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Rapidly Progressing Hepatic Angiosarcoma Terminally Cared for at Home: A Case Discussion—Hepatic Angiosarcoma Taken Palliative Care at Home

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Case Reports in Clinical Medicine 2024年第11期13卷 477-484页

作者： Hiroaki yamane Aki Yoshimitsu Tomoko Itagaki Motoi yamane Department of Surgery Yamane Clinic Hiroshima Japan Department of Clinical Oncology Hiroshima General Hospital Hiroshima Japan

Background: Hepatic angiosarcoma is a rare disease with a poor prognosis due to its tendency for distant sites. Few opportunities exist for palliative treatment of hepatic angiosarcomas at home. Here, we report a rare case of palliative treatment of hepatic angiosarcoma at home. Case Presentation: An 87-year-old male patient complained of upper abdominal pain and anorexia, persisting for 2 months. Computed tomography revealed multiple tumors in the liver, spleen, left kidney, and bone. Hepatic angiosarcoma was diagnosed based on the liver biopsy results. Due to his advanced age and dementia, the patient and his family decided to receive palliative treatment at home, thereby initiating home medical care at our clinic. During the first visit, oral opioid medication was introduced, and home oxygen therapy (HOT) was initiated because of complaints of cancer pain and respiratory distress. As oral intake became difficult, the patient was switched to a patch opioid, and suppositories were used for ton use. The patient was treated with morphine and HOT;however, the improvement in respiratory distress was below acceptable. The patient died at home on the ninth day after his visit. Conclusion: To the best of our knowledge, this is the first case report on palliative care for hepatic angiosarcoma at home. Owing to the rapid progression of this disease, home physicians must know its characteristics and provide appropriate medical care.

关键词： Hepatic Angiosarcoma Home-Based Palliative Care Service Home Oxygen Therapy Invasive Tumor

Biorational control methods for protection of stored grain legumes against bruchid beetles

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Agricultural Sciences 2013年第12期4卷 762-766页

作者： Takashi yamane National Agricultural Research Center National Agriculture and Food Research Organization Tsukuba Japan

Bruchid beetles such as Callosobruchus maculatus are known to the storage pests of grain legumes and cause tremendous damage. The main method to protect from them is chemical insecticides or fumigants. But, they would cause some problems such as environmental pollution, hazard to health. So, it is necessary to develop the grain legumes protection methods or systems using less chemical insecticides or fumigants from the perspective of integrated pest management (IPM). In this paper, I review the works of legumes grain protection methods without chemical insecticides or fumigants especially for the natural parasitoids, essential oils and other methods recently developed.

关键词： Bruchid Beetles Natural Parasitoids Essential Oils Temperature Management Integrated Pest Management

The Mechanism of Kansei and the Activity of Brain on Appreciation of Art：The approach by measuring the activity of brain on appreciation of sculpture

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设计 2006年第F2期22卷 4-6页

作者： Chikako yamane University of Tsukuba

A ruptured large extraluminal ileal gastrointestinal stromal tumor causing hemoperitoneum

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World Journal of Gastroenterology 2008年第18期14卷 2928-2931页

作者： Shoji Hirasaki Kohei Fujita Minoru Matsubara Hiromitsu Kanzaki Hiromichi yamane Masato Okuda Seiyuu Suzuki Atsuko Shirakawa Hideyuki Saeki Department of Internal Medicine Sumitomo Besshi Hospital Niihama 7928543 Japan Department of Pathology Sumitomo Besshi Hospital Niihama 7928543 Japan Department of Surgery Sumitomo Besshi Hospital Niihama 7928543 Japan

We describe an 87-year-old woman with a large ileal gastrointestinal stromal tumor (GIST) causing hemoperitoneum. A CT scan demonstrated a large heterogeneous mass measuring about 13 cm × 11 cm in the pelvis and hemoperitoneum, with a non-uniform enhancement pattern. The mass was diagnosed as a GIST originating from the gastrointestinal tract. She underwent an urgent laparotomy and an ileal GIST with a rupture was found 130 cm from the anal to the Treitz’s ligament. Hemoperitoneum caused by ileal GIST rupture is a rare condition. Bleeding in the large tumor leading to rupture of the capsule might cause hemoperitoneum in the present case.

关键词： Intestinal neoplasm Small intestine Extraluminal growth Laparotomy

A Genetic Algorithm for Optimal Design of Model Output Following Control

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Systems Science and Systems Engineering 1996年第4期6卷 488-495页

作者： ZHANG Xiaojun yamane Yuzo(Ashikaga Institute of Technology, Ashikaga 326, Japan)

This paper presents a genetic algorithm for the optimal design of model output following control in which there are nonlinear disturbance and uncertian parameters, where the output is regulated to follow the output of... 详细信息

关键词： genetic algorithm model output following control feedback forward

Detecting Bank Conflict of GPU Programs Using Symbolic Execution—Case Study

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Journal of Software Engineering and Applications 2017年第2期10卷 159-167页

作者： Koki Hamaya Satoshi yamane Graduate School of Natural Science and Technology Kanazawa University Kanazawa Japan

GPU (Graphics Processing Unit) is used in various areas. Therefore, the demand for the verification of GPU programs is increasing. In this paper, we suggest the method to detect bank conflict by using symbolic execution. Bank conflict is one of the bugs happening in GPU and it leads the performance of programs lower. Bank conflict happens when some processing units in GPU access the same shared memory. Symbolic execution is the method to analysis programs with symbolic values. By using it, we can detect bank conflict on GPU programs which use many threads. We implement a prototype of the detector for bank conflict and evaluate it with some GPU programs. The result states that we can detect bank conflict on the programs with no loop regardless of the number of threads.

关键词： Graphics Processing Units GPU Bank Conflict Symbolic Execution Model Checking

A Robust Model Following Control for Plant withUncertain Parameters Based on Genetic Algorithm

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Systems Science and Systems Engineering 1999年第1期9卷 65-72页

作者： ZHANG Xiaojun Yuzo yamane YANG Dongyong(Ashikaga Institute of Technology, Ashikaga 326, Japan)

In this paper, an integral-type robust mode following control for Plants with uncertainparameters and nonlinear factors is introduced. An genetic algorithm is also designed for obtaining thecontrol gains. Finally, som... 详细信息

关键词： Robust Model following control Genetic algorithm Uncertainty control system

The Treatment Strategy of Patients with Sleep Apnea Syndrome in Our Department and Subsequent Course

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International Journal of Otolaryngology and Head & Neck Surgery 2014年第4期3卷 179-183页

作者： Takanori Fujioka Hideo yamane Department of Otorhinolaryngology Graduate School of Medicine Osaka City University Osaka Japan

It is known that acute or chronic heart failure can develop in patients with grave sleep apnea syndrome (SAS), and known to have the social problem including an accident and the decrease of the labor will. Several medical treatments are now available for SAS. We considered problems of the treatment based on the practice situation of our department about the present conditions and subsequent treatment. The subjects consisted of 306 patients. We measured Epworth Sleepiness Scale (ESS) and apnea hypopnea index (AHI) after polysomnography in all patients at the first time and 6 months later. So, it was found that AHI and ESS decreased when we could be treated in the SAS patients appropriately. It was confirmed that the choice of the appropriate regimen was important.

关键词： Sleep Apnea Syndrome Apnea Hypopnea Index Epworth Sleepiness Scale

Variant angina pectoris associated with FOLFOX4 therapy

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World Journal of Gastrointestinal Oncology 2011年第11期3卷 165-168页

作者： Hiromichi yamane Minoru Matsubara Shigeki Umemura Toshimitsu Suwaki Haruhito Kamei Nagio Takigawa Katsuyuki Kiura Mitsune Tanimoto Division of Clinical Oncology Sumitomo-Besshi Hospital Cancer Center Department of General Internal Medicine 4 Kawasaki Medical School2-1-80 Naka- sangeOkayama 700-8505Japan Department of Gastroenterology and Hepatology Okayama University Graduate School of Medicine Department of Respiratory Medicine Okayama University Hospital Department of Hematology Oncology and Respiratory MedicineOkayama University Graduate School of Medicine

The patient was a 71-year-old man who underwent a right hemicolectomy for ascending colon cancer(pT3,pN1,pM0) and who opted not to receive adjuvant *** months later,multiple liver metastases *** therefore received FOLFOX4(5-fluorouracil/leucovorin and 85 mg/m 2 oxaliplatin) therapy,up to a total of 5 courses,and showed a partial *** receiving the sixth course of FOLFOX4,he complained of chest pain and systemic itching approximately 15 min after the start of *** electrocardiogram revealed typical signs of *** arteriography showed that the coronary arteries were *** the chest pain to be merely coincidental,we continued with the same ***,he again developed the same chest pain during the seventh cycle of FOLFOX4 and treatment was *** concluded that the patient's symptoms were due to acute coronary syndrome(ACS) associated with the FOLFOX4 *** angina as a type of ACS is a rare adverse effect of FOLFOX4. Clinicians should be aware of this potential adverse effect when monitoring patients receiving FOLFOX4.

关键词： FOLFOX4 Acute coronary syndrome Variant angina Allergy