The Journal of the Japan Society for Respiratory Endoscopy
Online ISSN : 2186-0149
Print ISSN : 0287-2137
ISSN-L : 0287-2137
Volume 17 , Issue 5
Showing 1-50 articles out of 59 articles from the selected issue
  • Type: Cover
    1995 Volume 17 Issue 5 Pages Cover1-
    Published: July 25, 1995
    Released: October 01, 2016
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  • Type: Cover
    1995 Volume 17 Issue 5 Pages Cover2-
    Published: July 25, 1995
    Released: October 01, 2016
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  • Type: Appendix
    1995 Volume 17 Issue 5 Pages App1-
    Published: July 25, 1995
    Released: October 01, 2016
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  • Type: Appendix
    1995 Volume 17 Issue 5 Pages App2-
    Published: July 25, 1995
    Released: October 01, 2016
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  • Type: Appendix
    1995 Volume 17 Issue 5 Pages App3-
    Published: July 25, 1995
    Released: October 01, 2016
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  • Type: Appendix
    1995 Volume 17 Issue 5 Pages App4-
    Published: July 25, 1995
    Released: October 01, 2016
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  • Type: Appendix
    1995 Volume 17 Issue 5 Pages App5-
    Published: July 25, 1995
    Released: October 01, 2016
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  • Type: Index
    1995 Volume 17 Issue 5 Pages Toc1-
    Published: July 25, 1995
    Released: October 01, 2016
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  • Type: Index
    1995 Volume 17 Issue 5 Pages Toc2-
    Published: July 25, 1995
    Released: October 01, 2016
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  • [in Japanese]
    Type: Article
    1995 Volume 17 Issue 5 Pages 375-376
    Published: July 25, 1995
    Released: October 01, 2016
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  • Jun Kobayashi, Yoshiki Ishii, Satoshi Kitamura
    Type: Article
    1995 Volume 17 Issue 5 Pages 377-384
    Published: July 25, 1995
    Released: October 01, 2016
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    The relationship between clinical manifestations and bronchoalveolar lavage fluid (BALF) findings was studied in 186 patients (70 males and 116 females) with histologicarlly-confirmed sarcoidosis treated between 1977 and 1993. BALF was obtained from 142 patients at the time of diagnosis, and the mean lymphocyte count was 31±20 (n=142) and CD4^+/CD8^+ ratio was 4.8±3.8 (n=98). The patients were grouped by age into those in their twenties, fifties, and over sixty ; the CD4^+/CD8^+ ratio was 3.8±2.4 (n=35), 5.2±3.7 (n=23), and 6.0±5.4 (n=21), respectively. Data for patients who were not treated with steroids (n=106) were further analyzed, and a significant positive correlation was found between sustained elevation of angiotensin-converting enzyme and the age at diagnosis (p<0.05). There was a significant correlation between improvement of bilateral hilar lymphadenopathy and low CD4^+/CD8^+ ratio at the time of diagnosis (p<0.05), while the change of pulmonary infiltration was not correlated with the CD4^+/CD8^+ ratio. These results suggest that the age at diagnosis and the initial value of the CD4^+/CD8^+ ratio in BALF may be useful in the prediction of the likelihood of sustained sarcoidosis activity during the clinical course.
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  • Atsushi Chiyotani, Jun Tamaoki, Isao Yamawaki, Noritaka Sakai, Etsuko ...
    Type: Article
    1995 Volume 17 Issue 5 Pages 385-389
    Published: July 25, 1995
    Released: October 01, 2016
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    To elucidate whether Hochu-ekki-to (Buzhongyiqitang) extract preparation (TJ-41) affects respiratory ciliary motility and, if so, what the mechanism of action is, we measured ciliary beat frequency (CBF) of rabbit cultured tracheal epithelium. TJ-41 (1mg/ml) elicited a rapid increase in CBF (ΔCBF=36.6±7.8%, p<0.01, n=5) within 3 min after addition to culture, which was followed by a gradual decline, but there was a significant difference between the CBF at 30 min after addition and control CBF. The TJ-41-induced increase in CBF was dose-dependent. TJ-41 also increased intracellular cyclic AMP level in a dose-dependent manner. These results suggest that TJ-41 stimulates ciliary motility of airway epithelial cells and may improve mucociliary transport function in the respiratory tract.
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  • Hiroshi Yamamoto, Toshihide Ishikura, Akira Fujita
    Type: Article
    1995 Volume 17 Issue 5 Pages 390-397
    Published: July 25, 1995
    Released: October 01, 2016
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    Three bronchogenic cyst cases, and one case of mediastinal cystic mature teratoma, which penetrated into the lung and contained an aspergilloma, were operated upon with two types of space-reducing procedure. For apical lung cysts, minimal thoracoplasty with the thoracic wall plombage method, a modified cavernoplasty, developed by the authors, was carried out. For nonapical lung cysts, the pulmonary detachment method, developed by the authors and consisting of mobilization of the diseased lobe by separating pleural adhesion, plus cystoplasty, trimming of cystic wall, was performed. Two patients died of other diseases at one year, and 9.5 years after operation respectively with no reccurence of lung cyst. The other two patients are doing well 5.5 and 6 years after operation, respectively. Space-reducing surgery for intrapulmonary bronchogenic cyst is acceptable in cases with impaired lung function, strong pleural adhesion or severe complicating factors.
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  • Munehiro Maeda, Hideaki Otsuji, Hideo Uchida, Shiro Makutani, Yoshiaki ...
    Type: Article
    1995 Volume 17 Issue 5 Pages 398-403
    Published: July 25, 1995
    Released: October 01, 2016
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    Gianturco type Zigzag stents (Z-stents) are effective for the treatment of tracheobronchial stenoses, however, Z-stents tend to pop out of the delivery sheath, which leads to their misplacement. We developed a "fixing wire", a fixing device to prevent Z-stents from jumping out of the delivery sheath, which consists of a teflon catheter with two side holes on its tip and a hydrophilic polymer-coated guide wire. The fixing wire was used during stent placement in 13 cases of tracheobronchial stenoses. In all cases, it was easy to control the stent placement and to detach the stent from the fixing wire. The fixing wire was useful to accurately place Z-stents, especially, in placing short Z-stents and also in placing a second Z-stent in a main bronchus through the stent wire of a Z-stent in the trachea to the other main bronchus.
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  • Nozomi Niitsu, Masayuki Nakata
    Type: Article
    1995 Volume 17 Issue 5 Pages 404-408
    Published: July 25, 1995
    Released: October 01, 2016
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    Non-Hodgkin's lymphoma (NHL) is associated in frequently with bronchial lesions, and only about 40 cases have been reported in Japan and overseas. In this study, we used bronchoscopy to detect of bronchial mucosal lesions in an attempt to determine the stage of NHL. Sixty-eight of 184 NHL patients were studied, consisting of 49 primary patients and 19 recurrent patients. Bronchial mucosal lesions were observed in 4 of the 68 patients (5.9%), and biopsy of the lesions revealed infiltration of lymphoma cells. Among these 4 patients, 3 patients had been previously untreated and there was 1 case of recurrence. The 4 primary patients showed no abnormality on chest X-ray film but all 4 patients had B cell lymphoma. In all 4 cases mucosal lesions had been eradicated by chemotherapy, and they achieved complete remission. Since bronchial mucosal lesion were detected in patients with no abnormarity on chest X-ray (B cell NHL), it is advisable to perform bronchoscopy for clinical stage.
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  • Kazushige Minemura, Yuichi Ichinose, Shinobu Horie, Keisuke Toyama
    Type: Article
    1995 Volume 17 Issue 5 Pages 409-415
    Published: July 25, 1995
    Released: October 01, 2016
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    We attempted to observe peripheral airways in smokers and cases with chronic pulmonary emphysema (CPE) using an ultrathin bronchofiberscope (XBF-22L), that has an outside diameter of 2.2mm. The CPE cases complained of exertional dyspnea (Hugh-Jones II). After conventional bronchofiberscopy, the ultrathinfiberscope was inserted through the working channel to observe peripheral airways. In both groups there were no significant findings as far as the 8th order bronchi. In smokers, acute inflammation with mucosal reddening and bleeding was observed peripherally from the 8th order bronchus, but the observation was seen as far as the 13th order bronchus. On the other hand, in CPE cases there were stenoses and obstructions in the 10th order bronchus (terminal bronchioles) and pooling of mucinous secretions, mucosal paleness and pigmentation along several branches proximal to the stenoses. Beyond the stenoses, spaces with septal formations resembling webs were observed. The spaces and septae were compatible with hypertranslucent parts on chest X ray and low attenuation areas on chest CT. These web-like findings were identical to the pathological findings of trabeculae formations of bullae. We confirmed endoscopically the functional obstruction sites in the terminal bronchioles and pathology of peripheral spaces with trabeculae in living CPE cases.
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  • Toru Arai, Hiroyuki Goto, Tomio Nakayama, Fumio Imamura, Shinichiro Na ...
    Type: Article
    1995 Volume 17 Issue 5 Pages 416-420
    Published: July 25, 1995
    Released: October 01, 2016
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    A 46-year-old male visited our hospital with complaints of persistent cough and sputum. Chest CT showed bronchiectasis of the right B^3 bronchus. Bronchoscopy revealed a polypoid tumor covered with a white necrotic substance in right B^3, and biopsy yielded a histological diagnosis of leiomyoma. Right S^3 segmentectomy was performed. The tumor was a white polyp, measuring 8×5mm. Immunohistochemical staining for desmin and αSMA was positive. Electron microscopic findings were also compatible with leiomyoma.
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  • Kazuya Iwai, Hirotaka Yasuba, Hideto Kawaguchi, Kenzo Yamashita, Hidek ...
    Type: Article
    1995 Volume 17 Issue 5 Pages 421-425
    Published: July 25, 1995
    Released: October 01, 2016
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    A 66-year-old woman who had developed hoarseness and wheezing since February 1993 was admitted to our hospital because of asphyxia on 13th August 1993. Urgent tracheotomy was performed and pathological findings of the tracheal specimen were fibrosis of the tracheal wall with mild infiltration of lymphocytes. Staining for S-100 protein and Alcian-blue revealed destruction of cartilage in the fibrosis and destruction of cartilaginous tissue. Other clinical manifestation showed saddle nose appearance and conjunctivitis. A diagnosis of Relapsing Polychondritis was made. Chest CT film demonstrated thickening of tracheal wall. Bronchoscopic findings were 'esophagus-like' bronchus, i.e, stenosis and disappearance of cartilage crescents in trachea and both main bronchi. Response for corticosteroid and DDS was poor. Insertion of tracheotomy tube and home oxygen therapy was continued.
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  • Haruko Taniguchi, Hideo Mashimoto, Kiyoshi Matsumoto, Nobuhiro Matsumo ...
    Type: Article
    1995 Volume 17 Issue 5 Pages 426-431
    Published: July 25, 1995
    Released: October 01, 2016
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    A 61-year-old man was treated with warfarin for pulmonary thromboembolism. In November 1994, CAZ and MCZ were used for bacterial and candidal infections. Immediately after that, chest X-ray film showed diffuse interstitial patterns in both lung fields, dyspnea occurred and laboratory findings revealed hypoxemia, anemia and coagulopathy. BAL fluid showed a bloody appearance. We made a diagnosis of pulmonary hemorrhage and started vitamin K and methylpredonisolone treatment, which improved the chest X-ray and clinical findings. Since plasma vitamin K level was within normal limits, pulmonary hemorrhage in this case was suspected to have been caused by inevitable ingestion of warfarin for pulmonary thromboembolism.
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  • Hiroyuki Nakamura, Kousuke Kashiwabara, Hisanaga Yagyu, Satoshi Koshik ...
    Type: Article
    1995 Volume 17 Issue 5 Pages 432-437
    Published: July 25, 1995
    Released: October 01, 2016
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    We experienced 3 cases of acute eosinophilic pneumonia diagnosed by transbronchial lung biopsy. In all three cases, the patients were young, with high fever and sudden onset of dyspnea. Chest CT images showed incresed of density in almost all bilateral lung fields forming a ground-glass appearance and showing retention of pleural fluid. Blood gas analysis revealed hypoxemia. Peripheral blood analysis showed leukocytosis but not eosinophilia therefore the cause was neutrophilia. Eosinophils and lymphocytes were found on alveolar septa and inside the alveolar cava eosinophil infiltration was found by transbronchial lung biopsy and in parts eosinophil aggregation was recognized. In all three cases, after adrenal cortex steroid was administered, unusual shadows appeared then disappeared quickly on the X-ray. During the course of treatment eosinophil also appeared temporarily. Recently, clinical reports of PIE syndrome appear in the same image. We also report acute eosinophilic pneumonia diagnosed and the treatment along with a documentary examination of similar cases.
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  • Haruhisa Hiyoshi, Hiroshi Iwanami, Kunio Narita, Masanori Tachibana, E ...
    Type: Article
    1995 Volume 17 Issue 5 Pages 438-442
    Published: July 25, 1995
    Released: October 01, 2016
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    A 74-year-old man was referred due to slight dyspnea in late November 1992. Chest X-ray film showed no abnormal shadow but bronchofiberscopic findings revealed a cauliflower-like tumor arising from posterior wall of the trachea, immediately below the vocal cord. When squamous papilloma was diagnosed, endoscopic Nd-YAG laser therapy was performed after tracheostomy and the tracheal stenosis was opened. However, because of intratracheal recurrence the tumor was resected via the median incision of the trachea, a permanent tracheostomy was done and a T-tube was inserted into the trachea. Pathological examination revealed well differentiated sqamous cell carcinoma of the trachea. After operation the tumor recurred in the trachea twice despite radiation therapy and bilateral intrapulmonary metastasis was detected by chest CT scan. We then performed chemotherapy and radiation therapy simultaneously. This case which was treated by endoscopic laser therapy, operation, irradiation, and chemotherapy during a period of 2 years is the patient alive.
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  • Tsutomu Kawabata, Hidenori Kawasaki, Morio Ohta, Masayuki Kuniyoshi, K ...
    Type: Article
    1995 Volume 17 Issue 5 Pages 443-447
    Published: July 25, 1995
    Released: October 01, 2016
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    A 64-year-old male visited our hospital with positive sputum cytology and negative chest x-ray film in March 1991. Selective bronchial washings from the left upper lobe showed squamous cell carcinoma, therefore left upper lobectomy was performed. A histological study revealed squamous cell carcinoma in situ at 1B^5b. In March 1993, bronchofiberscopy revealed a protruding lesion (squamous cell carcinoma) at the bifurcation of 1B^8 and B^9. After Nd-YAG laser and radiation therapy, no cancer cells were obtained. In April 1994, completion pneumonectomy was performed because of squamous cell carcinoma newly developed in 1B^<10>. The bronchial stump was covered with an intercostal muscle flap. A small bronchopleural fistula after surgery was cured conservative treatment, preventing complete dehiscence at the bronchial stump. This intercostal flap technique is useful in preventing bronchopleural fistula associated with completion pneumonectomy following radiation therapy.
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  • Makoto Suzuki, Hideki Kimura, Naomichi Iwai, Shigetoshi Yoshida, Yutak ...
    Type: Article
    1995 Volume 17 Issue 5 Pages 448-454
    Published: July 25, 1995
    Released: October 01, 2016
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    A 43-year-old man had been treated for adenoid cystic carcinoma with surgery (right sleeve pneumonectomy) and irradiation (60Gy) 12 years previously. He had been followed up as an outpatient and had occasionally been admitted due to asthmatic attacks. After admission in May 1993, bronchofiberscopy revealed no abnormality of the anastomotic site and chest CT demonstrated no sign of recurrence. Because of his clinical course, deteriorating chronic cardiopulmonary function due to sleeve pneumonectomy and irradiation. Although he received symptomatic treatment, he succumbed 12 years after operation. Autopsy revealed invasion to the mediastinum with remarkable fibrosis. Local recurrence was connected to be the cause of death.
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  • Makoto Yoshioka, Yasunori Fukusima, Takahiro Hayase, Masahiko Taniguch ...
    Type: Article
    1995 Volume 17 Issue 5 Pages 455-458
    Published: July 25, 1995
    Released: October 01, 2016
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    A total of 21 cases of spontaneous pneumothorax were treated from June 1993. For three cases with massive air leakage with poor pulmonary reserve and/or advanced age, a new approach of bronchial embolization combined with pleurodesis was attempted. The previously inserted thoracic tube was able to be removed 4.7 days following treatment and all three were cured. We conclude this new therapy is simple, less invasive and effective in cares of pneumothorax with massive air leakage, in which there in no indication for operation.
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  • Masanori Nakamura, Katsuyuki Kusajima, Toyohiro Saikai, Hiroyuki Sugaw ...
    Type: Article
    1995 Volume 17 Issue 5 Pages 459-465
    Published: July 25, 1995
    Released: October 01, 2016
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    A 55-year-old man was found to have poorly differentiated squamous cell carcinoma by biopsy. After chemotherapy (BAI), an esophagobronchial fistula developed in the left main bronchus. An expandable metallic stent coated with expanded polytetrafluoroethylene (ePTFE) was inserted into the left main bronchus to block the fistula. Esophagogram and endoscopic images disclosed complete closure of the fistula. It arrested the development of pneumonia and allowed resumption of oral intake. There were no complications related to the stent till 4 months after the implantation. This was the first case in which a covered metallic stent was placed in the left main bronchus for esophagobronchial fistula. This palliative treatment was thought to be effective for esophagobronchial fistula.
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1995 Volume 17 Issue 5 Pages 466-
    Published: July 25, 1995
    Released: October 01, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1995 Volume 17 Issue 5 Pages 466-
    Published: July 25, 1995
    Released: October 01, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese]
    Type: Article
    1995 Volume 17 Issue 5 Pages 466-
    Published: July 25, 1995
    Released: October 01, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1995 Volume 17 Issue 5 Pages 466-467
    Published: July 25, 1995
    Released: October 01, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese]
    Type: Article
    1995 Volume 17 Issue 5 Pages 467-
    Published: July 25, 1995
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Download PDF (203K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1995 Volume 17 Issue 5 Pages 467-
    Published: July 25, 1995
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Download PDF (203K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1995 Volume 17 Issue 5 Pages 467-
    Published: July 25, 1995
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Download PDF (203K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1995 Volume 17 Issue 5 Pages 467-
    Published: July 25, 1995
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Download PDF (203K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1995 Volume 17 Issue 5 Pages 467-468
    Published: July 25, 1995
    Released: October 01, 2016
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    Download PDF (349K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1995 Volume 17 Issue 5 Pages 468-
    Published: July 25, 1995
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Download PDF (210K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1995 Volume 17 Issue 5 Pages 468-
    Published: July 25, 1995
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Download PDF (210K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1995 Volume 17 Issue 5 Pages 468-
    Published: July 25, 1995
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Download PDF (210K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1995 Volume 17 Issue 5 Pages 468-469
    Published: July 25, 1995
    Released: October 01, 2016
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    Download PDF (359K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1995 Volume 17 Issue 5 Pages 469-
    Published: July 25, 1995
    Released: October 01, 2016
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    Download PDF (215K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1995 Volume 17 Issue 5 Pages 469-
    Published: July 25, 1995
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Download PDF (215K)
  • [in Japanese], [in Japanese], [in Japanese]
    Type: Article
    1995 Volume 17 Issue 5 Pages 469-
    Published: July 25, 1995
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Download PDF (215K)
  • [in Japanese]
    Type: Article
    1995 Volume 17 Issue 5 Pages 469-
    Published: July 25, 1995
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Download PDF (215K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1995 Volume 17 Issue 5 Pages 469-
    Published: July 25, 1995
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Download PDF (215K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1995 Volume 17 Issue 5 Pages 469-470
    Published: July 25, 1995
    Released: October 01, 2016
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    Download PDF (356K)
  • Type: Bibliography
    1995 Volume 17 Issue 5 Pages 470-
    Published: July 25, 1995
    Released: October 01, 2016
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    Download PDF (106K)
  • Type: Bibliography
    1995 Volume 17 Issue 5 Pages 470-
    Published: July 25, 1995
    Released: October 01, 2016
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    Download PDF (106K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1995 Volume 17 Issue 5 Pages 470-
    Published: July 25, 1995
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Download PDF (208K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese]
    Type: Article
    1995 Volume 17 Issue 5 Pages 470-
    Published: July 25, 1995
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Download PDF (208K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese]
    Type: Article
    1995 Volume 17 Issue 5 Pages 470-
    Published: July 25, 1995
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Download PDF (208K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1995 Volume 17 Issue 5 Pages 470-471
    Published: July 25, 1995
    Released: October 01, 2016
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    Download PDF (343K)
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