The Journal of the Japan Society for Respiratory Endoscopy
Online ISSN : 2186-0149
Print ISSN : 0287-2137
ISSN-L : 0287-2137
Volume 20 , Issue 6
Showing 1-50 articles out of 68 articles from the selected issue
  • Type: Cover
    1998 Volume 20 Issue 6 Pages Cover1-
    Published: September 25, 1998
    Released: October 01, 2016
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  • Type: Cover
    1998 Volume 20 Issue 6 Pages Cover2-
    Published: September 25, 1998
    Released: October 01, 2016
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  • Type: Appendix
    1998 Volume 20 Issue 6 Pages App1-
    Published: September 25, 1998
    Released: October 01, 2016
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  • Type: Appendix
    1998 Volume 20 Issue 6 Pages App2-
    Published: September 25, 1998
    Released: October 01, 2016
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  • Type: Appendix
    1998 Volume 20 Issue 6 Pages App3-
    Published: September 25, 1998
    Released: October 01, 2016
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  • Type: Appendix
    1998 Volume 20 Issue 6 Pages App4-
    Published: September 25, 1998
    Released: October 01, 2016
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  • Type: Appendix
    1998 Volume 20 Issue 6 Pages App5-
    Published: September 25, 1998
    Released: October 01, 2016
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  • Type: Appendix
    1998 Volume 20 Issue 6 Pages App6-
    Published: September 25, 1998
    Released: October 01, 2016
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  • Type: Index
    1998 Volume 20 Issue 6 Pages Toc1-
    Published: September 25, 1998
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  • Type: Index
    1998 Volume 20 Issue 6 Pages Toc2-
    Published: September 25, 1998
    Released: October 01, 2016
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  • [in Japanese]
    Type: Article
    1998 Volume 20 Issue 6 Pages 463-464
    Published: September 25, 1998
    Released: October 01, 2016
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  • [in Japanese]
    Type: Article
    1998 Volume 20 Issue 6 Pages 465-466
    Published: September 25, 1998
    Released: October 01, 2016
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  • Masahiko Kawakami, Seiichi Nakamura, Hiyori Kaneko, Jun Takizawa, Mich ...
    Type: Article
    1998 Volume 20 Issue 6 Pages 467-471
    Published: September 25, 1998
    Released: October 01, 2016
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    Are clinic doctors carrying out a smoking cessation intervention differently from general-hospital doctors? We carried out a questionnaire and compared the answers from 245 clinic doctors (group C) and 366 general-hospital doctors (group G). Their smoking prevalence rate was lower than that of the general population, and no trend with regard to age was seen in the prevalence. In spite of there being no difference in the rate of doctors asking their patients about smoking status, group G doctors were more likely to ask almost all patients regardless of their disease, than group C. However, in group C, more doctors advised smoking patients to stop smoking, whereas group G doctors advised more actively. The doctors' smoking status and attitude towards smoking influenced their smoking cessation advice in group C whereas such a trend was not detected in group G. It appears that clinic doctors are situated at more suitable position to give their patients advice to stop smoking during routine consultations. In contrast, it is likely that among general-hospital doctors, some hardly have a chance to give advice whereas others are more active in giving advice under the influence of their specialties.
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  • Takumi Ichihashi, Tetsuo Sakai
    Type: Article
    1998 Volume 20 Issue 6 Pages 472-480
    Published: September 25, 1998
    Released: October 01, 2016
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    Four cases of bronchial atresia are presented. Case 1 : a chest X-ray film of a 32-year-old woman suffering from a common cold showed an abnormal shadow in the right upper lung field. Three years later, it had grown and a V-shaped mass about 5cm long was seen. Chest CT scan revealed mucoid impaction and surrounding hyperlucency in the right S^1 area. Bronchofiberscopy found no orifice of right B^1. Case 2 : a 23-year-old man was referred to our clinic because of an abnormal shadow in the left upper lung field of a chest X-ray film on a regular health check-up. Chest CT scan revealed mucoid impaction with an air-fluid level and surrounding hyperlucency in the left S^3 area. Pulmonary perfusion/ventilation scintigrams revealed poor perfusion and air-trapping in the left upper lung field. Case 3 : a 62-year-old woman was referred to our clinic because of an abnormal shadow in the left middle lung field of a chest X-ray film taken on a regular health check-up. Chest CT scan showed a snowman-shaped mass and surrounding hyperlucency in the left S^3b area. Thoracoscopic wedge resection and histological study of the lesion revealed that it was mucus collection in the dilated bronchiole surrounded with emphysematous lung. Case 4 : a 43-year-old woman was referred to our clinic because of an abnormal shadow in the right lower lung field on a chest X-ray film taken on a regular health check-up. Chest CT scan revealed a cord-like mass shadow and surrounding hyperlucency in the right S^<10> area. Bronchofiberscopy found no orifice of right B^<10>. Grouping of cases of bronchial atresia reported in the Japanese literature into four groups based on a combination of the presence or absence of mucoid impaction and regional emphysema on roentgenological examination led to the hypothesis of a relationship between the time of completion of bronchial obstruction and clinical features.
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  • Yoshihiro Miyashita, Kimihiko Yasuda, Natsuo Yamamoto, Masataka Onoue, ...
    Type: Article
    1998 Volume 20 Issue 6 Pages 481-483
    Published: September 25, 1998
    Released: October 01, 2016
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    Two patients hemoptysis due to pulmonary tuberculosis were saved from asphyxiation by a Univent-tube. In case 1, recurrent hemoptyses with increasing volume were observed. In case 2, massive hemoptyses were observed. In both cases, fiberoptic bronchoscopic treatment was not effective and the risk of asphyxiation increased. After insertion of a Univent-tube, embolization of the bronchial artery was accomplished safely. Pulmonary atelectasis was resolved soon after extubation by chest physical therapy.
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  • Kyoichi Sakamoto, Satomi Shiota, Yoshiaki Nakaya, Akihiko Iwase, Shige ...
    Type: Article
    1998 Volume 20 Issue 6 Pages 484-488
    Published: September 25, 1998
    Released: October 01, 2016
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    A 54-year-old woman was admitted because of frequent hemoptysis. Bronchofiberoptic examination revealed telangiectasias in the right main bronchus, and she was treated with Nd-YAG laser coagulation. After laser coagulation, she did not experience hemoptysis. She had a 9-year history of Raynaud's phenomenon, and had telangiectasias on the lips, tongue, fingers, face and chest. Serologic studies revealed an antinuclear antibody of 1 : 1280, and an anticentromere antibody of 1 : 1280. She did not have calcinosis, esophageal dysfunction or sclerodactyly, but was suspected to have CREST syndrome. We report endobronchial telangiectasias due to CREST syndrome.
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  • Hisanori Ohmori, Noriyuki Aoyama
    Type: Article
    1998 Volume 20 Issue 6 Pages 489-492
    Published: September 25, 1998
    Released: October 01, 2016
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    We reported a 92-year-old woman, with tracheobronchopathia osteochondroplastica (TO). Bronchofiberscopy revealed many nodular elevated lesions on all sides of the trachea and the right main bronchus except for the membranous portion. Histological examination of all biopsy specimens demonstrated submucosal bony tissue consistent with TO. The bronchofiberscopic findings showed only slight progression compared with the findings of 11 years previously. These findings suggest that TO is a very slowly growing benign disease.
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  • Hisashi Ishikura, Junko Honda, Kazuya Kondo, Seiji Ohata, Hiroyuki Hin ...
    Type: Article
    1998 Volume 20 Issue 6 Pages 493-497
    Published: September 25, 1998
    Released: October 01, 2016
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    A 53-year-old man complaining of hoarseness had tumors of the subglottis. Chest CT showed calcifications in the tracheal wall. Bronchoscopy revealed multiple elevated lesions in the trachea and main bronchus with redness and plaque but not in the membranous portion. The tumors were very hard. Microscopic findings showed bony tissue and chronic inflammatory cell infiltration, therefore, a diagnosis of tracheobronchopathia osteochondroplastica was made. To make a diagnosis of T.O., it is essential to understand its charactaristic bronchoscopic findings and to obtain sufficient specimens.
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  • Kenji Baba, Isao Koishikawa, Takehiko Sekii, Kazuhito Yoshida, Tsutomu ...
    Type: Article
    1998 Volume 20 Issue 6 Pages 498-504
    Published: September 25, 1998
    Released: October 01, 2016
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    A 59-year-old woman visited our hospital with a chief complaint of bloody sputum. A chest X-ray film showed a round shadow in the left pulmonary hilum and infiltration in the left lower lobe. Bronchoscopic examination revealed an elevated lesion obstructing the left basal bronchus. The lesion had an irregular and edematous surface, which was tightly covered with mucus. There were also several tiny granular lesions with edematous bronchial mucosa at the spur between the left basal bronchus and the left apical lower bronchus. The biopsy specimens from these lesions showed adenoid cystic carcinoma. No other abnormalities were found by bronchoscopy. Under a clinical evaluation of T_1N_1M_0 (stage II), a left lower lobectomy was carried out. However, the pathology of a frozen preparation of the stump of the left lower bronchus showed tumor invasion. Furthermore, tumor invasion was found at the stump of the left upper bronchus, as well as in a distal part of the left main bronchus. A left pneumonectomy was therefore performed. Postoperative pathological examination demonstrated that at the main tumor, the bronchial tissue was replaced by the tumor except for the epithelium, and that at both stumps of the left upper bronchus and the termination of the left main bronchus, the tumor cells were located only in outer parts of the smooth muscle layer, without any other pathological changes. This was a case of bronchial adenoid cystic carcinoma in which invasion extended over a much wider area in the bronchial tree than expected based on fiberoptic bronchoscopic findings.
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  • Toshihiko Hashizume, Masanori Nishikawa, Nobumasa Kakemizu, Shigeto Ta ...
    Type: Article
    1998 Volume 20 Issue 6 Pages 505-508
    Published: September 25, 1998
    Released: October 01, 2016
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    A 54-year-old man had suffered from dyspnea on exertion for two years. Bronchoscopic examination revealed an obstructing tumor in the trachea. The pathological diagnosis was adenoid cystic carcinoma. Because the tumor extended to the distal area of the bilateral main bronchi, surgical resection was not indicated and radiotherapy was performed. The treatment relieved the dyspnea but the tumor remained. Tracheal adenoid cystic carcinoma is classified as a low grade malignancy and complete resection gives good prognosis. It takes a relative long time to make the difinitive diagnosis because of its rarity, insidiousness, and difficulty to find abnormality on chest radiograph. Bronchoscopic examination should be done to rule out this disease in cases of refractory cough and dyspnea.
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  • Shigeru Takeuchi, Hiroaki Osada, Kumio Yokote
    Type: Article
    1998 Volume 20 Issue 6 Pages 509-514
    Published: September 25, 1998
    Released: October 01, 2016
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    We recently treated three consecutive patients with benign tumors of the trachea by Nd-YAG laser irradiation alone. In patient #1, Nd-YAG laser irradiation vaporized 90% of the tumor. The patient died, however, of widespread recurrence of gastric cancer two years later. Patients #2 and #3 were successfully treated by Nd-YAG laser. The tumors were completely eradicated, and the mucosal repair of the tumor bed seemed thereafter complete. Post treatment follow-up bronchoscopy revealed a good patent tracheal lumen without any evidence of tumor recurrence in either patient. All patients tolerated the entire treatment mostly on an outpatient basis. Bronchoscopic Nd-YAG laser treatment seems to be the radical method of choice for benign endotracheal tumors.
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  • Muneo Minowa, Masami Sato, Yoshinori Okada, Hiroyoshi Tsubochi, Hiroto ...
    Type: Article
    1998 Volume 20 Issue 6 Pages 515-518
    Published: September 25, 1998
    Released: October 01, 2016
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    We report a case of bronchial mucosal bridge, which was probably caused by the stimulation of a foreign body during infancy. A 13-year-old-boy was admitted to our hospital because of a foreign body on chest X-ray film. Bronchofiberscopic findings revealed a mucosal bridge located in the right truncus intermedius. The foreign body could not be removed bronchoscopically due to the mucosal bridge. In order to cut the mucosal bridge, an electric scalpel, desiyned for the bronchofiberscope, was used. Cutting the mucosal bridge was done safely and quickly, and we successfully removed the foreign body via forceps through the bronchofiberscope. Cutting with the electric scalpel causes little smoke and little bleeding, and the device is useful for such a case.
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  • Haruhisa Hiyoshi, Hiroshi Iwanami, Kunio Narita, Masanori Tachibana, M ...
    Type: Article
    1998 Volume 20 Issue 6 Pages 519-522
    Published: September 25, 1998
    Released: October 01, 2016
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    52-year-old woman who had had cough and bloody sputum for four years was admitted for detailed examination. Bronchoscopy revealed a yellow smooth polypoid tumor obstructing the right middle lobe bronchus. Chest CT scan showed a mass with a low CT number (from -70HU to -140HU) in the atelectatic region of the middle lobe. Right middle lobectomy was performed to obtain complete resection of the tumor. Pathological examination confirmed endobronchial lipoma with irreversible organizing pneumonia of the right middle lobe. The patient had a good postoperative couse and is alive 13 months after surgery without any respiratory symptoms. Endobronchial lipoma is one of the rarest bronchial neoplasms.
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  • Kunio Narita, Hiroshi Iwanami, Haruhisa Hiyoshi, Masanori Tachibana, E ...
    Type: Article
    1998 Volume 20 Issue 6 Pages 523-526
    Published: September 25, 1998
    Released: October 01, 2016
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    A 71-year-old man had right lower lobectomy with R2a lymph node dissection for lung carcinoma (adenocarcinoma, p-T2N1M0). A bronchopleural fistula with empyema was found on the 43rd postoperative day. Bronchoscopically, the bronchial stump was completely opened and covered with a white coat. To clean the free pleural cavity by debridement and disinfection, fenestration was performed prior to radical operation. After cleaning of the empyema cavity, re-thoracotomy was performed to close the fistula on the 46th day after the fenestration. The fistula was covered and fixed with an omental pedicle, and the pleural free space was filled up with an omental pedicle. Ventilatory assistance was not necessary after the operation. The postoperative course was uneventful, with no complications such as empyema or recurrence of the bronchopleural fistula. We emphasize that our method of covering and fixation with an omental pedicle is very useful for completely opened bronchopleural fistula.
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1998 Volume 20 Issue 6 Pages 527-
    Published: September 25, 1998
    Released: October 01, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese]
    Type: Article
    1998 Volume 20 Issue 6 Pages 527-
    Published: September 25, 1998
    Released: October 01, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese]
    Type: Article
    1998 Volume 20 Issue 6 Pages 527-
    Published: September 25, 1998
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Download PDF (225K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1998 Volume 20 Issue 6 Pages 527-
    Published: September 25, 1998
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Download PDF (225K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1998 Volume 20 Issue 6 Pages 527-
    Published: September 25, 1998
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Download PDF (225K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1998 Volume 20 Issue 6 Pages 527-528
    Published: September 25, 1998
    Released: October 01, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1998 Volume 20 Issue 6 Pages 528-
    Published: September 25, 1998
    Released: October 01, 2016
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    Download PDF (260K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1998 Volume 20 Issue 6 Pages 528-
    Published: September 25, 1998
    Released: October 01, 2016
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    Download PDF (260K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1998 Volume 20 Issue 6 Pages 528-
    Published: September 25, 1998
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Download PDF (260K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1998 Volume 20 Issue 6 Pages 528-
    Published: September 25, 1998
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Download PDF (260K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1998 Volume 20 Issue 6 Pages 528-
    Published: September 25, 1998
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Download PDF (260K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1998 Volume 20 Issue 6 Pages 528-529
    Published: September 25, 1998
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Download PDF (452K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1998 Volume 20 Issue 6 Pages 529-
    Published: September 25, 1998
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Download PDF (269K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1998 Volume 20 Issue 6 Pages 529-
    Published: September 25, 1998
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Download PDF (269K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1998 Volume 20 Issue 6 Pages 529-
    Published: September 25, 1998
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Download PDF (269K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1998 Volume 20 Issue 6 Pages 529-
    Published: September 25, 1998
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Download PDF (269K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1998 Volume 20 Issue 6 Pages 529-
    Published: September 25, 1998
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Download PDF (269K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1998 Volume 20 Issue 6 Pages 529-
    Published: September 25, 1998
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Download PDF (269K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1998 Volume 20 Issue 6 Pages 529-530
    Published: September 25, 1998
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Download PDF (437K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1998 Volume 20 Issue 6 Pages 530-
    Published: September 25, 1998
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Download PDF (240K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1998 Volume 20 Issue 6 Pages 530-
    Published: September 25, 1998
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Download PDF (240K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1998 Volume 20 Issue 6 Pages 530-
    Published: September 25, 1998
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Download PDF (240K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1998 Volume 20 Issue 6 Pages 530-
    Published: September 25, 1998
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Download PDF (240K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1998 Volume 20 Issue 6 Pages 530-531
    Published: September 25, 1998
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Download PDF (424K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1998 Volume 20 Issue 6 Pages 531-
    Published: September 25, 1998
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Download PDF (259K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    1998 Volume 20 Issue 6 Pages 531-
    Published: September 25, 1998
    Released: October 01, 2016
    JOURNALS FREE ACCESS
    Download PDF (259K)
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