The Journal of the Japan Society for Respiratory Endoscopy
Online ISSN : 2186-0149
Print ISSN : 0287-2137
ISSN-L : 0287-2137
Volume 10 , Issue 4
Showing 1-50 articles out of 57 articles from the selected issue
  • Type: Cover
    1988 Volume 10 Issue 4 Pages Cover1-
    Published: November 25, 1988
    Released: September 15, 2016
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  • Type: Cover
    1988 Volume 10 Issue 4 Pages Cover2-
    Published: November 25, 1988
    Released: September 15, 2016
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  • Type: Appendix
    1988 Volume 10 Issue 4 Pages App1-
    Published: November 25, 1988
    Released: September 15, 2016
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  • Type: Appendix
    1988 Volume 10 Issue 4 Pages App2-
    Published: November 25, 1988
    Released: September 15, 2016
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  • Type: Appendix
    1988 Volume 10 Issue 4 Pages App3-
    Published: November 25, 1988
    Released: September 15, 2016
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  • Type: Appendix
    1988 Volume 10 Issue 4 Pages App4-
    Published: November 25, 1988
    Released: September 15, 2016
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  • Type: Appendix
    1988 Volume 10 Issue 4 Pages App5-
    Published: November 25, 1988
    Released: September 15, 2016
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  • Type: Appendix
    1988 Volume 10 Issue 4 Pages App6-
    Published: November 25, 1988
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  • Type: Appendix
    1988 Volume 10 Issue 4 Pages App7-
    Published: November 25, 1988
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  • Type: Index
    1988 Volume 10 Issue 4 Pages Toc1-
    Published: November 25, 1988
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  • Type: Index
    1988 Volume 10 Issue 4 Pages Toc2-
    Published: November 25, 1988
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  • [in Japanese]
    Type: Article
    1988 Volume 10 Issue 4 Pages 349-
    Published: November 25, 1988
    Released: September 15, 2016
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  • Masazumi Maeda, Kenbu Nakamoto, Kenji Nakamura, Satoru Nanjyo, Mitsuno ...
    Type: Article
    1988 Volume 10 Issue 4 Pages 350-358
    Published: November 25, 1988
    Released: September 15, 2016
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    In this survey, the type of operation could be classified into 12 stem modes. The most common mode was BB (bronchial anastomosis) used in 974 cases, or 62.1% followed by 282 TT (tracheal anastomosis) cases (18.0%) and 92 TB (tracheobronchial anastomosis) cases (5.9%). These 3 made up 85.9% in toto. The CR (carinal reconstruction) and Tp (prosthetic replacement of the trachea) modes were performed in a few cases, 32 (2.0%) and 18 (1.1%), respectively. Subtype modes found in this survey included 10 in CR, 10 in TB and 28 in BB, and these were further divided into 5 sleeve resection, 10 sleeve lobectomy, 8 wedge lobectomy, 3 sleeve segmentectomy and 2 wedge segmentectomy modes. The commonly used modes were partial carinal resection with end-to-side anastomosis between the trachea and the right main bronchus and Barcley's operation in the CR mode, sleeve pneumonectomies and wedge pneumonectomies in the TB mode, and sleeve lobectomies of the upper lobe, the same type of wedge lobectomy, and sleve lobectomies with anastomosis between upper lobe and main bronchi. Complication rates were 34.4% with CR, 47.9% with Te (tracheal reinforcement), 40.0% with TMT (terminal mediastinal tracheostomy) and 77.8% with Tp were the higher groups compared with other modes. Standard modes were defined as either the TT mode with resection of less than 7 tracheal rings in tracheoplasty and sleeve and wedge lobectomies of upper lobe in bronchoplasty. Complication rates were 20.3% in the former mode and 12.1% in the latter.
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  • Tadashi Imai, Yasuki Saito, Noriyoshi Nagamoto, Katuo Usuda, Satomi Ta ...
    Type: Article
    1988 Volume 10 Issue 4 Pages 359-366
    Published: November 25, 1988
    Released: September 15, 2016
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    Twenty three resected central type advanced cases of squamous cell carcinoma of the lung were observed by light and electron microscopy, and the findings were compared with early stage cases. Examination of the tumor cells in the basal layer in terms of electron density of the cytoplasm, intercellular spaces and degree of development of cytoplasmic processes showed a variety of cells ranging from Type I, where the cytoplasm was dark, with well-developed cytoplasmic processes large intercellular spaces, to Type IV, where cytoplasmic processes and intercellular spaces were poorly developed and the cells were mostly of the clear cell type. In advanced cases, all four cell types were recognized, but in early stage cases, only Type I-III cells were recognized. Furthermore, in advanced cases, Type III cells were more frequently found, and both the nuclear area and mitotic rate were greater than in early cases.
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  • Seiichi Nakamura
    Type: Article
    1988 Volume 10 Issue 4 Pages 367-377
    Published: November 25, 1988
    Released: September 15, 2016
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    The ciliary transport rate of sputum specimens were measured with depleted frog palate, and characteristic physicochemical properties of sputum exhibiting and extremely fast transport rate (F-sputum) and those exhibiting an extremely slow rate (S-sputum) were analyzed. The specimens of F-sputum consisted mainly of mucoid sputum and showed a significant higher mean yield value and a lower mean concentration of albumin compared with S-sputum. While the specimens of S-sputum consisted mainly of purulent sputum and showed a significantly higher mean pH, with higher mean concentrations of fucose and IgG and lower mean concentration of IgA compared to F-sputum. The mean IgA/IgG ratio of S-sputum was significantly higher than that of F-sputum. Physico-chemical properties of the specimens of sputum collected from patients with diffuse panbronchiolitis (DPB) corresponded to those of S-sputum. From the results of the present studies, it was suggested that these characteristic features of sputum contribute to the poor prognosis of DPB due to development of persistent respiratory infection and of respiratory failure accompanied by accumulation of purulent secretions in peripheral airways.
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  • Yoichiro Ichikawa, Mikio Kuboshiro, Naoto Tokunaga, Ken Araki, Toshihi ...
    Type: Article
    1988 Volume 10 Issue 4 Pages 378-384
    Published: November 25, 1988
    Released: September 15, 2016
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    Bronchoscopic findings of 45 un-treated sarcoidosis were studied. Sarcoidosis in these patients showed such bronchoscopic findings as engorged vascular network vessels, granular lesions, plaque formation. Of these bronchial lesions, vascular network was most common in 34 patients (75%). Granular lesions accompanying vascular network were recognized in 14 patients (31%) and plaques were observed in 10 (22%). However, the bronchial mucosa findings were normal in 7 patients. As for bronchial lesions in relation to age, vascular network and granular lesions were more common with younger patients, while plaque formation and normal findings of the bronchial mucosa were more common in middle aged or older patients. Thus, vascular network and granular lesions were considered to be characteristic findings of bronchial lesions in the early stage of sarcoidosis. However, no association was noted between bronchial lesions and serum ACE levels.
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  • Toru Rikimaru, Hideaki Ninomiya, Yoichiro Ichikawa, Masaro Kaji, Jo Ot ...
    Type: Article
    1988 Volume 10 Issue 4 Pages 385-392
    Published: November 25, 1988
    Released: September 15, 2016
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    The authurs developed an useful method of measurement with bronchofiberscope. We inserted a scale from the channel of fiberscope until the tip of the scale touches the object, whereupon a picture of the scale is taken to measure the distance between the object and the tip of the fiberscope (lens-object-distance, LOD). We can measure the area and length of any object by comparing the LOD with the photograph of a graph paper at the same LOD. This measurement method is the same in principle as that of Dr. Oida who measured the area of gastric ulcer using a transparent plate. We measured several objects using BF types 4 B 2 and 1 T 10 (Olympus, Tokyo, Japan). For example, when we measured a circle of 4 mm across, it was mean 3.98 mm, the standard deviation 0.24, and the error was less than 0.5 mm in all cases. It is considered to be useful in making endoscopic findings more objective and also in observing changes using this method. Moreover, it may be possible to evaluate the effects of anticancer chemotherapy and radiation therapy.
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  • Katashi Satoh, Kazuhiro Sakamoto, Nobuyuki Hosokawa, Shinsuke Matsuno, ...
    Type: Article
    1988 Volume 10 Issue 4 Pages 393-399
    Published: November 25, 1988
    Released: September 15, 2016
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    Plain chest X-ray findings suggested pulmonary disorders in 6 cases. Using conventional tomography, we diagnosed these patients as having an anomalous branching of the bronchial tree. In some cases, the abnormal shadows on the plain X-ray picture corresponded to the anomalous branching. In the past, the diagnosis of anomalous branching of the bronchial tree could only be made after bronchography. As X-CT and bronchoscopy are now available, a diagnosis of anomalous branching can be made using these modalities. When we interpret the X-ray picture in patients with a suspicion of pulmonary disease in the hilar region, we must check the structure of the bronchial tree to consider the possibility of this anomalous branching.
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  • Tadahiko Mitsumune, Toshiharu Watanabe
    Type: Article
    1988 Volume 10 Issue 4 Pages 400-404
    Published: November 25, 1988
    Released: September 15, 2016
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    A 72 year-old female complained of persistent cough. Fibroptic bronchoscopy and bronchography showed a tracheal diverticulum in the right posterior wall, 33 mm above the carina. It measured 7×10 mm, and the mucosa was smooth and normal in color. This case was considered as a congenital tracheal diverticulum. In Japan, 18 cases have been reported including this case consisting of 14 males and 4 females, and the age ranged from 29 days to 83 years. In almost all cases, the tracheal diverticulum was observed in the right posterior wall. In several cases, inflammatory findings were observed bronchoscopically.
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  • Yasushi Nakaoka, Noboru Morota
    Type: Article
    1988 Volume 10 Issue 4 Pages 405-410
    Published: November 25, 1988
    Released: September 15, 2016
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    A 60-year-old man presented with hemoptysis. On the chest X-ray film, the lateral view showed a small area of atelectasis in the left lower lung field. The bronchogram showed a V-shaped complete occlusion at the level of the lower division bronchus (B^<8+9+10>) but the B^6 orifice was patent. Although slightly stenotic. Bronchoscopic biopsy revealed no malignant cells and no mycobacterium tuberculosis were found. We could not establish an definitive preoperative diagnosis. The indications for surgery, left lower lobectomy, in this case were as follows : (1) The site of bleeding was at the inflamed stenotic left B^6 orifice. (2) The inflammation would occur repeatedly. (3) Definitive diagnosis could only be made by pathological examination of the resected specimen. A left thoracotomy was performed which revealed a left lower lobe reduced markedly in fist size. The pathological findings were as follows : 1) Connective tissue surrounding the bronchial cartilage was found at the occluded part of lower division bronchus. 2) The area distal to the stenosis lacked any normal bronchi, bronchioli or alveoli. 3) The basal segments (S^<8+9+10>) of lung showed aplastic changes. The pathological diagnosis was congenital bronchial atresia. This case showed atypical chest X-ray findings and the correct diagnosis was made after postoperative pathological examination.
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  • Shoji Ohno, Rokuro Matsuoka, Takeshi Nakaya, Hideo Kobayashi, Yushiro ...
    Type: Article
    1988 Volume 10 Issue 4 Pages 411-415
    Published: November 25, 1988
    Released: September 15, 2016
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    A 66-year-old woman was admitted for examination of an abnormal chest shadow. Bronchoscopy unexpectedly revealed a white tumor at the carina. On histological examination, this tumor was diagnosed as leukoplakia because of the presence of squamous metaplasia with hyperkeratosis. The lesion was considered to have malignant potential since mild epithelial dysplasia was found. The tumor was therefore removed by bronchial biopsy and there has been no recurrence in the last 6 months. Leukoplakia is considered to be a precancerous lesion, occurring in the oral mucosa, tongue, larynx and external genital organs. Cases of leukoplakia in the respiratory tracts appear to be rare and accumulation of such cases might define leukoplakia as a precancerous lesion.
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  • Hiromi Tomioka, Kokichi Yamamoto, Takuya Kurasawa, Fumiyuki Kuze
    Type: Article
    1988 Volume 10 Issue 4 Pages 416-421
    Published: November 25, 1988
    Released: September 15, 2016
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    A 70-year-old woman was admitted to our hospital in October 1987 because of productive cough and pulmonary masses on chest X-P. Four years previously, she had an orbital tumor and the histopathological findings of the resected tumor were compatible with non-Hodgkin's lymphoma. On the present admission, bronchoscopic findings showed a friable tumor with an irregular surface and capillary dilatation, which obstructed the truncus intermedius. Microscopic findings of transbronchoscopic biopsy specimen revealed small lymphocytic lymphoma with the same histological findings as those of the formerly resected orbital tumor. COPP therapy and ^<60>Co radiation resulted in complete regression and she was discharged in January 1988. Endobronchial involvement of non-Hodgkin's lymphoma is a rare phenomenon, although other intrathoracic structures are frequently involved. A favorable result of the therapy for the present case seemed worth reporting, for hitherto reported cases have mostly ended fatally due to widely disseminated disease.
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  • Hideaki Nagai, Yoshiko Kawabe, Atsuyuki Kurashima, Hikotaro Komatsu, T ...
    Type: Article
    1988 Volume 10 Issue 4 Pages 422-426
    Published: November 25, 1988
    Released: September 15, 2016
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    A 25-year-man was admitted to our hospital because of pulmonary and lymph node tuberculosis. INH, REP and EB were administered. He had enlargement of paratracheal lymph nodes two and a half months later and parforation of hilar lymph node into the right main bronchus five months later and enlargement of the cervical lymph nodes seven months later. During this period, however, M. tuberuculosis disappeared from sputum and gastric juice, and the pulmonary shadow improved. The hilar lymph node which perforated into the right main bronchus was found and followed by fiberoptic bronchoscopy. Microscopic examination of a biopsy specimen of the perforated lymph node showed granulation tissue and caseous necrosis but no acid-fast bacteria. The enlargement of lymph nodes may be due to a reaction to tuberculoprotein. In tuberculosis of lymph nodes, nodes tend to enlarge and new nodes tend to appear during chemotherapy without indicating a failure of treatment or relapse.
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  • Shigeki Suzuki, Jin Kanno, Kohji Moriya, Kazue Kimura
    Type: Article
    1988 Volume 10 Issue 4 Pages 427-432
    Published: November 25, 1988
    Released: September 15, 2016
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    A 57 year-old man was admitted to our hospital because of hemoptysis and an abnormal shadow with calcification and cavity on chest radiograph. Since ten years ago he sometimes had hemoptysis. On bronchoscopic findings at admission bronchial bleeding was observed from right B^6, which disappeared 10 days afterwards. The abnormal shadow had increased in comparison with the previous year. Angiography demonstrated an abnormal artery arising from the thoracic aorta, and the artery connected with the pulmonary artery. Therefore, this case was diagnosed as pulmonary sequestration of the left lower lobe and operation was performed. Histological findings of the surgical specimen, an actinomycotic granule of mucor revealed. Also in the sputum before operation, a fungus was discovered. However, definitive diagnosis was not possible, because TBLB was not performed due to hemoptysis.
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  • Kiyotaka Ito, Moritaka Suga, Fujiho Tanaka, Kazutaka Ikeda, Tetsunori ...
    Type: Article
    1988 Volume 10 Issue 4 Pages 433-437
    Published: November 25, 1988
    Released: September 15, 2016
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    A 73-year-old male underwent right upper lobectomy for lung cancer. The patient had no symptoms and all laboratory data including serum IgE level and number of eosinophils in blood were normal. One year after, fiberoptic bronchoscopy revealed aspergillus colonization on the polyester surgical suture of the transected bronchial scar. Aspergillus colonization showed a yellow-white coat and the bronchial mucosa was smooth and intact. There is no report of aspergillus colonization on polyester surgical suture. This case suggests that surgical sutures can be the site of fungal infection if it protrudes into the bronchial lumen.
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  • Kazuo Maezato, [in Japanese], [in Japanese], [in Japanese], Keiichiro ...
    Type: Article
    1988 Volume 10 Issue 4 Pages 438-442
    Published: November 25, 1988
    Released: September 15, 2016
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    We reported a case of post-surgical bronchial fistula which was successfully managed with glue administered through the fiberoptic bronchoscope. The patient was an 82-year-old man and admitted to the National Okinawa Hospital with fever, cough and sputa. Chest X-ray film showed right lower lobe atelectasis. Bronchoscopy revealed a tumor originating from the right lower lobe bronchus, which had been shown to be a squamous cell carcinoma by biopsy. Right middle and lower bilobectomy was performed. Twelve days after operation the patient had fever and chest X-ray showed air-fluid level in the right pleural cavity, indicating a bronchopleural fistula and empyema. Fiberoptic bronchoscope confirmed a fistula of the surgical stump of the truncus intermedius. An intercostal tube drain was inserted and antibiotics were administered. Ten days after drainage we attempted to close the fistula with glue administered through the fiberoptic bronchoscope. After the injection of an antibiotic to the fistula, Oxycel^[○!R] was inserted to the fistula and 0.5cc of α-cyanoacrylate (Aron Alpha A) glue was injected through an epidural catheter which was inserted in advance via the instrumentation channel of fiberoptic bronchoscope. The air leak through the drain ceased and empyema was cured. Two months later fiberoptic bronchoscope revealed no evidence of fistula. The patient died of cancer recurrence 25 months after operation.
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  • Kenji Komoda, Takashi Sasaki, Iitiro Itoh, Tatsuya Sasaki, Mamoru Iida ...
    Type: Article
    1988 Volume 10 Issue 4 Pages 443-447
    Published: November 25, 1988
    Released: September 15, 2016
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    A 19-year-old male with bronchial perforation, caused from strenuous practice of kendo was reported. He was aware of chest pain during kendo practice but did not stop his activity. Since the chest pain remained afterward he came to our hospital. Physical findings were chest pain, slight tachypnea (25/min) and subcutaneous emphysema in the anterior cervical region, with no evidence of dyspnea or cyanosis. Chest roentgenogram revealed minimal mediastinal emphysema, deep cervical emphysema but no other findings were shown. As bronchial injury was suspected, bronchofiberscopy was performed immediately and a pin-hole size perforation was found in the left main bronchus at the margin of the bronchial cartilage and the membranous portion, immediately below the carina. The shape of the perforation was almost circular and was not verified in subsequent fiberscopy. He was successfully treated conservatively on admision. The pin-hole was thought to be a large outlet of the mucosal gland and the cause of emphysema was considered to be a perforation of the outlet induced by abrupt increase of intratracheal pressure, strenuous chest wall compression and transient torsion of the trachea and bronchus occurring during kendo practice. Large outlet of the bronchial gland is rare in juveniles. Bronchial perforation induced by kendo has not been previously reported in Japan and it was thought that this small perforation could be precisely diagnosed even though it is very rare.
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  • [in Japanese]
    Type: Article
    1988 Volume 10 Issue 4 Pages 448-
    Published: November 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 4 Pages 449-
    Published: November 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 4 Pages 449-450
    Published: November 25, 1988
    Released: September 15, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese]
    Type: Article
    1988 Volume 10 Issue 4 Pages 450-
    Published: November 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 4 Pages 450-
    Published: November 25, 1988
    Released: September 15, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese]
    Type: Article
    1988 Volume 10 Issue 4 Pages 450-
    Published: November 25, 1988
    Released: September 15, 2016
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    Download PDF (211K)
  • [in Japanese], [in Japanese], [in Japanese]
    Type: Article
    1988 Volume 10 Issue 4 Pages 450-
    Published: November 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 4 Pages 450-451
    Published: November 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 4 Pages 451-
    Published: November 25, 1988
    Released: September 15, 2016
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    Download PDF (217K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1988 Volume 10 Issue 4 Pages 451-
    Published: November 25, 1988
    Released: September 15, 2016
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    Download PDF (217K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1988 Volume 10 Issue 4 Pages 451-
    Published: November 25, 1988
    Released: September 15, 2016
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    Download PDF (217K)
  • [in Japanese], [in Japanese]
    Type: Article
    1988 Volume 10 Issue 4 Pages 451-
    Published: November 25, 1988
    Released: September 15, 2016
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    Download PDF (217K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1988 Volume 10 Issue 4 Pages 452-
    Published: November 25, 1988
    Released: September 15, 2016
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  • [in Japanese], [in Japanese], [in Japanese]
    Type: Article
    1988 Volume 10 Issue 4 Pages 452-453
    Published: November 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 4 Pages 453-
    Published: November 25, 1988
    Released: September 15, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese]
    Type: Article
    1988 Volume 10 Issue 4 Pages 453-
    Published: November 25, 1988
    Released: September 15, 2016
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    Download PDF (212K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1988 Volume 10 Issue 4 Pages 453-
    Published: November 25, 1988
    Released: September 15, 2016
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    Download PDF (212K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1988 Volume 10 Issue 4 Pages 453-454
    Published: November 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 4 Pages 454-
    Published: November 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 4 Pages 454-
    Published: November 25, 1988
    Released: September 15, 2016
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    Download PDF (217K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1988 Volume 10 Issue 4 Pages 454-
    Published: November 25, 1988
    Released: September 15, 2016
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    Download PDF (217K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1988 Volume 10 Issue 4 Pages 454-455
    Published: November 25, 1988
    Released: September 15, 2016
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    Download PDF (344K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1988 Volume 10 Issue 4 Pages 455-
    Published: November 25, 1988
    Released: September 15, 2016
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