检索结果-南通市图书馆

名古屋区域卫生信息交换系统(RHIE)在脑卒中医护中的应用

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

中国数字医学 2009年第8期4卷 5-7页

作者： Masaharu OBAYASHI masayuki kagawa Masaaki MIZUNO Jun YOSHIDA 冯东雷冯阳郭剑锋万达信息股份有限公司

对名古屋RHIE（Region Health Information Exchange）系统以及系统建设中的关键技术做了介绍，并总结了实施过程中的经验教训以及尚未解决的问题。

关键词：区域卫生信息交换系统脑卒中 HL7标准 IHE规范日本名古屋

Sewerage Force Adjustment Technology for Energy Conservation in Vacuum Sanitation Systems

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Chinese Journal of Mechanical Engineering 2013年第2期26卷 334-340页

作者： GUO Zhonghua LI Xiaoning kagawa Toshiharu School of Mechanical Engineering Nanjing University of Science and Technology Precision and Intelligence Laboratory Tokyo Institute of Technology

The vacuum sanitation is the safe and sound disposal approach of human excreta under the specific environments like flights, high speed trains and submarines. However, the propulsive force of current systems is not adjustable and the energy consumption does not adapt to the real time sewerage requirement. Therefore, it is important to study the sewerage force adjustment to improve the energy efficiency. This paper proposes an energy conservation design in vacuum sanitation systems with pneumatic ejector circuits. The sewerage force is controlled by changing the systematic vacuum degree according to the amount of the excreta. In particular, the amount of the excreta is tested by liquid level sensor and mass sensor. According to the amount of the excreta, the relationship between the excreta amount and the sewerage force is studied to provide proper propulsive force. In the other aspect, to provide variable vacuum degrees for different sanitation requirements, the suction and discharge system is designed with pneumatic vacuum ejector. On the basis of the static flow-rate characteristics and the vacuum generation model, the pressure response in the ejector circuit is studied by using the static flow rate characteristics of the ejector and air status equation. The relationship is obtained between supplied compressed air and systematic vacuum degree. When the compressed air is supplied to the ejector continuously, the systematic vacuum degree increases until the vacuum degree reaches the extreme value. Therefore, the variable systematic vacuum degree is obtained by controlling the compressed air supply of the ejector. To verify the effect of energy conservation, experiments are carried out in the artificial excreta collection, and the variable vacuum-degree design saves more than 30% of the energy supply. The energy conservation is realized effectively in the new vacuum sanitation systems with good application prospect. The proposed technology provides technological supp

关键词： energy conservation vacuum sanitation system pneumatic ejector circuit vacuum degree

National Survey of Attitudes and Practices of Endotracheal Tube Management in Infants and Small Children in Japan

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Open Journal of Anesthesiology 2019年第2期9卷 9-22页

作者： masayuki Shibasaki Yasuyuki Suzuki Tetsuro kagawa Yasuhiro Kogure Keiichiro Mizuno Nobuaki Shime Department of Anesthesiology Kyoto Prefectural University of Medicine Kyoto Japan Department of Critical Care and Anesthesia National Center for Child Health and Development Tokyo Japan Department of Anesthesia Hyogo Prefectural Kobe Children’s Hospital Kobe Japan Department of Anesthesia Fukuoka Children’s Hospital Fukuoka Japan Department of Emergency and Critical Care Medicine Hiroshima University Hiroshima Japan

Background: Surveys of pediatric endotracheal tube (ETT) management previously reported that specialists in pediatric anesthesia and intensive care medicine preferred to use uncuffed ETTs for children younger than 8 to 10 years of age. The aim of this study was to reveal the most recent attitudes and clinical practices of pediatric ETT management in Japan. Methods: The attitudes and clinical practices of pediatric ETT management were investigated using the data sheets of each institution and each patient. The data sheets contained information on patient characteristics and type of hospital, surgical procedures, devices used for intubation, and ETT information including types, size, depth, intracuff pressure (ICP), interval of ICP measurement, laryngeal packing, ETT exchange, airway complications, and reintubations. Results: The response rate of this survey was 66.7%. More than half of children older than 2 years of age were intubated with cuffed ETTs;83.5% of cuffed ETTs were used with the cuffs inflated, and ICP was measured in 80.7% of cuffed ETTs. More than half of ICP measurements were only taken at the time of intubation. Post-extubation stridor was rarely observed in cuffed (0.4%) or uncuffed ETTs (1.2%). The pediatric ETT management questionnaire revealed age-based size selection, differences in pressure of air leakage between cuffed (15 - 20 cmH2O) and uncuffed ETTs (20 - 30 cmH2O) of different sizes, the depthmarking method of insertion length. Continuous measurement of ICP was not common. Conclusion: This study revealed widespread use of cuffed ETTs in children older than 2 years of age, rarely occurrence of post-extubation stridor, inflation of cuffs, and practice of ICP measurement.

关键词： Cuffed Endotracheal Tube Size Selection Depth Determination Intracuff Pressure Infants Small Children

Is endoscopic papillary balloon dilatation really a risk factor for post-ERCP pancreatitis?

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Gastroenterology 2016年第26期22卷 5909-5916页

作者： Toshio Fujisawa Koichi kagawa Kantaro Hisatomi Kensuke Kubota Atsushi Nakajima Nobuyuki Matsuhashi Department of Gastroenterology NTT Medical Center Tokyo Department of Gastroenterology and Hepatology Yokohama City University School of Medicine

Endoscopic papillary balloon dilatation(EPBD) is useful for decreasing early complications of endoscopic retrograde cholangio-pancreatography(ERCP), including bleeding, biliary infection, and perforation, but it is generally avoided in Western countries because of a relatively high reported incidence of post-ERCP pancreatitis(PEP). However, as the efficacy of endoscopic papillary largeballoon dilatation(EPLBD) becomes widely recognized, EPBD is attracting attention. Here we investigate whether EPBD is truly a risk factor for PEP, and seek safer and more effective EPBD procedures by reviewing past studies. We reviewed thirteen randomised control trials comparing EPBD and endoscopic sphincterotomy(EST) and ten studies comparing direct EPLBD and EST. Three randomized controlled trials of EPBD showed significantly higher incidence of PEP than EST, but no study of EPLBD did. Careful analysis of these studies suggested that longer and higher-pressure inflation of balloons might decrease PEP incidence. The paradoxical result that EPBD with small-calibre balloons increases PEP incidence while EPLBD does not may be due to insufficient papillary dilatation in the former. Insufficient dilatation could cause the high incidence of PEP through the use of mechanical lithotripsy and stress on the papilla at the time of stone removal. Sufficient dilation of the papilla may be useful in preventing PEP.

关键词： Endoscopic papillary balloon dilatation Post-endoscopic retrograde cholangio-pancreatography pancreatitis Endoscopic papillary large-balloon dilatation Endoscopic sphincterotomy Randomized controlled trial

Initial 3-month dynamics of dehydroepiandrosterone sulfate can predict responsiveness to primary androgen deprivation therapy in patients with metastatic prostate cancer

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Asian Journal of Andrology 2019年第6期21卷 635-636页

作者： Akihiro Yano Makoto kagawa Hideki Takeshita Yohei Okada Makoto Morozumi Satoru Kawakami Department of Urology Saitama Medical CenterSaitama Medical UniversityKawagoeSaitama 350-8550Japan.

Dear Editor,Intensive treatments such as primary androgen deprivation therapy(pADT)plus docetaxel or abiraterone acetate are reportedly beneficial in metastatic prostate cancer(mPCa)patients with high-volume disease or high-risk features,respectively.1,2 High-volume or high-risk features are determined exclusively via pretreatment *** patient responsiveness to pADT,which is one of the major determinants of survival in these patients,would be advantageous with regard to making primary treatment *** an initial 3-month period is possible,short-term serum parameter dynamics can be used to predict pADT ***-specific antigen(PSA)and alkaline phosphatase(ALP)dynamics have been indicated as potential predictors.3,4 Although pADT can reportedly cause a 20%-30%decrease in adrenal androgen levels,5 it is not known whether the dynamics of adrenal androgens shortly after the initiation of pADT can predict pADT *** aim of the current study was to identify predictors of pADT responsiveness among pretreatment parameters and 3-month dynamics(D3m)of serum parameters including the adrenal androgen,dehydroepiandrosterone sulfate(DHEAS).

关键词： patients metastatic cancer

Study of pruritus in chronic hepatitis C patients

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Gastroenterology 2014年第47期20卷 17877-17882页

作者： Kazuyoshi Suzuki Masaya Tamano Yasumi Katayama Toru Kuniyoshi Kagemasa kagawa Hiroshi Takada Kazutomo Suzuki Department of Gastroenterology Dokkyo Medical University Koshigaya HospitalSaitama 343-8555Japan

AIM: To investigate the occurrence and severity of pruritus in chronic hepatitis C patients treated with or without interferon (IFN) therapy.

关键词： Hepatitis C Pruritus Peginterferon Ribavirin Thymus and activation-regulated chemokine

Comparison of the low-density lipoprotein cholesterol target value and the preventive effect of statins in elderly patients and younger patients

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Journal of Geriatric Cardiology 2017年第6期14卷 383-391页

作者： Akihiro Endo Taiji Okada Misun Pak Yuzo kagawa Shimpei Ito Hirotomo Sato Kenji Kageshima Yasuyuki Yoshida Kazuaki Tanabe Division of Cardiology Shimane University Faculty of Medicine Izumo Japan Division of Cardiology Tottori Prefectural Central Hospital Tottori Japan

Objective To assess whether the low-density lipoprotein cholesterol （LDL-C） target value and preventive effect of statins are different between elderly and younger patients. Methods We investigated 304 patients with previous percutaneous coronary intervention who underwent coronary angiography from January 2007 to December 2016 for examination of recurrent ischemia beyond the early restenosis. Patients were classified into two groups： age ≥ 75 years （elderly group： n = 140） and 〈 75 years （younger group： n = 164）. Relationships between the achieved LDL-C level, incidence of late coronary events, and the effectiveness of statins were evaluated. Results During follow-up, 179 patients underwent late coronary revascularization. Recurrent ischemia presenting as acute coronary syndrome （ACS） occurred in 83 cases. Kaplan-Meier curve analysis revealed that in the younger group, recurrent ACS was significantly lower in patients with LDL-C 〈 70 mg/dL than in those with LDL-C ranging from 70 to 〈 100 mg/dL （P = 0.035）; however, there was no difference between these in the elderly group （P = 0.863）. Instead, recurrent ACS was less frequent in patients with LDL-C ranging from 70 mg/dL to 〈 100 mg/dL than in those with LDL-C ≥ 100 mg/dL in the elderly group （v = 0.033）. Statin use was associated with decreased recurrent ACS （P = 0.005）; moreover, only using statins was an independent predictor in the elderly group （HR： 0.375; P = 0.007）. Conclusions Strict control of LDL-C to 〈 70 mg/dL was effective for reducing the incidence of recurrent ACS in younger patients. However, LDL-C 〈 100 mg/dL might be sufficient as the target value of LDL-C-lowering therapy for secondary prevention of ischemic events in Japanese elderly patients.

关键词： Acute coronary syndrome Late coronary event Prevention

Extracorporeal cardiopulmonary resuscitation for adult cardiac arrest patients

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Critical Care Medicine 2012年第2期1卷 46-49页

作者： Eisuke kagawa Department of Cardiology Hiroshima City Asa Hospital

Cardiac arrest is a major cause of unexpected death in developed countries, and patients with cardiac arrest generally have a poor prognosis. Despite the use of conventional cardiopulmonary resuscitation(CPR), few patients could achieve return of spontaneous circulation(ROSC). Even if ROSC was achieved, some patients showed re-arrest and many survivors were unable to fully resume their former lifestyles because of severe neurological deficits. Safar et al reported the effectiveness of emergency cardiopulmonary bypass in an animal model and discussed the possibility of employing cardiopulmonary bypass as a CPR method. Because of progress in medical engineering, the system of venoarterial extracorporeal membrane oxygenation(ECMO) became small and portable, and it became easy to perform circulatory support in cardiac arrest or shock patients. Extracorporeal cardiopulmonary resuscitation(ECPR) has been reported to be superior to conventional CPR in in-hospital cardiac arrest patients. Venoarterial ECMO is generally performed in emergency settings and it can be used to perform ECPR in patients with out-of-hospital cardiac arrest. Although there is no sufficient evidence to support the efficacy of ECPR in patients with out-of-hospital cardiac arrest, encouraging results have been obtained in small case series.

关键词： Extracorporeal membrane oxygenation Extracorporeal cardiopulmonary resuscitation Conventional cardiopulmonary resuscitation Return of spontaneous circulation

Molecular diagnosis and therapy for occult peritoneal metastasis in gastric cancer patients

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Gastroenterology 2014年第47期20卷 17796-17803页

作者： Shunsuke kagawa Kunitoshi Shigeyasu Michihiro Ishida Megumi Watanabe Hiroshi Tazawa Takeshi Nagasaka Yasuhiro Shirakawa Toshiyoshi Fujiwara Department of Gastroenterological Surgery Okayama University Graduate School of MedicineDentistry and Pharmaceutical SciencesOkayama 700-8558Japan

To apply an individualized oncological approach to gastric cancer patients,the accurate diagnosis of disease entities is *** metastasis is the most frequent mode of metastasis in gastric cancer,and the tumor-node-metastasis classification includes cytological detection of intraperitoneal cancer cells as part of the staging process,denoting metastatic *** accuracy of cytological diagnosis leaves room for improvement;therefore,highly sensitive molecular diagnostics,such as an enzyme immunoassay,reverse transcription polymerase chain reaction,and virusguided imaging,have been developed to detect minute cancer cells in the peritoneal *** targeting therapy has also been spun off from basic research in the past *** conventional cytologyis still the mainstay,novel approaches could serve as practical complementary diagnostics to cytology in near future.

关键词： Gastric cancer Peritoneal lavage Cytology Molecular diagnostic techniques Reverse transcriptase polymerase chain reaction Carcinoembryonic antigen