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Relationship between arterial stiffness and cognitive function in outpatients with dementia and mild cognitive impairment compared with community residents without dementia

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Journal of Geriatric Cardiology 2022年第8期19卷 594-602页

作者： ai hirasawa Kumiko Nagai Taiki Miyazawa Hitomi Koshiba Mami Tamada Shigeki Shibata Koichi Kozaki Department of Health and Welfare Faculty of Health SciencesKyorin UniversityTokyoJapan Department of Geriatric Medicine Faculty of MedicineKyorin UniversityTokyoJapan Department of Health and Sports Science Faculty of WellnessShigakkan UniversityAichiJapan

BACKGROUND It is unclear whether the dementia patients with Alzheimer’s disease(AD)and vascular dementia(VaD)and mixed dementia(MIX,including AD and VaD)would have more developed arterial stiffness as compared with local residents without *** aim of this study was to assess arterial stiffness and cognitive function in different types of dementia pa-tients[AD,VaD,MIX and mild cognitive impairment(MCI)]and community residents without *** This was a single-center,cross-sectional observational *** studied a cohort of 600 elderly outpatients with a complaint of memory loss,who were divided into four groups(AD,VaD,MIX and MCI).In addition,they were compared with 55 age-matched local residents without dementia(Controls).We assessed arterial stiffness by brachial-ankle pulse wave velocity(baPWV)and the global cognitive function by the Mini-Mental State Examination(MMSE).RESULTS The baPWV was higher in AD,VaD and MIX than in MCI and in Controls(P<0.05).The baPWV was higher in MCI than in Controls(P=0.021),while MMSE were compatible between them(P=0.119).The higher baPWV predicted the presence of AD,VaD,MIX and MCI with the odds ratio of 6.46,8.74,6.16 and 6.19,*** contrast,there were no difference in baPWV among three different types of dementia(P=0.191).The linear relationship between baPWV and MMSE was observed in the elderly with MMSE≥23(R=0.452,P=0.033),while it was not in dementia patients(MMSE<23).CONCLUSIONS The findings suggest that MCI and dementia patients have stiffer arteries as compared with age-matched local residents,although global cognitive function may be comparable between MCI and the local residents.

关键词： arterial impairment stiffness

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Anti-EGFR antibody monotherapy for colorectal cancer with severe hyperbilirubinemia: A case report

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World Journal of Gastrointestinal Oncology 2024年第2期16卷 557-562页

作者： Toshiaki Tsurui Yuya hirasawa Yutaro Kubota Kiyoshi Yoshimura Takuya Tsunoda Department of Medical Oncology Showa UniversityTokyo 1428555Japan Department of Clinical Immuno Oncology Clinical Research Institute of Clinical Pharmacology and TherapeuticsShowa UniversityTokyo 1578577Japan

BACKGROUND Hyperbilirubinemia with hepatic metastases is a common complication and a poor prognostic factor for colorectal cancer(CRC).Effective drainage is often im-possible before initiating systemic chemotherapy,owing to the liver’s diffuse metastatic ***,an appropriate chemotherapeutic approach for the treatment of hyperbilirubinemia is currently *** SUMMARY The patient,a man in his 50s,presented with progressive fatigue and severe *** tomography revealed multiple hepatic masses with thick-ened walls in the sigmoid colon,which was pathologically confirmed as a well-differentiated *** RAS or BRAF mutations were *** Eastern Cooperative Oncology Group(ECOG)performance status(PS)score was *** drainage was impossible due to the absence of a dilated bile duct,and panitumumab monotherapy was promptly ***,the bilirubin level decreased and then normalized,and the patient’s PS improved to zero ECOG score after four cycles of therapy without significant adverse *** Anti-EGFR antibody monotherapy is a safe and effective treatment for RAS wild-type CRC and hepatic metastases with severe hyperbilirubinemia.

关键词： Colorectal neoplasms Panitumumab Chemotherapy Hyperbilirubinemia Jaundice Case report

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Heterogeneous tunable Ⅲ-Ⅴ-on-silicon-nitride mode-locked laser emitting wide optical spectra

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Photonics Research 2024年第3期12卷 I0021-I0027页

作者： MAXIMILIEN BILLET STIJN CUYVERS STIJN POELMAN ARTUR HERMANS SANDEEP SEEMA SASEENDRA TASUKU NAKAMURA SHINYA OKAMOTO YASUHISA INADA KAZUYA HISADA TAKU hirasawa JOAN RAMIREZ DELPHINE NÉEL NICOLAS VaiSSIÈRE JEAN DECOBERT PHILIPPE SOUSSAN XAVIER ROTTENBERG GUNTHER ROELKENS JONØ.KJELLMAN BART KUYKEN Photonics Research Group Department of Information TechnologyGhent University-imec9052 GhentBelgium imec 3001 LeuvenBelgium Technology Division Panasonic Holdings CorporationMoriguchi-CityOsakaJapan Ⅲ-Ⅴ Lab F91767 PalaiseauFrance

We demonstrate a Ⅲ-Ⅴ-on-silicon-nitride mode-locked laser through the heterogeneous integration of a semiconductor optical amplifier on a passive silicon-nitride cavity using the technique of micro-transfer printing. In the initial phase of our study, we focus on optimizing the lasing wavelength to be centered at 1550 nm. This optimization is achieved by conducting experiments with 27 mode-locked lasers, each incorporating optical amplifiers featuring distinct multiple-quantum-well photoluminescence values. Subsequently we present a comprehensive study investigating the behavior of the mode-locking regime when the electrical driving parameters are varied. Specifically, we explore the impact of the gain voltage and saturable absorber current on the locking stability of a tunable mode-locked laser. By manipulating these parameters, we demonstrate the precise control of the optical spectrum across a wide range of wavelengths spanning from 1530 to 1580 nm. Furthermore, we implement an optimization approach based on a Monte Carlo analysis aimed at enhancing the mode overlap within the gain region. This adjustment enables the achievement of a laser emitting a 23-nm-wide spectrum while maintaining a defined 10 dB bandwidth for a pulse repetition rate of 3 GHz.

关键词： tunable amplifier mode

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Influence of corneal power on circumpapillary retinal nerve fiber layer and optic nerve head measurements by spectral-domain optical coherence tomography

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International Journal of Ophthalmology(English edition) 2017年第9期10卷 1385-1391页

作者： Kazunori hirasawa Nobuyuki Shoji Department of Orthoptics and Visual Science School of Allied Health SciencesKitasato UniversitySagamiharaKanagawa 252-0373Japan Department of Ophthalmology School of medicineKitasato UniversitySagamiharaKanagawa 252-0373Japan

aiM：To evaluate the influence of corneal power on circumpapillary retinal nerve fiber layer（cp RNFL）and optic nerve head（ONH）measurements by spectral-domain optical coherence tomography（SD-OCT）.METHODS：Twenty-five eyes of 25 healthy participants（mean age 23.6±3.6y）were imaged by SD-OCT using horizontal raster *** soft contact lenses of different powers（from-11 to＋5 diopters including 0diopter）were worn to induce 2-diopter changes in corneal *** in the cp RNFL and ONH measurements per diopter of change in corneal power were ***：As corneal power increased by 1 diopter,total and quadrant cp RNFL thicknesses,except for the nasal sector,decreased by-0.19 to-0.32μm（P〈0.01）.Furthermore,the disc,cup,and rim areas decreased by-0.017,-0.007,and-0.015 mm2,respectively（P〈0.001）;the cup and rim volumes decreased by-0.0013 and-0.006 mm3,respectively（P〈0.01）;and the vertical and horizontal disc diameters decreased by-0.006 and-0.007 mm,respectively（P〈0.001）.CONCLUSION：For more precise OCT imaging,the ocular magnification should be corrected by considering both the axial length and corneal ***,the effect of corneal power changes on cp RNFL thickness and ONH topography are small when compare with those of the axial length.

关键词： optical coherence tomography ocularmagnification corneal power circumpapillary retinal nervefiber layer optic nerve head

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Blood glucose control in patients with severe sepsis and septic shock

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World Journal of Gastroenterology 2009年第33期15卷 4132-4136页

作者： Hiroyuki hirasawa Shigeto Oda Masataka Nakamura Department of Emergency and Critical Care Medicine Chiba University Graduate School of Medicine

The main pathophysiological feature of sepsis is the uncontrollable activation of both pro-and anti-inflammatory responses arising from the overwhelming pro-duction of mediators such as pro-and anti-inflammatory cytokines. Such an uncontrollable inflammatory response would cause many kinds of metabolic derangements. One such metabolic derangement is hyperglycemia. Accordingly, control of hyperglycemia in sepsis is considered to be a very effective therapeutic approach. However, despite the initial enthusiasm, recent studies reported that tight glycemic control with intensive insulin therapy failed to show a beneficial effect on mortality of patients with severe sepsis and septic shock. One of the main reasons for this disappointing result is the incidence of harmful hypoglycemia during intensive insulin therapy. Therefore, avoidance of hypoglycemia during intensive insulin therapy may be a key issue in effective tight glycemic control. It is generally accepted that glycemic control aimed at a blood glucose level of 80-100 mg/dL, as initially proposed by van den Berghe, seems to be too tight and that such a level of tight glycemic control puts septic patients at increased risk of hypoglycemia. Therefore, now many researchers suggest less strict glycemic control with a target blood glucose level of 140-180 mg/dL. Also specific targeting of glycemic control in diabetic patients should be considered. Since there is a significantcorrelation between success rate of glycemic control and the degree of hypercytokinemia in septic patients, some countermeasures to hypercytokinemia may be an important aspect of successful glycemic control. Thus, in future, use of an artificial pancreas to avoid hypoglycemia during insulin therapy, special consideration of septic diabetic patients, and control of hypercytokinemia should be considered for more effective glycemic control in patients with severe sepsis and septic shock.

关键词：感染性休克脓毒症控制血糖患者

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Evaluation of precipitation behavior of zirconium molybdate hydrate

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Frontiers of Chemical Science and Engineering 2013年第1期7卷 65-71页

作者： Liang ZHANG Masayuki TAKEUCHI Tsutomu KOIZUMI Izumi hirasawa Graduate School of Applied Chemistry Faculty of Science and Engineering Waseda University Tokyo 169-8555 Japan Japan Atomic Energy Agency Ibaraki 319-1194 Japan

In the dissolution step of spent nuclear fuel, there is a world-concern problem that zirconium molybdate hydrate precipitates as a byproduct, and accumulates in some reprocessing equipments. In order to prevent this accumulation, we have developed a new method based on the controlled reaction crystallization of zirconium molybdate hydrate （ZMH） in the reprocessing solution, followed by solid liquid separation. In order to measure the particle size of ZMH, batch crystallization experiments were conducted by varying nitric acid concentration and operating temperature. In result, almost all particle sizes scatter around 1μm on average, despite the higher concentration of nitric aid and operating temperature, and then small particles grow up as an aggregate sticking to the crystallizer. Moreover, polymorph and color changing were observed by varying the concentration of nitric acid and reaction time. These results suggest that crystal color and adhesiveness are closely related to the particle size of ZMH. And the control of nitric acid concentration and small particle growth would be the useful technique to prevent the ZMH sticking.

关键词： spent nuclear fuel zirconium molybdate hydrate cleaning method accumulation

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Atmospheric River Signatures in Radiosonde Profiles and Reanalyses at the Dronning Maud Land Coast,East Antarctica

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Advances in Atmospheric Sciences 2020年第5期37卷 455-476页

作者： Irina V.GORODETSKAYA Tiago SILVA Holger SCHMITHUSEN Naohiko hirasawa Centre for Environmental and Marine Studies(CESAM) Department of PhysicsUniversity of AveiroAveiro 3810-193Portugal Department of Atmospheric and Cryospheric Sciences University of InnsbruckInnsbruck 6020Austria Alfred Wegener Institute Helmholtz Centre for Polar and Marine ResearchBremerhaven 27570Germany National Institute of Polar Research Tachikawa 190-8518Japan SOKENDai(Graduate University for Advanced Studies) Hayama 240-0193Japan

Atmospheric rivers(ARs)are an important component of the hydrological cycle linking moisture sources in lower latitudes to the Antarctic surface mass *** investigate AR signatures in the atmospheric vertical profiles at the Dronning Maud Land coast,East Antarctica,using regular and extra radiosonde measurements conducted during the Year of Polar Prediction Special Observing Period November 2018 to February *** AR events affecting the locations of Neumayer and Syowa cause a strong increase in specific humidity extending through the mid-troposphere and a strong low-level jet(LLJ).At Neumayer,the peak in the moisture inversion(up to 4 g kg^?1)is observed between 800 and 900 hPa,while the LLJ(up to 32 m s^?1)is concentrated below 900 *** Syowa the increase in humidity is less pronounced and peaks near the surface,while there is a substantial increase in wind speed(up to 40 m s?1)between 825 and 925 *** transport(MT)within the vertical profile during the ARs attains a maximum of 100 g kg?1 m s?1 at both locations,and is captured by both ERA-Interim and ERA5 reanalysis data at Neumayer,but is strongly underestimated at *** of the enhanced MT events during 2009?19 show that these events represent an extreme state of the lower-tropospheric profile compared to its median values with respect to temperature,humidity,wind speed and,consequently,*** temporal-and vertical-resolution radiosonde observations are important for understanding the contribution of these rare events to the total MT towards Antarctica and improving their representation in models.

关键词： Antarctica moisture transport radiosonde observations YOPP-SOP-SH reanalysis

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Filtration ability of hollow fiber membrane for production of magnesium ammonium phosphate crystals by reaction crystallization

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Frontiers of Chemical Science and Engineering 2013年第1期7卷 55-59页

作者： H. Watamura H. Marukawa I. hirasawa Applied Chemistry Advanced Science and Engineering Waseda University Tokyo 169-8555 Japan

Relationship between magnesium ammonium phosphate （MAP） crystal properties and the filtration ability of hollow fiber membrane （HFM） were investigated. Phosphorus recovery process by crystallization has a problem that it produces a large amount of fine crystals. So improvement of the crystallization process by combining with filtration was discussed. MAP crystals were obtained by batch reaction crystallization and the filtration characteristics were investigated. The filtration was evaluated by the specific filtration resistance （ac） on HFM. Filtered slurry was prepared with each suspension density and crystal size distribution. The solution was filtered at constant pressure of 0.02 MPa and the filtration time on each filtrated volume was recorded. As a result, αc decreases exponentially with suspension density increasing from 0.25 g/L to 0.5 g/L and αc decreases moderately with suspension density increasing from 0.5 g/L to 1.5 g/L. ac of large crystals decreases exponentially at less suspension density than αc of small crystals does. Also, αc increases as the ratio of the fractured crystals increases.

关键词： membrane separation crystallization MAP

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Antarctic Radiosonde Observations Reduce Uncertainties and Errors in Reanalyses and Forecasts over the Southern Ocean:An Extreme Cyclone Case

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Advances in Atmospheric Sciences 2020年第5期37卷 431-440页

作者： Kazutoshi SATO Jun INOUE Akira YAMAZAKI Naohiko hirasawa Konosuke SUGIURA Kyohei YAMADA Kitami Institute of Technology Kitami 090-8507Japan Application Laboratory Japan Agency for Marine-Earth Science and TechnologyYokohama 236-0001Japan National Institute of Polar Research Tachikawa 190-8518Japan SOKENDai(Graduate University for Advanced Studies) Hayama 240-0193Japan University of Toyama Toyama 930-8555Japan

Cyclones with strong winds can make the Southern Ocean and the Antarctic a dangerous *** weather forecasts are essential for safe shipping in the Southern Ocean and observational and logistical operations at Antarctic research *** study investigated the impact of additional radiosonde observations from Research Vessel"Shirase"over the Southern Ocean and Dome Fuji Station in Antarctica on reanalysis data and forecast experiments using an ensemble data assimilation system comprising the Atmospheric General Circulation Model for the Earth Simulator and the Local Ensemble Transform Kalman Filter Experimental Ensemble Reanalysis,version 2.A 63-member ensemble forecast experiment was conducted focusing on an unusually strong Antarctic cyclonic *** data with(observing system experiment)and without(control)additional radiosonde data were used as initial *** observing system experiment correctly captured the central pressure of the cyclone,which led to the reliable prediction of the strong winds and moisture transport near the ***,the control experiment predicted lower wind speeds because it failed to forecast the central pressure of the cyclone *** were found in cyclone predictions of operational forecast systems with and without assimilation of radiosonde observations from Dome Fuji Station.

关键词： radiosonde data assimilation TIGGE Antarctica weather forecast

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Evaluation of refractive correction for standard automated perimetry in eyes wearing multifocal contact lenses

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International Journal of Ophthalmology(English edition) 2017年第10期10卷 1559-1565页

作者： Kazunori hirasawa Hikaru Ito Yukari Ohori Yui Takano Nobuyuki Shoji Department of Orthoptics and Visual Science School of Allied Health SciencesKitasato University Department of Ophthalmology School of medicineKitasato University

aiM：To evaluate the refractive correction for standard automated perimetry（SAP）in eyes with refractive multifocal contact lenses（CL）in healthy young ***：Twenty-nine eyes of 29 participants were *** was paralyzed in all participants with 1%cyclopentolate *** was performed using the Humphrey SITA-standard 24-2 and 10-2 protocol under three refractive conditions：monofocal CL corrected for near distance（baseline）;multifocal CL corrected for distance（m CL-D）;and m CL-D corrected for near vision using a spectacle lens（m CL-N）.Primary outcome measures were the foveal threshold,mean deviation（MD）,and pattern standard deviation（PSD）.RESULTS：The foveal threshold of m CL-N with both the24-2 and 10-2 protocols significantly decreased by 2.2-2.5 d B（P〈0.001）,while that of m CL-D with the 24-2 protocol significantly decreased by 1.5 d B（P=0.0427）,as compared with that of *** there was no significant difference between the MD of baseline and m CL-D with the24-2 and 10-2 protocols,the MD of m CL-N was significantly decreased by 1.0-1.3 d B（P〈0.001）as compared with that of both baseline and m CL-D,with both 24-2 and 10-2 *** was no significant difference in the PSD among the three refractive conditions with both the 24-2 and 10-2 ***：Despite the induced mydriasis and the optical design of the multifocal lens used in this study,our results indicated that,when the dome-shaped visual field test is performed with eyes with large pupils and wearing refractive multifocal CLs,distance correction without additional near correction is to be recommended.

关键词： intraocular lens multifocal contact lens refractive correction standard automated perimetry visual field

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