昭和医学会雑誌
Online ISSN : 2185-0976
Print ISSN : 0037-4342
ISSN-L : 0037-4342
38 巻, 1 号
選択された号の論文の10件中1~10を表示しています
  • 伊東 昇太
    1978 年 38 巻 1 号 p. 1-10
    発行日: 1978/02/28
    公開日: 2010/09/09
    ジャーナル フリー
    Wenngleich man den Mensch Friedrich Nietzsche für den klassischen Philolog oder den nihilistischen Philosoph anerkennt, hat er im wesentlichen das Streben nach Naturwissenschaft, das man in seiner Lektur festzustellen ist, schon im Gymnasium and in der Lehrtätigkeit in Basel gemacht. Diese Tatsache hat man eingehend nach semen Brief en an Bakannten protokolliert. Im übrigen gibt es seite der Veröffentlichung der Pathographie Möbius' viele Arbeiten seiner Krankheit, zu deren Ergebnis der Verfasser noch einigen Beiträge gefügt hat. Insbesondere hat man den Vergleich semen schweren Augenleidens mit demselben der Angehörigen gezogen. Daß sich die Beantwortung der Diagnose Nietzsches im Sinne von Jaspers glänzend gerechtfertigt hat, hat man zu Grunde der manchen Schrif ten im In- und Ausland nochmal nachkontrolliert. Und man brachte dem Appendix in Bezug auf dem Kranksein semen Lebenslauf. (Autoreferat)
  • 吉田 正英
    1978 年 38 巻 1 号 p. 11-21
    発行日: 1978/02/28
    公開日: 2010/09/09
    ジャーナル フリー
    The isolated gall bladder of the guinea-pig was used in these experiments, and the following conclusions were obtained.
    1) The gall bladder exhibited three kinds of contraction : a local contraction, a peristalisis creeping from the cervix portion to the fundus portion, and a tonic contraction.
    The first two of these are believed to perform the functions of filling the gall bladder and agitating the bile ; the latter then exhausts the bile into the bile duct.
    2) The cervix portion showed greater electrical and contractile activity than the fundus portion. It is suggested that the extent of excitation and the coordination of muscle fibers in the cervix exceeds that in the fundus portion.
    3) There is a significant histological difference between the cervix and f undus.
    4) Progesterone inhibited contraction of the gall bladder. This inhibitory mechanism was examined, especially in relation to calcium, and it was tentatively concluded that progesterone inhibits the mobility of intracellular calcium as well as the movement of calcium through the cell membrane.
    It is further suggested that progesterone may inhibit excitation caused by intercellular conduction between adjacent membranes.
  • 近藤 攻三
    1978 年 38 巻 1 号 p. 23-30
    発行日: 1978/02/28
    公開日: 2010/09/09
    ジャーナル フリー
    The serum complement level was examined by Mayer's 50% hemolytic method in 85 patients with bronchial asthma, in comparison with 18 healthy adults and 36 patients with renal disease and SLE.
    The conclusions were as follows.
    1. There was no significant difference in the serum complement levels of bronchial asthma at the time of no attack and healthy adults.
    2. Serum complement levels were low in the case of non atopic, but there was no significant difference between the positive and negative in the immediate skin test.
    3. Serum complement levels in the patients with the positive reaction of the Arthus or delayed type skin test showed no significant difference from those of the controls. The late or dual type reactors of the bronchial inhalation test also did not show any significant changes in the serum complement levele.
    4. No significant changes were found in the serum complement levels, C3 and C4, at the time before and after inhalation test.
    5. Asthmatic patients had a high complement level during the asthmatic attack, especially, elevation of C4 was statistically significant.
    6. Some decrease of T-cell subpopulation was found in the many asthmatic patients.
  • 腎不全患者の人工透析前後におけるグルタミン酸脱水素酵素活性値の変動について
    細谷 純一郎
    1978 年 38 巻 1 号 p. 31-37
    発行日: 1978/02/28
    公開日: 2010/09/09
    ジャーナル フリー
    The fluctuation of serum glutamate dehydrogenase (GMD) activities by hemodialysis and genesis of elevation of this enzyme in uremic patients were investigated.
    An average level of serum GMD in uremia in this experiment was 4.8±5.1 (range: 0.3-43.5) IU/1. This is very much higher than that of healthy individuals (0.0-4.5IU/1) .
    Serum GMD level obtained from the patients before hemodialysis was 5.5±4.4IU/1, that of during hemodialysis treatment 5.0±3.7 IU/1, and after hemodialysis 4.0±2.7 IU/1. It seemed that the level of GMD had gradually decreased in the course of hemodialysis treatment.
    When comparing the levels of GMD in different types of uremia, although the results obtained from the cases of post-operative acute uremia remained within about a healthy range, the results in the cases of uremia following chronic nephritis and postrenal uremia were abnormally high levels.
    In the cases of GMD level exceeding 10IU/1 before hemodialysis, serum GOT and GPT levels had been abnormally higher and serum total cholesterol level and A/G ratio were extremely low. On the contrary, GMD level exceeded 10IU/1 after hemodialysis, serum creatinine and urea levels had shown the same abnormally high levels as the GOT and GPT ones.
    I think that the abnormally high level of serum GMD in uremia has been contributed not only through renal dysfunction, especially tubular cell injury, but also participation of any damage to liver cells.
  • 猪口 清一郎, 阿尻 貞三, 野井 信男, 木村 忠直, 岩本 壮太郎, 南雲 祐司, 佐藤 亨
    1978 年 38 巻 1 号 p. 39-48
    発行日: 1978/02/28
    公開日: 2010/09/09
    ジャーナル フリー
    The tendinous intersection of M. rectus abdominis from human adults (26 sides), human new born (1 side), human fetus (3 sides), monkey adults (11 sides) and monkey new horns (3 sides) were examined and were compared with each other.
    1. The connective tissues composed the tendinous intersection by the adult monkey transverse the muscle belly from anterior to posterior in all cases. By the other subjects examined, the tendinous intersection shows nearer view to those of adult monkey in order of monkey new born, human fetus, human new born and human adult. So that, it is considered that the tendinous intersections by human adult are orginally seen only on the surface of muscle.
    2. The tendinous intersection is generally constituted from the dense connective tissue, but it contains abundant adipose tissue when it cross the muscle belly in human adults.
    3. In the case of muscles of which the tendinous intersection does not reach to the opposite surface of muscle, the muscle fibers in the deep layer run longitudinally and connect between the muscle segments, and those of M. rectus abdominis consist of long and short muscle fibers.
    4. On the adult of man and monkey, the difference of the tendinous intersection in both is related to the difference of the respective function of this muscle in both animals.
    5. By the fetus and new born in both animals, the tendinous intersection is accompanied with large blood vessels in the connective tissue. Therefore, it is considered that the origin of tendinous intersection is caused by the invation of blood vessels accompanying connective tissue into muscle.
  • 川口 毅
    1978 年 38 巻 1 号 p. 49-72
    発行日: 1978/02/28
    公開日: 2010/09/09
    ジャーナル フリー
    This study aims at establishing the Health Indices useful for epidemiological evalution of health conditions and factors which influence upon them in a community. All the data employed in this study are obtained from the results of health survey which have been conducted on the rural inhabitants in Tochigi prefecture from 1973 to 1975.
    Health Indices such as “health consciousness”“subjective symptoms”“ anamneses of disease”“total number of yes in CMI questionnaire”“typing of CMI by Fukamachi's method”“results of health examination” and “frequency of medical consultation” were tentatively proposed by the author.
    Usefulness of these Health Indices was evaluated by the data on morbidity obtained from the national health insuarance scheme.
    The morbid conditions which were followed up during the period of 3 years are “Respiratory diseases”“Cardiovasculer diseases”“Diseases of digestive organs” and “ Muscloskeletal disease ”.
    Among these diseases, incidence of chronic illnesses such as Cardiovasculer and Muscloskeletal diseases was closely correlated to each health level classified by the above-said Health Indices particulerly by anamneses of disease, frequency of medical consultation. Acute morbid conditions such as respiratory diseases and diseases of digestive organs were slightly correlated to the health level mentioned above.
    An epidemiological relationship between the Health Indices and socio-economic factors was also examined by the method of multiple regression analysis. Furthermore, factors and each Health Index was combined by the method of cannonical analysis.
    A combined Health Index thus obtained was closely correlated to and each level of socio-economic factors, particularly to income level, smoking and drinking habits in the age group of 60 years and over, although the correlation was not distinct in the age group of less than 60 years.
    It is thus concluded that Health Indices which are correlated to socioeconomic factors are useful for evalution of health conditions and living environments.
  • 新井 一成, 舟木 正朋, 小林 建一, 沖野 秀麿, 東 弘志, 小泉 和雄, 石井 瑞弥, 片岡 徹, 石井 淳一
    1978 年 38 巻 1 号 p. 73-78
    発行日: 1978/02/28
    公開日: 2010/09/09
    ジャーナル フリー
    Heterotopic bone formation in laparotomy scars has not often been described. A case is presented and the literature is discussed.
    Case. A 62-year-old man presented in June 1974 with a stabbing sensation in the abdominal wall, usually initiated by flexion of the the abdominal wall musculature. A hard mass, palpable in the middle upper abdominal scar, was thought to be heterotopic bone formation. He had a history of a laparotomy through a middle upper abdominal incision for gastric ulcer, in November 1971
    On admission, a laparotomy was performed through the site of the previous incision, and bony material, 14.5 × 2.0 × 1.0 cm, was identified in the old scar. Histopathology confirmed the presence of bone and bone marrow.
    In this case, “cell metaplasia” theory was surmised as to the etiology of the heterotopic osteogenesis.
  • 野津 立秋, 小貫 誠, 浅野 洋治, 小笠原 寛, 高野 憲一郎, 友安 茂, 斎藤 博文, 八田 善夫, 清水 盈行
    1978 年 38 巻 1 号 p. 79-82
    発行日: 1978/02/28
    公開日: 2010/09/09
    ジャーナル フリー
    Ascaris is very rarely found in gastrointestinal tract recently. It is described in this paper that ascaris was incidentally found in choledochal duct under fiberscopic observation and taken out with biopsy forceps.
    A 65 year old woman was admitted to our hospital because of dull right abdominal pain. Many bacterias were demonstrated in B-bile, but no ascaris ova in bile and feces. Plain X-ray film of the abdomen showed the bile duct gas image. Hypotonic duodenogram revealed that papillary region of duodenum was markedly swollen and the injected barium flowed up into the common bile duct. During the examination of duodenoscopy, we found an ascaris wriggled out of the papilla Vateri and this was taken out with biopsy forcep. The removed ascaris was alive, male and 15.5 cm in length. Abdominal pain disappeared soon after ascaris was successfully picked out.
  • 勝股 真人, 新田 増雄, 上田 梅丸, 副島 和彦
    1978 年 38 巻 1 号 p. 83-87
    発行日: 1978/02/28
    公開日: 2010/09/09
    ジャーナル フリー
    One case of panlobular pulmonary emphysema of 33 years old female associated with gastric cancer is observed pathological-anatomically.
    Pulmonary alveoli of the hiloteral lungs revealed enlargement diffusely because of atrophy and destruction of the alveolar septa accompanied with lymphohematogenous dissemination of metastasis from a gastric adenotubullar carcinoma.
  • 石橋 芳男, 小林 玄彦, 松尾 賢治, 前田 陽一, 横田 朝男, 副島 和彦
    1978 年 38 巻 1 号 p. 89-93
    発行日: 1978/02/28
    公開日: 2010/09/09
    ジャーナル フリー
    Two cases of metastatic skin carcinoma were experienced.
    Case 1: a 69-year-old woman had developed metastatic skin carcinoma of nodular type on the breast, abdomen and back 8 years after the radical operation of the right breast cancer.
    Case 2 : a 57-year-old man had developed metastatic skin cancer of inflammatory type on the left neck and breast 4 months after the radical operation of the mixed tumor of the left parotid gland.
feedback
Top