Linear Basal Cell Carcinoma: A Case Report

Basal cell carcinoma (BCC) presents with diverse clinical features, and several morphologic and histologic variants of BCC have been reported [Sexton et al.: J Am Acad Dermatol 1990;23:1118-1126]. Linear BCC was first described as a new clinical subtype in 1985 by Lewis [Int J Dematol 1985;24:124-125]. Here, we present a case of linear BCC that we recently encountered in an elderly Japanese patient, and review other cases reported in Japan

A Case of Syringomatous Adenoma of the Nipple

Syringomatous adenoma of the nipple (SAN) is an extremely rare disease originating in the adnexal gland; it was first reported by Rosen in 1983 [Am J Surg Pathol 1983;7:739–745]. Since then, 34 cases have been reported worldwide. We present the case of a 51-year-old man with SAN, in whom local excision of the tumor was performed. Histologically, the tumor consisted of tubules, ductules and epithelial cell strands, and most of the proliferating ducts presented with a characteristic teardrop or comma-shaped appearance

Organized and Sustainable Education Program for Drug Abuse Prevention by Yogo-teachers

　学校における喫煙・飲酒・薬物乱用防止教育の充実には，問題行動が顕在化する中学校期だけでなく小学校期 における指導の推進が重要であり，系統的な指導計画を立て，指導者や時間の確保，教材作成などに組織的に取 組み，継続可能なプログラム開発を行う必要がある。そこで，地区内12 校の養護教諭が協働して，発達段階に応 じた系統的・組織的かつ継続可能な地区共通の指導計画を開発し，各校の教育課程・年間計画に位置付けた実践 研究を行った。その結果，指導計画の実施状況は，小学校11 校中，学級活動10 校，ミニ保健指導10 校，長期 休業前指導6 校，広報活動9 校となり，特別支援学校1 校では広報活動のみを行うことができた。小学校におけ る喫煙・飲酒・薬物乱用防止教育の推進には，学校保健活動の中核的役割を担う養護教諭が専門性を活かし協働 して，系統的な指導計画を各校の教育課程に位置付け組織的で継続可能なプログラムとする取組が有効であった

Contributing Factors for Occurrence of Alopecia in Very Low Birth Weight Infants

極低出生体重児にみられる頭部の脱毛はケアの工夫で予防あるいは軽減することができるのではないかと考え、脱毛の発生に関する実態を調査した。対象はNICUに入院した極低出生体重児30名、在胎24～32週、出生体重568～1364gとし、入院時から脱毛の有無を経時的に観察記録した。結果:1.出生体重の少ない児に脱毛する傾向があったが、出生体重と脱毛との関係は認められなかった。2.気管内挿管の有無と脱毛には関係が認められたが、挿管日数とは比例しなかった。3.頭部に円座を使用した有無と脱毛には関係が認められた。4.体位は仰臥位とその他との比較では関係が認められた。5.中心静脈カテーテル(臍カテーテル)の挿入の有無と脱毛は関係が認められた。結論として、気管内挿管や中心静脈カテーテル挿入などによる同一体位や体位制限が頭部を圧迫し脱毛に影響していた。円座使用により円座の接する同一部位が圧迫により、その部位に脱毛を発生させていた。研究の限界としてストレスや出生後の循環動態など個々の全身状態まで検討できなかった。The occurrence of alopecia was surveyed to devise some care technique which may prevent or reduce scalp hair loss seen in Very low birth weight infants. The subjects were 30 Very low birth weight infants admitted to the NICU, with 24-32 weeks gestation and birth weight 568-1364 g. Occurrence of alopecia was observed and recorded chronologically from time of admittance. Results. 1) Although low birth weight infants showed tendency for hair loss. no relationship was observed between birth weight and hair loss. 2) Although a relationship was observed between endotracheal intubation and hair loss. there was no correlation to the number of days of intubation. 3) A relationship was observed between the use of donut-shaped cushion for the head and hair loss. 4) For body position, a relationship was observed between supine position. in comparison to other positions, and hair loss. 5) A relationship was observed between the insertion of central venous catheter (umbilical catheter) and hair loss. In summary. constant or restrained body position due to endotracheal intubation or central venous catheter compressed the scalp and contributed to hair loss. By using donut-shaped cushion, the part that constantly contacted the cushion was compressed and hair loss occurred in that area. As limitation of this study, we were unable to investigate the individual systematic conditions such as stress or circulatory dynamics after birth