The Journal of the Japan Society for Respiratory Endoscopy
Online ISSN : 2186-0149
Print ISSN : 0287-2137
ISSN-L : 0287-2137
Volume 14 , Issue 2
Showing 1-42 articles out of 42 articles from the selected issue
  • Type: Cover
    1992 Volume 14 Issue 2 Pages Cover1-
    Published: March 25, 1992
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Download PDF (68K)
  • Type: Cover
    1992 Volume 14 Issue 2 Pages Cover2-
    Published: March 25, 1992
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Download PDF (68K)
  • Type: Appendix
    1992 Volume 14 Issue 2 Pages App1-
    Published: March 25, 1992
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Download PDF (75K)
  • Type: Appendix
    1992 Volume 14 Issue 2 Pages App2-
    Published: March 25, 1992
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Download PDF (76K)
  • Type: Appendix
    1992 Volume 14 Issue 2 Pages App3-
    Published: March 25, 1992
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Download PDF (38K)
  • Type: Appendix
    1992 Volume 14 Issue 2 Pages App4-
    Published: March 25, 1992
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Download PDF (30K)
  • Type: Appendix
    1992 Volume 14 Issue 2 Pages App5-
    Published: March 25, 1992
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Download PDF (19K)
  • Type: Index
    1992 Volume 14 Issue 2 Pages Toc1-
    Published: March 25, 1992
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Download PDF (63K)
  • Type: Index
    1992 Volume 14 Issue 2 Pages Toc2-
    Published: March 25, 1992
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Download PDF (53K)
  • [in Japanese]
    Type: Article
    1992 Volume 14 Issue 2 Pages 115-116
    Published: March 25, 1992
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Download PDF (180K)
  • Yasuhiko Tsuuchi, Katashi Satoh, Yoshirou Kawase, Junichi Kageyama, Yo ...
    Type: Article
    1992 Volume 14 Issue 2 Pages 117-122
    Published: March 25, 1992
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    In the past, the diagnosis of anomalous branching of the bronchial tree could only be made on the basis of bronchography, but recent reports of tracheobronchial anomalies diagnosed by bronchoscopy are increasing in number. However, in pulmonary diseases, today the examination most likely to be performed after the plain chest X-ray film is the CT study. We report 11 cases of tracheobronchial anomalies detected from February 1984 to May 1991 in our hospital and 6 of the 11 cases in which CT studies were performed, with reference to the detectability of the anomalous branchings on the CT images. These were all detected by the CT findings and it was concluded that CT is useful as a screening examination to detect tracheobronchial anomalies. When we interpret CT findings of cases suspected of pulmonary diseases involving the hilar region, we must check the structure of the bronchial tree to consider the possibility of anomalous branching.
    Download PDF (493K)
  • Motohiro Yamashita, Nobuyoshi Shimizu, Syuuichiro Maruyama, Shingo Ich ...
    Type: Article
    1992 Volume 14 Issue 2 Pages 123-128
    Published: March 25, 1992
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Pulmonary angioplasty was performed in 18 patients with lung cancer between 1980 and 1990. Seventeen cases were male, and only 1 case was female. The age range was 37-79 (average 63) years. Histological study showed 13 squamous cell carcinomas, 3 adenocarcinomas, 1 adenosquamous carcinoma, and 1 small cell carcinoma. Thirteen of the 18 cases (72%) were stage III or IV. The 5-year survival rate of this procedure was 11%, which was lower than that of pneumonectomy and sleeve lobectomy, but there was no statistical difference between them. Post operative pulmonary function evaluated by spirometric examination showed no significant difference between the pulmonary angioplasty and simple lobectomy. Cases of curative operation or with pN0+1 were thought to have better prognosis. In conclusion, the pulmonary angioplasty is an altemative operation method for lung cancer patients who are elderly or with restricted pulmonary function, because a greate amount of functioning pulmonary parenchyma can be preserved with this procedure.
    Download PDF (488K)
  • Toshinori Hashizume
    Type: Article
    1992 Volume 14 Issue 2 Pages 129-135
    Published: March 25, 1992
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Morphological details of the human bronchial circulation were investigated using autopsied lungs which were macroscopically normal. The bronchial artery was injected with orange silicone rubber at 130cmH_2O hydrostatic pressure. The pulmonary artery was injected at 40cmH_2O hydrostatic pressure with yellow silicone rubber containing carbon particles 40 microns in diameter which could not pass through alveolar capillaries. Intrapulmonary bronchial arteries did not run along bronchial veins but often crossed each other. Bronchial veins immediately joined pulmonary veins after leaving the bronchial wall. In bronchial arteries of segmental or subsegmental bronchi mixture of orange silicone rubber and yellow silicone rubber containing carbon particles 40 microns in diameter was observed. This findings suggests the presence of precapillary anastomosis larger than 40 microns in diameter between the bronchial artery and the pulmonary artery. This anastomosis is considered to be located in the region of segmental or subsegmental bronchi.
    Download PDF (678K)
  • Nobuyuki Katakami, Hiromi Tomioka, Miki Okazaki, Tsuyoshi Hasegawa, Hi ...
    Type: Article
    1992 Volume 14 Issue 2 Pages 136-141
    Published: March 25, 1992
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    A 34 year old man was referred to our hospital for further examination of progressive dyspnea and bilateral bloody pleural effusion. He had no apparent history of asbestos exposure. Physical and X-ray examinations were consistent with bilateral pleural effusion and pleural thickening. The results of other physical examinations and the laboratory findings, including sputum studies, upper-gastrointestinal series and abdominal ultrasonography were normal. Pleural cytology and closed pleural biopsy study were negative. The patient received thoracoscopy with a fiberoptic bronchoscope (TFB) under local anesthesia on the 14th hospital day. Both sides of the pleura were covered with discrete, flattened, white nodules. Three biopsies from these nodules disclosed epithelial type of malignant mesothelioma (MMT). Bilateral chest tube drainage was performed and cisplatin and adriamycin were administered through chest tubes. Thereafter the patient was treated with 2 courses of systemic chemotherapy of adriamycin and cisplatin. There was no response and the patient died from respiratory failure 3 months later. The diagnosis of MMT is, in general, difficult to make and in many cases it would take weeks or months to obtain a pathological diagnosis. TFB can be done under local anesthesia with the guidance of fuoroscope. The complication of TFB is minimal and no death has been reported in the literature. We conclude that TFB is a safe and useful procedure to diagnose MMT and should be done in patients with pleural effusion of unknown etiology as early as possible.
    Download PDF (693K)
  • Masato Muraki, Yuji Tohda, Hirokazu Kubo, Renzo Sugihara, Ryuta Haragu ...
    Type: Article
    1992 Volume 14 Issue 2 Pages 142-146
    Published: March 25, 1992
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    An abnormal shadow was pointed out on the chest X-ray film of a 75-year-old male with a complaint of hemosputum who was admitted to our hospital. Chest X-ray film revealed collapse in left S^3. Bronchoscopic findings showed a polypoid tumor extending from the periphery of left B^3a to the bifurcation of the left upper and lower lobes. As the histopathological findings of the transbronchial biopsy specimen showed necrosis, we strongly suspected a carcinoma of the lung and performed left upper lobectomy. The length of the polyp was about 8cm and the tumor grew from a 6th order bronchus of left B^3a. We diagnosed large cell carcinoma by the histopathological findings of the resected specimen. It was sometimes observed that a large cell carcinoma shows intrabronchial growth, but such extensive growth as this case is rare and it is only the second case in the domestic literature.
    Download PDF (586K)
  • Miki Okazaki, Hiromi Tomioka, Tsuyoshi Hasegawa, Nobuyuki Katakami, Hi ...
    Type: Article
    1992 Volume 14 Issue 2 Pages 147-151
    Published: March 25, 1992
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    A 70-year-old woman was admitted to our hospital because of dyspnea, cough and bilateral pleural effusion. Tuberculosis bacilli were isolated from her sputum. Bronchoscopic examination revealed three major findings, the first being many small nodular projections from the upper tracheal wall to bilateral major bronchi, diagnosed as tracheobronchopathia osteochondroplastica (TBO), the second being a gray broncholith at the orifice of the left upper lobe bronchus, and the third was circular stenosis at the orifice of the right middle lobe bronchus, which indicated bronchial tuberculosis. TBO is rarely accompanied by broncholithiasis or bronchial tuberculosis. The broncholith was thought to be caused by perforation by an old calcified hilar lymph node. It remains unknown whether there was any etiological association between TBO and the other two airway lesions.
    Download PDF (537K)
  • Hideki Taniguchi, Yoshitaka Uchiyama, Norio Yamaoka, Hiroshi Hisano, K ...
    Type: Article
    1992 Volume 14 Issue 2 Pages 152-156
    Published: March 25, 1992
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    The following presents a rare case of tracheal lymphangioma. The patient was a 39-year-old man with hemoptysis. Chest X-ray film showed no abnormal findings but a chest tomogram indicated what appeared to be a small mass shadow in the tracheal lumen. Bronchoscopy showed a purple tumor 3cm above the tracheal carina. Circumferential resection of trachea (2 rings) was conducted. Histological examination of the surgical specimen indicated possible lymphangioma. In the Japanese literature, there is no case of tracheal lymphangioma. The present case may thus be regarded as the first of its kind in Japan.
    Download PDF (450K)
  • Yuriko Yamakami, Takayoshi Tashiro, Yoshinobu Kuroda, Tooru Yamasaki, ...
    Type: Article
    1992 Volume 14 Issue 2 Pages 157-161
    Published: March 25, 1992
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    A 52-year-old female was admitted to our hospital because of hemosputum. Bronchoscopic examination revealed a bulge at the orifice of the middle lobe bronchus. The surface was smooth, and no pulsation. redness or blood were observed. Transbronchial biopsy performed on a suspicion of submucosal tumor, caused massive bleeding (2000ml). A double lumen tracheal tube was intubated immediately. A right bronchial arteriogram showed an aneurysm, about 5mm in diameter, in the middle lobe in addition to bronchial artery-pulmonary artery shunt. Computed tomography of the chest showed saccular bronchiectasia in the right middle lobe. According to these findings, a diagnosis of bronchial artery aneurysm associated with bronchiectasis was made and right middle lobectomy was performed.
    Download PDF (501K)
  • Hiroshi Sakai, Akira Yoshii, Mitsunori Hino, Hideto Ogasawara, Fuminao ...
    Type: Article
    1992 Volume 14 Issue 2 Pages 162-167
    Published: March 25, 1992
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Esophageal prostheses were developed to improve the stenotic symptoms of patients with esophageal cancer. We used an esophageal prosthesis with a bougie to prevent aspiration of the esophageal contents in four patients with tracheoesophageal or bronchoesophageal fistula formed during chemo or radiation therapy for esophageal cancer, and obtained the following results. The four patients were all males with a mean age of 63 (55-70). Two of the patients underwent bronchoscopy before fistulation, and infiltration of the tracheal or bronchial mucosa was confirmed. The fistula was to the trachea in one case, to the left main bronchus in one case, to the right B6 in one case, to the left B10 in one case. The period of intubation was an average of 47 days (24-95), and the mean survival afterwards was 75 days (25-213). In one case where the fistula developed distally, it was possible to suppress infection due to aspiration over a long period. Thus, use of an esophageal prosthesis made it possible to achieve the simple closure of small fistula and is a method which should be used of esophageal cancer patients who develop respiratory tract fistula.
    Download PDF (565K)
  • Haruhiko Ogawa, Hiroyuki Nakamura, Nobutatsu Takayanagi, Masahide Yasu ...
    Type: Article
    1992 Volume 14 Issue 2 Pages 168-173
    Published: March 25, 1992
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    A 61-year-old man was admitted to our hospital with dry cough and mild wheezing. His chest roentogenogram showed no pulmonary infiltrates and his peripheral blood white cell count was 7900/μl with 17% eosinophils. The pulmonary function test demonstrated obstructive ventilatory disorder and the methacholine inhalation test revealed airway hyperreactivity, but carbon dioxide diffusion capacity was normal and the airway obstruction was irreversible when bronchodilators were administered. Bronchoalveolar lavage fluid revealed increased total cell counts, with 17% eosinophils. Histologically, transbronchial lung biopsy specimens showed almost normal alveoli and eosinophil infiltration under the bronchiolar epithelium. Specimens of bronchial wall revealed eosinophil infiltration under the bronchial epithelium. These findings suggest that there may exist a type of eosinophilic bronchobronchiolitis without bronchial smooth muscle contraction as the cause of transient dry cough.
    Download PDF (570K)
  • Takuya Fujishima, Yasuhito Honda, Gen Yamada, Chikako Takezawa, Kazuhi ...
    Type: Article
    1992 Volume 14 Issue 2 Pages 174-179
    Published: March 25, 1992
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    A 63-year-old man was admitted for further evaluation of an abnormal chest radiographic finding which revealed right hilar enlargement. Bronchoscopic examination was performed and a tumor was found in the right truncus intermedius. Transbronchoscopical biopsy revealed amyloid deposition in the submucosal space. The amyloid was non-AA protein. Since there were no diseases known to be associated with amyloidosis and no deposits in other organs, this case was diagnosed as primary bronchial amyloidosis. Bronchial stenosis was successfully treated by Nd-YAG laser. He died one year after the treatment. Autopsy findings revealed adenosquamous carcinoma in the lung, and amyloid deposition was found in the right truncus intermedius and the thyroid. Thus, this case proved to be the bronchial amyloidosis secondary to lung cancer.
    Download PDF (654K)
  • Masayuki Shinoda, Motokazu Suyama, Iwao Takagi, Nobukazu Fuwa, Takahir ...
    Type: Article
    1992 Volume 14 Issue 2 Pages 180-187
    Published: March 25, 1992
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Eight lesions in 5 cases with endotracheal and/or endobronchial metastases occured after resection of primary lung cancer. Evaluation of clinical features and bronchofiberscopic findings were performed and the effect of intraluminal irradiation therapy was analyzed. All patients were male. The histologic type was squamous cell carcinoma in 4 out of 5 cases and adenocarcinoma in the other case. The interval between pulmonary resection and the detection of the metastatic lesions in these cases were all within 3 years, and the average was 16.4 months. The first symptom was bloody sputum in all cases. Bronchofiberscopy showed semipedunculated elevated tumors in squamous cell carcinomas, and a protruding lesion resembling a submucosal tumor in the adenocarcinoma case. One case was treated by external irradiation alone. The other 4 cases were treated by a combination of external and intraluminal irradiation. New applicators developed by us with ^<192>Iridium thin wires as radiation sources were used for intraluminal irradiation. No particular complications were noticed during treatment. All lesions endoscopically disappeared after treatment and cytologic examination was negative. Although 2 cases died due to distant metastases, airway lesions were not recognized until death. The other 3 cases are still alive without recurrence. Intraluminal irradiation with the new applicator is useful for local treatment of lesions to which cannot be given sufficent external irradiation.
    Download PDF (781K)
  • Akio Ohishi, Yoshihiro Satoh, Yoshinao Takano, Gouichi Endoh, Kohichi ...
    Type: Article
    1992 Volume 14 Issue 2 Pages 188-193
    Published: March 25, 1992
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    We report a successful case of bronchoscopic therapy using two occluding spiral emboli and Aron Alfa A (α-cyanoacrylate) prior to muscle plombage for postpneumonectomy empyema with bronchial fistula. A 69-year-old male underwent left pneumonectomy for squamous cell carcinoma. The p-stage was IIIB (T_2N_3M_0). Nine months after pneumonectomy, changes were found in his chest X-ray. But bronchoscopy did not reveal bronchial fistula, until 11 months after pneumonectomy, when he suddenly began to suffer from severe cough, copious sputum and high fever. The fistula was 3mm in diameter. Four weeks later, bronchoscopic therapy was performed to close the fistula. The insertion of two emboli, following administration of surgical adhesive, was found to be effective. After closure, cultures of the pleural effusion did not reveal any pyogenic specimens. After another 4 weeks, major pectoral muscle flap plombage was performed to obliterate the residual cavity. The postoperative course was uneventful and he is alive without recurrence of fistula and empyema 3 months after the plombage.
    Download PDF (578K)
  • Masaaki Nagatake, Masashi Yamamoto, Tetsuya Yagi, Atsushi Kawabata, Ta ...
    Type: Article
    1992 Volume 14 Issue 2 Pages 194-200
    Published: March 25, 1992
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    A 38 year-old male was referred to our hospital due to recurrent hemoptysis. He had experienced pneumonia at age 26 and recurrent hemoptysis during the last 3 years. As his feces were positive for occult blood, he underwent upper gastrointestinal endoscopy and a fistula was found at the lower portion of the esophagus. After confirming the communication between the esophagus and the bronchus by esophagography and bronchography, fistulectomy and right lower lobectomy were performed. The operative and post-operative histopathological findings of the resected specimen were compatible with congenital esophagobronchial fistula.
    Download PDF (655K)
  • Tokuji Matsuba, Koichiro Matsumoto, Tetsuro Fujiki, Hiroshi Yamazaki, ...
    Type: Article
    1992 Volume 14 Issue 2 Pages 201-205
    Published: March 25, 1992
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Endobronchial lipoma is a rare benign disease which should be differentiated from the much more common lung cancer. Only 32 such tumors have been reported in Japan. Since they simulate carcinomas of the lung in many ways, they are of great importance despite their rarity. Moreover, they may cause all the symptoms and signs of bronchial obstruction. A case report and review of the Japanese literatures concerning this rare tumor is presented. A 52-year-old woman was admitted because of productive cough for 6 months' duration. She had a history of frequent attacks of pneumonia in the right lower lung field. Fiberoptic bronchoscopy revealed a smooth, pinkish mass occluding the right middle lobe bronchus. Biopsy specimens yielded fat tissue with infiltrative inflammatory cells, which were insufficient for diagnosis. A right middle lobectomy was performed followed by an uneventful recovery.
    Download PDF (427K)
  • Satoshi Sakai, Ryosyo Tomita, Haruhito Tanaka, Koji Nakahara
    Type: Article
    1992 Volume 14 Issue 2 Pages 206-212
    Published: March 25, 1992
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    A 44-years-old female with a ten-year history of coughing underwent physical examination. Since chest X-ray films showed an abnormal shadow, she was referred to our hospital. Chest X-ray films and CT scanning revealed atelectasis of the right middle lobe and hilar lymph node calcification. Bronchoscopy showed stricture of the middle lobe orifice and discharge of pus. On a diagnosis of pulmonary abscess, the right middle lobe was resected. The right middle lobar bronchus was stenotic at the orifice and dilated peripherally at B4 with retention of pus and calculus. Analysis of the stone component revealed calcium phosphate. Since calcification of the hilar lymph node and bronchial wall and structure of the decalcificated broncholith (silver stain) suggested that intrabronchial perforation of calcified lymph node was considered to be the origin of those signs.
    Download PDF (647K)
  • Kazuhiro Yoshida, Gen Yamada, Takuya Fujishima, Ryouichi Honda, Seiya ...
    Type: Article
    1992 Volume 14 Issue 2 Pages 213-217
    Published: March 25, 1992
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    A 36-year-old man was admitted with mycoplasmal pneumonia. The abnormal shadow disappeared after treatment, however, his cough persisted. Bronchofiberscopy revealed a smooth-surfaced mass in the membranous portion of the trachea. Biopsy obtained tumor cells with eosinophilic and granular cytoplasm, and which stained positively with PAS and anti S-100 protein antibody. Examination of the ultrafine structure revealed osmiophilic granules, and the diagnosis of granular cell tumor was confirmed. Granular cell tumors originating in the trachea are reported to be rare.
    Download PDF (566K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1992 Volume 14 Issue 2 Pages 218-
    Published: March 25, 1992
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Download PDF (169K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1992 Volume 14 Issue 2 Pages 218-
    Published: March 25, 1992
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Download PDF (169K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1992 Volume 14 Issue 2 Pages 218-219
    Published: March 25, 1992
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Download PDF (308K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1992 Volume 14 Issue 2 Pages 219-
    Published: March 25, 1992
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Download PDF (197K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1992 Volume 14 Issue 2 Pages 219-
    Published: March 25, 1992
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Download PDF (197K)
  • [in Japanese], [in Japanese]
    Type: Article
    1992 Volume 14 Issue 2 Pages 219-
    Published: March 25, 1992
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Download PDF (197K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1992 Volume 14 Issue 2 Pages 219-
    Published: March 25, 1992
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Download PDF (197K)
  • [in Japanese], [in Japanese], [in Japanese]
    Type: Article
    1992 Volume 14 Issue 2 Pages 219-220
    Published: March 25, 1992
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Download PDF (233K)
  • Type: Appendix
    1992 Volume 14 Issue 2 Pages App6-
    Published: March 25, 1992
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Download PDF (103K)
  • Type: Appendix
    1992 Volume 14 Issue 2 Pages App7-
    Published: March 25, 1992
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Download PDF (54K)
  • Type: Appendix
    1992 Volume 14 Issue 2 Pages App8-
    Published: March 25, 1992
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Download PDF (54K)
  • Type: Appendix
    1992 Volume 14 Issue 2 Pages App9-
    Published: March 25, 1992
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Download PDF (54K)
  • Type: Appendix
    1992 Volume 14 Issue 2 Pages App10-
    Published: March 25, 1992
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Download PDF (41K)
  • Type: Appendix
    1992 Volume 14 Issue 2 Pages App11-
    Published: March 25, 1992
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Download PDF (46K)
  • Type: Cover
    1992 Volume 14 Issue 2 Pages Cover3-
    Published: March 25, 1992
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Download PDF (67K)
feedback
Top