http://hdl.handle.net/10564/2306 1989-02 2026-04-10T15:40:11Z http://hdl.handle.net/10564/2324 タイトル: 成長障害を伴う内分泌疾患のスクリーニング法（WHAMES法）の考案 ： その学校検診における応用と有用性に関する検討 著者: 岡本, 新悟 抄録: It is necessary to make early diagnosis and proper treatment for every disease, and especially for endocrin diseases. Growth-affecting disorders will ensue, if such diseases are left untreated when young. I have seen many patients with serious disorders of endocrine origin who had been left untreated during their childhood. I examined why these patients were left untreated for long time. From these experiences, I devised a new screening method :(WHAMES method) by which school nurses might find such patients among many school children. After the first screening performed by school nurses, potential patients were sent to me for diagnosis. WHAMES method is the first screening method for endocrine disease using symptom markers consisting of weight, height, appearance, mentality, emotion and sextial developement. "WHAMES" is an acronym formed of the capital letters of the symptom markers. I performed mass-screening for endocrine diseases in cooperation with school nurses in Nara Prefecture from April, 1985 to April, 1987. School children (110,589) in 189 schools were examined. One hundred two children visited our university hospital. I examined them and found 10 cases of pituitary dwarfism, one case of diabetes insipidus due to pituitary tumor, 2 cases of Turner's syndrome, 2 cases of hyperthyroidism, one case of congenital adrenocortical hyperplasia due to 11β-OHase deficiency (mild form), one case of Kallmann's syndrome, and others. It is concluded that screening for endocrine, diseases is necessary for school children and that this new method will be useful for such screening as a routine periodic health check in school. 1989-02-27T15:00:00Z http://hdl.handle.net/10564/2319 タイトル: 奈良県立医科大学泌尿器科学教室における1986年の臨床統計 著者: 岡島, 英五郎; 守屋, 昭; 平尾, 佳彦; 小原, 壮一; 丸山, 良夫; 大園, 誠一郎; 岡本, 新司; 佐々木, 憲二; 窪田, 一男; 駒田, 佐多男; 吉田, 克法; 金子, 佳照; 妻谷, 憲一; 平田, 直也; 夏目, 修; 高橋, 省二 抄録: Clinical statistics on outpatients, inpatients and operations in our department in 1986 revealed the following : 1) The total number of outpatients was 2697 : 2) The total number of inpatients was 365 ; 3) According to our classification of disease, urological tumor (165 cases, 41.1%) was the highest in frequency, followed by urolithiasis (79 cases, 19.7%) and renal failure (54 cases, 13.5%) and others among the inpatients. 4) Three hundred and sixty-two operations were performed. 1989-02-27T15:00:00Z http://hdl.handle.net/10564/2318 タイトル: SLEにみられた多発性脳動脈瘤の1例 著者: 竹嶋, 俊一; 笹岡, 保典; 金, 良根; 多田, 隆興; 榊, 寿右; 京井, 喜久男; 内海, 庄三郎; 菊地, 英亮 抄録: The incidence of subarachnoid hemorrhage due to aneurysm is considered to be higher in systemic lupus erythematosus than in the general population. They are attributed to lupus angitis or to coincidental "congenital" aneurysm. On the other hand, because of sporadic reports of cerebral aneurysms in patients with lupus erythematosus, the relationship between cerebral aneurysms and systemic lumpus erythematosus is still unclear. A patient with established systemic lupus erythematosus in whom subarachnoid hemorrhage occured from rupture of fusiform aneurysm is presented. A 22-year-old woman with a 5-year history of systemic lupus erythematosus was found to have fusiform aneurysms in the left internal carotid artery, the left middle cerebral artery and the proximal left anterior cerebral artery. She was treated internally, but unfortunately died five days after the onset. Cerebral aneurysms associated with systemic lupus erythematosus are reviewed in the literature and the pathogenesis of these aneurysms is discussed. 1989-02-27T15:00:00Z http://hdl.handle.net/10564/2317 タイトル: 斜頸を伴ったChiari奇形の検討 著者: 塩見, 和昭; 奥地, 一夫; 石田, 泰史; 笹岡, 保典; 角田, 茂; 榊, 寿右; 京井, 喜久男; 内海, 庄三郎 抄録: Torticollis is given as a general name for the state in which the head is drawn to one side with the chin pointed toward the opposite shoulder. It is classified by its origin : neurogenic, osteogenic, musculogenic, etc. Chiari malformation is often associated with torticollis. However, few explanations have been attempted for this mechanism so far. Recently we experienced two cases of Chiari malformations associated with torticollis and inquired into the source of torticollis in Syringomyelia which is accompanied by Chiari malformation. In Gardner's "hydrodynamic theory" and Williams' "Sucking theory" etc. Chiari malformation has important significance for the formation of the syrinx. In this report, we describe the importance of torticollis which is latent in Chiari malformation associated with Syringomyelia. 1989-02-27T15:00:00Z