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CO_2 insufflation for potentially diffi cult colonoscopies: Effi cacy when used by less experienced colonoscopists

World Journal of Gastroenterology 2009年第41期15卷 5186-5192页

作者： Toshio Uraoka Jun Kato Motoaki Kuriyama Keisuke Hori Shin Ishikawa Keita Harada Koji takemoto Sakiko Hiraoka Hideyuki Fujita Joichiro Horii Yutaka Saito Kazuhide Yamamoto Department of Endoscopy Okayama University Hospital Department of Gastroenterology and Hepatology Okayama University Graduate School of Medicine Dentistry and Pharmaceutical Sciences Division of Endoscopy National Cancer Center Hospital

AIM: To clarify the effectiveness of CO2 insufflation in potentially difficult colonoscopy cases, particularly in relation to the experience level of ***: One hundred twenty potentially difficult cases were included in this study, which involved females with a low body mass index and patients with earlier abdominal and/or pelvic open surgery or previously diagnosed left-side colon diverticulosis. Patients receiving colonoscopy examinations without sedation using a pediatric variable-stiffness colonoscope were divided into two groups based on either CO2 or standard air insufflation. Both insufflation procedures were also evaluated according to the experience level of the respective colonoscopists who were divided into an experienced colonoscopist (EC) group and a less experienced colonoscopist (LEC) group. Study measurements included a 100-mm visual analogue scale (VAS) for patient pain during and after colonoscopyexaminations, in addition to insertion to the cecum and withdrawal ***: Examination times did not differ, however, VAS scores in the CO2 group were signifi cantly better than in the air group (P < 0.001, two-way ANOVA) from immediately after the procedure and up to 2 h later. There were no significant differences between either insufflation method in the EC group (P = 0.29), however, VAS scores for CO2 insufflation were significantly better than air insufflation in the LEC group (P = 0.023) immediately after colonoscopies and up to 4 h ***: CO2 insufflation reduced patient pain after colonoscopy in potentially difficult cases when performed by LECs.

关键词：二氧化碳结肠镜治疗检查

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Phosphorus Transfer in the Ash through Acid or AlkaliExtraction Processes

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材料科学与工程（中英文A版） 2020年第1期10卷 24-29页

作者： Masaaki Takahashi Yukimasa takemoto Eiji Yuki Yokkaichi University Research Laboratory on Environmental TechnologyKayo-cho 1200YokkaichiMieJapan Mie Chuo Kaihatsu Co. LtdHachiya 4713YonoIgaMie 518-1152Japan

In order to find the best method of the phosphorus recovery, some kinds of the phosphorus recovery methods were applied using the same raw material. The acid treatment shows the highest recovery performance, on the contrary, the alkali treatment indicates the lowest recovery rate. The recovery rate was improved by the application of the heat treatment or hydrothermal method. In the acid treatment, the recovered phosphorus is mainly composed of aluminum phosphate, conversely, in alkali treatment, recovered phosphorus was mainly composed of sodium phosphate containing a small amount of aluminum. But the aluminum content in the phosphorus decreased by introduction of the heat treatment or hydrothermal method.

关键词： Phosphorus recovery rate sewage sludge extraction method.

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COST REDUCTION THROUGH APPLICATION OF ADVANCED TECHNOLOGY

COST REDUCTION THROUGH APPLICATION OF ADVANCED TECHNOLOGY

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1985北京国际水泥及混凝土学术会议

作者： Kunihiro takemoto Yoshiharu Fukuda Executive Senior Managing Director Onoda Cement Co. Ltd.TokyoJapan Dr.Eng. General Manager of Business Development Division Onoda Engineering and Consulting Co.Ltd.TokyoJapan Director

There are two different ways of reducing production cost. One is the efficiency improvement of existing plant with minor modifications, when necessary, based on thorough diagnosis of existing operation. Another way is modernization of the plant by replacing of operating equipment to a equipment with much higher efficiency. The former way is sometimes more economical under certain limited conditions even though the attainable effectiveness may be less than the latter way. In this article, results of application of advanced technology developed by Onoda Cement Co., are described. Coal firing, especially low grade coal firing Is a matter of great interest to cement producer. Onoda Cement had conducted operation to clarify the effect in changing heat value of coal for four levels from 6,700 kcal/kg coal to 4,500 kcal/kg coal by using a 1,700 t/d RSP kiln in Onoda Works. It was confirmed that operation was very smooth and satisfactorily high quality clinker was produced in each level abovementioned under similar production and heat consumption. The use of low volatile matter coal as well as the use of waste fuel have contributed to cost reduction. Cement producers in many countries are now focussing their interest towards the roller mill for finish grinding as a powerful tool for power savings. Further to the development of high efficiency air separator O-SEPA, Onoda Cement has developed a roller mill named OK roller mill for finish grinding. It consumes about 20?0% less power for normal portland cement grinding than modern ball mill system in addition to about 30% lower maintenance cost. As the results of her energy saving efforts, Onoda has achieved about 20% reduction of energy per ton of cement during the past five years.

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Potassium Phosphate Recovery from Incinerated Ash of Sewage Sludge

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材料科学与工程（中英文B版） 2017年第4期7卷 149-154页

作者： Masaaki Takahashi Yukimasa takemoto Eiji Yuki Koichi Seno Faculty of Environmental and Information Science Yokkaichi University Yokkaichi 512-8512 Japan Mie Chuo Kaihatsu Co. Ltd Hachiya 4713 Iga Mie 518-1152 Japan

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Clinical differentiation of acute appendicitis and right colonic diverticulitis: A case-control study

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World Journal of Clinical Cases 2019年第12期7卷 1393-1402页

作者： Yosuke Sasaki Fumiya Komatsu Naoyasu Kashima Takahiro Sato Ikutaka takemoto Sho Kijima Tadashi Maeda Takamasa Ishii Taito Miyazaki Yoshiko Honda Nagato Shimada Yoshihisa Urita Department of General Medicine and Emergency Care Toho University School of Medicine

BACKGROUND Acute right colonic diverticulitis (ARCD) is an important differential diagnosis of acute appendicitis (AA) in Asian countries because of the unusually high prevalence of right colonic diverticula. Due to qualitative improvement and the high penetration rate of computed tomography (CT) scanning in Japan, differentiation of ARCD and AA mainly depends on this modality. But cost, limited availability, and concern for radiation exposure make CT scanning problematic. Differential findings of ARCD from AA are based on several small studies that used univariate comparisons from Korea and Taiwan. Previous studies on clinical and laboratory differences between AA and ARCD are limited. AIM To determine clinical differences between AA and ARCD for differentiation of these two diagnoses by creating a logistic regression model. METHODS We performed an exploratory single-center retrospective case-control study evaluating 369 Japanese patients (age ≥ 16 years), 236 (64.0%) with AA and 133 (36.0%) with ARCD, who were hospitalized between 2012 and 2016. Diagnoses were confirmed by CT images. We compared age, sex, onset-to-visit interval, epigastric/periumbilical pain, right lower quadrant (RLQ) pain, nausea/vomiting, diarrhea, anorexia, medical history, body temperature, blood pressure, heart rate, RLQ tenderness, peritoneal signs, leukocyte count, and levels of serum creatinine, serum C-reactive protein (CRP), and serum alanine aminotrans-ferase. We subsequently performed logistic regression analysis for differentiating AA from ARCD based on the results of the univariate *** In the AA and ARCD groups, median ages were 35.5 and 41.0 years, respectively (p=0.011);median onset-to-visit intervals were 1 [interquartile range (IQR): 0-1] and 2 (IQR: 1-3) days, respectively (P < 0.001);median leukocyte counts were 12600 and 11500/mm3, respectively (P = 0.002);and median CRP levels were 1.1 (IQR: 0.2-4.1) and 4.9 (IQR: 2.9-8.5) mg/dL, respectively (P < 0.001). In th

关键词： Abdominal pain Acute abdomen Appendicitis Clinical difference Creactive protein Diverticulitis Right lower quadrant pain

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A Combination of Endoscopic CO<sub>2</sub>Laser Microsurgery and Radiotherapy for Treatment of T2N0M0 Glottic Carcinoma

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International Journal of Otolaryngology and Head & Neck Surgery 2012年第2期1卷 28-33页

作者： Motohiro Sawatsubashi Toshiro Umezaki takemoto Shin Shizuo Komune Department of Otolaryngology-Head and Neck Surgery Graduate School of Medical Sciences Kyushu University Fukuoka Japan Saga Medical School Saga Japan

The aims of this study were to evaluate the results of CO2 laser surgery alone and CO2 laser surgery combined with radiotherapy in patients with T2N0M0 glottic carcinoma. A retrospective analysis was conducted of 35 cases of T2N0M0 glottic carcinoma. Fourteen patients with normal vocal cord mobility were treated with endoscopic CO2 laser surgery alone. The remaining 21 patients were treated with CO2 laser surgery followed by radiotherapy (44 - 70 Gy, including low-dose carboplatin chemoradiotherapy). Main outcome measures were local control, organ preservation, recurrence, 5-year survival, and successful salvage in cases of recurrence. We evaluated the patient’s voice with the psychoacoustics GRBAS scale, maximum phonation time (MPT), and airflow rate (AFR) obtained by aerodynamic tests. Mean follow-up period was 5 years. Among the 35 T2N0M0 patients, 5-year survival and 5-year voice preservation rates were 97% and 89%, respectively. Local recurrence occurred in 7 of these patients (20%);4 of 7 local recurrences were successfully re-treated by laser surgery. Total laryngectomy was necessary for salvage treatment in the remaining 3 patients. The post-treatment voice qualities were judged to be the same or improved over pretreatment qualities. There was little change in MPT and AFR after treatment in non-recurrence patients. CO2 laser microsurgery is an excellent tool for treating selected cases of T2N0M0

关键词： T2 Glottic Carcinoma Laryngeal Cancer Endoscopic Laser Surgery Chemoradiotherapy

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History of Yokkaichi Asthma and Its Anti-pollution Measures

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材料科学与工程（中英文A版） 2017年第4期7卷 188-198页

作者： Yukimasa takemoto Masaaki TAKAHASHI Hirofumi KITO Takanori TERAZAWA Faculty of Environmental and Information Sciences Yokkaichi University 1200 Kayo-cho Yokkaichi Mie 512-8512 Japan Faculty of Policy Management Yokkaichi University 1200 Kayo-cho Yokkaichi Mie 512-8512 Japan Mie Prefectural Environmental Conservation Agency 3258 Ueno Kawage-cho Tsu Mie 510-0304 Japan

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Clinical prediction of complicated appendicitis:A case-control study utilizing logistic regression

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World Journal of Clinical Cases 2020年第11期8卷 2127-2136页

作者： Yosuke Sasaki Fumiya Komatsu Naoyasu Kashima Takeshi Suzuki Ikutaka takemoto Sho Kijima Tadashi Maeda Taito Miyazaki Yoshiko Honda Hiroaki Zai Nagato Shimada Kimihiko Funahashi Yoshihisa Urita Department of General Medicine and Emergency Care Toho University School of MedicineOta-kuTokyo 143-8541Japan Department of General and Gastroenterological Surgery Toho University Omori Medical CenterOtakuTokyo 143-8541Japan

BACKGROUND Since high-quality evidence on conservative treatment of acute appendicitis using antibiotics has increased,differentiation of patients with complicated appendicitis(CA)from those with simple appendicitis(SA)has become increasingly *** studies have revealed that male gender,advanced age,comorbid conditions,prehospital delay,fever,and anorexia are risk factors of perforated *** serum C-reactive protein(CRP)level and hyponatremia have also been reported as predictive biomarkers of ***,confounding between various factors is problematic because most previous studies were limited to univariate *** To evaluate non-laboratory and laboratory predictive factors of CA using logistic regression *** We performed an exploratory,single-center,retrospective case-control study that evaluated 198 patients(83.9%)with SA and 38 patients(16.1%)with *** were confirmed by computed tomography images for all *** compared age,sex,onset-to-visit interval,epigastric/periumbilical pain,right lower quadrant pain,nausea/vomiting,diarrhea,anorexia,medical history(of previous non-surgically treated appendicitis,diabetes,hypertension,dyslipidemia,liver cirrhosis,hemodialysis,chronic lung diseases,malignant tumors,immunosuppressant use,and antiplatelet use),vital signs,physical findings,and laboratory data to select the explanatory variates for logistic *** on the univariate comparisons,we performed logistic regression for clinical differentiation between CA and SA using only nonlaboratory factors and also including both non-laboratory and laboratory *** The 236 eligible patients consisted of 198 patients(83.9%)with SA and 38 patients(16.1%)with *** median ages were 34 years old[interquartile ranges(IR),24-45 years]in the SA group and 49 years old(IR,35-63 years)in the CA group(P<0.001).The median onset-to-visit interval was 1 d(IR,0-1)and 1 d(IR,1-2)in the SA and CA groups,respectively

关键词： Acute abdomen Abscess Appendicitis C-reactive protein Forecasting Intestinal perforation

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Conversion of Aluminum Phosphate to Sodium PhosphateMasaaki Takahashi

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材料科学与工程（中英文A版） 2016年第6期6卷 321-325页

作者： Yukimasa takemoto Maki Ooyagi Ken Oonishi Eiji Yuuki Yokkaichi University Research Laboratory on Environmental Technology Kayo-cho 1200 Yokkaichi Mie 512-8512 Japan Mie Chuo Kaihatsu Co. Ltd Hachiya4713 Yono Iga Mie 518-1152 Japan

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Effectiveness of Aromatherapy Treatment in Alleviating Fatigue and Promoting Relaxation of Mothers during the Early Postpartum Period

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Open Journal of Nursing 2018年第3期8卷 196-209页

作者： Kyoko Asazawa Yoshihiro Kato Ryosuke Koinuma Nao takemoto Shiho Tsutsui Department of Nursing Tokyo Healthcare University Tokyo Japan Tokyo Medical Center Tokyo Japan

Background: This study aimed to determine the effectiveness of aroma hand treatment in alleviating fatigue and promoting relaxation of mothers in their early postpartum period. Methods: This is a quasi-experimental study with a two-group pretest-post-test design which used purposive sampling and non-random assignment of 242 consenting Japanese early postpartum mothers who were patients from a hospital maternity unit in Tokyo, Japan. The intervention involved a 20-minute aroma hand treatment using an effleurage method. The participants selected from 5 essential oils: pure lavender, ylang-ylang, citron, rosewood, and sweet orange. Relaxation promotion and fatigue alleviation as the main outcomes were measured using self-administered valid and reliable questionnaires. Statistical analysis was performed using the two-sample t-test, two-way factorial ANOVA, and simple main effect test. SPSS ver. 23.0 (SPSS, Chicago, IL, USA) was used for data analysis at a 5% significance level. Results: Of 242 participants (intervention group, n = 122;comparison group, n = 120), 229 participants (intervention group, n = 115;comparison group, n = 114) were analyzed per protocol. The intervention group showed a significant improvement in relaxation (t = 6.43, p < 0.001). A significant difference in the simple main effect test of relaxation (F = 37.58, p < 0.001) was found. However, there was no significant reduction in fatigue. The majority (88.4%) of the participants indicated high satisfaction with the aroma hand treatment, and 90.5% evaluated the length of intervention time as appropriate. Conclusions: The aroma hand treatment effectively promoted relaxation of early postpartum mothers, but was less effective in alleviating their fatigue. Based on their high satisfaction rate, aroma hand treatment using essential oils may be considered effective in promoting relaxation of early postpartum mothers.

关键词： Aromatherapy Postpartum Period Fatigue Relaxation

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