Juntendo Medical Journal
Online ISSN : 2188-2134
Print ISSN : 0022-6769
ISSN-L : 0022-6769
Volume 4, Issue 2
Displaying 1-8 of 8 articles from this issue
  • Tosio SUGIYAMA
    1958 Volume 4 Issue 2 Pages 77-98
    Published: April 10, 1958
    Released on J-STAGE: November 22, 2014
    JOURNAL FREE ACCESS
    The author inquired into 7300 cases, out of the twenty thousands who were examined about silicosis by the Minis try of Labour in 1952 till 1954, and classified their X ray findings into the nodular conglomerate and complicated shadows. 1. The auther classified the nodula shadows into regularly and irregularly circular forms. Among the workers engaged in the industries exposed to heavy dust, the author found the more irregulary circular forms in the bigger nodular shadows. 2. Among the workers engaged in the industries exposed to heavy dust, the nodular shadows grow, generally speaking, bigger in proportion to the number of the shadows, but among those engaged in the industries exposed to light dust the shodows over 4mm are scarcely seen. 3. The nodular shadows are apt seen in the interior (the 5th) or inner (the 4th) part of the lungs in attached figures no. 1. But the distribntion becomes wider over the lung in proportion to the thickness of the dust and this phenomenon is apt to be seen in those who have bigger nodular shadows. 4. The auther classified the conglomerate shadows into five types, These types are seen more frequently when the nodular shadows are bigger 5. In the left and the right lungs, the distribution of the conglomerate shadows are not always the same, nor are the numbers of the shadows. 6. The swelling of the pulmonary hilum, the pulmonary emphysema and the callosum of pleura are seen in many workers engaged in the industries exposed to heavy dust, and they become distinguished when the patients suffer from heavy pneumoconiosis.
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  • Jun HARA, Kotaro OKADA, Keiji HIRAKI, Teruko UCHIYAMA, Tadashi HATAKEY ...
    1958 Volume 4 Issue 2 Pages 99-104
    Published: April 10, 1958
    Released on J-STAGE: November 22, 2014
    JOURNAL FREE ACCESS
    Successive epidemiological study on enterobiasis using similar methods as Shizuka.Mura's survey was carried out among children in one of public nursery and their families during one month from March to April, in 1957. Among 83 (52.53%) persons out of 158 belonging to 34 families examined, pin worm eggs were detected. The high rates were seen among the children belonging to the year group of 5 to 9 and the females of 30 to 39. Correlations of infection between child and mother or father existed and remarkable familial aggregation was observed. But no significant correlations were seen between positive rate and frequency of bathing rate, changing underwears, or sexes Only, suspicious condition or circumstance related to the high positive rate observed among persons (52.53% in general and 80.95% in younger children) were space of the bed room and limited envilonment. Although no remarkable differences were observed in the space of the bed room of non infected and infected families, average number of Tatami, Japanese rice straw mattless, in bed room of the families examined was 1.527, while national standard was 3.7 in 1952. Thus smaller space of bed room may cause the high rate of infection in this survey. From epidemiological observations mentioned above, such as relation between children and their parents, or high rate observed in early school year children, the individual contact in a broad sense may be the most important cause of infection.
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  • Kinji HAYASHI
    1958 Volume 4 Issue 2 Pages 105-112
    Published: April 10, 1958
    Released on J-STAGE: November 22, 2014
    JOURNAL FREE ACCESS
    Ammonia metabolism was studied in 19 normal patients and 24 patients with liver dysfunction.These results were confirmed experimentally in dogs. 1. The blood ammonia levels were determined in patients without liver disease, with hepatitis, livercirrhosis, and hepatic coma. In livercirrhosis and hepatic coma the blood ammonia levels were found to be remarkably elevated. 2. Ammonia chloride tolerance test was performed in these patients. Curves of blood ammonia levels in livercirrhosis were different from hepatitis and normal.From these results it was concluded that serious dysfunction of ammonia metabolism is present in patients with livercirrhosis. 3. High levels of blood ammonia arise from the failure of liver, and from the formation of collateral channels of the portal vein. These relationships were confirmed experimentally in dogs with portal venous stricture and liver damage by carbon tetrachloride. 4. In these cases blood suger, pyruvic acid, lactic acid etc were also determined. From these results it was supposed that the citric acid cycle were also interfered, but not only ammonia metabolism. 5. When glutamic acid were used in the high levels of blood ammonia, the ammonia level fell and improved the derangement of glycolytic ability
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  • Kouzo TSUDA
    1958 Volume 4 Issue 2 Pages 113-128
    Published: April 10, 1958
    Released on J-STAGE: November 22, 2014
    JOURNAL FREE ACCESS
    1. Kidney biopsy findings in 30 patients with essential hypertension, 20 patients with acuteor chronic nephritis and 2 patients with arteriolosclerosis have been compared with clinical and laboratory findings and the results of discrete renal function tests. As the result, particular attension was given to the correlation between glomerular changes and GFR, minimal blood pressure and presence of red cell in urinary sediment ; between arteriolar changes in the kidney and RPF and retinal findings ; between tubular changes and NPN; between glomerular, tubular and arteriolar changes and NPN, retinal findings and serum-mucoprotein. 2. Kidney biopsy findings in 11 patients with diabetes mellitus have been compared with the clinical and laboratory findings and the results of discrete renal function tests. In 7 cases the biopsy specimen revealed solely diffuse glomerular changes ; in 2 cases nodular-diffuse changes ; and in 1 case hyalinized glomeruli with remnants of nodules ; in 1 case the biopsy showed normal renal tissue. Biopsy of the kidney has some diagnostic value in diabetic nephropathy. 3. Kidney biopsy findings in 3 patients with systemic lupus erythematosus (sLE), 2 patients with diffuse scleroderma and 1 patient with multiple exsudative erythema have been compared with the clinical findings and renal function tests. In 1 case of sLE biopsy specimen revealed wire loop lesion ; in 2 cases glomerular changes. In 2 cases of diffuse scleroderma biopsy findings revealed solely glomerular changes ; in multiple exsudative erythema showed normol renal tissue.
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  • Report III Studies on Klebsiella isolated from Urinary Infection
    Shyoku FUJINO
    1958 Volume 4 Issue 2 Pages 129-132
    Published: April 10, 1958
    Released on J-STAGE: November 22, 2014
    JOURNAL FREE ACCESS
    This paper deals with biochemical and serological studies and sensitvity test to antibiotics of 43 Klebsiella strains isolated from the cases of urinary infections. Results obtained were summarized as follows. 1) 37 strains (86%) were belonged to the known capsular types serologically and these strains were classified to 15 types by the capsular antigens. 2) All the strains were resistant to penicillin and 88% to sulfaisoxazole but to other antibiotics (chloramphenicol, tetracyclines and streptomycine) 88-100% of them were sensitive.
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