The KITAKANTO Medical Journal
Online ISSN : 1883-6135
Print ISSN : 0023-1908
ISSN-L : 0023-1908
Volume 46, Issue 4
Displaying 1-9 of 9 articles from this issue
  • KOHEI KUROKAWA, TAKANORI SUZUKI, KAZUHIRO SUZUKI, HIROSHI OKAZAKI, YOS ...
    1996 Volume 46 Issue 4 Pages 301-307
    Published: July 01, 1996
    Released on J-STAGE: October 15, 2009
    JOURNAL FREE ACCESS
    To evaluate the impact of radical prostatectomy on the quality of life (QOL) in patients with prostate cancer, we assessed the responses of 12 patients to a self-administered questionnaire 6-95 months (median 36 months) postoperatively. The QOL assessment focused on urinary disturbance, urinary incontinence and sexual function, which seem to be the major issues in deciding whether to perform radical prostatectomy.
    IPSS (International Prostate Symptom Score) for urinary disturbance was 3 points and a satisfactory grade was 2 points. Items reflecting irritative symptom were predominant, but no replies were very severe. Postoperative urination was good on the whole.
    In regard to incontinence, 58% reported some problem with wetness. Judging from the number of incidents of incontinence per day, the frequency of pad changes and impression of present status, the condition of two patients seemed to be serious, but their daily activities were not restricted. We therefore concluded that QOL about continence were not disturbed as a whole.
    As for sexual function, since many patients were on adjuvant hormonal treatment, we could not evaluate sexual function in detail. But 57% of all were dissatisfied with their postoperative sexual function, so our results were concluded not to be sufficient.
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  • ECHOCARDIOGRAPHIC EVALUATION OF LEFT VENTRICULAR WALL THICKNESS AND DIASTOLIC BEHAVIOR
    TAKASHI KOSUDA, KATSUHIKO SONE, TOMIO KOBAYASHI, MAKOTO SHINOHARA, NOB ...
    1996 Volume 46 Issue 4 Pages 309-315
    Published: July 01, 1996
    Released on J-STAGE: October 15, 2009
    JOURNAL FREE ACCESS
    We performed serial echocardiographic examinations to evaluate the left ventricular (LV) function of 7 patients with infantile spasm of adrenocorticotropic hormone (ACTH) therapy. Myocardial wall thickness as a whole and LV wall thickness change increased after ACTH administration but gradually decreased after the dose of ACTH was reduced. LV end-diastolic area and LV systolic area decreased after ACTH administration.
    LV inflow velocity pattern was also evaluated serially in this study. Peak early diastolic inflow velocity (E) decreased and peak late diastolic inflow velocity (A) increased after starting ACTH administration. These findings are similar to those in patients with hypertrophic cardiomyopathy.
    We therefore recommend careful monitoring of LV function by serial echocardiographic examination in patients undergoing ACTH therapy.
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  • KYOICHI IMAI, HIDETOSHI YAMANAKA, HIROTOMO TAKAHASHI, NOBUO KATO, JIN ...
    1996 Volume 46 Issue 4 Pages 317-323
    Published: July 01, 1996
    Released on J-STAGE: October 15, 2009
    JOURNAL FREE ACCESS
    The aim of this randomized study was to compare the prevention of so called “flare up” phenomenon and clinical efficacy of LHRH agonist (LHRHA) monotherapy with LHRHA and estrogen (E). In Group A, E was pre-administrated for 14 days prior to LHRHA and followed by 7 days of LHRHA with E administration. In Group B, E was combined with LHRHA for one week. Group C was LHRHA monotherapy. Serum T concentration in B and C groups was increased and was significantly higher than that in Group A during 14 days after the start of LHRHA therapy. Clinical efficacy was assessed by prostate specific antigen (PSA), clinical responses according to Japan Urological Association Criteria, and subjective responses. There was a significant difference in PSA only for 14 days from the start of LHRHA between Group A and others. In two patients in Group B and C, sever flare up was suspected. The increased cardiac side effects were observed in Group A. We conclude that E should be preadministrated prior to LHRHA therapy when patients have poor prognostic factors and are devoid of cardiac problems.
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  • KOUSEI TAMURA, KAZUO KUBOTA, HITOSHI KURABAYASHI, HITOSHI TAKE, TORU A ...
    1996 Volume 46 Issue 4 Pages 325-327
    Published: July 01, 1996
    Released on J-STAGE: October 15, 2009
    JOURNAL FREE ACCESS
    A 79-year-old man with lactic dehydrogenase (LDH) anomaly whom we followed for about ten years is described. The immunoglobulins binding to LDH were IgG, A, and M. This combination of immunoglobulins is extremely rare. While the patient had cholelithiasis, cholecystitis and transient hepatitis B infection during the 10-year period, it was not clarified whether these diseases affected the production of LDH-binding immunoglobulins.
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  • 1996 Volume 46 Issue 4 Pages 329-332
    Published: July 01, 1996
    Released on J-STAGE: October 15, 2009
    JOURNAL FREE ACCESS
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  • 1996 Volume 46 Issue 4 Pages 333-336
    Published: July 01, 1996
    Released on J-STAGE: October 15, 2009
    JOURNAL FREE ACCESS
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  • 1996 Volume 46 Issue 4 Pages 337-339
    Published: July 01, 1996
    Released on J-STAGE: October 15, 2009
    JOURNAL FREE ACCESS
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  • 1996 Volume 46 Issue 4 Pages 341-344
    Published: July 01, 1996
    Released on J-STAGE: October 15, 2009
    JOURNAL FREE ACCESS
    Download PDF (665K)
  • 1996 Volume 46 Issue 4 Pages 345-348
    Published: July 01, 1996
    Released on J-STAGE: October 15, 2009
    JOURNAL FREE ACCESS
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