Studies on an antifibrinolytic agent trans-AMCHA

Lysis of fibrin was first recognized by MORGAGNI in 1769, observing a liquid blood in a patient of acute death, and the phenomenon was named as fibrinolysis by DASTRE in 1893. In 1937, MACFARLANE recognized in a patient after cholecystectomy that the blood clot was lysed completely in the following morning. Since then, much attention has been paid clinically on fibrinolysis and it has been said to occur in case receiving a large amount of blood transfusion, shock, cancer, obstetric diseases, hemophilia, various drug poisonings, allergic diseases, after irradiation and after the operations of lung, pancreas and prostate. In our department, also, the similar phenomenon was recognized often in association with cardiac surgery using the artificial heart-lung machine, and a difficulty in hemostasis was encountered postoperatively. We have been studying, therefore, on fibrinolysis in open heart surgery.</p

Primary Care Education at Kawasaki Medical School

Department of Primary Care Medicine was established in 1981 at Kawasaki Medical School as a first place to educate students about primary care in Japan. Since the history of Department of Primary Care Medicine is so short, many problems which should be resolved were left over. Brief history of primary care activities in Japan was reviewed and strategies for primary care education were discussed

A Trial of the Dartmouth COOP Charts in Kurashiki Station Clinic

Measurement of functional status of the patient is useful in ambulatory clinic in primary care.1,2) A field test of the Dartmouth COOP charts (questionnaires) was performed on 144 patients aged 18 and over with chronic diseases who were visiting for either the second or subsequent time. As these charts produce a comprehensive picture of functional status, they are useful to the patient as well as the physician