PEDIATRIC CARDIOLOGY and CARDIAC SURGERY VOL. 24 NO. 5 ( ) Electrophysiological Studies and Radiofrequency Catheter Ablation before Total Cavo-p

Size: px
Start display at page:

Download "PEDIATRIC CARDIOLOGY and CARDIAC SURGERY VOL. 24 NO. 5 ( ) Electrophysiological Studies and Radiofrequency Catheter Ablation before Total Cavo-p"

Transcription

1 PEDIATRIC CARDIOLOGY and CARDIAC SURGERY VOL. 24 NO. 5 ( ) Electrophysiological Studies and Radiofrequency Catheter Ablation before Total Cavo-pulmonary Connection in Patients with Complex Congenital Heart Disease Keiko Toyohara, Yo Kajiyama, Jun Yoshimoto, Hitoo Fukuhara, and Yoshihide Nakamura Department of Pediatric Cardiology, Japanese Red Cross Society, Wakayama Medical Center, Wakayama, Japan Objectives: We characterized the mechanism of supraventricular tachycardia (SVT) in patients scheduled for total cavo-pulmonary connection (TCPC) and evaluated the outcome of preoperative electrophysiological studies (EPS) and radiofrequency catheter ablation (RFCA). Patients and methods: We performed EPS in 16 patients who had a history of SVT and were suspected of having an anatomic arrhythmogenic substrate (i.e., an anatomical anomaly causing tachycardia). Results: We were unable to induce supraventricular tachycardia in four patients. In 11 of 12 other patients ablation was successful; five patients had reciprocating tachycardia and twin atrioventricular nodes (twin AVNs), four had WPW syndrome, two had atrial tachycardia (AT), and atrial flutter (AFL) developed in one. Junctional tachycardia (JT) was documented clinically or during surgery in three cases with right isomerism. In 11 patients with RFCA, five patients underwent TCPC. In five patients, four did not have SVT during or after TCPC. Conclusion: EPS are essential for complete arrhythmic evaluation before TCPC. After successful RFCA, patients, especially those with right isomerism, may still develop JT during and after the TCPC procedure. Total cavo-pulmonary connection TCPC EPSRFCA TCPC 16 4 EPS EPS12 2 twin AVNs 5 WPW 4 AT 2 1 AT 1 11 RFCA JT 3 RFCA 11 TCPC 5 4 TCPC EPS RFCA JT TCPC TCPC

2 TCPC EPS Table kg12kg heterotaxy syndrome heterotaxy 10 atrioventricular discordance AVD atrio-pulmonary connection APCTCPC conversion 7 APC TCPC EPS16 Fig. 1 4 heterotaxy 3 AVD 1 EPS2 case 1 2 WPW Fig. 2 case 1 His fasciculo-ventricular-fiber FVF 2 case 3 4 case 3 case 4 overdrive EPS RFCA 2 5 heterotaxy 4 AVD 1 2 His 2 sling 2 sling 4 case case case 8 RFCA 3 3 case msec 1 case 8 340msec 200msec RFCA 4 RFCA sling 1 case 9 heterotaxy RFCA Fig. 3 heterotaxy 4 AVD Fig. 1 5 TCPC 3 heterotaxy 1 AVD 1 TCPC heterotaxy 1 case 5 TCPC JT JT RFCA JTTCPC 2 heterotaxy 1 case / JT Fig. 4 WPW 4 2 AVD TCPC 2 AT 2 1 heterotaxy case 14 ATP 0.1mg/kg Fig. 5 2 His 4 His RFCA bidirectional cavo-pulmonary shunt BCPS EPS AT BCPS 140 JT 1 AT EPS AT EPS RFCA

3 622 Table 1 Patient characteristics case tachycardia age (months) weight (kg) morphology RFCA target of RFCA palliation condition JT 1 - none (FVF) RI, {A,L,D}, MA, DORV TCPC none (FVF) RI, {A,X,X}, SV, SA, CAVC, PA - - bil.bts + UF TCPC - 3 P none {S,X,A}, DILV, PS - - PAB pre BCPS - 4 P none {S,L,L}, DORV, PS - - BCPS pre TCPC - 5 P AVRT (twin AVNs) RI, {A,L,L},CAVC, DORV, PS, TAPVC + ant.avn BCPS TCPC + 6 C AVRT (twin AVNs) RI, {A,L,L}, CAVC, PA + ant.avn BCPS pre TCPC + 7 P AVRT (twin AVNs) {I,D,D}, VSD, PS + ant.avn BCPS TCPC - 8 P AVRT (twin AVNs) LI, {I,D,D}, CAVC, PA + ant.avn BCPS TCPC - 9 P AVNRT (twin AVNs) RI, {A,L,L}, CAVC + post.avn BCPS pre TCPC - 10 C WPW {S,L,L}, DORV, PS + AP (LL) lt.bt TCPC - 11 C WPW {S,L,X}, DORV, PS + AP (LP) bil.bts TCPC - 12 C WPW {S,D,D}, DIRV, PS + AP (LP) CS pre TCPC - 13 C WPW 17y* 46.8 {S,D,D}, DORV, straddling TV + AP (LA) BCPS, TVP pre TCPC - 14 P AT RI, {A,L,L}, CAVC, PA, TAPVC + CAVC LL bil.bts + TAPVC repair pre TCPC + 15 C AT RI, {A,X,X}, SV, SA, CAVC, PA + ** - bil.bts pre BCPS - 16 C AFL RI, {A,X,D}, SV, SA, CAVC, PS + IVC-TV isthmus BCPS pre TCPC - JT: junctional tachycardia, FVF: fasciculo-ventricular-fiber, AVRT: atrioventricular reentrant tachycardia, AVNRT: atrioventricular nodal reentrant tachycardia, AT: atrial tachycardia, AFL: atrial flutter, P: tachycardia in early post-palliative operation and/or during catheter examination, C: clinical tachycardia, y*: years, + **: failure RI: right isomerism, MA: mitral atresia, DORV: double-outlet right ventricle, SV: single ventricle, SA: single atrium, CAVC: common atrio-ventricular canal, PA: pulmonary atresia, DILV: double-inlet left ventricle, PS: pulmonary stenosis, LI: left isomerism, TAPVC: total anomalous pulmonary venous connection, TV: tricuspid valve, ant.avn: anterior atrioventricular node, post.avn: posterior atrioventricular node, AP: accessory pathway, LL: left lateral, LP: left posterior, LA: left anterior, IVC: inferior vena cava, BT: Blalock-Taussig shunt, UF: unifocalization, PAB: pulmonary artery banding, BCPS: bidirectional cavo-pulmonary shunt

4 623 twin AVNs 5 (heterotaxy 4, AVD 1) WPW 4 (AVD 2) AT 2 (heterotaxy 2) AFL 1 (heterotaxy 1) EPS 4 (heterotaxy 3, AVD 1) C = 1 P = 4 C = 4 RFCA (+) 1 RFCA ( ) 1 RFCA FVF 2 JT 2 heterotaxy 2 (heterotaxy 1, AVD 1) RFCA 5 RFCA 4 EPS before BCPS No recurrence pre TCPC pre TCPC TCPC 2 pre TCPC 2 No recurrence No recurrence TCPC 3 JT (+) 1 ( ) 2 pre TCPC 2 JT (+) 1 ( ) 1 TCPC 2 pre TCPC 2 JT at BCPS pre TCPC Fig. 1 Clinical course in each case. P: tachycardia in early post-palliative operation and/or during catheter examination, C: clinical tachycardia A B Fig. 2 Two ECGs in case 1. A: sinus rhythm, B: HRA overdrive: delta waves were unchanged. ECG: electrocardiogram 1 heterotaxyrfca RFCA 11 TCPC case 5 JT JT TCPCTCPC

5 624 case 5 case 6 case 7 A P RAO 55 RVG A P LVG A P case 8 case 9 A P case 5-8: twin AVNs with sling case 9: AVNRT in post.avn AVN targeted for RFCA case 5, 7, 8, 9: CAVC Fig. 3 Schema of re-entrant pathway of tachycardia in each case with twin AVNs. Asterisks represent AVNs, i.e., His potential recording sites. Dotted circles show common atrioventricular annulus. Dotted lines represent slings between two AVNs. White arrows act as anterograde limbs, black arrows act as retrograde limbs in AVRT. The curved arrows and black asterisk in case 9 show AVNRT. We targeted the AVNs shown with black asterisks. In patients with heterotaxy and a common AV valve, anterior and posterior AVNs exist either on the anterior and posterior sides or on the lateral and posterior sides of the common AV valve. In a patient with AV discordance (I,D,D), an anterior AVN existed on the anterior side by the mitral valve, and a posterior AVN existed on the posterior side by the tricuspid valve. heterotaxy heterotaxy AVD twin AVNs TCPC TCPC EPS 4 heterotaxy 3 AVD 1 FVF heterotaxy 2 TCPC EPS 2 TCPC WPWAVD heterotaxy WPWEbstein AVDheterotaxy 8 WPW RFCA TCPC 2 heterotaxytwin AVNs twin AVNs TCPC heterotaxy AVD twin AVNs QRS TCPC EPS heterotaxy sling twin AVNs l-loop twin AVNs 9 twin AVNs EPS Bae Fontan 52 EPS

6 625 A B C D E F G Fig. 4 A-C: Three ECGs in case 6. E-G: Schema of conduction from AVN (asterisk) to ventricle in relation to each ECG. A, B: Baseline ECGs showing two different QRS complexes, QS pattern (A), RS pattern (B). C: ECG during induced supraventricular tachycardia with the same QRS complex as demonstrated in panel A. We targeted the anterior AVN (the black asterisk) as the retrograde limb in the tachycardia. D: ECG during clinical JT with VA dissociation (arrows represent P waves) after RFCA with the same QRS complex as demonstrated in panel A, and C QRS sling JT 7 2 Bae Fontan

7 626 His RFCA His A B C Fig. 5 A: ECG during induced atrial tachycardia in case 14. B: Activation map during AT and successful ablation. C: Intracardiac electrogram. Dotted circle shows successful ablation site with the earliest fragmentation potential. atypical JT 10 III heterotaxy twin AVNs JT His 11 twin AVNs 5 2 JT RFCA RFCA 1 TCPC 1 JT JT sling 2 AVRT JT JT RFCA modification 12 RFCA RFCA RFCA AVRT JT twin AVNs RFCA AT 1 RFCA BCPS EPS BCPS JT sling twin AVNsJT

8 627 TCPC RFCA EPS 1 Stamm C, Friehs I, Duebener LF, et al: Improving results of the modified Fontan operation in patients with heterotaxy syndrome. Ann Thorac Surg 2002; : Wu MH, Lin JL, Wang JK, et al: Electrophysiological properties of dual atrioventricular nodes in patients with right atrial isomerism. Br Heart J 1995; : Epstein MR, Saul JP, Weindling SN, et al: Atrioventricular reciprocating tachycardia involving twin atrioventricular nodes in patients with complex congenital heart disease. J Cardiovasc Electrophysiol 2001; : Bae EJ, Noh CI, Choi JY, et al: Twin AV node and induced supraventricular tachycardia in Fontan palliation patients. Pacing Clin Electrophysiol 2005; : Walsh EP: Arrhythmias in patients with congenital heart disease. Card Electrophysiol Rev 2002; : Ohuchi H, Miyazaki A, Watanabe T, et al: Hemodynamic deterioration during simulated supraventricular tachycardia in patients after the Fontan operation. Int J Cardiol 2007; : Nakagawa H, Shah N, Matsudaira K, et al: Characterization of reentrant circuit in macroreentrant right atrial tachycardia after surgical repair of congenital heart disease: Isolated channels between scar allow focal ablation. Circulation 2001; : Chetaille P, Walsh EP, Triedman JK: Outcomes of radiofrequency catheter ablation of atrioventricular reciprocating tachycardia in patients with congenital heart disease. Heart Rhythm 2004; : Dickinson DF, Wilkinson JL, Anderson KR, et al: The cardiac conduction system in situs ambiguus. Circulation 1979; : Bae EJ, Noh CI, Choi JY, et al: Late occurrence of adenosinesensitive focal junctional tachycardia in complex congenital heart disease. J Interv Card Electrophysiol 2005; : Ih S, Fukuda K, Okada R, et al: The location and course of the atrioventricular conduction system in common atrioventricular orifice and in its related anomalies with transposition of the great arteries A histopathological study of six cases. Jpn Circ J 1983; : Fishberger SB, Rossi AF, Messina JJ, et al: Successful radiofrequency catheter ablation of congenital junctional ectopic tachycardia with preservation of atrioventricular conduction in a 9-month-old infant. Pacing Clin Electrophysiol 1998; :

特別寄稿 PEDIATRIC CARDIOLOGY and CARDIAC SURGERY VOL. 26 NO. 4 ( ) Prospect of Pediatric Cardiac Surgery 50 年を振り返って Key word: prospect of pediatric

特別寄稿 PEDIATRIC CARDIOLOGY and CARDIAC SURGERY VOL. 26 NO. 4 ( ) Prospect of Pediatric Cardiac Surgery 50 年を振り返って Key word: prospect of pediatric 特別寄稿 PEDIATRIC CARDIOLOGY and CARDIAC SURGERY VOL. 26 NO. 4 (274 279) Prospect of Pediatric Cardiac Surgery 50 年を振り返って Key word: prospect of pediatric cardiac surgery, tetralogy of Fallot, single ventricle,

More information

B : Total Cavo-Pulmonary Connection (TCPC) 1) Fontan F, Mounicot FB, Baudet E, Simonneau J, Gordo J, Gouffrant JM : ["Correction" of tricuspid atresia. 2 cases "corrected" using a new surgical technic].

More information

22...J.e.A.u.Q01-07_.O.t

22...J.e.A.u.Q01-07_.O.t 113:00~14:00 The Value of Electrogram Analyses in Defining Arrhythmia Mechanisms-Implications for Catheter Ablation Melvin M. Scheinman University of California San Francisco, USA 1 112:00~13:00 Next Generation

More information

Symposium 46 I I II II III III 1 12 54/ narrow QRS tachycardia 139/ P V1 HIS 5 6 HIS 3 4 HIS 1 2 CS 9 10 CS 7 8 CS 5 6 CS 3 4 CS 1 2 RV 3 4 RV 1 2 100

Symposium 46 I I II II III III 1 12 54/ narrow QRS tachycardia 139/ P V1 HIS 5 6 HIS 3 4 HIS 1 2 CS 9 10 CS 7 8 CS 5 6 CS 3 4 CS 1 2 RV 3 4 RV 1 2 100 Symposium 46 Inappropriate Sinus Tachycardia1 inappropriate sinus tachycardiaistp 100/ 1 IST 2 IST IST atrio ventricular nodal reentrant tachycardiavnrt IST 1 26 2011 24 2013 2013 7 54/ 1 narrow QRS 139/aVFP1

More information

高周波カテーテルアブレーションで根治した薬剤抵抗性潜在性右前中隔副伝導路の10カ月乳児例 第28巻02号0136頁

高周波カテーテルアブレーションで根治した薬剤抵抗性潜在性右前中隔副伝導路の10カ月乳児例 第28巻02号0136頁 症例報告 PEDIATRIC CARDIOLOGY and CARDIAC SURGERY VOL. 28 NO. 2 (136 142) 高周波カテーテルアブレーションで根治した薬剤抵抗性潜在性右前中隔副伝導路の 10 カ月乳児例 藤田修平 1), 中村太地 1), 臼田和生 2) 3), 渡辺一洋 市田蕗子 3) 1), 畑崎喜芳 富山県立中央病院小児科 1), 富山県立中央病院内科循環器 2),

More information

1315 (15)

1315 (15) (14) 1315 (15) 1316 (16) 1317 (17) 1318 (18) 1319 (19) 1320 (20) 1321 (21) 1322 quinidine, disopyramide, and procainamide in isolated atrial myocytes : Mediation by 2) Inoue H, et al: Effects of pentisomide

More information

”RŠœ15-3 #50 ‘¬’X 4“Z+

”RŠœ15-3 #50 ‘¬’X 4“Z+ 15 3 45 57 2000 QOL 1950 Cardiac Arrhythmia Suppression Trial 10 WPW 1 10 1990 1996 409-3898 1110 2000 5 23 2000 6 2 4 46 2 2 3 2 1 1 3 3 40 1 10 6 12 Cardiac Arrhythmia Suppression Trial CAST 4 1 3 CAST

More information

P. 1 P9. Introducer P10. ) ) 2 P11. 1 P12. polytetrafluoroethylene 1 P13. P14. P15. 1 P16. twiddler syndrome 1 P1. h 141

P. 1 P9. Introducer P10. ) ) 2 P11. 1 P12. polytetrafluoroethylene 1 P13. P14. P15. 1 P16. twiddler syndrome 1 P1. h 141 ) ) A 1 ) ) P1. AAI ME P2. DDD MR HOCM 1 P3. middle cardiac vein P4. MRSA P5. ) P6. 319 1 P. 1 14:30 15:30 140 P. 1 P9. Introducer P10. ) ) 2 P11. 1 P12. polytetrafluoroethylene 1 P13. P14. P15. 1 P16.

More information

PROGRAM【J】.fm

PROGRAM【J】.fm プログラム 1 27 1 [2F 一橋講堂 ] 9:00 9:10 9:10 10:40 1 S1-1 Ebstein Cone S1-2 S1-3 Fontan TCPC conversion S1-4 S1-5 Optimal timing of pulmonary valve replacement in repaired Tetralogy of Fallot: Review of our

More information

CHEMOTHERAPY JUNE 1993 Table 1. Background of patients in pharmacokinetic study

CHEMOTHERAPY JUNE 1993 Table 1. Background of patients in pharmacokinetic study CHEMOTHERAPY JUNE 1993 Table 1. Background of patients in pharmacokinetic study VOL. 41 S 1 Table 2. Levels (Đg/ml or Đg/g) of S-1006 in serum, bile, and tissue (gallbladder) after oral administration

More information

Arthroscopic Treatment for Painful Bennett Lesions of the Shoulder in Baseball Players by M. Yoneda and K. Hayashida Department of Orthopaedic Surgery

Arthroscopic Treatment for Painful Bennett Lesions of the Shoulder in Baseball Players by M. Yoneda and K. Hayashida Department of Orthopaedic Surgery Arthroscopic Treatment for Painful Bennett Lesions of the Shoulder in Baseball Players by M. Yoneda and K. Hayashida Department of Orthopaedic Surgery, Osaka Kosei-Nenkin Hospital K. Izawa and S. Wakitani

More information

日本職業・災害医学会会誌第51巻第5号

日本職業・災害医学会会誌第51巻第5号 Reprint request: TREATMENT FOR CALCANEAL FRACTURE Yumiko ISHIBASHI, Hiroshi HIEDA, Katsuya KANESAKI, Takashi TAMAKI, Yoshimasa HIRAI, Tojiro YANAGI and Yoshifumi KUNO Department of Orthopedic Surgery,

More information

A comparison of abdominal versus vaginal hysterectomy for leiomyoma and adenomyosis Kenji ARAHORI, Hisasi KATAYAMA, Suminori NIOKA Department of Obstetrics and Gnecology, National Maizuru Hospital,Kyoto,

More information

1) Campbell, M. and Deuchar, D. C.: Absent inferior vena cava, symmetrical liver, splenic agenesis and situs inversus, and their embryology. Brit. Heart J., 29: 268, 1967. 2) Moller, J. H.: Congenital

More information

69 (877) pigeon chest, modified Ravitch operation, chest plastic surgery Robicsek classification

69 (877) pigeon chest, modified Ravitch operation, chest plastic surgery Robicsek classification 69 (877) pigeon chest, modified Ravitch operation, chest plastic surgery Robicsek classification 70 (878) Fig. 1 A and B, preoperative (correction) finding of anterior chest surface with an asymmetrical

More information

Table 2 Cases of Nail Deformity Associated with upward Distortion of Distal Soft Tissue No. Age Sex Affected RegionsDuration Results M Both grea

Table 2 Cases of Nail Deformity Associated with upward Distortion of Distal Soft Tissue No. Age Sex Affected RegionsDuration Results M Both grea Table 2 Cases of Nail Deformity Associated with upward Distortion of Distal Soft Tissue No. Age Sex Affected RegionsDuration Results 1. 49 M Both great toes 2 years Cured after 4 months 2. 11 F Both great

More information

食道がん化学放射線療法後のsalvage手術

食道がん化学放射線療法後のsalvage手術 2006 2 17 52 Daly JM, et al. J Am Coll Surg 2000;190:562-573 Esophageal Cancer: Results of an American College of Surgeons Patient Care Evaluation Study Daly JM, et al. J Am Coll Surg 2000;190:562-573

More information

HEART'S Original A case of Brugada syndrome with a high defibrillation threshold in which defibrillation was successful by Active Can off defibrillation Keisuke Kawachi, Yukei Higashi, Yuuki Honda, Kouhei

More information

8 The Bulletin of Meiji University of Integrative Medicine API II 61 ASO X 11 7 X-4 6 X m 5 X-2 4 X 3 9 X 11 7 API 0.84 ASO X 1 1 MR-angio

8 The Bulletin of Meiji University of Integrative Medicine API II 61 ASO X 11 7 X-4 6 X m 5 X-2 4 X 3 9 X 11 7 API 0.84 ASO X 1 1 MR-angio 7-14 2010 1 1 1 2 1 1 1 2 Fontaine II ASO61 3 API ASO ASO ASO API API KKKKKKKKKK ASO Fontaine II API Received April 14, 2009; Accepted July 16, 2009 I arteriosclerosis obliterans: ASO ASO 50 70 1,2 Fontaine

More information

Table 1 Isolated venous thrombi in soleal muscle by ultrasonography US finding Acute Chronic Total No. Early stage non-retracted slightl

Table 1 Isolated venous thrombi in soleal muscle by ultrasonography US finding Acute Chronic Total No. Early stage non-retracted slightl Online publication October 8, 2010 原 著 第 50 回総会座長推薦論文 孤立性ひらめ筋内静脈血栓と抗核抗体との関連 1 2 要旨 : 89 116 D 3 30 70 63 26 100 J Jpn Coll Angiol, 2010, 50: 417 422 Key words: isolated soleal venous thrombi, recurrent

More information

547 Case Table 1 Patient Profi les Chromosomal Gestational Body weight Prenatal Cardiovascular Sex diagnosis age (weeks) at birth diagnosis anomalies

547 Case Table 1 Patient Profi les Chromosomal Gestational Body weight Prenatal Cardiovascular Sex diagnosis age (weeks) at birth diagnosis anomalies PEDIATRIC CARDIOLOGY and CARDIAC SURGERY VOL. 4 NO. 4 (546 554) 1 1 1 1 1 1 Four Cases of Open-heart Surgery in Infants with Trisomy 13 or Trisomy 18 Emiko Suzuki, 1) Yoshihiro Oshima, 1) Yoshio Doi, 1)

More information

Microsoft PowerPoint - LITA-noreflow_English.pptx

Microsoft PowerPoint - LITA-noreflow_English.pptx A case of no-reflow phenomenon during PCI to LIMA graft Iwatsuki-Minami hospital, Saitama, Japan Koichi Sano, Masaki Tsukagoshi, Yasunari Ueno, Seiichi Fukuda, Takayoshi Sato, Yasuyuki Maruyama 77 y.o.

More information

Kittipong

Kittipong 1. Aoki R, Srivatanakul K, Hirayama A, A vein of the foramen caecum observed on angiography, Eur J Ana 21(4): 305-307, 2017 2. Hui Han & Wei Tao & Ming Zhang, The dural entrance of cerebral bridging veins

More information

Fig. 1 Chest X-ray on admission, with infiltrative shadow in the right upper lung field. Fig. 2 Chest CT scan shows an infiltrative shadow, multiple b

Fig. 1 Chest X-ray on admission, with infiltrative shadow in the right upper lung field. Fig. 2 Chest CT scan shows an infiltrative shadow, multiple b congenital bronchial atresia, obstructive pneumonia Fig. 1 Chest X-ray on admission, with infiltrative shadow in the right upper lung field. Fig. 2 Chest CT scan shows an infiltrative shadow, multiple

More information

Page 1 of 6 B (The World of Mathematics) November 20, 2006 Final Exam 2006 Division: ID#: Name: 1. p, q, r (Let p, q, r are propositions. ) (10pts) (a

Page 1 of 6 B (The World of Mathematics) November 20, 2006 Final Exam 2006 Division: ID#: Name: 1. p, q, r (Let p, q, r are propositions. ) (10pts) (a Page 1 of 6 B (The World of Mathematics) November 0, 006 Final Exam 006 Division: ID#: Name: 1. p, q, r (Let p, q, r are propositions. ) (a) (Decide whether the following holds by completing the truth

More information

老人性不整脈

老人性不整脈 資料 : QOL CHADS NOAC はじめに common disease 高齢者の不整脈の頻度, AF AVB RBBB LBBB Cardiovascular Health Study, 137 表 1 Outpatient Atarashi Cardiovascular Health Study Monolio No F M Ectopic beats Supraventricular.

More information

untitled

untitled - 48 - - 49 - - 50 - 1) Bando K, Kobayashi J, Kosakai Y, Hirata M, Sasako Y, Nakatani S, Yagihara T, Kitamura S: Impact of Cox-Maze Procedure on outcome in Patients with Atrial Fibrillation and Mitral

More information

原著・報告・記録(44行)/P261~274_報告 肝移植症例登録

原著・報告・記録(44行)/P261~274_報告 肝移植症例登録 261 Liver Transplantation in Japan Registry by the Japanese Liver Transplantation Society The Japanese Liver Transplantation Society Summary As of December 31, 2013, a total of 7,474 liver transplants

More information

Postoperative Assessment by Using a Torque Machine (BIODEX) and MRIs in Patients treated for a Recurrent Anterior Dislocation or Subluxation of the Sh

Postoperative Assessment by Using a Torque Machine (BIODEX) and MRIs in Patients treated for a Recurrent Anterior Dislocation or Subluxation of the Sh Postoperative Assessment by Using a Torque Machine (BIODEX) and MRIs in Patients treated for a Recurrent Anterior Dislocation or Subluxation of the Shoulder by HATA Yukihiko MURAKAMI Narumichi Department

More information

特集・総説・報告(44行)/P045-055_報告 日本肝移植研究会

特集・総説・報告(44行)/P045-055_報告 日本肝移植研究会 45 Liver Transplantation in Japan in 2006 Part 2 Registry by the The Summary Four thousand three hundred thirty liver transplants have been performed as of December 31, 2006 in 59 institutions in Japan.

More information

Fig. Human left superior vena cava (LS) as observed in the present case (viewed from the anterior aspect). AA ascending aorta, LB left brachioceph

Fig. Human left superior vena cava (LS) as observed in the present case (viewed from the anterior aspect). AA ascending aorta, LB left brachioceph Fig. 1 @ Human left superior vena cava (LS) as observed in the present case (viewed from the anterior aspect). AA ascending aorta, LB left brachiocephalic vein, RS right superior vena cava, PT pulmonary

More information

原著・報告・記録(44行)/P156~169_報告 肝移植症例登録

原著・報告・記録(44行)/P156~169_報告 肝移植症例登録 156 Vol. 50, No. 23 Liver Transplantation in Japan Registry by the Japanese Liver Transplantation Society The Japanese Liver Transplantation Society Summary As of December 31, 2014, a total of 7,937 liver

More information

原著・報告・記録(44行)/P134~147_報告 肝移植症例登録

原著・報告・記録(44行)/P134~147_報告 肝移植症例登録 134 Vol. 52, No. 23 Liver transplantation in Japan. Registry by the Japanese Liver Transplantation Society The Japanese Liver Transplantation Society Summary As of December 31, 2016, a total of 8,825 liver

More information

Key words: Antibodies to Leptospira, Tokyo, Uveitis

Key words: Antibodies to Leptospira, Tokyo, Uveitis Key words: Antibodies to Leptospira, Tokyo, Uveitis Fig. 1 Distribution of Antibody Titers in Age Decade Fig. 3 Distribution of Antibody Titers in each Strain Fig. 2 Correlation between Antibody Titers

More information

Electrophysiologic and vectorcardiologic studies in a patient with Wolff-Parkinson-White syndrome Type A associated with complete right bundle branch block Yasuki Sakamoto*, Shunpei Ohkubo*, Shutaro Satake*,

More information

脈管学55巻7号 pp.105-110

脈管学55巻7号 pp.105-110 Online publication August 10, 2015 105 原 著 55 要 旨 : 18 29 31 27 87.1 EHIT class 1 class 2, 3 1 J Jpn Coll Angiol 2015; 55: 105 110 Key words: saphenous vein surgery, saphenous vein stump, endovenous heat-induced

More information

1) Waardenburg PJ : A new syndrome combining developmental anomalies of the eyelids, eyebrows and nose root with pigmentary defects of the iris and head hair and with congenital deafness. Am J Hum Genet

More information

244 HLHS HLHS はじめに HLHS HLHS ASD BAS ASD 2 Bil-PAB PGE1 Bil-PAB 3 BAS Norwood-Glenn 症例 1 29 HLHS ,536 g NICU 2 44 cm 2,536 g 54/34 mmh

244 HLHS HLHS はじめに HLHS HLHS ASD BAS ASD 2 Bil-PAB PGE1 Bil-PAB 3 BAS Norwood-Glenn 症例 1 29 HLHS ,536 g NICU 2 44 cm 2,536 g 54/34 mmh 症例報告 PEDIATRIC CARDIOLOGY and CARDIAC SURGERY VOL. 26 NO. 3 (243 248) ハイリスク左心低形成症候群 (HLHS) に対する心臓カテーテル法による 2 つのステント同時留置術の経験 1 1 1 1 1 1 1 2 3 1 2 3 Key words: hypoplastic left heart syndrome, stent implantation,

More information

日本職業・災害医学会会誌第51巻第5号

日本職業・災害医学会会誌第51巻第5号 太田ら 同時多発性高血圧性脳葉出血の 1 手術例 図 1 搬入時 CT 上段 単純 CT 下段 造影 CT 図 2 術後の脳血管撮影検査では明らかな出血源は認めない 379 Reprint request: MULTIPLE SIMULTANEOUS HYPERTENSIVE LOBAR HEMORRHAGE Hirotsugu OHTA M.D. 1) and Akira YOKOTA M.D.

More information

生命倫理100_資料4-7

生命倫理100_資料4-7 26 27 Single cell clones picked from swaps12p36 (18) Single cell clones picked from swaps12p18 (24) 1.3% (p0) 1.1% (p58) 28 29 Outline 30 31 32 33 34 Columbia, The New York Stem Cell Foundation Oocyte

More information

静 脈 学 Table 1 Patient characteristics Symptom Case Age Sex Site PE Cause Treatment 1 44 M RSCV swelling (+) unknown UK, anticoaglant patent Result 2 5

静 脈 学 Table 1 Patient characteristics Symptom Case Age Sex Site PE Cause Treatment 1 44 M RSCV swelling (+) unknown UK, anticoaglant patent Result 2 5 Paget-Schroetter 3 Paget-Schroetter 3 1 1 1 3 86 42 Paget-Schroetter 2013 24 1 71- Paget-Schroetter 3 Table 1 1 44 1 CT 1 2012 4 19 CT CT Fig. 1 2 54 CT Fig. 2 71 静 脈 学 Table 1 Patient characteristics

More information

Therapy for Asthenopia in Cases of Convergence Insufficiency Hiroko TAKASAKI, C.O.J., Nobuko INAGAMI, C.O.J., and Kayoko TAKENAWA, C.O.J.. Orthoptic c

Therapy for Asthenopia in Cases of Convergence Insufficiency Hiroko TAKASAKI, C.O.J., Nobuko INAGAMI, C.O.J., and Kayoko TAKENAWA, C.O.J.. Orthoptic c Therapy for Asthenopia in Cases of Convergence Insufficiency Hiroko TAKASAKI, C.O.J., Nobuko INAGAMI, C.O.J., and Kayoko TAKENAWA, C.O.J.. Orthoptic clinic, Department of Ophthalmology, (Director: Prof

More information

36:378 第 38 回日本脳卒中学会講演シンポジウム 原著 36: , 要旨 TIA 2 t-pa Key words: stroke registry, stroke subtype, onset-visi

36:378 第 38 回日本脳卒中学会講演シンポジウム 原著 36: , 要旨 TIA 2 t-pa Key words: stroke registry, stroke subtype, onset-visi 36:378 第 38 回日本脳卒中学会講演シンポジウム 原著 36: 378 384, 2014 1 2 要旨 1999 2012 10 31 29 26 80 30 TIA 2 t-pa Key words: stroke registry, stroke subtype, onset-visit time, chronological change はじめに 4 12 23 27 1 Japan

More information

C/NC : committed/noncommitted

C/NC : committed/noncommitted C/NC : committed/noncommitted 110 time post-icd implant 1) The Cardiac Arrhythmia Suppression Trial (CAST) Investigators Preliminary report : Effect of encainaide and flecainide on mortality in a

More information

埼玉29.indb

埼玉29.indb 16 Symposium 29 WPW 1 1 1 1 1 78 PSVT 4 cibenzoline 200mg, verapamil 80mg 2 OMI #7 100 X 51% HbA 1c 5.9% 12 1A 55/ V 1,2 Q 1B 116/ narrow QRS tachycardia av F V 1 P LVEDD/LVESD 55/38mm EF 58 PSVT RV His

More information

untitled

untitled 総研大文化科学研究第 6 号 (2010) 65 ... 66 佐貫 丘浅次郎の 進化論講話 における変化の構造 67 68 佐貫丘浅次郎の 進化論講話 における変化の構造 69 E 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 70 佐貫 丘浅次郎の 進化論講話 における変化の構造 71 72 佐貫丘浅次郎の 進化論講話 における変化の構造 73 74 佐貫丘浅次郎の 進化論講話

More information

脈管学55巻11号 pp

脈管学55巻11号 pp Online publication December 10, 2015 191 原 著 55 21 1 2 2 1 2 2 2 2 1 要旨 : 8 21 19 2 4 1 20 SMA short segment J Jpn Coll Angiol 2015; 55: 191 196 Key words: superior mesenteric artery, dissection, conservative

More information

Fig. 1. Chest X-ray film on admission showed a mass in the left middle lung field and multiple nodular densities in the bilateral lung fields. Fig. 3.

Fig. 1. Chest X-ray film on admission showed a mass in the left middle lung field and multiple nodular densities in the bilateral lung fields. Fig. 3. A Case of Slow-growing Mucous-producing Adenocarcioma of the Lung Key words: Mucous-producing lung adenocarcinoma, Slow-growing, Bronchial gland cell type adenocarcinoma, Adenoid cystic carcinoma Table

More information

Fig. 1 Trends of TB incidence rates for all forms and smear-positive pulmonary TB in Kawasaki City and Japan. Incidence=newly notified cases of all fo

Fig. 1 Trends of TB incidence rates for all forms and smear-positive pulmonary TB in Kawasaki City and Japan. Incidence=newly notified cases of all fo Kekkaku Vol. 79, No. 1: 17-24, 2004 17 (Received 21 Aug. 2003/Accepted 18 Nov. 2003) Fig. 1 Trends of TB incidence rates for all forms and smear-positive pulmonary TB in Kawasaki City and Japan. Incidence=newly

More information

在日外国人高齢者福祉給付金制度の創設とその課題

在日外国人高齢者福祉給付金制度の創設とその課題 Establishment and Challenges of the Welfare Benefits System for Elderly Foreign Residents In the Case of Higashihiroshima City Naoe KAWAMOTO Graduate School of Integrated Arts and Sciences, Hiroshima University

More information

日本消化器外科学会雑誌第30巻第3号

日本消化器外科学会雑誌第30巻第3号 Key words : gastric cancer, progltostic factor. multivariate analysis Factors selected after Coffelation- after Stepwise rnitrally check check H o s t l A g e C O 2 S e x C O 3 Pre-op. compliation O Treatment

More information

CHEMOTHERAPY Table 1 Clinical effect of Sultamicillin

CHEMOTHERAPY Table 1 Clinical effect of Sultamicillin CHEMOTHERAPY CHEMOTHERAPY Table 1 Clinical effect of Sultamicillin CHEMOTHERAPY Fig. 1 MICs of sultamicillin against respiratory pathogenic Branhamella catarrhalis 62 strains, inoculum size 106CFU/m1 Fig.

More information

1) i) Barber, M. et al.: Brit. Med J, 2, 565, 19'49. ii) Barber, M.F.G. J. Hayhoe and J. E. M. Whithead: Lancet, 1120 `1125, 1949.-2) Bergey: Bergey's Manual of Determinative Bacteriology 7 th Ed: (1958).-3)

More information

Table 1 Patients with various renal function * Ccr, Creatinine clearance ml/min per 1. 48 m2 ** C.V.D., Cerebral vascular disease ; C.R F., Chronic renal failure ; H.D., Hemoclialysis ; D., Dialyzer ;

More information

vegetable state in our series. On the other hand, the clinical course of eight patients without rebleeding was uneventful. Table 1 Spontaneous intrace

vegetable state in our series. On the other hand, the clinical course of eight patients without rebleeding was uneventful. Table 1 Spontaneous intrace Recurrent Spontaneous Intracerebral Hemorrhage Yoshikatsu Seiki, Hideo Terao, Iekado Shibata, MasaruShishido, Mikiro Matsumoto, Kaoru Tsukahara and Shunichiro Tsutsumi Department of Neurosurgery, Toho

More information

Table 1 Laboratory data on admission. Fig. 1 US shows a hyperechoic large tumor. Fig. 2 CT shows a large hepatic tumor. Central necrosis and dilatatio

Table 1 Laboratory data on admission. Fig. 1 US shows a hyperechoic large tumor. Fig. 2 CT shows a large hepatic tumor. Central necrosis and dilatatio Table 1 Laboratory data on admission. Fig. 1 US shows a hyperechoic large tumor. Fig. 2 CT shows a large hepatic tumor. Central necrosis and dilatation of the intrahepatic bile duct can be found. Fig.

More information

日本消化器外科学会雑誌第29巻第9号

日本消化器外科学会雑誌第29巻第9号 Table 1 Oligonucleotide primers used for RT-PCR and internal probes used for Southern blot hybridization Cytokine Primer Sequence (5'-3') 5' 3' Internal probe s' 3' Internal probe 5' 3' Internal probe

More information

Cochlear Implantations for Children with Congenital Inner Ear Malformation Ryuta Kamekura, Tomoko Shintani, Akiko Okazaki, Aya Kawabatao, Kae Kitagawa and Tetsuo Himi Department of Otolaryngology, Sapporo

More information

DISTRIBUTION OF NEUROPEPTIDES IN THE INFERIOR NASAL TURBINATE MUCOSA OF PATIENTS WITH ALLERGIC RHINITIS KAZUHIRO YAMAMOTO. M.D. Department of Otolaryngology, School of Medicine, Kitasato University, Sagamihara

More information

Fig. 1 Schematic construction of a PWS vehicle Fig. 2 Main power circuit of an inverter system for two motors drive

Fig. 1 Schematic construction of a PWS vehicle Fig. 2 Main power circuit of an inverter system for two motors drive An Application of Multiple Induction Motor Control with a Single Inverter to an Unmanned Vehicle Propulsion Akira KUMAMOTO* and Yoshihisa HIRANE* This paper is concerned with a new scheme of independent

More information

56 pp , 2005 * ******* *** ** CA CAMA

56 pp , 2005 * ******* *** ** CA CAMA Title 成人知的障害者の加齢に伴う外観的変化に関する研究 : 知的障害者用外観的老化微候測定法を用いた検討 Author(s) 春日井, 宏彰 ; 菅野, 敦 ; 橋本, 創一 ; 桜井, 和典 ; 片瀬, Citation 東京学芸大学紀要. 第 1 部門, 教育科学, 56: 415-425 Issue Date 2005-03-00 URL http://hdl.handle.net/2309/2097

More information

On the Wireless Beam of Short Electric Waves. (VII) (A New Electric Wave Projector.) By S. UDA, Member (Tohoku Imperial University.) Abstract. A new e

On the Wireless Beam of Short Electric Waves. (VII) (A New Electric Wave Projector.) By S. UDA, Member (Tohoku Imperial University.) Abstract. A new e On the Wireless Beam of Short Electric Waves. (VII) (A New Electric Wave Projector.) By S. UDA, Member (Tohoku Imperial University.) Abstract. A new electric wave projector is proposed in this paper. The

More information

Key words: bacterial meningitis, Haemophilus influenzae type b, Streptococcus pneumoniae, rapid diagnosis, childhood

Key words: bacterial meningitis, Haemophilus influenzae type b, Streptococcus pneumoniae, rapid diagnosis, childhood Key words: bacterial meningitis, Haemophilus influenzae type b, Streptococcus pneumoniae, rapid diagnosis, childhood Fig.1 Distribution of the cases with bacterial meningitis by age and pathogens Chiba

More information

VOL.42 S-1

VOL.42 S-1 CHEMOTHERAPY APR. 1994 VOL.42 S-1 CHEMOTHERAPY APR. 1994 Table 1. Criteria for evaluation of clinical efficacy by the Japanese Society of Oral and Maxillo-Facial Surgeons Grades of symptoms and numerical

More information

STUDIES ON THE RELATION BETWEEN LATE DUMPING SYNDROME AND GLUCAGON RESPONCES TO GLUCOSE Taisuke MATSUI The First Department of Surgery, Nara Medical U

STUDIES ON THE RELATION BETWEEN LATE DUMPING SYNDROME AND GLUCAGON RESPONCES TO GLUCOSE Taisuke MATSUI The First Department of Surgery, Nara Medical U STUDIES ON THE RELATION BETWEEN LATE DUMPING SYNDROME AND GLUCAGON RESPONCES TO GLUCOSE Taisuke MATSUI The First Department of Surgery, Nara Medical University, Kashihara (Director: Prof. H. Nakano) This

More information

PEDIATRIC CARDIOLOGY and CARDIAC SURGERY VOL. 26 NO. 2 ( ) 心室中隔欠損 心エコー診断について Key words: ventricular septal defect, Soto s classification, echoca

PEDIATRIC CARDIOLOGY and CARDIAC SURGERY VOL. 26 NO. 2 ( ) 心室中隔欠損 心エコー診断について Key words: ventricular septal defect, Soto s classification, echoca PEDIATRIC CARDIOLOGY and CARDIAC SURGERY VOL. 26 NO. 2 (132 139) 心室中隔欠損 心エコー診断について Key words: ventricular septal defect, Soto s classification, echocardiographic diagnosis Ventricular Septal Defect Echocardiographic

More information

rectomy as the subjects of study, urinary steroid hormones were measured, and simultaneously the enzyme work and enzyme pattern related to the steroid metabolism, as proposed by Yoshida of our laboratory,

More information

49-4 ™ñ„¾ Œ]„”†i4†j

49-4 ™ñ„¾ Œ]„”†i4†j Current Topics in Diagnostic Imaging of the Pediatric Neck Eiji Oguma, M.D. Department of Radiology, Saitama Children s Medical Center NICHIDOKU-IHO Vol. 49 No. 4 61 83 (2004) Summary This article focuses

More information

CHEMOTHERAPY JUN Citrobacter freundii 27, Enterobacter aerogenes 26, Enterobacter cloacae 27, Proteus rettgeri 7, Proteus inconstans 20, Proteus

CHEMOTHERAPY JUN Citrobacter freundii 27, Enterobacter aerogenes 26, Enterobacter cloacae 27, Proteus rettgeri 7, Proteus inconstans 20, Proteus VOL. 32 S-4 CHEMOTHERAPY Fig. 1 Chemical structure of sodium cefoperazone Fig. 2 Chemical structure of sodium cefoperazone CHEMOTHERAPY JUN. 1984 Citrobacter freundii 27, Enterobacter aerogenes 26, Enterobacter

More information

抄 録 第 13 回日本小児心電学研究会 PEDIATRIC CARDIOLOGY and CARDIAC SURGERY VOL. 25 NO. 5 ( ) VSD Brugada 1 Brugada Brugada = mm 5mm Qp/Q

抄 録 第 13 回日本小児心電学研究会 PEDIATRIC CARDIOLOGY and CARDIAC SURGERY VOL. 25 NO. 5 ( ) VSD Brugada 1 Brugada Brugada = mm 5mm Qp/Q 抄 録 第 13 回日本小児心電学研究会 PEDIATRIC CARDIOLOGY and CARDIAC SURGERY VOL. 25 NO. 5 (732 745) 2008 11 15 1 VSDBrugada 1 Brugada Brugada = 2 7 11 8mm 5mm Qp/Qs = 4.20 LR shunt = 80Pp/Ps = 0.93 Pp/Ps = 0.60 Rp =

More information

1) University Group Diabetes Program: A study of hypoglycemic agents on vascular complica- in patients with adult-onset tions diabetes. I. Design, methods and baseline results. Diabetes 19 (suppl. 2):

More information

3) Narula OS, Samet P, Javier RP: Significance of the Sinus-Node Recovery Time. Circulation 45: 140-158, 1972. 4) Dreifus LS, Michelson EL, Kaplinsky E: Bradyarrhythmias: Clinical Significance and Management.

More information

スライド 1

スライド 1 1 2006 msv 2 2011 3 CT 2011 10mSv 10 40mSv 4 2012 217mSv 5 (CT) 2012 50 60mSv 6 2012 510mSv BRCA25 310 10mSv3% BRCA60-280% 3 5m Sv 1m Sv 12% . http://www.rea.or.jp/ire/pdf/report4.pdf 1.10 20 SMR 1.00

More information

原著・報告・記録(44行)/P145~159_報告 肝移植症例登録

原著・報告・記録(44行)/P145~159_報告 肝移植症例登録 145 Liver Transplantation in Japan Registry by the Japanese Liver Transplantation Society The Japanese Liver Transplantation Society Summary As of December 31, 2015, a total of 8,387 liver transplants

More information

Among 83 patients who had undergone the operation for intermittent exotropia, 15 patients had esotropia persisting longer than one month after the ope

Among 83 patients who had undergone the operation for intermittent exotropia, 15 patients had esotropia persisting longer than one month after the ope Among 83 patients who had undergone the operation for intermittent exotropia, 15 patients had esotropia persisting longer than one month after the operation. We followed up these 15 patients and analyzed

More information

Key words : R-plasmid, Urinary tract infection, E. coli Fig. 1. MIC distribution against E. coli isolated from urinary tract (366 strains) and isolation - frequencies of drug-resistant strains Table 1.

More information

untitled

untitled 20 * Re-Evaluation of Isoseismal Maps and Magnitudes from Two Big Earthquakes along the Subduction Zone of Kyushu and Ryukyu Islands Early in the 20th Century Masayuki TAKEMURA, Katsuhisa KANDA Kobori

More information

EVALUATION OF NOCTURNAL PENILE TUMESCENCE (NPT) IN THE DIFFERENTIAL DIAGNOSIS OF IMPOTENCE Masaharu Aoki, Yoshiaki Kumamoto, Kazutomi Mohri and Kazunori Ohno Department of Urology, Sapporo Medical College

More information

Experimental and Clinical Studies of Pregnant Hypertension Takashi SHIMAZU Department of Obstetrics and Gynecology, Osaka City University Medical Scho

Experimental and Clinical Studies of Pregnant Hypertension Takashi SHIMAZU Department of Obstetrics and Gynecology, Osaka City University Medical Scho Experimental and Clinical Studies of Pregnant Hypertension Takashi SHIMAZU Department of Obstetrics and Gynecology, Osaka City University Medical School While the problem of late pregnant hypertension

More information

Fig. 1 Photography of exercise test by Arm Crank Ergometer. Fig. 2 Photography of exercise test by chair with caster. Arm Crank Ergometer Wheelchair T

Fig. 1 Photography of exercise test by Arm Crank Ergometer. Fig. 2 Photography of exercise test by chair with caster. Arm Crank Ergometer Wheelchair T Fig. 1 Photography of exercise test by Arm Crank Ergometer. Fig. 2 Photography of exercise test by chair with caster. Arm Crank Ergometer Wheelchair Treadmill Arm Crank Ergometer Arm Crank Ergometer Arm

More information

Core Ethics Vol.

Core Ethics Vol. Core Ethics Vol. Core Ethics Vol. . % % % Core Ethics Vol. %, Core Ethics Vol. % % % -. %. Core Ethics Vol. a b : Core Ethics Vol. pp... pp.. pp... pp. pp.. pp...pp.... pp. pp. pp.. pp.. Vol.. pp... pp..

More information

理学療法検査技術習得に向けた客観的臨床能力試験(OSCE)の試行

理学療法検査技術習得に向けた客観的臨床能力試験(OSCE)の試行 An Application of an Objective Structured Clinical Examination for Learning Skills in Assessment of Physical Therapy A Task Involving Measurements on the Range of Motion Test Chikako Fujita1) Hiroyasu

More information

症例_井坂先生.indd

症例_井坂先生.indd 症例報告 JNET 7:111-118, 2013 ステント単独で治療した非出血性椎骨動脈解離性動脈瘤の 2 例 - ステント単独治療の長期成績 - 1 2 Long-term results of non-hemorrhagic vertebral artery dissecting aneurysms treated by stent monotherapy Fumiaki ISAKA 1) Kazushi

More information

Clinical Study of Effect of Intrathecal Use of Alpha-tocopherol on Chronic Vasospasm Hirotoshi Sano, Motoi Shoda, Youko Kato, Kazuhiro Katada, Youichi

Clinical Study of Effect of Intrathecal Use of Alpha-tocopherol on Chronic Vasospasm Hirotoshi Sano, Motoi Shoda, Youko Kato, Kazuhiro Katada, Youichi Clinical Study of Effect of Intrathecal Use of Alpha-tocopherol on Chronic Vasospasm Hirotoshi Sano, Motoi Shoda, Youko Kato, Kazuhiro Katada, Youichi Shinomiya and Tetsuo Kanno Department of Neurosurgery,

More information

Nippon Suisan Gakkaishi 64(4), (1998) Biodegradation of Raw Silk in Seawater Akihiko Nakayama,*1,*3 Yoshihiro Inoue,*2 Yozo Tahara,*2,*4 Shozo

Nippon Suisan Gakkaishi 64(4), (1998) Biodegradation of Raw Silk in Seawater Akihiko Nakayama,*1,*3 Yoshihiro Inoue,*2 Yozo Tahara,*2,*4 Shozo Nippon Suisan Gakkaishi 64(4), 636-644 (1998) Biodegradation of Raw Silk in Seawater Akihiko Nakayama,*1,*3 Yoshihiro Inoue,*2 Yozo Tahara,*2,*4 Shozo Kobayashi,*1,*5 and Masahito Yokoyama*1 It is said

More information

Title 社 会 化 教 育 における 公 民 的 資 質 : 法 教 育 における 憲 法 的 価 値 原 理 ( fulltext ) Author(s) 中 平, 一 義 Citation 学 校 教 育 学 研 究 論 集 (21): 113-126 Issue Date 2010-03 URL http://hdl.handle.net/2309/107543 Publisher 東 京

More information

Studies of Foot Form for Footwear Design (Part 9) : Characteristics of the Foot Form of Young and Elder Women Based on their Sizes of Ball Joint Girth

Studies of Foot Form for Footwear Design (Part 9) : Characteristics of the Foot Form of Young and Elder Women Based on their Sizes of Ball Joint Girth Studies of Foot Form for Footwear Design (Part 9) : Characteristics of the Foot Form of Young and Elder Women Based on their Sizes of Ball Joint Girth and Foot Breadth Akiko Yamamoto Fukuoka Women's University,

More information

Web Stamps 96 KJ Stamps Web Vol 8, No 1, 2004

Web Stamps 96 KJ Stamps Web Vol 8, No 1, 2004 The Journal of the Japan Academy of Nursing Administration and Policies Vol 8, No 1, pp 43 _ 57, 2004 The Literature Review of the Japanese Nurses Job Satisfaction Research Which the Stamps-Ozaki Scale

More information

Title 泌尿器科領域に於ける17-Ketosteroidの研究 17-Ketosteroidの臨床的研究 第 III 篇 : 尿 Author(s) 卜部, 敏入 Citation 泌尿器科紀要 (1958), 4(1): 3-31 Issue Date URL

Title 泌尿器科領域に於ける17-Ketosteroidの研究 17-Ketosteroidの臨床的研究 第 III 篇 : 尿 Author(s) 卜部, 敏入 Citation 泌尿器科紀要 (1958), 4(1): 3-31 Issue Date URL Title 泌尿器科領域に於ける17-Ketosteroidの研究 17-Ketosteroidの臨床的研究 第 III 篇 : 尿 Author(s) 卜部, 敏入 Citation 泌尿器科紀要 (1958), 4(1): 3-31 Issue Date 1958-01 URL http://hdl.handle.net/2433/111559 Right Type Departmental Bulletin

More information

A case of successful surgical repair of discrete subaortic stenosis with peculiar facies Akiko Kinouchi*, Atsuyoshi Takao*, Akimasa Hashimoto**, Department of pediatrics*, Kenji Nakamura***. surgery**

More information

地質調査研究報告/Bulletin of the Geological Survey of Japan

地質調査研究報告/Bulletin of the Geological Survey of Japan Takayuki Uchino and Makoto Kawamura (2010) Glaucophane found from meta-basalt in the Nedamo Terrane, Northeast Japan, and its geologic significance. Bull. Geol. Surv. Japan, vol. 61 (11/12), p. 445-452,

More information

untitled

untitled 1988 2000 2002 2004 2006 2008 IFN Lamivudine Adefovir Entecavir 1 Total number 560 Sex (male/female) 424/136 Age (years)* 38 (15-68) Duration of treatment (weeks)* 26 (1-592) Follow-up time (years) 75(05-21

More information

21-07_後藤論文.smd

21-07_後藤論文.smd 2015; 21: 5866 Yoichi Goto: Current status and future perspective of cardiac rehabilitation in Japan. J Jpn Coron Assoc 2015; 21: 5866 I 1 1 3 1 2 3 QOL 2 Fig. 1 1 196070 AMI AMI 1980 AMI CABG comprehensive

More information

Fig. 1 Clinical Appearance on the Left Leg before Therapy Fig. 2 Clinical Appearance after Therapy Fig. 3 Histopathological Features of the Skin Lesio

Fig. 1 Clinical Appearance on the Left Leg before Therapy Fig. 2 Clinical Appearance after Therapy Fig. 3 Histopathological Features of the Skin Lesio Ryoji KANDA, M.D. and Seiichiro HATA, M.D. Fig. 1 Clinical Appearance on the Left Leg before Therapy Fig. 2 Clinical Appearance after Therapy Fig. 3 Histopathological Features of the Skin Lesion, Showing

More information

2 The Bulletin of Meiji University of Integrative Medicine 3, Yamashita 10 11

2 The Bulletin of Meiji University of Integrative Medicine 3, Yamashita 10 11 1-122013 1 2 1 2 20 2,000 2009 12 1 2 1,362 68.1 2009 1 1 9.5 1 2.2 3.6 0.82.9 1.0 0.2 2 4 3 1 2 4 3 Key words acupuncture and moxibustion Treatment with acupuncture, moxibustion and Anma-Massage-Shiatsu

More information

日本職業・災害医学会会誌第54巻第6号

日本職業・災害医学会会誌第54巻第6号 274 日本職業 災害医学会会誌 JJOMT Vol. 54, No. 6 図 1 初診時所見 上 左足は足背の全体と踵部以外の足底が III 度熱傷であった 下 右足は足底の踵部から足背外踝部にかけて III 度熱傷であり それ以外は深達性 II 度熱傷であった 図 2 受傷後 19 日目に左足の III 度熱傷のデブリードメンと第 1 趾 の壊死した末節骨 第 2 5 趾の中節骨 1/2 より末梢の切除を行

More information

Table 1. Antibacterial activitiy of grepafloxacin and other antibiotics against clinical isolates

Table 1. Antibacterial activitiy of grepafloxacin and other antibiotics against clinical isolates Table 1. Antibacterial activitiy of grepafloxacin and other antibiotics against clinical isolates Table 2-1. Summary of patients treated with grepafloxacin for respiratory infection 1) Out: outpatient,

More information

semen quality or those without WBC in semen. In the patients with azoospermia and normal FSH levels (normogonadotropic azzospermia), the antibody (IgG

semen quality or those without WBC in semen. In the patients with azoospermia and normal FSH levels (normogonadotropic azzospermia), the antibody (IgG CLINICAL STUDIES OF UROGENITAL INFECTIONS WITH CHLAMYDIA TRACHOMA TIS Report 2. The Epidemiology of Chlamydial Infections in Okayama District in Japan and Detection of Antibodies to Chlamydiae in the Sera

More information

clinical question

clinical question 9.2. Antithrombotic Therapy Class I 1. After AVR with bileaflet mechanical or Medtronic Hall prostheses, in patients with no risk factors,* warfarin is indicated to achieve an INR of 2.0 to 3.0. If the

More information

日本職業・災害医学会会誌第51巻第1号

日本職業・災害医学会会誌第51巻第1号 内野ら 下腿骨骨折におけるハイブリッド創外固定器の有用性 31 図 2 軟部組織損傷程度と機能成績 Gustilo IIIB 以上の開放骨折では Gustilo IIIA 以下の開放骨折 及び皮下骨折よりも明らかに機能低下が認められた 図 1 年齢と機能成績 60 歳未満の若年者の方が明らかに良好な成績を示した a b c 図 3 a Gustilo Type IIIB b, c AO 分類 Type

More information