The KITAKANTO Medical Journal
Online ISSN : 1883-6135
Print ISSN : 0023-1908
ISSN-L : 0023-1908
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Volume 45, Issue 3
Displaying 1-6 of 6 articles from this issue
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  • N ACETYL β GLUCOSAMINIDASE, α1 MICROGLOBULIN, AND β2 MICROGLOBULIN AS INDICATORS OF RENAL FUNCTION AFTHR OPEN-HEART SURGERY
    YOSHIRO HAMADA, KENICHI SUDO, EMIKO NAKAGOMI, NOBUNARI HAYASHI, TORI U ...
    1995 Volume 45 Issue 3 Pages 243-248
    Published: May 01, 1995
    Released on J-STAGE: October 15, 2009
    DOIhttps://doi.org/10.2974/kmj1951.45.243
    JOURNAL FREE ACCESS
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    Renal function after open-heart surgery was studied using urinary N acetyl β glucosaminidase (NAG), α1 microglobulin (α1M), and β2 microglobulin (β2M). These parameters were compared with creatinine clearance (Ccr), fractional excretion of sodium (FeNa), and free water clearance (FWC), from the preoperative period through the to seventh post-operative day. Although postoperative courses were uneventful and values of Ccr, FeNa, and FWC were improved or unchanged, NAG, α1M, and β2M levels were significantly elevated (P <0.05) until the 7 th, 6 th and 2 nd postoperative day, respectively. The above data indicate that subclinical renal failure exists several days after open-heart surgery. The values of Ccr, FeNa, and FWC did not correlate with NAG, α1M, and β2M. NAG, α1M, and β2M levels are of minimal diagnostic significance for acute renal failure.
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  • DIFFERENTIAL DIAGNOSIS BETWEEN LUNG CANCER AND BENIGN LUNG DISEASE : A COMPARISON STUDY OF THIN SLICE CT AND OPEN BIOPSY
    ICHIROU YOSHIDA, TOSHIMI OTANI, SUSUMU ISHIKAWA, AKIO OTAKI, OSAMU KAW ...
    1995 Volume 45 Issue 3 Pages 249-251
    Published: May 01, 1995
    Released on J-STAGE: October 15, 2009
    DOIhttps://doi.org/10.2974/kmj1951.45.249
    JOURNAL FREE ACCESS
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    Between 1986 and 1993, 40 patients, in whom lung cancer was suspected, underwent open biopsy : 20 were lung cancer and 20 benign lung disease. Until 1991, conventional Chest CT was used for the diagnosis of 28 patients with an accuracy rate of 57%. Since 1992, thin slice chest CT has been used for the diagnosis in 12 patients with an accuracy rate of 83%. In seven patients with benign lung disease, the diagnosis was preoperatively obtained in 5. meanwhile, lung cancer was preoperatively diagnosed in all five patients. Thin slice chest CT is an effective tool for the differential diagnosis between lung cancer and benign lung disease.
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  • INDICATIONS FOR MODIFIED GASTRECTOMY FOR EARLY GASTRIC CANCER LOCATED IN THE FUNDUS
    JUNYA KOBAYASHI, SUSUMU OHWADA, YASUO MORISHITA
    1995 Volume 45 Issue 3 Pages 253-258
    Published: May 01, 1995
    Released on J-STAGE: October 15, 2009
    DOIhttps://doi.org/10.2974/kmj1951.45.253
    JOURNAL FREE ACCESS
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    The status of lymph node metastasis, according to clinicopathological factors such as the depth of cancer, histologic type, macroscopic type and tumor size, was evaluated in 33 patients with solitary early gastric cancer located in the fundus.
    No lymph node metastasis was found in mucosal cancer. Metastasis within first group nodes was noted in submucosal cancer that was less than 2.0 cm in diameter, but metastasis was present in second group nodes in submucosal cancer that was more than 2.1 cm in diameter. Therefore, proximal gastrectomy is the treatment of choice for early gastric cancer located in the fundus. Lymph node dissection of D1 was suitable for all mucosal cancers and submucosal cancers that were less than 2.0 cm in diameter. Moreover, it is necessary to undertake D1 dissection, including No.7 and No.11 lymph nodes, for submucosal cancer that is more than 2.1 cm in diameter.
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  • [title in Japanese]
    1995 Volume 45 Issue 3 Pages 259-261
    Published: May 01, 1995
    Released on J-STAGE: October 15, 2009
    DOIhttps://doi.org/10.2974/kmj1951.45.259
    JOURNAL FREE ACCESS
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  • [title in Japanese]
    1995 Volume 45 Issue 3 Pages 263-270
    Published: May 01, 1995
    Released on J-STAGE: October 15, 2009
    DOIhttps://doi.org/10.2974/kmj1951.45.263
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  • [title in Japanese]
    1995 Volume 45 Issue 3 Pages 271-273
    Published: May 01, 1995
    Released on J-STAGE: October 15, 2009
    DOIhttps://doi.org/10.2974/kmj1951.45.271
    JOURNAL FREE ACCESS
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