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Carcinoembryonic antigen-producing adrenal adenoma resected using combined lateral and anterior transperitoneal laparoscopic surgery

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World Journal of Gastroenterology 2007年第45期13卷 6094-6097页

作者： Tomohide Hori Kentaro Taniguchi masashi Kurata Kenji Nakamura Kenji Kato Yoshifumi Ogura Makoto Iwasaki Shinya Okamoto Koichiro Yamakado Shintaro Yagi Taku Iida Takuma Kato Kanako Saito Linan Wang Yoshifumi Kawarada Shinji Uemoto Department of Hepatobiliary Pancreatic Surgery Mie University Graduate School of Medicine 2-174 Edobashi Tsu City Mie Prefecture 514-8507 Japan Department of Surgery Matsusaka City Hospital 1550 Tono-machi Matsusaka City Mie Prefecture 515-8544 Japan Department of Anesthesiology Matsusaka City Hospital 1550 Tono-machi Matsusaka City Mie Prefecture 515-8544 Japan Department of Surgery Iwasaki Hospital 333 Isshinden-cho Tsu City Mie Prefecture 514-0114 Japan Department of Cardiology Mie University Graduate School of Medicine 2-174 Edobashi Tsu City Mie Prefecture 514-8507 Japan Department of Radiology Mie University Graduate School of Medicine 2-174 Edobashi Tsu City Mie Prefecture 514-8507 Japan Department of Hepatobiliary Pancreatic and Transplant Surgery Kyoto University Graduate School of Medicine 54 Kawahara-cho Shogoin Sakyo-ku Kyoto 606-8507 Japan Department of Cellular and Molecular Immunology Mie University Graduate School of Medicine 2-174 Edobashi Tsu City Mie Prefecture 514-8507 Japan Department of Medical Oncology and Immunology Mie University Graduate School of Medicine 2-174 Edobashi Tsu City Mie Prefecture 514-8507 Japan

A 74-year-old woman presented with symptoms consistent with hyperadrenocorticism and hyperca- techolaminism. She had a cushingoid appearance and her cortisol level was elevated. Her serum dopamine and noradrenalin levels were also elevated. Computed tomography detected a left adrenal mass measuring 3.5 cm x 3.0 cm in diameter. Metaiodobenzylguanidine scintigraphy was negative. Unexpectedly, the serum Serum carcinoembryonic antigen （CEA） level waselevated. Fluorodeoxyglucose positron emission tomography showed increased uptake in the adrenal tumor only, with a maximum standardized uptake value of 2.8. Selective venography and blood sampling revealed that the concentrations of cortisol, catecholamines and CEA were significantly elevated in the vein draining the tumor. A diagnosis of CEA-producing benign adenoma was made. After preoperative management, we performed a combined lateral and anterior transpedtoneal laparoscopic adrenectomy. Her vital signs remained stable during surgery. Histopathological examination revealed a benign adenoma. Her cortisol, catecholamine and CEA levels normalized immediately after surgery. We present, to the best of our knowledge, the first case of CEA-producing adrenal adenoma, along with a review of the relevant literature, and discuss our laparoscopic surgery techniques.

关键词： Carcinoembryonic antigen Laparoscopy Adenoma Adrenal gland Cushing syndrome

烧结技术的最新发展——高还原性及低热耗烧结矿的生产

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烧结球团 1983年第2期 92-101页

作者： Yasushi Ishikawa ,masashi Kase ,Minoru Sasaki ,Katsuhiko Satoh ,Seigi Sasaki ,邓庆球

一、内容简介日本的高炉原料,烧结矿占80%;因此,提高烧结矿的质量,对改善高炉炉况具有非常重要的意义。烧结矿的质量指标已随着高炉操作条件的改变而改变。当高炉为喷油操作、矿石对

关键词：烧结矿还原粉化率落下强度人造富矿烧结料层热耗还原性

Continued Diagnostic Difficulties in Preoperatively Differentiating Lipiodized Oil and Residual Metallic Material: A Case Report

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Case Reports in Clinical Medicine 2016年第4期5卷 125-129页

作者： masashi Haraguchi Shinichiro Ito Kohei Kotera Aya Fukushima Toshio Fukuda Hirotaka Tokai Kazumasa Noda Masataka Hirabaru Toshiyuki Adachi Nobuhiro Tada Keiji Inoue Shinya Onizuka Shigeki Minami Department of Surgery Nagasaki Harbor Medical Center City Hospital Nagasaki Japan Department of Obstetrics and Gynecology Nagasaki Harbor Medical Center City Hospital Nagasaki Japan Department of Radiology Nagasaki Harbor Medical Center City Hospital Nagasaki Japan

Retained foreign objects in the abdomen and pelvis are serious clinical problems yet the imaging required can present difficulties. Prolonged retention of lipiodized oil used for hysterosalpingography over years is very rare. However, lipiodized oil had previously been misdiagnosed as residual metallic material. We are reporting a case in which the latest computed tomography (CT) equipment seemed inadequate for obtaining a clear pre-operative diagnosis. Here, we describe the case of a 33-year-old Japanese female whose pelvis had contained retained lipiodized oil that had been suspected as residual metallic material. The preoperative diagnosis was very difficult and included three-dimensional computed tomography (3D-CT) of unclear results despite expectations of resolution. By laparoscopic surgery, we removed a cyst of approximately 2 cm containing a yellowish oily fluid. Postoperatively, we demonstrated that the fluid was lipiodized oil. A postoperative experiment to attempt distinguishing lipiodized oil from metal through gemstone spectral CT imaging did not offer clarity either. Distinguishing between retained lipiodized oil and metallic material in the abdominal cavity may still present unexpected difficulties even with the latest medical equipments.

关键词： Lipiodized Oil Hysterosalpingography Residual Metallic Material

Local Structure Analysis of an Automobile Catalyst La1.02Fe0.95Pd0.05O3 by Pd K-edge XAFS

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Local Structure Analysis of an Automobile Catalyst La1.02Fe0...

Investigation of the Association of TLR2 and TLR4 Polymorphisms with Susceptibility to <i>Helicobacter pylori</i>-Related Gastrointestinal Diseases

亚洲晶体学联合大会

作者： Shoshi Higuchi Daiju Matsumura Yasuo Nishihata Jun’iciro Mizuki Hikaru Terauchi Isao Takahashi masashi Taniguchi Mari Uenishi Hirohisa Tanaka Kimiyoshi Kaneko Kwansei-Gakuin University 2-1 GakuenSanda Hyogo 669-1337Japan Synchrotron Radiation Research Center Japan Atomic Energy AgencySayoHyogo 679-5148Japan

＜正＞A La1.02Fe0.95Pd0.05O3（LFPO） catalyst has special feature which maintains high catalytic property even in long time use, while an alumina catalyst employs a sufficient excess of precious metals to ensure the a...

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Open Journal of Internal Medicine 2014年第4期4卷 130-136页

作者： Takayoshi Suzuki Akira Meguro masashi Matsushima Aya Masui Shingo Tsuda Jun Nakamura Ryoko Nishina Tetsufumi Uchida Hiroki Yuhara Muneki Igarashi Jun Koike Tetsuya Mine Hidetoshi Inoko Atsushi Takagi Division of Gastroenterology & Hepatology Department of Internal Medicine Tokai University School of Medicine Isehara Japan Division of Molecular Life Science Department of Genetic Information Tokai University School of Medicine Isehara Japan Division of General Internal Medicine Department of Internal Medicine Tokai University School of Medicine Isehara Japan

Background and Aim: Toll-like receptor (TLR) 2 and TLR4 are cell surface signaling receptors that are involved in the recognition of and host response to Helicobacter pylori. Our aim was to investigate the association between TLR gene polymorphisms and susceptibility of Japanese subjects to 4 H. pylori-related gastrointestinal diseases. Methodology: A total of 100 patients with histologically diagnosed gastric cancer, 105 patients with gastric ulcer, 102 with atrophic gastritis, 72 with duodenal ulcer and 428 healthy controls were recruited. A TaqMan assay was used to genotype 7 single nucleotide polymorphisms (SNPs) in TLR2 and 6 SNPs in TLR4. Results: There was a tendency for TLR4 rs10759932 TC/CC genotypes to be associated with a decreased risk of gastric cancer (p = 0.059);however, this did not reach statistical significance. No significant associations were found between polymorphisms in TLR2 or TLR4 and the risks for gastric cancer, gastric ulcer, duodenal ulcer, or atrophic gastritis. Conclusion: The 13 SNPs inTLR2 and TLR4 examined in this study may not be linked with the development of H. pylori-related gastrointestinal diseases. Further studies with larger numbers of subjects are necessary to verify the present findings.

关键词： TLR2 TLR4 Polymorphisms Helicobacter pylori

基于高阶边界元法和波浪交互理论的三维相邻多浮体问题研究

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船舶力学 2012年第5期16卷 504-513页

作者：史琪琪柏木正杨建民崔进举上海交通大学船舶海洋与建筑工程学院上海200240 日本大阪大学

在解决三维相邻多浮体的水动力问题时,正确处理各浮体之间的相互作用是分析计算的关键所在。文章分别运用高阶边界元法和波浪交互理论对一个由箱型浮体组成的三维多浮体问题进行求解,通过对比分析浮体所受波浪力和水下表面压力分布结果... 详细信息

在解决三维相邻多浮体的水动力问题时,正确处理各浮体之间的相互作用是分析计算的关键所在。文章分别运用高阶边界元法和波浪交互理论对一个由箱型浮体组成的三维多浮体问题进行求解,通过对比分析浮体所受波浪力和水下表面压力分布结果,验证两种方法计算结果的精确度,研究该模型的水动力特点;并通过改变各浮体之间的距离,寻求波浪交互理论在求解三维多浮体问题中的适用性,对该方法在浮体间距不满足限制条件时的计算结果进行解释。

关键词：多浮体高阶边界元法波浪交互理论波浪力压力分布

Fabrication of MEMS Diaphragm Transducer Array Based on Epitaxial PZT Thin Film for 2-D Hydrophone Application

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Fabrication of MEMS Diaphragm Transducer Array Based on Epit...

适于双向和中频应用的3.3kV高速IGBT模块

2008 IEEE International Ultrasonics Symposium

作者： Nagaya Okada Kazuki Higuchi Yoshiyuki Asakura Kazuto Kobayashi Mikinori Ito masashi Takabe Mikito Otonari Ikuo Kanja Daisukc Akai Kazuaki Sawada Makoto Ishida HONDA ELECTRONICS CO. LID. Toyohashi University of Technology

＜正＞Background,Motivation and Objective The increasing interest in 3-D imaging and high frequency applications leads to investigate new solutions for transducer *** an adequate signal-to-noise ratio with piezoelectr...

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电源世界 2013年第1期 38-42页

作者：吕佩壕 masashi Shinagawa Takashi Waga Yoshiaki Toyota Yasushi Toyada Katsuaki Saito 北京工业大学电控学院英国梅登海德伯克郡欧洲日立有限公司电力工业系统集团日本茨城日立有限公司电力系统公司日本茨城日立有限公司研究实验室

研发了3.3kV高速IGBT模块。优化寿命控制极大地降低了关断损耗和恢复损耗。该高速特性适用于双向和中频应用,例如谐振DC/DC转换器,展示了谐振DC/DC转换器模拟电路中IGBT的开关行为和二极管的反向恢复行为。显然,这种新设计的模块具有比... 详细信息

研发了3.3kV高速IGBT模块。优化寿命控制极大地降低了关断损耗和恢复损耗。该高速特性适用于双向和中频应用,例如谐振DC/DC转换器,展示了谐振DC/DC转换器模拟电路中IGBT的开关行为和二极管的反向恢复行为。显然,这种新设计的模块具有比传统高速模块更低的损耗,因此,更适合于双向和中频应用。该设计概念也可用于6.5kVIGBT模块设计。另外,对谐振DC/DC转换器模拟电路,将新设计模块中二极管的损耗与3kV-SiC-JBS损耗做了比较。

关键词：高速IGBT模块双向中频DC DC转换器损耗

适于双向和中频应用的3.3kV高速IGBT模块

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电力电子 2012年第3期10卷 37-40页

作者： masashi Shinagawa Takashi Waga Yoshiaki Toyota Yasushi Toyada Katsuaki Saito 吕佩壕英国梅登海德伯克郡欧洲日立有限公司电力工业系统集团日本茨城日立有限公司电力系统公司日本茨城日立有限公司研究实验室北京工业大学电控学院

研发了3.3kV高速IGBT模块。优化寿命控制极大降低了关断损耗和恢复损耗。该高速特性适用于双向和中频应用,例如谐振DC/DC转换器。展示了谐振DC/DC转换器模拟电路中IGBT的开关行为和二极管的反向恢复行为。显然,这种新设计的模块具有比... 详细信息

研发了3.3kV高速IGBT模块。优化寿命控制极大降低了关断损耗和恢复损耗。该高速特性适用于双向和中频应用,例如谐振DC/DC转换器。展示了谐振DC/DC转换器模拟电路中IGBT的开关行为和二极管的反向恢复行为。显然,这种新设计的模块具有比传统高速模块更低的损耗,因此更适合与双向和中频应用。该设计概念也可用于6.5kV IGBT模块设计。另外,对谐振DC/DC转换器模拟电路,将新设计模块中二极管的损耗与3kV-SiC-JBS损耗做了比较。

关键词：优化寿命转换器模拟电路