

DOIhttps://doi.org/10.11164/jjsps.41.6_796

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The authors describe a 14-year-old male patient with Hirschsprung's disease who underwent surgery at the age of 14. This male patient complained of severe constipation since infancy and had been treated conservatively with no definitive diagnosis. He was referred to our institution for detailed diagnosis for his constipation at the age of 12. The barium enema study showed a remarkable megarectum, and anorectal manometric study and histochemistry of rectal biopsy specimens revealed typical findings of Hirschsprung's disease (short segmental aganglionosis). He was surgically treated with a Duhamel's operation using a 100mm autosuture device (United States Surgical Co., model ILA 100, Norwalk, CT) and showed favorable results.

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Intrathoracic Appendicitis Within a Diaphragmatic Hernia : A Case Report

Narito Takada, Takeshi Yamanouchi, Tomoaki Taguchi, Masatoshi Nakamura ...

Article type: Article
2005 Volume 41 Issue 6 Pages 801-805
Published: October 20, 2005
Released on J-STAGE: January 01, 2017

DOIhttps://doi.org/10.11164/jjsps.41.6_801

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A case report is presented of an 11-year-old girl with a diaphragmatic hernia and a perforated appendix localized in the left thoracic cavity. Occurrence of acute appendicitis in the left thoracic cavity is an extremely rare condition and only six cases have been reported to date. A review of the literature on this subject is given.

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A Case of Gastric Trichobezoar in an Eight-Year-Old Girl

Hisamitsu Shinohara, Takehito Oshio, Takahiro Asakawa, Akira Nii

Article type: Article
2005 Volume 41 Issue 6 Pages 806-809
Published: October 20, 2005
Released on J-STAGE: January 01, 2017

DOIhttps://doi.org/10.11164/jjsps.41.6_806

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To our knowledge, there have been only 60 cases of trichobezoar reported in Japanese literature. We present such a case of gastric trichobezoar in childhood. An 8-year-old girl was bullied for about one year, and trichocryptomania was noted at the same time. She was transferred to our institute because of an abdominal mass and pain. An abdominal CT scan revealed a high density mass located inside of her stomach. Under general anesthesia, the mass was confirmed to be trichobezoar located inside her stomach using gastrofiberscopy. To remove the trichobezoar with gastrofiberscope was thought to be difficult because it was huge. Therefore, laparotomy was done and the trichobezoar was removed from the stomach and duodenum. The post-operative course was uneventful. The removed mass was 14×6×4cm in size and 272g in weight. She needed counseling by a psychiatrist.

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A Case of Nodular Lymphocyte Predominant Hodgkin Lymphoma in Childhood

Minoru Iwasaki, Eiji Yamamoto, Ryoh Kamimura, Tetsuji Hanafusa

Article type: Article
2005 Volume 41 Issue 6 Pages 810-814
Published: October 20, 2005
Released on J-STAGE: January 01, 2017

DOIhttps://doi.org/10.11164/jjsps.41.6_810

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We report a rare case of nodular lymphocyte predominant Hodgkin lymphoma (NLPHL) in a 5-year-old boy. A soft elastic tumor was palpable on the left thigh area near the inguinal portion. Immunohistochemical techniques were used for diagnosis and a differential diagnosis of T-cell-rich large B-cell lymphoma was considered. Because B-cell nodules were present, diagnosis was confirmed as a variant of T-cell-rich nodular patterns in NLPHL. Patient's clinical grade was Stage IA according to Ann Arbor's classification. NLPHL is a distinct clinico-pathological entity with a favorable prognosis. Epstein-Barr Virus (EBV) has been associated with Hodgkin lymphoma, and it is thus necessary to investigate the EBV-genome and EBV-encoded RNA (EBER) by polymerase chain reaction (PCR). Radiotherapy and chemotherapy, alone or in combination, are curative treatment methods in the early stages of Hodgkin lymphoma. The choice of treatment depends on disease stage, histological type and tumor localization, as well as on other prognostic factors. After considering the impact of radiotherapy on the child, hybrid chemotherapy was performed.

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A Case of Multiple Pulmonary Sclerosing Hemangioma in a Child

Junpei Miyamoto, Shoichiro Kamagata, Seiichi Hirobe, Mitsuhiro Yoshida ...

Article type: Article
2005 Volume 41 Issue 6 Pages 815-819
Published: October 20, 2005
Released on J-STAGE: January 01, 2017

DOIhttps://doi.org/10.11164/jjsps.41.6_815

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A 14-year-old girl had Mycoplasma pneumonia with onset of cough and fever. At that time multiple masses of the left inferior lobe were found on a chest X-ray film. After relief of pneumonia, left inferior lobectomy was performed and the pathological diagnosis was sclerosing hemangioma. Sclerosing hemangioma of the lung is common in middle-aged woman, and rare in children. A case of multiple masses is also rare. We discussed the difficulty of preoperative diagnosis and surgical management of sclerosing hemangioma of the lung.

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[title in Japanese]

[in Japanese]

Article type: Article
2005 Volume 41 Issue 6 Pages 820-822
Published: October 20, 2005
Released on J-STAGE: January 01, 2017

DOIhttps://doi.org/10.11164/jjsps.41.6_820

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[title in Japanese]

[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...

Article type: Article
2005 Volume 41 Issue 6 Pages 823-
Published: October 20, 2005
Released on J-STAGE: January 01, 2017

DOIhttps://doi.org/10.11164/jjsps.41.6_823_1

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[title in Japanese]

[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...

Article type: Article
2005 Volume 41 Issue 6 Pages 823-
Published: October 20, 2005
Released on J-STAGE: January 01, 2017

DOIhttps://doi.org/10.11164/jjsps.41.6_823_2

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[title in Japanese]

[in Japanese], [in Japanese], [in Japanese], [in Japanese]

Article type: Article
2005 Volume 41 Issue 6 Pages 823-
Published: October 20, 2005
Released on J-STAGE: January 01, 2017

DOIhttps://doi.org/10.11164/jjsps.41.6_823_3

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[title in Japanese]

[in Japanese], [in Japanese], [in Japanese]

Article type: Article
2005 Volume 41 Issue 6 Pages 823-824
Published: October 20, 2005
Released on J-STAGE: January 01, 2017

DOIhttps://doi.org/10.11164/jjsps.41.6_823_4

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[title in Japanese]

[in Japanese], [in Japanese], [in Japanese], [in Japanese]

Article type: Article
2005 Volume 41 Issue 6 Pages 824-
Published: October 20, 2005
Released on J-STAGE: January 01, 2017

DOIhttps://doi.org/10.11164/jjsps.41.6_824_1

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[title in Japanese]

[in Japanese], [in Japanese], [in Japanese]

Article type: Article
2005 Volume 41 Issue 6 Pages 824-
Published: October 20, 2005
Released on J-STAGE: January 01, 2017

DOIhttps://doi.org/10.11164/jjsps.41.6_824_2

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[title in Japanese]

[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...

Article type: Article
2005 Volume 41 Issue 6 Pages 824-
Published: October 20, 2005
Released on J-STAGE: January 01, 2017

DOIhttps://doi.org/10.11164/jjsps.41.6_824_3

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[title in Japanese]

[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...

Article type: Article
2005 Volume 41 Issue 6 Pages 824-825
Published: October 20, 2005
Released on J-STAGE: January 01, 2017

DOIhttps://doi.org/10.11164/jjsps.41.6_824_4

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[title in Japanese]

[in Japanese], [in Japanese]

Article type: Article
2005 Volume 41 Issue 6 Pages 825-
Published: October 20, 2005
Released on J-STAGE: January 01, 2017

DOIhttps://doi.org/10.11164/jjsps.41.6_825_1

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[title in Japanese]

[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...

Article type: Article
2005 Volume 41 Issue 6 Pages 825-
Published: October 20, 2005
Released on J-STAGE: January 01, 2017

DOIhttps://doi.org/10.11164/jjsps.41.6_825_2

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[title in Japanese]

[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...

Article type: Article
2005 Volume 41 Issue 6 Pages 825-
Published: October 20, 2005
Released on J-STAGE: January 01, 2017

DOIhttps://doi.org/10.11164/jjsps.41.6_825_3

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[title in Japanese]

[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...

Article type: Article
2005 Volume 41 Issue 6 Pages 825-826
Published: October 20, 2005
Released on J-STAGE: January 01, 2017

DOIhttps://doi.org/10.11164/jjsps.41.6_825_4

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[title in Japanese]

[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...

Article type: Article
2005 Volume 41 Issue 6 Pages 826-
Published: October 20, 2005
Released on J-STAGE: January 01, 2017

DOIhttps://doi.org/10.11164/jjsps.41.6_826_1

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[title in Japanese]

[in Japanese], [in Japanese], [in Japanese], [in Japanese]

Article type: Article
2005 Volume 41 Issue 6 Pages 826-
Published: October 20, 2005
Released on J-STAGE: January 01, 2017

DOIhttps://doi.org/10.11164/jjsps.41.6_826_2

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[title in Japanese]

[in Japanese], [in Japanese], [in Japanese]

Article type: Article
2005 Volume 41 Issue 6 Pages 826-
Published: October 20, 2005
Released on J-STAGE: January 01, 2017

DOIhttps://doi.org/10.11164/jjsps.41.6_826_3

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[title in Japanese]

[in Japanese], [in Japanese], [in Japanese]

Article type: Article
2005 Volume 41 Issue 6 Pages 826-
Published: October 20, 2005
Released on J-STAGE: January 01, 2017

DOIhttps://doi.org/10.11164/jjsps.41.6_826_4

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[title in Japanese]

[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...

Article type: Article
2005 Volume 41 Issue 6 Pages 827-
Published: October 20, 2005
Released on J-STAGE: January 01, 2017

DOIhttps://doi.org/10.11164/jjsps.41.6_827_1

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[title in Japanese]

[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...

Article type: Article
2005 Volume 41 Issue 6 Pages 827-
Published: October 20, 2005
Released on J-STAGE: January 01, 2017

DOIhttps://doi.org/10.11164/jjsps.41.6_827_2

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[title in Japanese]

[in Japanese], [in Japanese]

Article type: Article
2005 Volume 41 Issue 6 Pages 827-
Published: October 20, 2005
Released on J-STAGE: January 01, 2017

DOIhttps://doi.org/10.11164/jjsps.41.6_827_3

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[title in Japanese]

[in Japanese], [in Japanese], [in Japanese], [in Japanese]

Article type: Article
2005 Volume 41 Issue 6 Pages 827-828
Published: October 20, 2005
Released on J-STAGE: January 01, 2017

DOIhttps://doi.org/10.11164/jjsps.41.6_827_4

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[title in Japanese]

[in Japanese], [in Japanese], [in Japanese]

Article type: Article
2005 Volume 41 Issue 6 Pages 828-
Published: October 20, 2005
Released on J-STAGE: January 01, 2017

DOIhttps://doi.org/10.11164/jjsps.41.6_828_1

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[title in Japanese]

[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...

Article type: Article
2005 Volume 41 Issue 6 Pages 828-
Published: October 20, 2005
Released on J-STAGE: January 01, 2017

DOIhttps://doi.org/10.11164/jjsps.41.6_828_2

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