JaLCDOI | 10.18926/11786 |
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Title Alternative | Malignant diseases maifesting jaundice as a main symptom -Diagnosis and treatment to improve the poor survival in carcinoma of the bile duct and pancreatic head - |
FullText URL | 002_001_022.pdf |
Author | Mimura, Hisashi| |
Abstract | Primary malignant diseases manifesting jaundice as a main symptom are the carcinomas of the bile duct and the pancreatic head, both of which have very poor survival rates after surgical resection or other treatments. Statistically, unresectable cases of the diseases are absolutely fatal within one or two years. Pathologically curative resection in early stage could only give the patients a chance to survive without diseases. Role of early detection of the diseases at the primary clinics of internal physicians is essentially important, because the patients noticing jaundice would firstly visit them under the impression of having the liver deseases. They should not waste much time in examining various liver function tests. Image diagnosis on the bile duct and the pancreatic duct by ultrasonography, followed by PTC or ERCP, detect the diseases. Tumor marker, CT, MRI and angiography are also performed supplementally to determine the tumor expansion or resectability. Surgery should be the histologically curative resection, including extended skeletonization of the retroperitoneum. Recent five years' survival rates of the bile duct carcinoma after resection in all over Japan are 64.5% in stage-Ⅰ, 50.4% in stage-Ⅱ, 30.7% in stage-Ⅲ and 9.4% in stage-Ⅳ. And those of the pancreatic carcinoma are 39.3% in T(1) (within 2cm in tumor diameter), 21.3% in T(2) (2-4cm), 13.1% in T(3) (4-6cm) and 12.1% in T(4) (over 6cm). From these data, curative resection in the early stages (stage-Ⅰ or -Ⅱ in bile duct carcinoma ant T(1) or T(2) in pancreatic carcinoma) is recommended, but even in the stage-Ⅲ the chance to live longer by extended resection is preserved. To achieve furhter improvement, author has devised the NEW surgical technigues, "block resection of the hepatoduodenal ligament" for carcinoma of the bile duct and "isolated pancreatectomy" for pancreatic carcinoma. Curative resectabilities are increasing by applying these techniques and hepatic recurrence rate in pancreatic carcinoma is decreasing by "isolated pancreatectomy", although the statistical results of improvement in five years' survival rates are not yet achieved because of shortage in cases' numbers and time duration. |
Keywords | 黄疸 癌 診断 治療 手術 |
Publication Title | 岡山大学医療技術短期大学部紀要 |
Published Date | 1992-02-05 |
Volume | volume2 |
Start Page | 1 |
End Page | 22 |
ISSN | 0917-4494 |
language | Japanese |
File Version | publisher |
NAID | 120002313384 |
Author | 岡山大学医療技術短期大学部| |
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Published Date | 1992-02-05 |
Publication Title | 岡山大学医療技術短期大学部紀要 |
Volume | volume2 |
Content Type | Others |
JaLCDOI | 10.18926/11789 |
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Title Alternative | Enzyme Immunoassay for Rabbit C-reactive Protein |
FullText URL | 002_023_028.pdf |
Author | Mori, Shuji| |
Abstract | Sensitive enzyme Immunoassay method specific for rabbit C-reactive protein was established. This was based upon specific Ca(2+)-dependent binding profile of C-reactive protein for some compounds containing phosphorylcholine moiety intramolecularly. By this method, more than 0.001μg of rabbit C-reactive protein was detectable. Specific binding of C-reactive protein for p-aminophenylphosphorylcholine immobilized on solid phase was inhibited by either addition of EDTA or phophorylcholine analogues, effectively. It may be useful to study possible roles of C-reactive protein in inflammatory regions. |
Keywords | C-reactive Protein Enzyme Immunoassay |
Publication Title | 岡山大学医療技術短期大学部紀要 |
Published Date | 1992-02-05 |
Volume | volume2 |
Start Page | 23 |
End Page | 28 |
ISSN | 0917-4494 |
language | Japanese |
File Version | publisher |
NAID | 120002313528 |
JaLCDOI | 10.18926/11790 |
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Title Alternative | The Units of IgM, IgA and IgG Rheumatoid Factors by Enzyme Linked Immunosorbent Assay in Human Sera |
FullText URL | 002_029_033.pdf |
Author | Tohge, Hiroko| Ichimura, Mitsuko| Sakiyama, Junko| Ooi, Haruaki| Sasai, Seiji| |
Abstract | The measurement of Rheumatoid Factor (RF) has been a valuable tool in diagnosing Rheumatoid Arthritis (RA) for many years. Since Waaler's discovery of the RF, many studies have been carried out. In the recent years studies have been shown that there is no such correlation between the level of the RF titers and disease activity. In this report we have measured the IgM-RF, IgA-RF and IgG-RF by an Enzyme linked immunosorbent assay (ELISA) for 144 normal human sera and 50 patients sera. At the same time we have measured the titers of gelatin particle agglutination (RAPA) and the Latex agglutination (RA-test). The value of IgG-RF have been most correlated to the titers of RAPA (r=0.9037). Using this ELISA technic to detect IgM-, IgA- and IgG-RF, have been aviable more clearly the activity and the stage of Rheumatoid disease. |
Keywords | ELISA IgM-RF IgA-RF IgG-RF RA test |
Publication Title | 岡山大学医療技術短期大学部紀要 |
Published Date | 1992-02-05 |
Volume | volume2 |
Start Page | 29 |
End Page | 33 |
ISSN | 0917-4494 |
language | Japanese |
File Version | publisher |
NAID | 120002313792 |
JaLCDOI | 10.18926/11796 |
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Title Alternative | Pharyngostomum cordatum in domestic cats in Fukuyama District, Hiroshima Prefecture |
FullText URL | 002_035_037.pdf |
Author | Tongu, Yasumasa| Saito, Tetsuro| |
Abstract | 1) Pharyngostomum cordatum eggs were detected from 32 domestic cats (1.1%) out of 3,000 examined in Fukuyama District, Hiroshima Prefecture, during the period from 1971 to 1982. 2) Spirometra erinacei was also parasitized at a high rate of 78% in the cats infected with P. cordatum. 3) No relation was found between the infected cats and thier sex, age, or species. |
Keywords | Pharyngostomum cordatum cat helminth Fukuyama District infective ratio |
Publication Title | 岡山大学医療技術短期大学部紀要 |
Published Date | 1992-02-05 |
Volume | volume2 |
Start Page | 35 |
End Page | 37 |
ISSN | 0917-4494 |
language | Japanese |
File Version | publisher |
NAID | 120002313949 |
JaLCDOI | 10.18926/11798 |
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Title Alternative | Preparation of propentdyopent by the oxidative cleavage of hemin |
FullText URL | 002_039_043.pdf |
Author | Hirota, Kazuhiro| |
Abstract | The methanol adduct of dimethyl ester of propentdyopent, which have two carboxyl groups on two pyrrole rings, was prepared by the oxidation of hemin with hydrogen peroxide and following esterification with a mixture of methanol and sulfuric acid. The compound was purified by the preparative column chromatography with silica gel and following recrystallization. The purity was checked by thin-layer chromatography and high-performance liquid chromatography. The compound was identified with mass and nuclear magnetic resonance spectra. |
Keywords | pentdyopent dipyrrole hemin hydrogen peroxide |
Publication Title | 岡山大学医療技術短期大学部紀要 |
Published Date | 1992-02-05 |
Volume | volume2 |
Start Page | 39 |
End Page | 43 |
ISSN | 0917-4494 |
language | Japanese |
File Version | publisher |
NAID | 120002313646 |
JaLCDOI | 10.18926/11800 |
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Title Alternative | The Thermal Condition in the Classrooms and Students' Thermal Sensation (Report 1) - A Study done from April through July - |
FullText URL | 002_045_049.pdf |
Author | Ohta, Takeo| Kondo, Masuko| |
Abstract | Dry-bulb and wet-bulb temperature in classrooms at the School were measured from April through July in 1990, by means of an Assmann ventilated psychrometer. The thermal sensation of the female students was surveyed by a questinnaire at the same time. Correlation coefficients between the rates of thermal sensation and thermal indicators such as natural temperature, relative humidity, effective temperature and discomfort index were computed. And multiple regressions equations of these indications and partial corelation coefficients were also computed from the temperature and humidity. These data showed that the students' thermal sensation in this season is primarily influenced by temperature and not so much by humidity. The relation between temperature and the rate of students who feel the heat was discussed. |
Keywords | thermal condition thermal sensation classroom student |
Publication Title | 岡山大学医療技術短期大学部紀要 |
Published Date | 1992-02-05 |
Volume | volume2 |
Start Page | 45 |
End Page | 49 |
ISSN | 0917-4494 |
language | Japanese |
File Version | publisher |
NAID | 120002313600 |
JaLCDOI | 10.18926/11801 |
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Title Alternative | Measurement of Serum Lipid Peroxides used Thiobarbituric Acid Method: Colorimetric and Fluorometric Assays and Effect of Ferrous Ion |
FullText URL | 002_051_061.pdf |
Author | Yamamoto, Goki| |
Abstract | Serum lipid peroxides were measured by a thiobarbituric acid (TBA) method. TBA color reactions carried out under the conditions with acetic acid (TBA-AA) or hydrochloric acid (TBA-HCl) systems, and then TBA value was detected by colorimetric ([OD]) and fluorometric ([FR]) measurements. Effects of ferrous ion, ferric ion and EDTA on the both systems were examined. Equal TBA value dependent upon concentrations of MDA (tetraethoxypropane) were obtained on both systems detected by [OD], but the relative fluorescence of TBA-AA system was higher than that of TBA-HCl system. Fluorometric determination was suitable for low TBA value, and colorimetric one was for high TBA value. Good correlation between TBA[OD] values and TBA[FR] values of serum from patients was estimated, but it was suggested that effects of serum substance were differ on the both systems. Effects of iron on TBA-AA and TBA-HCl systems were different significantly, particularly high Fe-TBA values obtained from TBA-AA system in the presence of ferrous ion. The fact suggests that serum lipid peroxidation is induced by ferrous ion during a heating of TBA color reaction. Same effect of ferric ion in TBA-AA system was observed. The increment of TBA values by ferrous and ferric ions was inhibited by a addition of EDTA. It was considered that the difference effect of iron on the both systems was due to pH and acetic acid concentration. The relationship of TBA values and Fe-TBA values of serum from patients was no correlated, and the various inhibition ratios of EDTA for the TBA value was calculated. It is suggested that Fe-TBA value is possible to detemine the qualitative difference of serum lipid peroxides. |
Keywords | Serum Lipid Peroxides Thiobarbituric Acid Ferrous Ion |
Publication Title | 岡山大学医療技術短期大学部紀要 |
Published Date | 1992-02-05 |
Volume | volume2 |
Start Page | 51 |
End Page | 61 |
ISSN | 0917-4494 |
language | Japanese |
File Version | publisher |
NAID | 120002313802 |
JaLCDOI | 10.18926/11805 |
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Title Alternative | Dose Distributions at Standard Diagnostic X-Ray Energy |
FullText URL | 002_063_071.pdf |
Author | Miyake, Hideaki| Inamura, Keiji| Nakagiri, Yoshitada| Kadohisa, Shigefumi| Mikami, Yasutaka| Azuma, Yoshiharu| Yamada, Toshiharu| Sugita, Katsuhiko| Hiraki, Yoshio| |
Abstract | Exposure dose has been indicated by surface dose or transit dose, but they could not indicate dose distributions inside the body. Modulex as the radiation therapy planning system was used for dose distributions at standard diagnostic X-ray energy. X-ray is low energy X-ray at standard diagnostic radiography, so alterations of the energy and the scattering dose distribution by absorbers are quite different from those at high energy X-rays. Mix-DP was put to the homogeneous tissue use, then Bone equivalent phantom or Lung equivalent phanton was put to the inhomogeneous tissue use. Density correction factors for inhomogeneous phantoms were gotten by the calculation of the water equivalent thickness. In Bone the inhomogeneous correction depended strongly on the bone thickness. In Lung it was in need of one density correction factor and the scattering correction method for the decrease of the back scattering. The calculated dose distributions by Modulex agreed with measured data when each correction was carried out, and it was indicated that those data apply to inclinical situations. |
Keywords | Exposure Dose Dose Distribution Radiation Therapy Planning System Density Correction Scattering Correction |
Publication Title | 岡山大学医療技術短期大学部紀要 |
Published Date | 1992-02-05 |
Volume | volume2 |
Start Page | 63 |
End Page | 71 |
ISSN | 0917-4494 |
language | Japanese |
File Version | publisher |
NAID | 120002313328 |
JaLCDOI | 10.18926/11807 |
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Title Alternative | The Study of Death Education on Nursing Education - Ritual Behaviors for The Dead of Students - |
FullText URL | 002_073_080.pdf |
Author | Ito, Hisae| Takata, Setuko| |
Abstract | The purpose of this study was to obtain the basic data for the study of "Death education on nursing education". We investigated 235 students aged 18-21 in the school of allied health science O University (return rate 100%). The questionnare was composed of the questions about experience to be presented at the familiar person's last moment, experince to be attended at the funeral, intention to take their child to the funeral in the future, and knowledge of ritual behaviors for the dead. The results are as follows: 1) About 20% of students had experienced the dying hour familiar persons who were almost grandfather, grandmother, great-grandfather and great-grandmother. 2) Almost all students had attended at the funeral as the survivors. 3) About 2/3 students had intention to take their child to the funeral in the future to let them learn death. About 1/3 students had no intention to take their child to the funeral, or did not decide their intention yet. 4) Among ritual behaviors for the dead, students well recognized "Kiyome no sio" and "Kita makura" that were well known in the daily life, and "Hidarimae" and "Tatemusubi" that had learned in the lecture of nursing for the dead. Conversely, despite of learning "Yukan", few students knew it because they didn't conscious of it as the ritual behavior. The ritual behavior is important to alleviate the survivors' grief. Death education on nursing education must introduce Thanatology (interdisciplinary curriculum on death including ethnology, sociology etc.). |
Keywords | Death Education Funeral One's dying hour Ritual behavior |
Publication Title | 岡山大学医療技術短期大学部紀要 |
Published Date | 1992-02-05 |
Volume | volume2 |
Start Page | 73 |
End Page | 80 |
ISSN | 0917-4494 |
language | Japanese |
File Version | publisher |
NAID | 120002313323 |
JaLCDOI | 10.18926/11808 |
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Title Alternative | RESOLUTION PROPERTIES OF CRT MONITORS |
FullText URL | 002_081_088.pdf |
Author | Takeuchi, Tomoyuki| Yoshida, Akira| Azuma, Yoshiharu| Sugita, Katsuhiko| Nakamura, Nobue| Kishi, Kanji| Hiraki, Yoshio| |
Abstract | We have developed a new technique for measuring the modulation transfer function (MTF) of a cathode ray tube (CRT) monitor. The "nominal" MTF was measured by displaying a line image of a width of one pixel on the CRT monitor using the pattern generator. We also measured the effective pixel width. In order to obtain the "actual" MTF, the nominal MTF was divided by the sinc function which is the Fourier transform of the effective pixel width. The results indicate that the corrected MTF converges to the constant value as the effective pixel width is narrower. Thus, the actual MTFs were determined and compared in the horizontal direction for two CRT monitors. |
Keywords | CRT Monitor Resolution Effective Pixel Width Modulation Transfer Function (MTF) |
Publication Title | 岡山大学医療技術短期大学部紀要 |
Published Date | 1992-02-05 |
Volume | volume2 |
Start Page | 81 |
End Page | 88 |
ISSN | 0917-4494 |
language | Japanese |
File Version | publisher |
NAID | 120002313719 |
JaLCDOI | 10.18926/11810 |
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Title Alternative | The Effects of the Introduction of the Video-tape Recorder to Basic Nursing Care Education - The Use of Video-tapes taken at the Practice of Aseptic Handling Technique by Students - |
FullText URL | 002_089_095.pdf |
Author | Ohta, Niwa| Kondo, Masuko| Ikeda, Toshiko| Tokunaga, Junko| Nakanishi, Yoshiko| Nanba, Jun| Takata, Setuko| |
Abstract | The Video-tape recorder was introduced to tape the scene of a preliminary test of students' practice to aseptically handle syringes. These video-tapes taken were released to students to watch and to refer back to for their self-study. Students were consequently divided into four groups on how to utilize the video-tapes. The scores of the preliminary and final test and their differences were statistically compared by the groups. The results suggested that the use of video-tapes is effective for the achievement of skills in delicate techniques of nursing care and especially the utilization upon their own initiative leads to a more successful result. |
Keywords | 無菌操作 VTR 学習効果 |
Publication Title | 岡山大学医療技術短期大学部紀要 |
Published Date | 1992-02-05 |
Volume | volume2 |
Start Page | 89 |
End Page | 95 |
ISSN | 0917-4494 |
language | Japanese |
File Version | publisher |
NAID | 120002313319 |
JaLCDOI | 10.18926/11812 |
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Title Alternative | Factors affecting the decision making to enter nursing course |
FullText URL | 002_097_104.pdf |
Author | Arakawa, Yasuko| Ono, Tsuruko| Ohara, Ruriko| Ito, Hisae| Kitajima, Kouiti| |
Abstract | The shortage of nurses is one of the very important social problems in Japan. This study by questionaire survey was done to reveal the factors affecting the decision making of senior highschool students to enter nursing course. Two handred thirty-four 3-year college students studying in nursing course their 168 parents and 109 highschool teachers responded, and those data were statistically analysed. The results were as follows; 1. Students' choice to the nursing course were done basically by themselves, but were influenced by their parents and highschool teachers. 2. They, highschool students, parents and teachers have little knowledge about nursing job and nursing education on that time. 3. The incease in number of bachelor course to nursing in Japan may have impact on students, their parents and teachers, and it may link with the increase of students aiming to be nurses. |
Keywords | nursing course junior college course guidance |
Publication Title | 岡山大学医療技術短期大学部紀要 |
Published Date | 1992-02-05 |
Volume | volume2 |
Start Page | 97 |
End Page | 104 |
ISSN | 0917-4494 |
language | Japanese |
File Version | publisher |
NAID | 120002314054 |
JaLCDOI | 10.18926/11814 |
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Title Alternative | A Study on Meaning of the Speechs Nursing Student's use in Communication - Analysis of Communication in Roleplaying Exersice - |
FullText URL | 002_105_109.pdf |
Author | Ono, Thuruko| Kawashima, Kazuko| |
Abstract | Role playing of patient-nurse relationship done by nursing student in order to practise communication skills. All the lines spoken by students playing as nurses in seventy-three scenes were analysed and classified by Snyder's categories. The results obtaind were as follows; 1) Average time required to for one scene was 6 minutes 35 seconds, and the speechs by the students average 21.5 time for this time. 2) Lead taking categorise occupied 51.9% of total linse spoken, directive counseling categorise 19.5% and non directive responce to feeling categories 17.4%. Seventy-nine% of lead taking categories were specific type question. 3) When speechs between a patient and nurse progressed well, technique of restatement of content or problem was frequently used, compared to poorly progressed spech. 4) It was concluded that the role playing method is effective for students' learning communication skills. |
Keywords | Communication Skills Roleplaying Exersice Patient-nurse Relationship Snyder's categories Nursing Student |
Publication Title | 岡山大学医療技術短期大学部紀要 |
Published Date | 1992-02-05 |
Volume | volume2 |
Start Page | 105 |
End Page | 109 |
ISSN | 0917-4494 |
language | Japanese |
File Version | publisher |
NAID | 120002313971 |
JaLCDOI | 10.18926/11816 |
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Title Alternative | Mathematics and Mathematics Education |
FullText URL | 002_111_119.pdf |
Author | Takahashi, Yasuji| |
Abstract | With the 17-th century an essentially new period in the development of mathematics began. The circle of quantitative relations and spatial forms of mathematics studied now was no longer exhausted by numbers, quantities and geometric figures. On this basis there resulted the explicit introduction into mathematics of the ideas of motions and change. Being inseparably connected with the needs of natural science, the accumulation of quantitaive relations and spacial forms studied in mathematics was continuously expanding. However, in addition to this quantitative grouth, at the end of the 18-th and the beginning of the 19-th centuries a number of essentially new features were observed in the development of mathematics. The enormous amount of factual material which had been accumulated in the 17-th and 18-th centuries led to the demand for a deep logical analysis and unification of it from a new point of view. In essence, the relationship between mathematics and natural science was no loss close but was now increased in complexity. The majority of new theories arose from internal requirements of mathematics itself. However, the circle of applications to problems of science and technology was greately expanding at this time. In this way, as a result of both the internal requirements of mathematics and the new needs of science and technology, the circle of quantitative relations and spatial forms studied in mathematics was greately expanded: relations between elements of arbitrary groups, operations in function spaces, etc. are now parts of mathematics. In this paper, we are concerned with mathematical thought. Several ideas of great scientists are introduced, and we know the essence of mathematical thought. The power of mathematical thought can be brought up by means of a deep thought. The relationship between mathematical thought and creativity is also studied. |
Keywords | Mathematics Mathematics Education Mathematical Thought Creativity |
Publication Title | 岡山大学医療技術短期大学部紀要 |
Published Date | 1992-02-05 |
Volume | volume2 |
Start Page | 111 |
End Page | 119 |
ISSN | 0917-4494 |
language | Japanese |
File Version | publisher |
NAID | 120002313606 |