A case of lung metastasis from renal cell carcinoma showing complete response by a combination chemotherapy with methotrexate, vinblastine and pepleomycin (MVP)

A 69-year-old woman visited our hospital with complaints of low grade fever and general fatigue in October 1990. Computed tomography (CT), ultrasonogram, and renal arteriography showed left renal tumor and she was diagnosed with renal cell carcinoma (T2M0N0). Left radical nephrectomy was performed in December 12, 1990. After operation, 3 x 10(6) unit per day of IFN-alpha were administered three times per week. She complained of low grade fever and general fatigue in June, 1991. CT showed left lung metastasis (phi 3 cm). She was given combined chemotherapy (MVP: methotrexate, vinblastine, pepleomycin). After 2 courses, lung metastasis decreased and after 4 courses, lung metastasis was not shown by CT in December, 1992. No evidence of relapse was shown by CT in June, 1994

重症心不全後のcritical illness polyneuropathyの1例

症例は69歳、男性。平成23年1月1日呼吸困難感を主訴に受診し心不全の診断にて入院。入院後肺水腫による呼吸不全にて気管内挿管を行い、集中治療を要した。5日後、心不全および呼吸不全は軽快し抜管したが、四肢末梢の脱力を認めた。脳MRI、髄液検査、頸髄MRI検査を行うも原因となる異常を認めず、神経筋電位図にてcritical illness polyneuropathyと診断した

Statistics on operations at Hara Genitourinary Hospital (1971-1991)

The statistical analysis of the inpatients and operations in our department from April, 1971 to March, 1991 revealed a total of 9, 170 operations. One of the biggest changes in treatment is a marked increase in closed surgery. This includes endourological surgeries; transurethral resections of prostate and bladder tumor (TUR-P, TUR-Bt), percutaneous nephrolithotripsy (PNL), transurethral uretero-lithotripsy (TUL) and extracorporeal shock-wave lithotripsy (ESWL). From 1976 to 1980 there were 721 open surgical procedures (71.0% of cases) and 295 closed procedures (21.0% of cases). This ratio has now been reversed completely. From 1986-1991, there were 342 open procedures (8.2% of cases) and 3808 closed procedures (91.8% of cases). The main reason for this change was the introduction of the new techniques PNL, TUL and ESWL. Other important observations include: The incidence of emergency operations was higher in this private institution than that seen in non-private hospitals. From 1986, there was an increase in the use of PNL and TUL for the management of urinary calculi, and from 1988, ESWL has overtaken PNL and TUL in the treatment of this condition. Recently the limitations of ESWL have been appreciated and the value of a combined approach to therapy, for selected cases, is being recognized. A total of 238 ileal or ileocecal conduits were created with good results. A low complication rate has been observed with preservation of renal function

早期高糖で11月収穫が可能なサトウキビ品種「NiN24」の育成

New sugarcane cultivar "NiN24," developed by the NARO Kyushu Okinawa Agricultural Research Center, was selected from progenies derived from a cross between the seed parent F167 and the pollen parent CP57-614. The cross was carried out in the South African Sugar Association Experiment Station (KwaZulu-Natal, Republic of South Africa). The main characteristics of NiN24 are as follows. Stem length : Slightly shorter than that of NiF8. Stem diameter : Slightly greater than that of NiF8. Tillering : Slightly light. Maturity class : Very early ; matures earlier than NiF8 and is suitable for harvest in November. Cane and sugar yield : Exceeds that of NiF8, especially in summer planting. Juice quality characteristics : Rich in sucrose. Post-harvest deterioration of cane juice is faster than that of NiF8. Resistance to Diseases and Pests : Resistant to smut, mosaic virus, and leaf scorch. NiN24 is well adapted to the southern regions of Okinawa Island in Okinawa Prefecture due to its high yield and high sucrose content with early maturity, and has been adopted as a recommended cultivar in Okinawa Prefecture.サトウキビ品種「NiN24」 (旧系統名「KN91-49」) は九州沖縄農業研究センターが育成した早期高糖で11月収穫が可能な品種である。2008年に「さとうきび農林24号」として農林認定を受けるとともに, 同年沖縄県の奨励品種に選定された。本品種は台湾育成品種「F167」を種子親, アメリカ育成品種「CP57-614」を花粉親とする交配により得た実生集団から一茎重, 高糖性, 早期収穫適性を重視した選抜を経て育成した。発芽性および萌芽性は「NiF8」と同じく良好である。分げつ性は「NiF8」にやや劣り, 原料茎数はやや少ない傾向が見られるが, 茎径が太く, 一茎重は重くなる。登熟は「NiF8」よりも早く, 11月でも糖度が高い。沖縄本島南部における1月～2月の収穫では「NiF8」に比べ1茎が重く, 原料茎重が重いため, 可製糖量が多くなる。夏植え栽培 (8月～9月の植付け) による早期収穫では11月において基準糖度 (13.1%) を超え, 「NiF8」に比べ原料茎重が重く, 可製糖量が多くなる。株出し栽培で発病の多い黒穂病に対する抵抗性は "強" である。本品種を近年, 12月収穫に取り組みつつある沖縄本島南部に普及させ, 早期収穫での活用を進めていくことで, さらなる収穫時期の早期化と生産性の向上が期待できる

脳梗塞治療後に難治性の心室頻拍、心室細動を起こした1例

症例は70歳男性。平成24年11月より動悸や胸苦を自覚するようになり、当院循環器内科を受診した。拡張能障害によるうっ血性心不全を認め、外来で利尿薬による薬物治療を開始した。同年11月末、右手の脱力と知覚異常を自覚し、脳梗塞の診断で当院脳神経外科入院となった。血栓溶解療法を施行し症状は軽快するも、第4病日の夜に突然心拍数180回/分程度の心室頻拍が出現し、間もなく心室細動となった。電気的除細動、各種抗不整脈薬を施行するも洞調律に復せず、経皮的心肺補助装置を装着した。Amiodaroneを使用し、再度の除細動で自己心拍は再開した。各種検査を実施し、急性冠症候群や肺塞栓症、著明な電解質異常を認めなかった。循環作動薬や大動脈内バルーンパンピングを使用しても循環動態は安定せず、第5病日に永眠された。病理解剖を施行し非AA 型全身性アミロイドーシスとの診断を得た