The Keio Journal of Medicine
Online ISSN : 1880-1293
Print ISSN : 0022-9717
ISSN-L : 0022-9717
Volume 20, Issue 4
Displaying 1-5 of 5 articles from this issue
  • SHUN MATSUKI, RYUYA YODA
    1971 Volume 20 Issue 4 Pages 169-176
    Published: 1971
    Released on J-STAGE: March 27, 2009
    JOURNAL FREE ACCESS
    For the treatment of obesity we have three diet programs, 1, 000, 900, and 700 calorie diets, containing 60 g protein, 13-18 per cent calorie fat and 53-58 per cent carbohydrate. Regardless of age, height, grade of obesity or daily activity, we prescribed the 1, 000-calorie diet for obese men and the 900-calorie diet for women. Observing the cessation of weight reduction, we reduced to 900-calorie diet for men and 700-calorie diet for women. Four hundred and sixty obese patients were treated with these dietary regimens. Of these, 400 were treated in out-patients clinic and 60 in hospitalization. Different from the general incidence of obesity, there were over four times more women who visit the obesity clinic than men, and there were slightly more young ones. Of 400 out-patients, 12.8 per cent did not return after the diet was prescribed and 5.3 per cent did not obtain a weight loss even though they came back. A weight loss was observed in 82 per cent, among whom 51.7 per cent obtained a weight loss of more than 4kg. The average number of weeks required for a weight loss of 4 kg were 5.0±0.3 weeks in 183 out-patients and 2.2±0.2 weeks in 44 inpatients. The fact that the speed of weight loss is slower in out-patients in spite of the possibility of having more activity is thought to be because it is difficult for them to adhere to the prescribed diet at home.
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  • YASUHIKO ITATSU, MITSUTO HASEGAWA, ICHITARO ASAI, SHIRO MIWA, ICHITA A ...
    1971 Volume 20 Issue 4 Pages 177-194
    Published: 1971
    Released on J-STAGE: March 27, 2009
    JOURNAL FREE ACCESS
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  • TSUNEO ISHIHARA, TAKAAKI IKEDA, SHIRO YAMAZAKI, HITOSHI SHIBATA
    1971 Volume 20 Issue 4 Pages 195-202
    Published: 1971
    Released on J-STAGE: March 27, 2009
    JOURNAL FREE ACCESS
    The patient of osteogenic sarcoma develops pulmonary metastasis with high incidence. To estimate the duration of a given tumor and the time of inception, we calculated retrospectively the growth rate of tumor. If the growth rate of tumor before treatment is assumed to be constant, the majority of patients of osteogenic sarcoma had already developed pulmonary metastasis when symptoms from primary tumor appeared. Patients who are diagnosed as osteogenic sarcoma should be treated for pulmonary metastasis as well as for primary tumor even if there is no abnormal density on the chest roentgenogram.
    Bronchial artery or pulmonary artery infusion using anticancer agents for osteogenic sarcoma without visible metastasis on the chest roentgenogram is a treatment of choice.
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  • KIMIYOSHI TSUJI, HIROSHI MIYAMOTO, MOTOAKI ITO, HISAO YAMASHITA
    1971 Volume 20 Issue 4 Pages 203-215
    Published: 1971
    Released on J-STAGE: March 27, 2009
    JOURNAL FREE ACCESS
    During the period May 20, 1969 to December 14, 1970, histocompatibility testing was performed on 21 patients undergoing renal transplantation in Japan.
    The data was divided into two groups; prospective and retrospective. The prospective group included 10 related donors. The retrospective group included 10 related and one unrelated donor. We noted as a critical point, the percent incompatibility, the Terasaki matching grade, the net histocompatibility ratio, and the date and timing of clinical rejection episodes.
    Our results showed that prospective tissue typing was highly correlated with clinical outcome and survivial among the related transplants. However, the retrospectively typed cases did not correlate with the clinical observation.
    Lack of correlation between the retrospective histocompatibility and clinical outcome might hypothetically suggest antigenic modification of HL-A antigen in organ transplant recipient or dialysed patient. Additional studies will be necessary to interpret retrospective histocompatibility testing.
    This is the first series of organ transplantations correlated with histocompatibility testing to be reported from Japan.
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  • JUNYA FUKUDA, HIROSHI TAKEUCHI, KENSUKE BABA, HISAO YAMAGUCHI, KEIZO K ...
    1971 Volume 20 Issue 4 Pages 217-223
    Published: 1971
    Released on J-STAGE: March 27, 2009
    JOURNAL FREE ACCESS
    To prove the evidence of the direct transfer of lymphocytes from the lymphatic matrix into the venous blood through the vascular wall in the lymph node, a differential counting of the cell between the blood directly collected from the efferent vein and the systemic blood with a micro cannulation was carried out. The results obtained are as follows: 1) Leukocytes infiltration was found in marked degree around the venules in the lymphatic matrix and the medullary cord in the very early stage of the lymphogenous administration of antigen. 2) In the early stage, small lymphocytes were expelled from the lymphatic matrix and were increased in the lymph node vein. 3) The number of the emigrated large lymphocytes were usually in reverse proportion to that of the small lymphocytes.
    It is clarified that lymphocytes in lymph nodes are transfered directly into venous stream across the wall of P.C.V. under the stimulated condition.
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