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Volume 64 (2004)
- Issue 6 Pages 489-
- Issue 5 Pages 399-
- Issue 4 Pages 323-
- Issue 3 Pages 263-
- Issue 2 Pages 137-
- Issue 1 Pages 1-
Volume 64, Issue 5
Displaying 1-13 of 13 articles from this issue
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[in Japanese]2004 Volume 64 Issue 5 Pages 399
Published: October 28, 2004
Released on J-STAGE: September 09, 2010
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[in Japanese]2004 Volume 64 Issue 5 Pages 400-406
Published: October 28, 2004
Released on J-STAGE: September 09, 2010
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[in Japanese]2004 Volume 64 Issue 5 Pages 407-414
Published: October 28, 2004
Released on J-STAGE: September 09, 2010
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[in Japanese]2004 Volume 64 Issue 5 Pages 415-427
Published: October 28, 2004
Released on J-STAGE: September 09, 2010
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[in Japanese]2004 Volume 64 Issue 5 Pages 428-433
Published: October 28, 2004
Released on J-STAGE: September 09, 2010
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[in Japanese]2004 Volume 64 Issue 5 Pages 434-440
Published: October 28, 2004
Released on J-STAGE: September 09, 2010
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[in Japanese]2004 Volume 64 Issue 5 Pages 441-450
Published: October 28, 2004
Released on J-STAGE: September 09, 2010
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[in Japanese], [in Japanese], [in Japanese], [in Japanese]2004 Volume 64 Issue 5 Pages 451-455
Published: October 28, 2004
Released on J-STAGE: September 09, 2010
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—Neurotmesis and Axonotmesis—Taku TSUKAGOSHI2004 Volume 64 Issue 5 Pages 456-459
Published: October 28, 2004
Released on J-STAGE: September 09, 2010
JOURNAL FREE ACCESSThis study examined whether passive range-of-motion exercise training enhances regeneration of severe peripheral nerve damage in rats. A sciatic nerve damage model was prepared either by axonotmesis or neurotmesis. Twenty-five rats were used and evenly divided into five groups, that were subjected to (1) neurotmesis followed by epineural suture and passive exercise training, (2) neurotmesis followed by epineural suture without training, (3) axonotmesis followed by passive exercise training, (4) axonotmesis followed by no training, and (5) no injury and no training used as controls. Passive exercise training was initiated on the day after injury. After a 4-week period of passive exercise training, nerve regeneration was evaluated by singlefiber electromyography (SFEMG) . In the axonotmesis group, the amplitude, latency, and duration time were significantly improved in the passive exercise training group compared to those in the control group. In the neurotmesis group, the amplitude alone was significantly improved in the passive exercise training group compared to those in the control group. It was concluded that passive exercise training enhances regeneration of peripheral nerve damage.View full abstractDownload PDF (437K) -
Yosuke IRIGUCHI2004 Volume 64 Issue 5 Pages 460-468
Published: October 28, 2004
Released on J-STAGE: September 09, 2010
JOURNAL FREE ACCESSNodular aggregated lesions of the colon are best removed by endoscopic mucosal resection. Since these lesions sometimes invade deeply into the submucosal layer, it is important to assess the depth of invasion before treatment. This study classified appropriate methods of therapy for nodule aggregating lesions into three types. Endoscopic and radiological analysis was carried out to identify the character of the surface; histopathological investigation was carried out to ascertain the vertical distance of sm-invasion in the cases of sm-cancer, positive rate of ly, v and n, which are important factors when determining the method of therapy. For nodule aggregating lesions composed of constituent components less than 10 mm in size, the rate of sm 2, 3 was very low with a value of 3 %. Hence, EMR should be selected for these lesions. As for 12 cases of nodule aggregating lesion with relative depression, the rate of sm 2, 3 was high in the depressed area with values of 83%, and metastasis to lymph nodes were often observed with values of 25%. Hence, surgical operation with a thorough cleanup of lymph nodes is necessary for these cases. In the cases of nodule aggregating lesions with large nodules more than 10 mm in size, the rate of sm 2, 3 was 31%, but no metastasis to the lymph nodes was observed. Therefore EMR, on condition that the large nodules be entirely resected or operated under laparoscopy, is considered to be appropriate for these cases. In granular type cases, selection of method of therapy should be done taking the difference of the size of constituent components, that is, protrusion component, in the surface and the existence of relative depression into consideration.View full abstractDownload PDF (4430K) -
Sumi SUGAWARA, Takako SHIRASAWA, Akifusa SUZUKI, Takeshi KAWAGUCHI2004 Volume 64 Issue 5 Pages 469-478
Published: October 28, 2004
Released on J-STAGE: September 09, 2010
JOURNAL FREE ACCESSWe conducted a survey of 175 nurses working in hospitals in Tokyo and Kanagawa Prefecture in order to understand their ability to cope ethically to dilemmas. The TEG (EGOGRAM by Tokyo-university) test was adopted to confirm the character of each nurse. Most nurses showed an A type personality while nurses with experience were predominantly of the AC type. Almost all nurses were able to cope with dilemmas by “negotiating with the related persons directly” or “discussing the dilemmas with other nurses.” Our study found that the CP type personality was able to cope better by “negotiating with the related persons” in contrast to the AC type who coped better by “discussing the case with other nurses” or “deciding by herself.” Of the experienced nurses, there was a significant difference in the manner in which the AC type was able to cope in 3 simulated cases; however, of the inexperienced nurses, the CP type showed the most significant differences in coping strategies in 5 simulated cases. These results show that nurses with AC or CP type characters coped with dilemmas differently from other character types, and their coping patterns are in accordance with the TEG type of character.View full abstractDownload PDF (1154K) -
Akiko KONAKA, Mitsuru KAWAMURA2004 Volume 64 Issue 5 Pages 479-485
Published: October 28, 2004
Released on J-STAGE: September 09, 2010
JOURNAL FREE ACCESS“Dropped Head Syndrome” is characterized by dropping of the head while in a sitting or standing position. This is a case study of seven middle-aged men and women with dropped head syndrome in which their clinical symptoms are discussed. Head dropping gradually progressed in these seven cases because of aggravation of a basic disease, drugs, neck muscle inflammation and neck muscle fatigue. After cessation of drugs and with bedrest and physical therapy, dropped head syndrome became a relatively benign condition with a non-progressive course. The causes of head ptosis were Parkinson's disease in three cases, cervical spondylosis deformation in two cases, one case of multiple system atrophy and one case of myotonic dystrophy. Because different causes were revealed for head drop, dropped head syndrome seems to be a heterogeneous condition. With regard to pathogenesis, our cases indicated weakness of the cervical muscles, muscle atrophy, hypotonicity of the cervical muscles and rigidity in the neck. The mechanism of dropped head is thought to be weakness and imbalance in the tonus of the paraspinal neck muscles. Dropped head syndrome may be due to weakness and atrophy of the posterior cervical muscles or hypertonicity of anterior cervical muscles. In addition, the term “axial myopathy” refers to a condition characterized by both head ptosis and camptocormia, which may occur as a result of similar pathophysiological processes affecting the paraspinal muscles of different parts of the spine.View full abstractDownload PDF (2520K) -
[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...2004 Volume 64 Issue 5 Pages 486-487
Published: October 28, 2004
Released on J-STAGE: September 09, 2010
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