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21.
SHUNSUKE OHTAHARA YOKO OHTSUKA KATSUHIRO KOBAYASHI 《Psychiatry and clinical neurosciences》1995,49(3):S179-S183
Abstract Lennox-Gastaut syndrome (LGS) is regarded as a model of the epileptic syndrome because of its specific clinicoelectrical manifestation. However, a close investigation reveals that its outline is somewhat vague, having the borderland around it. Precise diagnosis in an individual case is not always easy. In this paper, the diagnostic criteria of LGS are described. According to these criteria, cases with LGS were subclassified into the typical and the atypical cases, and also cases in the borderland of LGS were reviewed. On the other hand, our prospective long-term follow-up study revealed that cortical mechanisms played an important role in the pathophysiology, clinical features and refractoriness of LGS. Secondary bilateral synchrony (SBS) is supposed to be a mode of expression of cortical mechanisms of LGS. A newly developed method with coherence and phase analysis demonstrated that the pathophysiology was based on SBS in 33% of the typical LGS cases. This finding is not only crucial for the choice of rational treatment including epilepsy surgery, such as callosotomy, but also contributes to a more refined subclassification of LGS. 相似文献
22.
Hitoshi YOKOYAMA Haruaki KATO Shinya KOBAYASHI Tomoaki TANABE Teruyuki OGAWA Osamu NISHIZAWA 《Lower urinary tract symptoms.》2011,3(1):55-58
Reconstruction of the obliterated vesicourethral junction is both complex and difficult. Here, we report an innovative method using a mobilized bulbar urethra as a continent valve. Three patients with major problems at the vesicourethral junction underwent continent valve reconstruction. In cases 1 and 2, in which there were problems at the anastomosing site after radical prostatectomy, the bladder wall was closed, wedge resection of the midline pubic bone was performed, and a fully mobilized bulbar urethra was implanted submucosally into the anterior bladder wall. In case 2, augmentation cystoplasty using an ileal segment was required due to the small capacity of the bladder. In case 3, in which there was posterior urethra disruption associated with pelvic fracture, the bulbar urethra was implanted into the bladder wall in the same manner as in cases 1 and 2 without pubectomy. The postoperative follow‐up periods were 48, 36, and 12 months, respectively. In all patients, urinary management was achieved by self‐catheterization postoperatively, and the patients were satisfied with their status. This newly devised continent valve construction using a bulbar urethra is effective for reconstruction of the obliterated vesicourethral junction, which markedly improves patients' quality of life. 相似文献
23.
expression of EGFR was determined immunohistochemically in two groups of patients with glottic carcinoma, one that recurred after a full course of radiotherapy and one that did not. Using a 4-graded scale (-, +,++,+++) 80% (12/15) of the recurrent carcinomas had a staining intensity and proportion of stained cells of ++ or more. The same figure for non-recurrent carcinomas was 39% (7/18). The difference is statistically significant (chi-squared with Yates' correction, P &<5). The results indicate that an increased expression of EGFR may influence the rate of recurrence of glottic squamous cell carcinoma after radiotherapy. 相似文献
24.
EMI SAITOH KENICHI SUGITA HIDEMITSU KUROSAWA MOTOYUKI KUROSAKI MITSUOKI EGUCHI TOSHIHARU FURUKAWA CHIKAKO NAKAJIMA YASUAKI KOBAYASHI 《Pediatrics international》1995,37(6):710-712
We report on a 3 year old girl with acute promyelocytic leukemia (APL) with cerebral infarction due to disseminated intravascular coagulation (DIC) at initial presentation. She was hospitalized because of unconsciousness and petechiae on the chest wall and extremities. Cerebral ischemia and infarction were found on computed tomography scan and magnetic resonance imaging. Peripheral bood content was hemoglobin 7.3 g/dL, white blood cells 1.0 × 103cells/μL (31% blasts) and platelet count was 12 × 103cells/μL. Fragmented erythrocytes were frequently observed on May-Giemsa stained blood smears. Bone marrow aspirates showed normal cellularity, with 60.4% blasts, containing faggot cells. The blasts were positive for peroxidase. Therapy was begun; however, the patient died 1 week after admission. 相似文献
25.
个旧市郊室内氡、钍射气浓度和地面γ辐射水平初步调查 总被引:3,自引:0,他引:3
目的调查个旧地区居室内氡(^222Rn)、钍射气(^220Rn)及其子体水平,明确钍射气的剂量贡献。方法考虑住宅类型和地理分布因素,从个旧市郊某村选取建筑结构有代表性的50户住宅的主卧室,采用氡-钍射气鉴别探测器测量氡、钍射气浓度,用沉积率装置测量钍射气子体浓度。其中14间居室采用连续性氡测量探测器和α谱氡、钍射气鉴别探测器测量氡、钍射气浓度,空气采样滤膜结合CR-39探测器测量钍射气衰变产物浓度,碘化钠闪烁计数器测量地表γ剂量率。结果50间居室的氡浓度为32~498Bq/m^3,平均136Bq/m^3;钍射气浓度为39~7908Bq/m^3,平均3297Bq/m^3;钍射气子体浓度为2.0~23.9Bq/m^3,平均10.2Bq/m^3。钍射气子体衰变产物致居民年平均有效剂量大于氡子体衰变产物的平均年有效剂量(2.9mSv vs 1.6mSv)。结论个旧市郊部分居室室内钍射气及其子体浓度高,钍射气子体的剂量贡献要高于氡子体的剂量贡献。在个旧开展氡致肺癌危险评价研究应当考虑钍射气子体的剂量贡献。 相似文献
26.
27.
Jaundice and Renal Failure Following Radical Surgery for Cancer: An Analysis of Five Autopsied Cases
HATTORI NOBU; NAKAMOTO YASUSHI; KOBAYASHI KENICHI; IIZUKA TOSHIFUMI; MATSUMOTO KEIICHI 《Japanese journal of clinical oncology》1980,10(1):21-29
An analysis of postoperative jaundice and renal failure in fiveautopsied cases is presented. Two patients had total resectionof esophageal cancer, one had a subtotal gastrectomy, and theother two had radical operations for urinary bladder carcinoma.Halothane was used for anesthesia for three patients, and allfive required blood transfusions. Postoperatively, jaundiceand azotemia developed between the 1st and 7th days, with deathsix to 10 days after surgery. Total bilirubin ranged from 1.5to 13.4mg/dl despite the normal or modest rise in hepatic enzymes.BUN varied from 46 to 288 mg/dl. Pre- and postoperative ECGrevealed a prolongation of QTc in all cases. At autopsy, theliver, kidneys and heart showed a definite increase in weight.The salient hepatic pathology included diffusely dilated spaceof Disse, centrilobular bile stasis and steatosis. This, alongwith acute tubular necrosis confirmed at autopsy, was thoughtto be due to ischemia. Although the significance of prolongedQTc remains uncertain, it is worthy of attention as one of thepreoperative checks. 相似文献
28.
Characteristics of obese children with low content of arachidonic acid in plasma lipids 总被引:1,自引:0,他引:1
TOMOO OKADA NORIKO F SATO YUKI KUROMORI MICHIO MIYASHITA KAZUO TANIGUTCHI FUJIHIKO IWATA MITSUHIKO HARA MAMORU AYUSAWA KENSUKE HARADA EMIKO SAITO 《Pediatrics international》2007,49(4):437-442
BACKGROUND: Although there have been many studies on the relationship between obesity and long-chain polyunsaturated fatty acid (LCPUFA), the results and their interpretation are controversial, especially in children. Arachidonic acid (AA), the product of n-6 LCPUFA, is reported to be related to insulin resistance. The purpose of the present paper was to investigate the LCPUFA profile in obese children and mechanisms that contribute to reduced AA content. METHOD: An age- and sex-matched control study was performed. The study subjects were 59 obese children (mean age, 11.8 years) and 53 healthy non-obese children (mean age, 12.5 years). The study parameters included anthropometric measurements, serum lipids, leptin and fatty acid composition in plasma. RESULTS: Plasma fatty acids in obese children had lower linoleic acid (P < 0.0001) and higher dihomo-gamma-linolenic acid (P = 0.0004) than those in non-obese children. In all subjects combined, delta-6 desaturase (D6D) index (ratios of [C 18:3n-6+C 20:2n-6]/C 20:4n-6 or C 20:4n-6/C 18: 2n-6) correlated with leptin (P < 0.0001). There was no significant difference in AA content between obese and non-obese. However, the AA content was low (相似文献
29.
H. KOBAYASHI K. SUMIMOTO† N. MONIWA† M. IMAI‡ K. TAKAKURA‡ T. KUROMAKI‡ E. MORIOKA‡ K. ARISAWA‡ & T. TERAO† 《International journal of gynecological cancer》2007,17(1):37-43
Although some studies have indicated that endometriosis may increase the risk of developing ovarian cancer, there are no data from epidemiologic studies in Japan. We prospectively analyzed all cases of ovarian endometrioma enrolled in the prefecture-wide Shizuoka Cohort Study on Endometriosis and Ovarian Cancer Programme, which was initiated in 1985. To evaluate the risk of ovarian cancer by time periods subsequent to ovarian endometrioma diagnosis, a cohort of 6,398 women with a clinically documented ovarian endometrioma in Shizuoka between 1985 and 1995 was identified from the Shizuoka Cancer Registry (SCR), with follow-up through 2002. Ovarian cancer incidence among cohort members was ascertained by linkage to the SCR using a unique person-identification number. Standardized incidence ratios (SIR) and their 95% confidence intervals (CI) were computed by a use of prefecture-wide rates of ovarian cancer, adjusted for age and calendar year. During follow-up of up to 17 years of the ovarian endometrioma cohort, 46 incident ovarian cancers were identified, yielding that the ovarian cancer risk was elevated significantly among patients with ovarian endometrioma (SIR = 8.95, 95% CI = 4.12-15.3). The SIR did not increase with increasing follow-up duration. The risk increased with increasing age at ovarian endometrioma diagnosis, with a SIR equal to 13.2 (95% CI = 6.90-20.9) in women above 50 years of age. Our findings for the first time support the hypothesis that ovarian endometrioma increases the subsequent risk of developing ovarian cancer in Shizuoka, Japan. 相似文献
30.
T. SAKANO E. KITTAKA Y. TANAKA H. YAMAOKA Y. KOBAYASHI T. USUI 《Acta paediatrica (Oslo, Norway : 1992)》1980,69(4):549-551
Abstract. Sakano, T., Kittaka, E., Tanaka, Y., Yamaoka, H., Kobayashi, Y. and Usui, T. (Department of Paediatrics, Hiroshima University Hospital and Hiroshima City Hospital, Hiroshima, Japan). Vaccine-associated poliomyelitis in an infant with agammagiobulinemia. Acta Paediatr Scand, 69:549, 1980.—We describe a female infant with agammaglobulinemia who contracted vaccine-associated poliomyelitis. Poliovirus type 2 was isolated from the initial stool specimen. In our patient, temporary changes in the cerebrospinal fluid resembled those in patients without immunodeficiencies, although gammaglobulin therapy had not yet been started. Pleocytosis was observed for a short time after viremia, but soon there was a return to normal without antibody production. 相似文献