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Volume 43 (1991)
- Issue 6 Pages 591-
- Issue 5 Pages 513-
- Issue 4 Pages 347-
- Issue 3 Pages 191-
- Issue 2 Pages 117-
- Issue 1 Pages 1-
Volume 43, Issue 4
Displaying 1-9 of 9 articles from this issue
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the Results of Measurement of 416 SmearsYoshihiko KISHIGAMI, Sadamu NODA1991 Volume 43 Issue 4 Pages 347-355
Published: July 01, 1991
Released on J-STAGE: July 05, 2011
JOURNAL FREE ACCESSThis present investigation is to see if a flow cytometer can automatically distinguish whether cervical scraping smears from mass screening are clearly negative or suspect.
The flow cytometer, EPICS C was used throughout the trial.
Each smear was doubly stained with propidium iodide and fluorescein isothiocyanate and then measured by EPICS C. The judgement as to wheter the smears were negative or not, was done by analyzing th pattern of 2 parameters cytogram of red and green fluorescence intensity (logarithm).
In cytograms of the smears of typical benign cases, the 4 areas where squamous epithelial cells, neutrophiles, bacteria and dust respectively disseminate are clearly distinguishable. On the other hand, in cytograms of the smears of typical cervical cancer cases, these four dissminating areas fuse with each other and become an irregular mass.
However, in benign cases with a number of benign atypical cells in the smear, cytograms of the smears may sometimes reveal patterns similar to that of malignant cases. Also, in malignant cases with only a few cancer cells in the smear, cytograms of the smears may sometimes reveal patterns similar to that of benign cases.
Therefore, the precise standard of judgement of negative or suspect smears needs to be established.
The results of 416 smears diagnosed by EPICS C using this new standard of judgement were compared with results obtained by Papanicolaou stained smears made from the same samples. As a consequence, the data was very nearly the same as that of Papanicolaou stained smears.
It is desirable to attain as a first purpose, the use of EPICS C for automatic screening of cervical scraping smears by measuring many more smears and establishing a correct standard of judgement for EPICS C measurement of smears of cervical scraping.
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Nao SUZUKI, Hiroshi OZASA, Ikuo KONISHI, Ken HAYASHI, Chiaki BAN, Nori ...1991 Volume 43 Issue 4 Pages 356-361
Published: July 01, 1991
Released on J-STAGE: July 05, 2011
JOURNAL FREE ACCESSWith the increase in cesarean section delivery cases over the last few years, the care and the management for pregnat women with previous cesarean histories is a problem of primary impotance in obstetrics. It is not desirable to perform further cesarean sectins on a pregnant woman who has a previous cesarean history using the same uniform and standardised methodology, especially when we conside rthe nature of surgical intervention on a maternal body. Furthermore, complete uterus cicatrix (the essential prerequisite of transvaginal delivery by a woman with previous cesarean history) is extremely difficult to evaluate with any high degree of accuracy.
Therefore, the best feasible policy to follow at present is to establish certain criteria for selection and to then perform trial deliveries according to these criteria. In our present study, we looked at 170 cases with a history of cesarean section treated over a period of 10 years by the Delivery Section in the Department of Obstetrics at Kyoto University Hospital. Based on the results of this study, three guiding principles are proposed for excluding certain patients (who have a previous history of cesarean section) from trial labor.View full abstractDownload PDF (938K) -
Yoshiya ANDO, Takuo TANIGAWA, Yutaka EKUNI, Kazuhiro KAKIMOTO, Hiratsu ...1991 Volume 43 Issue 4 Pages 362-366
Published: July 01, 1991
Released on J-STAGE: July 05, 2011
JOURNAL FREE ACCESSThere are several methods to measure anti-HTLV-I antibody. ELISA and PA are widely use as screening tests for anti-HTLV-I antibody. However, commercially available kits (ELISA and PA tests) potentially contaminate some non-specific reactions. So the specimens, judged to be anti-HTLV-I antibody positive by screening test kits, are needed confirmation test (ie, indirect immunofluorescence and/ or western blotting) for specifity of anti-HTLV-I antibody. In the present study, using an ELISA with artificially synthesized recombinant antigen, we have examined anti-HTLV-I antibody in the sera of pregnant women. The results indicated that the presence or abscence of anti-HTLV-I antibody can be diagnosed by this newly developed ELISA system in the sera ofpregnant women without non-specific reactions.View full abstractDownload PDF (2685K) -
a case reportMasaya HIROSE, Tsuneo NISHIDA, Michio Kuso, Kohji WAKUDA, Yoshiki TAKA ...1991 Volume 43 Issue 4 Pages 367-370
Published: July 01, 1991
Released on J-STAGE: July 05, 2011
JOURNAL FREE ACCESSOnly few cases of non-Hodgkin's lymphoma (NHL) have been noted in primary lesions of the uterine corpus. However, some cases of NHL in the uterine cervix were reported. In the present study, a case of NHL which is suggested to be in a primary lesion of the uterine corpus is reported. The patient was a 78 year-old female. She had a painless, first-size hard tumor in the left inguinal lesion, with her uterine corpus having enlarged to fist-size. A total hysterectomy was performed with resection of the left inguinal tumor. From the pathologic findings, NHL of the uterine body was diagnosed postoperatively. She was given adjuvant chemotherapy with CHOP. However, she died at 8 months after the operation.
In a immunohistochemical analysis, this tumor was determined to be a diffuse, large and B cell phenotype of NHL in the LSG classification.View full abstractDownload PDF (5790K) -
A 14-year review (408 cases, 1976-1990)Umio MIYAMOTO, Hiroshi KATSURAGAWA, Masumi YOSHIDA1991 Volume 43 Issue 4 Pages 371-373
Published: July 01, 1991
Released on J-STAGE: July 05, 2011
JOURNAL FREE ACCESSAll pregnancies that were complicated by previous cesarean sections were reviewed for a 14-year period from 1976 (Aug.16) to 1990 (Aug.6). Of 408 such pregnancies, 277 (68%) experienced vaginal delivery. Tere were two cases of uterine rupture in the forceps delivery group. There was no maternal death.
We have achieved a plateau for cesarean section (3.19-2.02%) and a fall in the perinatal mortality (14.02-9.16%).
Vaginal delivery after previous cesarean section can be an alternative for carefully selected patients cared for in the proper environment.View full abstractDownload PDF (493K) -
Mamoru TOSAKI, Kazuhiro IWASAKU, Jinsuke YASUDA, Hidehumi SUZUKI, Taka ...1991 Volume 43 Issue 4 Pages 374-376
Published: July 01, 1991
Released on J-STAGE: July 05, 2011
JOURNAL FREE ACCESSWe report the results of screening tests for infectious diseases among pregnant women between April, 1988 and March, 1990. In addition to routine screening items, screening was also done for human T lymphotropic virus type I (HTLV-I) antibody and chlamydia trachomatis (CT) antigen. The screening for HTLV-I antibody was done with the particle agglutination (PA) method. The positive rate with the PA method was 1.27% (9/708). Western blot analysis was performed on 9 positive subjects, and 6 of them was diagnosed as being carriers. We instructed them to avoid feeding their babies breast milk. None of those babies were diagnosed as carriers. The screening for CT antigen was done with chlamydiazyme. The positive rate was 4.87% (44/904). The 44 pregnant women positive for chlamydiazyme were treated, and became negative before delivery. Their babies showed no signs of infection during the neonatal period.View full abstractDownload PDF (573K) -
1991 Volume 43 Issue 4 Pages 377-401
Published: July 01, 1991
Released on J-STAGE: July 05, 2011
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1991 Volume 43 Issue 4 Pages 402-446
Published: July 01, 1991
Released on J-STAGE: July 05, 2011
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1991 Volume 43 Issue 4 Pages 447-494
Published: July 01, 1991
Released on J-STAGE: July 05, 2011
JOURNAL FREE ACCESSDownload PDF (19348K)
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