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Dynamic ultrasonography for optimizing treatment position in superior mesenteric artery syndrome:Two case reports and review of literature

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World Journal of Gastroenterology 2024年第5期30卷 499-508页

作者： Nobuaki Hasegawa Akihiko oka Muyiwa Awoniyi Yuri Yoshida Hiroshi Tobita Norihisa Ishimura Shunji Ishihara Department of Internal Medicine II Shimane University Faculty of MedicineIzumo 693-8501ShimaneJapan Department of Gastroenterology Hepatology and NutritionDigestive Disease and Surgery InstituteHepatology SectionCleveland ClinicClevelandOH 44195United States Clinical Laboratory Division Shimane University HospitalIzumo 693-8501ShimaneJapan Division of Hepatology Shimane University HospitalIzumo 693-8501Japan

BACKGROUND Superior mesenteric artery(SMA)syndrome is a rare cause of duodenal obstruction by extrinsic compression between the SMA and the aorta(SMA-Ao).Although the left lateral recumbent position is considered effective in the treatment of SMA syndrome,individual variations in the optimal patient position have been *** this report,we present two elderly cases of SMA syndrome that exhibited rapid recovery due to ultrasonographic dynamic evaluation of the optimal position for each *** SUMMARY Case 1:A 90-year-old man with nausea and *** diagnosis of SMA syndrome by computed tomography(CT),ultrasonography(US)revealed the SMA-Ao distance in the supine position(4 mm),which slightly improved in the lateral position(5.7–7.0 mm)without the passage of duodenal ***,in the sitting position,the SMA-Ao distance was increased to 15 mm accompanied by improved content ***,US indicated enhanced passage upon abdominal massage on the right *** day 2,the patient could eat comfortably with the optimal position and *** 2:An 87-year-old woman with *** the diagnosis of SMA syndrome and aspiration pneumonia by CT,dynamic US confirmed the optimal position(SMA-Ao distance was improved to 7 mm in forward-bent position,whereas it remained at 5 mm in the supine position).By day 7 when her pneumonia recovered,she could eat with the optimal *** The optimal position for SMA syndrome varies among *** US appears to be a valuable tool in improving patient outcomes.

关键词： Superior mesenteric artery syndrome Wilkie’s syndrome Cast syndrome Aorto-mesenteric compass syndrome Ultrasonography Case report

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Cone-Beam Computed Tomography Evaluation of the Positions of Unerupted Maxillary Canines with Incisor Root Resorption

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Open Journal of Stomatology 2017年第3期7卷 169-179页

作者： Sachio Tamaoki Hiroyuki Ishikawa kyoko oka Masao Ozaki Akiko Abe Shunsuke Takata Shozaburo Hata Section of Orthodontics Department of Oral Growth & Development Division of Clinical Dentistry Fukuoka Dental College Fu-kuoka Japan Fukuoka Dental College Fukuoka Japan Section of Pediatric Dentistry Department of Oral Growth & Development Division of Clinical Dentistry Fukuoka Dental College Fukuoka Japan

Purpose: To establish a new coordinate system using the incisive canal and incisive foramen in cases confirmed to have root resorption in the maxillary incisor region by cone beam computed tomography (CBCT) to investigate the positions of the central and lateral incisor roots and erupting maxillary canine tooth crowns in the horizontal plane. Methods: Nine patients (two males;mean age: 10.5 years old) with suspected incisor root resorption due to erupting maxillary canines on panoramic X-ray images and in whom incisor root resorption was confirmed on CBCT images were evaluated. A control group of 12 patients with a supernumerary tooth on one side (three males;mean age: 8.6 years old) was also examined. X, Y, and Z-axes were defined, and the positions of the centers of the central incisor root (U1) and lateral incisor root (U2) and the canine cusp (U3) were examined, along with alveolar process width and length. Results: In the control group, U1, U2, and U3 were located within a certain range without overlap, while, in the incisor root resorption group, U3 overlapped with U1 and U2 and tended to deviate centrally. U2 tended to be located further posteriorly than U3. The anteroposterior diameter of the alveolar process was 1.2 mm shorter in the incisor root resorption group (p < 0.05). Conclusions: The risk of incisor root resorption accompanying canine eruption can be evaluated early by investigating the canine position on a horizontal plane established on the upper anterior tooth dentition CT images with a coordinate system using the incisive canal and incisive foramen.

关键词： CBCT Incisor Root Resorption Maxillary Canine Incisive Canal Alveolar Process

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混合磁悬浮系统零功率抗偏载控制方法研究

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机械工程学报 2024年第8期60卷 360-369页

作者：赵川孙凤金俊杰徐方超张明 oka Koichi 沈阳工业大学机械工程学院沈阳110870 高知工科大学系统工学部高知7828502日本

针对混合磁悬浮洁净传送装置无法兼顾零功率和抗偏载悬浮的问题,提出一种磁铁可动式混合磁悬浮系统,并设计了其零功率抗偏载控制策略。该系统中一个磁极固定,其他两个磁铁可绕悬浮圆盘中心轴线转动,通过调节气隙长度和磁铁转动角度克服... 详细信息

针对混合磁悬浮洁净传送装置无法兼顾零功率和抗偏载悬浮的问题,提出一种磁铁可动式混合磁悬浮系统,并设计了其零功率抗偏载控制策略。该系统中一个磁极固定,其他两个磁铁可绕悬浮圆盘中心轴线转动,通过调节气隙长度和磁铁转动角度克服偏载引起的扰动力和扰动力矩,从而实现零稳态电流和抗偏载悬浮。首先建立系统的线性变参数模型,分析该系统实现零功率水平悬浮需要满足的条件。零功率抗偏载控制策略在比例-微分控制器中引入电流和气隙偏差的积分反馈,并应用质心观测器反求磁体转动角度,求解方法分别采用雅可比逆变换解析求解和查表法内插取值两种方法。试验结果表明,该系统能够在偏载条件下保持零功率水平悬浮,应用雅可比的连续控制策略具有更好的纠偏特性,稳态时电流波动范围小。

关键词：混合磁悬浮零功率控制抗偏载特性离散控制

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Population-based X-ray gastric cancer screening in Hiroshima prefecture, Japan

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World Journal of Clinical Oncology 2024年第2期15卷 271-281页

作者： Nhu Thi Hanh Vu Yuji Urabe Duc Trong Quach Shiro oka Toru Hiyama Department of Internal Medicine University of Medicine and Pharmacy at Ho Chi Minh CityHo Chi Minh 700000Viet Nam Department of Endoscopy Hiroshima University HospitalHiroshima 734-8551Japan Department of Gastrointestinal Endoscopy and Medicine Hiroshima University HospitalHiroshima 734-8551Japan Department of Gastroenterology Hiroshima University HospitalHiroshima 734-8551Japan Health Service Center Hiroshima UniversityHigashihiroshima 739-8514Japan

BACKGROUND X-ray gastric cancer(GC)screening has been shown to decrease ***-based X-ray GC screening has been performed in Hiroshima Prefe-cture,Japan,since 1983 but time trends and the efficacy of the method over 39 years have not been *** This was a population-based retrospective *** data were derived from aggregated data of the Hiroshima Regional Health Medical Promotion Organization,including the number and rate of participants and those requiring esophagogastroduodenoscopies(EGDs),the number and rate of participants diagnosed as having GC,and the positive predictive value of the abnormal findings detected by X-ray and confirmed by *** number and rate of esophageal cancers were also ***,the cost of detecting one GC was *** The number of participants has decreased during the last four decades,from 39925 in 1983 to 12923 in *** rate of those requiring EGDs decreased significantly in recent years(P<0.001).The number of participants diagnosed as having GC has also declined,from 76 to 10 ***,the rate of cases diagnosed as GC among the participants remained around 0.1%.The positive predictive value increased significantly in recent years except during *** number and rate of accidentally detected esophageal cancers have risen recently,from 0%in 2008 to 0.02%in 2021,one-fifth of the diagnosis rate of *** GC diagnosis costs approximately 4200000 Japanese Yen(30000 United States Dollars)for the X-ray screenings and *** X-ray GC screening in Hiroshima has been efficient,but one challenge is the *** cancers may also need to be considered because they have gradually increased in recent years.

关键词： Population Retrospective studies X-ray Gastric cancer Screening

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High-grade pancreatic intraepithelial neoplasia diagnosed based on changes in magnetic resonance cholangiopancreatography findings:A case report

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World Journal of Clinical Cases 2024年第8期12卷 1487-1496页

作者： Nao Furuya Atsushi Yamaguchi Naohiro Kato Syuhei Sugata Takuro Hamada Takeshi Mizumoto Yuzuru Tamaru Ryusaku Kusunoki Toshio Kuwai Hirotaka Kouno Kazuya Kuraoka Yoshiyuki Shibata Sho Tazuma Takeshi Sudo Hiroshi Kohno Shiro oka Department of Gastroenterology National Hospital Organization Kure Medical Center and Chugoku Cancer CenterKure 737-0023HiroshimaJapan Department of Gastroenterology Hiroshima University HospitalHiroshima 734-8551HiroshimaJapan Department of Pathology National Hospital Organization Kure Medical Center and Chugoku Cancer CenterKure 737-0023HiroshimaJapan Department of Surgery National Hospital Organization Kure Medical Center and Chugoku Cancer CenterKure 737-0023HiroshimaJapan

BACKGROUND High-grade pancreatic intraepithelial neoplasia(PanIN)exhibits no mass and is not detected by any examination ***,it can be diagnosed by pancreatic juice cytology from indirect *** previous cases were diagnosed based on findings of a focal stricture of the main pancreatic duct(MPD)and caudal MPD dilatation and subsequent pancreatic juice cytology using endoscopic retrograde cholangiopancreatography(ERCP).We experienced a case of high-grade PanIN with an unclear MPD over a 20-mm range,but without caudal MPD dilatation on magnetic resonance cholangiopancreatography(MRCP).CASE SUMMARY A 60-year-old female patient underwent computed tomography for a follow-up of uterine cancer post-excision,which revealed pancreatic *** revealed an unclear MPD of the pancreatic body at a 20-mm length without caudal MPD ***,course observation was *** 24 mo,MRCP revealed an increased caudal MPD caliber and a larger pancreatic *** performed ERCP and detected atypical cells suspected of adenocarcinoma by serial pancreatic juice aspiration cytology *** performed a distal pancreatectomy and obtained a histopathological diagnosis of high-grade *** parenchyma invasion was not observed,and curative resection was *** High-grade Pan-IN may cause MPD narrowing in a long range without caudal MPD dilatation.

关键词： Pancreatic cancer Pancreatic intraepithelial neoplasm High-grade pancreatic intraepithelial neoplasm Magnetic resonance cholangiopancreatography Carcinoma in situ Case report

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A Case of Warthin’s Tumor Together with IgG4-Related Sialadenitis

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Open Journal of Pathology 2024年第3期14卷 81-89页

作者： Ryogo Aoki Risa Ito Asuka Ohashi Riyoko Niwa Masashi Matsuyama Sachiko oka Naomi Kawaguchi Toshimasa Sakakima Daichi Kodama Naoki Watanabe Daisuke okamoto Takafumi Naiki Takuji Tanaka Department of Diagnostic Pathology (DDP) & Research Center of Diagnostic Pathology (RC-DiP) Gifu Municipal Hospital Gifu Japan Department of Central Clinical Laboratory Gifu Municipal Hospital Gifu Japan Department of Hematology Gifu Municipal Hospital Gifu Japan

Warthin’s tumor is the second most frequent neoplasm next to pleomorphic adenoma in the salivary gland. The tumor contains the epithelial oncocyte cells with the presence of rich-mitochondria and their surrounding abundant lymphocytes. A relatively new disease entity of IgG4-related disease frequently occurs in the salivary gland. However, the coexistence of Warthin’s tumor and IgG4-related disease is scarcely observed. We have recently experienced a rare case of Warthin’s tumor with IgG4-related sialadenitis. A 51-year-old man presented to our hospital, complaining of a mass with right submandibular tenderness and spontaneous pain. A computed tomography scan of the cervical region revealed a suspicion of lymph node proliferative disease, including malignant lymphoma. Elevated serum levels of IL-2R: 1843 U/ml (reference value 122 - 496 U/ml), IgG: 3430 mg/dl (reference value 861 - 1747 mg/dl), and IgG4: 3140 mg/dl (reference value 11 - 121 mg/dl) were observed. Other laboratory data showed within normal ranges. The cervical tumor was diagnosed as Warthin’s tumor by the findings of fine-needle aspiration cytology and biopsy examination. Immunohistochemistry revealed numerous IgG4- and IgG-positive cells with fibrosis surrounding the epithelial component of Warthin’s tumor, suggesting IgG4-rerated sialadenitis. Finally, we diagnosed the cervical tumor as Warthin tumor with IgG4-related sialadenitis. This is the second report describing a case of Warthin’s tumor with possible involvement of IgG4-related sialadenitis.

关键词： Warthin’s Tumor Sialadenitis IgG4-Related Disease Immunohistochemistry

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Spatiotemporal changes in antlerless proportion of culled Sika deer in relation to deer density

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Journal of Forestry Research 2022年第3期33卷 1095-1101页

作者： Kei K.Suzuki Teruki oka Masatoshi Yasuda Kyushu Research Center Forestry and Forest Products Research InstituteKumamoto860-0862Japan Shikoku Research Center Forestry and Forest Products Research InstituteKochi780-8077Japan

Population management of herbivores is widely applied to decrease damage to forests in the northern hemisphere. Culling more antlerless deer, including females and fawns, is an effective means of reducing the population and helps to improve management efficiency. To increase the efficiency of antlerless-biased culling, we assessed the spatiotemporal distribution of the antlerless ratio in culled sika deer (Cervus nippon) in relation to population density. We hypothesized that the antlerless ratio is higher at the center of the distribution than at the margins of the deer’s range, because dispersal processes differ according to sex and age: Young male deer first disperse into an unoccupied area, and then males may become established in the new area for approximately 10–15 years before the number of females increases. A statistical model revealed spatiotemporal changes in the antlerless ratio of culled sika deer. The change in the ratio basically fit the density distribution of the deer, which was estimated independently on the basis of fecal pellet count surveys. The antlerless ratio estimated from the model increased asymptotically as deer density rose. The results support our hypothesis and suggest that antlerless sika deer will be more easily culled at the center rather than at the margins of the distribution range. These findings should help to increase the efficiency of managing the deer via antlerless-biased culling.

关键词： Antlerless Culling Density Distribution Large herbivore Wildlife management

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Modelling of a shape memory alloy actuator for feedforward hysteresis compensator considering load fluctuation

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CAAI Transactions on Intelligence Technology 2022年第4期7卷 549-560页

作者： Seiji Saito Shouta oka Ribun Onodera Department of Electronics and Information Science Polytechnic UniversityKodairaTokyoJapan

This paper presents a hysteresis mathematical model of a shape memory alloy(SMA)actuator for feedforward hysteresis *** hysteresis model represents the relation between temperature,stress,and electric ***,based on the laws of thermodynamics,the hysteresis model of the SMA actuator is ***,the inverse of the hysteresis model is obtained to produce a compensator for non‐linear characteristics such as hysteresis and ***,the parameters of the hysteresis model are obtained from each experiment under constant load and constant temperature,and the model validity is confirmed by comparing experimentally obtained ***,the inverse model is applied to a part of feedforward hysteresis *** order to verify the effectiveness of the proposed model as hysteresis compensator,an electrical resistance control using feedback-feedforward control was conducted by numerical *** simulation results indicate advantages of the proposed mathematical model in hysteresis compensation of SMA actuator,and demonstrate that the model is capable of handling load fluctuation.

关键词： hysteresis inverse thermodynamics

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国际盆景协会佳作选登(五)

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花木盆景（下半月） 2024年第6期 64-67页

作者： [菲律宾]Charlie Lee [波兰]Piotr Tomasz Czernichowski [韩国]Park Jae Heon [墨西哥]Enrique Castano [印度尼西亚]oka Sunarya [捷克]Vaclav Novak 罗民轩不详中国台湾

国际盆景协会(Bonsai Clubs International,BCI)于1963年在美国成立,会员分布在50多个国家和地区,每年在不同的国家或地区举行大会和年展,对世界盆景文化的发展起到了重要的推动作用。2023年9月,陈昌先生成功当选BCI主席,成为BCI历史上... 详细信息

国际盆景协会(Bonsai Clubs International,BCI)于1963年在美国成立,会员分布在50多个国家和地区,每年在不同的国家或地区举行大会和年展,对世界盆景文化的发展起到了重要的推动作用。2023年9月,陈昌先生成功当选BCI主席,成为BCI历史上首位中国籍主席。本栏目由花木盆景杂志社与BCI合办,让您通过BCI之窗,领略世界各地盆景魅力。

关键词：花木盆景盆景协会中国籍 BCI

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Primary malignant pericardial mesothelioma with difficult antemortem diagnosis:A case report

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World Journal of Clinical Cases 2022年第33期10卷 12380-12387页

作者： Naoya oka Yuichi Orita Chikage Oshita Hirofumi Nakayama Hiroki Teragawa Department of Clinical Immunology and Rheumatology Hiroshima University HospitalHiroshima 734-8551Japan Department of Cardiovascular Medicine JR Hiroshima HospitalHiroshima 732-0057Japan Department of Pathology JR Hiroshima HospitalHiroshima 732-0057Japan

BACKGROUND Primary malignant pericardial mesothelioma(PMPM)is an extremely rare malignant tumor,and it is difficult to diagnose definitively before *** present a case in which PMPM was diagnosed at *** consider this case to be highly suggestive and report it *** SUMMARY A 78-year-old male presented with transient loss of consciousness and *** transient loss of consciousness was considered to result from complications of diastolic dysfunction due to pericardial disease,fever with dehydration,and paroxysmal atrial *** cardiography(UCG)and computed tomography showed cardiac enlargement and high-density pericardial *** considered pericardial disease to be the main pathogenesis of this *** magnetic resonance imaging and gadolinium contrast-enhanced T1-weighted images showed thick staining inside and outside the *** biopsy was considered to establish a definitive diagnosis,but the patient and his family refused further treatment and examinations,and the patient was followed *** noticed a thickening of the pericardium and massive changes in the pericardium on UCG over *** performed an autopsy 60 h after the patient died of *** staining of the autopsy tissue showed an epithelial-like arrangement in the pericardial tumor,and immunostaining showed positive and negative factors for the diagnosis of *** on these findings,the final diagnosis of PMPM was *** PMPM has a poor prognosis,and early diagnosis and treatment are *** temporal echocardiographic findings may provide a clue for the diagnosis of PMPM.

关键词： Primary malignant pericardial mesothelioma Antemortem diagnosis Pericardial disease Temporal echocardiographic Case report

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