This survey was conducted in a local city, Tokushima for its 23 administrative sections, which were classified into rural, non-rural and mixed districts based on the data related to agriculture. Complaints of public nuisances in these districts have been examined and the following findings have been obtained.
1. Complaints about water pollution and offensive odor in the rural district and those about offensive odor and noise in the mixed district have been raised more often, respectively. While, in the non-rural district more complaints about noise have been raised. Thus, it is recognized that possible pollution phenomena vary depending on regional patterns.
2. In time-serial comparison between the first half (1977-1980) and the second half (1981-1984) of survey period, it is found that total complaints of public nuisances have been reduced and the complaints in the rural district have been increased for all the types excepting dust. Therefore, it is suggested that regional environment in suburban farm villages has been deteriorating.

“DOKAKONSAN IN KINKI YORYAKU” in the original is limited to the usage of women whose menses recur twice a month and of men whose genitals are swollen and painful.
Judging from “YAKUSEI and YAKUNO” of four kinds of ingredients, we recognize the herb is effective against the syndrome, “KEISHITOSHO” easily caught by the Japanese, accompanyed with “KETSUNETSU” and “CHINKYU-OKETSU”.
We got remarkably effective results, after we made the chart of the symptoms at a radorgraph from the point of view of “KOHO” (the ancient school), “HOSHO-ITCHI”, on the basis of six factors, “KI”, “KETSU”, “SUI”, “HI-I”, and “KAN and NETSU”, and administered the herb for 50 cases equivalent to the factors by “TANPO” (a single dose), “KAHO”, or “GAPPO”.
The herb is administered to a broad range, that is, both sex from infants to the aged.
The indications are firstly musculus skeleti connective tissue symptoms and each field of symptoms excluding sensorial symptoms and blood dyscrasia.
Observing the process that “KESSHO” is changed into “KANKETSU” through “OKETSU” and the medicine, “KUOKETSU-ZAI”, the removal medicine, “DOKAKONSAN” can be a unique herb to be effective against the begining stage of “KANKETSU” and to be “ZANRYU-OKETSU KAIJYOZAI” after the administration of “KANKETSU CHINKYU OKETSUZAI”.

Relationship between SGOT/SGPT ratio and energy intake were investigated in 1030 subjects (373 males, 657 females). These figures were taken from epidemiological survey of the Tokushima prefecture from 1975 to 1980.
The results of the survey were as follows.
1) Energy intakes in reversal group (SGOT/SGPT <1) was higher than that in nromal group (SGOT/SGPT >1).
2) Body weight in reversal group was higher than that in normal group except young woman (18-39 years).
3) Incidence of reversal of SGOT/SGPT ratio showed increasing values as energy intakes levels increased.
It is possible to conclude from the results that SGOT/SGPT ratio was affected by energy intakes.

Anthropometrical measurement were obtained on 178 male nonathletic university students and 168 male athletic university students (Swimming, Handball, Soccer, Rugby, Running, Thrower, Judo and Gymnastics) aged 18-22 years.
The results obtained were as follows
The mean values of height and body weight for nonathletes were 170.2cm and 59.7kg respectively. The mean values of height and body weight for athletes except gymnastics and long distance runner were larger than those for nonathletes. Athletes showed larger mean values of girth of chest than nonathletes (86.1cm) . The mean values of girth of upper arm and girth of thigh for nonathletes were 26.9cm and 50.6cm respectively. The mean values of girth of upper arm for athletes except basketball, long distance runner and jumper were considerably larger than that for nonathletes. Athletes except long distance runner, jumper and gymnastics showed larger mean values of thigh than nonathletes. The mean values of skinfold thickness for athletes except heavy weight class of judo were thinner than that for nonathletes and the percentage of body fat calculated by using the prediction formura from mean skinfold thickness, body surface area and body weight for athletes was smaller than that for nonathletes
Plotting of body weight and body fat content in standard measure against height in standard measure with family of iso-deviation line was used to compare the body composition and body shape of athletes with those of nonathletes. In this plotting, physical characteristics could be expressed as the difference (R) between the points representing the mean value of athletes on the origin, (the mean values of nonathletes) and ratio of deviation (r) from standard line representing correlation of body weight or body fat content to height for nonathletes. Plotting R against r with family of lines of the same height was proposed to differentiate physical characteristics of athletes participating in different kinds of sports and to evaluate the effect of training on physical characteristics. Plotting of girth of upper arm and girth of thigh in standard measure against girth of chest was used for the evaluation of difference in body shape of athletes.

STUDY DESIGN: Retrospective study. PURPOSE: The aims of the current study are to evaluate the minimum 10-year follow-up clinical results of anterior lumbar interbody fusion (ALIF) for degenerative spondylolisthesis. OVERVIEW OF LITERATURE: ALIF has been widely used as a treatment regimen in the management of lumbar spondylolisthesis. Still much controversy exists regarding the factors that affect the postoperative clinical outcomes. METHODS: The author performed a retrospective review of 20 patients with degenerative spondylolisthesis treated with ALIF (follow-up, 16.4 years). The clinical results were assessed by the Japanese Orthopaedic Association (JOA) score for low back pain, vertebral slip and disc height index on the radiographs. RESULTS: The mean preoperative JOA score was 7.1 +/- 1.8 points (15-point-method). At 1 year, 5 years, and 10 years or more after surgery, the JOA scores were assessed as 12.4 +/- 2.2 points, 12.7 +/- 2.6 points, 12.0 +/- 2.5 points, respectively (excluding the data of reoperated cases). The adjacent disc degeneration developed in all cases during the long-term follow-up. The progressive pattern of disc degeneration was divided into three types. Initially, disc degeneration occurred due to disc space narrowing. After that, the intervertebral discs showed segmental instability with translation at the upper level. But the lower discs showed osteophyte formation, and occasionally lead to the collapse or spontaneous union. CONCLUSIONS: The clinical results of the long-term follow-up data after ALIF became worse due to the adjacent disc degeneration. The progressive pattern of disc degeneration was different according to the adjacent levels.
Asian Continental Ancestry Group ; Follow-Up Studies ; Humans ; Intervertebral Disc ; Intervertebral Disc Degeneration ; Intervertebral Disc Displacement ; Low Back Pain ; Lumbosacral Region ; Osteophyte ; Retrospective Studies ; Spondylolisthesis

Here, we report on a rare case of a giant invasive sacral schwannoma. The patient was a 58-year-old woman who had a 6-year history of non-specific buttock pain. Histological investigation confirmed the diagnosis of cellular schwannoma. The following numerical aberration was detected using the GTG-banding method for karyotypes: 47,XX,-14,+18,+22. Cytogenetic studies of schwannomas have indicated a complete or partial loss of chromosome 22 as the most common abnormality, but this case is cytogenetically rare because of the recurrence of trisomy 22.
Buttocks ; Chromosomes, Human, Pair 22 ; Cytogenetics ; Female ; Humans ; Middle Aged ; Neurilemmoma ; Recurrence ; Sacrum ; Trisomy

We report a case of Takotsubo cardiomyopathy that developed after elective coronary artery bypass grafting (CABG) in an 80-year-old woman. She had been given a diagnosis of unstable angina complicated with mild hypertrophic obstructive cardiomyopathy (HOCM). Her cardiac index began to fall 7 h postoperatively, and we needed to infuse fluids and increase dopamine dose (up to 5 µg/kg/min) to maintain cardiac index and blood pressure. CPK-MB level increased up to 140 IU/l at 12 h postoperatively. Transthoracic echocardiography showed akinesis and ballooning of the apex and hyperkinesis of the base with accelerated left ventricular outflow tract (LVOT) flow and increased mitral regurgitation (MR). Emergency coronary artery angiography showed good patency of all bypass grafts and no new coronary lesion. We diagnosed Takotsubo cardiomyopathy. To improve the hemodynamic status, we started intra-aortic balloon pumping (IABP) instead of adding catecholamines. Blood pressure and cardiac index had improved temporarily, but became unstable again because of increased LVOT pressure gradient and moderate-to-severe MR. LV wall motion gradually improved, but the hemodynamic status stayed unstable, but improved after removal of IABP. In general, the prognosis of Takotsubo cardiomyopathy is favorable with supportive care. However, when it is associated with LVOT stenosis and significant MR, low cardiac output syndrome can become intractable, thus we should manage critical conditions with extreme caution.

We report a case of septal branch aneurysm. A 61-year-old woman was referred to our hospital because of heart murmur. Septal branch aneurysm (25×15 mm) was diagnosed by echocardiography and coronary angiography, and followed up annually with multi-detector row computed tomography (MDCT). Nine years later, another aneurysm proximal to the known aneurysm, which protruded above the epicardium, has rapidly dilated from 5 to 11 mm. We therefore performed closure of the orifice of the septal branch concomitant with bypass grafting ; left internal mammary artery to distal LAD. After the procedure, the aneurysm in the septum had completely collapsed. Her postoperative course was uneventful.

We report a case of re-expansion pulmonary edema (REPE), which complicated mitral valve plasy via right small thoracotomy. A 56-years old man underwent mitral valve plasty for severe mitral regurgitation caused by P2 prolapse. After separation from heart-lung machine, massive yellow foamy secretion has begun to spout from the right side endotracheal tube and hypoxemia has ensued. Differential ventilation with high airway pressure and steroid pulse therapy could not counteract the exacerbation of hypoxemia. Echocardiography showed severe diffuse hypokinesis of left ventricular wall. Intra-aortic balloon pumping and percutaneous cardiopulmonary support (PCPS) were introduced, and they were very effective. After five-days' support, PCPS was successfully weaned. The patient recovered well. REPE complicated by mini-thoracotomy approach cardiac surgery, is rare, but can be fatal.