Okayama Igakkai Zasshi (Journal of Okayama Medical Association)

[title in Japanese]

[in Japanese]

2001 Volume 113 Issue 3 Pages 235-239
Published: December 31, 2001
Released on J-STAGE: March 30, 2009

DOIhttps://doi.org/10.4044/joma1947.113.3_235

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Two judicial autopsy cases of sudden unexpected natural death

Takaki ISHIKAWA, Satoru MIYAISHI, Yuji YAMAMOTO, Kei YOSHITOME, Sachiy ...

2001 Volume 113 Issue 3 Pages 241-245
Published: December 31, 2001
Released on J-STAGE: March 30, 2009

DOIhttps://doi.org/10.4044/joma1947.113.3_241

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Two judicial autopsy cases of sudden unexpected natural death were reported. In both cases it was suspected that the victims had died of a traffic accident or violent injury. It became clear, however, that both the cause of death had been myocardial infarction by the forensic autopsies and that the suspects had not been criminally responsible for the death of the victims. It is expected that sudden unexpected natural death whose cause and manner are unclear at first may occur more frequently following the increase of the number of death from ischemic heart disease in the future. In these circumstances the forensic autopsy of such cases will become more important socially.

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Expression of amphiphysin I, a nerve terminal-enriched protein, in the chromaffin cells of the rat adrenal medulla

Yoko OKAMOTO

2001 Volume 113 Issue 3 Pages 247-259
Published: December 31, 2001
Released on J-STAGE: March 30, 2009

DOIhttps://doi.org/10.4044/joma1947.113.3_247

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Amphiphysin (amph) I, a protein concentrated in the nerve terminals, plays an essential role in clathrinmediated endocytosis of synaptic vesicle membrane through an interaction with GTPase dynamin. A specific antibody against amph I revealed that the protein was also expressed in adrenal medullary cells. In the postnatal 11th day (P11) and adult rats, combined fluorescence histochemistry for catecholamine-containing cells with immunohistochemistry for amph I disclosed strong and weak immunochemical signal of amph I in noradrenalin (NA)- and adrenalin (A)-storing cells, respectively. Very strong immunoreactivity to amph I was found in the intramedullary neurons but not in the adrenal cortex. In developmental stages, amph I was discernible in the medullary chromaffin cells on 16th embryonic day (E16), E19, P0 and P2. Dopamin-β-hydroxylase (a catecholamine-synthesizing enzyme converting dopamin to noradrenalin) was immunohistochemically detected in the chromaffin cells during the perinatal periods. Colocalization of amph I with dynamin was seen in NA-cells but not in A-cells. The present findings suggest that amph I in the adrenal medullary NA-and A-storing cells is involved in membraine recycling mechanisms, which may be unique to each cell type, through endocytic activities.

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[title in Japanese]

[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...

2001 Volume 113 Issue 3 Pages 261-266
Published: December 31, 2001
Released on J-STAGE: March 30, 2009

DOIhttps://doi.org/10.4044/joma1947.113.3_261

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[title in Japanese]

[in Japanese], [in Japanese], [in Japanese], [in Japanese]

2001 Volume 113 Issue 3 Pages 267-271
Published: December 31, 2001
Released on J-STAGE: March 30, 2009

DOIhttps://doi.org/10.4044/joma1947.113.3_267

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[title in Japanese]

[in Japanese], [in Japanese], [in Japanese]

2001 Volume 113 Issue 3 Pages 273-278
Published: December 31, 2001
Released on J-STAGE: March 30, 2009

DOIhttps://doi.org/10.4044/joma1947.113.3_273

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The surgical management of sex reassignment surgery and its options

Yoshio TAKAHASHI, Yuuzaburou NAMBA, Kouji KISHIMOTO, Isao KOSHIMA

2001 Volume 113 Issue 3 Pages 279-284
Published: December 31, 2001
Released on J-STAGE: March 30, 2009

DOIhttps://doi.org/10.4044/joma1947.113.3_279

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GENDER IDENTITY DISORDER (GID) is a unique human condition that is classified behaviorally and treated medically with hormones and surgery in the severe form. This condition has been and still somewhat remains controversial by religious beliefs, social institutions and health care delivery systems. We described the surgical management of transsexuals, so called SEX REASSGINMENT SURGERY (SRS) and showed the team for gender treatment, GENDER CLINIC. A gender treatment team composing staff members from the Psychiatric, Plastic Surgery, Urology, Obstetric/Gynecological Surgery, and the Social Service, was established at the Hospital of Okayama University Medical schools in 1999. Female-to-Male procedures include mastectomy, phalloplasty, Phalloplasty are completion and an appurtenance, something pleasing to others. Male-to-Female program includes the genital surgery. The genital change surgery consists of the penile inversion, orchiectomy, vaginoplasty. Other procedures include reduction thyroid chondroplasty, hair transplant, voice change, laryngeal surgery, epilation with the laser.
SRS is the only effective treatment available today in the management of GID. The aesthetic and functional results achievable from various procedures are generally satisfactory and are acceptable to the patients. On the other hand, we should remember that the numerous steps of information for SRS will be required.

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[title in Japanese]

[in Japanese], [in Japanese], [in Japanese], [in Japanese]

2001 Volume 113 Issue 3 Pages 285-287
Published: December 31, 2001
Released on J-STAGE: March 30, 2009

DOIhttps://doi.org/10.4044/joma1947.113.3_285

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Ultrasound guided radio-frequency ablation in human hepatocellular carcinoma

Kazuhiro NOUSO, Yoshiyuki KOBAYASHI, Shinichiro NAKAMURA, Eiichiro YUM ...

2001 Volume 113 Issue 3 Pages 289-294
Published: December 31, 2001
Released on J-STAGE: March 30, 2009

DOIhttps://doi.org/10.4044/joma1947.113.3_289

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Hepatocellular carcinoma (HCC) is one of the most prevalent malignancies in Japan. Percutaneous ethanol injection therapy (PEIT) or microwave coagulation therapy (MCT) have been used to treat small HCC. These two methods are effective methods to treat HCC; however, they have weak points. A period of admission is long to treat patients with PEIT because it requires several sessions to kill HCC completely. The risk of complications of MCT is high because the needle is thick, although it can coagulate HCC completely in one session. Radio frequency ablation (RFA) is a new method to treat HCC. RFA compensates these weak points and is thought to become a main modality to treat HCC. In this paper, we demonstrated two patients with HCC who were treated with RFA. The effect of the treatment was examined with helical computed tomography and contrast harmonic power doppler, and the results were satisfactory. We also mentioned the merits and demerits of RFA in Discussion.

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[title in Japanese]

[in Japanese]

2001 Volume 113 Issue 3 Pages 295-297
Published: December 31, 2001
Released on J-STAGE: March 30, 2009

DOIhttps://doi.org/10.4044/joma1947.113.3_295

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[title in Japanese]

[in Japanese]

2001 Volume 113 Issue 3 Pages 299-300
Published: December 31, 2001
Released on J-STAGE: March 30, 2009

DOIhttps://doi.org/10.4044/joma1947.113.3_299

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[title in Japanese]

[in Japanese]

2001 Volume 113 Issue 3 Pages 301-303
Published: December 31, 2001
Released on J-STAGE: March 30, 2009

DOIhttps://doi.org/10.4044/joma1947.113.3_301

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[title in Japanese]

2001 Volume 113 Issue 3 Pages 311-320
Published: December 31, 2001
Released on J-STAGE: March 30, 2009

DOIhttps://doi.org/10.4044/joma1947.113.3_311

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[title in Japanese]

2001 Volume 113 Issue 3 Pages 321-329
Published: December 31, 2001
Released on J-STAGE: March 30, 2009

DOIhttps://doi.org/10.4044/joma1947.113.3_321

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