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Intersphincteric resection and coloanal anastomosis in the treatment of distal rectal cancers

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Laparoscopic, Endoscopic and Robotic Surgery 2023年第2期6卷 57-62页

作者： Shailesh P.Puntambekar Nikesh M.Gandhi Mohammed Azharuddin AAttar Suyog Bharambe Ravindra Sathe Mangesh Panse Mihir Chitale kshitij Manerikar Sravya Inampudi Aishwarya Puntambekar Department of Minimal Access Surgery Galaxy Care Laparoscopic InstitutePuneMaharashtra 411004India

Objective:In the evolving era of minimal access surgery,low rectal cancers still pose a challenge to laparoscopic or robotic ***,at our institute we intended to demonstrate the oncological efficacy of intersphincteric resection and coloanal anastomosis in the treatment of distal rectal cancers,performing the abdominal part of the procedure which includes rectal mobilization,***:From February 2017 to March 2021,125 patients who had undergone intersphincteric resection and coloanal anastomosis via the perineal approach at Galaxy Care Laparoscopic Institute,Pune,were included in this *** mobilization of the rectum was performed *** patients had a diversion ileostomy and a pelvic *** were followed-up for a period of 18 months *** on clinical and oncological outcomes were collected and *** pre-operative and post-operative Wexner incontinence scores were ***:The mean time taken for surgery was 181.57±30.00 *** mean blood loss was 119.76±42.53 *** patients(103,82.4%)had their tumour at a distance of 1e2 cm from the anal verge.A loco-regional recurrence rate of 12.8%(16/125)was noted in our *** the post-surgery Wexner score,74.4% of patients(93/125)had a score of 5 or less,depicting that three-quarters of the study population had satisfactory ***,81.6%of patients were satisfied with the functional results of ***:Intersphincteric resection and coloanal anastomosis,with a 12.8%recurrence rate,can now be considered an oncological and technically feasible procedure with sphincter salvage and good continence.

关键词： Intersphincteric resection Coloanal anastomosis Laparoscopy Continence

On the Design of Slot Cut Circularly Polarized Circular Microstrip Antennas

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Wireless Engineering and Technology 2016年第1期7卷 46-57页

作者： Amit A. Deshmukh Saleha A. Shaikh Ami A. Desai kshitij A. Lele Sudesh Agrawal Department of Electronics and Telecommunication Dwarkadas J. Sanghvi College of Engineering (DJSCE) Mumbai India

Circularly polarized microstrip antenna is frequently realized by cutting the slot inside the patch and feeding it along the diagonal axis. In the reported literature, procedure to design them at any given frequency is not available. In proposed work, circularly polarized slot cut circular microstrip antenna at 900 MHz is discussed. By studying the surface current distributions at two orthogonal modes, formulations in their resonant length are proposed. The frequencies calculated using them closely agree with simulated results. Using proposed formulation, procedure to design circular polarized antennas at different frequencies is presented that gives circular polarized response. Thus, proposed work will be helpful to design similar circular polarized circular microstrip antenna at any desired frequency.

关键词： Circular Microstrip Antenna Circular Polarization Rectangular Slot Resonant Length Formulation

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智能座便器冲水功能大起底

中国厨卫 2011年第9期 94-101页

作者： kuma.原宇

科技的进步总是在产品的人性化细节中体现.近年来,智能座便器日渐流行,传统座便器与电子技术的结合成就了智能座便器的丰富功能:感应发光、音乐播放、遥控……多样化的功能为卫浴生活带来了更多享受.其中,座便器清洁系统的出水方式、出... 详细信息

科技的进步总是在产品的人性化细节中体现.近年来,智能座便器日渐流行,传统座便器与电子技术的结合成就了智能座便器的丰富功能:感应发光、音乐播放、遥控……多样化的功能为卫浴生活带来了更多享受.其中,座便器清洁系统的出水方式、出水温度、可调范围、清洁能力等,与实际使用效果休戚相关,可谓智能座便器的核心功能.

关键词：座便器水功能智能电子技术音乐播放清洁系统出水温度可调范围

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夏季季风爆发的数值预报

海洋预报 1988年第S1期 133-134页

作者： Kenichi kuma 日本气象厅

当低层强的西风开始和印度南部降水开始时,我们通常定为亚洲夏季季风的爆发。在这篇文章的研究中,我们试图从另一个观点去考虑定义夏季季风的爆发。因为根据季风是全球尺度的现象,在季风爆发期间,全球大气环流在某种程废上的变化可以预... 详细信息

当低层强的西风开始和印度南部降水开始时,我们通常定为亚洲夏季季风的爆发。在这篇文章的研究中,我们试图从另一个观点去考虑定义夏季季风的爆发。因为根据季风是全球尺度的现象,在季风爆发期间,全球大气环流在某种程废上的变化可以预报出来。例如。我们考察了1979年的情况,发现在200hPa图上沿20°N纬圈上纬向波数为1时的动能的加强与夏季风的爆发是同时的。我们使用ECMWF和我们自己的1979～1985年间分析的热带风资料研究了全球夏季风爆发的七种情况。在夏季风爆发的阶段,在200hPa上,南亚上空的偏东风和中太平洋上空的偏西风都增强,这是全球尺度的变化,我们正在针对预报问题进行研究。

关键词：全球季风夏季季风热流量

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新津·知艺术馆

中国建筑装饰装修 2012年第11期 152-157页

作者： Kengo kuma.& Associates 隈研吾建筑都市设计事务所

知艺术馆坐落在新津县老君山下．是为那些信仰道教的人们修建的朝圣之地，建筑本身的空间设计和展览设计就充分彰显了道教的精神。建筑表皮所使用的瓷砖是用当地传统的加工方法生产的．所采用的材料也是在当地开采的．建筑师希望通过这... 详细信息

知艺术馆坐落在新津县老君山下．是为那些信仰道教的人们修建的朝圣之地，建筑本身的空间设计和展览设计就充分彰显了道教的精神。建筑表皮所使用的瓷砖是用当地传统的加工方法生产的．所采用的材料也是在当地开采的．建筑师希望通过这样的设计，来赞颂道教所注重的自然与和谐。这些瓷砖通过用绳索连接起来的方式．像是摆脱了自身重量后轻盈地漂浮在建筑表面。建筑像是穿上了一层由粒子组成的可呼吸的表皮，这样的设计也使得建筑成功地融入了周围的自然环境。

关键词：艺术馆展览设计建筑表皮自然环境建筑师空间设计加工方法建筑表面

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Hepatitis B Virus and Human Immunodeficiency Virus Infections among Health Care Workers in Some Health Care Centers in Benue State, Nigeria

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Open Journal of Medical Microbiology 2019年第2期9卷 48-62页

作者： Emmanuel Msugh Mbaawuaga Samuel kuma.Hembah-Hilekaan Christian Ukuoma Iroegbu Anthony Chibuogwu Ike Department of Biological Sciences Benue State University Makurdi Nigeria Department of Obstetrics and Gynaecology Benue State University Teaching Hospital Makurdi Nigeria Cross River University of Technology Calabar Nigeria Department of Microbiology University of Nigeria Nsukka Nigeria

Introduction: Benue State of Nigeria has a high morbidity and mortality among individuals from HIV/AIDS. HBV is common among people who are at risk of/or living with HIV since both are transmitted in the same ways and in the presence of co-infection, there is increased risk for serious life threatening liver and other health complications. This study was carried out to assess the prevalence of HBV and HIV infections among Health Care Workers (HCWs) in some health care centers in the state. Materials and Methods: A total of 255 randomly collected blood specimen of consenting HCWs from some health care centers located in Benue State were screened by ELISA for Hepatitis B virus markers. Antibodies to HIV 1and 2 were detected in sera using Determine (Alero, Japan) and Stat Pak (USA) test strips. Other information was obtained through administration of structured questionnaire and data generated were analyzed using Chi square (χ2) test. Results: Of the 255 sampled individuals, 221 (86.7%) showed serological evidence of exposure to HBV markers, some through natural infection (21.6%) and others (23.9%) through vaccination;10.6% of the exposed were currently infected, while 30.6% were indeterminate. HIV antibodies were in 43 (16.9%) while 6 (2.4%) had both HBV and HIV infections. HIV significantly (P = 0.027) increased with increasing years of professional service in the health sector, similar to needle stick injury (P = 0.000) in this study. Both HBV and HIV were significantly higher (P = 0.025, P = 0.000 respectively) in individuals with history of previous surgery. Conclusion: Therefore, HBV and HIV infections are common among HCWs in Benue State. Hence, there is need to scale up vaccination coverage for HBV and upgrade the medical facilities especially in rural health care centers as well as intensification of programmes targeting safety and prevention for precautions.

关键词： HBV HIV Health Care Workers Benue State Nigeria

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梁超:我不相信创业魔咒

现代青年 2017年第10期 34-37页

作者： kuma.刘琪

2005年，25岁的梁超买房子创办了一本潮流杂志《YOHO!潮流志》。2008年因没做预算，却大面积做线下活动，公司突然陷入现金流枯竭，最后是他把自己、父母、亲戚的房子抵押贷款才渡过难关。同年，YOHO!从媒体跨界到电商，推出潮流电商网... 详细信息

2005年，25岁的梁超买房子创办了一本潮流杂志《YOHO!潮流志》。2008年因没做预算，却大面积做线下活动，公司突然陷入现金流枯竭，最后是他把自己、父母、亲戚的房子抵押贷款才渡过难关。同年，YOHO!从媒体跨界到电商，推出潮流电商网站“YOHO!有货”，如今“YOHO!有货”年流水达到20亿人民币，梁超又想走人线下、开中国独一无二的潮流社区店。

关键词：创业 2008年抵押贷款现金流人民币房子公司

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隈研吾出品茅草屋酒店

商务旅行 2012年第4期 101-102页

作者：安德鲁 KENGO kuma

精品酒店也在走隐匿的路线,并且越隐越深。比如这家叫做Yusuhara Marche的酒店,建造在日本四国高知县的梼原町里,四周被山围绕。它的中文叫做"云上酒店别馆"。酒店建筑由大名鼎鼎的隈研吾联合建筑事务所设计建造。隈研吾最近为福冈一家... 详细信息

精品酒店也在走隐匿的路线,并且越隐越深。比如这家叫做Yusuhara Marche的酒店,建造在日本四国高知县的梼原町里,四周被山围绕。它的中文叫做"云上酒店别馆"。酒店建筑由大名鼎鼎的隈研吾联合建筑事务所设计建造。隈研吾最近为福冈一家星巴克做的店铺设计备受争议。

关键词：酒店建筑隈研吾店铺设计建筑事务所茅草屋巴克福冈精品酒店别馆坂本龙马

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金山城堡遗址博物馆和金山社区中心

城市环境设计 2010年第6期 45-47页

作者： Kengo kuma.& Associates Kengo kuma.& Associates

项目名称:金山城堡遗址博物馆和金山社区中心设计者:Kengo kuma.Associates项目地点:日本大田设计类别:博物馆和办公建筑建筑面积:1676.89m2场地面积:3318.69m2委托人:大田市群马县政府设计时间:2006年9月-2007年3月竣工时间:2007年10月... 详细信息

项目名称:金山城堡遗址博物馆和金山社区中心设计者:Kengo kuma.Associates项目地点:日本大田设计类别:博物馆和办公建筑建筑面积:1676.89m2场地面积:3318.69m2委托人:大田市群马县政府设计时间:2006年9月-2007年3月竣工时间:2007年10月-2009年5月结构工程:Oak Structural Engineering实用工具和设备:***&Associates,LTD.建设:Kanto Construction ***特色材料:轻盈的石板图片提供:Takeshi Yamagishi

关键词：博物馆博物院文化机构金山社区城堡遗址办公建筑竣工时间场地面积