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Volume 34, Issue 1
Displaying 1-6 of 6 articles from this issue
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JINRYO TAKEDA, KEN HASHIMOTO, JUNJI MACHI, YUH HIRAI, TERUO KAKEGAWA1987 Volume 34 Issue 1 Pages 1-8
Published: June 01, 1987
Released on J-STAGE: August 11, 2009
JOURNAL FREE ACCESSFrom 1975 to 1984, 1114 patients with gastric cancers were ad-mitted to our surgical department. Among these cancers, upper gastric cancers were present in 190 (17%) patients. 54% of these upper gastric cancers had invaded the esophagus. For cancers of the gastro-esophageal junction, two approaches for surgical resection were employed. A thoraco-abdominal approach was used for cancers at a more advanced stage with more extensive esophageal involvement, while an abdominal approach was used for less advanced cancers. However, the overall survival rate was similar for each procedure; 40% and 39%, respectively. This is probably due to more complete lymphnode dissection that can be accmplished by the thoraco-abdominal approach.View full abstractDownload PDF (1945K) -
EIICHIRO HONDA, TAKASHI HAYASHI, HOTETSU SHIMAMOTO, KUNITADA HARA, YOS ...1987 Volume 34 Issue 1 Pages 9-18
Published: June 01, 1987
Released on J-STAGE: August 11, 2009
JOURNAL FREE ACCESSThe subjects in this report included 17 surgical cases, who had evacuations of hematomas aided a BRW CT stereotaxic system approximately 14 days after the onset, and 11 non-surgical patients. The average age was 65.5 years for the operated group and 68.7 years for the non-surgical group. The neurological grades on admission were Grade III or above (slight or mild disturbance of consciousness). The evaluation of each case was based on (1) laterality of the hematoma on the left or right, (2) neurological grading, (3) maximum anterio-posterior, lateral diameters, and (4) maximum depth of the hematoma, CT classification (Kanaya, 1981) and ADL (5 grades) at 4.5 months after the onset. No correlation was found between ADL andd the laterality of the lesion in either group. As for the level I of consciousnesss and ADL on admission, 6/8 cases in the operaed and 3/8 in the non-operated group recovered to ADL grade 2 or above, and 2 bed-ridden cases were included in the non-operated group. In regard to the extent of the hematoma, the mean ADL was 1.83 in the operated group, and 2.75 in the non-operated group where the he-matoma was 25mm or less in its maximum anterio-posterior diameter. There existed a significant difference in ADL at IIb on the CT, and 4/5 of the operated and 1/4 of the non-operated group appeared to be ADL 2 or above. Assessment of the activities (mental change, willingness) as well as the muscle strength was performed within 3 days after surgery, and 88.2% and 35.3% improvements were observed, respectively, in the operated and non-operated groups. In conclusion, the cases in which the hematoma was relatively localized and consciousness was only slightly disturbed tended to respond well to surgical intervention as determined by ADL. One of the reasons for this seemed to be an early initiation of activity which leads to effective rehabilitation.View full abstractDownload PDF (4511K) -
RYUICHI HASHIMOTO, MASAHIKO OGATA, YOSHINORI KOGA, HIRONORI TOSHIMA1987 Volume 34 Issue 1 Pages 19-27
Published: June 01, 1987
Released on J-STAGE: August 11, 2009
JOURNAL FREE ACCESSTwenty three patients with Coxsackie-B viral myocarditis (16 patients), perimyocarditis (3 patients) or pericarditis (4 patients) were reviewed with respect to their clinical features and the long-term prognosis. All except two patients presented Coxsackie-B viral infection with at least a four fold rise or fall of the neutralizing antibody titer in the paired sera, the other two were autopsy patients showing a pathological evidence of myocarditis and a significant elevation in the titer in the single measurement. Antecedent symp-toms, cardiac manifestations and electrocardiographic findings were closely compatible to others described in previous reports. In the analysis of serum enzyme in the acute stage, the majority of patients with myocarditis developed a moderate-to-marked elevation of GOT and CK, while patients with pericar-ditis did not. Thus abnormal enzyme pattern seemed to be an important sign of myocardial damage. In addition, GPT and LDH (dominant in LDH5) were elevated in most patients with myocarditis, suggesting liver involvement. As patients with myocarditis sometimes develop abnormal Q associated with chest pain, the abnormal enzyme pattern would be a valuable clue in differentiating from myocardial infarction. Another interesting findings was a lack of eleva-tion of erythrocyte sedimentation rate, observed in 7 patients. A possible ex -planation for this is an association of disseminated intravascular coagulation. The lack of elevation appeared to be a sign of poor prognosis. In the long-term follow-up of those patients who had recovered almost completely by the time of discharge, none developed a recurrence of myocarditis or any cardiac manifestation of residual myocardial damage. Thus, patients with acute myo-carditis appeared to rarely progress to dilated cardiomyopathy if they had re-covered completely from the acute stage.View full abstractDownload PDF (4983K) -
TADAMITSU KAMEYAMA, KIYOMOTO KITA, CHOKUDO SUJAKU, TAKASHI WATANABE, H ...1987 Volume 34 Issue 1 Pages 29-34
Published: June 01, 1987
Released on J-STAGE: August 11, 2009
JOURNAL FREE ACCESSCrystallinities of six salivary stones obtained from patients with bilateral submandibular sialolithiasis were compared using X-ray diffraction. 1) The main component of all the stones was hydroxyl apatite. 2) The diffraction patterns were different for each case. Two cases had the same pattern bilaterally. According to Kita's categorization, three of the salivary stones were type A, two were type B and one was type C. 3) The half widths of the peaks increased from type A to type B to type C. 4) Comparison of the differences in the stones to the clinical findings demonstrated excellent crystallinity in the globular calculi.View full abstractDownload PDF (1825K) -
A Case ReportTADAMITSU KAMEYAMA, TERUO HIEDA, MASAZUMI TAKENAKA, SHUNICHI TANAKA, C ...1987 Volume 34 Issue 1 Pages 35-41
Published: June 01, 1987
Released on J-STAGE: August 11, 2009
JOURNAL FREE ACCESSOne case of a benign cystic teratoma on the bottom of the oral cavity of an infant was obseved and reported. The occurrence of this tumor in the oral cavity is quite unusual.View full abstractDownload PDF (7662K) -
MASATOSHI ISHIBASHI, SEIICHIRO MORITA, NORIYOSHI UMEZAKI, KIYOSHI YANO ...1987 Volume 34 Issue 1 Pages 43-47
Published: June 01, 1987
Released on J-STAGE: August 11, 2009
JOURNAL FREE ACCESSFunctional Image (FI), which represents dynamic local renal function in one image, has been made possible only by digital image processing. The first FT obtained by rapid bolus injection of the radiolabeled medium is considered to be useful for evaluation of initial local renal blood flow. FT has the advantage that it can be performed simultaneously with conventional rou-tine examinations of the renal function.View full abstractDownload PDF (2404K)
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