著者

山角 博

出版者

千葉大学

雑誌

千葉医学会雑誌 (ISSN:00093459)

巻号頁・発行日

vol.45, no.3, pp.423-440, 1969

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著者は思春期心性を離人症との関連において理解するために,知的に比較的正常ないし上位にあると思われる高校生915名に,CMI,クレペリンテスト,離人感に関するアンケートなどの心理テストをおこない,さらに問題があると思われる生徒には,面接,ロールシャッハテストをもおこない,その結果を検討するとともに,思春期離人症例との比較考察をおこなった。そして次の諸点を認めた。1)正常な思春期の過程にも,神経症的傾向を示すものがみられる。2)離人感は思春期においては,正常な人々にも,特に内省的な人にはしばしば体験される。3)調査した高校生のうちで,特に離人状態群として分類された生徒に,思春期に特有な心性と思われるものが顕著にみられた。4)離人症と思春期心性にな,密接な関係がみられた。5)思春期において,両親からの分離独立,自己同一性の確立の失敗により,自己不全感,自己同一性の混乱をもたらしたものが離人症を招く可能性があると考えられる。6)離入状態群に分類された生徒では,その離人感は流動的であり,葛藤の固定化にまで至っていないのに対し,思春期離人症者では,離人感はより深刻であり,自我機能の制限,さらに自我の分裂にまで至る場合がある。

著者

竹内 竜雄

出版者

千葉大学

雑誌

千葉医学会雑誌 (ISSN:00093459)

巻号頁・発行日

vol.45, no.5, pp.584-588, 1970-03

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神経症〜境界例レベルの離人症患者15名を対象としてロールシャッハ・テストを行なった。形式分析では反応領域でDm%が高いこと,内向的体験型が大部分を占めていること,運動反応中mの割合が高いこと,形態水準が低いこと,FCに比べCF+Cが多いことなどが特徴的であった。内容分析では主題分析で口愛期的傾向,超自我葛藤および同一化葛藤がめだち,Barrier ScoreとPenetration Scoreでは後者が著しく多く,防衛解釈では分離退行,知性化および合理化の機制がめだった。以上を検討した結果,離人症の精神力動の特徴として,強い口愛期的依存傾向,併存する懲罰的超自我,同一化葛藤および自我分裂,これらをめぐって対象関係の発達の障害に基づく知覚と認識の機能の病態化,ことにその基盤であるself-feelingの不安定さなどが認められ,これらの基本的な精神病理が離人症の症状形成をなしている経緯が明らかとなった。

著者

横川 宗雄 吉村 裕之 金田 丞亮 鈴木 太郎 高相 豊太郎 吉田 貞利 門馬 良吉 酒井 章 寺畑 嘉朔 田崎 喜昭

出版者

千葉大学

雑誌

千葉医学会雑誌 (ISSN:00093459)

巻号頁・発行日

vol.38, no.6, pp.516-522, 1963-03-28

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The first case ; Male, 26 years old, employee. Shimizu city, Shizuoka prefecture. Chief complaints : stomachache, nausea, anorexia and slight fever since a few years ago. The general condition was rather good. The results of examinations of both urine and blood were almost normal. No helminth ova were found, but occult blood was positive in the fecal examination. Gastrectomy was carried out under the diagnosis of gastric ulcer. A cherry-sized and localized tumor was found at Pylorus of the stomach. Eosinophilic abscess surrounded with eosinophilic granulation in submucosa of the stomach, and two or three transverse sections of the parasite in the center of this abscess were observed histophathologically. The worm sections were examined morphologically. From the morphological characters of the cuticular spines, intestine and the other organs of this parasite, it was identified as the larva of 4-5 mm in length of Gnathostoma spinigerum Owen, 1836. The second case ; Male, 31 years old, employee. Kanazawa city, Ishikawa prefecture. The occult blood of gastric juice and feees were strong positive, but the results of examinetions of urine and pepipheral blood were normal and no helminth ova were found in feces. Gastrectomy was carried out under the diagnosis of gastric ulcer, like as the first case. A grapesized tumor was found in the ventral site of the greater curvature of the stomach. Histopathological finding was eosinophilic granulation with two transverse sections of the worm. Morphological observations of the cuticule, oesophagus, lateral lines, intestine on the transverse sections of the worm were carried out, and the worm was identified as the immature worm of 30〜35 mm in length of Ascaris lumbricoides.

著者

滝川 弘志 植竹 光一 横川 宗雄 佐野 基人 小島 荘明

出版者

千葉大学

雑誌

千葉医学会雑誌 (ISSN:00093459)

巻号頁・発行日

vol.47, no.2, 1971

著者

太田 広三郎

出版者

千葉大学

雑誌

千葉医学会雑誌 (ISSN:00093459)

巻号頁・発行日

vol.35, no.4, pp.1659-1669, 1959-11

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The author investigated the clinical acts of young delinquents in Chiba Tuvenile Classification Centre from 1951 to 1955, and diagnosed them psychiatrically, and observed the corelations between their character and their environments. The results were; 1) The delinquents who were taken into the Chiba Tuvenile Classification Centre were at the maximum of their number in 1951, then generally decreased. But in 1954, they in creased temporarily because of the prevalence of "wake amine addict". 2) The accomodators became older and their delinquencies could not be distinguished from thoss of adults. 3) Despite the lacenies decreased gradually, the rudeness, the racy and the alcoholism increased. 4) The most of the accomodaters were the mental weakness, the character derrangemehts and the psychopaths in 1951-the post war confusing age. But in 1955, they became lesser. 5) The results of their intelligence quotience test were bad generally. 6) The almost of the girl delinquents were infected by veneral diseases. 7) The influences of "Brocken-home" to the delanquencies were much greater in 1955.

著者

藤倉 静男

出版者

千葉医学会

雑誌

千葉医学会雑誌 (ISSN:00093459)

巻号頁・発行日

vol.27, no.2, pp.79-87, 1951-12

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The author isolated B. beriberi of Matsumura from feces of many patients, who were suffering from beriberi. For the purpose of diagnosis of beriberi, he applied intracutaneous injection of the vaccine, which was made with the typical strain of B. beriberi of Matsumura. It reacted positive upon the majority of beriberi patients, but almost negative upon persons in good health. Furthermore the author found the therapeutic effects of vaccine upon patients of beriberi who were ill several years in spite of much vitamin B1 injection. Further he studied on effects of B. beriberi vaccine using pigeons and he observed therapeutic and preventive effects of the vaccine against polyneuritis of pigeons. The vaccine of B. coli communis had also analogous effects upon neuritis of pigeons, but its effects were far weaker than those of the vaccine of B. beriberi.

著者

高橋 安雄

出版者

千葉大学

雑誌

千葉医学会雑誌 (ISSN:00093459)

巻号頁・発行日

vol.29, no.4, pp.343-360, 1953-11-28

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Chikazono-village in Nasu-district of Tochigi-prefecture is a pure rural village with 812 houses and 5316 inhabitants (census 1950). Over 70 27777656000f the houses were equipped with Koseisho'privies in 1941-1942. At that time 41 27777670260f the villagers held eggs of parasites (ascaris 30.4 %, ancylostoma 10.8 %). But in recent years, only 17〜18 15332264103f the villagers hold eggs of ascaris and a few ancylostoma. Pupils of elementary and middle schools near the village hold ascaris at the rate of 50〜70 %, whereas the pupils of this village hold the eggs at the rate of only 17〜24 %.0 From this fact it is presumed that the reformed privy is extremely effective for prevention of parasitic worms. Showing the holding rate of ascaris-eggs low, it is a remarkable fact that the eggs are mostly not fertilized. In a microscopic examination of feces, it was found that 32 in 42 pupils of A-class, 6th grade of the elementary school of this village held eggs of ascaris. Pursuing the cause of the sudden rise of the holding rate of ascaris-eggs, the author found out that it was due to a mass-infection during a day-trip of the class. Next the author selected 12 persons and subjected them to the experiment of the infection with ascaris-eggs (50〜200). The ascaris-eggs used in the experiment are as follows. For 1stgroup of subjects : ascaris-eggs separated frme the feces of one of the pupils m ass-infected by the day-trip. For 2nd group : eggs separated from a man holding the eggs for a long time in the village. For 3rd group : eggs of pig-ascaris. On the 2nd group the symptoms are most serious, on 1st group comparatively slighter and on 3rd group slightest. The main feature in symptoms is cough, which is paroximal with difficulty of breathing as asthma, but not attended with sputa. The persons, whose symptoms were serious, had high fever, but the fever lasted only 3 or 4 days and not as long as usual with pneumonia and penicillin was not effective to the fever. The period from the infection to excretion eggs was 65〜7Through the treatment, on each subject of the 2 former groups 30〜92 worms were got out, but on the examples infected with pig-ascaris-eggs, 1 in 3 men got out only one worm.

著者

塙 賢二 中山 幸弘

出版者

千葉大学

雑誌

千葉医学会雑誌 (ISSN:00093459)

巻号頁・発行日

vol.43, no.5, 1968

著者

川本 勉

出版者

千葉医学会

雑誌

千葉医学会雑誌 (ISSN:00093459)

巻号頁・発行日

vol.31, no.4, 1955-11

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戦後寄生虫卵の保有率は,都市たると農村たると問わず蔓延増加の傾向にあり,その人体に及ぼす影響は図り知れざるものがある。従来寄生虫に対しては予防対策上の理論は相当准歩して来たが,独りその実施面に於て遙に立遅れの感があり,特に我々衛生行政に携わる者にとつて奮起一番何んとか打開しなければならない事を痛感する。著者は当管内に於て早くから当所外来患者に余りにも多く鉤虫の保有者がある事実に注目し,昭和22年来より管内農民を対象に調査を実施して来たが,此処に驚くべき事実を見出した。即ち,当管内を従貫する最大河川たる養老川の下岸流域地帯がその鉤虫保有率70%前後,姻虫保有率10%内外で,鉤虫の感染幼虫の成育に最も適していると言う事である。何故多いのか之の対策を如何にすべきかと言うことはその人体に及ぼす影響から見ても当地方にとつて最大問題たるを失わない。そこで著者は之の問題を千葉県知事並びに千葉県寄生虫対策委員会に提案したところ,県に於ては之の問題に対する措置を県全体の寄生虫予防対策上の一事業として認め,当地方を鉤虫浸淫地区に指定し,このため屎尿処理施設に対する多額の補助金を獲得した。

著者

川崎 富作

出版者

千葉大学

雑誌

千葉医学会雑誌 (ISSN:00093459)

巻号頁・発行日

vol.38, no.3, pp.279-280, 1962-11-28

著者

嶋田 博

出版者

千葉大学

雑誌

千葉医学会雑誌 (ISSN:00093459)

巻号頁・発行日

vol.31, no.5, pp.621-628, 1956-01

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Part I. The left lung of matured rabbits are extirpated, and the residual right lung are histopathologically examined at the first to nineteenth week revealing the following results: In the early stage, physiological emphysema and engorgement appear predominant in the morphologic picture of the residual lungs, however, after the nineth week engorgement becomes gradually go away and develop into proliferation of elastic, argyrophile and collagen fibre in some of the alveolar septa. In the cases killed after the twelfth week new growth rather than dilatation of alveolum is markedly observed. The other group of the rabbits thus (left side, totally) pneumonektomized are also given intravenously by a saline solution suspended with one mg of tubercle bacilli (high virulent, human type) per one cc and one kg body weight in dose from immediately after this operation to the twelfth week. The animals are killed four weeks after this single injection. Histopathological examination reveals that there are rather few tuberculous lesions in the residual lung and spleen, but often plenty in liver. Part II. The rabbits are killed four to twenty weeks after splenectomy and autopsied. In this series liver cells often appear swollen and lucid like vegetable cells, and lymphocytic infiltration and duplication of bile ducts of mild grade is also proved in the Glisson's sheath. Beyond the auther's expection, however, the Kupffer's stellate cells never show hypertrophy or proliferation but even regressive degressive degeneration in some cases. The rabbits get a single, intravenous injection of a solution suspended with the same dose oftubercle bacilli three days to twelve weeks after splenectomy and then four weeks later they are killed. In this series the tuberculous lesions in liver show more marked than those in lungs, or on the contrary there are not so much the specific tuberculous lesions in liver although duplication of bile ducts and infiltration of lymphocytes is so prominent. Part III The rabbits are killed at the different stby only the remained part, and also develop the morphologic and functionologic changes in the other certain organs.

著者

宮腰 達朗

出版者

千葉大学

雑誌

千葉医学会雑誌 (ISSN:00093459)

巻号頁・発行日

vol.41, no.6, 1966-03-28

著者

橋本 五郎 旦尾 雅子

出版者

千葉大学

雑誌

千葉医学会雑誌 (ISSN:00093459)

巻号頁・発行日

vol.37, no.1, 1961-05-28

著者

小林 健正 中島 卓也 千本 信次

出版者

千葉大学

雑誌

千葉医学会雑誌 (ISSN:00093459)

巻号頁・発行日

vol.37, no.5, pp.375-376, 1962-01-28

著者

西堀 乙彦

出版者

千葉大学

雑誌

千葉医学会雑誌 (ISSN:00093459)

巻号頁・発行日

vol.29, no.1, pp.15-21, 1953-05-28

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酵素的燐酸転移反応は数多く証明されてきてゐるが,かゝる燐酸転移にはGreen及びColowickが指摘してゐる如くadeninenucleotidが潤与するのが常である。これに対し,AxelrodはP-Nitrophenol-燐酸(NPP)を用い,Nucleotidの関与しない分子間燐酸転移反応の存在することを発見した。この報告によると人尿,シトロンの実などにある酸性燐酸酵素は,NPPの水解と共軛して共存アルコールを燐酸エステル化せしめる。これに対しGreen及びMeyerhofは,小腸のアルカリ性燐酸酵素がアセチル燐酸(ΔF=-15000cal),クレアチン燐酸(ΔF=-11500cal),燐-ピルビン酸(ΔF=-14800cal)を燐酸供与質として,グリセリンへの燐酸転移を触媒し得ることを認め,且その際の転移燐酸量は供与質の含む遊離エネルギーの大小に比例することを報告し,Axelrodの示したNPPよりの燐酸転移を特殊且例外としたが,その後酸性燐酸酵素(精液)による燐酸転移実験では,かゝる比例関係の存在しない事が報告されてゐる。私は一般的に,諸型のMonoesteraseがNPPよりアルコール性OH化合物への燐酸転移を触媒し得ることを証明し,且かゝる燐酸転移の機序を解明し得たので此処に報告する。

著者

酒井 一夫

出版者

千葉大学

雑誌

千葉医学会雑誌 (ISSN:00093459)

巻号頁・発行日

vol.33, no.3, pp.548-554, 1957-09

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1) Malignant Tumors arising in the Lymphatic Tissue of the Tonsil and Nasopharynx There were no differences in radiosensitivity and prognosis of malignant tumors arising in the lymphoid tissue due to the differences in the anatomical sites in which the tumors occurred. A larger percentage of reticulosarcoma of syncytial type developed in the nasopharynx. 2) The Radiosensitivity and Prognosis of Tumors in Relation to their Histopathological Classification. Reticulosarcomas of syncytial type (undifferentiated types) were less radiosensitive, and their prognosis was worse than that of reticular type (differentiated type). Lymphosarcomas were more radiosensitive, and their prognosis was better than that of reticulosarcomas. 3) Tumor cells which divide themselves into larger numbers of daughter cells in mitosis were less radiosensitive than those which divide themselves into smaller numbers of daughter cells.

著者

酒井 一夫

出版者

千葉大学

雑誌

千葉医学会雑誌 (ISSN:00093459)

巻号頁・発行日

vol.33, no.3, pp.543-547, 1957-09

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Roentgen diagnosis has been applied to cancer of the larynx for many years, but it has not become a routine procedure with all laryngologisits. For the diagnosis in cancer of the larynx, laryngoscopy is used, but there are regions of the larynx which are difficult to see by laryngoscopy, especially sub-glottic area. In such cases Roentgen examination may show good information about the endo-larynx. Since 1954 I have tried some radiographical methods in cancer of the larynx. This method should be used Tomography in frontal plane with lateral radiography. I believe that radiographical diagnosis in cancer of the larynx is a valuable method, but it should always be associated with laryngoscopy.

著者

七辺 一三

出版者

千葉大学

雑誌

千葉医学会雑誌 (ISSN:00093459)

巻号頁・発行日

vol.48, no.3, pp.141-147, 1972

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1. 正常人の四肢に振動刺激を加えて得られる緊張性振動反射(Tonic vibration reflex, TVR)は,上位運動ニューロン障害,パーキンソニズム,小脳疾患の患者からはほとんど得ることはできなかった。TVRは主として筋紡錘の興奮によって生ずる。筋伸展に敏感で,容易に導出可能と考えられる痙縮筋,固縮筋にTVRを実際には見出し得ないということは,この反射が小脳,大脳基底核など上位中枢を含む多シナプス回路の影響を受けるためと思われる。2. 振動刺激を痙縮筋に加えると,しばしば随意収縮力が増加する。片麻痺患者における運動障害は上位中枢の器質的変化だけでなく,機能的抑制に由来するものと考えられる。3. 前腕伸筋に振動刺激を加えながら書字試験を行なうと,診断上興味ある現象を呈する。パーキンソニズムと同じく,小脳疾患々者においても小字症が現われ,眼を閉じると小字症は一層著明になる。この現象はgamma系の興奮によるものであろう。

著者

仙波 恒雄 萩原 弥四郎 中村 征一郎 吉川 武彦 大塚 明彦

出版者

千葉大学

雑誌

千葉医学会雑誌 (ISSN:00093459)

巻号頁・発行日

vol.45, no.2, pp.277-283, 1969

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われわれは,熱電効果による手掌皮膚血流の測定が精神生理学領城において,情動の指標として用いられる可能性を指摘した。今回は更に本法と指尖容積脈波とを比較し,かつ若干の測定条件に検討を加えた。1.情動負荷刺激により一過性の指尖容積脈波の振幅の減少,指尖容積の減少が,手掌皮膚血流の減少に伴っておこる。また指尖容積の変化は,皮膚血流の消長とほぼ平行する。しかしその特徴は,GSRと同じく指尖容積脈波はon-reactionの判定に便であり,皮膚血流はon-off-reactionを示すので3者をポリグラフ的に記録を行なうことが望ましい。2.四肢の挙上により,皮膚血流の減少,指尖脈波振幅の増大,指尖容積の減少がみられ,垂下により皮膚血流の初期減少,のち増大,指尖脈波振幅の減少,指尖容積の増大を示す。3.各情動負荷により,個人が惹起されるべき皮膚血流の変化は,テストに対する検者の不安,緊張などの構えや,反復による慣れにより影響をうけるので測定時考慮されるべきである。

著者

萩原 弥四郎 戸井 道夫 伯野 中彦 石原 真 伊藤 賢章 浦野 俊雄

出版者

千葉大学

雑誌

千葉医学会雑誌 (ISSN:00093459)

巻号頁・発行日

vol.41, no.4, pp.384-397, 1965-11-28

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Surface circulation of the body in cats and human materials was measured by a thermoelectric element. The element type is unique in that it uses a thermopile instead of a double thermocouple. The skin blood flow at the capillary level was measured with this element, uninterfered with the muscle blood flow and arteriovenous shunt in the precapillary region. 1) The blood flow of skin, in the resting stage, shows a slight undulation which is mostly independent of systemic blood pressure change. However, in some cases, the skin blood flow decreases when systemic blood pressure markedly falls. 2) The skin blood flow decreases after local intra-arterial injection or intravenous administration of epinephrine and norepinephrine. The blood flow decreasing action of epinephrine is diminished with pretreatment of phentolamine (regitine) and enhanced with dichloroisoproterenol (DCI). The action of norepinephrine is blocked with phentolamine but not influenced by DCI. 3) Constriction of blood vessels in the skin is probably due to adrenergic (α-type) control, while dilatation seemed only slightly adrenergic (β-type) and parasympathetic influenced, some secondary effects such as metabolic factors being possibly concerned. 4) In some experiments on the- human being, mental work immediately decreases the skin blood flow in many cases. 5) The following points were discussed in the present paper : merits and demerits of this method, factors which influence the blood flow change, method of setting the element on the skin, standard to calculate the blood flow value, influence of clamping the inflow vessel, mechanism of constriction and dilation of skin blood vessel, psychic influence on the skin blood flow and application of this method in clinical use.