The Journal of the Japan Society for Respiratory Endoscopy
Online ISSN : 2186-0149
Print ISSN : 0287-2137
ISSN-L : 0287-2137
Volume 18 , Issue 6
Showing 1-50 articles out of 88 articles from the selected issue
  • Type: Cover
    1996 Volume 18 Issue 6 Pages Cover1-
    Published: September 25, 1996
    Released: October 01, 2016
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  • Type: Cover
    1996 Volume 18 Issue 6 Pages Cover2-
    Published: September 25, 1996
    Released: October 01, 2016
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  • Type: Appendix
    1996 Volume 18 Issue 6 Pages App1-
    Published: September 25, 1996
    Released: October 01, 2016
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  • Type: Appendix
    1996 Volume 18 Issue 6 Pages App2-
    Published: September 25, 1996
    Released: October 01, 2016
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  • Type: Appendix
    1996 Volume 18 Issue 6 Pages App3-
    Published: September 25, 1996
    Released: October 01, 2016
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  • Type: Appendix
    1996 Volume 18 Issue 6 Pages App4-
    Published: September 25, 1996
    Released: October 01, 2016
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  • Type: Appendix
    1996 Volume 18 Issue 6 Pages App5-
    Published: September 25, 1996
    Released: October 01, 2016
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  • Type: Appendix
    1996 Volume 18 Issue 6 Pages App6-
    Published: September 25, 1996
    Released: October 01, 2016
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  • Type: Index
    1996 Volume 18 Issue 6 Pages Toc1-
    Published: September 25, 1996
    Released: October 01, 2016
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  • Type: Index
    1996 Volume 18 Issue 6 Pages Toc2-
    Published: September 25, 1996
    Released: October 01, 2016
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  • [in Japanese]
    Type: Article
    1996 Volume 18 Issue 6 Pages 529-530
    Published: September 25, 1996
    Released: October 01, 2016
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  • Masamichi Takagi, Tadashi Akiba, Hideaki Kurihara, Yoji Yamazaki, Kimi ...
    Type: Article
    1996 Volume 18 Issue 6 Pages 531-535
    Published: September 25, 1996
    Released: October 01, 2016
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    We studied the healing of bronchial stump by using the piglet (body weight : 7∿10kg). The right cranial bronchus of this animal, the tracheal bronchus, was used to create a bronchial stump. This technique enabled us to perform the operation without manipulation of pulmonary vessels and the pulmonary parenchyma. This technique was easy and safe and postoperative care was also relatively easy. The piglet seems to be useful in evaluating the healing of bronchial stump.
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  • Seiichi Nakamura, Kimihiro Makino, Hiyori Fumimoto, Takumi Kurasawa, T ...
    Type: Article
    1996 Volume 18 Issue 6 Pages 536-542
    Published: September 25, 1996
    Released: October 01, 2016
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    We attempted to determine whether the chemical properties of the bronchial secretions of patients with airway burns can indicate the degree of airway injury by comparing results of analysis with wall mucosal redness and swelling as seen on bronchofiberscopy. We examined the bronchoscopic findings of 18 cases of airway burn and scored the degree of redness and swelling of bronchial mucosa for seven days after the injury. We also collected bronchial secretions before the bronchofiberscopy procedure for analysis of albumin, fucose, sialic acid, IgA, lysozyme, total phospholipid and phosphatidylcholine. The total score, which reflected the degree of redness and swelling of the mucosa, correlated positively with the sialic acid/fucose ratio (r=0.42, p<0.005), and total phospholipid (r=0.35, p<0.02). A positive correlation was also observed between the total score and albumin concentration from the second day on (r=0.33, p<0.04). It is suggested that the degree of airway injury is indicated by the ratio of sputum extravascular transudate component to mucus component, and the sialic acid/fucose ratio.
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  • Haruhiko Ogawa, Masaki Fujimura, Shiho Amaike, Yoriko Matsumoto, Tamot ...
    Type: Article
    1996 Volume 18 Issue 6 Pages 543-547
    Published: September 25, 1996
    Released: October 01, 2016
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    Effect of clarithromycin on symptoms and cough receptor sensitivity were studied in 15 patients with sino-bronchial syndrome. Cough receptor sensitivity was measured by a capsaicin provocation test. After 4 weeks of treatment with oral clarithromycin (400mg/day), cough frequency and volume of sputum had significantly decreased but cough receptor sensitivity was unchanged. These findings suggest that productive cough in patients with sino-bronchial syndrome is not accompanied with heightened cough receptor sensitivity.
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  • Masayuki Nishio, Takahiko Sugiura, Shigemitsu Ninomiya, Hajime Miyara, ...
    Type: Article
    1996 Volume 18 Issue 6 Pages 548-552
    Published: September 25, 1996
    Released: October 01, 2016
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    A 72-year-old man was admitted because of positive sputum cytology in a mass screening for lung cancer. The initial chest X-ray film showed a mass shadow in the upper trachea. A chest CT scan on admission showed a tumor shadow at the same site. Bronchofiberscopic examination revealed a tumor in the upper trachea. Primary tracheal cancer, adenosquamous carcinoma, was diagnosed by histological examination. Intraluminal irradiation therapy is very effective for this type of case. Tracheal cancer is a rare cancer. Most cases of tracheal cancer complain of some respiratory symptoms, but this case was asymptomatic.
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  • Tomonori Nakasone, Koji Kimino, Yuichi Inoue, Yuko Yamashita
    Type: Article
    1996 Volume 18 Issue 6 Pages 553-557
    Published: September 25, 1996
    Released: October 01, 2016
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    A 78-year-old man admitted for further examinations of a well-defined round shadow in the left upper lung field on chest X-ray. Bronchoscopy revealed a small elevated lesion at the orifice of the right B^7 and transbronchial biopsy suggested squamous cell carcinoma. The Left lung lesion was not diagnosed but synchronous double lung cancer was suspected. Because of old age and cardio-pulmonary dysfunction, vaporization and pulmonary resection by Nd-YAG laser and additional irradiation were performed for both lesions. This patient remained satisfactory for 8 months until liver metastases appeared. No cancer cells were identified in the resected lung on autopsy. Nd-YAG laser therapy and irradiation were useful for lung preservation and maintainance of QOL.
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  • Toshinobu Yokoyama, Hideaki Ninomiya, Michiya Matsunami, Kazuhiro Tash ...
    Type: Article
    1996 Volume 18 Issue 6 Pages 558-562
    Published: September 25, 1996
    Released: October 01, 2016
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    A 86-year-old man with tracheopathia osteochondroplastica associated with pulmonary adenocarcinoma is reported. Bronchofiberscopic findings of tracheopathia osteochondroplastica was established. Some nodular elevated lesions in the trachea and the carina was recognized differing from typical findings of tracheopathia osteochondroplastica, the diagnosis confirmed by biopsy. Biopsy from the area in which of tumor shadow was shown in the lung field indicated poorly differentiated adenocarcinoma. Tracheopathia osteochondroplastica complicated with pulmonary adenocarcinoma was diagnosed. A hundred twenty-six cases, including the present case, of tracheobronchopathia osteochondroplastica reported in Japan were 24 cases (19.0%) complicated with malignant neoplasms, 14 of which were complicated with lung cancer (11.1%). The most common cell type of lung cancer was adenocarcinoma.
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  • Michiaki Suzuki, Koichi Shimizu, Yoshiaki Nakaya, Kyoichi Sakamoto, Ak ...
    Type: Article
    1996 Volume 18 Issue 6 Pages 563-568
    Published: September 25, 1996
    Released: October 01, 2016
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    A 34-year-old man who complained of a dry cough was admitted to our hospital. The chest X-ray film and CT scans showed multiple nodular shadows and cystic lesions in the upper and middle lung fields of both lungs. A diagnosis of pulmonary eosinophilic granuloma was made by transbronchial lung biopsy (TBLB) because the specimen revealed granuloma with eosinophils and histiocytes which were positive for S-100 protein staining. Because the chest X-ray film findings deteriorated for two weeks after admission, prednisolone was administered and his complaints and the findings of chest X-ray improved. However the abnormal shadows on the chest X-ray slightly increased when the dose of prednisolone was tapered. Many cases of this disease were previously diagnosed by open lung biopsy, but the number of cases diagnosed by TBLB are increasing. It is considered that TBLB, combined with bronchoalveolar lavage, is a useful diagnostic procedure for many cases in which pulmonary eosinophilic granuloma in the early or active stages is suspected. Recently thoracoscopic lung biopsy is useful for cases which cannot be diagnosed by TBLB.
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  • Hiroaki Nomori, Hirotoshi Horio, Ryuichirou Kobayashi, Yukinori Takaha ...
    Type: Article
    1996 Volume 18 Issue 6 Pages 569-572
    Published: September 25, 1996
    Released: October 01, 2016
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    A 27-year-old female who was 7 months pregnant complained of progressively deteriorating dyspnea. Compressive stenosis of the trachea by an anterior mediastinal non-Hodgkin's lymphoma was diagnosed. Immediately after Cesarean section, systemic chemotherapy with a CHOP regimen was performed under mechanical ventilation. Seven days after the completion of treatment, the tracheal stenosis was improved as a result of reduction of the tumor, and she was removed from the respirator. Subsequent chemotherapy and radiation therapy were performed, which resulted in complete remission. The patient has now survived without recurrence for 42 months following the treatment. Since mediastinal non-Hodgkin's lymphoma responds to chemotherapy, if it caused severe tracheal stenosis, systemic chemotherapy should be performed initially rather than radiation therapy to improve airway stenosis and prognosis.
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  • Hiroshi Okitsu, Takashi Nagano, Kazuhisa Katayama
    Type: Article
    1996 Volume 18 Issue 6 Pages 573-577
    Published: September 25, 1996
    Released: October 01, 2016
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    A 69-year-old woman was admitted with dyspnea and right chest pain. On admission chest X-ray film showed an atelectasis of the right lung. Bronchofiberscopic findings revealed stenosis of lower trachea and pinhole-like stenosis of the right main bronchus, but chest tomography showed the truncus intermedius. Chest X-ray film after the conservative therapy showed improvement of atelectasis. Tuberculosis tracheo-bronchial stenosis was diagnosed and carcinoplasty was performed. Resection of the right main bronchus, right sleeve lobectomy, and resection of 4 tracheal rings was performed. The truncus intermedius was moved to the side of the trachea and implanted above the anastomosis of the trachea and the left main bronchus. The postoperative course was uneventful.
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  • Katsuya Fujimori, Eiichi Suzuki, Masaaki Arakawa
    Type: Article
    1996 Volume 18 Issue 6 Pages 578-583
    Published: September 25, 1996
    Released: October 01, 2016
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    A 28-year-old man had suffered bilateral pain and swelling in the elbows, wrists, knees and ankles as well as fever for about one month. Polyarthritis was diagnosed, based on the clinical symptoms and inflammatory changes. The serum C-reactive protein level was 10.9mg/dl, and the erythrocyte sedimentation rate was 25mm/hour. The patient's chest X-ray films revealed small nodular shadows in the bilateral upper lung fields in addition to hilar lymphadenopathy. The signs and symptoms suggested sarcoidosis, pulmonary tuberculosis or pulmonary eosinophilic granuloma. The serum angiotensin converting enzyme (ACE) level was 19.1IU/L, and an ophthalmologic study did not suggest sarcoidosis. However, bronchoalveolar lavage fluid obtained by fiberoptic bronchoscopy revealed an increased number of total cells, increased lymphocytic proportion and elevated CD4/CD8 ratio (8.31). A histological study of specimens obtained by transbronchial lung biopsy revealed non-caseating epithelioid cell granuloma. Based on these findings, the sarcoidosis was diagnosed. Chest X-ray films taken 6 months before admission showed no abnormality. Those taken after one month of follow-up showed increased lung involvement and exacerbated hilar lymphadenopathy and at that time, the serum ACE level increased to 32IU/L. The patient's polyarthritis improved following treatment with naproxen. This case indicates that sarcoidosis should be considered as a possible cause of polyarthritis.
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  • Yoshinobu Iwasaki, Ichiro Yokomura, Mikio Ueda, Shinichi Hashimoto, Ka ...
    Type: Article
    1996 Volume 18 Issue 6 Pages 584-589
    Published: September 25, 1996
    Released: October 01, 2016
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    The treatment of pulmonary aspergilloma is divided into surgical resection and medical treatment. Surgical resection is the first choice in point of effectiveness, but is often impossible because of severe, underlying pulmonary impairment. We infused amphotericin B selectively into a cavity with a balloon catheter using a flexible bronchofiberscope in two patients with symptomatic pulmonary aspergillomas. In one patient, a bronchofiberscopy was performed 9 times and 180mg in total of amphotericin B was infused and the aspergilloma disappeared after treatment. In another patient, a bronchofiberscopy was performed 10 times and 200mg in total of amphotericin B was infused. The aspergilloma decreased in size remarkably and serologic study of Aspergillus spp. precipitins was negative after treatment. The fever was seen on the day of infusion in the both patients, but there was no other side-effect and it was tolerable. Transbronchial intracavitary infusion therapy with balloon catheter is a safe and easy method, and should be considered in patients with symptomatic pulmonary aspergilloma, particularly when surgical resection is not feasible.
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  • Masakazu Katoh
    Type: Article
    1996 Volume 18 Issue 6 Pages 590-593
    Published: September 25, 1996
    Released: October 01, 2016
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    The BAL was employed in both diagnosis of pulmonary Nocardiosis and in therapeutic response evaluation in a 52-year-old woman with bronchiectasis who complained of hemoptysis. She was successfully treated with sulfamethoxazoletrimethoprim.
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  • Masahiro Hirata, Ryouichi Takahashi, Ryuuta Sakai, Mitsuru Gima, Toshi ...
    Type: Article
    1996 Volume 18 Issue 6 Pages 594-601
    Published: September 25, 1996
    Released: October 01, 2016
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    <Case 1> A 72-year-old woman had received erythromycin treatment (600mg/day, EM) for diffuse panbronchiolitis (DPB), but often suffered respiratory tract infections. Her chief complaints were dyspnea and cough. Chest CT scan showed diffuse saccular bronchiectases with secondary infiltration. She did not respond to antibacterial treatment, but her symptoms improved remarkably after treatment with clarithromycin (400&acd;200mg/day, CAM). <Case 2> A 65-year-old woman had suffered from repeated respiratory tract infection. Medications at another hospital were not effective, then she was admitted with pneumonia. Chest CT scan showed diffuse saccular bronchiectases with surrounding infiltration. Pseudomonas aeruginosa was not eradicated, but her symptoms were markedly improved with administration of CAM (400&acd;200mg/day). Neither case was a candidate for lung resection, because they were elderly women with advanced bilateral bronchiectases. CAM obtained a good response.
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  • Takumi Kishimoto, Masayuki Okahara, Shinji Ozaki, Kazuhi Kimura
    Type: Article
    1996 Volume 18 Issue 6 Pages 602-606
    Published: September 25, 1996
    Released: October 01, 2016
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    A 43-year-old male carpenter presented with a chief complaint of dyspnea. The chest X-ray showed feather-like diffuse abnormal shadows radiating from bilateral hili and alveolar proteinosis was diagnosed by bronchoscopic bronchoalveolar lavage and transbronchial lung biopsy. Bronchoalveolar lavage was effective treatment. This case suffered 4 repeated dyspnea attacks after the initial treatment, and each time bronchoalveolar lavage of the affected lobe was effective.
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  • Masao Umemoto, Yukihito Saitoh, Hiroji Imamura, Seibun Yonezu
    Type: Article
    1996 Volume 18 Issue 6 Pages 607-611
    Published: September 25, 1996
    Released: October 01, 2016
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    We describe a technique for placement of a Dumon stent with special tracheal tube and fiberscope. This technique is done under X-ray monitoring using flexible fiberscope. The Dumon stent is inserted into a special tracheal tube (internal diameter : 10mm) with a 5cm slit. Then the stent is pushed out into the stenotic portion using a modified tube exchanger as a pusher. We placed Dumon stents by this method three times easily and successfully (diameter ; 11&acd;14mm, length ; 50&acd;70mm). The advantages of this technique are as follows. It is very easy to insert the Dumon tube into the special tracheal tube via the slit. Fiberscopic and radiographic imaging make it easier to guide the stent. The placement apparatus is very simple and cheap. This technique is not inferior to the conventional method with rigid bronchoscope.
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  • [in Japanese]
    Type: Article
    1996 Volume 18 Issue 6 Pages 612-
    Published: September 25, 1996
    Released: October 01, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1996 Volume 18 Issue 6 Pages 612-
    Published: September 25, 1996
    Released: October 01, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1996 Volume 18 Issue 6 Pages 612-
    Published: September 25, 1996
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Download PDF (181K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1996 Volume 18 Issue 6 Pages 612-613
    Published: September 25, 1996
    Released: October 01, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1996 Volume 18 Issue 6 Pages 613-
    Published: September 25, 1996
    Released: October 01, 2016
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    Download PDF (212K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1996 Volume 18 Issue 6 Pages 613-
    Published: September 25, 1996
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Download PDF (212K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1996 Volume 18 Issue 6 Pages 613-
    Published: September 25, 1996
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Download PDF (212K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1996 Volume 18 Issue 6 Pages 613-614
    Published: September 25, 1996
    Released: October 01, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1996 Volume 18 Issue 6 Pages 614-
    Published: September 25, 1996
    Released: October 01, 2016
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    Download PDF (208K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1996 Volume 18 Issue 6 Pages 614-
    Published: September 25, 1996
    Released: October 01, 2016
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    Download PDF (208K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1996 Volume 18 Issue 6 Pages 614-
    Published: September 25, 1996
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Download PDF (208K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1996 Volume 18 Issue 6 Pages 614-
    Published: September 25, 1996
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Download PDF (208K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1996 Volume 18 Issue 6 Pages 614-615
    Published: September 25, 1996
    Released: October 01, 2016
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    Download PDF (356K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1996 Volume 18 Issue 6 Pages 615-
    Published: September 25, 1996
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Download PDF (212K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1996 Volume 18 Issue 6 Pages 615-
    Published: September 25, 1996
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Download PDF (212K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1996 Volume 18 Issue 6 Pages 615-
    Published: September 25, 1996
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Download PDF (212K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1996 Volume 18 Issue 6 Pages 615-
    Published: September 25, 1996
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Download PDF (212K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1996 Volume 18 Issue 6 Pages 615-616
    Published: September 25, 1996
    Released: October 01, 2016
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    Download PDF (350K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1996 Volume 18 Issue 6 Pages 616-
    Published: September 25, 1996
    Released: October 01, 2016
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    Download PDF (200K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese]
    Type: Article
    1996 Volume 18 Issue 6 Pages 616-
    Published: September 25, 1996
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Download PDF (200K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1996 Volume 18 Issue 6 Pages 616-
    Published: September 25, 1996
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Download PDF (200K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese]
    Type: Article
    1996 Volume 18 Issue 6 Pages 616-
    Published: September 25, 1996
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Download PDF (200K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese]
    Type: Article
    1996 Volume 18 Issue 6 Pages 616-617
    Published: September 25, 1996
    Released: October 01, 2016
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    Download PDF (333K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1996 Volume 18 Issue 6 Pages 617-
    Published: September 25, 1996
    Released: October 01, 2016
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