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"Commissural drop"wiring technique facilitates catheter crossing of severely stenotic aortic valve

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Chinese Medical Journal 2021年第2期134卷 245-246页

作者： Yu Du Paul Sorajja miho Fukui Go Hashimoto Aisha Ahmed Mario Gössl Valve Science Center Minneapolis Heart Institute FoundationAbbott Northwestern HospitalMN 55407USA Department of Cardiology Beijing Anzhen HospitalCapital Medical UniversityBeijing 100029China

To the Editor:An 82-year-old man with symptomatic severe calcific aortic valve stenosis(peak velocity:5.19 m/s;mean gradient:78.0 mmHg;aortic valve area:0.48 cm2)underwent transfemoral transcatheter aortic valve *** the procedure,a 0.035-inch straight-tip glide wire(Terumo,Somerset,NJ,USA)supported by a 6 Fr Judkins Right 4(JR4)coronary catheter(Medtronic,Minneapolis,MN,USA)were used to cross the severely stenotic aortic ***,the JR4 catheter could not pass the aortic valve because the wire crossed the aortic valve in the left/right coronary commissure creating an unfavorable angle and limited pushability for the *** of switching to a differently shaped catheter(eg,an Amplatz left 1 catheter),we advanced the glide wire and therefore the more supportive portion of the wire further through the aortic ***,both wire and JR4 catheter dropped into the non/left coronary commissure,allowing the JR4 catheter to cross the valve ***,a 34 mm self-expanding Evolut R valve(Medtronic)was implanted,and the patient was discharged uneventfully(Figure 1A-E and Supplementary Video 1,http://***/CM9/A353["Commissural drop"wiring technique.]).

关键词： catheter valve Figure

Estimated Peak Power Density in the Vicinity of Cellular Base Stations in Albanian Territory

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通讯和计算机（中英文版） 2011年第10期8卷 843-847页

作者： Bexhet Kamo Rozeta miho Mitrushi Vladi Kolici Olimpjon Shurdi Algenti Lala Faculty of Information Technology Polytechnic University Sheshi ＂Nene Tereza＂ Nr 4 Tirana Albania

Estimation of Simultaneous Exposure to Electromagnetic Radiation of 2G and 3G Base Stations in Albania

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通讯和计算机（中英文版） 2012年第10期9卷 1142-1146页

作者： Sanije Cela Algenti Lala Bexhet Kamo Aleksander Biberaj Rozeta miho Mitrushi Faculty of lnformation Technology Polytechnic University Tirana Albania

Abnormal Change in Arterial Blood Pressure after Adrenaline-Containing in Lidocaine Infiltrated into Oral Submucosa during General Anesthesia

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Open Journal of Anesthesiology 2015年第5期5卷 75-78页

作者： Kenichi Satoh Mami Chikuda Ayako Ohashi miho Kumagai Masahito Sato Shigeharu Joh Division of Dental Anesthesiology Department of Reconstructive Oral and Maxillofacial Surgery School of Dentistry Iwate Medical University Morioka Japan Division of Special Care Dentistry Department of Developmental Oral Health Science School of Dentistry Iwate Medical University Morioka Japan

Sudden severe hypotension also occurs in an otherwise stable surgery when adrenaline-containing in lidocaine is infiltrated and care must be taken when using adrenaline-containing in lidocaine because it occasionally induces several adverse reactions. We report the case of a 16-year-old man who scheduled for oral surgery in which abnormal arterial blood pressure changes occurred after adrenaline-containing in lidocaine infiltrated into oral submucosa.

关键词： Hypotension Local Anesthetic with Adrenaline Submucosa General Anesthesia

Adult-Type Granulosa Cell Tumor with Similar Clinical Findings Seen during Ovarian Cystectomy Performed at the Same Time as Laparoscopic Ovarian Drilling for Polycystic Ovarian Syndrome: An Extremely Rare Case

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Open Journal of Obstetrics and Gynecology 2024年第8期14卷 1197-1206页

作者： Remi Nakajima Risa Kobayashi Marie Kawai Eriko Sakamoto miho Matsuda Rieko Kanda Makoto Kawamura Department of Obstetrics and Gynecology Kohseichuo General Hospital. Tokyo Japan

Polycystic ovary syndrome (PCOS) is a major cause of anovulatory infertility. Laparoscopic ovarian drilling (LOD) is a treatment for PCOS that allows the laparoscopic identification of other intra-abdominal lesions and the provision of diagnostic treatment. This study reports a case of PCOS with an ovarian mass in which LOD was aggressively used and a granulosa cell tumor (GCT) was found. A 34-year-old woman with secondary amenorrhea and irregular menstrual cycles presented to the emergency department with abdominal pain of unknown etiology. Imaging studies revealed a 6-cm left ovarian mass with an internal appearance suggestive of a hemorrhage. The patient’s secondary amenorrhea was subsequently diagnosed as PCOS, and LOD was performed to preserve her fertility. Simultaneously, a cystectomy was performed to evaluate the tumor in the left ovary;the diagnosis was adult-type GCT. Although concomitant GCT and PCOS are extremely rare, the two conditions have similar clinical manifestations. In women of reproductive age, the impact of surgery on future fertility should be considered, and the initial surgical technique should be chosen carefully.

关键词： Polycystic Ovary Syndrome Laparoscopic Ovarian Drilling Granulosa Cell Tumor

Arterial and End-Tidal Carbon Dioxide in Supine Obese Patients during General Anesthesia

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Open Journal of Anesthesiology 2015年第5期5卷 79-84页

作者： Kenichi Satoh Mami Chikuda Ayako Ohashi miho Kumagai Masahito Sato Akiyoshi Kuji Shigeharu Joh Division of Dental Anesthesiology Department of Reconstructive Oral and Maxillofacial Surgery School of Dentistry Iwate Medical University Morioka Japan Division of Special Care Dentistry Department of Developmental Oral Health Science School of Dentistry Iwate Medical University Morioka Japan

Background: We investigated the differences between partial pressure of arterial carbon dioxide and end-tidal carbon dioxide (P(a-ET)CO2) with respect to the Broca-Katsura index (BKI), which is an obesity index, in obese patients during general anesthesia. Materials and Methods: From January 2003 to December 2013, we studied 601 patients aged 16 years old or over undergoing general anesthesia. Patients had American Society of Anesthesiology physical status I and II and we reviewed their anesthetic charts. The P(a-ET)CO2 with respect to the BKI divided patients into two groups: 16 to 2 values between the two groups. Results: In patients aged 16 to 2 was 2.2 ± 3.1 mmHg at BKI 2 was 3.2 ± 4.1 mmHg at BKI 2 tends to increase in obese patients during general anesthesia with increasing BKI in patients aged 16 to < 65 years old.

关键词： Arterial-Alveolar Carbon Dioxide Tension Difference Broca-Katsura Index End-Tidal Carbon Dioxide Partial Pressure of Arterial Carbon Dioxide Supine Position

Effects of Psychological Stress from a National License Examination on the Urine 8-Hydroxy-Deoxyguanosine Levels in Young Female Students, Taking into Account the Menstrual Cycle

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Open Journal of Preventive Medicine 2018年第2期8卷 21-31页

作者： Tadayuki Iida Yasuhiro Ito Hiroaki Ishikawa miho Kanazashi Ryoji Teradaira Asami Tatsumi Satoko Ezoe Department of Physical Therapy Faculty of Health and Welfare Prefectural University of Hiroshima Mihara City Japan School of Health Sciences Fujita Health University Toyoake Japan Department of Nursing Hamamatsu University School of Medicine Hamamatsu Japan Health Service Center Izumo Shimane University Izumo Japan

Objective: Urine 8-hydroxy-deoxyguanosine (U8-OHdG) was a marker of oxidative stress-induced DNA damage;it was increased by psychological stress. Since the menstrual cycle may confound or modify the association between psychological stress and U8-OHdG. The aim of this study was to verify the effect of psychological stress from a national license examination on levels of U8-OHdG, which is a biomarker of oxidative stress. And the effects of women’s menstrual cycles, which should be considered in mental and physical assessments, on U8-OHdG, were evaluated. Methods: The subjects were 18 female university students at a medical university in whom Self-rating Depression Scale (SDS) scores, State-Trait Anxiety Inventory (STAI) scores, and U8-OHdG levels were measured in 3 phases of the menstrual cycle, the follicular phase, ovulatory phase, and luteal phase. The mean values were taken for the group during a time of classroom learning. The same measurements were also made one week before and the day after a national license examination and the measurements were compared among the three periods. Results and Conclusion: State anxiety and U8-OHdG levels were significantly higher in those with a week before the national license examination than in those with classroom lecture (State anxiety: p = 0.002, U8-OHdG levels: p = 0.007). The menstrual cycle did not show a significant correlation with U8-OHdG levels. This study demonstrated that levels of the oxidative stress biomarker U8-OHdG are not affected by changes in the menstrual cycle. It also showed that U8-OHdG levels increased with the psychological stress of a national license examination.

关键词： 8-OHdG Oxidative Stress Menstrual Cycles Psychological Stress

Transient Behavior in Water Distillation Tower for Tritium Separation and Its Long-Time Operation Test Results

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Journal of Power and Energy Engineering 2017年第3期5卷 1-17页

作者： Yoshiaki miho Satoshi Fukada Mitsuki Arimoto Takaho Takeuchi Tomohiro Motomura Junji Mizutani Satoru Hirano Department of Advanced Energy Engineering Science Kyushu University Kasuga Japan Sasakura Engineering Co. Ltd. Osaka Japan

Transient separation behavior in tritiated water distillation tower packed with materials having ability to adsorb water is investigated analytically and experimentally for nuclear reactor safety. Analytical equations based on the stage model are set up for simulation of the transient behavior of tritium (T) separation from wastewater. It is found that a dimensionless time defined in terms of the inside vapor flow rate and the liquid holdups in tower, reboiler and condenser can correlate variations over time to achieve a steady-state T concentration. However, when mixing with different T concentrations at a feed point occurs, the transition time period becomes longer than expected. Effects of the reflux ratio, the stage separation factor and the total stage number on the transient and steady-state T concentrations are numerically calculated. Variations over time to achieve each steady-state value are compared with experimental data using a small-scale tower. Long time distillation experiment for one month has been completed, and it is confirmed that a distillation column packed with ceramic Raschig rings coated with zeolite 13X adsorbent is hardly affected by water corrosion.

关键词： Water Distillation Tritium Isotope Separation Transient Analysis Adsorption Wastewater

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内在延续的通透空间——飘带屋

设计家 2013年第5期 100-105页

作者： Johnny Wong miho Hirabayashi FAK3

这是一个旧别墅及景观花园改造项目．基地位于小山坡上．站在其中可以一览无余地俯瞰南中国海的景色。设计师的目光聚焦于如何通过特定的手法重新设计外立面和室内空间．实现两者之间和谐的一致性。

关键词：室内空间南中国海改造项目设计师一致性外立面景色花园