The Keio Journal of Medicine
Online ISSN : 1880-1293
Print ISSN : 0022-9717
ISSN-L : 0022-9717
Volume 27, Issue 3-4
Displaying 1-4 of 4 articles from this issue
  • TOSHINORI KITAMURA, FUMIHIDE YOSHIDA
    1978 Volume 27 Issue 3-4 Pages 89-97
    Published: 1978
    Released on J-STAGE: March 27, 2009
    JOURNAL FREE ACCESS
    In a sample of 25 psychiatric in-patients at Tokyo Musashino Hospital, Institute of Psychiatry, Tokyo, ECG examination were performed before medication and followed up. The mean period of observation was ten weeks. The following were observed:
    1) The heart rate was in the normal range at the examination before medition. The younger patients tended to increase heart rate, whereas the elder tended to stay at the same level. A few other mild arrythmias were found.
    2) No marked change was found in PQ interval, but there was a slight tendency for PQ interval to increase in the older patients whereas it decreased in the younger ones. This is thought to be the result of heart rate dependency of PQ interval.
    3) A slight tendency for the voltage to decrease was found in 60% of the patients even though there was no so-called “low voltage”.
    4) One ischemic change of ST was found.
    5) T/R ratio was emphasized more than the height of T wave because of the marked voltage decrease. The decrease of T/R ratio was found amongst 60% of patients.
    6) The possible causes and treatments of these ECG changes were discussed.
    Download PDF (540K)
  • HIROSHI OGAWA, YOSHIJI YAMAZAKI
    1978 Volume 27 Issue 3-4 Pages 99-109
    Published: 1978
    Released on J-STAGE: March 27, 2009
    JOURNAL FREE ACCESS
    The distribution of some components of complement, immunoglobulins and lysozyme in the tonsil has been investigated by the immunofluorescent techniques. Intercellular spaces of the epithelium of free surface contained Clq in 35.7% of examined cases, Cis in 59.1%, C4 in 83.9%, C3 in 60.0%, C3PA (Factor B) in 52.6% and C3a in 81.8%. These spaces also contained IgG in 27.3% of examined cases, IgA in 63.0%, IgE in 53.8%, IgD in 38.1% but IgM only in 7.1%. The distribution of components of complement and immunoglobulins in the epithelium of crypts was much the same as that of free surface. Lysozyme was observed on the surface of the epithelium and in the debris of crypts. In very rare cases, it was localized in the intercellular spaces of upper layer of the epithelium.
    Germinal centers of the tonsil showed C3 in 80.0% of examined cases and C4 in 69.2% in the interstitial spaces, but showed little Clq, Cis, C3PA and C3a. IgG-, IgM-, IgA and IgE-contained germinal centers could be observed but IgD-contained ones were never observed. On the contrary the cap area, a cuff of tightly packed small lymphocytes adjacent to the germinal center toward to the epithelium, contained only IgM and IgD.
    Those observations suggest that the tonsil has self-defence mechanisms in the epithelium and that the role of C3 and C4 in the germinal centers is related to the progressive capture and aggregation of lymphocytes at the surface of antigen-binding dendritic cells. The presence of IgM and IgD in the cap area is in accordance with the hypothesis of the differentiation of bone marrow-derived lymphocytes.
    Download PDF (4386K)
  • CHOJIRO KIMURA
    1978 Volume 27 Issue 3-4 Pages 111-121
    Published: 1978
    Released on J-STAGE: March 27, 2009
    JOURNAL FREE ACCESS
    This experimental study was undertaken to compare the safety performance of two types of windshields from the standpoint of eye injuries. For this purpose special dummies having the orbits made of steel, were prepared; and fresh pig eyeballs were fixed with threads into these orbits. The differentially tempered glass and the laminated glass with a 30mil HPR interlayer were set into the windshields of the sled-dummy test devices. The experiment was carried out 5 times for each type of windshield at the speed of 32km per hour. Perforating eye injuries including corneoscleral laceration, uveal prolaps and vitreous loss occurred in all impacts in which tempered glass was set. However, these injuries did not occur in any impacts in which laminated glass was set.
    We concluded that the safety performance of laminated windshields with a 30mil HPR interlayer was superior to those of tempered windshields on the basis of perforating eye injuries.
    Download PDF (8142K)
  • A Report of Three Cases Showing Lung Metastasis and Pneumothorax
    KEIJIRO KITAMURA, NOBUYA TAMURA
    1978 Volume 27 Issue 3-4 Pages 123-134
    Published: 1978
    Released on J-STAGE: March 27, 2009
    JOURNAL FREE ACCESS
    Three cases of malignant angioendothelioma of the Wilson Jones type were reported. Patients were all aged and died of spontaneous pneumothorax and bronchopneumonia associated with metastasis of the tumor to the lung.
    Pneumothorax in older patients with malignant angioendothelioma is often overlooked. Therefore, the possible association of pneumothorax must be taken into consideration, when the patient with malignant angioendothelioma has respiratory complaints, such as slight dyspnea and coughing.
    It is also suggested that malignant angioendothelioma of the skin tends to invade the surrounding normal skin or to develop from a multicentric germ and metastasize to the surface of the lung.
    Download PDF (10728K)
feedback
Top