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Remifentanil has Sufficient Hypnotic and Amnesic Effect for Induction of Anesthesia by Itself

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Open Journal of Anesthesiology 2014年第1期4卷 8-12页

作者： Takeshi Yokoyama Eiji Sakamoto Fumiyasu Yamasaki Koichi Yamashita Tomoaki Yatabe Kunio suwa Department of Anesthesiology and Critical Care Medicine Kochi Med- ical School Hospital Nankoku Japan Department of Clinical La- boratory Kochi Medical School Hospital Nankoku Japan Department of Dental Anesthesiology Faculty of Dental Science Kyushu University Fukuoka Japan Teikyo Junior College Tokyo Japan

With a small-dose remifentanil, some patients showed no reaction and did not remember it postoperatively. We, therefore, hypothesized that remifentanil may decrease the level of consciousness and/or exhibit amnesic effect when stimulations are avoided. Thirty-patients were divided into two groups: non-stimulation group and stimulation group. Anesthesia was induced with 1 micro-g·kg?1·min?1 of remifentanil using no additional hypnotic agent. In the non-stimulation group, patients were left free from any stimulation except non-invasive blood pressure monitoring. In the stimulation group, patients were asked to follow verbal commands. The level of consciousness was evaluated with electroencephalogram and BIS-value derived from it. In the non-stimulation group, all patients reached the decreased level of consciousness in 5 minutes. In the stimulation group, however, 14 patients were judged to be still conscious. 10 patients could open their mouth at the 5th minute, but 9 of these 10 patients did not remember it postoperatively. In conclusion, remifentanil, with no additional anesthetics, exhibited hypnotic and amnesic effects when stimulations were kept minimal.

关键词： Remifentanil Hypnotic potential Stimulation Amnesia

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冠状动脉支架

美国医学会杂志（中文版） 2001年第4期20卷 187-193页

作者： suwa JA Berg PB Division of Cardiovascular Diseases and Department of Internal Medidne Mayo Clinic and Foundation Rochester Minn.

背景:冠状动脉内支架现已应用于大多数经皮冠脉血运重建术患者,近几年来关于支架的科技知识已迅速普及.目的:对支持广泛应用冠状动脉内支架的资料予以综述.资料来源:使用检索词'支架'、'冠状动脉疾病'和'血管成形术'查寻1990～2000年1月... 详细信息

背景:冠状动脉内支架现已应用于大多数经皮冠脉血运重建术患者,近几年来关于支架的科技知识已迅速普及.目的:对支持广泛应用冠状动脉内支架的资料予以综述.资料来源:使用检索词'支架'、'冠状动脉疾病'和'血管成形术'查寻1990～2000年1月MEDLINE数据库文章.附加资料来源包括MEDLINE检出文章的文献目录,有关经皮冠状动脉介入专著的文献目录及最近国内外心脏病学会议的原始资料.研究选择:我们选择评估支架置放对经皮冠状动脉血运重建术患者即刻和远期预后效果的研究.如果随机对照试验缺乏对特殊患者群体或病变特性的数据资料,则一些观察性研究也包括在内.资料提取:根据研究设计的关键部分,包括病变类型、部位及采用的辅助治疗,提取并摘录冠状动脉支架研究的方法学特点.将各研究按获得数据的强度分类为已证实或尚未证实的支架应用适应证.

关键词：冠状动脉动脉疾病冠状动脉支架治疗

Intra-cardiac distribution of late gadolinium enhancement in cardiac sarcoidosis and dilated cardiomyopathy

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World Journal of Cardiology 2016年第9期8卷 496-503页

作者： Makoto Sano Hiroshi Satoh Kenichiro suwa Masao Saotome Tsuyoshi Urushida Hideki Katoh Hideharu hayashi Takeji Saitoh Division of Cardiology Internal Medicine ⅢHam-mamatsu University School of Medicine Department of Emergency Medicine Hamamatsu University School of Medicine

Cardiac involvement of sarcoid lesions is diagnosed by myocardial biopsy which is frequently false-negative,and patients with cardiac sarcoidosis(CS) who have impaired left ventricular(LV) systolic function are sometimes diagnosed with dilated cardiomyopathy(DCM).Late gadolinium enhancement(LE) in magnetic resonance imaging is now a critical finding in diagnosing CS,and the novel Japanese guideline considers myocardial LE to be a major criterion of *** article describes the value of LE in patients with CS who have impaired LV systolic function,particularly the diagnostic and clinical significance of LE distribution in comparison with *** existed at all LV segments and myocardial layers in patients with CS,whereas it was localized predominantly in the midwall of basal to mid septum in those with ***(nodular),circumferential,and subepicardial and subendocardial LE distribution were highly specific in patients with CS,whereas the prevalence of striated midwall LE were high both in patients with CS and with *** sarcoidosis patients with LE have higher incidences of heart failure symptoms,ventricular tachyarrhythmia and sudden cardiac death,the analyses of extent and distribution of LE are crucial in early diagnosis and therapeutic approach for patients with CS.

关键词： Magnetic resonance imaging Late gado linium enhancement Sarcoidosis Dilated cardiomyo pathy Diagnosis

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集成电路投影曝光设备中的对准装置

电子工业专用设备 1985年第3期 1-11页

作者： Kyoichi suwa KawasaKi 杨天凤

集成电路投影曝光设备中的对准装置包括观察硅片和掩模表面参考标记用的投影透镜系统。硅片上的标记是一组一个方向具有预定周期的周期图形结构;掩模上的标记可以相对于硅片参考标记调整定位。投影系统能通过掩模在硅片表面形成可见光... 详细信息

集成电路投影曝光设备中的对准装置包括观察硅片和掩模表面参考标记用的投影透镜系统。硅片上的标记是一组一个方向具有预定周期的周期图形结构;掩模上的标记可以相对于硅片参考标记调整定位。投影系统能通过掩模在硅片表面形成可见光图象。该装置还包括用作探测从硅片表面穿过投影透镜系统的反射光的观察光学系统。该装置还能选择硅片上参考标记图形形成的衍射光的特殊分量,并把这些特殊分量引入观察光学系统。在该套装置的观察光学系统的光瞳附近设置了遮光元件。它是一带状传光孔,在与硅片表面上的周期性参考标记垂直的方向延伸分布。

关键词：投影曝光透镜系统掩模成象系统成像系统硅片光学观察装置

Distribution of late gadolinium enhancement in various types of cardiomyopathies:Significance in differential diagnosis, clinical features and prognosis

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World Journal of Cardiology 2014年第7期6卷 585-601页

作者： Hiroshi Satoh Makoto Sano Kenichiro suwa Takeji Saitoh Mamoru Nobuhara Masao Saotome Tsuyoshi Urushida Hideki Katoh Hideharu hayashi Division of Cardiology Internal Medicine ⅢHamamatsu University School of Medicine

The recent development of cardiac magnetic resonance(CMR)techniques has allowed detailed analyses of cardiac function and tissue characterization with high spatial *** review characteristic CMR features in ischemic and non-ischemic cardiomyopathies(ICM and NICM),especially in terms of the location and distribution of late gadolinium enhancement(LGE).CMR in ICM shows segmental wall motion abnormalities or wall thinning in a particular coronary arterial territory,and the subendocardial or transmural *** in NICM generally does not correspond to any particular coronary artery distribution and is located mostly in the mid-wall to subepicardial *** analysis of LGE distribution is valuable to differentiate NICM with diffusely impaired systolic function,including dilated cardiomyopathy,end-stage hypertrophic cardiomyopathy(HCM),cardiac sarcoidosis,and myocarditis,and those with diffuse left ventricular(LV)hypertrophy including HCM,cardiac amyloidosis and Anderson-Fabry disease.A transient low signal intensity LGE in regions of severe LV dysfunction is a particular feature of stress *** arrhythmogenic right ventricular cardiomyopathy/dysplasia,an enhancement of right ventricular(RV)wall with functional and morphological changes of RV becomes ***,the analyses of LGE distribution have potentials to predict cardiac outcomes and response to treatments.

关键词： Cardiomyopathy Cardiac magnetic resonance Late gadolinium enhancement Cardiac function Clinical features Prognosis

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日韩中三国义务教育阶段的世界地理教育

外国中小学教育 2008年第12期 20-24,30页

作者：诹访哲郎黄宇日本学习院大学文学部北京师范大学地理与遥感科学学院日本北海道大学教育学研究院

近30年以来,日本、韩国和中国先后走上了相似的教育改革道路。本文通过对比三国的有关指导文件和教科书,对义务教育阶段世界地理教育的现状进行反思。一方面了解三国正在进行的教育课程改革中世界地理教育可能存在的问题,另一方面,试图... 详细信息

近30年以来,日本、韩国和中国先后走上了相似的教育改革道路。本文通过对比三国的有关指导文件和教科书,对义务教育阶段世界地理教育的现状进行反思。一方面了解三国正在进行的教育课程改革中世界地理教育可能存在的问题,另一方面,试图以日本和韩国的经验与教训,为正在课程改革的道路上急行的中国提供有益的借鉴。

关键词：地理教育世界地理义务教育国际比较

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玉米发育适期叶喷钾肥的促进作用：一种提高产量和改善品质的新途径

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国外农学（玉米） 1990年第3期 43-47页

作者： suwa.,A 王志芬

芬兰前寒武纪岩石中黑云母的铵含量:NH4+作为一种可能的化学化石的意义

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华北地质 1986年第3期 71-78页

作者： Yuuko Itihara Kaneori suwa 董国润

引言对矿物中铵离子的研究表明,由于铵离子和钾具有类似的离子半径和电荷,铵离子取代钾而占据含钾矿物中碱的位置,对不同岩石含铵量也作了测定。Wlotzka(1961)检查分析了100个岩石和矿物样品中的氨氮含量,证明副片麻岩中氨氮的含量高于... 详细信息

引言对矿物中铵离子的研究表明,由于铵离子和钾具有类似的离子半径和电荷,铵离子取代钾而占据含钾矿物中碱的位置,对不同岩石含铵量也作了测定。Wlotzka(1961)检查分析了100个岩石和矿物样品中的氨氮含量,证明副片麻岩中氨氮的含量高于正片麻岩。他认为岩浆岩中的氮具有原生岩浆成因。关于不同类型变质岩Milovskir和Volynets(1966)所获得的结果,类似于Wlotzka的观测结果。Stevenson(1962)的结论是,沉积岩中的铵存在于次生的硅酸盐矿物中,而火成岩中的铵则大量存在于原生的含钾矿

关键词：黑云母变沉积岩 NH4 前寒武纪前古生代岩石芬兰北欧

Noninvasive imaging assessment of non-alcoholic fatty liver disease:focus on liver scintigraphy

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World Journal of Gastroenterology 2015年第15期21卷 4432-4439页

作者： Cristiane Valle Tovo Angelo Zambam de Mattos Gabriela Perdomo Coral Fernanda Schild Branco Eiji suwa Angelo Alves de Mattos Department of Gastroenterology and Hepatology Universidade Federal de Ciências da Saúde de Porto Alegre

Noninvasive diagnoses of nonalcoholic fatty-liver disease(NAFLD) involve the use of serologic markers and imaging methods, such as conventional ultrasonography(US),computed tomography, and magnetic resonance imaging. Although these methods are reliable for the noninvasive detection of moderate to severe fatty changes in the liver, they are not reliable for detecting nonalcoholic steatohepatitis(NASH) and fibrosis. New imaging technologies, such as US-based transient elastography, acoustic radiation force impulse and magnetic resonancebased elastography, can reportedly be used to determine the severity of liver fibrosis associated with NASH. In this context, the field of nuclear medicine through liver scintigraphy has recently been proposed, and is being explored for use in the diagnosis of NASH. More importantly, nuclear medicine may contribute to the distinction between simple steatosis and NASH. For example, the enhanced release of cytokines and the decrease in the phagocytic activity of Kupffer cells play important roles in the pathogenesis of NASH. Removal of technetium-99 m colloid from circulation by Kupffer cell phagocytosis therefore provides a valuable imaging technique. Thus, nuclear medicine is poised to provide useful tools for the evaluation of patients with NAFLD. However, the evidence is still scarce, and more studies with larger samples are needed to identify their role before they are used in clinical practice.

关键词： Liver fibrosis Liver scintigraphy Nonalcoholicfatty-liver disease diagnosis Nonalcoholic steatohepatitis Noninvasive methods