[A case report of combined the mitral and pulmonary valve replacement 24 years after initial pulmonary valvotomy].
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Biomedical subjects
Publications and source records attributed to K Wake.
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Pit cells, on which almost no further contributions have been presented since the first report by Wisse et al. (1976), are described in detail in the rat liver. These cells show several characteristic features: 1) "rod-cored vesicles", a new type of vesicular inclusion observed first in our study; 2) electron-dense granules, which we consider to arise from multivesicular bodies by the accumulation of dense material; and 3) well-developed pseudopodia. Although these features clearly differentiate pit cells from conventional lymphocytes, these two cell types display similarities (i) in a number of ultrastructural features, (ii) in the pattern of their intralobular distribution, and (iii) in their presence in the spleen and peripheral blood.
The innervation of the pineal organ was studied in 26 avian species under particular consideration of comparative aspects. A population of nerve cells and their pinealofugal (afferent) fiber systems were stained by means of the acetylcholinesterase method, while catecholamine-containing pinealopetal (efferent) fibers were demonstrated with the use of the glyoxylic acid method. Afferent axons were mainly found in the postero-proximal portion of the organ, and the patterns of their distribution were classified into three groups according to the characteristic densities of the reaction product. The number of acetylcholinesterase-positive neurons in the avian pineal organs examined in this study varied extremely from species to species, ranging from 0 to 362. Catecholamine-containing nerve fibers penetrating the antero-lateral walls of the pineal follicles accompanied blood vessels and were arranged more densely in the distal portion of the organ, in contrast to the distribution of the acetylcholinesterase-positive nerve fibers. Three-dimensional reconstruction of the distributional patterns of both types of neural projections was performed for the pineal organ of every avian species examined. In avian species possessing a relatively conspicuous afferent projection, such as Passeriformes, Nycticorax, and Milvus, terminals of catecholamine-containing nerve fibers were observed exclusively in the interfollicular and perivascular tissues. In Galliformes, which display only few pineal afferents, catecholamine-containing fibers terminate not only in the interfollicular space, but also in the neuroepithelial parenchyma. The regional differences in the innervation in the avian pineal organ suggest that the pinealocytes ranging from more sensory-like to more secretory-like elements are arranged in a mosaic-like pattern.
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After the Second World War, the field of medicine has changed remarkably in Japan. A comprehensive health and medical care system has been organized to meet the increasing needs and demands for health and medical care services. Health centers have played an important role in promoting health care activities in the community. The authors describe the development of health centers and other health care facilities in Japan. The authors propose that it is necessary to build a new health facility specifically designed for public health nurse activities, termed a "public health nurse station". The authors also describe the status of the health care facilities in service and the activities of the stations and evaluated them. It is concluded that the stations have brought many changes in the field of health and medical care; moreover that the station should not become a substitute for a health center but should be a facility for public health nurse activities in a community. Health centers should also play important roles for comprehensive medical services in the future.
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