We describe successful surgical treatment of blow-out type left ventricular free wall rupture (LVFWR) that suddenly occurred in a 66-year-old man 6 days after antero-lateral acute myocardial infarction. Immediate use of a percutaneous cardiopulmonary support system (PCPS) and intra-aortic balloon pumping (IABP) successfully resuscitated the patient, followed by emergency operation for the beating heart under PCPS and IABP. The actively bleeding site, located at the antero-lateral wall, was gently approximated by large bites of mattress suture with pledgets to close the rupture site, and the site was then additionally covered with oxycel and fibrin glue. The infarct area was finally widely covered with a large patch of equine pericardium. This simple surgical method for the beating heart under PCPS and IABP can provide a prompt and less invasive surgical cure for critically ill patients with blow-out type LVFWR.

An 80-year-old woman underwent lower and middle lobe resections of right lung in 1990 and 1998 because of lung cancers. There was no recurrence. In 2009, she presented with exertional dyspnea, and echocardiography showed grade III mitral regurgitation (MR). We diagnosed with congestive heart failure caused by MR. Her chest CT showed her mediastinum was shifted to the right and her heart was in the right thoracic cavity. We performed mitral valve plasty via right 7th intercostal thoracotomy. Post-operative respiratory condition was stable and she was extubated on the first postoperative day. Post-operative UCG showed trivial MR. She was discharged on the 14th day.

The Spontaneously Hypertensive Rats (SHR) are in the abnormal situation of the central nervous system, especially in that of the medulla oblongate and pons. By using the Amon point, studies were performed on the relationship between the blood pressure and the dosage, and on the effect of controling the blood pressure of SHR in the prehypertensive stage.
Material and Method
Males in two weeks after birth were divided in three groups (6-8 each) and given a stimulating moxibustion on the Amon point analogus to that of human to SHR. The amount of the stimulation were dosed by the moxa of 0.01g per 10g body weight (BW) in T₁ group that of 0.005g per 10g BW in T₅ group. The control group was free from stimuration.
Result
More generous rise in blood pressure was observed in the stimulated group, especially a favarable result in T₅ group, concerning body weight, both treated groups showed significantly low compared to that of the control untill 129 days after birth. The organ weight of the adrenal and the cerebrum was significantly high in both the treated groups compared to those of the control. By assay of serum catecholamine, adrenaline in T₅ group was significantly low.
Discussion and Conclusion
Stimulating moxibustion was effective to the development of hypertension in SHR in the prehypertensive stage. Histologically, in the lungs of the treated groups, expressly in T₅ group, less fibrirous inframmation was observed. The stimulation may be considered to enhance somehow immunity. The dosage of the stimulation was considered to be not parallel to its effectiveness.

Objectives : In Wechsler Intelligence Scale for Children-Fourth Edition (WISC-IV), full scale intelligence quotient (FSIQ) and the index scores are thought to be solely important and supplemental subtests are not taken into account in the score.However, in assessment by intelligent tests it is required that we analyze the result from many directions. Accordingly, the factor of “Cancellation” was taken up and the importance of adding a focus on the qualitative side of the test results was examined. Methods : Some 412 children who received WISC-IV in our developmental evaluation center were divided into three groups according to their intellectual level, and of these, 30 persons were assigned to each group [total of 90] selected at random to comprise the sample. By comparing the index scores and the scaled scores for each group,we have classified the procedures of deletion into six types. Results : The more the intellectual level increases, the lower the “Cancellation” scaled score becomes compared to the other subtests. Further, the scaled score was lower in the type of deletion procedure such as systematic linear strategy. Conclusion : In the high intellect level group, the scaled “Cancellation” score was lower than the other subtests, it was thought to be because there were many “order type” subjects using a systematic linear strategy. It was also considered that attention to the qualitative aspects as well as quantitative is important in “Cancellation”. Therefore, when assessing high intellect children with developmental disabilities in the future, a clinical examination that incorporates “Cancellation” to detect executive function disabilities such as persistence or poor planning ability is desirable.