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Nishimura,Y.,Suzuki,S.,조백현,박진수,김병묵 大韓成形外科學會 1995 Archives of Plastic Surgery Vol.22 No.4
The general principle of treating a giant pigmented nevus is total resection of the lesion to prevent malignant change, followed by coverage of the skin defect with either flap or free skin graft. The problem in giant pigmented nevus lies in that enough skin to cover such a large defect is not readily available. The authors have developed a bilayer artificial skin composed of an upper silicone sheet and a lower collagen sponge sheet, and have applied it clinically with success. In using the artificial skin, the lower sheet is spontaneously converted to synthesized connective tissue matrix similar to dermis through the invasion of fibroblasts and capillaries, which allows for an easy take of a secondary skin graft. There is no significant histological and cosmetic difference between the area treated with the artificial skin plus very thin split thickness skin graft(0.2mm) and that treated with ordinary split thickness skin graft(about 0.5mm). Our recent experience with the use of an artificial skin combined with a very thin split thickness skin graft would be the best solution of the problem, at least at this stage of the research development, because it permits harvesting skin graft from the same site twice or more times, multiplying the usable skin areas in effect.
Implementation of events in Workplace Day-Care Centers in Japan
NISHIMURA Miho,TOKUDA Katsumi 아시아아동지원학회 2010 아시아아동지원연구 Vol.1 No.-
The purpose of this research is to declare that events implement in workplace day-care centers. Events such as entrance cerermny, athletic festival, graduation cererrony etc. which are conducted in mmy cormmon nurseries are not much conducted. The reason why the workplace day-care centers do not conduct an entrance ceremony or graduation cererrony is that depending on the parents recruitment of leaving jobs, midterm enrolment, withdrawal is more. Nurseries located within the office have a low implementation rate of events like entrance ceremonies, graduation ceremonies, and athletic festivals etc. It is also a fact, that parent participation opportunities in workplace day-care center events are less. Events are important not only for chidren but for guardians and the nursery teachers. It is necessary to practice more events in workplace day-care center.
Nursing of Children Who Received Shunt Surgery to Treat Hydrocephalus
NISHIMURA Miho,AJIMI Akiko,TKUDA Katsumi 아시아장애사회학회 2008 아시아장애사회학연구 Vol.8 No.-
Hydrocephalus is a condition in which cerebrospinal fluid accumulates in the section of the brain called ventricle in much larger volumes than normal, causing the ventricle to be enlarged and the brain to be under pressure. Many of the children with hydrocephal us receive a surgery called the shunt surgery. There several points to be noted when children with shunt live our normallifestyle. In many cases of hydrocephalus emerging in childhood, it is treated by ventriculo.peritoneal shunt (V.P shunt) surgery. A shunt comprises of a valve and a catheter. By applying an external force , the valve and the catheter may be subjected to pressure. It may case the catheter to become deformed and clogged or damaged. Thus physical activities which may apply pressure on the valve or the catheter or cause some objects to hit them should be avoided. Since the pressure of a programmable valve is adjusted using magnetic force , it may be affected by magnets and so forth. Shunt system can cause shunt troubles. If shunt occlusion or shunt infection occurs, the patient will have symptoms such as headache, vomiting, dizziness, frustration, red swelling of the skin along the catheter and inability to keep balance of the body. If the above symptoms appear, we must suspect a shunt trouble. It may be necessary to caution other children to be careful with a child with shunt when they live together in kindergartens or nursery schools. When nursing children with shunts, the following precautions are required: CD Do not hit the valve or catheter in any way during physical activities. @ Avoid bringing magnets from coming into contact with the valve and strong magnetic fields. @ Do not miss the signs of shunt troubles. @ Inform other children to be careful.
Nishimura, Mai,Miyatake, Takashi,Nakashima, Ayaka,Miyoshi, Ai,Mimura, Mayuko,Nagamatsu, Masaaki,Ogita, Kazuhide,Yokoi, Takeshi Asian Pacific Journal of Cancer Prevention 2015 Asian Pacific journal of cancer prevention Vol.16 No.18
Background: Atypical squamous cells of undetermined significance (ASCUS) feature a wide variety of cervical cells, including benign and malignant examples. The management of ASCUS is complicated. Guidelines for office gynecology in Japan recommend performing a high-risk human papillomavirus (HPV) test as a rule. The guidelines also recommend repeat cervical cytology after 6 and 12 months, or immediate colposcopy. The purpose of this study was to determine the clinical significance of ASCUS. Materials and Methods: Between January 2012 and December 2014, a total of 162 patients underwent cervical conization for cervical intraepithelial neoplasia grade 3 (CIN3), carcinoma in situ, squamous cell carcinoma, microinvasive squamous cell carcinoma, and adenocarcinoma in situ at our hospital. The results of cervical cytology prior to conization, the pathology after conization, and high-risk HPV testing were obtained from clinical records and analyzed retrospectively. Results: Based on cervical cytology, 31 (19.1%) of 162 patients were primarily diagnosed with ASCUS. Among these, 25 (80.6%) were positive for high-risk HPV, and the test results of the remaining 6 patients (19.4%) were uncertain. In the final pathological diagnosis after conization, 27 (87.1%) and 4 patients (12.9%) were diagnosed with CIN3 and carcinoma in situ, respectively. Conclusions: Although ASCUS is known as a low-risk abnormal cervical cytology, approximately 20% of patients who underwent cervical conization had ASCUS. The relationship between the cervical cytology of ASCUS and the final pathological results for CIN3 or invasive carcinoma should be investigated statistically. In cases of ASCUS, we recommend HPV tests or colposcopic examination rather than cytological follow-up, because of the risk of missing CIN3 or more advanced disease.