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Invasive group B streptococcal infection in a patient with post splenectomy for hypersplenism secondary to liver cirrhosis and portal hypertension

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World Journal of Emergency Medicine 2016年第1期7卷 68-70页

作者： Tomoya Okazaki Toru Hifumi Arisa Manabe Hikari Matsumura Satoshi Egawa Hideyuki Hamaya Nastuyo shinohara Koshiro Takano Hajime Shishido Yuko Abe Kenya Kawakita Masanobu Hagiike Yasuhiro Kuroda Emergency Medical Center Kagawa University Hospital Kita Kagawa 761-0793 Japan

BACKGROUND:Splenectomy in patients with liver cirrhosis(LC)is expected to become more common owing to its efficacy on portal *** this report we describe an alarming case of group B streptococcus(GBS)infection after splenectomy in a patient with ***:A 72-year-old woman with a history of LC was admitted to our emergency department because of respiratory *** patient had received left lateral segmentectomy of the liver and splenectomy three months before *** examination revealed significant wheezing during inspiration and expiration,but no crackles and *** radiography and CT showed no infiltrates.A presumptive diagnosis of bronchial asthma caused by upper respiratory infection was *** days after admission,GBS infection was confirmed by blood culture and penicillin G was *** were given intravenously for a total of 12 ***:The patient was discharged on the 12th day after ***:Although efficacy of splenectomy in patients with LC has been reported,immune status should be evaluated for a longer *** who have undergone splenectomy are highly susceptible to bacteria;moreover,LC itself is an independent risk factor for mortality in patients with *** prophylaxis against GBS has not been established,immediate action should be *** physicians should be aware of invasive GBS infection in the context of the critical risk factors related to splenectomy and LC,particularly the expected increase of splenectomy performed in LC patients.

关键词： Group B streptococcal infection Splenectomy Liver cirrhosis

Search for Signature Inversion in the πi_(13/2) vi_(13/2) Band in Odd-Odd ^(178I)r

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Chinese Physics Letters 2001年第10期18卷 1323-1326页

作者： ZHANG Yu-Hu T.Hayakawa M.Oshima Y.Toh J.Katakura Y.Hatsukawa M.Matsuda N.shinohara T.Ishii H.Kusakari M.Sugawara T.Komatsubara K.Furuno Institute of Modern Physics:Chinese Academy of Sciences Lanzhou 7300002 Japan Atomic Energy Research Institute TokaiIbaraki 319-1195Japan Chiba University Inage-kuChiba 263-8512Japan Chiba Institute of Technology NarashinoChiba 275-0023Japan Institute of Physics and Tandem Accelerator Center University of TsukubaIbaraki 305-0006Japan

The search for the ri_(13/2) vi_(13/2 ) band in ^(178)Ir has been conducted through the ^(152)Sm(^(31) P, 5nγ)^( 178)Ir reaction and the excitation functions, x-γ and γ-γ-t coincidence measurements. Five rotational bands have been newly identified. The low-spin signature inversion in the πi13/2 vi13/2 band has been confirmed by the observations of linking transitions and signature crossing at I = 25.5 h. The inversion phenomenon in rh11/2 vi_(13/2), rh9/2 vi_(13/2) and ri_(13/2) vi13/2 structures in ^(178)Ir provides a unique testing ground for different theoretical interpretations.

关键词： signature Inversion

Gasless Colectomy by Area Lifting and Sliding Window——New surgical concept and the development of devices

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Gasless Colectomy by Area Lifting and Sliding Window——New ...

第六次全国大肠癌会议暨中日韩大肠癌会议

作者： D. Hashimoto K.shinohara T.Hoshino MD-PhD Dept. of Surgery Tokyo Metropolitan Police Hospital MD Dept. of Surgery Tokyo Metropolitan Police Hospital MD.PhD Dept. of Surgery Tokyo Metropolitan Police Hospital

＜正＞In the pneumoperitoneal laparoscopic colectomy, a few centimeter surgical wound is created on the abdominal wall towards the end of the operation to extract the excised organs and to perform anastomosis of the bowel. Since the small abdominal wound makes surgical manipulations under direct vision possible, the safety and accurateness of laparoscopic surgery would significantly improve, if such a wound can be used efficiently throughout the procedure. To optimize the usage of the abdominal wound. several retractors surrounding the patient’s abdomen are used to retract the wound in horizontal, oblique and vertical directions. This method, we named sliding window, allows access to different operative fields, depending on the stages of the operation.

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日本购物中心适应市场变化

国际商业技术 2015年第6期 62-64页

作者： Kazuhiro shinohara

一、日本购物中心的历史和发展概况日本购物中心时代开始于19世纪60年代末。第一个成熟的欧式区域购物中心日本多摩川高岛屋购物中心，于1969年在东京郊区开业。19世纪70年代，购物中心这个术语在日本正式被定义。而目前所说的“购物中... 详细信息

一、日本购物中心的历史和发展概况日本购物中心时代开始于19世纪60年代末。第一个成熟的欧式区域购物中心日本多摩川高岛屋购物中心，于1969年在东京郊区开业。19世纪70年代，购物中心这个术语在日本正式被定义。而目前所说的“购物中心”，是2008年确定的，指“通过总体规划、开发、持有和管理，提供各种商品和服务设施的单一实体，日大部分提供停车场。

关键词：购物中心日本市场变化 19世纪60年代 2008年发展概况 70年代服务设施

Salivary secretion impairment after preoperative irradiation and surgery in patients with oral squamous cell carcinoma

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中国口腔颌面外科杂志 2008年第B5期6卷 112-113页

作者： Ryoji Yoshida Hideki Nakayama Masashi Nagata Akimitsu Hiraki Kazutoshi Ota Masanori shinohara Department of Oral & Maxillofacial Surgery Sensory and MotorOrgan Sciences Faculty of Medical and PharmaceuticalSciences Kumamoto University Japan

Purpose: This study was designed to determine the influence of preoperative irradiation and surgical operation on salivary secretion impairment in patients with oral squamous cell carcinoma (OSCC)。Methods: A total of 42 patients with OSCC were studied between 2004 and 2008。Salivary secretion was evaluated by Saxson's test before and 3-4 weeks after preoperative 30 Gy of irradiation, and at various intervals after surgery。Results: After preoperative irradiation, salivary secretion was 40.8% compared with pretreatment salivary secretion, then 27.8% 6 months after surgery。In several patients whose data we can get by Saxson's test more than 6 months after surgery, salivary secretion markedly increased between 12 and 24 months after surgery。Conclusions: In-patient with OSCC received preoperative irradiation and surgery, salivary secretion was about 30% 6 months after operation, then likely to recover significantly between 12 and 24 months after surgery。

关键词：口腔癌鳞状细胞癌唾液腺临床分析

Spatial Distribution of Radiation Belt Protons Deduced from Solar Cell Degradation of the Arase Satellite

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International Journal of Astronomy and Astrophysics 2018年第4期8卷 306-322页

作者： Honoka Toda Wataru Miyake Yoshizumi Miyoshi Hiroyuki Toyota Yu Miyazawa Iku shinohara Ayako Matsuoka Department of Aeronautics and Astronautics Tokai University Kanagawa Japan Institute for Space-Earth Environmental Research Nagoya University Nagoya Japan Institute of Space and Astronautical Science JAXA Kanagawa Japan

Analysis of solar-cell array panel (SAP) data from the Arase satellite orbiting in the inner magnetosphere showed a clear degradation of solar cells that could be attributed to trapped protons with energies greater than 6 MeV. Proton fluence was determined based on variations in the open-circuit voltage (Voc) of the solar cells, which we compared with that expected based on various distribution models (AP8MAX, AP9 mean and CRRESPRO quiet) of trapped protons. We found a general agreement, confirming the major contribution of trapped protons to the degradation, as well as a slight difference in the fluence expected based on the model calculations. To minimize this difference, we slightly modified the models, and found that concentrating the energetic protons on the magnetic equator provided a better agreement. Our results indicate that >6 MeV protons also has the equatorial concentration as reported for >18 MeV protons from the Van Allen Probes observation, and are interpreted as two components of the trapped protons, i.e., those of solar energetic particle (SEP) origin have an anisotropic pitch-angle distribution and are confined near the magnetic equator.

关键词： Arase Satellite Proton Radiation Belt Solar Cell Degradation

Radiation Curing Technology Progess and Its Industrial Applications in Japan

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Radiation Curing Technology Progess and Its Industrial Appli...

无直流网路电压型逆变器的驱动异步电动机的分析与运行特性

RadTech Asia 2005

作者： Takashi Ukachi Toru Otaka Noriyasu shinohara Takayoshi Tanabe Takeo Shigemoto Tsukuba Research Laboratories JSR Corporation 25 Miyukigaoka Tsukuba Ibaraki 305-0841 Japan Tsukuba Research Laboratories JSR Corporation 25 Miyukigaoka Tsukuba Ibaraki 305-0841 Japan Tsukuba Research Laboratories JSR Corporation 25 Miyukigaoka Tsukuba Ibaraki 305-0841 Japan Tsukuba Research Laboratories JSR Corporation 25 Miyukigaoka Tsukuba Ibaraki 305-0841 Japan Tsukuba Research Laboratories JSR Corporation 25 Miyukigaoka Tsukuba Ibaraki 305-0841 Japan

＜正＞ After experiencing a collapse of Information Technology babble in 2001, the Japanese economy has been gradually recovered and grown by the growth of industries such as electronics and flat panel displays. The market related to the radiation curing technology has also expanded and grown along with the development of the Japanese leading-edge industries. This paper reviews the UV/EB curing technologies including its industrial applications and the market figures in Japan.

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广州大学学报（社会科学版） 1994年第1X期 59-73页

作者： KATSUJI shinohara 黄岚古鹏

一、引言随着微机技术及自关断半导体元件 GTO、BIMS、功放型 MOSFEF、IGBT 的日益发展,促进了对 PWM 变频驱动异步电机的更深入研究。产生正弦输入、输出电流波形的低噪声电压型和电流型变频器也得到进一步的改善。以往在逆变器的直流... 详细信息

一、引言随着微机技术及自关断半导体元件 GTO、BIMS、功放型 MOSFEF、IGBT 的日益发展,促进了对 PWM 变频驱动异步电机的更深入研究。产生正弦输入、输出电流波形的低噪声电压型和电流型变频器也得到进一步的改善。以往在逆变器的直流网路设有平波电路,电压型逆变器要用电容器和电抗器(或电阻器),电流型逆变器则要采用直流电抗器。

关键词：异步电动机电压型逆变器运行特性电压逆变器异步电机交流滤波器电流波形电流型变频器电容器直流电抗器

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从考古发现看疏勒与龟兹佛教艺术之交流

中原文物 2009年第1期 77-83页

作者：篠原典生北京大学考古文博院北京100871

脱库孜萨来寺院遗迹位于现在新疆图木舒克市,是古代疏勒国和龟兹国交接之处。20世纪初,法国学者伯希和在该遗迹发现几件佛教故事塑像,至90年代,由法国学者考证其内容。这些塑像为研究佛教故事图在丝绸之路的流行提供了重要材料。本文将... 详细信息

脱库孜萨来寺院遗迹位于现在新疆图木舒克市,是古代疏勒国和龟兹国交接之处。20世纪初,法国学者伯希和在该遗迹发现几件佛教故事塑像,至90年代,由法国学者考证其内容。这些塑像为研究佛教故事图在丝绸之路的流行提供了重要材料。本文将这些佛教故事塑像的题材内容和造型与龟兹境内的克孜尔石窟壁画进行比较,试图探讨西域佛教交流的一端。

关键词：脱库孜萨来佛寺克孜尔石窟本生故事疏勒龟兹