The Journal of the Japan Society for Respiratory Endoscopy
Online ISSN : 2186-0149
Print ISSN : 0287-2137
ISSN-L : 0287-2137
Volume 10 , Issue 3
Showing 1-50 articles out of 63 articles from the selected issue
  • Type: Cover
    1988 Volume 10 Issue 3 Pages Cover1-
    Published: September 25, 1988
    Released: September 15, 2016
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  • Type: Cover
    1988 Volume 10 Issue 3 Pages Cover2-
    Published: September 25, 1988
    Released: September 15, 2016
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  • Type: Appendix
    1988 Volume 10 Issue 3 Pages App1-
    Published: September 25, 1988
    Released: September 15, 2016
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  • Type: Appendix
    1988 Volume 10 Issue 3 Pages App2-
    Published: September 25, 1988
    Released: September 15, 2016
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  • Type: Appendix
    1988 Volume 10 Issue 3 Pages App3-
    Published: September 25, 1988
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  • Type: Appendix
    1988 Volume 10 Issue 3 Pages App4-
    Published: September 25, 1988
    Released: September 15, 2016
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  • Type: Appendix
    1988 Volume 10 Issue 3 Pages App5-
    Published: September 25, 1988
    Released: September 15, 2016
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  • Type: Index
    1988 Volume 10 Issue 3 Pages Toc1-
    Published: September 25, 1988
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  • Type: Index
    1988 Volume 10 Issue 3 Pages Toc2-
    Published: September 25, 1988
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  • [in Japanese]
    Type: Article
    1988 Volume 10 Issue 3 Pages 233-
    Published: September 25, 1988
    Released: September 15, 2016
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  • Atsushi Uehara
    Type: Article
    1988 Volume 10 Issue 3 Pages 234-244
    Published: September 25, 1988
    Released: September 15, 2016
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    A transbronchial ultrasonographic diagnosis was performed 18 cases with lesions in the lungs and the mediastinum in order to analyze the foci around the airway. The transducer used was a convex type with a transmission frequency of 7.5 MHz. The maximam diameter of the tip is 12 mm and the resulting sector fild has divergence of 34°. After local anesthesia, similar to that used in routine bronchofiberscopy, the transducer was orally led into the airway by the bronchofiberscope which was introduced nasally. The location of the transducer in the airway was confirmed by X-ray TV fluoroscope. The contact betwen the transducer and the airway was obtained by pressing an up-down maneuverable tip into the wall. Trans-airway access enabled observation of the mediastinum and the hilar region around the airway without effects due to the air present in the airway. The thoracic aorta, truncus brachiocephalicus and pulmonary artery were well visualized and the possibility of detecting vascular invasion of tumor was suggested. The mediastinal pleura was clealy observed and T 3, as distinguished from T 4, could be diagnosed through observation pleural invasion of lung cancer. Tumors could be distinguished from lymph nodes.
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  • Hidehiko Yamamoto, Masahiro Fukuoka, Shinei Ryu, Shunichi Negoro, Mino ...
    Type: Article
    1988 Volume 10 Issue 3 Pages 245-249
    Published: September 25, 1988
    Released: September 15, 2016
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    We reviewed fiberoptic bronchoscopic findings of 26 patients diagnosed histologically by transbronchial lung biopsy as having pulmonary carcinomatous lymphangiosis, consisting of 14 with lung cancer, 8 with gastric cancer, 1 with breast cancer, 1 with ovarian cancer, 1 with liver cancer and 1 with cancer of unknown primary site. Bronchoscopic findings were as follows : Of the 14 patients with primary lung cancer, 13 patients (93%) showed submucosal tumor invasion. Of the 11 patients in whom the primary sites were other than the lungs. 6 (55%) showed submucosal tumor invasion and 5 almost normal finding. Bronchoscopic findings of 7 patients diagnosed as having lymphangitis carcinomatosis by peripheral lung biopsy were nearly normal. These results suggest the possibility that cancer cells in lymphangitis carcinomatosa spread into the lymphastics after intravascular tumor embolization.
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  • Yukio Saitoh, Takehiko Fujisawa, Yutaka Yamaguchi, Masayuki Baba, Naom ...
    Type: Article
    1988 Volume 10 Issue 3 Pages 250-255
    Published: September 25, 1988
    Released: September 15, 2016
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    Twelve patients treated with Nd : YAG laser for airway stenosis caused by non-tumorous lesions were studied. Eight of 12 patients had granulomas after surgical treatment, such as tracheostomy, endotracheal intubation and sleeve lobectomy, two had tuberculosis, one had broncholithiasis and one had psittacosis with tracheal granuloma. Seven patients with granulomas and one with broncholithiasis were successfully managed by bronchoscopic Nd : YAG laser irradiation. In these cases, the stenotic lesions were shorter than 2 cm in length and were non-circumferential except two cases after sleeve lobectomy. Two cases with tuberculosis and two with circumferential granulomas caused by tracheal tube cuffs resulted in failure. The stenosis length in these cases were greater than 3 cm. We think that Nd : YAG laser treatment can be useful for stenosis caused by non-tumorous lesion in cases with the following three factors : non-tuberculous lesion ; stenosis length shorter than 2 cm ; and non-circumferential stenosis.
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  • Kang Hsu, Chien Yeh Shen, Shang Jyh Kao
    Type: Article
    1988 Volume 10 Issue 3 Pages 256-263
    Published: September 25, 1988
    Released: September 15, 2016
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    We compared bronchial responsiveness to a simplified method of eucapnic hyperventilation with dry air at an ambient temperature delivered by a simplified system, with eucapnic cold dry air hyperventilation in 20 normal subjects and 20 asthmatic patients. Ventilation calculated to cause a 40% decrease in specific airway conductance for these two methods was almost identical (P>0.05) both in normal subjects (115.45±39.18 and 120.53±59.07 L/min respectively) and asthmatic patients (39.00±12.50 and 38.88±15.14 L/min respectively) ; and they all correlated well with the methacholine inhalation test. All three challenge techniques were almost equally accurate in separating normal and asthmatic subjects. The end-tidal PCO_2 measured by a capnograph confirmed that a single fraction of inspired CO_2 (4.9%) will produce near normal end-tidal CO_2 over a wide range of hyperventilation. The results indicate that this simplified system makes it possible to perform eucapnic hyperventilation challenge without requiring a cooling system or CO_2 monitoring equipment and show that it is potentially a very useful clinical and investigative tool.
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  • Kazumasa Miura, Tadashi Uyama, Kunihiko Harada, Yasumasa Monden
    Type: Article
    1988 Volume 10 Issue 3 Pages 264-269
    Published: September 25, 1988
    Released: September 15, 2016
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    In our previous report, we described the experimental repair of the membranous portion of the trachea with a muscular flap which resulted in airway stenosis at 1 week after the operation. In this study, the healing process of the repair of the membranous portion with a muscular flap and Marlex mesh was investigated in 9 dogs. Bronchoscopically, no airway stenosis was observed in any dog. At 4 weeks after the opertion, almost normal tracheal findings were observed. Histologically, limited epithelization at the margin of the flap was observed at 1 week after the operation and the ciliated epithelium covered the entire surface of the flap at 4 weeks after the operation. The inflammatory changes of the muscle were less than those repaired with the muscle flap only.
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  • Masao Tomita, Tomonori Nakazone, Hideki Taniguchi, Tadayuki Oka, Thoru ...
    Type: Article
    1988 Volume 10 Issue 3 Pages 270-274
    Published: September 25, 1988
    Released: September 15, 2016
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    Usefulness of omental wrapping for promotion of wound healing at bronchial anastomosis was histogically evaluated in comparison with pericardial wrapping. Omental wrapping was of great benefit in eliminating inflammatory reactions at anastomosis, suggesting a main role of antinflammatory action of macrophage migrated around the anastomotic site and useful in generating fibroblast and collagen fiber.
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  • Yoichiro Ichikawa, Mikio Kuboshiro, Naoto Tokunaga, Masahide Kaji, Ken ...
    Type: Article
    1988 Volume 10 Issue 3 Pages 275-281
    Published: September 25, 1988
    Released: September 15, 2016
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    It is known that localized pathological conditions of the lung can be detected by bronchoalveolar lavage fluid (BALF). We have produced granulomatous interstitial pneumonia in rabbit, which was histopathologically quite similar to hypersensitivity pneumonitis in human, when OA+MDP was given by repeated aspiration, and observed the transition of cellular components in BALF and specific anti OA antibody titers over the passage of time. As compared with a group that was made to inhale saline, the total number of cells in BALF significantly increased a week after inhalation of OA+MDP. Although lymphocytes and neutrophils notably increased in BALF, alveolar macrophages that also increased showed a variety of pictures of irregular sizes, and these cells in BALF continued to increase even 4 weeks after inhalation. Concerning specific anti OA antibodies in BALF, IgG antibody in the group that inhaled OA+MDP showed, in the first place, an appreciable increase a week after inhalation, compared with that of the saline group, followed by an increase of IgG antibody in order. It was suggested from analysis of BALF that MDP given by aspiration acts as an adjuvant in the induction of ganulomatous pneumonia without waning.
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  • Shigeru Komatsu, Masahiro Nakamura, Yasuo Tomita, Shirou Tokisawa, Fum ...
    Type: Article
    1988 Volume 10 Issue 3 Pages 282-288
    Published: September 25, 1988
    Released: September 15, 2016
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    A 64-year-old man was hospitalized because of pneumonia. After the pneumonia was resolved by administration of antibiotics, a tumor-like shadow was noted in the superior portion of the hilus of the left lung on chest X-ray and bronchoscopy was performed. Tumors were observed at four positions ; right B^2, right B^6, left B^<1+2>, and the left basal bronchus. All were proven to be well differentiated squamous cell carcinoma by biopsy. All four tumors were polypoid tumors projecting into the bronchial lumen and showed similar appearance and were not continuous. Therefore this case was diagnosed as primary quadruple lung cancers. We considered that surgery was not indicated so we conducted chemotherapy. As a result, remission of all four tumors was obtained and the patient is alive at present.
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  • Keizi Kanma, Yasuki Saito, Tadasi Imai, Noriyosi Nagamoto, Shinichiro ...
    Type: Article
    1988 Volume 10 Issue 3 Pages 289-294
    Published: September 25, 1988
    Released: September 15, 2016
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    A 67 year-old man was admitted to our hospital with bloody sputumn. Chest roentgenogram was normal, but Bronchoscopic examination revealed a carcinoma of right upper lobe bronchus. On June 21, 1983, sleeve upper lobectomy was peformed. Eight months later, a second carcinoma developed at right B^<10>, and pneumonectomy was performed. On May, 1985, a third polypoid carcinoma was developed at left B^<1+2>, but cancer therapy was not instituted because of complications. A year later, follow-up bronchoscopy demonstrated the absence of the tumor, and brushing cytology was negative.
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  • Yoshihiko Koshiishi, Ryuta Amemiya, Hiroshi Okitsu, Nobuhiko Takizawa, ...
    Type: Article
    1988 Volume 10 Issue 3 Pages 295-300
    Published: September 25, 1988
    Released: September 15, 2016
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    A 43 year-old female underwent resection and reconstruction of the trachea 6 months after curative radiotherapy. She presented in November 1985, complaining of dyspnea. For 7 months prior she had experienced progressively worsening dyspnea on exertion. A bronchofiberscopic exermination revealed a polypoid tumor originating from the right anterolateral portion of the trachea. Vaporization of the tumor was performed by endoscopic Nd-YAG laser. The biopsy yielded a diagnosis of adenoid cystic carcinoma. The extent of tumor excluded the possibility of tracheal reconstruction. She recieved a total dose of 66 Gy by Linac in January and Feburary 1986, resulting in the relief of dyspnea. She did well until June 1986, when she noted a return of dyspnea on exertion. Bronchofiberscopic exermination revealed a smooth narrowing of the trachea, which was caused by tracheomalacia. As the length of the stenosis was only approximately 2 cm, surgical treatment was selected. The resection of the stenotic portion and the anastomosis was performed via right thoracotomy in August 1986. The postoperative course has been uneventful. Histological exemination revealed cancer cells remaining at the distal portion of the resected specimen. Endotracheal irradiation was performed once the anastomotic site was considered strong enough to withstand the treatment. The importance and possibility of adjuvant surgery after radiotherapy for very extensive tracheal adenoid cystic carcinoma is discossed. Even after high-dose radiotherapy, cancer cells sometimes remain ; for such cases adjuvant surgery is one option to prevent recurrence.
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  • Kazuhiro Yoshida, Eiji Uno, Shigeru Tagaki, Hiroshi Kagaya, Akira Suzu ...
    Type: Article
    1988 Volume 10 Issue 3 Pages 301-305
    Published: September 25, 1988
    Released: September 15, 2016
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    Bronchial lipoma is a very rare benign tumor of the lung, and only 16 cases have been reported in Japan. Recently, we experienced the following case of the bronchial lipoma. A 62 year-old man was repeatedly suffering from cough, dyspnea and elevation of fever from 1984. Chest radiograph revealed atelectasis of right middle and lower lobes. Bronchoscopic findings showed a tumor obstructing the right main bronchus. The biopsy specimen demonstrated normal epithelium and loose connective tissue, but showing no malignancy. Under the diagnosis of a benign tumor, right middle and lower lobectomy was performed. Histologically, the tumor proved to be a bronchial lipoma.
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  • Masafumi Kajita, Tatsuo Nakamura, Masanobu Maeda, Minoru Tanaka, Toshi ...
    Type: Article
    1988 Volume 10 Issue 3 Pages 306-309
    Published: September 25, 1988
    Released: September 15, 2016
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    Localized dilatation of the bronchial vein in a 49-year-old man is described. He had undergone direct closure of atrial septal defect (ASD) and anastomosis of the left upper pulmonary vein to the left atrial appendage for partial anomalous pulmonary venous circulation (PAPVC) 2 years ago. Because of continued hemoptysis, bronchofiberscopy was performed, and confirmed dilatation of submucosal vessels in the left upper lobe bronchus. These vessels run mainly longitudinally. Bronchial arteriogram showed no dilated artery, therefore, these vessels were thought to be the bronchial vein. Pulmonary arteriogram and perfusion lung scan suggested closure of the anastomotic site. Return of bronchial arterial blood flow to the pulmonary vein was disturbed, and the bronchial venous flow was increased. It is necessary to fully understand the bronchial arterial circulation in order to analyse the submucosal vascular appearance during bronchofiberscopy.
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  • Koji Kondo, Takayuki Shirakusa, Satoshi Yoneda, Yasuo Araki, Ryuzo Mot ...
    Type: Article
    1988 Volume 10 Issue 3 Pages 310-314
    Published: September 25, 1988
    Released: September 15, 2016
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    Two cases of transbronchofiberscopic removal of intrabronchial foreign bodies were reported. One patient, a 68-year-old, was admitted because of the inhalation of a gold-palladium crown during dental treatment. Immediately removal of the gold-palladium crown was attended under general anesthesia with usual forceps insented through the bronchoscope, however it failed because crown dropped easily. So we used a basket-forcep and succeeded in removing the crown. Another case of intrabronchial foreign body involved the inhalation of an attachment of a metallic tracheal tube. In this case we succeeded in removal of the foreign body using conventional forceps via the bronchofiberscope.
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  • Hideo Kobayashi, Rokuro Matsuoka, Satoshi Kitamura, Naohisa Tsunoda, K ...
    Type: Article
    1988 Volume 10 Issue 3 Pages 315-320
    Published: September 25, 1988
    Released: September 15, 2016
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    Two cases of diffuse panbronchiolitis (DPB) were presented. The first case, a 56-year-old man, had preceding middle lobe syndrome and chronic sinusitis. Chest roentgenogram did not show the nodular shadows of DPB, but computed tomography (CT) revealed small nodules around the peripheral pulmonary artery branches, showing centrilobular distribution. This case was histologically proven to be DPB by transbronchial lung biopsy. The second case, a 39-year-old woman, had been suffering from bronchiectasis of left lung and chronic sinusitis. Diffuse nodular shadows on chest roentgenogram were present from 5 years ago, though those findings could not be detected 10 years ago. The clinical criteria for DPB were satisfied. These cases might suggest the possibility that DPB had similar pathological mechanism (s) in terms of immunological background and/or defence mechanisms of the airway system, as bronchiectasis and middle lobe syndrome. CT is a very sensitive modality for detecting the small nodules of DPB, such that early stage of DPB, which is not revealed as nodular shadows on routine chest roentgenogram can be recognized.
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  • Shinobu Hatakeyama, Eiichi Suzuki, Satoru Kioi, Masaaki Arakawa
    Type: Article
    1988 Volume 10 Issue 3 Pages 321-326
    Published: September 25, 1988
    Released: September 15, 2016
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    Cough and sputum became severe in association with the occurence of rheumatoid arthritis in a 60 year-old female with a 10-year history of chronic bronchitis. The bronchial lesion was suspected to be related with rheumatoid arthritis by physical, functional and radiographic examinations of the lung. Transbronchial lung biopsy revealed bronchiolitis obliterans characterized by the obstruction of bronchioles and alveolar ducts by organized granulation. Bronchiolitis obliterans with rheumatoid arthritis has been generally considered to be progressive and resistant to corticosteroid therapy. However, in this case, respiratory symptoms and arthralgia improved markedly by non-steroidal anti-inflammatory drugs and antibiotics, which suggested the early stage of bronchiolitis obliterans. The possibility of diffuse panbronchiolitis could not be ruled out completely in terms of both clinical and histological findings, thus further careful observation will be required.
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  • Makoto Koizumi, Shosaku Abe, Hiroshi Yamamoto
    Type: Article
    1988 Volume 10 Issue 3 Pages 327-332
    Published: September 25, 1988
    Released: September 15, 2016
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    A 50-year-old female was referred to our pulmonary clinic because of dyspnea and abnormal chest X-ray. Pulmonary function test revealed prominent airflow obstruction (FEV_1% 50%) but subdivisions of the lung volumes were normal. Diffusion capacity was also normal. There was a possibility of lesions in both large airways and small airways because the flow-volume curve indicated lowered peak flow rate and V_<25>. The endoscopic examination showed that multiple yellow-white nodules, engorgement of small vessels were scattered from the main bronchus to lobe bronchus, and the mucosa of lobar bronchi was irregular and edematous, and the orifices of segmental bronchi were remarkably stenotic. Bronchial wall biopsy of the bifurcation of the right upper lobe bronchus showed several non-caseating epithelioid granulomas. Histological examination of the cervical lymph node showed the same findings as in the bronchial wall. This is a rare case of pulmonary sarcoidosis with prominent airflow obstruction. This mechanism is thought to be via sarcoid granulomas narrowing the orifices of segmental bronchi.
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  • Tsuyoshi Hasegawa, Kyosuke Ishihara, [in Japanese], [in Japanese], [in ...
    Type: Article
    1988 Volume 10 Issue 3 Pages 333-338
    Published: September 25, 1988
    Released: September 15, 2016
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    We reported 3 cases of Diffuse Pulmonary Hemorrhage (DPH) diagnosed by BAL. Case 1 was a 16-year-old female who complained of dyspnea and hemoptysis. She had been followed at a certain hospital because of systemic lupus erythematosus. Case 2 was a 20-year-old female who had general malaise followed by dyspnea and hemoptysis. Case 3 was a 36-year-old female who had a 15-year history of idiopathic thrombocytopenic purpura and complained of cough and dyspnea. In these 3 cases, chest X-ray revealed bilateral diffuse alveolar pattern and BAL was performed to establish diagnosis. The BALF was macroscopically bloody and cytological examination demonstrated many hemosiderin-laden macrophages in all 3 cases so a diagnosis of DPH was possible in all these cases. We believe that BAL is the most safe and sensitive procedure for the early detection of this critical disease.
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  • [in Japanese]
    Type: Article
    1988 Volume 10 Issue 3 Pages 339-
    Published: September 25, 1988
    Released: September 15, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1988 Volume 10 Issue 3 Pages 340-
    Published: September 25, 1988
    Released: September 15, 2016
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  • [in Japanese], [in Japanese]
    Type: Article
    1988 Volume 10 Issue 3 Pages 340-
    Published: September 25, 1988
    Released: September 15, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1988 Volume 10 Issue 3 Pages 340-341
    Published: September 25, 1988
    Released: September 15, 2016
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  • [in Japanese], [in Japanese], [in Japanese]
    Type: Article
    1988 Volume 10 Issue 3 Pages 341-
    Published: September 25, 1988
    Released: September 15, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese]
    Type: Article
    1988 Volume 10 Issue 3 Pages 341-
    Published: September 25, 1988
    Released: September 15, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1988 Volume 10 Issue 3 Pages 341-342
    Published: September 25, 1988
    Released: September 15, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1988 Volume 10 Issue 3 Pages 342-
    Published: September 25, 1988
    Released: September 15, 2016
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  • [in Japanese], [in Japanese]
    Type: Article
    1988 Volume 10 Issue 3 Pages 342-
    Published: September 25, 1988
    Released: September 15, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese]
    Type: Article
    1988 Volume 10 Issue 3 Pages 342-
    Published: September 25, 1988
    Released: September 15, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1988 Volume 10 Issue 3 Pages 342-343
    Published: September 25, 1988
    Released: September 15, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1988 Volume 10 Issue 3 Pages 343-
    Published: September 25, 1988
    Released: September 15, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1988 Volume 10 Issue 3 Pages 343-
    Published: September 25, 1988
    Released: September 15, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1988 Volume 10 Issue 3 Pages 344-
    Published: September 25, 1988
    Released: September 15, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1988 Volume 10 Issue 3 Pages 344-
    Published: September 25, 1988
    Released: September 15, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1988 Volume 10 Issue 3 Pages 344-
    Published: September 25, 1988
    Released: September 15, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1988 Volume 10 Issue 3 Pages 344-
    Published: September 25, 1988
    Released: September 15, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1988 Volume 10 Issue 3 Pages 344-
    Published: September 25, 1988
    Released: September 15, 2016
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  • [in Japanese]
    Type: Article
    1988 Volume 10 Issue 3 Pages 345-
    Published: September 25, 1988
    Released: September 15, 2016
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    Download PDF (197K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1988 Volume 10 Issue 3 Pages 345-
    Published: September 25, 1988
    Released: September 15, 2016
    JOURNALS FREE ACCESS
    Download PDF (197K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1988 Volume 10 Issue 3 Pages 345-
    Published: September 25, 1988
    Released: September 15, 2016
    JOURNALS FREE ACCESS
    Download PDF (197K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1988 Volume 10 Issue 3 Pages 345-
    Published: September 25, 1988
    Released: September 15, 2016
    JOURNALS FREE ACCESS
    Download PDF (197K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1988 Volume 10 Issue 3 Pages 345-
    Published: September 25, 1988
    Released: September 15, 2016
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