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Comparison of corneal biomechanical properties in normal tension glaucoma patients with different visual field progression speed

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International Journal of Ophthalmology(English edition) 2016年第7期9卷 973-978页

作者： Ying Hong Nobuyuki Shoji Tetsuya Morita kazunori Hirasawa Kazuhiro Matsumura Masayuki Kasahara Kimiya Shimizu Department of Ophthalmology Peking University Third Hospital Key Laboratory of Vision Loss and RestorationMinistry of Education Beijing 100191 China Department of Rehabilitation Orthoptics and Visual Science Course Kitasato University School of Allied Health Sciences Sagamihara City 252-0373 Japan Department of Ophthalmology Kitasato University Hospital Sagamihara City 252-0373 Japan Kitasato University Sagamihara City 252-0373 Japan

AIM：To compare the corneal biomechanical properties difference by ocular response analyzer（ORA） in normal tension glaucoma（NTG） patients with different visual field（VF） progression speed. METHODS：NTG patients with well-controlled Goldmann applanation tonometer（GAT） who routinely consulted Kitasato University Hospital Glaucoma Department between January 2010 and February 2014 were *** and ORA parameters including corneal compensated intraocular pressure（lOPcc）,Goldmann estimated intraocular pressure（lOPg）,corneal hysteresis（CH）,corneal resistance factor（CRF） were *** was tested by Swedish interactive threshold algorithm（SITA）-standard 30-2 *** patients underwent VF measurement regularly and GAT did not exceed 15 mm Hg at any time during the 3y follow *** were divided into four groups according to VF change over 3y,and ORA findings were compared between the upper 25th percentile group（slow progression group） and the lower 25th percentile group（rapid progression group）.RESULTS：Eighty-two eyes of 56 patients were *** were 21 eyes（21 patients） each in rapid and slow progression groups ***,lOPcc,lOPg,CH,CRF were 12.1＋1.4 mm Hg,15.8±1.8 mm Hg,12.8±2.0 mm Hg,8.4±1.1 mm Hg,7.9±1.3 mm Hg respectively in rapid progression group and 11.5±1.3 mm Hg,13.5±2.1 mm Hg,11.2±1.6 mm Hg,9.3±1.1 mm Hg,8.2±0.9 mm Hg respectively in slow progression group（P=0.214,〈0.001,0.007,0.017,0.413,respectively）.In bivariate correlation analysis,lOPcc,lOPcc-GAT and CH were significant correlated with m△MD（r =-0.292,-0.312,0.228 respectively,P =0.008,0.004,0.039 respectively）.CONCLUSION：Relatively rapid VF progression occurred in NTG patients whose lOPcc are rather high,CH are rather low and the difference between lOPcc and GAT are relatively *** lOPcc and lower CH are associated with VF progression in NTG *** study suggests that GAT measures might underestimate the IOP in such patients.

关键词： ocular response analyzer intraocular pressure corneal biochemical properties visual field normal tension glaucoma

Swimmer simulation using robot manipulator dynamics under steady water

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Natural Science 2010年第9期2卷 959-967页

作者： kazunori Shinohara 不详

To help swimmers improve, we have developed a computational swimming model using underwater manipulator dynamics. We formulate the equations of the underwater manipulator dynamics using the fluid drag, which is proportional to the square of the velocity. We construct a swimming model consisting of several links based on these equations. The distance traveled by the optimal swimming motion is derived using the model. The input parameters are the joint torques. The arm and leg positions in the model are determined from the joint torques. The force transmitted from the water to the manipulator is defined to be the action force, and the force transmitted from the manipulator to the water is defined to be the reaction force. This reaction force is defined to be the propulsion force. By combining the propulsion force generated by the arms and legs and the frictional drag with respect to the body we can calculate the distance traveled. To optimize the propulsion, which depends on the swimmer’s motion, a variational approach using the Lagrange function is applied. We can use the model to simulate 2D pseudo-backstroke motion. Our model has a lower cost than other techniques in the literature, because it does not require computational fluid dynamics (CFD). The swimmer velocity calculated by our model agrees quite closely with the results in the literature. The model qualitatively captures the movement of an actual swimmer.

关键词： Sports Engineering Swimmer Robot Manipulator Dynamics Optimal Trajectory Adjoint Variable Method Euler–Lagrange Equation Fluid Drag Force Variational Method

Optimal Trajectory of Underwater Manipulator Using Adjoint Variable Method for Reducing Drag

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Open Journal of Discrete Mathematics 2011年第3期1卷 139-152页

作者： kazunori Shinohara 不详

In order to decrease the fluid drag on an underwater robot manipulator, an optimal trajectory method based on the variational method is presented. By introducing the adjoint variables, which are Lagrange multipliers, we formulate a Lagrange function under certain constraints related to the target angle, target angular velocity, and dynamic equation of the robot manipulator. The state equation (the partial differentiation of the Lagrange function with respect to the state variables), adjoint equation (the partial differentiation of the Lagrange function with respect to the adjoint variables), and sensitivity equation (the partial differentiation of the Lagrange function with respect to torques) can be derived from the stationary conditions of the Lagrange function. Using the state equation, we can calculate the state variables (angles, angular velocities, and angular acceleration) at every time step in the forward time direction. These state variables are stored as data at every time step. Next, by using the adjoint equation, we can calculate the adjoint variables by using these state variables at every time step in the backward time direction. These adjoint variables are stored as data at every time step. Third, the sensitivity equation is calculated by using both the state variables and the adjoint variables. Finally, the optimal trajectory of the manipulator is obtained using the sensitivities. The proposed method is applied to the problem of two-link manipulators. It can obtain the optimal drag reduction trajectory of the manipulator under the constraints mentioned above.

关键词： Robot Manipulator Dynamics Optimal Trajectory Adjoint Variable Method Euler-Lagrange Equation Fluid Drag Force Calculus of Variations

Fault Detection System Design for Actuator of a Thermal Process Using Operator Based Approach

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自动化学报 2010年第4期36卷 580-585页

作者： DENG Ming-Cong INOUE Akira EDAHIRO kazunori Graduate School of Natural Science and Technology Okayama University Okayama 700-8530 Japan

This paper proposes an operator based fault detection method for an actuator fault of an aluminum plate thermal process with input constraints. Operator-based robust right coprime factorization(RCF)approach is utilized in this method. After developing a mathematical model of the thermal process,a robust tracking operator system is designed for the process with input constraints. Following this, design of the fault detection system is given by using operator-based robust RCF approach. Finally, experiment is conducted to support the proposed design method

关键词：自动化系统稳定性 RCF DIO

Amidine-bearing lipoplex targeting to hepatocyte cells

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Chinese Chemical Letters 2008年第9期19卷 1115-1118页

作者： Yasuya Kudo kazunori Koiwai Kazuhiro Shimizu Shota Kusuki Mina Sakuragi Naohiko Shimada Yoichi Takeda Kazuo Sakurai Department of Chemical Process & Environments Faculty of Environmental EngineeringThe University of Kitakyushu1-1HibikinoWakamatsu-kuKitakyushuFukuoka 808-0135Japan TERUMO Corporation R & D Center 1500 InokuchiNakai-machiAshigarakami-gun Kanagawa 259-0151Japan

A lipoplex （i.e., pDNA#1/lipid complex and transfection reagent for pDNA delivery） containing galactosylceramide （GalCer） and an amidine-bearing lipid （TRX） was examined whether the bound pDNA was specifically ingested by hepatocyte via asialoglycoprotein receptor （ASGPR） and then expressed protein. Gel electrophoresis and small-angle X-ray scattering （SAXS） confirmed that the TRX-GalCer liposome#2 complexed with pDNA and the resultant lipoplex took a hexagonally packed inverted cylinder structure when the GalCer composition was less than 20 wt.% of the total lipid. When the lipoplex carrying pGL3 （luciferase-cording pDNA） was administrated to HepG2, the luciferase activity was increased with increasing the GalCer composition until it reached 3 wt.% and then decreased upon further addition of GalCer. When we added galactose itself as a competitor, the luciferase activity was decreased, while glucose did not show such decrease, suggesting that HepG2 ingested the lipoplex via ASGPR-mediated endocytosis. This paper indicated that the hexagonally packed inverted cylinder structures of lipoplex may not always provide excellent transfection and presented a possibility that the TRX lipoplex#3 can obtain a cellulartargeting ability through the receptors for oligosaccharide.

关键词： Gene theraphy Amidine Galactosylceramide Targeting

Usefulness of bispectral monitoring of conscious sedation during endoscopic mucosal dissection

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World Journal of Gastroenterology 2009年第5期15卷 595-598页

作者： kazunori Hata Akira Andoh Kiyoyuki Hayafuji Atsuhiro Ogawa Tamio Nakahara Tomoyuki Tsujikawa Yoshihide Fujiyama Yasuharu Saito Department of Medicine Shiga University of Medical Science Seta-Tukinowa Otsu 520-2192 Japan Division of Endoscopy Shiga University of Medical Science Seta-Tukinowa Otsu 520-2192 Japan

AIM: To assess the usefulness of bispectral index (BIS) monitoring in order to carry out endoscopic submucosal dissection (ESD) safely and with patients' satisfaction. METHODS: Three hundred sixty-six patients with an early-stage neoplasm of the digestive tract were enrolled. The BIS monitor (A-1050: Aspect medical systems/NIHON KOHDEN, Tokyo, Japan) was used. The appropriate sedative condition was set at 55 to 75 BIS levels (BIS value) during the endoscopic procedures. RESULTS: Among 366 cases, 13 were accompanied by adverse events during and/or after ESD. All episodes occurred in cases with BIS value between 56 and 65. Hypotension was observed in four cases, and bradycardia in six. Respiratory distress was observed in two cases with chronic pulmonary obstructive disease. All patients with adverse events were able to leave the hospital without extension of the hospitalization. CONCLUSION: BIS monitoring is useful to safely perform ESD. A BIS value of 70 to 75 is suitable for ESD.

关键词： Endoscopy Cancer Sedation Propofol CO2

Gastroduodenal ulcer bleeding in elderly patients on low dose aspirin therapy

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World Journal of Gastroenterology 2018年第34期24卷 3908-3918页

作者： Koh Fukushi Keiichi Tominaga kazunori Nagashima Akira Kanamori Naoya Izawa Mimari Kanazawa Takako Sasai Hideyuki Hiraishi Department of Gastroenterology Dokkyo Medical University Department of General Internal Medicine 2 Kawasaki Medical School General Medical Center

AIM To determine the clinical characteristics of elderly patients of hemorrhagic gastroduodenal ulcer on low-dose aspirin(LDA)*** A total of 1105 patients with hemorrhagic gastroduodenal ulcer treated in our hospital between January 2000 and March 2016 were grouped by age and drugs used,and these groups were compared in several *** groups were compared in terms of length of hospital stay,presence/absence of hemoglobin(Hb)decrease,presence/absence of blood transfusion,Forrest Ⅰ,percentage of Helicobacter pylori infection,presence/absence of underlying disease,and percentage of severe *** The percentage of blood transfusion(62.6%vs 47.7%,P<0.001),Hb decrease(53.8% vs 40.8%,P<0.001),and the length of hospital stay(23.5 d vs 16.7 d,P<0.001)were significantly greater in those on drug *** percentage of blood transfusion(65.3%vs 47.8%,P<0.001),Hb decrease(54.2%vs 42.1%,P<0.001),and length of hospital stay(23.3 d vs 17.5 d,P<0.001)were significantly greater in the *** comparison with the LDA monotherapy group,the percentage of severe cases was significantly higher in the LDA combination therapy group when elderly patients were concerned(16.1%vs34.0%,P=0.030).Meanwhile,among those on LDA monotherapy,there was no significant difference between elderly and non-elderly(16.1%vs 16.0%,P=0.985).CONCLUSION A combination of LDA with antithrombotic drugs or nonsteroidal anti-inflammatory drugs(NSAIDs)contributes to *** advanced age is not an aggravating factor when LDA monotherapy is used.

关键词： Hemorrhagic gastroduodenal ulcer Low-dose aspirin Antithrombotic drugs Elderly patients Proton pump inhibitor

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

Usefulness of biodegradable stents constructed of poly-l-lactic acid monofilaments in patients with benign esophageal stenosis

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World Journal of Gastroenterology 2007年第29期13卷 3977-3980页

作者： Yasuharu Saito Toyohiko Tanaka Akira Andoh Hideki Minematsu kazunori Hata Tomoyuki Tsujikawa Norihisa Nitta Kiyoshi Murata Yoshihide Fujiyama Department of Endoscopic Medicine Shiga University of Medical Science Seta Tukinowa Otsu 520-2192 Japan Department of Radiology Shiga University of Medical Science Seta Tukinowa Otsu 520-2192 Japan Department of Internal Medicine Shiga University of Medical Science Seta Tukinowa Otsu 520-2192 Japan

AIM： To report 13 patients with benign esophagea stenosis treated with the biodegradable stent. METHODS： We developed a Ultraflex-type stent by knitting poly-/-lactic acid rnonofilaments. RESULTS： Two cases were esophageal stenosis caused by drinking of caustic liquid, 4 cases were due to surgical resection of esophageal cancers, and 7 cases were patients with esophageal cancer who received the preventive placement of biodegradable stents for postendoscopic mucosal dissection （ESD） stenosis. The preventive placement was performed within 2 to 3 d after ESD. In 10 of the 13 cases, spontaneous migration of the stents occurred between 10 to 21 d after placement. In these cases, the migrated stents were excreted with the feces, and no obstructive complications were experienced. In 3 cases, the stents remained at the proper location on d 21 after placement. No symptoms of re-stenosis were observed within the follow-up period of 7 mo to 2 years. Further treatment with balloon dilatation or replacement of the biodegradable stent was not required. CONCLUSION： Biodegradable stents were useful for the treatment of benign esophageal stenosis, particularly for the prevention of post-ESD stenosis.

关键词： Stents Esophageal cancer Endoscopic submucosal dissection