JOURNAL OF THE KYORIN MEDICAL SOCIETY
Online ISSN : 1349-886X
Print ISSN : 0368-5829
ISSN-L : 0368-5829
Volume 8, Issue 2
Displaying 1-11 of 11 articles from this issue
  • Article type: Cover
    1977Volume 8Issue 2 Pages Cover5-
    Published: 1977
    Released on J-STAGE: February 13, 2017
    JOURNAL FREE ACCESS
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  • Article type: Cover
    1977Volume 8Issue 2 Pages Cover6-
    Published: 1977
    Released on J-STAGE: February 13, 2017
    JOURNAL FREE ACCESS
    Download PDF (35K)
  • Kyozo ISHIKAWA
    Article type: Article
    1977Volume 8Issue 2 Pages 83-93
    Published: 1977
    Released on J-STAGE: February 13, 2017
    JOURNAL FREE ACCESS
    ECG diagnosis by a computer based on median value was evaluated. 1447 subjects were randomly selected. A cardiologist diagnosed 1284 cases as normal and 173 as abnormal. Out of the 1284 normal cases this computer analysis correctly diagnosed 1225 (95.4%) as normal and 59 (4.6%) as abnormal. Among the 59 cases, 42 were interpreted as myocardial infarction (MI), 8 as myocardial damage (MD), 8 as left ventricular hypertrophy (LVH), and one as incomplete right bundle branch block (IRBBB). Out of 173 abnormal cases, it also correctly diagnosed 159 (92%) as abnormal. But it erroneously diagnosed 14 cases (8%), among which a cardiologist diagnosed 7 as MD, 3 as the first degree atrio-ventricular block, 2 as IRBBB, one as LVH, and another one as PQ shortening. The overall similarity between the diagnoses by a cardiologist and by the computer using a median value analysis was established. As the second attempt, 81 cases were randomly selected from the 1225 normal cases, from which 421 beats were obtained. Diagnoses from 389 beats (92%) were normal which were consistent with those by the median value analysis, while 32 beats (8%) were erroneously diagnosed as MD (11 beats), MI (18 beats), LVH (3 beats). 15 cases were also selected from the 159 abnormal cases from which 76 beats were obtained. 68 beats (89.5%) were correctly diagnosed as MD (29 beats), MI (13 beats), IRBBB (4 beats), and questionable MI (16 beast) but 8 beats (10.5%) were erroneously diagnosed as normal. Therefore, it can be concluded that the computer diagnosis of ECG utilizing a median value analysis is by far excellent than that based on a single beat analysis.
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  • Nobushige FURUYA, Makoto KUBOI, Takeo ITO
    Article type: Article
    1977Volume 8Issue 2 Pages 95-99
    Published: 1977
    Released on J-STAGE: February 13, 2017
    JOURNAL FREE ACCESS
    The estimation of CPK activity using the Clinalyzer JCA-5KR has, up to date, usually been performed by measuring the rate of disappearance of NADH at 340 nm. However, this method leaves something to be desired in point of Precision especially in measuring the enzyme activities of the normal human serum because of the low sensitivity of this procedure. Accordingly, a new method has been devised to make more efficient use of JCA-5KR. The method, in which the rate of appearance of NADPH at 340 nm is measured in contrast with usual method, has made it possible to obtain much more reliable values in measurement of the enzyme activity. The range of normal human serum CPK values recommended for this method is 10-120mU/ml at 37℃.
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  • Isamu YAMAMOTO
    Article type: Article
    1977Volume 8Issue 2 Pages 101-112
    Published: 1977
    Released on J-STAGE: February 13, 2017
    JOURNAL FREE ACCESS
    Nutritioal management of infants with congenital heart disease is very important. But it is especially so when infants have complication of the congestive heart failure, chronic hypoxia with acidosis, pulmonary hypertension, repeated infection and gastrointestinal absorption desect. Evaluation of specific nutritional care was performed on 51 infants with congenital heart disease who were fed with specific diet contaning various preparation of formula shown in Table 1. The infants studied in the present report were devided into four groups. The first group of infants received prepared milk which was made after commercial formula (FMU)^[○!R] added with dextrin. The second group was fed with a high calorie low natrium milk formula (LN and MN) which was added with medium chain triglycerides. The third group received low natrium formula (Na 20). The fourth group received a fat emulsion (Intralipid) for intravenous nutrition. It was concluded that the first group showed the greatest growth rate when compared to other groups. Only side effect that could be associated with present nutritional care was diarrhea, diaper dermatitis and slight loss of appetite in the second group. The low natrium foumula used in the third group was not significantly effective for evaluation. Levels of several blood lipids were estimated for the fourth group to investigate the metabolic capacity of the infants who received i.v. infusion of "Intralipid".
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  • Akira ISHIBASHI, Yoshio NISHIYAMA, Mikio ENDO, Wataru KAWAJI, Tadashi ...
    Article type: Article
    1977Volume 8Issue 2 Pages 113-117
    Published: 1977
    Released on J-STAGE: February 13, 2017
    JOURNAL FREE ACCESS
    Painful orthopedic symptoms in the sternal area such as arthritis of the manubriosternal joint (5 cases) and sternoclavicular joint (4 cases), and Tietze's syndrome (4 cases) were found in 14 of 132 cases of pustulosis palmaris et plantaris. Majority of pustulosis palmaris et plantaris patients with orthopedic symptoms had the skin eruptions not only in the palms and soles, but also in the backs of the hands and feet, the arms, the legs and the trunk. Such cases tended to show elevation of erythrocyte sedimentation rate, leucocytosis, changes of serum globulin, and also pyrexia at the time of exacerbation. The skin and orthopedic symptoms often worsened after acute exacerbation of focal infection, and occasionally responded to tonsillectomy or chemotherapy with antibiotics, suggesting the probable cause of bacterid.
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  • Shigeru HONJO, Hiroto HIMURO, Morito KAMIYAMA, Yutaka TAKEUCHI, Yasush ...
    Article type: Article
    1977Volume 8Issue 2 Pages 119-122
    Published: 1977
    Released on J-STAGE: February 13, 2017
    JOURNAL FREE ACCESS
    Present report deals with the anesthetic results of the controlled epidural anesthesia for cesarean sections performed at Kyorin university Hospital. In which bupivacaine, etidocaine and lidocaine were used to maintain controlled epidural block. Data were collected from operations performed between April 1973 and October 1976. Anesthetics of high concentration (0.5% bupivacaine 75mg) was used on eleven patients for the purpose of studying conceutration effect. to overcome unblocked segments in the lumbo-socral region. Anesthetic was administered through Tuohy needle placed in the caudal direction prior to the insertion of epidural catheter at the 3rd or 4th lumbar interspace. Patients were kept in lateral, head up position to study gravity effect also. For the study of effect, anesthetics of moderate concentration (75mg of etidocaine) were injected to five patients. The initial onset time of bupivacaine was measured around 5-10 minutes and that of etidocaine around 3-6 minutes. Reinforcing doses of the weak solution of local anesthetic was administered to study the volume effects by additional injection of one percent lidocaine (70-100mg) to the cephalad direction through the catheter. There could be observed no toxic reations with the dosage of the agents used in this series. There was no foetal depression as judged by Apgar scores at both one and five minutes. Prescribed anesthetic method is safely administered by trained anesthesiologist.
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  • Hidehisa KAWAKAMI, Noboru KATSUMI, Shoji OHSATO, Yoshiro FURUYA, Shoic ...
    Article type: Article
    1977Volume 8Issue 2 Pages 123-128
    Published: 1977
    Released on J-STAGE: February 13, 2017
    JOURNAL FREE ACCESS
    T_4 RIA kit (EIKEN) is a radioimmunoassay kit for the determination of serum thyroxine (T_4) concentration. In this kit ANS (8-anilino-1-naphthalene sulfonic acid) was used as an inhibitor for the binding of T_4 to thyroxine binding proteins, and double antibody technique was adopted for BF separation. In spite of only 20μl of serum was required, the sensitivity of assay was 0.25μg/dl, possible range of assay was between 0.7μg/dl and 25μg/dl, intraassay variance was 3.9%, and interassay variance was 5.9%. Serum T_4 concentration estimated with this kit and with other kit were very similar and correlation coefficient was 0.864. Furthermore, the results obtained from using this kit showed good correlation with clinical status and the results of other thyroid function tests performed in many patients with thyroid disorders. It is concluded that T_4 RIA kit (EIKEN) can be a useful tool for the estimation of thyroid function.
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  • Article type: Appendix
    1977Volume 8Issue 2 Pages 129-162
    Published: 1977
    Released on J-STAGE: February 13, 2017
    JOURNAL FREE ACCESS
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  • Article type: Cover
    1977Volume 8Issue 2 Pages Cover7-
    Published: 1977
    Released on J-STAGE: February 13, 2017
    JOURNAL FREE ACCESS
    Download PDF (40K)
  • Article type: Cover
    1977Volume 8Issue 2 Pages Cover8-
    Published: 1977
    Released on J-STAGE: February 13, 2017
    JOURNAL FREE ACCESS
    Download PDF (40K)
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