HEMATOGENOUS METASTASES FROM THE PENILE CANCER TO THE BONE AND THE LIJFNGS (26 CASES OF CLINICOSTATISTICAL STUDY FROM 1970 TO 1978)

A 69-year-old man with metastases to left tibia and both lungs from penile cancer, was reported. And also, a review was made as to the way of metastases from primary penile cancer, based on 26 cases seen in our hospital from 1970 to 1978. Report of case is as follows. On admission, patient's chief complaint was swelling of his glands penis. Pathological diagnosis was squamous cell carcinoma. He was treated with the combination of irradiation (6600 rads) and bleomycin (210mg). But about 3 months after admission, metastases to left tibia and both lungs were discovered by X-ray examination. And he died 3 weeks afterwards. In this case, the time from detection of the tumor until death was a <1 months. The result of autopsy was as follows. The penile cancer infiltrated to corpus cavernosum and corpus spongiosum, and metastases were found in left deep inguinal lymphnodes, left tibia and both lungs. A statistical study in our 26 cases was as follows. The age of these cases ranged from 38 to 78 with the average 61 years. 20 cases out of 26 were phimotic (79%). Lymphogenous metastases were discovered in 6 (23%), and hematogenous metastases in 3 (12%) out of 26 cases. As to prognosis, 5-year survival rate of 26 cases was 78%, that of cases without metastasis was 88% and that of cases with lymphogenous metastasies was 20%. All the cases with hematogenous metastasized died within a year

チアマゾールによる顆粒球減少をきたし甲状腺全摘術を行った1 型糖尿病合併Basedow 病の1例

"　20代女性の急性発症1 型糖尿病とBasedow 病の同時期発症による多腺性自己免疫症候群（APS）3A 型を経験した．強化インスリン療法とチアマゾール（MMI）15㎎/日で治療を開始したが，顆粒球数は減少傾向となり，薬剤性顆粒球減少症と考えMMI を中止しヨウ化カリウム50㎎/日に変更したのち，甲状腺全摘術を行った． 　日本人の1 型糖尿病における自己免疫性甲状腺疾患（AITD）の合併頻度は2 ～10％であり， 1 型糖尿病とBasedow 病合併例の症例報告も多数なされている．本症例のようにMMI導入による顆粒球減少は0.2～0.5％の頻度で報告されているが，急性発症のAPS3A 型に対して外科的治療を行った症例は稀である．"journal articl

当院の食道癌手術，周術期fast-track protocol の検討 ― 術後入院期間短縮に寄与する因子について―

"目　的：当院の食道癌手術および周術期の短期成績を後方視的に検討し，fast-track protocolのうち術後入院期間短縮に寄与する因子を検討した． 方　法：2006年6 月から2023年4 月まで89例の食道癌手術が施行され，うち初回で再建がなかった二期的手術8 例，早期死亡例1 例を除いた80例を対象とした．対象を前中後期の3 期に分け，手術および周術期短期成績の変遷を検討した． 結　果：後期でハイリスク患者が増加したが，術後入院日数中央値は前期28日，後期22.5日と有意に短縮，胸腔鏡手術が後期で全例に行われ，出血量は前期300mLから後期125mLと有意に減少した．当日抜管が前期24％から後期77％に増加し，術後入院期間21日以内に寄与する因子は多変量解析で当日抜管，硬膜外麻酔，腸瘻チューブなしであった． 結　語：当院の食道癌手術，周術期のfast-track protocol は入院日数短縮に有効であった．"journal articl

福山大学薬学部における幼児·高齢者との交流学習への取り組み:－学生のコミュニケーションおよびホスピタリティ能力を培うために－(発表論文抄録(2010))

Since the six-year education system for pharmacy students was established in 2006,educational programs to cultivate humanism in pharmacists have been an important part of the curriculum in each year.In Fukuyama University,a program providing contact with elderly people in day-care centers and children in nursery schools was introduced for second-year under graduate pharmacy students in 2007,in order to cultivate students\u27ability to communicate and empathize with them.Analysis of the results of a questionnaire survey on the effects of the exchange education program that we conducted for 3 years revealed the following.On the first visit,many students could not communicate well with either the elderly people or the children but from the 2nd visit onwards,almost all students were able to communicate and control the level of their voice better,and have more eye contact.As the communication program went on,students were able to build close relationships with their partners.The results of the questionnaire also showed that almost all students were satisfied with the communication education program at both facilities and their partners were also satisfied with it.In addition,good cooperation with the facilities produced a stepwise increase in student satisfaction rates over the three years.These results suggest that communication education plays an important role by cultivating hospitality skills and having students think about their behavior as medical professionals.Since the six-year education system for pharmacy students was established in 2006,educational programs to cultivate humanism in pharmacists have been an important part of the curriculum in each year.In Fukuyama University,a program providing contact with elderly people in day-care centers and children in nursery schools was introduced for second-year under graduate pharmacy students in 2007,in order to cultivate students\u27ability to communicate and empathize with them.Analysis of the results of a questionnaire survey on the effects of the exchange education program that we conducted for 3 years revealed the following.On the first visit,many students could not communicate well with either the elderly people or the children but from the 2nd visit onwards,almost all students were able to communicate and control the level of their voice better,and have more eye contact.As the communication program went on,students were able to build close relationships with their partners.The results of the questionnaire also showed that almost all students were satisfied with the communication education program at both facilities and their partners were also satisfied with it.In addition,good cooperation with the facilities produced a stepwise increase in student satisfaction rates over the three years.These results suggest that communication education plays an important role by cultivating hospitality skills and having students think about their behavior as medical professionals