JaLCDOI 10.18926/11786
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 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|
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
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
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
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
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
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
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
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
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
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
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
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
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
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