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Successful outcome of retrograde pancreatojejunostomy for chronic pancreatitis and infected pancreatic cysts:A case report

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World Journal of Clinical Cases 2021年第24期9卷 7224-7230页

作者： Koichi Kimura Eisuke Adachi ayako toyohara Sachie Omori Kaoru Ezaki Ryo Ihara Takahiro Higashi Kippei Ohgaki Shuhei Ito Shin-ichiro Maehara Toshihiko Nakamura Yoshihiko Maehara Department of Surgery Kyushu Central Hospital of the Mutual Aid Association of Public School TeachersFukuoka 815-8588Japan Department of Internal Medicine Kyushu Central Hospital of the Mutual Aid Association of Public School TeachersFukuoka 815-8588Japan

BACKGROUND Chronic pancreatitis occasionally requires surgical treatment that can be performed with various ***,this type of surgery presents with postoperative *** report a case of a successful retrograde pancreatojejunostomy for chronic pancreatitis and infected pancreatic *** SUMMARY A 62-year-old male with a 10-year history of chronic pancreatitis presented with epigastric pain for one week and a 20 kg weight loss over one *** tomography showed stones in the pancreas(mainly the head),expansion of the main pancreatic duct,and thinning of the pancreatic *** resonance imaging showed infected pancreatic cysts connected to the stomach with a fistula from the splenic hilum to the caudal portion of the liver’s lateral *** endoscopic retrograde pancreatography was performed;the guide wires could not pass through the stones in the pancreas and therefore,drainage of the main pancreatic duct was not ***,a distal pancreatomy and splenectomy were performed;however,the pancreatic juice in the remaining parenchyma was blocked by the ***,we performed a retrograde pancreatojejunostomy and Roux-en-Y *** patient had no postoperative complications and was discharged from the hospital on postoperative day *** A distal pancreatomy,retrograde pancreatojejunostomy,and Roux-en-Y anastomosis could be an effective surgical procedure for intractable chronic pancreatitis.

关键词： Chronic pancreatitis Infected pancreatic cyst Distal pancreatomy Retrograde pancreatojejunostomy Pancreatic stones Case report

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Schwannoma mimicking pancreatic carcinoma:A case report

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World Journal of Clinical Cases 2021年第17期9卷 4453-4459页

作者： Koichi Kimura Eisuke Adachi ayako toyohara Sachie Omori Kaoru Ezaki Ryo Ihara Takahiro Higashi Kippei Ohgaki Shuhei Ito Shin-ichiro Maehara Toshihiko Nakamura Fumiyoshi Fushimi Yoshihiko Maehara Department of Surgery Kyushu Central Hospital of the Mutual Aid Association of Public School TeachersFukuoka 815-8588Japan Department of Internal Medicine Kyushu Central Hospital of the Mutual Aid Association of Public School TeachersFukuoka 815-8588Japan Department of Histopathology Kyushu Central Hospital of the Mutual Aid Association of Public School TeachersFukuoka 815-8588Japan

BACKGROUND Schwannoma of the pancreas is extremely *** report a case of pancreatic schwannoma that was difficult to distinguish from pancreatic carcinoma before *** SUMMARY A 66-year-old male underwent a right-lobe hepatectomy for hepatocellular ***-surgical computed tomography showed a 10 mm long solid mass with ischemia,with no expansion into the main pancreatic *** magnetic resonance cholangiopancreatography,the tumor had high signal intensity in diffusion weighted images,consistent with pancreatic *** ultrasound(EUS)was performed to obtain more information about the tumor,and showed a 14 mm solid and hypoechoic mass in the pancreatic *** enhanced EUS revealed that the tumor showed a hyperechoic mass in the early phase,and the contrasting effect continuation was very short;findings also consistent with pancreatic ***,we preoperatively diagnosed his condition as a pancreatic carcinoma and performed distal pancreatectomy with *** examination showed that the tumor was in fact a benign *** showed a proliferation of spindle-shaped cell in a vague fascicular and haphazard pattern,with palisading *** Schwannoma of the pancreas is very rare,however,clinicians should consider schwannoma as the differential diagnosis for pancreatic tumors.

关键词： Schwannoma Pancreatic body Pancreatic carcinoma Pancreatic tumor Distal pancreatectomy Case report

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Risk and Protective Factors Associated with Depression and Anxiety among Pregnant Women during the COVID-19 Pandemic

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Health 2024年第1期16卷 37-51页

作者： Maiko Manaka Miyako Tsuda Moe Fujitani Ai Sawada Nanae Akatsuka ayako Sasaki Faculty of Nursing Osaka Medical and Pharmaceutical University Takatsuki Japan Osaka City Juso Hospital Osaka Japan Osaka City General Hospital Osaka Japan

Background: The coronavirus disease (COVID-19) pandemic has impacted perinatal women’s mental health. However, protective factors associated with depression among pregnant Japanese women during the pandemic have not been reported. Purpose: The present study investigated the risk and protective factors associated with depression and anxiety among pregnant women during the COVID-19 pandemic. Methods: An online questionnaire was administered to 157 pregnant women between October 2022 and May 2023 at two general hospitals in Japan. The Japanese versions of the Patient Health Questionnaire-9 (PHQ-9) and General Anxiety Disorder-7 (GAD-7) were used to assess symptoms of depression and anxiety. The χ2 test or Fisher’s exact test and multivariate logistic regression model were used to examine factors associated with depression and anxiety among pregnant women. Results: Overall, 47.1% and 35.7% of the pregnant women reported depressive and anxiety symptoms, respectively. A “history of mental illness” was a risk factor for depression and anxiety among pregnant women during the COVID-19 pandemic. Additionally, unmarried status was a risk factor for anxiety among pregnant women, whereas outdoor and indoor exercises were protective factors against depression and anxiety, respectively. Conclusions: Exercise may have protected pregnant women from depression and anxiety during the COVID-19 pandemic. Encouraging exercise may help maintain the mental health of pregnant women who do not have exercise restrictions.

关键词： Depression Anxiety Factors Pregnancy COVID-19 Pandemic

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Development and Evaluation of 3D Delivery Animation Software Designed to Improve the Mother’s and Spouse’s Satisfaction with Delivery

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Health 2024年第5期16卷 439-458页

作者： ayako Sasaki Sachi Chikazawa Nojima Kumiko Tomita Takako Hatakeyama Keiko Imoto Yasufumi Imoto Nobutane Faculty of Nursing Osaka Medical and Pharmaceutical University Takatsuki Japan Imoto Ladies Clinic Echizen Japan

Purpose: To clarify the effectiveness of 3-D delivery animation software for the mother’s and husband’s satisfaction with delivery. Subjects and Method: We independently developed a software application used to display the pelvic region and explain the labor process. The study involved a collaboration with hospital staff who recruited 18 primiparous and 18 multiparous mothers who were hospitalized for delivery at Facility A. The midwife explained the process of delivery using the “Delivery Animation Software”. A self-administered, anonymous questionnaire was distributed and analyzed separately for primiparous and multiparous mothers and their husbands. Results: 1) For both primiparous and multiparous couples, both mothers and their husbands gained a significantly higher level of understanding after delivery than during pregnancy. 2) The Self-Evaluation Scale for Experience of Delivery results were as follows: “I did my best for the baby even if it was painful” was selected more often for “birth coping skills”;“reliable medical staff” was selected more often for “physiological birth process”;“the birth progressed as I expected” was selected frequently by primiparous mothers;and “the birth progressed smoothly” was selected often by multiparous mothers. 3) In terms of husbands’ satisfaction with the delivery, “I was satisfied with the delivery”, “I was given an easy-to-understand explanation”, and “They explained the process to me” was selected of primiparous and multiparous fathers. 4) All primiparous and multiparous mothers positively evaluated whether the delivery animation was helpful in understanding the process of delivery. Conclusion: The delivery animation was effective in improving the understanding and satisfaction of both the mothers and their husbands.

关键词： Mother Spouse Satisfaction 3D Delivery Animation Software

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An extended computational approach for point-defect equilibria in semiconductor materials

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npj Computational Materials 2022年第1期8卷 746-756页

作者： Takafumi Ogawa ayako Taguchi Akihide Kuwabara Nanostructures Research Laboratory Japan Fine Ceramics Center2-4-1 MutsunoAtsuta-kuNagoya456-8587Japan

Concentrations of intrinsic and extrinsic point defects in crystalline materials with a bandgap are typically calculated in a constant-μapproach from defect formation energies based on density functional *** this work,calculations of thermal and charge equilibria among point defects are extended to a constant-N *** two approaches for point-defect equilibria are comparatively demonstrated in the application to Mg_(2)Si doped with Li,Na,and Ag,which is a lightweight and environmentally friendly thermoelectric candidate *** results reveal the systematic behavior of defect and carrier *** dopant atoms form interstitial defects at similar concentrations to substitutional defects at the Mg sites,resulting in significantly reduced free-carrier concentrations compared to the expected *** developed procedures could be utilized to find an optimal avenue for achieving higher carrier concentrations,e.g.,with regard to annealing temperature and the concentration of dopant atoms,in various semiconductors and insulators.

关键词： defect equilibria point

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H2A.Z contributes to trithorax activity at the AGAMOUS locus

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Molecular Plant 2022年第2期15卷 207-210页

作者： Un-Sa Lee Tomasz Bieluszewski Jun Xiao ayako Yamaguchi Doris Wagner University of Pennsylvania Department of Biology19108 PhiladelphiaPAUSAUniversity of PennsylvaniaDepartment of Biology19108 PhiladelphiaPAUSA Institute of Genetics and Developmental Biology Chinese Academy of SciencesBeijing100190China Centre of Excellence for Plant and Microbial Science(CEPAMS) The John Innes CentreNorwich Research ParkNorwichNR47UHUK

Dear Editor,In multicellular eukaryotes,Polycomb repression heritably si-lences gene expression programs not needed or detrimental for a given developmental stage or tissue(Schuettengruber et al.,2017).During cell fate reprogramming,Polycomb silencing can be overcome by the combined activity of multiple Trithorax group(TrxG)proteins(Wu et al.,2012;Liang et al.,2015;Schuettengruber et al.,2017).TrxG proteins are genetically defined as suppressors of homeotic defects caused by loss of Polycomb function and have diverse enzymatic activities(Schuettengruber et al.,2017).We used a genetic enhancer screen to identify candidate TrxG proteins and uncovered TrxG activity for components of the SWR1 chromatin remodeling complex,which deposits the histone variant H2A.Z(Deal et al.,2007;March-Diaz et al.,2008).

关键词： H2A.Z suppressor

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Varicella-zoster virus-associated meningitis,encephalitis,and myelitis with sporadic skin blisters:A case report

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World Journal of Clinical Cases 2022年第2期10卷 717-724页

作者： Ken Takami Tsuneaki Kenzaka ayako Kumabe Megumi Fukuzawa Yoko Eto Shun Nakata Katsuhiro Shinohara Kazunori Endo Department of Internal Medicine Sainokuni Higashiomiya Medical CenterSaitama 331-8577SaitamaJapan Division of Community Medicine and Career Development Kobe University Graduate School of MedicineKobe 652-0032HyogoJapan Department of Neurology Sainokuni Higashiomiya Medical CenterSaitama 331-8577SaitamaJapan Department of Dermatology Sainokuni Higashiomiya Medical CenterSaitama 331-8577SaitamaJapan Emergency Department Sainokuni Higashiomiya Medical CenterSaitama 331-8577SaitamaJapan

BACKGROUND Varicella-zoster virus(VZV)generally causes chickenpox at first infection in childhood and then establishes latent infection in the dorsal root ganglia of the spinal cord or other *** reactivation owing to an impaired immune system causes inflammation along spinal nerves from the affected spinal segment,leading to skin manifestations(herpes zoster).Viremia and subsequent hematogenous transmission and nerve axonal transport of the virus may lead to meningitis,encephalitis,and *** such case is described in this *** SUMMARY A 64-year-old man presented with dysuria,pyrexia,and progressive disturbance in *** had signs of meningeal irritation,and cerebrospinal fluid(CSF)analysis revealed marked pleocytosis with mononuclear predominance and a CSF/serum glucose ratio of *** magnetic resonance imaging revealed hyperintense areas in the frontal *** had four isolated blisters with papules and halos on his right chest,right lumbar region,and left scapular *** giant cells were detected using the Tzanck *** epidermal cells with intranuclear inclusion bodies and ballooning degeneration were present on skin *** VZV antibody titers suggested previous infection,and the CSF tested positive for *** developed paraplegia,decreased temperature perception in the legs,urinary retention,and fecal *** patient was diagnosed with meningitis,encephalitis,and myelitis and was treated with acyclovir for 23 days and prednisolone for 14 *** gradual improvement,the urinary retention and gait disturbances persisted as *** VZV reactivation should be considered in differential diagnoses of patients with sporadic blisters and unexplained central nervous system symptoms.

关键词： Varicella-zoster virus Encephalitis Meningitis Myelitis Central nervous system Case report

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Recognition of Child Maltreatment by Mothers Raising Infants Up to Four Months of Age and Types of Support Felt Necessary

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Health 2023年第11期15卷 1251-1276页

作者： Yumiko Watanabe ayako Sasaki Doctoral Program Graduate School of Nursing Osaka Medical and Pharmaceutical University Takatsuki Japan Faculty of Nursing Osaka Medical and Pharmaceutical University Takatsuki Japan

Objective: This study aimed to identify whether mothers who had undergone their one-month checkup at obstetrical care facilities and were raising infants up to four months of age recognized child maltreatment, the coping strategies that they used to calm their emotions during those moments, and types of support felt necessary. Method: This was a qualitative, descriptive design study conducted from July 2022 to March 2023. Semi-structured interviews based on an interview guideline of 21 first-time mothers raising infants up to four months of age were conducted. The responses were classified into categories. Results: Situations that mothers caring for infants up to four months of age recognized as child maltreatment were classified into 11 categories, such as [Becoming emotional for not understanding the child’s needs or the reason for their crying, and reacting confrontationally towards the child]. Coping strategies that helped mothers calm their emotions during those moments were classified into 10 categories, such as [Conversing with adults around them]. Types of support that mothers felt necessary were classified into 14 categories, such as [Guidance from experts on the growth and development of their children, even after leaving the maternity facility]. Discussion: Maltreatment recognized by postpartum mothers up to four months after birth was classified into two categories: situations involving actions taken towards the child, although not at a serious level, and situations where no actual actions were taken. Even acts that do not actually constitute maltreatment were considered maltreatment. During parenting, every mother may experience negative feelings towards her child and may face moments when she feels incapable of engaging with her child. The importance of socially supporting mothers who are often alone with their children and having preventive approaches for all postpartum mothers were suggested as supportive measures needed to prevent the occurrence of

关键词： Child Maltreatment Primary Prevention Population Approach

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Examination of the Appropriateness of Teaching Materials for Preventing Dangers during Ablution and Bathing of Infants by Mothers and Family Members

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Health 2023年第2期15卷 186-214页

作者： Sachi Chikazawa ayako Sasaki Department of Nursing Faculty of Nursing Osaka Medical and Pharmaceutical University Takatsuki Japan

Purpose: This study aimed to develop teaching materials to prevent the dangers of ablution and bathing infants, based on the dangerous experiences of mothers and family members, and examine their appropriateness. Methods: A total of 20 midwives and public health nurses were selected as participants. Teaching materials and anonymous self-administered questionnaires were distributed, and the participants were asked to view the teaching materials and fill in the questionnaires. Retrieval was done by mail. The teaching materials included digital content, such as videos, sounds, and characters, which incorporated dangerous situations, preventions, and innovations in ablution and bathing procedures. The analysis was conducted by simple tabulation for each survey item. The free description was coded to preserve anonymity. This study was conducted with the approval of the Research Ethics Review Board of the authors’ affiliated university. Results: The teaching materials were found to be appropriate in terms of suitability to purpose, degree of difficulty of content, ease of viewing the videos, validity of time, appropriateness of expression, and usability. Conclusions: Ablution teaching materials that are used at the present time do not focus on dangers, and to date, no resources on bathing have been used as teaching materials. The created teaching materials in this study can be viewed multiple times, and mothers and family members who are unfamiliar with ablution and bathing can acquire knowledge regarding dangers and danger prevention. The addition of specific preventive measures and countermeasures for the occurrence of danger, along with practice, would result in the development of further appropriate teaching materials to reduce danger and alleviate anxiety.

关键词： Ablution Bathing Danger Teaching Material Appropriateness

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与配偶共同生活的老年人参与社区活动意义的质性研究

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International Journal of Nursing Sciences 2023年第4期10卷 468-475,I0002页

作者： Yumie Kanamori ayako Ide-Okochi School of Health Sciences Kumamoto UniversityKumamoto CityJapan

目的目前,日本有65.3%的老年人是与伴侣共同生活,如果其中一方老人去世,另一方可能无法重建自己的生活方式,并可能出现健康问题或变得孤独。参与社区活动有助于他们保持身体、精神和社会健康。本研究旨在阐明夫妇家庭中老年人参与社区... 详细信息

目的目前,日本有65.3%的老年人是与伴侣共同生活,如果其中一方老人去世,另一方可能无法重建自己的生活方式,并可能出现健康问题或变得孤独。参与社区活动有助于他们保持身体、精神和社会健康。本研究旨在阐明夫妇家庭中老年人参与社区活动的意义。方法采用半结构式个人访谈收集资料。2019年2月在日本宫崎市选取6名65岁及以上的老年人,他们与配偶同住至少1年,并持续参加社区活动。采用KJ分析法(此方法由Kawakita Jiro开发,以自下而上的方式组织观点)对访谈资料进行内容分析,并由专业导师进行指导。结果共提炼出7个主题:1)与配偶建立合作关系:尊重其努力工作的意愿;2)考虑与其他组织的关系:关注每个细节;3)积极主动的态度:不要把所有事情都交给别人;4)质疑自己存在方式的态度:我自己与他人的联系;5)参与者之间的联系:提高对他人的认识;6)精神上的满足:外出活动的时间、地点和机会;7)持续参与社区活动的身心自控能力:提高保健意识。结论对于夫妻家庭中的老年人来说,参加社区活动有助于他们获得配偶的支持,并采取积极的态度,参与者之间的沟通有助于身心调节,且能改善他们的健康状况。

关键词：老年人社区活动家庭特征质性研究

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