start-ver=1.4 cd-journal=joma no-vol=52 cd-vols= no-issue=5 article-no= start-page=271 end-page=278 dt-received= dt-revised= dt-accepted= dt-pub-year=1998 dt-pub=199810 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Nursing practitioners' perception of inpatients' anxiety, self-esteem, purpose-in-life and health locus of control. en-subtitle= kn-subtitle= en-abstract= kn-abstract=

Nursing practitioners' perception of inpatients' anxiety, self-esteem, purpose-in-life and health locus of control.

en-copyright= kn-copyright= en-aut-name=NagataHiroshi en-aut-sei=Nagata en-aut-mei=Hiroshi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=OhtaTakeo en-aut-sei=Ohta en-aut-mei=Takeo kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=AoyamaHideyasu en-aut-sei=Aoyama en-aut-mei=Hideyasu kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= affil-num=1 en-affil= kn-affil=Okayama University affil-num=2 en-affil= kn-affil=Okayama University affil-num=3 en-affil= kn-affil=Okayama Univeristy en-keyword=inpatient's mental health kn-keyword=inpatient's mental health en-keyword=anxiety kn-keyword=anxiety en-keyword=self-es-teem kn-keyword=self-es-teem en-keyword=purpose-in-life kn-keyword=purpose-in-life en-keyword=health locus of control kn-keyword=health locus of control END start-ver=1.4 cd-journal=joma no-vol=52 cd-vols= no-issue=5 article-no= start-page=279 end-page=283 dt-received= dt-revised= dt-accepted= dt-pub-year=1998 dt-pub=199810 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Expression of amiloride-sensitive sodium channel in rat eye. en-subtitle= kn-subtitle= en-abstract= kn-abstract=

To study the expression of the amiloride-sensitive sodium channel, a putative mechano-receptor in the rat eye, reverse transcriptase-polymerase chain reaction and in situ hybridization were done. The gene for the alpha subunit of the amiloride-sensitive sodium channel was shown by polymerase chain reaction to be expressed in mRNA isolated from the whole eye tissue. In situ hybridization demonstrated that the gene was expressed in basal layers of the corneal and conjunctival epithelium, ciliary epithelial cells, lens epithelial cells at the equator, retinal and iris pigment epithelial cells, ganglion cells and cells in the inner and outer nuclear layers of the retina. The results suggest that the amiloride-sensitive sodium channel plays a role in maintaining sodium balance as well as in possible mechanosensation in these ocular tissues.

en-copyright= kn-copyright= en-aut-name=MatsuoToshihiko en-aut-sei=Matsuo en-aut-mei=Toshihiko kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=Okayama University en-keyword=amiloride-sensitive sodium channel kn-keyword=amiloride-sensitive sodium channel en-keyword=eye kn-keyword=eye en-keyword=insitu hybridzation kn-keyword=insitu hybridzation en-keyword=mechanosensation kn-keyword=mechanosensation en-keyword=polymerase chain reaction kn-keyword=polymerase chain reaction END start-ver=1.4 cd-journal=joma no-vol=52 cd-vols= no-issue=5 article-no= start-page=239 end-page=244 dt-received= dt-revised= dt-accepted= dt-pub-year=1998 dt-pub=199810 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Coexistence of Rare Arteries in the Human Celiaco-Mesenteric System en-subtitle= kn-subtitle= en-abstract= kn-abstract=

Some rare anomalies of the celiaco-mesenteric system were observed postmortem in a Japanese adult male: a) The left gastric, common hepatic, splenic and superior mesenteric arteries arose independently from the abdominal aorta. b) The anterior inferior pancreaticoduodenal artery of the superior mesenteric artery issued a hepatic artery which ascended along the anterior surface of the pancreas and gave off the right gastroepiploic, right gastric and cystic arteries. c) The common hepatic artery gave off an anastomosing branch to the superior mesenteric artery. d) The left gastric artery gave off the left accessory hepatic artery. e) The splenic artery issued the accessory middle colic artery. f) The left inferior phrenic artery gave off the esophageal branch. These anomalies are discussed in light of a typological system which we proposed in a previous paper for the celiaco-mesenteric system.

en-copyright= kn-copyright= en-aut-name=MurakamiTakuro en-aut-sei=Murakami en-aut-mei=Takuro kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=MabuchiMasaru en-aut-sei=Mabuchi en-aut-mei=Masaru kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=GiuvarasteanuLleana en-aut-sei=Giuvarasteanu en-aut-mei=Lleana kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=KikutaAkio en-aut-sei=Kikuta en-aut-mei=Akio kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= en-aut-name=OhtsukaAiji en-aut-sei=Ohtsuka en-aut-mei=Aiji kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=5 ORCID= affil-num=1 en-affil= kn-affil=Okayama University affil-num=2 en-affil= kn-affil=Okayama University affil-num=3 en-affil= kn-affil=C.Davila University affil-num=4 en-affil= kn-affil=Okayama University affil-num=5 en-affil= kn-affil=Okayama University en-keyword=arterial anomaly kn-keyword=arterial anomaly en-keyword=celiac trunk kn-keyword=celiac trunk en-keyword=left gastric artery kn-keyword=left gastric artery en-keyword=hepatic artery kn-keyword=hepatic artery en-keyword=splenic artery kn-keyword=splenic artery en-keyword=intermesenteric anastomosis kn-keyword=intermesenteric anastomosis END start-ver=1.4 cd-journal=joma no-vol=52 cd-vols= no-issue=5 article-no= start-page=245 end-page=254 dt-received= dt-revised= dt-accepted= dt-pub-year=1998 dt-pub=199810 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Evaluation of wheelchair cushions by means of pressure distribution mapping. en-subtitle= kn-subtitle= en-abstract= kn-abstract=

We studied the seated buttock pressure distribution in six paraplegic patients by means of computerized pressure mapping. They were all male and their age ranged from 18 to 48 years old. Their level of paralysis varied from Th5 to L1. Five kinds of wheelchair cushions were studied: an air cushion, a contour cushion, a polyurethane foam cushion, a Cubicushion (which is made of polyurethane foams) and a silicone gel cushion. A tactile sensor consisting of 2064 matrices was used for measuring the buttock pressure distribution and the data was analyzed on a personal computer. Peak pressures measured for each cushion were as follows (in descending order): the Cubicushion, the polyurethane foam cushion, the contour cushion, the silicone gel cushion, and the air cushion. The areas of total contact measured for each cushion were as follows (in descending order): the air cushion, the silicone gel cushion, the polyurethane foam cushion, the contour cushion and the Cubicushion. Based on these findings, we conclude that the most advantageous cushion is the air cushion or the silicone gel cushion. Likewise, we conclude that the Cubicushion is not practical for pressure sore prevention.

en-copyright= kn-copyright= en-aut-name=TakechiHirosuke en-aut-sei=Takechi en-aut-mei=Hirosuke kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=TokuhiroAkihiro en-aut-sei=Tokuhiro en-aut-mei=Akihiro kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= affil-num=1 en-affil= kn-affil=Okayama University affil-num=2 en-affil= kn-affil=Okayama University en-keyword=Paraplegia kn-keyword=Paraplegia en-keyword=wheelchair cushion kn-keyword=wheelchair cushion en-keyword=pressure distribution kn-keyword=pressure distribution END start-ver=1.4 cd-journal=joma no-vol=52 cd-vols= no-issue=5 article-no= start-page=255 end-page=260 dt-received= dt-revised= dt-accepted= dt-pub-year=1998 dt-pub=199810 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Real-Time Evaluation of the Effectiveness of Microwave Coagulation Therapy for Hepatocellular Carcinoma Using Color Doppler Imaging en-subtitle= kn-subtitle= en-abstract= kn-abstract=

Percutaneous microwave coagulation therapy (PMCT) is a new technique for the treatment of hepatocellular carcinoma (HCC). However, it is difficult to distinguish those lesions in which necrosis has been induced from the viable residual lesions during the procedure, because the margin of the tumor becomes unclear during PMCT. We determined the area of necrotic lesions during the procedure using color Doppler imaging. PMCT was performed on 10 patients (17 lesions) with recurrent HCC. The electrode of the microwave delivery system was moved around the tumor and the surrounding area until color mosaic images disappeared from the entire area of the tumor. The areas in which necrotic tissue was indicated by color Doppler imaging were later confirmed by other modalities such as angiography or contrast-enhanced computed tomography. This leads us to believe that real-time, effective evaluation of PMCT is possible with color Doppler imaging.

en-copyright= kn-copyright= en-aut-name=TakeuchiHitoshi en-aut-sei=Takeuchi en-aut-mei=Hitoshi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=TamuraRyuuji en-aut-sei=Tamura en-aut-mei=Ryuuji kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=BabaTakako en-aut-sei=Baba en-aut-mei=Takako kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=KawashimaTakeshi en-aut-sei=Kawashima en-aut-mei=Takeshi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= en-aut-name=FukazawaTakuya en-aut-sei=Fukazawa en-aut-mei=Takuya kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=5 ORCID= en-aut-name=YunokiYasuhiro en-aut-sei=Yunoki en-aut-mei=Yasuhiro kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=6 ORCID= en-aut-name=TanakayaKoji en-aut-sei=Tanakaya en-aut-mei=Koji kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=7 ORCID= en-aut-name=YasuiYoshimasa en-aut-sei=Yasui en-aut-mei=Yoshimasa kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=8 ORCID= en-aut-name=KonagaEiji en-aut-sei=Konaga en-aut-mei=Eiji kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=9 ORCID= affil-num=1 en-affil= kn-affil=Iwakuni National Hospital affil-num=2 en-affil= kn-affil=Iwakuni National Hospital affil-num=3 en-affil= kn-affil=Iwakuni National Hospital affil-num=4 en-affil= kn-affil=Iwakuni National Hospital affil-num=5 en-affil= kn-affil=Iwakuni National Hospital affil-num=6 en-affil= kn-affil=Iwakuni National Hospital affil-num=7 en-affil= kn-affil=Iwakuni National Hospital affil-num=8 en-affil= kn-affil=Iwakuni National Hospital affil-num=9 en-affil= kn-affil=Iwakuni National Hospital en-keyword=microwave coagulation therapy kn-keyword=microwave coagulation therapy en-keyword=color Doppler imaging kn-keyword=color Doppler imaging en-keyword=hepatocellular carcinoma kn-keyword=hepatocellular carcinoma END start-ver=1.4 cd-journal=joma no-vol=52 cd-vols= no-issue=5 article-no= start-page=233 end-page=237 dt-received= dt-revised= dt-accepted= dt-pub-year=1998 dt-pub=199810 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Determination of glutathione peroxidase activity and its contribution to hydrogen peroxide removal in erythrocytes. en-subtitle= kn-subtitle= en-abstract= kn-abstract=

A new method for the determination of glutathione peroxidase activity in erythrocytes was developed. The present method was applied to the measurement of hydrogen peroxide removal rates by glutathione peroxidase in erythrocytes at 70 microM hydrogen peroxide under simulated in vivo conditions. The removal rates by glutathione peroxidase in mouse erythrocytes were twenty-times faster than those in human ones and were 5.2 mumol/sec/g of Hb. The removal rates in acatalasemic mouse erythrocytes indicate that glutathione peroxidase is the main means of hydrogen peroxide removal in acatalasemic mouse erythrocytes. Based on these results, we concluded that glutathione peroxidase in mouse erythrocytes had sufficient ability to remove hydrogen peroxide at even relatively high concentrations. This may be one of the reasons why acatalasemic mice suffer no health problems while Japanese acatalasemic patients suffer from Takahara disease when infected with hydrogen peroxide-generating bacteria.

en-copyright= kn-copyright= en-aut-name=WakimotoMasahiro en-aut-sei=Wakimoto en-aut-mei=Masahiro kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=MasuokaNoriyoshi en-aut-sei=Masuoka en-aut-mei=Noriyoshi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=NakanoTaku en-aut-sei=Nakano en-aut-mei=Taku kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=UbukaToshihiko en-aut-sei=Ubuka en-aut-mei=Toshihiko kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= affil-num=1 en-affil= kn-affil=Okayama University affil-num=2 en-affil= kn-affil=Okayama University affil-num=3 en-affil= kn-affil=Toyama Medical and Pharmaceutical University affil-num=4 en-affil= kn-affil=Okayama University en-keyword=glutathione peroxidase kn-keyword=glutathione peroxidase en-keyword=erythrocyte kn-keyword=erythrocyte en-keyword=hydrogen peroxide kn-keyword=hydrogen peroxide en-keyword=acatalasemic mouse kn-keyword=acatalasemic mouse en-keyword=Takahara disease kn-keyword=Takahara disease END start-ver=1.4 cd-journal=joma no-vol=52 cd-vols= no-issue=5 article-no= start-page=261 end-page=270 dt-received= dt-revised= dt-accepted= dt-pub-year=1998 dt-pub=199810 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Inter-laboratory difference among eleven clinical laboratories in the Okayama City area. en-subtitle= kn-subtitle= en-abstract= kn-abstract=The aim of the present study was to find the cause of inter-laboratory differences in laboratory test data and to examine whether control assessment helps to reduce inter-laboratory differences. Blood and serum samples of one healthy subject and one subject with liver cirrhosis were analyzed by 11 laboratories in the Okayama City area. No differences were found in the assay units of 26 tests surveyed. However, considerable differences were observed in test data, reference interval, and clinical level (CL), though most laboratories pointed out that the test data for the normal subject was within the reference intervals and those for the patient with liver cirrhosis showed abnormalities in tests for liver function. The difference in reference intervals was serious in the tests of direct bilirubin (D-Bil), thymol turbidity test (TTT), alkaline phosphatase (ALP), gamma-glutamyltranspeptidase (GGTP) and choline sterase. Marked differences in CLs were found in the tests of D-Bil, TTT, ALP, GGTP, creatine phosphokinase, amylase, heavy density lipoprotein cholesterol and white blood cell count. However, three hepatologists independently suggested that such inter-laboratory differences would not seriously affect a clinical decision on the disease status of the cirrhotic patient. Most tests that showed a trend error in a recent quality control survey appeared to have the same trend in the present study. These results indicate that inter-laboratory differences occur at various levels and control assessment are helpful in establishing, and therefore reducing, the level of inter-laboratory differences. en-copyright= kn-copyright= en-aut-name=KoideNorio en-aut-sei=Koide en-aut-mei=Norio kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=ShinjiToshiyuki en-aut-sei=Shinji en-aut-mei=Toshiyuki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=OkadaKen en-aut-sei=Okada en-aut-mei=Ken kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=MizushimaJun en-aut-sei=Mizushima en-aut-mei=Jun kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= en-aut-name=MatsudaNobuyoshi en-aut-sei=Matsuda en-aut-mei=Nobuyoshi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=5 ORCID= en-aut-name=SunamiHiroshi en-aut-sei=Sunami en-aut-mei=Hiroshi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=6 ORCID= affil-num=1 en-affil= kn-affil=Okayama University affil-num=2 en-affil= kn-affil=Okayama University affil-num=3 en-affil= kn-affil=Okayama Univeristy affil-num=4 en-affil= kn-affil=Okayama Medical Association affil-num=5 en-affil= kn-affil=Kawasaki Medical School affil-num=6 en-affil= kn-affil=Okayama Medical Association en-keyword=inter-labpratory differrence kn-keyword=inter-labpratory differrence en-keyword=liver cirrhosis referrence interval kn-keyword=liver cirrhosis referrence interval en-keyword=clinical level kn-keyword=clinical level en-keyword=control survey kn-keyword=control survey END