461 research outputs found
Problème actuel de l'éducation institutionnelle au Japon : le refus scolaire.
No full textThe author reports and analyses the status quo of school refusal in Japanese mentality with regard to the education, which complicates particularly this type of pathology.
Psychopathology, treatments and prognosis of school refusal are discussed in relation to its framework such as family, school and society.
The author mentions also about difficulties of juvenile psychiatric praxis in general in Japan.L'auteur rapporte et analyse l'état' actuel du refus scolaire au Japon, explique la mentalité japonaise à l'égard de l'éducation laquelle, complique en particulier ce type de pathologie.
La psychopathologie, les traitements et le pronostic en sont discutés dans leur relation avec la famille, l'école et la société.
L'auteur rappelle également les difficultés au Japon dans la pratique générale de la psychiatrie infanto-juvénile.Shirahashi Koichiro. Problème actuel de l'éducation institutionnelle au Japon : le refus scolaire.. In: Enfance, tome 39, n°1, 1986. pp. 13-22
A case of pyonephrosis caused by ureteral stones with elevated serum levels of CA19-9
Get PDF71歳女.右側腹部痛の為に入院.画像診断の結果, 右尿管結石による水腎症及び水尿管症を認めた.血清CA19-9値は102.9U/mlと高値であったが, 肝・胆・膵・消化管及び婦人科臓器に異常陰影を認めなかった.尿路造影では右腎は機能しておらず, 右腎摘出術を施行した.組織学的には慢性炎症所見が認められ, 悪性の所見はなかった.術後にはCA19-9は24U/mlに低下した.免疫組織学的に, 尿管上皮にCA19-9抗原が認められたA case of pyonephrosis with high levels of serum CA19-9 antigen is reported. A 71-year-old woman was admitted with right flank pain. Computed tomography and ultrasonography showed severe hydronephrosis and hydroureter due to a right ureter stone. Laboratory data revealed a high level of serum CA19-9. However, no tumor was found in the pancreas, gallbladder, liver, gastrointenstinal tract or genitourinary tract. Drip infusion pyelography showed a non-functioning pattern of right kidney. Therefore, right nephroureterectomy was performed for right pyonephrosis. Histological examination revealed chronic inflammation. Malignant cells were not seen in the resected specimen. The serum CA19-9 levels before and after operation were 102.9 U/ml and 24 U/ml, respectively, being normal after the operation. Immunohistochemical examination revealed the presence of CA19-9 antigen in the urethelium, indicating its expression in the specimen. To our knowledge this might be the first case of pyonephrosis associated with high levels of serum CA19-9 antigen
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