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水中有害离子的去除方法

水处理信息报导 2002年第3期 42-42页

作者： tatsumi,kenji

Acute Hepatic Phenotype of Wilson Disease: Clinical Features of Acute Episodes and Chronic Lesions Remaining in Survivors

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Journal of Clinical and Translational Hepatology 2015年第4期3卷 239-245页

作者： Hisao Hayashi Yasuaki tatsumi Shinsuke Yahata Hiroki Havashi kenji Nomose Ryohei Isaji Youji Sasaki Department of Medicine Aichi-Gakuin University School of PharmacyNagoyaJapan Department of Gastroenterology Hyogo Prefectural Kakogawa Medical CenterKakogawaJapan Department of Gastroenterology Kita-Harima Medical CenterOnoJapan Department of Gastroenterology Kobe University School of MedicineKobeJapan Department of Gastroenterology Konan Kosei HospitalKonanJapan

Background and Aims:Wilson disease(WD)is an inherited disorder of copper metabolism,and an international group for the study of WD(IGSW)has proposed three phenotypes for its initial presentation:acute hepatic,chronic hepatic,and neurologic *** of the acute hepatic phenotype may improve our understanding of the ***:Clinical features of 10 WD patients with the acute hepatic phenotype and characteristics of chronic lesions remaining in survivors were assessed by the European Association for the Study of the Liver(EASL)***:All six patients younger than 30 years had survived an acute episode of hemolytic anemia with residual liver disease of cirrhosis or chronic *** acute episode was self-limiting in two of the four patients over the age of 30 years and progressed to acute liver failure in the other two *** of the two survivors had residual liver disease of chronic hepatitis,while the other had chronic hepatitis and neurologic *** disease remained in a patient who successfully received a liver *** acute episodes,serum levels of aspartate aminotransferase(AST)and alanine aminotransferase(ALT)changed rapidly along with ***-specific ALT levels were age-dependently correlated with hemoglobin(Hb)*** reduction was milder for AST than ALT which resulted in a high AST/ALT ratio in the anemic *** anemic stage in two patients transformed to acute liver ***:All survivors of an acute episode of the acute hepatic phenotype had residual liver disease or both liver and neurologic *** rapid changes in liver enzymes during the acute episode and the liver and neurologic diseases remaining in survivors may provide a better understanding of WD.

关键词： Aminotransferase Neurologic disease Liver disease Hemoglobin

The Concept Study of Recombinant Human Soluble Thrombomodulin in Patients with Acute Respiratory Distress Syndrome

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International Journal of Clinical Medicine 2013年第11期4卷 488-495页

作者： kenji Tsushima Toshiki Yokoyama Tomonobu Koizumi Keishi Kubo Koichiro tatsumi Department of Pulmonary Medicine Shinonoi General Hospital Nagano Japan Department of Respirology Graduate School of Medicine Chiba Uni-versity Chiba Japan Department of Respirology Graduate School of Medicine Chiba Uni-versity Chiba Japan First Department of Internal Medicine Shinshu University School of Medicine Nagano Japan

Background: Recombinant human soluble thrombomodulin (rhTM) was approved for the treatment of disseminated intravascular coagulation in Japan, and rhTM has anti-inflammatory effects. Disordered coagulation is a part of the acute respiratory distress syndrome (ARDS) pathophysiology and thus we hypothesize that anticoagulant therapy may help. This preliminary study was to observe the safety of rhTM administration and the improvement on biomarker levels after the therapy for ARDS-patients. Objectives: Case series of ARDS-patients. Methods: Seventeen ARDS-patients that required ventilatory management were treated with rhTM and clinical and laboratory data were collected including platelets, thrombin-antithrombin complex (TAT), fibrinogen degradation products, oxygen saturation/the fraction of inspired oxygen (SpO2/FIO2), and high-mobility group-1 (HMG-1). The administration of rhTM was started during 6 days at a bolus dose of 0.06 mg/kg/day immediately after the diagnosis of ARDS. Results: Eleven of the 17 ARDS-patients were alive at 28 days after the beginning of the administration of rhTM. The serial pattern of the SpO2/FIO2 showed remarkable differences between the survivors and nonsurvivors from day 5 to day 7. The TAT in the survivors significantly decreased after treatment, and there were significantly lower levels in the TAT on day 7 in comparison to that of the nonsurvivors. The serial changes of HMG-1 showed increased levels in the nonsurvivors until day 5 after the administration of rhTM. Conclusions: Additional rhTM administration can safely improve the parameters in survival ARDS-patients, as demonstrated by significant improvements in the SpO2/FIO2, HMG-1 and TAT.

关键词： Acute Respiratory Distress Syndrome Recombinant Human Soluble Thrombomodulin Thrombin-Antithrombin Complex SpO2/FIO2 High-Mobility Group-1

Clear Cell Carcinoma of the Uterine Cervix Arising from an Interstitial Cyst Complicated with Endometriosis: A Case Report

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Open Journal of Obstetrics and Gynecology 2021年第3期11卷 288-295页

作者： Kana Akagi Takako Tobiume Ayaka Kawamichi Yuichiro Koshida Yusuke Fujikami Eri Ogura kenji Ban Hisanori Matsumoto Atsuhiko Okagaki Keiji tatsumi Department of Obstetrics and Gynecology National Hospital Organization Osaka National Hospital Osaka Japan

Clear cell carcinoma (CCC) of the uterine cervix is rare, and its etiology is unclear, except for reports of prenatal diethylstilbestrol (DES) exposure. In this case report of a 78-year-old postmenopausal Japanese woman with pelvic endometriosis, cervical CCC presented as a deep interstitial tumor, strongly suggesting the patient suffered from cervical endometriosis for a long time. A cystic lesion without solid components was detected in the uterine cervix. Although the patient had regular gynecological examinations every 6 months, she presented 5 years later with a complaint of watery vaginal discharge. Ultrasonography and magnetic resonance imaging (MRI) detected a uterine cervical cystic mass with a solid component. Although no malignancy was confirmed preoperatively, surgery was performed under a high suspicion of cervical cancer. Intraoperative pathology revealed CCC in a solid tumor, so debulking surgery, including lymphadenectomy, was done. Endometrial tissue was found adjacent to the tumor, strongly suggesting the tumor arose from cervical endometriosis. Because endometriosis in ectopic sites carries a risk of carcinogenesis, as is the case in ovarian endometriosis, it may be recommended that a cervical cystic lesion with pelvic endometriosis should be followed up regularly for the early detection of uterine cancer.

关键词： Cancer Clear Cell Carcinoma Endometriosis Uterine Cervix