The Kurume Medical Journal
Online ISSN : 1881-2090
Print ISSN : 0023-5679
ISSN-L : 0023-5679
33 巻, 1 号
選択された号の論文の8件中1~8を表示しています
  • RYOHEI OGURA, YUJI HINO, SUNG BOO YOON, AKIHIRO KAGIYAMA, HIROSHI IWAH ...
    1986 年 33 巻 1 号 p. 1-6
    発行日: 1986/08/25
    公開日: 2009/08/11
    ジャーナル フリー
    The high pressure liquid chromatographic analysis of riboflavin, FMN and FAD in isolated heart mitochondria was described. The flavin content in rat heart mitochondria were : 0.67±0.15n moles FAD per mg protein, 0.13±0.13 n moles FMN and 0.008±0.004 n moles free riboflavin. The preparation of mitochondria from rat heart which was used to determine the flavin concentrations was also described.
  • NOBUO KAKU
    1986 年 33 巻 1 号 p. 7-14
    発行日: 1986/08/25
    公開日: 2009/08/11
    ジャーナル フリー
    A statistical analysis was performed on patients in Japan with perforated gastric and duodenal ulcers during the past 40 years. Perforated ulcers accounted for 14% of the operated gastric and duodenal ulcers in the 1940s but for only 6.8% in the 1970s. In th e 1940s and 1950s, the proportion of perforated gastric ulcers was higher (about 60%) than that for perforated duo denal ulcers, but the latter increased to about 80% in the 1970s. The mean age of the patients with perforated gastric ulcers was 55 years, and with perforated duodenal ulcers was 32 years. The mean male-female ratio of these diseases was 12.5: 1 (5.8: 1 for perforated gastric ulcers and 13.9: 1 for perforated duodenal ulcers). Intraperitoneal free gas was present in 74 ± 11% of the patients. The major sites of perforation were the duodenum, the gastric antrum, the anterior wall of the lesser curvature of the stomach, and the lesser curvature. Perforations at these sites comprised about 90% of all cases. The mortality rate was only 4.6 % for those treated within 24 hours after the onset of the perforation, but was 32% for those treated after 24 hours. As for surgical procedures, extensive gastrectomy was performed in 87% of the patients and simple closure in the 7.6% with high risk. A Billroth II operation was the most frequent of the various types of gastric resections. The postoperative complications which were frequently seen were failure of the sutures, ileus, serum hepatitis and pulmonary complications. The mortality rate decreased during the past 40 years from 44.8% in the 1940s to 7.5% in the 1970s.
  • Report of Two Cases
    MASAYOSHI KAGE, ROBERT L. PETERS
    1986 年 33 巻 1 号 p. 15-20
    発行日: 1986/08/25
    公開日: 2009/08/11
    ジャーナル フリー
    Two cases of hepatocellular adenoma on oral contraceptives were reported. The first case was forty two-year-old female with complaint of abdominal pain, and was founnd to have a mobile mass. The second case was twenty six-year-old female who developed intraperitoneal hemorrhage due to a ruptured mass. The resected mass in both cases was well defined, and compressed the surrounding liver tissue. Histologically the constituted cells of the mass closely resembled to normal hepatocytes, and showed the uniform texture and arrangement throughout the mass. It is likely that the characteristic feature of hepatocellular adenoma is homogenous histopathology within the tumor as opposed to the variation of the histopathology of hepatocellular carcinoma.
  • SEIICHI KOBUKATA
    1986 年 33 巻 1 号 p. 21-31
    発行日: 1986/08/25
    公開日: 2009/08/11
    ジャーナル フリー
    The changes in morphology and cell proliferation of the gastric mucosa were studied with in vivo experiments on several models of duodenal regurgitation. The following operations were performed on six groups (A-F) of male Wistar rats : (A) sham operation, (B) gastro-jejunostomy without gastrectomy, (C) gastrectomy with Billroth II reconstruction, (D) gastrectomy with Billroth I reconstruction, (E) gastrectomy with Billroth II reconstruction and Braun's anastomosis, and (F) gastrectomy and Roux-Y gastrojejunostomy. The morphological changes were evaluated by macro- and microscoropic examination, and cell proliferations were measured by a scintillation counter and by autoradiography. In addition to these investigations, a study was carried out on groups A and B to investigate the effect of duodeno-gastric reflux for a long duration. Morphologically, superficial gastritis and mucus neck cell hyperplasia were recognized in almost all groups. Group B had significantly higher values of cell proliferation. In the long term study, the marked increase in cell proliferation was maintained at almost the same level for a period of 12 months following the operation. These results indicate that the increase in cell proliferation and the presence of atrophic gastritis are the most characteristic features of a gastric mucosa which has been exposed to the duodenal contents.
  • A Preliminary Case Report
    MASAHIRO KUNIYOSHI, YOICHI NAKAZAWA, TATAYU KOTORII
    1986 年 33 巻 1 号 p. 33-38
    発行日: 1986/08/25
    公開日: 2009/08/11
    ジャーナル フリー
    In a patient with primary unipolar depression, core temperature, urine volume, urinary excretions of 5-HIAA, MHPG and electrolytes were measured and compared between the depressive and remitted phases. Some alterations in the daily patterns and the amounts of these variables were observed during the depressive phase. It remains to be established whether these changes are few results of the disease process itself or of the treatment with antidepressant drugs.
  • A Case Report
    TAKASHI HAYASHI, KAZUHITO SHOJIMA, YUJI OKAMOTO, KAZUHIKO MORITAKA, EI ...
    1986 年 33 巻 1 号 p. 39-42
    発行日: 1986/08/25
    公開日: 2009/08/11
    ジャーナル フリー
    It is rare to find a patient who has four aneurysms on cerebral arteries. We have recently encountered a case who has four aneurysms on a single cerebral artery, presenting two giant and two smaller aneurysms on the right middle cerebral artery. In this paper a successfull surgical therapy for the multiple giant aneurysm on a single cerebral artery is described.
  • SEIICHI KOBAYASHI, YASUO SUGITA, MASAHIKO KATAYAMA, NOBUTO KOJO, MASAM ...
    1986 年 33 巻 1 号 p. 43-49
    発行日: 1986/08/25
    公開日: 2009/08/11
    ジャーナル フリー
    We report a case of ossifying fibroma which appeared in the left parietal bone of a 19-year-old man. The incidence of ossifying fibroma itself is rare and generally this tumor appears in the facial bone of young adults. Only nine cases of this tumor involving the cranial vault alone were found in the clinical literature. Although the ossifying fibroma is a benign fibroosseous tumor, complete removal is important in the treatment. Because of the rarity of this finding, we present a report of this case together with a review of the literature.
  • TAKASHI AKASU, MAMORU ARIYOSHI, MASASHI TSURUSAKI
    1986 年 33 巻 1 号 p. 51-54
    発行日: 1986/08/25
    公開日: 2009/08/11
    ジャーナル フリー
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