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Fatal submucosal invasive gastric adenosquamous carcinoma detected at surveillance after gastric endoscopic submucosal dissection

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World Journal of Gastroenterology 2015年第14期21卷 4385-4390页

作者： akinori shirahige Haruhisa Suzuki Ichiro Oda Masau Sekiguchi Genki Mori Seiichiro Abe Satoru Nonaka Shigetaka Yoshinaga Shigeki Sekine Ryoji Kushima Yutaka Saito Takeo Fukagawa Hitoshi Katai Endoscopy Division National Cancer Center Hospital Pathology Division National Cancer Center Hospital Department of Clinical Laboratory Medicine and Diagnostic Pathology Shiga University of Medical Science Gastric Surgery Division National Cancer Center Hospital

An 80-year-old man was under annual surveillance esophagogastroduodenoscopy after endoscopic submucosal dissection(ESD) for early gastric cancer(EGC).Two years after the initial ESD, a 0-Ⅱc type metachronous EGC lesion, 8 mm in size, without an ulcer scar, was found in the gastric antrum.The estimated tumor depth was up to the mucosa, and biopsy revealed well and poorly differentiated adenocarcinoma.ESD was performed for this lesion and en bloc resection with negative margins was achieved.Histopathological examination revealed an adenosquamous carcinoma 8 mm in size invading the deep submucosal layer(1600 μm), with lymphovascular invasion, consistent with the diagnosis of non-curative resection.Additional gastrectomy was recommended for this patient; however, two months after the ESD, preoperative computed tomography revealed multiple liver metastases, and the patient was considered as an unsuitable candidate for surgical resection.Systemic chemotherapy was therefore started; however, the patient died of gastric cancer 27 mo after the second ESD.Early gastric adenosquamous carcinoma localized to the mucosa and submucosa is extremely rare and its clinical behavior is not well known.The present report is very significant in that it underscores the distinct possibility of gastric adenosquamous carcinoma being very aggressive and fatal even when detected at an early cancer.

关键词： Early gastric cancer Endoscopic submucosal dissect

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Effects of Makeup Application on Diverting the Gaze of Others from Areas of Inflammatory Lesions in Patients with Acne Vulgaris

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Journal of Cosmetics, Dermatological Sciences and Applications 2015年第2期5卷 134-141页

作者： Yumi Murakami-Yoneda Mieko Hata Yoshie shirahige Kozo Nakai Yasuo Kubota Department of Dermatology Faculty of Medicine Kagawa University Kagawa Japan Department of Dermatology Nippon Medical School Tokyo Japan

Skin manifestations can be major sources of stress for patients with skin diseases;hence, the effective use of makeup and cosmetic products for these patients has been established. The objective of this study was to determine if makeup can divert observers’ gaze from areas of inflammatory acne lesions. Both base and point makeup were applied to two Japanese female patients with mild to moderate acne vulgaris to hide skin manifestations, as well as to accentuate the eyes and lips. Photographs of their faces were shown, at various stages of makeup application, to 22 observers (11 men and 11 women). The effects of makeup application, and other eye-diverting strategies (e.g., clothing, accessories, and hairstyle), used to draw observers’ gaze away from acne lesions, were evaluated by analyzing observers’ eye movements. As base makeup application proceeded, time to first fixation, total fixation duration, and fixation count changed. Compared to “no makeup”, the time to first fixation, total fixation duration, and fixation count also decreased significantly after point makeup application. The additional eye-diverting strategies used also had significant gaze-diverting effects. Therefore, makeup can be useful for patients with acne to divert others’ gaze from lesions. Therefore, it should be actively integrated into acne management.

关键词： Acne Vulgaris Eye Tracking Base Makeup Point Makeup Gaze Diversion

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Application of Carbonization Technique for Tire Waste Recycle

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材料科学与工程（中英文B版） 2015年第3期5卷 177-180页

作者： Go Takahashi Masaaki Takahashi Yukimasa Takemoto Masayoshi Okui Nariyoshi shirahige Katsumi Iida Kunihiko Sato Sankoutuusyou Corporation Nishiakuragawa 1739-26 Yokkaichi Mie Japan Yokkaichi university Kayou-cho 1200 Yokkaichi Mie 512-8512 Japan Itochu EnexHome Life Corporation Sekohigashi 1-1609 Moriyama ward Nagoya Japan shirahigeCorporation Gokashoura 3833 Minami-lsecho Mie Japan Kassui Plant Corporation Akosucho 4-7 Yokkaichi Mie Japan Mie Pref Government Waste Disposal Survaillance Division Komeityo 13 Tsu Mie Japan

Tire waste is discharged at 3 or 4 million wheels per year in Japan. Tire waste is mainly treated as an auxiliary fuel in some cement kilns. However, significant amounts of tire waste is illegally discharged in dumping sites, and causing an environmental pollution. In order to find a practical recycling method of this tire waste, a carbonization technique was investigated. Tire waste was heated at 300 degrees for 3 h. The tire was completely decomposed to gas, oil, charcoal and steel iron. The generated gas was separated in an oil separator, and incinerated as supplementary fuel. Generated oil was also separated in an oil separator and collected. The quality of the oil corresponded to kerosene or light oil can be used as a fuel.

关键词：废旧轮胎碳化技术回收利用油分离器应用辅助燃料环境污染回收方法

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