岡山医学会雑誌
Online ISSN : 1882-4528
Print ISSN : 0030-1558
105 巻, 9-10 号
選択された号の論文の6件中1~6を表示しています
  • 彌益 清文
    1993 年 105 巻 9-10 号 p. 823-837
    発行日: 1993年
    公開日: 2009/03/30
    ジャーナル フリー
    In 1975, the Okayama Mark II prosthesis was introduced at the Okayama University Hospital and 21 patients (33 knees) with rheumatoid arthritis were followed for ten years or more after implantation of the device. The average follow-up period was 13 years and 7 months (range, 10 years and 3 months to 16 years and 4 months). The average age at surgery was 50 years and 4 months. There were 3 male patients. Clinical results were assessed using a knee assessment chart designed by three universities. Femorotibial angle and the setting angle of the tibial and femoral components in relation to the axes of the tibia or femur were examined on X-rays. Clinical assessment improved from 39.8±15.7 points to 71.2±18.3 points (five-year follow-up), and decreased to 62.2±17.9 points at final examination. On X-ray, the alpha angle (one of the setting angles of the tibial plate) decreased from 88.0±3.0 degrees (at postoperative examination) to 86.7±3.7 degrees (at final examination). Also on X-ray, femoral components appeared to sink proximally in 36% of our cases. There were few problems with tibial components of the Okayama Mark II prosthesis despite the lack of a metal-backed tray on the tibial component. The sinking of the femoral component occurred relatively more frequently with the Okayama Mark II than with other types of total knee replacement.
  • 石津 日出雄, 宮石 智, 山本 雄二, 高田 真吾
    1993 年 105 巻 9-10 号 p. 839-845
    発行日: 1993年
    公開日: 2009/03/30
    ジャーナル フリー
    A 63-year-old male died in the hospital from erroneous drip infusion of thrombin, a local hemostatic, after polypectomy for intestinal polyposis. At autopsy, thromboses were observed in the cutaneous veins of the right arm, the right axillary vein and the right subclavian vein, and soft fibrin clots in the superior vena cava, the right atrium, the right ventricle and the pulmonary arteries. Thrombi were also found in the rami of the arteries in both lungs under the microscope. Leucocyte infiltration was recognized in the thrombus, but no organization. This finding shows that the thrombi were fresh. The remainder (150ml) of the drip solution was analyzed for thrombin activity and 8 to 16 units of thrombin activity per ml were demonstrated. From these results, the cause of death was considered pulmonary thrombosis due to intravenous administration of thrombin.
  • 村上 政江
    1993 年 105 巻 9-10 号 p. 847-858
    発行日: 1993年
    公開日: 2009/03/30
    ジャーナル フリー
    To determine the prevalence and psychological features of fragile X syndrome among Japanese, cytogenetic and psychological studies were conducted on 183 institutionalized male retardates. The induction of fra (X) (q27) by MEM-FA medium or fluorodeoxyuridine treatment revealed that 6 (3.3%) patients had fragile X syndrome. Psychological tests in the 6 patients with fragile X syndrome [Fra(X)], 6 control subjects with autism [AU] and 6 with simple mental retardation [MR] showed the following results: (1) on SM social maturity test, overall scores of social skills in Fra (X) were between those in AU and those patients in MR. Behavioral autonomy was much better in Fra (X) than in AU patients; (2) on CLAC-II behavior evaluation, Fra (X) patients had a tendency toward lower developmental levels in verbal and nonverbal expression as well as in handling compared to AU patients; (3) on DSM-III-R test, 3 of the 6 Fra (X) males met the criteria for autism. Fra (X) patients had fewer failures in recognizing others'existence or emotions, to develop relationships with others and to use language appropriately compared to AU patients, but had more defects in imitation of others and adaptation to environmental changes than MR patients.
    The similarity in the prevalence of the fragile X syndrome in the Japanese male retardates to that reported in Caucasians suggests that Fra (X) is a common genetic disorder affecting all ethnic populations. From the psychological findings, we concluded that Fra (X) patients have strong social aversion and defects in verbal and nonverbal expression which sometimes lead to autism.
  • 北村 智樹
    1993 年 105 巻 9-10 号 p. 859-869
    発行日: 1993年
    公開日: 2009/03/30
    ジャーナル フリー
    ATL-derived factor (ADF) is an acid protein, molecular weight about 13KD, which is related to cell classification, activation, and various viral infections. The localization of ADF was studied in the lung tissues of HTLV-I associated bronchiolo-alveolar disorder: HABA, diffuse panbronchiolitis: DPB, and idiopathic interstitial pneumonia: IIP.
    The localization of ADF in the lung tissues was demonstrated by immunohistochemical staining with anti-ADF antibody as the first antibody, which was made by affinity purification. In all 4 cases of HABA, one of 6 cases of DPB, and two of 5 cases of IIP, staining of the lung tissue was positive.
    ADF was demonstrated in the bronchial epithelia, alveolar epithelia, vascular endothelia, and desquamative cells in HABA cases as the result of the study. ADF was also restrictively demonstrated in bronchial epithelia in DPB and IIP cases. The case of DPB in which ADF was demonstrated also showed positive HTLV-I related reaction.
    In conclusion, the localization of ADF in the lung tissues was demonstrated in HABA, DPB and IIP, suggesting immunological abnormalities based upon infections from HTLV-I or a related retrovirus.
  • 1993 年 105 巻 9-10 号 p. 871-881
    発行日: 1993年
    公開日: 2012/10/29
    ジャーナル フリー
  • 1993 年 105 巻 9-10 号 p. 883-889
    発行日: 1993年
    公開日: 2009/03/30
    ジャーナル フリー
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