A CASE OF SOLID-CYSTIC HIDRADENOMA OCCURRING ON THE AXILLA

A case of solid-cystic hidradenoma occurring on the left axilla of an 11-year-old girl is reported. The tumor was hemispherical, covered with nomal skin, and movable to the underlying tissue. Histopathologically the tumor was revealed to be localized in subcutaneous fat tissue and surrounded with thin fibrous connective tissue. The tumor cells consisted of epidermoid cells and clear cells, although the former were dominant. Many tubular structures containing colloidal substance were observed within the tumor

当院における血液回路の改良

Article長野県透析研究会誌 26(1): 12-14(2003)journal articl

持続血液濾過(透析)療法におけるSOFAスコアの検討

Article長野県透析研究会誌 27(1): 100-102(2004)journal articl

Dynamic perfusion digital radiography for predicting pulmonary function after lung cancer resection.

Background:Accurate prediction of postoperative pulmonary function is important for ensuring the safety of patients undergoing radical resection for lung cancer. Dynamic perfusion digital radiography is an excellent and easy imaging method for detecting blood flow in the lung compared with the less-convenient conventional lung perfusion scintigraphy. As such, the present study aimed to confirm whether dynamic perfusion digital radiography can be evaluated in comparison with pulmonary perfusion scintigraphy in predicting early postoperative pulmonary function and complications.Methods:Dynamic perfusion digital radiography and spirometry were performed before and 1 and 3 months after radical resection for lung cancer. Correlation coefficients between blood flow ratios calculated using dynamic perfusion digital radiography and pulmonary perfusion scintigraphy were then confirmed in the same cases. In all patients who underwent dynamic perfusion digital radiography, the correlation predicted values calculated from the blood flow ratio, and measured values were examined. Furthermore, ppo%FEV1 or ppo%DLco values, which indicated the risk for perioperative complications, were examined.Results:A total of 52 participants who satisfied the inclusion criteria were analyzed. Blood flow ratios measured using pulmonary perfusion scintigraphy and dynamic perfusion digital radiography showed excellent correlation and acceptable predictive accuracy. Correlation coefficients between predicted FEV1 values obtained from dynamic perfusion digital radiography or pulmonary perfusion scintigraphy and actual measured values were similar. All patients who underwent dynamic perfusion digital radiography showed excellent correlation between predicted values and those measured using spirometry. A significant difference in ppo%DLco was observed for respiratory complications but not cardiovascular complications.Conclusions:Our study demonstrated that dynamic perfusion digital radiography can be a suitable alternative to pulmonary perfusion scintigraphy given its ability for predicting postoperative values and the risk for postoperative respiratory complications. Furthermore, it seemed to be an excellent modality because of its advantages, such as simplicity, low cost, and ease in obtaining in-depth respiratory functional information.Trial registration:Registered at UMIN on October 25, 2017. https://upload.umin.ac.jp/cgi-open-bin/ctr/ctr_his_list.cgi?recptno=R000033957Registration number: UMIN00002971

カキ新品種 \u27貴秋\u27

Kishu\u27 is a pollination constant non-astringent (PCNA) type of Japanese persimmon (Diospyros kaki Thunb.) cultivar released by the National Institute of Fruit Tree Science (NIFTS) of the National Agriculture and Food Research Organization, Japan, in 2003. The fruit is distinguished by its largeness, early ripeness, and no calyx-end fruit cracking habit. \u27Kishu\u27 resulted from the cross \u27Izu\u27 × Akitsu- made in 1984. Akitsu-5 is a PCNA selection from the cross \u27Fuyu\u27 × Okitsu-16. Okitsu-16 is a PCNA selection from the cross \u27Okugosho\u27 × \u27Hanagosho\u27. \u27Kishu\u27 was primarily selected at NIFTS in Akitsu in 1994, designated as Kaki Akitsu-15, and was tested at 29 locations in 28 prefectures under the Fifth Persimmon National Trial initiated in 1996. It was ultimately selected, and released as \u27Kishu\u27 in 2003, and registered as No. 13,540 under the Seed and Seedlings Law of Japan in 2005. The \u27Kishu\u27 fruit ripens in late October, 10 days later than \u27Izu\u27, and 2 weeks earlier than \u27Matsumotowase-Fuyu\u27. Its fruit is flat-shaped, weighing an average of 352g (about 90g more than the fruit of \u27Matsumotowase-Fuyu\u27) at NIFTS in Akitsu. The skin color is redorange at harvest time, having a value of 6.5 on the color chart for \u27Fuyu\u27 (Yamazaki and Suzuki, 1980, Bull. Fruit Tree Res. Stn. A 7:19-44) at the fruit apex. The flesh is moderately coarse and highly juicy. The soluble solids concentration in juice averages 16%, which is comparable to \u27Izu\u27. The fruit is PCNA, that is, its astringency loses naturally and stably on the tree, irrespective of the number of seeds it contains when the tree is grown in warm areas. \u27Kishu\u27 can be commercially grown in almost \u27Fuyu\u27 and \u27Matsumotowase-Fuyu\u27 production areas but its natural astringency loss in fruit is stable in warm parts of the areas. Fruit cracking at the calyx end, which is a serious physiological disorder in \u27Izu\u27 and \u27Matsumotowase- Fuyu\u27, mostly does not occur in \u27Kishu\u27. Very small fruit cracking at the stylar end that hardly affects marketablity occurs. The occurrence of fruit skin darkening, a physiological disorder, in \u27Kishu\u27 was comparable to \u27Matsumotowase-Fuyu\u27 at Akitsu. The ratio of fruit with darkened skin averaged 25%. The shelf life of \u27Kishu\u27 averaged 15 days at ambient temperature in the national trial, which was longer than that of \u27Izu\u27 and comparable to that of \u27Matsumotowase-Fuyu\u27. The tree is moderately vigorous but less vigorous than \u27Fuyu\u27. It is intermediate between upright and spreading in shape. It easily produced many female flowers every year, and few male flowers in the trials. Fruit dropping in the early fruit-developmental stage in June and July was rare for fruit that was subjected to flower thinning at around 13 leaf/ flower ratio. However, its parthenocarpic ability is not high, and planting of pollinizer trees is desirable for stable fruit production. Fruit dropping in the late fruit developmental stage after July is rare in \u27Kishu\u27. Fruit dropping unusually occurs in a late fruit developmental stage depending on environmental conditions