著者

森 博士 荒牧 聡 柴田 英治 桑鶴 知一郎 内村 貴之 吉野 潔

出版者

一般社団法人 日本周産期・新生児医学会

雑誌

日本周産期・新生児医学会雑誌 (ISSN:1348964X)

巻号頁・発行日

vol.56, no.3, pp.512-516, 2020 (Released:2020-12-10)

参考文献数

15

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梅毒の初回治療時にJarisch-Herxheimer反応(以下J-H反応)を呈する例があることが知られているがその機序は不明である.一般的には一過性であり24〜36時間以内に軽快する.妊娠中に発生した場合の確立した対応法はない.今回,妊娠37週に第1期または第2期の妊娠期梅毒と診断して初回治療開始から3.5時間後にJ-H反応を認めた症例を経験した.母体発熱と悪寒,全身発赤,子宮収縮の増加,CTGで胎児頻脈を認め,速やかに帝王切開で児を娩出し,母児ともに良好な経過であった.妊娠中の初回梅毒治療時の管理とJ-H反応を認めた場合の適切な対応について,今後も症例の蓄積と検討が必要である.

著者

吉野 潔 岩崎 達行 小野 健一郎 町田 三一 木下 忍 松原 淳 室谷 正次 西尾 紀昭 安井 俊彦

出版者

JAPAN TECHNICAL ASSOCIATION OF THE PULP AND PAPER INDUSTRY

雑誌

紙パ技協誌 (ISSN:0022815X)

巻号頁・発行日

vol.53, no.10, pp.1345-1352, 1999 (Released:2009-11-19)

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To control the generation of “(*slime*)” which became a problem when the papermaking process drain was reused, we examined sterilization tests by using ultraviolet (UV) radiation and hydrogenperoxide (HP) together. It was confirmed general bacilli was able to be sterilized by changing the amount of the UV radiation and the amount of the addition HP at an arbitrary level and the proliferation control was effective.Next, we examined the number of general bacilli which existed together on the household papers, such as toiletpapers and tissues. Hundreds of general bacilli a piece in toiletpapers detected and tens of it a piece in tissues. When the UV radiation was irradiated to these papers, it was understood not to detect a general bacillus by one side 30 (mj/cm2) level if both sides were irradiated. When UV radiation was irradiated after HP do atomization, it was confirmed to be able to sterilize even with the HP a low density and the amount of the UV radiation of a low level. Sterilization and the water processing technology by UV radiation and HP using together are thought to be a technology which can be used by various scenes of the papermaking process.

著者

遠山 篤史 村上 緑 吉野 潔

出版者

学校法人 産業医科大学

雑誌

産業医大誌 (ISSN:0387821X)

巻号頁・発行日

vol.42, no.4, pp.317-325, 2020

被引用文献数

5

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<p>Cervical cancer commonly metastasizes first to the pelvic lymph nodes and then subsequently spreads to distant organs, making lymph node metastases the most significant prognostic factor in cervical cancer, and the strategy for its treatment directly influences prognosis. This review focuses on the treatment strategies for cases of cervical cancer with bulky pelvic lymph nodes. Concurrent chemoradiotherapy is the standard treatment modality for patients with pelvic lymph node metastases, but it is inadequate for bulky pelvic lymph nodes. Accordingly, surgical resection of the bulky lymph nodes has been attempted, and its therapeutic significance has been reported. If the bulky lymph nodes are unresectable, definitive concurrent chemoradiotherapy is performed. If it yields an inadequate degree of lymph node shrinkage, boosted radiation should be considered. The addition of chemotherapy after concurrent chemoradiotherapy has also been reported to be effective in patients with lymph node metastases and is currently being evaluated in clinical trials.</p>