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Vital observation on the cellular morphology of the normal human blood cells was conducted by means of bone marrow culture successfully in conjunction with vital staining with Janus green B and neutral red. A special attention was paid for the alterations of the cellular structures in the course of the culture. The findings are summarized as follows : 1) Intracellular particles with affinity to Janus green B or neutral red were classified into minute granules, granules, vacuoles, and mitochondria. Morphologic features of each type of the particles were studied in detail. 2) Two types of granules are present in neutrophilic and eosinophilic blood cells, whereas one type of granules is present in basophilic blood cells. Eosinophilic and basophilic granules show characteristic pole formation in them at the terminal stage of the staining. 3) The rosette formation in the mature monocyte and the aggregations of neutral red vacuoles in the mature neutrophil and the mature lymphocyte were characterized. 4) The cluster of neutral red vacuoles is characteristic of the erythroblast. 5) The mitochondria of the mature neutrophil and the mature monocyte participate in producing neutral red vacuoles.

1) The influence of thyroid secretion upon the induction of leukemia in Dba/2 male mice by methylcholanthrene was investigated. Radiothyroidectomy significantly reduced the incidence of leukemia in these mice. This reduction in incidence did not occur if radiothyroidectomy was performed after the administration of the carcinogen. 2) Data indicated that hypothyroidism following radiothyroidectomy interfered with the initiation rather than the promotion of methylcholanthrene- induced-Ieukemogenesis. 3) No correlation between incidence of leukemia and body weights in the mice was noted.

1. The unsaturated fatty acid fraction (OX) from the liver of irradiated rabbits contains substance which has the same effects as X-ray irradiation on the testicular cells. 2. This substance introduced intravenously causes the degeneration of the germinal cells with the formation of giant cells or multi-nucleated cells and the mitotic abnormalities. 3. The DNA content of the cell also shows the changes exactly identical with that seen after X-ray irradiation. 4. From these results we conclude that the X-ray injury will be mainly due to the production of some toxic substance which is found in the unsaturated fatty acid fraction and severely affects the cells in mitosis and DNA metabolism.

The unsaturated fatty acid fraction extracted from the liver of rabbit irradiated with X-rays exerts a strong cytotoxic effect on human coelothelioma cells and Yoshida sarcoma cells both in vitro and in vivo. The cell damage seems to initiate at the nucleus, finally leading to the complete cytolysis. The inhibiting effect of this substance on the mitosis of Yoshida sarcoma cells can be observed, especially marked from prophase up to metaphase giving almost the same results obtained after X-ray irradiation. From these results and the observations reported by several authors on the cell damage by X-ray irradiation, weshould call special attention to the fact that the essential mechanism of X-ray irradiation can be attributed to the cell toxin produced after the irradiation.

Within the range of our investigations the most important biochemical characteristics in the brain of idiopathic epileptic patients seem to be defect in the production of and the attendant decrease in free amino acids of the brain. On account of these phenomena there seem to occur the acceleration of the ChE activity and a poor utilization of glucose. Of the free amino acids in the brain the combined amount of glutamic acid, glutamine and γ-aminobutyric acid (GABA) will occupy the major portion of the total free amino acids found in brain, and thus diminution in the contents of glutamic acid and GABA in the brain of idopathic epileptic patients has quite an important meaning. At the present stage it is not yet possible to give any definitive answer to the question why such decrease occurs but it is believed that the most urgent problem facing us today is the amino acid metabolism that is associated with glutamic acid and the comparative studies of the amino acid metabolism in the epileptic brain to that in the non-epileptic brain are required. The fact that γ-amino-β-hydroxybutyric acid (GABOB), the substance that suppresses the central excitation, is decreased seems to indicate biochemically the existence of a defect in the processes of excitation in the brain of idiopathic epleptic patients.

1. The results of 245 pleural biopsies perfomed in 108 patients including 219 pleural needle biopsies and 26 pleural open biopsies were reported. The method of pleural biopsy seems to be superior to any other currently available diagnostic procedures for the etiological diagnosis of pleurisy. 2. When the pleural needle biopsy is compared with the pleural open biopsy, the former method has definite advantages over the open biopsy. The pleural needle biopsy is simple, repeatable and has almost no complication. The method of pleural needle biopsy is the initial method of choice as Donohoe correctly stated and should be employed in every cases of the pleurisy to confirm the etiological diagnosis. The open biopsy should be reserved only for those cases in whom the needle biopsy had not proved satisfactory. 3. Utilizing the method of needle biopsy, the pathological diagnosis was made in 86 per cent of our cases at the initial biopsy. By repeated needle biopsies, the results have improved to 91-92 per cent. 4. Most of the failures of the pleural needle biopsy were noted at the early stage of the study due to the unfamiliarity of the biopsy technique and later due to the incooperation of the patients. 5. The presence of the free pleural fluid serves as a convenient guide for the performance of the needle biopsy but successful needle biopsy was easily done without presence of pleural fluid when there is adequate pleural thickening. 6. 63-75 per cent of our diagnosed cases were proved to have granulomatous pleuritis, 13-31 per cent non-specific pleuritis and 5.4-5.8 per cent eosinophilic pleuritis due to paragonomiasis. The distribution of this pathological diagnosis seems to reflect quite well the actual picture of incidences of pleurisy of various different etiology in young adults in Korea. 7. The relationship of the success in obtaining adequate tissue by needle biopsy and interval between onset of symptom and biopsy was discussed. It was found that the interval has no significant effect on the production of adequate tissue by needle biopsy if the time elapsed is 4 weeks or more from the onset of symptom. 8. The significance of the pathological findings of ranulomatous pleuritis at one biopsy and non-specific pleuritis at another biopsy in the same patient was discussed. It is concluded that the single finding of nonspecific pleuritis at one needle biopsy cannot rule out the presence of granulomatous pleuritis and it is recommended that pleural biopsy be repeated whenever necessary. 9. The diagnostic significance of the chemical analysis of the pleural fluid was discussed in correlation with the results of the pleural needle biopsies. It is concluded that the number of examinations are not quite sufficient to draw any definite conclusion at the present stage of our study. 10. The finding of sanguinous pleural fluid in the patient of granulomatous pleuritis is quite high (72.7 %) and it was found that the sanguinous pleural fluid was most frequently found in the patients with granulomatous pleuritis in non-cancerous age. 11. Two groups of pleurisy patients with or without parenchymal lung lesion on chest X-ray were discussed in correlation with the results of the needle biopsy. It was found that the incidence of the pathological evidence of granulomatous inflammation on the biopsy specimens in these two groups is almost the same regardless of the presence of the demonstrable parenchymal lung lesion. 12. Histopathological finding of granulomatous pleuritis was discussed in conjunction with the significance of two types of tubercles, the soft tubercles and hard tubercles. In all specimens diagnosed as granulomatous pleuritis granulomas were demonstrated ranging from large, conglomerate tubercles with central caseation or giant cells to small granulomas without central caseation or Langhans' giant cells. 13. Histopathological significance of the finding of non-specific pleuritis on the biopsy specimens was discussed and the existence of a specific entity of "non-specific pleuritis" which is equivalent to the non-specific inflammation of the pericardium. 14. Cases of pleurisy due to paragonomiasis were discussed and the need of specific attention for search of new cases was emphasized.

From the immunological study of the soluble protein fractions extracted from the normal human placenta as well as from the placenta in pregnancy toxemia, the author has clearly shown the presence of specific antigenic protein in these protein fractions which can not be found in the serum proteins of non-pregnant woman, and that this specific protein is contained only in the globulin fractions of placenta but not in the albumin ractions.

According to BUCHTHAL the histogram of duration and voltage from the motor unit of biceps brachii muscles gives only one peak respectively as can be seen in Fig. 14 in his paper which reports the data covering the experiment on 1,268 motor units. However, his histogram seems to be made of the spikes led off from several motor units because the histogram shows no much fluctuations in voltage as 50μV to 1,000μV and in duration as 1 msec to 20 msec. Therefore, if observations are actually based on a single motor unit, two peaks may reasonably be expected on the histogram, because two kinds of the motor units, kinetic (phasic) and tonic, have respective individual characteristics of their own shikes The histological observation shows that many white and red muscle fibers are intermingled with each other even in one single fasciculus, and it is supposed that the fasciculus does not correspond to a single motor unit. Moreover, the shape of the spikes, which was formerly considered as a motor unit, is not a pure diphasic form, but irregular and polyphasic ones, and also electromyographically a single motor unit controls the area of more than 10mm in width (BUCHTHAL). From these facts, it is probable that the histogram by BUCHTHAL was made of the spikes composed of muscle fibers belonging to several different motor units. Our observations done by the above stated method showed clearly the pure diphasic spikes. Therefore, we are of the opinion that these spikes obtained by our method are led off from only one or from a few muscle fibers belonging to the same motor unit. These spikes are lower than 550μV in voltage and shorter than 5.5 msec in duration and every individual spikes show uniform diphasic pattern. There exist two kinds of spike groups, in the histogram one which is composed of high voltage with short duration (1.0-1.5 msec.), and the other of low voltage with long duration (2.0-4.0msec.). The former may be of kinetic (phasic) motor unit and the latter is of tonic motor unit, because the white muscle fibers with a larger diameter may have a higher voltage than the red and the white fibers that perform rapid contraction may show shorter duration in wave form. In the two cases having spinal cord tumors, two kinds of spikes with respective and individual characteristics were observed in the same EMG. These will be two different kinds, kinetic (phasic) and tonic motor units. In the case of amyotrophic lateral sclerosis, two kinds of spikes appeared, but since both of them were of short duration, they might be considered to be of kinetic (phasic) motor unit (or its intermediate motor unit). Furthermore, since its histological findings revealed that the red muscle fibers were all atrophied and degenerated and showd only white muscle fibers to be normal, it is obvious that the kinetic (phasic) motor unit with a shorter duration is derived from white muscle fibers. Therefore, in our opinion the widely accepted concept that spikes including even irregular wave forms all belong to the motor unit seems not to be true, but these spikes seem to represent a combination of several pure spikes though not so many, and those muscle fibers belonging to the same motor unit appear to be intermingling themselves in a relatively wide area. The reason for this contention may be explained as follows. If the muscle fibers belonging to the same motor unit were agglomerated, clearcut diphasic spikes should appear even with a fairly big electrode, and if the accepted concept be true, these spikes can never be picked up at the distance so far apart as 2.0cm. or 2.5cm. (0.5-1.2cm. by BUCHTHAL) as has been possible in our experiments. Furthermore, the histogram composed only of these pure spikes reveals two peaks, and therefore, we believe it is reasonable to say that these two peaks indicate the existence of kinetic (phasic) and tonic motor units. As a small number of motor units located in between these two peaks can be recognized, these are believed to be the muscle fibers possessing an intermediate stainability as revealed in the histological examination. However, further studies are required before giving any definitive conclusion on this point.

By the repeated injection of RNase into mice the histological, cytochemical and electronmicroscope observations of several tissues and the quantitative estimation of DNA contents per cell in liver have been conducted. The observations proved that the most marked changes occur in basophilia, ER (endoplasmic reticulum) and Palade's granules; the dissociation of the granules from ER and their agglomeration, and the final disappearance of the granules and ER. The increase of the granules in number surrounding the nucleus seen in liver cells and the appearance of the ring form ER in the pancreatic exocrine cells and its development from the nuclear membrane have been traced morphologically and these are comprehended as the regenerating picture of ER and granules from the nuclear outer membrane. DNA contents in liver cell increase in the early stage and decrease to the normal level in the later stage. The former is attributed to the cessation of mitosis by the damage of cell center without interference on DNA synthesis and the latter to the disappearance of the cells of tetraproidy by degeneration.

1. Adrenalin, when acting directly on eosinophils, brings about a diminution in the wandering velocity of eosinophils but it has no influence on the number of the cells. Judging from the movement patterns of eosinophils this drug acts as to impede the motive function. 2. Acting directly on eosinophils, cortisone markedly decreases the wandering velocity of these cells and also brings about the diminution in the number of the cells. Likewise from the movement patterns of eosinophils, this drug markedly impedes the motive function of the cells. 3. ACTH (adrenocorticotropic hormone), when acting directly on eosinophils, enhances the wandering velocity of eosinophils but it in no way affects the number of eosinophils. Judging from the eosinophil movement patterns, this drug markedly promotes the motive function. 4. Although adrenalin brings about a decrease in the number of peripheral eosinophils in hypophysectomized dogs, the rate of the decrease is less than that observable in the case of normal dogs. 5. Cortisone brings about no significant change in the number of peripheral eosinophils in hypophysectomized dogs, but is induces a decrease in peripheral eosinophils of normal dogs. 6. ACTH acts as to decrease the number of peripheral eosinophils to an equal. degree in both hypophysectomized and normal dogs. 7. When cortisone is administered simultaneously with Adrex, a marked decrease in peripheral eosinophils is brought about in hypophysectomized dogs. 8. By means of the bone-marrow tissue culture of hypophysectomized dogs it has been confirmed that the blood plasma of hypophysectomized dogs lacks an essential factor for cortisone to induce eosinopenia in perpheral blood. 9. The decrease in eosinophils of peripheral blood induced by cortisone has been proved to be dependent upon the presence or absence of the pituitary body. 10. Taking the decrease in peripheral eosinophils by cortisone administration as the criterion, the author has carried out clinical observations with this method and obtained anticipated results.

The serum iron contents and the number of sideroblasts from various patients and the radioactivity of erythroblasts from the same patients incubated with Fe55 have been observed. The results have proved that in the case with accelerated erythropoietic function like polycythemia vera and in the iron deficient state like idiopathic hypochromic anemia, the serum iron level and the number of sideroblast are lower than those in normal persons and higher in radioactivity in erythroblasts, whereas in the case with low erythropoietic function like hypoplastic anemia the former values are higher and lower in radioactivity of erythroblasts. There is an inverse correlation between the average number of stainable iron granules and the average rate of radioactive iron appearance in erythroblasts, and the observation on these factors will give an important clue for judging the utilization process of iron in each disease. The limitation of the iron uptake correlating with the hemoglobin synthesis have been discussed.

On the median nerve trunk-heart muscle preparation of Limulus the authors studied the effects of atropine and acetylcholine upon the pace maker ganglion cells. The results are summarized as follows: (1) Atropine exerts an excitatory action on the pace maker ganglion cells in a concentration of 1-2 per cent. resulting in an increase of the heart rate. No effect is recognized on the heart beats, where the drug is applied to the heart muscle. (2) Acetylcholine exerts an excitatory action in a lower concentration (0.001-0.10 %) and produces a transitory excitation followed by an inhibition in a higher concentration (1-5 %). No effect is perceptible on the heart beats, when the drug is applied to the heart muscle. (3) Where atropine has been previously applied to the median nerve trunk, acetylcholine applied to the same spot produces always an inhibition of the heart beats. Conversely, when the ganglion cells activated previously by acetylcholine, a subsequent administration of atropine suppresses the activity of the ganglion cells, resulting in an inhibition of the heart beats.

The vector electrocardiographic method was applied on 126 healthy young Korean adults without any evidence of cardiac diseases. The range of the age of the subjects were between 19 and 34. The normal values of the magnitude and direction of the mean QRS, T, P vectors, ventricular gradient and QRS-T angle in frontal plane were presented and discussed in comparison with those previously reported in the literature. Considering the age of the subjects under study, our results were in general agreement with those previously reported by other authors.

The following conclusions were arrived at on the terminal distribution of the hepatic artery and its microscopical structures in the experiments conducted with the livers from human adult, fetus, dogs and toads, to which were given plastics, Indian ink and Indian-ink shock injections into their hepatic blood vessels. 1. There are arterial anastomotic networks of vasa vasorum in the portal wall. 2. The intralobular arterioles (Elias) and the extralobular arterioles (WEATHERFORD) often arise as direct branches without passing through the periductal arteriolar plexus. In the peripheral zone of the liver, this constitutes the main type of origin. 3. Besides the anastomoses between the intralobular arterioles of the adjacent lobules (Fig. 5), the periductal arteriolar plexus of the bile ducts to the neighboring lobules are interconnected by arterial branches surrounding the interlobular vein ("neighboring arteriolar anastomoses" by the author) (Figs. 2, 5). 4. The terminal arterioles reveal a curve and an isthmus (Figs. 1, 3, 5), where they are supposed to have epithelioid cells in the media. 5. The hepatic vein wall is supplied by the branches of the internal thoracic and phrenic arteries. These anastomose with the interlobular arteries in the interdigitation area of vessels. 6. In the toad the terminal distribution is of a simpler form, in which the arterial capillaries, with an S or a parabolic curve, being constricted by the marginal hepatic cells, join the sinusoid in capillary form. 7. In human fetus of the middle stage (Figs. 6, 7), most of the terminal arterial capillaries open directly to the interlobular hemopoietic tissue, and from there the blood flows into the sinusoid. The precapillaries have an S curve and an isthmus, where they have 3 or 4 primordial epithelioid cells. In other portion, the precapillaries form endothelial canals with little adventitia and open infundibularly to the hemopoietic tissue. These have been proved by the Indian-ink shock injection method. 8. In the fetus of the later stage (Figs. 8-11), with the reduction of interlobular hemopoietic tissue, its arterial branches become fewer, and many branches are connected directly to the hepatic sinusoid. They form a sharper S curve and an isthmus, where 4 or 5 epithelioid cells are differentiated. The arterial terminal branches are precapillaries of endothelial canals having little adventitia and no media muscle. 9. The subcapsular branches of the peripheral interlobular arteries anastomose with one another. Besides these, subcapsular branches come around the hilar region from the hepatic artery, furthermore some are derived from the biliary, inner thoracic, diaphragmatic, intercostal, subcostal, suprarenal and renal arteries. Anastomoses are found between all the subcapsular branches of different origins.

Electronmicroscope pictures of the thin sections of the shell of an ovum of Capillaria hepatica have been demonstrated. The shell is of two layers, an outer one with holes and an inner thick one. The inner layer is composed of several opaque sublapes 2 to 3 microns in width. The plug is 4 to 6 microns in diameter and has a granular zone near the outer surface.

Electron microscopic structures of the egg shell and the plug of the ova of Trichuris vulpis have been demonstrated. The shell is of one thick membrane of about 4 microns in thickness and consisted of several opaque and less opaque layers arranged in parallel and alternatively. The plug is of transparent substance having opaque limiting membrance on the surface and being consisted of meshwork of microfibrils.

To reveal the mechanism of liver damage by taking CCl4 the author observed the liver tissues from rats at 1.5, 5, 6, 10, 17, 20, and 22 hours after the CCl4 administration, both by light microscope and electron-microscope. 1. Light microscope observation revealed the swelling of liver cells in the carly stage, the appearance of centrolobular fatty degeneration, focal degeneration area and the appearance of balloon cells, with the circulatory disturbances in accompanying stages and hemorrhage in the later stage. 2. Electron-microscope observation revealed the swelling of mitochondria, appearance of the files of thin ER's in the early stage and the regeneration and degeneration of mitochondria with an increase of microbodies in number. Fat droplets are developed from small ones probably from some microbodies without correlation with mitochondria. 3. From these observations the author is of the opinion that CCl4 arrests the cells at first inducing the swelling of cells and their mitochondria, but later the degenerative changes will become severe being complicated by the anoxia which is induced by the circulatory disturbances caused by the compression of vessels with the swollen cells.

The soluble protein, whole soluble protein, globulin and albumin fraction from human placenta, both normal and toxemic, have been introduced repeatedly into normal and pregnant rabbits and histological changes in the liver were observed. The striking changes in the liver have been induced by treating the animals with the globulin fraction and histologic pictures suggest that the toxemic liver damage is of allergic nature.

1. After spinal transection at the medulla-spinal junction the thoracic respiratory movements no longer appear in the adult animals, nevertheless the sporadic spike discharges can be recorded from the intercostal muscles. 2. Both in the acute and chronic experiments the spinal cord is transected at the two levels of Th7 and Thl1 respectively and all the dorsal rootlets coming into that part of the cord lying between the transections are severed. The sporadic spike discharges with irregular intervals varying about 0.5 to 3.0 sec. can be recorded from intercostal muscles in the 8th to 10th segments of the spinal cord isolated. There can never be found any reflex influence of the skin stimulation upon the discharges, which also disappear provided the intercostal nerves innervating the muscles are severed. 3. From these results it may be concluded that the spinal cord is endowed with an ability to initiate the impulses autochthonously to excite the intercostal muscles, even though it is only poorly developed in the adult animals.

Caryophyllaeidae Claus, 1879 1. Glaridacris limnodrili Yamaguti, 1934 Bothriocephalidae Blanchard, 1849 2. Bothriocephalus fluviatilis n. sp. 3. B. lateolabracis n. sp. 4. B. branchiostegi n. sp. 5. B. acheilognathi Yamaguti, 1934 6. B. brotulae n. sp. 7. B. apogonis n. sp. 8. Oncodiscus sauridae Yamaguti, 1934 9. Glossobothrium nipponicum n. g., n. sp. Amphicotylidae Ariola, 1899 10. Amphicotyle quinquarii n. sp. 11. Eubothrioides lamellatus n. g., n. sp. Phyllobothriidae Braun, 1900 12. Phyllobothrium triacis n. sp. 13. P. filiforme n. sp. 14. P. serratum n. sp. 15. P. laciniatum (Linton, 1889) 16. P. loculatum n. sp. 17. P. squali n. sp. 18. P. lactuca van Beneden, 1850 19. Anthobothrium rajae n. sp. 20. A. pteroplateae n. sp. 21. A. bifidum n. sp. 22. A. parvum Stossich, 1895 23. Orygmatobothrium musteli (van Beneden, 1850) 24. O. versatile Die3ing, 1854 25. Monorygma megacotyla n. sp. 26. Pithophorus vulpeculae n. sp. 27. Echeneibothrium bifidum n. sp. 28. E. tobijei Yamaguti, 1934 29. Marsupiobothrium alopias n. g ., n. sp. 30. Dinobothrium spinulosum n. sp. 31. Gastrolecithus planus (Linton, 1922) n. g. Onchobothriidae Braun, 1900 32. Acanthobothrium triads n. sp. 33. A. micracantha n. sp. 34. A. latum n. sp. 35. A. gracile n. sp. 36. A. dasybati Yamaguti, 1934 37. A. ijimai Yoshida, 1917 38. A. grandiceps n. sp. 39. Calliobothrium verticillatum (Rud., 1819) van Bened., 1850 40. Platybothrium auriculatum n. sp. 41. P. musteli n. sp. Aberrant Tetraphyllidea 42. Pelichnibothrium speciosum Montic., 1889 43. Discobothrium japonicum Yamaguti, 1934 Tentaculariidae Poche, 1926 44. Nyelinia manazo n. sp. 45. N. sphyrnae n. sp. Floricipitidae Dollfus, 1929 46. Floriceps uncinatus (Linton, 1924) Tetrarhynchidean larvae 47. Pintneriella musculicola Yamaguti. 1934 48. Microbothriorhynchus coelorhynchi n. g., n. sp. 49. Oncomegas wageneri (Linton, 1890) 50. Pterobothrium chaeturichthydis n. sp. 51. P. hira n. sp. 52. Callotetrarhynchus speciosus (Linton, 1897) 53. Symbothriorhynchus uranoscopi n. g., n. sp. 54. Nybelinia anguillae n. sp. 55. N. nipponica n. sp. 56. Otobothrium dipsacum Linton, 1897