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Volume 52 (1992)
- Issue 6 Pages 595-
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Volume 52, Issue 3
Displaying 1-17 of 17 articles from this issue
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[in Japanese]1992 Volume 52 Issue 3 Pages 241-255
Published: June 28, 1992
Released on J-STAGE: September 09, 2010
JOURNAL FREE ACCESSDownload PDF (2187K) -
Yasuo SHIMIZU, Junko YAMADA1992 Volume 52 Issue 3 Pages 256-265
Published: June 28, 1992
Released on J-STAGE: September 09, 2010
JOURNAL FREE ACCESSIt is clear that morphological features determining favorable appearance of the mandibular and neck portions are readily evident from the cervicomental angle. Thus, we conducted a survey of the standard angle for the Japanese adult female at the time of rhytidectomy or lipectomy. The subjects were 109 Japanese adult females ranging in age from 20 to 29 years. The cervicomental angle was investigated for both the horizontal position with the face on the Frankfurt horizontal plane, based on head and neck photos, and for the position with the neck fully extended. The results indicated that the cervicomental angle in Japanese adult females was 119.36±3.54° in the horizontal posttion on the Frankfurt horizontal plane, and 153.49±3.15° in the position with the neck fully extended.View full abstractDownload PDF (904K) -
Kenta SUGIMURA1992 Volume 52 Issue 3 Pages 266-271
Published: June 28, 1992
Released on J-STAGE: September 09, 2010
JOURNAL FREE ACCESSSpinal cord projections of the lower intercostal nerve in the rabbit were studied by axonal transport of wheat germ agglutinin conjugated horseradish peroxidase (WGAHRP) . To label the spinal motoneurous, WGA-HRP was injected into two intercostal nerve branches : the medial and lateral branches of the intercostal nerve (MIIC and LIIC) . The locations, numbers, and soma sizes of 316 labeled motoneurons were analyzed. Reaction products were identified in the spinal cord from one and a half segments rostral to half a segment caudal to the entry zone. No reaction products were found on the contralateral side. Labeled motoneurons containing dense granular reaction products and their dendritic processes were located in the lateral portion of the ventral horn gray matter. Labeled nerve fibers were recognized in laminaVII. Soma diameters ranged between 8, em and 50μm. The following conclusions were drawn: 1) Similar to the upper intercostal nerve, the LIIC nerve contains motor fibers that originate from ventral horn motoneurons. 2) Unlike the upper intercostal nerve, the lower one contains inhibitory nerve fibers. 3) Clinically, it is suggested that the lower intercostal nerve also be utilized for reconstruction of brachial plexus injury.View full abstractDownload PDF (1547K) -
Yasushi HORICHI, Toyohiko HISHIDA1992 Volume 52 Issue 3 Pages 272-278
Published: June 28, 1992
Released on J-STAGE: September 09, 2010
JOURNAL FREE ACCESSTo determine the usefulness and problems of X-ray irradiation used for the prevention of keloid, we reviewed 164 patients followed up over 6 months after cleft lip plasty. X-ray irradiation, in total doses of 600 R or 900 R in 3 fractions, usually started within 5 days after the plasty, and was completed befor the surgical threads were removed. A tube voltage of 30 KV or 45 KV was determined by the depth of the suture site. The incidence of keloid after irradiation was significantly lower than without irradiation. X-ray irradiaten was confirmed to be useful for preventing keloid after cleft lip plasty. Our conditions with respect to the starting time of X-ray irradiation, period, or number of fractions were considered to have no specific disadvantages over other conditions. There was no significant difference, in terms of incidence of keloid, between total doses 600 R and 900 R, although cases, in which keloid was more likely to occur, were irradiated with 900 R, The most important reason for the insignificant difference in the incidence of keloid after 600 R and 900 R was thought to be the small total dose. There was no significant difference between 30 KV and 45 KV in the incidence of keloid. This indicates that there might be no special advantage to X-ray irradiation with 45 KV. It is speculated that the incidence of keloid might be reduced more by increasing the total dose to 1200-1500 R. Although increasing the total dose this much will probably not cause increased pigmentation, further study of several cases is necessary.View full abstractDownload PDF (818K) -
—SUPER BOND C & B FOR RESIN BONDING OF RETAINERS—Hitoshi IZUMIYAMA, Kiyoshi MATSUMOTO, Kazuhiko SOEJIMA, Mikio KANDA1992 Volume 52 Issue 3 Pages 279-286
Published: June 28, 1992
Released on J-STAGE: September 09, 2010
JOURNAL FREE ACCESSIt has been reported that the plastic adhesives Biobond and Aron α, which are used clinically for reinforcement of cerebral aneurysms, have had problems ofin vivodegradation and derceased strength. W e investigated Super Bond C & B for use as a newly-developed coating and wrapping material. Super Bond C & B is a 4-META/MMA-TBB adhesive resin for bonding retainers for dental restorative adhesion. We used 50 abdominal arteries of Wistar rats and 15 intracrainal arteries (M2-M3) of mongral dogs, to evaluate Super Bond C & B for coating and wrapping cerebral aneurysms. The following results were obtained : 1) Super Bond C & B was always as strong as the biological material. 2) It did not reveal necrotic or absorbable changes. 3) There was no increase in inflamatory or foreign-bodies within 4 months after an operation. 4) In the adventitia of abdominal arteries, strong pulsation led to bleeding which increased gradually for 2 months and then stopped increasing, but tended to change the granulation and fibrous tissue, and recovered in 4 months. The results indicate the feasibility of Super Bond C & B as a coating or wrapping material for cerebral aneurysms.View full abstractDownload PDF (10785K) -
Kazuo NAKAJIMA, Yasutoshi NEKODA1992 Volume 52 Issue 3 Pages 287-298
Published: June 28, 1992
Released on J-STAGE: September 09, 2010
JOURNAL FREE ACCESSThe purpose of this study was to develop a method for predicting ambulation of children with mental retardation. Seventy-seven subjects, 34 females and 43 males, participated in this study. The subjects were classified according to their ranks in the following categories: Developmental Quotient, postural reflexes, motor functions, muscle tone, epilepsy, age, and sex. The subjects were compared when they were thirteen years old in order to determine their ambulation abilities.
All subjects were: (a) thirteen years old or older as of March 31, 1991, (b) unable to walk at the age of eighteen months or over at the time of the first admission interview, and (c) children with mental retardation without any physical impairments. The interviews and neurological examinations of the subjects were conducted at the Tokyo Metropolitan Rehabilitation Center for the Physically and Mentally Handicapped. The age at which the subjects began walking was determined through telephone interviews.
Data was analyzed by the program CATDAP-02 which automatically compares cross tables by AIC and by the quantification method of the first type developed by Hayashi. Thirty-three of the 77 subjects were walking at the age of thirteen. The mean age when the subjects commenced walking was 88 months with a standard deviation of 34 months. The range in age at the time of ambulation was from 36 to 156 months.
The results of the subjects' ambulation were as follows: a. The Developmental Quotients of 25 subjects were scores of 23 or more. b. The Developmental Quotients of 5 subjects were 22 or more with positive sideways equilibrium reaction of postural reflexes. c. The Developmental Quotients of 3 subjects were 22 or under with negative sideways equilibrium reaction of postural reflexes. From these results, a Developmental Quotient of 23 or more was determined to be necessary for ambulation. A Developmental Quotient of 22 or under needs positive sideways equilibrium reaction of postural reflexes: a Developmental Quotient of 22 or under with negative sideways equilibrium reaction of postural reflexes could not acquire ambulation. The prognosis was accurate in 96.1% of 77 children observed. To commence ambulation, the study shows that multiple correlation of the quantification method and the results was 0.815. The study found that with this method of predicting ambulation there was a cofficient between the Developmental Quotient and postural reflexes.View full abstractDownload PDF (1384K) -
Tsuneo HONDA1992 Volume 52 Issue 3 Pages 299-308
Published: June 28, 1992
Released on J-STAGE: September 09, 2010
JOURNAL FREE ACCESSThree excessively fatigable and apathetic cases are presented and analyzed. All are characterized by onset in middle or late adolescence, chronic or prolonged course, and tendency for poor prognosis. After premorbid personality, education level, and intiating factors were determined, diagnostic problems were discussed. The difference between psychosis and neurosis is critical, because of the“uncharacteristic”features. Based on descripive-phenomenological methods hypothetical organic changes are postulated. Finally, from the therapeutic point, the need to overcome“therapeutic nihilism”is concluded.View full abstractDownload PDF (1341K) -
Yoshihisa CHIBA1992 Volume 52 Issue 3 Pages 309-320
Published: June 28, 1992
Released on J-STAGE: September 09, 2010
JOURNAL FREE ACCESSLaparotomy of 42 hemodialytic patients was carried out in our hospital during 10 years and 6 months from April 1981 to September 1991. Postoperative complications were observed in 20 of 42 cases (48%), there was a high rate of emergency surgery and large operative invasion. Operative death occurred in 9 of 20 cases with postoperative complications, and this was also a high rate. When hemanalytical levels before and after surgery of our personal cases were classified as emergency surgery and operative invasion, severe uremia was evident in cases of emergency surgery or large operative invasion, and the postoperative state tended to be further exacerbated. Fluid replacement volume by anuria due to chronic renal failure was restricted by postoperative fluid replacement, and significantly large caloric difference, nitrogen volume and Cal/N were observed between the central venous nutrition group and the peripheral venous nutrition group. Control of postoperative uremia is important in surgery of the digestive organs of hemodialytic patients, and it was considered that high caloric fluid should be administered during surgery with large invasion. This necessitates frequent postoperative hemodialysis to reduce the uremia to a minimum, because not only uremia substances, but also amino acids are removed by hemodialysis.View full abstractDownload PDF (1500K) -
Nobuya KAWAHATA1992 Volume 52 Issue 3 Pages 321-326
Published: June 28, 1992
Released on J-STAGE: September 09, 2010
JOURNAL FREE ACCESSThe Physical state, neurological deficits, presence of behavioral problems and walking ability have been evaluated for 176 old residents entering a nursing home managed in Shizuoka city. Their ages at the time of this survey ranged from 61 to 107 years with a mean of 80.1 years. There were 41 men and 135 women. There were 78 demented elderly residents (44.3 %), and 66 non-demented elderly residents (37.5 %) . It was difficult to evaluate the intelligence of the others, because of verbal communication disorders such as chronic aphasia or pseudobulbar palsy. The incidence of dementia increased with age and was highest in the nineties. Urinary incontinence was the most frequent neurological deficit in both the demented and non-demented residents. The demented residents had various behavioral problems such as soliloquy, wandering, and hallucination. Behavioral problems were also observed among a few of the non-demented residents. The neurogical deficits of the residents in the nursing home were classified into five categories : 1) degenerative or cerebrovascular dementia, 2) Parkinsonism, 3) pseudo-bulbar palsy, 4) chronic stage of aphasia, 5) slowly progressing decrease of motivation or spontaneity without dementia. Of the demented residents, 20 % developed deterioration of their walking ability after entering the home. In most of the non-demented residents, however, walking ability was retained for at least 5.2 years after entering.View full abstractDownload PDF (744K) -
Masayuki HIROMOTO, Akira YASUI, Yoshiaki NISHIDA, Kazuhide KUMAGAI, Ko ...1992 Volume 52 Issue 3 Pages 327-331
Published: June 28, 1992
Released on J-STAGE: September 09, 2010
JOURNAL FREE ACCESSEarly depressed carcinoma in the fundic gland region of the stomach was studied clinicopathologically to determine if it can develope into scirrhous carcinoma of the gastric body. The subjects were nine patients with early depressed carcinoma (five with m-carcinoma and four with sm-carcinoma) in the fundic gland region of the stomach which was diagnosed and resected in the authors' department. The results were as follows : 1) When the early depressed carcinoma in the fundic gland region of the stomach was examined macroscopically by endoscopy, the depressed surface of the carcinoma focus was irregular in all cases, and the depressed margin showed II c-like malignant findings. 2) The depth of the carcinoma invasion and depth of the ulcer in the carcinoma focus were Ul- II except for one case of m-carcinoma. 3) The invasion morphology in the sm-carcinoma cases was the reverse trapezoidal type (type 1) in three cases, and the trapezoidal type (type 3) in one case. 4) The range of carcinoma invasion and extent of fibrosis in sm cases was carcinoma invasion>fibrosis in one case, invasion=fibrosis in two cases, and invasion<fibrosis in one case. We concluded that the early carcinoma in the fundic gland region of the stomach, which we have resected until now, did not develop into typical scirrhous carcinoma.View full abstractDownload PDF (508K) -
Tadashige MATUMOTO, Souitirou TAKIGAWA, Kazuo FUKUSIMA, Etuo FUJIMAKI1992 Volume 52 Issue 3 Pages 332-334
Published: June 28, 1992
Released on J-STAGE: September 09, 2010
JOURNAL FREE ACCESSIn the last 5 years, we have seen 12 cases (13 fingers) of osteomyelitis due to injuries; nine male and female. The ages ranged from 19 to 67 yr, 44±8 (mean±S. D. )
There were 2 thumbs, 2 index fingers, 5 middle fingers, 1 ring finger and 3 little fingers. Most problems were induced by open injuries, so first treatment is very important in preventing osteomyelitis. Treatment : 6 cases of amputation. 5 cases of refresh and bone-graft. and 2 cases were treated with antibiotics.View full abstractDownload PDF (2679K) -
Tomiaki IKEDA, Narue NAKAMIZO, Naoto NOMURA, Fuyuki MORIMOTO, Noriko T ...1992 Volume 52 Issue 3 Pages 335-339
Published: June 28, 1992
Released on J-STAGE: September 09, 2010
JOURNAL FREE ACCESSA 62 year old man had been suffering from herpetic neuralgia of the right upper extremity. For pain relief, he was treated initially with sympathetic block including stellate gangion block and continuous epidural block with local anesthetics. However, the pain became so severe that it disturbed his daily activity. Therefore, intravenous sympathetic block (ISB) with reserpine was tried for pain relief. After several trials of ISB, his pain was gradually relieved. ISB with guanethidine has been widely used since first being reported by Hannington-Kiff. Sinee guanethidine is hard to obtain in Japan, we use reserpine. Reserpine showed satisfactory results in this case. It is concluded that ISB is a clinically safe and useful treatment for herpetic neuralgia of an extremity.View full abstractDownload PDF (2896K) -
Ikufumi YAMADA, Toshiro NAKANISHI, Katunori INAGAKI, Hidefumi HIROSE, ...1992 Volume 52 Issue 3 Pages 340-342
Published: June 28, 1992
Released on J-STAGE: September 09, 2010
JOURNAL FREE ACCESSWe report a case of luxatio erecta humeri. 3D-CT detected humeral head and glenoid were fractured, and impacted each other. This is “on glenoid type” of luxatio erecta humeri.View full abstractDownload PDF (2379K) -
Akira AOKI, Tsunehito MUKAI, Fuminori KOBAYASHI, Shuhei TAZAKI, Hitosh ...1992 Volume 52 Issue 3 Pages 343-348
Published: June 28, 1992
Released on J-STAGE: September 09, 2010
JOURNAL FREE ACCESSThe prognosis of Creutzfeldt-Jakob disease (CJD) is often poor due to its various and progressive neurological symptoms. Its genesis is described as “transmissible pathogen” since the true genesis is still unidentified. A 68-years-old male was admitted to our hospital for unsteady step, dysphagia, and loss of appetite. Though laboratory data showed no evidence of abnormality, neurological findings were variable. There were mental disturbance, pyramidal, extrapyramidal, and cerebellar symptoms, and muscle weakness of the upper and lower limbs. The symptoms did not respond to medication in the course of the disease and 4 weeks later, the patient became apallic. In the 16th week from admission the patient died from sepsis and respiratory failure. During the course of the disease, progressive cerebral atrophy was shown by CT scan, and EEG showed periodic synchronous discharge spreading from the frontal cerebrum to the whole brain. Though the pathogenesis of CJD has been examined in detail in recent years, it is still as difficult as ever to diagnose, in its early stage. In this case, we looked to neuron-specific enolase in the cerebrospinal fluid to diagnose CJD in the early stage since it was abnormaly high evenbefore brain atrophy was detected by CT scan.View full abstractDownload PDF (2576K) -
Noboru TAKAYAMA, Seiichiro TAKAHASHI, Susumu NAKAMATA, Shuichirou ASAU ...1992 Volume 52 Issue 3 Pages 349-355
Published: June 28, 1992
Released on J-STAGE: September 09, 2010
JOURNAL FREE ACCESSA 61 year-old male complaining of epigastralgia was admitted to our hospital and diagnosed by barium meal examination and endoscopy with histological examination of biopsied specimens as having gastric cancer (Borrmann type 4) . As consent for operation was not obtained from him or his family, he was treated by chemotherapy, with intermittent oral administration of 2100 mg per day 5'-DFUR for 4 consecutive days per week. Barium meal examinations three months and seven months after treatment showed improvement of antral stenosis. Thereafter stenosis of the gastric antrum progressed again for 2 years and 5-8 months after treatment. He died 3 years and 3 months after first admission. Although this patient had advanced gastric cancer (Borrmann type 4), he survived for 3 years and 3 months with treatment by 5'-DFUR, intermittent administration, with no severe side effects. We thus recommend application of this therapy for advanced gastric cancer.View full abstractDownload PDF (5975K) -
Seiichiro TAKAHASHI, Hiroshi SATA, Yoshio HATTA, Yoshiro HAYASHI, Mino ...1992 Volume 52 Issue 3 Pages 356-361
Published: June 28, 1992
Released on J-STAGE: September 09, 2010
JOURNAL FREE ACCESSA 53 year-old male was admitted to another hospital because of hematemesis and epigastralgia. Upper GI examination by X-ray confirmed a pyloric stenosis of the stomach that seemed to advanced cancer (Fig. 1) . He changed to our hospital for the stomach operation. X-ray examination and endoscopic findings indicated progressive pyloric stenosis of the stomach (Fig. 2, 3, 4, 5, 6) . We performed gastrectomy because of the pyloric stenosis. Histological findings of the resected stomach were diagnosed as reactive lymphoreticular hyperplasia (RLH) (Fig. 7, 8) . Usually, visual features of RLH indicate early gastric cancer, and a histological feature is lymphoid cell infiltration spread to the mucosal and submucosal layers of the stomach. This case was special, because endoscopic findings of progressive pyloric stenosis seemed to indicate advanced cancer or malignant lymphoma of the stomach. Histological findings showed lymphoid cells invading the proper muscular layer of the stomach for Ul-III ulceration.View full abstractDownload PDF (5754K) -
[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...1992 Volume 52 Issue 3 Pages 362-367
Published: June 28, 1992
Released on J-STAGE: September 09, 2010
JOURNAL FREE ACCESSDownload PDF (736K)
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