京都府三地域の豆といもの利用状況について

A survey on cooking styles and consumption of beans and potatoes was conducted in three regions of Kyoto Prefecture using the questionnare. The results are summarized as follows. (1) Soy bean products are most frequently used (60% of total use). The order of frequency was, soy bean products > soy beans > green peas > azuki beans > string beans (sayaingen) > green soy beans (edamame) > snow peas (sayaendo). (2) Regional characteristics of consumption of beans and their products were observed. Yuba was used more often in southern and central regions than in northern region. Soy beans were used more often in northern region, for home-made miso, soy sauce and tofu. (3) Potato product konnyaku was most frequently used (one-third of total potato consumption). The order of frequency was, potato products > potatoes > sweet potatoes > taro (satoimo). (4) When dishes were classified wth cooking styles, the order of frquency was, simmered > cooked with rice > soup for beans and simmered > soup > fried > baked for potatoes. (5) Western style dishes were made in soup, baked, and fried cooking. This trend was observed more often in southern and central regions than in northern region. (6) Preparing special dishes for the rituals was observed in all regions. However, those dishes were also consumed in ordinary days, making it difficult to distinguish special dishes for the rituals from ordinary dishes

Transient subacute cerebellar ataxia in a patient with Lambert-Eaton myasthenic syndrome after intracranial aneurysm surgery

Several reports have presented patients with subacute cerebellar ataxia (subacute CA) and Lambert-Eaton myasthenic syndrome (LEMS). Some clinical features of those patients have been described in the previous reports, such as priority of subacute CA to LEMS or a concurrent occurrence of both diseases, a high incidence of malignancy, less efficacy of the treatment for subacute CA compared with that for LEMS. Cerebellar ataxia in some patients with LEMS has been demonstrated to be caused by serum antibodies to P/Q-type voltage-gated calcium channels (VGCCs). Here, we report a 63-year-old woman with subacute CA and LEMS. Cerebellar ataxia appeared 15 months after the incidence of LEMS, and the onset of cerebellar ataxia was thought to be due to serum anti-P/Q-type VGCCs antibodies. The clinical course of this patient was atypical in that 1) LEMS preceded subacute CA which developed after intracranial aneurysm surgery, 2) no malignancy was detected when both diseases coexisted, 3) symptoms of LEMS did not progress with the onset of cerebellar ataxia, and 4) cerebellar ataxia showed a definite improvement in symptoms and by 123I-IMP SPECT imaging after steroid administration. In addition, it is remarkable that LEMS became aggravated in electrophysiological examinations in contrast to subacute CA. We suggest that these atypical features of subacute CA and the changes in LEMS may be associated with a balance between the amount of serum anti-P/Q-type VGCCs antibodies and the susceptibility of the cerebellum and presynaptic nerve terminals to the antibodies. More cases are needed to investigate the mechanisms involved. The subacute CA and LEMS in this patient have remained comparatively silent after the withdrawal of steroid, and we are continuing to observe her condition

The association of primary aldosteronism with glaucoma-related fundus abnormalities.

PurposeTo elucidate glaucoma-related fundus abnormalities in patients with primary aldosteronism (PA).MethodsThe study compared 272 eyes from 137 PA patients and 352 eyes from 177 control subjects selected randomly from 1173 participants of a public glaucoma screening. The presence of glaucomatous optic disc appearance (rim thinning and cup enlargement) and retinal nerve fiber layer defects (RNFLDs) was determined independently from fundus photographs. The results were compared between the PA and control groups.ResultsThere were 9 patients (6.6%) with glaucomatous optic disc abnormalities in the PA group and 10 cases (5.6%) identified in the control group (p = 0.92). RNFLDs were detected more frequently in the PA group (55 eyes, 20.2%) than in the control group (26 eyes, 7.4%; pConclusionAlthough the prevalence of glaucomatous optic disc appearance did not differ between the two groups, RNFLDs were more frequent in PA patients than in the control group. Moreover, RNFLDs with their central ends located around retinal vessels were characteristic of PA patients