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Volume 42 (1990)
- Issue 4 Pages 253-
- Issue 3 Pages 173-
- Issue 2 Pages 93-
- Issue 1 Pages 1-
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Volume 42, Issue 3
Displaying 1-8 of 8 articles from this issue
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[in Japanese], [in Japanese]1990 Volume 42 Issue 3 Pages 173-190
Published: September 20, 1990
Released on J-STAGE: February 19, 2013
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[in Japanese]1990 Volume 42 Issue 3 Pages 191-195
Published: September 20, 1990
Released on J-STAGE: February 19, 2013
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[in Japanese], [in Japanese], [in Japanese]1990 Volume 42 Issue 3 Pages 196-198
Published: September 20, 1990
Released on J-STAGE: February 19, 2013
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Yuka Akashi, Chizu Koreeda, Shigeki Enomoto, Yoshitsugu Kubota, Toshih ...1990 Volume 42 Issue 3 Pages 199-206
Published: September 20, 1990
Released on J-STAGE: February 19, 2013
JOURNAL FREE ACCESSBetween January 1,1976 and December 31,1989,340 patients with hepatocellular carcinoma (HCC) were admitted to this department. Age ranged from 20 to 80 years, with an average of 59.5 years. The male to female ratio was 3.9: 1.33.2% of the patients had habitual alcohol intake,19.4% of the patient a had a history of blood transfusion,17.1% of the patients showed positive HBs-antigen test and 94.7% of the patients had liver cirrhosis. Of the 340 cases, hepatic resection was performed in 39 cases, percutaneous ethanol injectioin therapy (PEIT) in 25 cases, PEIT and TAE in 30 cases, transcatheter arterial embolization (TAE) in 110 cases, conservative therapy in 7 cases, hepatic artery infusion chemotherapy in 65 cases and 64 cases did not receive specific treatment. Median survivals in the above groups were 46.6,37.8,29,20.7,4.3,4.1 and 1 month, respectively. According to the advances of therapies, these cases were divided into 3 periods groups: 1st period (1976-1979),2nd period (1980-1982) and 3rd period (1983-1989). There were significant differences in the survival curve among these 3 periods. Median survival of these periods were 2.5 months (1st period),3.8 months (2nd period) and 18.9 months (3rd period). And 23 cases out of 340 survived over 3 years. About one-second of them did not underwent hepatic resections.
From our clinical study, it was concluded that early detection and resection of the tumor is the first priority for the treatment and improvment of the prognosis of HCC, and even in unresectable cases prolonged survival could be expected.View full abstractDownload PDF (1267K) -
Toshiaki Isotani1990 Volume 42 Issue 3 Pages 207-214
Published: September 20, 1990
Released on J-STAGE: February 19, 2013
JOURNAL FREE ACCESSThe present author has reported two cases of schizophrenic female patients, who passed off the time of pregnancy and delivery fairly well, with some remarks and discussions about possible relation between pregnacy and recrudescence of schizophrenic symptoms as well as possible side effects and teratogenecity due to antipsychotic drug treatment, referring literatures.
There were the recrudescences of positive symptoms such as paranoid hallucinatory state at the eighth month of the first pregnacy in one case and at the fifth month of the second pregnancy in the other case, but they have shown relatively rapid recoveries respectively with the aid of low dose antipsychotic drug treatments at the outpatient clinic in the former case and during one month's admission to inpatient ward in the latter.
Used drugs were bromperidol in the former one while haloperido l and clocapramine in the latter, but there was not any sign of malformation induced by them in both the babies.
Based on the experiences, the author has convinced that the pregnancy would be one of the triggering factor to the outbreak or recrudescence of schizophrenic symptoms but also that the positive symptoms would be controlled with prudent drug treatment without any particular influence to the fetus at least after the fifth month of pregnancy.View full abstractDownload PDF (1669K) -
Mutsumi OHYA, Dai OHYA1990 Volume 42 Issue 3 Pages 215-219
Published: September 20, 1990
Released on J-STAGE: February 19, 2013
JOURNAL FREE ACCESSThere exists in human psychology the narcissism that is self-love, self-esteem and selfrespect. The narcissism would be divided into normal and pathological ones, both of which are hard to be differentiated from each other in the actual issues. Even those who possess a narcissistic personality usually appear to function socially quite well, and they are never to consult a psychiatrist. However, few need to see the psychiatrist and may present seriously disturbed behavior.
In the present com munication, the authors have reported a 26-year-old female patient with the narcissistic personality in pathological sense. After having graduated from a university school, she became to work for a company and increasingly attained good social adjustment as an office lady. Somewhat abruptly, one of her male colleagues made a proposal to her. She was rapt up with this fact of the proposal itself and engaged to him without thought Then, she realized that she came to scorn him badly. After all, she broke off the engagement just before the wedding, and became to show frequently self-destructive behaviors. Urged by her mother, she first visited our hospital against her will.
The authors have described the psychotherapeutic procedures c arried out for her in the actual treatment and reviewed Kernburg's research on the pathological narcissism.View full abstractDownload PDF (977K) -
1990 Volume 42 Issue 3 Pages 241-244
Published: September 20, 1990
Released on J-STAGE: February 19, 2013
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[in Japanese]1990 Volume 42 Issue 3 Pages 245-252
Published: September 20, 1990
Released on J-STAGE: February 19, 2013
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