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Volume 47, Issue 6
Displaying 1-11 of 11 articles from this issue
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[in Japanese]2004 Volume 47 Issue 6 Pages 402-403
Published: December 15, 2004
Released on J-STAGE: March 18, 2011
JOURNAL FREE ACCESSDownload PDF (3318K) -
[in Japanese]2004 Volume 47 Issue 6 Pages 404-416
Published: December 15, 2004
Released on J-STAGE: August 16, 2011
JOURNAL FREE ACCESSDownload PDF (5721K) -
Tadao Enomoto, Shigeo Onishi, Yoshihiro Dake, Hiroki Ikeda, Akira Shib ...2004 Volume 47 Issue 6 Pages 417-423
Published: December 15, 2004
Released on J-STAGE: March 18, 2011
JOURNAL FREE ACCESSThe management of indoor environments helps not only to reduce the need for medical care but often improves allergic symptoms themselves in subjects with perennial nasal allergies and/or pediatric bronchial asthma. Until recently, airtight houses have been desired, and this trend has led to optimal growing conditions for house dust mites (HDM). However, as a preventive measure against “sick house syndrome”, revised building standards have made ventilation and air conditioning systems (VACS) compulsory since July 2003. Therefore, the effect of these new air conditioning systems on the amount of HDM was investigated. As a result of this investigation, houses equipped with VACS were found to have a relatively low humidity and a lower amount of HDM, compared with houses without VACS.View full abstractDownload PDF (852K) -
Makoto Endo, Shintaro Chiba, Kota Wada, Yuichiro Yaguchi, Fumikazu Oht ...2004 Volume 47 Issue 6 Pages 424-431
Published: December 15, 2004
Released on J-STAGE: March 18, 2011
JOURNAL FREE ACCESSPortable devices for monitoring apnea are easier and more cost-effective in measuring the severity of sleep-disordered breathing (SDB) than conventional full polysomnography (PSG), currently the gold standard in SDB diagnosis. Because the accuracy and reliability of study outcome have been questionable, we compared PSG and portable monitoring devices for accuracy and studied issues in use. Subjects were 30 patients suspected of having SDB tested under PSG and portable monitoring devices at the same time. The correlation coefficient for the apnea hypopnea index (AHI) between 2 devices was 0.664, and portable monitoring devices tended to underestimate events in severe cases and overestimate events in mild cases. AHI of 20 or more is considered critical in cumulative survival, so we analyzed the results of screening using in AHI cut off of < 20. The outcome of screening compared to PSG was a sensitivity of 76%, a specificity of 44%, and a matching accuracy of 67%. These results suggest that portable monitoring devices must be used with careful analysis.View full abstractDownload PDF (2304K) -
Koichi Kitamura, Koji Otsuka, Susumu Araki, Hidenori Kanabayashi, Mamo ...2004 Volume 47 Issue 6 Pages 432-437
Published: December 15, 2004
Released on J-STAGE: March 18, 2011
JOURNAL FREE ACCESSA 66-year-old man complaining of vertigo with acute hearing loss and tinnitus of the right ear visited our hospital. An MRI examination showed a lesion suggesting an anterior inferior cerebellar artery (AICA) territory infarction. An otoneurological examination revealed a sensorineural hearing loss of the right ear and horizontal and rotatory gaze nystagmus toward the left. Although an inner ear disorder was not suspected as the cause of vertigo, an MRI examination seemed to be indicated based on the neurological symptoms and nystagmus findings to rule-out a possible disorder of the central neruous system. Neurological and MRI examinations are important for distinguishing cerebellar infarction from inner ear disease.View full abstractDownload PDF (1702K) -
Masahiro Rikitake, Hiroya Utahashi, Ayako Ishii, Toshihito Suda, Masan ...2004 Volume 47 Issue 6 Pages 438-442
Published: December 15, 2004
Released on J-STAGE: March 18, 2011
JOURNAL FREE ACCESSSmall epiglottic cysts are generally observed throughout their course, as are larger asymptomatic cysts. The cyst wall or cyst is resected, however, in patients with paresthesia of the pharynx and larynx, e.g., a foreign-body sensation in the throat, difficulty in swallowing, or difficulty in breathing. We recently treated 9 symptomatic patients with epiglottic cysts, inserting an rigid endoscope through the oral cavity for cystectomy. This yielded a broad visual field enabling the entire cyst wall to be easily grasped while controlling bleeding. Cysts were thus completely extirpated. As of this writing, no postoperative complications or recurrence have been observed.View full abstractDownload PDF (1513K) -
Masayuki Takashima, Hirokazu Takemura, Hideyuki Murata, Makoto Oda, Ka ...2004 Volume 47 Issue 6 Pages 443-447
Published: December 15, 2004
Released on J-STAGE: March 18, 2011
JOURNAL FREE ACCESSEpiglottic cysts are often encountered in daily practice, and are usually asymptomatic prior to the onset of the following symptoms including discomfort of the throat and difficulty in breathing. We present a case in which progressive snoring appeared over a short period. The patient had sudden onset of difficulty in breathing for one and a half months, which was considered to be due to a sudden increase in the size of the cyst. Snoring was relieved after the cyst was surgically removed, accompanied with relief of sleep apnea, which had been found to be moderate preoperatively with an apnomonitor. In this case, the final diagnosis and therapeutic strategy benefited from the dynamic morphological findings of MRI. The sudden onset of snoring at night might indicate a space-occupying lesion of the upper airway.View full abstractDownload PDF (2093K) -
Hideki Matsuda, Choichi Horiuchi, Takafumi Yoshida, Mamoru Tsukuda2004 Volume 47 Issue 6 Pages 448-452
Published: December 15, 2004
Released on J-STAGE: March 18, 2011
JOURNAL FREE ACCESSWe report a case of primary nasopharyngeal tuberculosis.
A 69-year-old woman who had undergone total gastrectomy for gastric cancer (Stage III A) reported a sore throat. A white-coated mass in the nasopharynx was found in pathological examination of the biopsied specimen to have epithelioid cell granulomas around caseous necrosis and multinucleated giant cells. DNA-PCR and bacteriological examinations revealed mycobacterium tuberculosis. Since no tubercular lesions were found elsewhere, she was diagnosed as having primary nasopharyngeal tuberculosis.
The mass in the nasopharynx disappeared after combined chemotherapy with antituberculosis drugs, i.e., INH, RFP, EB, and PZA.View full abstractDownload PDF (1669K) -
[in Japanese]2004 Volume 47 Issue 6 Pages 453-454
Published: December 15, 2004
Released on J-STAGE: March 18, 2011
JOURNAL FREE ACCESSDownload PDF (990K) -
[in Japanese]2004 Volume 47 Issue 6 Pages 455-459
Published: December 15, 2004
Released on J-STAGE: March 18, 2011
JOURNAL FREE ACCESSDownload PDF (935K) -
[in Japanese], [in Japanese], [in Japanese], [in Japanese]2004 Volume 47 Issue 6 Pages 465-473
Published: December 15, 2004
Released on J-STAGE: March 18, 2011
JOURNAL FREE ACCESS
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