検索結果 1607 件
| JaLCDOI | 10.18926/21206 |
|---|---|
| タイトル（別表記） | Study of metabolism of uric acid. (1) Observation of uric acid values |
| フルテキストURL | 046_061_070.pdf |
| 著者 | 青木 宏子| |
| 抄録 | Uric acid was measured in serum and urine of the ambulant and hospitalized patients with various disorders including gout. in Misasa-Branch Hospital of Okayama University Medical School from January 1975 to December 1976. Serum and urine samples were obtained from 283 males and 260 females, and from 2 males respectively. The results are as follws; (1) Uric acid in males was 1.4 mg/100mf higher than in females. (2) Uric acid in males decreased with ages, showing two peaks between 15 and19 , and between 35 and 44 years old. (3) Uric acid in females showed low levels between third and fifth decades and increased thereafter with ages. (4) There were many fatty subjects among the patients with gout. (5) An increase in total daily excretion of urinary uric acid was observed concomitantly with increased daily urine volume. (6) Periodical fluctuations of uric acid in serum and other clinical findings were show in several cases of gout, who had been controlled in MisasaBranch Hospital for several years. |
| 出版物タイトル | 岡山大学温泉研究所報告 |
| 発行日 | 1977-03-25 |
| 巻 | 46巻 |
| 開始ページ | 61 |
| 終了ページ | 70 |
| ISSN | 0369-7142 |
| 言語 | 日本語 |
| 論文のバージョン | publisher |
| NAID | 120002311005 |
| JaLCDOI | 10.18926/21204 |
|---|---|
| タイトル（別表記） | Determination of manganese in serum by atomic absorption spectrophotometry |
| フルテキストURL | pitser_046_037_043.pdf |
| 著者 | 古野 勝志| |
| 抄録 | The manganese (Mn) concentrations in serum of 40 healthy controls (9 males and 31 females), and of 26 patients with rheumatoid arthritis (4males and 22 females) were determined using a HITACHI MODEL 207 atomic absorption spectrophotometer. Wavelength of Mn determination was setted at 2795 A. Flow rate of acetylene was setted at 3.0 l/min and lamp current was setted at 10 rnA. The serum samples were ashed by IPC MODEL 1003plasma machine, and dissolved in 3N-HCl and evapolate on the hot plate, and redissolved in constant volume of 0.1 N-HCl. These sample solution were aspirated directly into the burner. Mn levels in serum were estimated by standard curve. The mean recoverry rate of ashedsample solution was 100.1%, and that of serum by ashing process was 101.6%. The serum Mn levels in 40 healthy controls and 26 patients with rheumatoid arthritis were 2.19 ± 0.34 (S.D.), 3.04 ± 1.01 (S.D.) μg/100ml respectively. The serum Mn levels in rheumatoid arthritis were significantly higher than healthy control levels (p<0.001). In 10 of 26 cases (38%) with rheumatoid arthritis, the serum Mn levels were shown to be above the upper limit of 5% rejection limit of healthy controls. |
| 出版物タイトル | 岡山大学温泉研究所報告 |
| 発行日 | 1977-03-25 |
| 巻 | 46巻 |
| 開始ページ | 37 |
| 終了ページ | 43 |
| ISSN | 0369-7142 |
| 言語 | 日本語 |
| 論文のバージョン | publisher |
| NAID | 120002310997 |
| JaLCDOI | 10.18926/21202 |
|---|---|
| タイトル（別表記） | Circulatory changes in rheumatoid fingers as estimated by thermography and photoelectric plethysmography |
| フルテキストURL | pitser_046_015_023.pdf |
| 著者 | 太田 隆正| 時岡 正明| 高杉 潔| |
| 抄録 | In an attempt to evaluate circulatory changes in patients with rheumatoid arthritis (RA), 20 patients with classical or definite RA as determined by ARA criteria and twenty healthy volunteers serving as control were randomly selected. None of the patients showed the clinical signs suggesting Raynaud's phenomenon. Thermograms as well as photoelectric plethysmograms were obtained solely from the right middle finger tip of each examinee. The whole hand was then immersed in the cold (10℃) water and kept there for one minute. After wiping away the wet hand with a dry towel very gently, we followed the sequential changes of the tempe· rature of the third finger tip and the period of time necessary for the tip to return to the original temperature prior to the cold water immersion was measured and expressed as 'return time' in minute. Before exposure to the cold, the mean values of temperature of the finger tips between the two groups were not significantly different. As opposed to the normal pattern in which one can find the warmest point at the finger tip and which was more frequently found in the control group of the current study, a type in which the distal part of the finger was much cooler than the proximal area (so-called 'distal cold type') was observed in 8 RA patients, whereas only four demonstrated this pattern in the control group. After brief exposure to the cold, eight out of 20 rheumatoid patients showed much prolonged return time (longer than 20 minutes), while only three of 20 controls remained with prolonged cool periphery, The difference between the two, however, was not statistically significant. Studies of the digital plethysmograph revealed that 70% of all the rheumatoids showed abnormal patterns: sclerotic and monophasic waves were discovered in 55% of the patients. In contrast, seventy percent of the normal control demonstra· ted normal wave pattern. Although the significant difference was not noted, the mean height of the systolic peak of the plethysmograph derived from the rheumatoid group tended to be much reduced, suggesting the reduced blood volume at the finger tips. Six RA patients and 13 normals who showed normal plethysmographic pattern before immersion in the cold water, demonstrated rapid return to the original temperature. Only in one normal control with a normal wave pattern, prolonged return time was observed, although the height of the systolic peak of the plethysmogram in this particular case was well within normal limit. Digital circulatory disturbance, however, was strongly suspected in eight RA patients with severely prolonged return time, They all showed abnormal wave patterns of the plethysmogram, including 2 cases with peripheral plateau wave, Markedly reduced heights of the systolic peaks were also demonstrated in all. Further elaborate studies including digital arteriography were indicated to implicate any organic change in the digital vessels, such as digital arteritis in RA first reported by Bywaters in 1957. |
| 出版物タイトル | 岡山大学温泉研究所報告 |
| 発行日 | 1977-03-25 |
| 巻 | 46巻 |
| 開始ページ | 15 |
| 終了ページ | 23 |
| ISSN | 0369-7142 |
| 言語 | 日本語 |
| 論文のバージョン | publisher |
| NAID | 120002310966 |
| JaLCDOI | 10.18926/21201 |
|---|---|
| タイトル（別表記） | A case of cancer in the gastric remnant |
| フルテキストURL | pitser_046_011_014.pdf |
| 著者 | 野一色 泰晴| 仲原 泰博| |
| 抄録 | This is a report of cancer of the stomach encountered in a 71-year-old man who admitted to the hospital with complain of epigastralgia. He had undergo a two third gastrectomy with gastroduodenostomy 24 years before because of severe gastritis. For several years he had ambulatory treatment for diabetes mellitus, which was under good control. Laboratory examination revealed that red-cell count was 4,800,000, white-cell count 11,500 ; hemoglobin was 12.7gr. per 100ml, hematocrit 49.5 per cent. Total serum protein was 8.2%. The stool was positive for occult blood and the urine negative for protein. X-ray studies in barium filled stomach in upright position revealed a filling defect in the lessor curvature side. In the prone and supine double contrast studies, a lesion was visualized of irregular outline with marked surface unevenness. Endoscopically, a rough tumor resembling Borrman Type III cancer was found near the stoma on the anterior wall of gastric remnant. Marginal blending and convergency of the folds showing sudden cessation around the ulcer were recognized as well. These findings led the authors to the diagnosis of the cancer developing in the gastric remnant and total gastrectomy with esophagojejunostomia was performed. Reports of cancer in the gastric remnant detected more than 20 years after the first operation are so small in number. |
| 出版物タイトル | 岡山大学温泉研究所報告 |
| 発行日 | 1977-03-25 |
| 巻 | 46巻 |
| 開始ページ | 11 |
| 終了ページ | 14 |
| ISSN | 0369-7142 |
| 言語 | 日本語 |
| 論文のバージョン | publisher |
| NAID | 120002310947 |
| JaLCDOI | 10.18926/21195 |
|---|---|
| タイトル（別表記） | The treatment of rheumatoid arthritis with D-penicillamine. Preliminary report |
| フルテキストURL | pitsr_047_069_075.pdf |
| 著者 | 石井 廣文| 高杉 潔| 北山 稔| 森永 寛| |
| 抄録 | Twenty patients with classical or definite rheumatoid arthritis were treated with D-Penicillamine. Favorable responses were observed in 75% of the patients. Significant improvement in clinical parameters, such as ESR, CRP, titers of rheumatoid factor and so forth, was noticed in twenty weeks of treatment. Withdrawal from penicillamine treatment was necessitated in four patients because of adverse reactions to the drug. Untoward effects included skin rash (most frequent), pruritis and loss of taste. From this preliminary study we presume that in earlier cases in which rheumatoid lesions may be reversible, more favorable clinical effects would be expected from this agent. |
| 出版物タイトル | 岡山大学温泉研究所報告 |
| 発行日 | 1978-03-25 |
| 巻 | 47巻 |
| 開始ページ | 69 |
| 終了ページ | 75 |
| ISSN | 0369-7142 |
| 言語 | 日本語 |
| 論文のバージョン | publisher |
| NAID | 120002310960 |
| JaLCDOI | 10.18926/21194 |
|---|---|
| タイトル（別表記） | Stable isotope study of the hotsprings and volcanoes of Hokkaido, Japan |
| フルテキストURL | pitsr_047_055_067.pdf |
| 著者 | 松葉谷 治| 酒井 均| 上田 晃| 堤 真| 日下部 実| 佐々木 昭| |
| 抄録 | Stable isotope ratios of hydrogen, oxygen, carbon and sulfur of precipitation, thermal and mineral waters, and volcanic gases were measured. The isotopic data combined with chemical and geological information were discussed in terms of origin and evolution of the hotsprings and volcanic gases. The hotsprings along the Uchiura Bay, Oshima Peninsula are mostly near-neutral NaCl-type thermal water and may be divided into three groups : (1) thermal waters isotopically similar to the precipitation of this area, (2) those similar in D/H to the local meteoric waters but enriched by 2 to 3‰ in (18)O compared to the latter, and (3) those enriched significantly in both D and (18)O relative to the local meteoric waters. The first and second types of thermal water probably form from local meteoric water which percolates through "Green Tuff" formations and acquires dissolved chemicals from them. However, high salt concentration and the oxygen isotope shift (thesecond type) may imply that the NaCl-type water of volcanic origin might be involved. On the other hand, the waters of the third group can be explained by mixing of modern sea water into the second type thermal water (in case of Yachigashira) or by incorporation of fossil sea water of Tertiary origin into modern meteoric water (Nigorigawa). Except for Esan, Noboribetsu and Atosanupuri volcanic systems, waters from all the hotsprings and volcanic fumaroles associated with Quaternary volcanic rocks are meteoric in origin. Thermal waters at Esan, Noboribetsu and Atosanupuri have δD = -30～-50 and δ(18)O = -1～+ 3‰ and are enriched in D and (18)O relative to local meteoric water of the respective area. The origin of these waters and the mechanism (s) controlling the isotope ratios could not be made clear by the present study. Interesting is the finding that at Esan, Noboribetsu and Atosanupuri, thermal waters are enriched in D and (18)O relative to near-by fumarolic gases. The enrichment factor is 18 to 26‰ for hydrogen and 4 to 6‰ for oxygen, implying that more than one stages of liquidvapor separation are taking place in underground hydrothermal systems. |
| 出版物タイトル | 岡山大学温泉研究所報告 |
| 発行日 | 1978-03-25 |
| 巻 | 47巻 |
| 開始ページ | 55 |
| 終了ページ | 67 |
| ISSN | 0369-7142 |
| 言語 | 日本語 |
| 論文のバージョン | publisher |
| NAID | 40000321119 |
| JaLCDOI | 10.18926/21189 |
|---|---|
| タイトル（別表記） | The involvement of ear and throat in rheumatoid arthritis I. Hearing in patients with rheumatoid arthritis |
| フルテキストURL | 047_005_024.pdf |
| 著者 | 小田 昤| |
| 抄録 | Since Copeman's report on patients with hearing impairment as "rheumatoid otoarthritis?" has introduced, there have been a few reports on hearing impairment in patients with rheumatoid arthritis such as Goodwill et al. and Djupesland et aI. in European countries. On the contrary in our country there is no reference in association with hearing impairment of rheumatoid arthritis in rheumatic or otological literatures. An audiometric survey was carried out in 76 patients admitted in the Misasa branch hospital of Okayama university school of medicine on the classical or definite rheumatoid arthritis. Patients were excluded from the series if they had scarred or perforated tympanic membrane and history of otorrhea. Thus 67 patients have come to study. As control group, 15 healthy persons in hearing for each ten years, 15-24, 25-34, 35-44, 45-54, 55-64, and over 60 years, were selected and as a physiological hearing limit, rejection limit of hearingloss in dB. was made. Among 67 patients, 111 ears had hearingloss within the above mentioned rejection limit. In 23 ears, hearingloss in dB. were partial or as a whole out of the limit. They have all air-bone-conduction gap. After inflation of Eustachien tube, in most of them air conduction ability showed nearly the same level of bone conduction. In three cases even by inflation, airconduction level did not move. In one case the left side had effusion liquid and its RAreaction was positive. TwO of the former patients and the one whose effusion liquid had positive RA-test followed up for about 3 years. In the former two cases, hearing impairment got worse little by little and recovery by inflation was not seen. On both cases Gelle's test was positive. In the latter hearing impairment slowly got worse. This had lasted for about two months and had recoverd. In the se four cases heairng impairment was probably related to the rheumatoid arthritis and no other causes could be found. |
| 出版物タイトル | 岡山大学温泉研究所報告 |
| 発行日 | 1978-03-25 |
| 巻 | 47巻 |
| 開始ページ | 5 |
| 終了ページ | 24 |
| ISSN | 0369-7142 |
| 言語 | 日本語 |
| 論文のバージョン | publisher |
| NAID | 120002311022 |
| JaLCDOI | 10.18926/21182 |
|---|---|
| タイトル（別表記） | Prevalence of periCardial effusion in patients with rheumatoid arthritis -An echocardiographic study- |
| フルテキストURL | pitsr_048_049_054.pdf |
| 著者 | 石井 廣文| 道明 道弘| 田中 淳太郎| 高杉 潔| |
| 抄録 | In order to determine the incidence of pericardial effusion in rheumatoid arthritis (RA), echocardiographic studies were performed on patients with classical or definite RA as determined by ARA criteria, none of whom showed any clinical cardiac symptoms at the time of examination. Of 50 RA patients studied so far, fifteen (30%) showed evidence of posterior pericardial effusion, as recorded on the strip charts. Additionally, in one full-blown case of rheumatoid vasculitis, massive accumulation of pericardial fluid was demonstrable. Compared to those without pericardial effusion, patients shown to have pericardial fluid tended to have decreased RBC, Hct, Hgb, serum protein concentration and increased ESR. The statistical difference between the two groups was significant (P<0.005). The most conspicuous difference between the two, however, was noted in the degree of hypoalbuminemia that is more profound in the effusion positive group (P<0.005). The possible cause of fluid retention in the pericardial cavity in RA was briefly discussed. |
| 出版物タイトル | 岡山大学温泉研究所報告 |
| 発行日 | 1979-03-25 |
| 巻 | 48巻 |
| 開始ページ | 49 |
| 終了ページ | 54 |
| ISSN | 0369-7142 |
| 言語 | 日本語 |
| 論文のバージョン | publisher |
| NAID | 120002310937 |
| JaLCDOI | 10.18926/21181 |
|---|---|
| タイトル（別表記） | A case of SLE with non-erosive joint deformity -Jaccoud's type arthropathy- |
| フルテキストURL | 048_043_048.pdf |
| 著者 | 田中 淳太郎| 道明 道弘| 高杉 潔| 入野 昭三| 森永 寛| |
| 抄録 | A case of SLE in a twenty-eight year old woman, who had polyarthritis with non-erosive joint deformity, was reported. Differential diagnosis in this case included (1) rheumatoid arthritis (2) postrheumatic fever arthritis (Jaccoud's arthritis) and (3) the overlap syndrome between SLE and rheumatoid arthritis. Laboratory findings on this patient and review on literature, however, strongly suggested that this lady had been suffering from Jaccoud's type arthropathy of SLE. Corticosteroid therapy was initiated and the clinical course of the patient thereafter has been more than favorable. |
| 出版物タイトル | 岡山大学温泉研究所報告 |
| 発行日 | 1979-03-25 |
| 巻 | 48巻 |
| 開始ページ | 43 |
| 終了ページ | 48 |
| ISSN | 0369-7142 |
| 言語 | 日本語 |
| 論文のバージョン | publisher |
| NAID | 40000321139 |
| JaLCDOI | 10.18926/21147 |
|---|---|
| タイトル（別表記） | Ketamine-amitriptyline therapy for the intractable cancer pain with restlessness |
| フルテキストURL | 051_021_023.pdf |
| 著者 | 野一色 泰晴| |
| 抄録 | A combination therapy of ketamine-amtriptyline for the intractable pain with restlessness of cancer patients in the end stage was presented. Seven patients with peritonitis carcinomatosis due to recurrence of stomach cancer were administrated the therapy. They ranged in age from 29 to 79 years. The results were eminently desirable. Intractable pain with restlessness were diminished by the therapy though languid feeling was yet remained. Anodyne (pentazocine), which was nessesary many times in one day before the therapy, was not used in the duration of the therapy. The experimental and clinical studies of analgesic property of ketamine by HATANO revealed that it is more twice as potent an analgesic in low dosage compared with pethidine, despite its rather short duration of action. There was no respiratory depression. No hypotension nor bradycardia were observed during the therapy. The only use of ketamine however, could not release the pain and anguish of cancer patients. The author applied amitriptyline to these cases. The combination use of ketamine and amitriptyline could release them. These drugs demonstrated their full effect by the combination use. |
| 出版物タイトル | 岡山大学温泉研究所報告 |
| 発行日 | 1981-03-25 |
| 巻 | 51巻 |
| 開始ページ | 21 |
| 終了ページ | 23 |
| ISSN | 0369-7142 |
| 言語 | 日本語 |
| 論文のバージョン | publisher |
| NAID | 40000321153 |
| JaLCDOI | 10.18926/21146 |
|---|---|
| タイトル（別表記） | The effect of thermal bathing upon platelet function |
| フルテキストURL | 051_017_020.pdf |
| 著者 | 野一色 泰晴| |
| 抄録 | The effect of thermal bathing upon platelet function was examined in clinically. Platelet number, adhesiveness and aggregation were examined in the 10 patients before and after a single bathing for 10 minutes, 41-43℃ in temperature. The diseases of the patients were external pile, duodenal ulcer, benign sigmoid colon polyp, etc. The specific diseases which interact the platelet function such as blood diseases and arterial occlusive diseases were not included. Antithrombogenic drugs were not used in any patients. The results of this study were summarized as follows. 1. Platelet number did not showd systemical alteration by the bathing. 2. Both platelet adhesiveness and aggregation were changed to the lower degree after the bathing except a few cases. From these results, it was clarified that the thermal bathing was effective to control the platelet function and also effective in clinically to the prevention, therapy and rehabilitation of arterial occlusive diseases of heart, brain and the extremities. |
| 出版物タイトル | 岡山大学温泉研究所報告 |
| 発行日 | 1981-03-25 |
| 巻 | 51巻 |
| 開始ページ | 17 |
| 終了ページ | 20 |
| ISSN | 0369-7142 |
| 言語 | 日本語 |
| 論文のバージョン | publisher |
| NAID | 40000321157 |
| JaLCDOI | 10.18926/21145 |
|---|---|
| タイトル（別表記） | Pulmonary lesions in rheumatoid arthritis-survey of chest radiographs in patients admitted with rheumatoid arthritis during last ten years |
| フルテキストURL | pitsr_051_001_015.pdf |
| 著者 | 谷崎 勝朗| 小田 康広| 田中 淳太郎| 駒越 春樹| 高杉 潔| 森永 寛| 原田 寛| 木村 郁郎| |
| 抄録 | Chest radiographs were examined in 147 patients with rheumatoid arthritis who were admitted at the Department ofInternal Medicine, Okayama University, Misasa Medical Branch during last ten years. The results were as follows. 1) Diffuse micronodular shadow on chest radiographs was shown in eighty nine out of 147 cases (60.5%), although the incidence of micronodular shadow was 47.3% in the other types except type 1, demonstrating the shadow limitted in the part of lower lung fields. The incidence in type 2 and 3, revealing micronodular shadow distributed over lung fields, was 22.4%. 2) The incidence of micronodular shadow was more frequently found in females than in males. The results obtained here was different from those previously reported. 3) The cases with type 2 and 3 tended to demonstrate a long duration of the desease, acceleration of ESR, positive rheumatoid factors, and elevation of serum γ-globulin and IgG levels, compared with the other types and cases without radiological findings. 4) Pulmonary lesions induced by treatment of gold or penicillamine were not recognized, except one suspected case with gold therapy. |
| 出版物タイトル | 岡山大学温泉研究所報告 |
| 発行日 | 1981-03-25 |
| 巻 | 51巻 |
| 開始ページ | 1 |
| 終了ページ | 15 |
| ISSN | 0369-7142 |
| 言語 | 日本語 |
| 論文のバージョン | publisher |
| NAID | 120002310957 |
| JaLCDOI | 10.18926/21138 |
|---|---|
| タイトル（別表記） | The Effect of Thermal Spring Water on Drug Absorption in Special Reference to Aspirin and Indomethacin |
| フルテキストURL | pitsr_052_045_050.pdf |
| 著者 | 岡本 輝子| 平尾 光宏| 古野 勝志| |
| 抄録 | It is thought that a drug reacts differently with media taken internally. The solubility of Aspirin is assured 600μg/ml in 30min. with Misasa spring water, whereas 400μg/ml with plain water. The parallel difference of 200μg/ml follows 10 min. thereafter. Maximum serum concentratin of 200μg/ml is obtained 2 hours after the internal use of Aspirin with Misasa spring water in parallel difference of 20μg/ml with plain water. In the case of Indomethacin intake, maximum serum concentration of 1.5μg/ml is obtained in 2 hours with plain water, whereas maximum serum concentration of 1μg/ml is obtained in the same period with Misasa spring water. However, the difference of 0.25μg/ml in serum concentration between the media internally taken is seen initially and after 4 hours under high concentration of Indomethacin. We, therefore, assume tentatively that the effect of Aspirin and Indomethacin is supposed to be enhanced with Misasa spring water taken internally. |
| 出版物タイトル | 岡山大学温泉研究所報告 |
| 発行日 | 1982-03-25 |
| 巻 | 52巻 |
| 開始ページ | 45 |
| 終了ページ | 50 |
| ISSN | 0369-7142 |
| 言語 | 日本語 |
| 論文のバージョン | publisher |
| NAID | 120002311035 |
| JaLCDOI | 10.18926/21136 |
|---|---|
| タイトル（別表記） | Attention to the Developmental Aspect Part I. Female Adolescent Cases of Anorexia Nervosa |
| フルテキストURL | 052_033_037.pdf |
| 著者 | 古元 順子| |
| 抄録 | The author reviewed 55 patients who had been treated as anorexia nervosa at the neuropsychiatric department of Okayama University Medical School and at the internal medicine department of Misasa Branch Hospital, Okayama University Medical School, for the past ten years from 1970 to 1980. The criteria for the present study was as follows; 1) absence of psychosis and no known physical illness for ematiation, 2) weight loss of at least 2096 of original body weight, 3) duration of anorexia of at least three months. 55 patients were classified into three groups according to the age of onset ; pre-puberty group. adolescent group and adult group. Analysis of two female adolescent cases was described in this report for the preliminary study. The results were as follows : 1) Onset of self-starvation coincided with competitious hyperactivity in sport and/or study. Self-starvation seemed to have psychological meaning of retaliation towards the mother of each patient, of compensatory gain in the dependancy need. and of keeping a pride in pubertal competitions including a pursuit in the slim body image. 2) There was the evidence of a disturbed female-identification which originated from the disturbed mother-child interaction. 3) Catharsis with analytically oriented psychotherapy improved gastro-intestinal disorders such as anorexia and constipation and reversed the negative BMR (basal metabolic rate) to the positive BMR. Recovery of menstrual periods was followed in an accordance with re-gain of the original body weight. |
| 出版物タイトル | 岡山大学温泉研究所報告 |
| 発行日 | 1982-03-25 |
| 巻 | 52巻 |
| 開始ページ | 33 |
| 終了ページ | 37 |
| ISSN | 0369-7142 |
| 言語 | 日本語 |
| 論文のバージョン | publisher |
| NAID | 40000321162 |
| JaLCDOI | 10.18926/21124 |
|---|---|
| タイトル（別表記） | A case report of a patient with chronic pancreatitis successfully treated by endoscopic elimination of protein plugs |
| フルテキストURL | pitsr_053_061_065.pdf |
| 著者 | 武田 正彦| 田中 淳太郎| 高杉 潔| 原田 英雄| 万治 忠福| 森永 寛| 鶴見 哲也| 藤井 靖久| |
| 抄録 | Presented here is a case report of a 56 years old male patient with chronic pancreatitis in which a dramatic improvement in symptoms and objective findings were noted after endoscopic elimination of protein plugs. In September, 1979, he had an acute onset of pancreatitis followed by pseudocyst formation and the following combined operations were performed: resection of the pseudocyst, resection of the body and tail of the pancreas along with the spleen, partial resection of the stomach and the transverse colon, and gastroenterostomy according to Billroth I method. He had been followed up at out-patient clinic for chronic pancreatitis and diabetes until January 14,1979 when he was hospitalized for anorexia, loss of weight, pretibial edema, and upper-abdominal pain. The patient's condition was characterized by emaciation (height 152 cm, weight 37 kg), anemia (Hb 7.9g/dl), hypoproteinemia (serum protein 4.2 g/dl) , and hypolipidemia (total cholesterol 73 mg/dl). Abdominal ultrasound, abdominal CT and ERCP revealed stones in the pancreatic duct. Symptoms and objective findings were only partially improved by medical regimens. Subsequently we performed endoscopic cannulation of the pancreatic duct for elimination of pancreatic stones. Successful elimination of large numbers of protein plugs resulted in dramatic improvement of symptoms and objective findings. This procedure proved to add a new important tool in the treatment of chronic pancreatitis. |
| 出版物タイトル | 岡山大学温泉研究所報告 |
| 発行日 | 1983-03-25 |
| 巻 | 53巻 |
| 開始ページ | 61 |
| 終了ページ | 65 |
| ISSN | 0369-7142 |
| 言語 | 日本語 |
| 論文のバージョン | publisher |
| NAID | 120002311007 |
| JaLCDOI | 10.18926/21123 |
|---|---|
| タイトル（別表記） | Role of endoscopic elimination of protein plug in the treatment of chronic pancreatitis |
| フルテキストURL | 053_057_060.pdf |
| 著者 | 田中 淳太郎| 武田 正彦| 高杉 潔| 原田 英雄| 万治 忠福| |
| 抄録 | Endoscopic aspiration of pure pancreatic juice (ppj) was performed on 65 patients with chronic pancreatitis (cp) or suspected CP primarily for evaluating the validity of biochemical and physiochemical analysis of PPJ in the study of pathogenesis, pathophysiology and diagnosis of CP. PPJ was collected from within the main pancreatic duct by endoscopic retrograde catheterization of the papilla. With increasing experience, it has been revealed that various numbers of protein plugs are contained in PPJ obteined from patients with CP or suspected CP and that endoscopic elimination of protein plugs can provide them with dramatic relief from abdominal pain and back pain. The purpose of this report is to evaluate the role of endoscopic elimination of protein plugs in the treatment of CP. The following conclusions were obteined: (1) endoscopic elimination of protein plugs from within the pancreatic duct is useful. at least on a short-term basis, for relieving abdominal pain and back pain in one-forth of patients with CP or suspected CP; (2) this procedure can be an effective therapeutic tool in selected cases of CP or suspected CP where no prominent stenotic lesions are noted in the major pancreatic duct system and abstinence from alcohol bevarage is strictly observed. |
| 出版物タイトル | 岡山大学温泉研究所報告 |
| 発行日 | 1983-03-25 |
| 巻 | 53巻 |
| 開始ページ | 57 |
| 終了ページ | 60 |
| ISSN | 0369-7142 |
| 言語 | 日本語 |
| 論文のバージョン | publisher |
| NAID | 40000321176 |
| JaLCDOI | 10.18926/21122 |
|---|---|
| タイトル（別表記） | Clinical problems of long-term steroid regimen for bronchial asthma, with reference to steroid-dependent cases |
| フルテキストURL | pitsr_053_051_055.pdf |
| 著者 | 周藤 真康| 駒越 春樹| 村嶋 誠| 岡田 千春| 谷崎 勝朗| 森永 寛| 塩田 雄太郎| 木村 郁郎| |
| 抄録 | Adverse side effects of steroid therapy were investigated in 32 asthmatic patients. Thirty-two patients were classified into three groups according to steroid therapy for the past five years; group 1 has been treated with continuous steroid therapy, group 2 with occasional steroid therapy and group 3 without steroid therapy. The results were as follows. 1. Group 1 showed a low level of serum cortisol at 8-9 a. m. The serum concentration of cortisol in patients with daily steroid regimen was lower as compared to that in patients with alternateday steroid therapy. 2. The daily profile of serum cortisol was low in the steroid dependent asthmatic patients, and little increase of serum cortisol level after the administration of prednisolone was shown in group 1. 3. Serum IgG and IgM levels were significantly low in steroid dependent asthmatic patients. 4. The level of serum potassium was low in group 1. |
| 出版物タイトル | 岡山大学温泉研究所報告 |
| 発行日 | 1983-03-25 |
| 巻 | 53巻 |
| 開始ページ | 51 |
| 終了ページ | 55 |
| ISSN | 0369-7142 |
| 言語 | 日本語 |
| 論文のバージョン | publisher |
| NAID | 120002310967 |
| JaLCDOI | 10.18926/21121 |
|---|---|
| タイトル（別表記） | Clinical problems of long-term steroid regimen for bronchial asthma, with reference to steroid-dependent cases |
| フルテキストURL | pitsr_053_045_049.pdf |
| 著者 | 駒越 春樹| 周藤 真康| 岡田 千春| 谷崎 勝朗| 森永 寛| 貴谷 光| 合田 吉徳| 多田 慎也| 高橋 清| 木村 郁郎| |
| 抄録 | Adverse side effects of steroid therapy were investigated in 32 asthmatic patients. Thirty-two patients were classified into three groups according to steroid therapy for the past five years; group 1 has been treated with continuous steroid therapy, group 2 with occasional steroid therapy and group 3 without steroid therapy. The results were as follows. 1. Group 1 showed a low level of serum cortisol at 8-9 a. m. The serum concentration of cortisol in patients with daily steroid regimen was lower as compared to that in patients with alternateday steroid therapy. 2. The daily profile of serum cortisol was low in the steroid dependent asthmatic patients, and little increase of serum cortisol level after the administration of prednisolone was shown in group 1. 3. Serum IgG and IgM levels were significantly low in steroid dependent asthmatic patients. 4. The level of serum potassium was low in group 1. |
| 出版物タイトル | 岡山大学温泉研究所報告 |
| 発行日 | 1983-03-25 |
| 巻 | 53巻 |
| 開始ページ | 45 |
| 終了ページ | 49 |
| ISSN | 0369-7142 |
| 言語 | 日本語 |
| 論文のバージョン | publisher |
| NAID | 120002311040 |
| JaLCDOI | 10.18926/21117 |
|---|---|
| タイトル（別表記） | A psychosomatic study of anorexia nervosa, with particular attention to the deveropmental aspect. Part 2 Female adult cases of anorexia nervosa |
| フルテキストURL | 053_017_021.pdf |
| 著者 | 古元 順子| |
| 抄録 | Following the previous report in which analysis of two female adolescent cases was described, two female adult cases were presented in this report. The summery as follows: 1) Onset of two cases is in their early twenties, coincided with their inter-personal conflicts at work and in the family in law. Morbid condition of each case has been unchanged todate, over the age of fourty; case 1 presents chronic anorexia with bulimia and case 2 presents chronic anorexia without bulimia. 2) There was the evidence of immaturity of heterosexual object-relationship which originated from the disturbed father-daughter interaction, together with the evidence of a disturbed female identification as seen in the adolescent group. 3) Self-starvation of each case appears to have similar psychological meaning as seen in the adolescent cases; retaliation towards the mother of each patient and compensatory aim in the dependancy need. However, keeping a pride in pubertal competitions such as a pursuit in the slim body image may shift to a phobic avoidance of gastro-intestinal dyscomfort. Eventully poor motivation for treatment aimed at tackling the adolescent maturational problems seems to be the core of the disorder. |
| 出版物タイトル | 岡山大学温泉研究所報告 |
| 発行日 | 1983-03-25 |
| 巻 | 53巻 |
| 開始ページ | 17 |
| 終了ページ | 21 |
| ISSN | 0369-7142 |
| 言語 | 日本語 |
| 論文のバージョン | publisher |
| NAID | 40000321178 |
| JaLCDOI | 10.18926/21116 |
|---|---|
| タイトル（別表記） | Anorexia nervosa in the male report on 5 cases |
| フルテキストURL | 053_013_016.pdf |
| 著者 | 古元 順子| 安本 生子| |
| 抄録 | The case histories of 5 males diagnosed as anorexia nervosa were presented. The summary as follows : (1) 2 pre-adolescent cases; Onset of self-starvation of each case is coincided with separation from each mother, with the psychological meaning of retaliation towards the mother of each patient and of compensatory gain in dependancy need. Rorschach test of either case presents the ambivalent attitude towards each mother, of love and hate. (2) An adolescent case; Onset of self-starvation is coincided with competitious hyperactivity in sport, with some compensatory gain in dependancy need and with keeping pride in pubertal competition, including a pursuit in the slim body image. Rorschach test presents pausity of masculinity. (3) A young case; Onset of self-starvation is coincided with separation from his mother, as seen in pre-adolescent case, with phobic avoidance of protenuria from which he suffered previously. Rorschach test indicates paucity of masculinity. (4) An adult case (married); Onset of self-starvation is coincided with his conflicts at work and home, with the psychological meaning of keeping him from undoing duties as a worker and as a husband. Rorschach test presents mother-identification instead of father-identification. |
| 出版物タイトル | 岡山大学温泉研究所報告 |
| 発行日 | 1983-03-25 |
| 巻 | 53巻 |
| 開始ページ | 13 |
| 終了ページ | 16 |
| ISSN | 0369-7142 |
| 言語 | 日本語 |
| 論文のバージョン | publisher |
| NAID | 40000321177 |