Juntendo Medical Journal
Online ISSN : 2188-2134
Print ISSN : 0022-6769
ISSN-L : 0022-6769
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Volume 7, Issue Supplement2
Displaying 1-14 of 14 articles from this issue
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  • On the Hereditability of the Ear-Dimensions
    Jun ODA
    1961 Volume 7 Issue Supplement2 Pages 805-808
    Published: September 10, 1961
    Released on J-STAGE: November 22, 2014
    DOIhttps://doi.org/10.14789/pjmj.7.805
    JOURNAL FREE ACCESS
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    Hereditability of the ear-dimensions is studied on the material of 505 Japanese people (367 males and 138 females). Measured items and indices are : (1)physiognomical ear-length (sa-sba), (2)physiognomical ear-breadth (pa-pra), (3)morphological ear-breadth (obs-obi), (4)length of lobule (sba-) (5)physiognomical ear index ((1) : (2)) (6)length-breadth index ((1) : (3)) (7)lobule index ((1) : (4)) Author's conclusions are as follows : (1)No local differences of ear-dimensions are approved. (2)Distribution and mean values are shown in Table 2-4. (3)Deviations outside of these deviations limits may be considered as due to the differences of genetic factors.
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  • Intracardiac Phonocardiogram of Congenital Heart Diseares
    Tteruo NANBA
    1961 Volume 7 Issue Supplement2 Pages 809-819
    Published: September 10, 1961
    Released on J-STAGE: November 22, 2014
    DOIhttps://doi.org/10.14789/pjmj.7.809
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    1)Intracardiac phonocardiographic recordings were taken from 25 cases of congenital heart disease group. The murmurs of these clinical cases together with results of animal experiments were analysed and studied. 2)In pulmonary stenosis the typical ejection sound and the late P2 was recorded only within the pulmonary artery by intracardiac phonocardiography. With this method the mechanism of the rise of this murmur in the stenosed region was clarified. In animals with experimental pulmonary stenosis the systolic murmur and the splitting of the second sound was found, to be more closely correlated to flow volume rather than the hight ventricular pressure. 3)In atrial septal defects the systolic murmurs heard in the basal region was found to be chiefly due to the relative pulmonary stenosis. The effect of the shunt murmur components was found to be minimal. 4)Ventricular septal defects : In dogs experimental ventricular septal defects were made and within the right ventricle shunt murmurs were recorded. Lesions believed to be due to jet stream were also seen. Our results showed that systolic murmurs of V.S.D. vary according to the size of the defect, pathological types, etc, but both shunt murmurs and relative pulmonary stenosis was present. A mid-diastolic murmurs were also recorded from the right ventricle and an experimental study of the mechanism of murmur was carrried out. 5)Patent ductus arteriosus, the rupture of the aneurysm of the sinus Valsalva, presented continuous murmurs in the shnut regions. 6)Intracardiac phonocardiography was found to be an important method for the diagnosis of congenital heart diseases and for clucidation of the intracardiac hoemodynamics.
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  • Studies on the Intracardiac Phonocardiography
    Kazuo KITAMURA
    1961 Volume 7 Issue Supplement2 Pages 820-830
    Published: September 10, 1961
    Released on J-STAGE: November 22, 2014
    DOIhttps://doi.org/10.14789/pjmj.7.820
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    The intracardiac phonocardiographic method of our original conception has been an epock making advance in the study of heart sounds. In this paper with the accumulation of 50 additional clinical cases from the time of original reports the result are summarized and some extra views are expressed. 1) Our equipment utilizing the condensor-type pick up is believed to be for superior to those made and used in Europe and the United States from the view-point of sensitivity and frequency response when compared by actual use. 2) The characteristics of intracardiac sounds were discussed by grouping the deta under the headings of “the effect of blood flow”, “damping due to heart and blood-vessel wall”, “conduction of vibrations”, “Knocking sound”, etc. 3) The various components of the normal heart sounds were divided into the first sound, 2nd sound, 3rd sound, atrial sound, extra sound and murmurs. The results of the clinical and animal experiments were discussed. 4) The advantages of this method for determining the region of the murmur origin, its mechanisms and in clarifying the local blood movement within the heart and its importance as a diagnostic tool were discussed.
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  • Studies on the Modified Grishman's Method of Vector
    Electrocardiography (I)
    Ichiro BANDO
    1961 Volume 7 Issue Supplement2 Pages 831-843
    Published: September 10, 1961
    Released on J-STAGE: November 22, 2014
    DOIhttps://doi.org/10.14789/pjmj.7.831
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    1) Avariant of Grishman's method of vectorcardiogram was proposed. When the horizontal plane electrodes were raised to the fifth intercostal space and the distortion of QRS and T loop were cornpared to the original method, findings were obtained which were of considerable theoretical interest and practical clinical value. 2) By raising the electrodes, in normal heart the QRS loop displacement was to the left and a concordant shift was seen in the T loop. The QRS-T angle was therefore not enlarged. 3) Compete right bundle branch block showed constant findings in spatial position in the terminal appendage. These findings were divided into type 1 where a large terminal appendage was seen in the right. frontal region and type 2 where in the right upper region was seen. In type 1 the conduction pathway was seen to belong to the same type as the complete right bundle branch block and intype 2 the delayed conduction was seen in the right posterior basal region and included those of near normal heart. Very little enlargement of the QRS-T angle was seen with T loop concordant with QRS loop. 4) The changes in the QRS and T loop of i.r.b.b.b in ASD cases showed findings suggesting right hypertrophy together with the right bundle branch block type. 5) The characteristic changes of right heart hypertrophy was a large shift and protusion to the right anterior of the whole QRS loop and the discordant T loop resulting in an enlarged QRS-T angle. The horizontal clock-wise rotation postulated as the findings of right hypertrophy in the original method of Grishman was concluded as not being of absolute nature. 6) In W-P-W syndrome group showing right bundle block-like EKG findings the Δ vector faces the right anterior lower direction and with the elevation of the electrodes the spatial position of the Δ vector was seen to be enlarged further. 7) The changes in the vector loop due to the elevation of electrodes is the result of the reduction of vector forces toward the basal or apex region of the heart or the saggital direction. The discordant QRS and T loop and enlargement of QRS-T angle seen in right hypertrophy which is different from that of normal and right bundle branch block holds much interest from the viewpoint of ventricular gradient.
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  • Studies on the Modified Grishman's Method of Vector
    Electrocardiography (II)
    Kei ITO
    1961 Volume 7 Issue Supplement2 Pages 844-856
    Published: September 10, 1961
    Released on J-STAGE: November 22, 2014
    DOIhttps://doi.org/10.14789/pjmj.7.844
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    1)From theoretical and practical view-point the variant of Grishman method of vectorcardiography by elevating the horizontal electrode to the 5th intercostal space showed excellent findings. 2)Left Ventricular Hypertrophy ; The main QRS loops showed strong shift to the left and posteriorly, and T loop was in discordant with this change. The degree of left ventricular hypertrophy was seen to parallel the degree of enlargement of the QRS-T angle. In the group showing strong evidence of myocardial changes abnormal conduction disturbances were seen in the QRS loop changes. In the aortic vavular group the QRS loop was seen to be rotating clock-wise or to be the figure 8 type in the horizontal projection. 3)Left Bundle Branch Block ; The initial vector of the QRS loop was in the left posterior direction in contrary to left ventricular hypertrophy. The QRS loop showed clock. wise rotation and marked bunching, and with elevating the electorode the change in QRS form and bunching more marked. The chracteristic findings was that the QRS-T angle showed very little change. 4)W-P-W (Type B); Δ vector pointed to the left, and its spatial position become more clear with elevating electrodes. 5)The enlargement of the QRS-T angle brought about by discordant QRS and T loops holds much interest from the ventricular gradient standpoint. This may be interpreted as an experimental evidence of the idea of the so called primary T-change and secondary T-change.
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  • Studies on the Biological Effect of Eosine
    Masatomo KAMIO
    1961 Volume 7 Issue Supplement2 Pages 857-871
    Published: September 10, 1961
    Released on J-STAGE: November 22, 2014
    DOIhttps://doi.org/10.14789/pjmj.7.857
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    The author conducted feeding tests to determine the biological effect of eosine with D.D. strain of mice ond rabbits. The following resutts were obtained : 1.LD50 Test : The LD50 was 5.491g/kg and the 95% reliable range was3.621 to 8.322g/kg 2.Blood Concentration : Maximum blood concentration and urine excretion values were ohtained 4-6 hours after oral admininstration. Traces were still evident in the blood after 5 days and 5.2% of the amount administered were excreted in the urine after 5 days. Continous feeding for 3 days revealed that blood concentration increased with the number of feedings and that it was stored in the body. 3.Body weight Changes : Decrease in body weight was noticed in the group fed with eosine. 4.Blood Changes : Daily feeding of eosine resulted in a significant decrease in the number of erythrocytes, hemoglobin and blood sugar values, but no changes were found in the number of leukocytes, specific gravity of the whole blood, Plasma and inorganic elements of the serum. Nageli's toxic granules were observed in the leukocyte picture after two weeks of feeding which increased with the length of feeding and covered 31% of the field after 6 weeks of feeding.This phenomenon is signiicant in addition to the changes found in the number of erythrocytes and blood sugar value. 5.Urine Changes : Analyais of the urine showed no significant changes in the sugar and urobilinogen. Proteinuria was found in the group fed eosine which clearly shows that the kidneys were ffected. 6.Organotropism : Significant pathological changes were found in the kidney. Acute nephrotic tissue changes were foudd. The aomodnt of congestion of the kidney and haemosiderosis of the spleen makes it difficult to conclnde that eosine was responsible. No Significant changes were found in the other organs.
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  • Social Psychiatric Study on the Shermanism in Aomori Prefecture.
    Tamio NAKAMURA
    1961 Volume 7 Issue Supplement2 Pages 872-900
    Published: September 10, 1961
    Released on J-STAGE: November 22, 2014
    DOIhttps://doi.org/10.14789/pjmj.7.872
    JOURNAL FREE ACCESS
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    (1) Succeeding the preceding report, the shermans (Itako or Ichiko and Kamisama) in Aomori Prefecture were social psychiatrically studied. (2) Their distribution is actually surveied. (3) Their age, school career, marital status and family structure are actually studied. (4) Their physical and mental status are individually investigated. (5) About all researched items Itakos are compared with Kamisamas. (6) Supplementally. 7case histories of ltako and Kamisama are discribed.
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  • Sur le malade qui se croit d'etre puant
    --Etude anthropologique--
    Hiroshi ADACHI
    1961 Volume 7 Issue Supplement2 Pages 901-917
    Published: September 10, 1961
    Released on J-STAGE: November 22, 2014
    DOIhttps://doi.org/10.14789/pjmj.7.901
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    Le sujet principal de cette étude est l'odeur imaginaire du crops propre. Notre malade croit affirmativement qu'il sent mauvais et que toutes les personnes de son entourage font la grimace et s'éloignent de lui. Je m'approchais d'une trentaine de cette sorte de malades. Mais ici il ne s'agit pas de l'étude catégorisée en général. Trois cas de ces malades ont été décrits en détail et ils ont été analysés existentiellement. A proprement parler, étre puant, c'est vivre dans le monde visqueux. Il ne peut sortir de ce monde ni de la vie. Eternellement, il deumeure puant comme un cadavre vivant. Pour faire disparaître cette odeur dégoûtant, il faut mourir transcendantalement. Alors, tout le monde et l'odeur s'éteint et déjà! il ne reste qu'un néant absolu.
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  • Einige Probleme in Bezug auf dic Zurechnungsfähigkeit und die Begutachtung
    Shohei YAMAGUCHI
    1961 Volume 7 Issue Supplement2 Pages 918-936
    Published: September 10, 1961
    Released on J-STAGE: November 22, 2014
    DOIhttps://doi.org/10.14789/pjmj.7.918
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    Der Verfasser hat vom psychiatrischen Gesichtspunkte auf die Zurechnungsfähigkeit überlegt und über die folgenden Probleme, d. h. 1) die dynamisch-psychologische Struktur der “Zurechnungsfähigkeit”, 2) den Unterschied zwischen dempsychiatrischen und dem gerichtlichen Menschenbild, 3) den Unterschied zwischen der klinisch-psychiatrischen Diagnostik und der gerichtlich-psychiatrischen Begutachtung, 4) die Unausschaufelbarkeit der Motiven der menschlichen Handlungen, und 5) die Nötigkeit der psychiatrischen Überlegung bei der Praxis des gerichtlichen Verfahrens diskutiert.
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  • The Modern Pharmacotherapy in Depressive State
    Isao OKADA
    1961 Volume 7 Issue Supplement2 Pages 937-981
    Published: September 10, 1961
    Released on J-STAGE: November 22, 2014
    DOIhttps://doi.org/10.14789/pjmj.7.937
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    The effect of psychotropic drugs on depressive states have been studied by many authors. However, there are few which compared these drugs on the basis of same evaluation scale. Three hundred and forty four ambulant depressive patients were treated with 18 psychotropic drugs (from chlorpromazine to amitriptyline) and the effect of these drugs were compared. The results obtained were as follows. 1. Thymoleptica was found to be the most effective drug for “Axensyndrom” of depressive states. 2. Thymoleptica group was the most important drug in the pharmacotherapy of depressive states. But in some cases thymoleptica should be combined with other drugs such as neuroplegica, tranquilizer and psychotonica. Combination with Neuroplegica is particularly effective. 3. In general, psychotropic drugs are effective in the endogenous depressive states. 4. There was no consistent relationship between side effects and therapeutic effects. Psychopharmacological studies would offer important findings that disclose the essential problem of depressive states.
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  • Klinisch-statistische Studien über Medikamentöse Behandlung der Schizophrenien
    Tetsuro SHINOZAKI
    1961 Volume 7 Issue Supplement2 Pages 982-1011
    Published: September 10, 1961
    Released on J-STAGE: November 22, 2014
    DOIhttps://doi.org/10.14789/pjmj.7.982
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    Von 1955 bis 1960 wurden 450 Fälle von Schizophrenien in unserer klinik mit 9 Phenothiazinderivaten und Rauwolfiaalkaloidpräparat behandelt. Vom klinisch-statistischen Standpunkt aus wurden diese Behandlungserfolge beurteilt und die Erfolgsverschiedenheiten konnten sich unter verschiedenen neuroleptischen Arzneien miteinander vergleichen lassen. Die Ergebnisse waren folgendermassen. 1. Neuroleptica von Promazin-Gruppe (Chlorpromazin, Methopromazin, Trifluorometlaylpromazin, Acetylpromazin und Lavomepromazin), Propyl-Seitenkettehaltiger Gruppe, hatten meistens gute Wirkung auf die Gefuhlsstörungen und halluzinatorisch-paranoische Symptome, und wenig Nebenwirkungen. Deshalb hatte diese Gruppe den besten Erfolg bei paranoiden Schizophrenien. 2. Neuroleptica von Perazin-Gruppe (Perphenazin, Chlorperazin, Thioproperazin und Trifluphenazin), Piperazinyl-propyl-Seitenkettehaltiger Gruppe, hatten bessere Wirkung auf die psychomotorischen Störungen und Störungen des Handelns als Promazin-Gruppe, und bunte schnell auftretende starke Nebenwirkungen. Deshalb hatte diese Gruppe den besten Erfolg bei katatonen Schizophrenien. 3. Rauwolfiapräparat hatte den der Perazin-Gruppe ziemlich ähnlichen Therapieerfolg. 4. Diese neuroleptischen Arzneien hatten alle mehr oder weniger Erfolg sowohl bei frischen Fällen als auch bei veralteten Fällen. 5. Fälle mit Nebenwirkungen gewannen besseren Besserungsprozentsatz als Fälle ohne Nebenwirkungen.
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  • Uropepsinwerte im Harn der Geisteskranken-insbesondere des Schizophrenen-
    Yuko KAMADA
    1961 Volume 7 Issue Supplement2 Pages 1012-1033
    Published: September 10, 1961
    Released on J-STAGE: November 22, 2014
    DOIhttps://doi.org/10.14789/pjmj.7.1012
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    Um einen Aspekt der Veränderungen der “Homeostase” bei verschiedenen Geisteskranken zu einsehen, haben wir die Ausscheidungswerte des Uropepsins im Harn von 29 Krankheitsfällen (20Schizophrenen, 4 Manischen, 1 Depressiven und 4 epleptisch Psychotischen) und 9 Kontrollfällen 7-76Tage fortwährend gemessen. Bei der Messung ist Westsche Modifikationsmethode gebraucht worden.Die Resultate sind folgendermassen gewesen. 1) Die Uropepsinausscheidungswerte der 8 gesunden erwachsenen Männer and Frauen waren i. Durchschn. 0.49mg/Stde. Dabei waren dei Werte bei Männern etwas höher als bei Frauen (d. h. 0.62mg/Stde. bei 6 Mannern and 0.36mg/Stde. bie 3 Frauen). 2) Bei den frischen Fällen der Schizophrenie waren die Uropepsinwerte im allgemeinen relativ hoch and leicht veränderlich. Diese Werte schwankten parallel den affektiven Bewegungen der Kranken mit. Bei den veralteten Fällen einschliesslich der Defekten zeigten die Werte. keine merkwürdigen Schwankungen, wenn sie auch in Angst oder Erregung gerieten. Merkwürdig Gefuhlsabgestumpfte zeigten besonders abnorm niedrige Werte and platte Ausscheidungskurven. Einige Defektgeheilte zeigten die den frischen Fällen ähnlichen Werte, aber die Ausscheidungskurven wie die der Veralteten. 3) Während des Insulinschocks erreichten die Uropepsinwerte der 6 Schizophrenen unabhängig von Krankheitstypen and Insulindosen die Maximalwerte in der vorigen Nacht des ersten Schocks. Wenn der Insulinschock dabei wirksam war, stabilisierten sich die Werte der Behandelten nach and nach. Vor and nach einigen zufällig aufgetretenen Nachschocken waren die Werte ausnahmslos abnorm niedrig. 4) Bei 4 akuten Manischen waren die Uropepsinwerte relativ hoch, aber bei Erregungszeiten niedriger als die Durchnittswerte derselben Kranken. Auf Grund der obigen Resultate haben wir zum Schluss über einige Charakteristika der gestörten “Homeostase” des Schizophrenen diskutiert.
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