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Diagnostic ability of multi-detector spiral computed tomography for pathological lymph node metastasis of advanced gastric cancer

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World Journal of Gastrointestinal Oncology 2020年第4期12卷 435-446页

作者： Zhi-Yong Jiang Shinichi Kinami naohiko nakamura Takashi Miyata Hideto Fujita Hiroyuki Takamura Nobuhiko Ueda Takeo Kosaka Department of Surgical Oncology Kanazawa Medical University1-1 DaigakuUchinada-machiKahoku-gunIshikawa 920-0293Japan

BACKGROUND The reliability of preoperative nodal diagnosis of advanced gastric cancer by multi-detector spiral computed tomography(MDCT)is still *** To examine the diagnostic ability of MDCT more precisely by using data on intranodal pathological metastatic *** A total of 108 patients with advanced gastric cancer who underwent MDCT and curative gastrectomy at Kanazawa Medical University Hospital were enrolled in this *** nodal sizes measured on computed tomography(CT)images were compared with the pathology results.A receiver-operating characteristic curve was constructed,from which the critical value(CV)was calculated by using the data of the first 69 patients *** using the CV,sensitivity and specificity were calculated with prospectively collected data from 39 consecutive *** enabled a more precise one-to-one correspondence of lymph nodes between CT and pathological examination by using the size data of lymph node *** intranodal pathological metastatic patterns were classified into the following four types:Small nodular,peripheral,large nodular,and *** Although all the cases were clinically suspected as having metastasis,81 had lymph node metastasis and 27 had no *** number of dissected,detected on CT,and metastatic nodes were,4241,897,and 801,*** CV obtained from the receiver-operating characteristic was 7.6 mm for the long *** sensitivity was 91.4%and the specificity was 47.3%in the prospective *** large nodular and diffuse metastases were easy to diagnose becausemetastatic nodes with a large axis often exhibit these *** The ability of MDCT to contribute to a nodal diagnosis of advanced gastric cancer was examined prospectively with precise size data from node mapping,using a CV of 7.6 mm for the long axis that was calculated from the retrospectively collected *** sensitivity was as high as 91%,and would be improved when referring to the en

关键词： Advanced gastric cancer Lymph node metastasis Multi-detector spiral computed tomography Pathological diagnosis

Life prognosis of sentinel node navigation surgery for early-stage gastric cancer:Outcome of lymphatic basin dissection

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World Journal of Gastroenterology 2021年第46期27卷 8010-8030页

作者： Shinichi Kinami naohiko nakamura Tomoharu Miyashita Hidekazu Kitakata Sachio Fushida Takashi Fujimura Yasuo Iida Noriyuki Inaki Toru Ito Hiroyuki Takamura Department of Surgical Oncology Kanazawa Medical UniversityKahoku 920-0293IshikawaJapan Department of Gastroenterological Endoscopy Kanazawa Medical UniversityKahoku 920-0293IshikawaJapan Department of Gastrointestinal Surgery Kanazawa UniversityKanazawa 920-8641IshikawaJapan Department of Surgery Toyama City HospitalToyama 939-8511ToyamaJapan Department of Mathematics Division of General EducationKanazawa Medical UniversityKahoku 920-0293IshikawaJapan

BACKGROUND Lymphatic basin dissection is a sentinel node biopsy method that is specific for gastric *** this method,the dyed lymphatic system is dissected en bloc,and sentinel nodes are identified at the back table(ex vivo).Even with lymphatic basin dissection,blood flow to the residual stomach can be preserved,and functionpreserving curative gastrectomy can be *** oncological safety of function-preserving curative gastrectomy combined with lymphatic basin dissection has not yet been fully *** hypothesized that the oncological safety of sentinel node navigation surgery(SNNS)is not inferior to that of the *** To investigate the life prognosis of SNNS for gastric cancer in comparison with guidelines *** This was a retrospective cohort *** were selected from gastric cancer patients who underwent sentinel node biopsy from April 1999 to March *** from April 1999 to August 2008 were from the Department of Surgery II,Kanazawa University Hospital,and patients from August 2009 to March 2016 were from the Department of Surgical Oncology,Kanazawa Medical University *** who were diagnosed with gastric cancer,which was preoperatively diagnosed as superficial type(type 0),5 cm or less in length,clinical T1-2 and node negative,and underwent various gastrectomies guided by sentinel node navigation were retrospectively *** overall survival(OS)and relapsefree survival(RFS)of these patients(SNNS group)were *** with gastric cancer of the same stage and who underwent guidelines gastrectomy with standard nodal dissection were also selected as the control *** A total of 239 patients in the SNNS group and 423 patients in the control group were *** nodal metastasis was observed in 10.5%and 10.4%of the SNNS and control groups,*** diagnostic abilities of sentinel node biopsy were 84%and 98.6%for sensitivity and accuracy,*** the

关键词： Early gastric cancer Sentinel node biopsy Function preserving surgery Lymph node dissection Gastrectomy Lymphatic basin dissection

Efficacy of the fat-dissociation method for nodal harvesting in gastric cancer

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World Journal of Gastrointestinal Surgery 2020年第6期12卷 277-286页

作者： Shinichi Kinami Toshio Ohnishi naohiko nakamura Zhi Yong Jiang Takashi Miyata Hideto Fujita Hiroyuki Takamura Nobuhiko Ueda Takeo Kosaka Department of Surgical Oncology Kanazawa Medical UniversityKahoku-gunIshikawa920-0293Japan

BACKGROUND There is an increased need for accurate staging for gastric cancer ***, it is necessary to carefully examine all dissected lymph nodes for precise staging. Recently, the fat-dissociation method has been developed as a quick and accurate method for harvesting dissected lymph nodes of colorectal cancer *** To investigate the usefulness of the fat-dissociation method for harvesting dissected lymph nodes of gastric cancer *** Fifty-six resected specimens from gastric cancer patients who underwent standard curative gastrectomy and lymph node dissection at our hospital were used. Group 2 lymph nodes were separated from each specimen, and the remaining adipose tissue containing the group 1 lymph nodes was used. Some resected specimens were subjected to the fat-dissociation method. One vial of Imofully~? was dissolved in 50 m L of saline and injected into the tissue. The tissue was incubated for 1 h and the dissolved fat was removed. Subsequently, the nodes were identified, picked up with scissors, and mapped. The number of nodes in each lymphatic compartment and duration of lymph node harvest and mapping were *** The fat-dissociation method was used for 24 samples, while the conventional dissection method was used for 32 samples. The total number of harvested lymph nodes was 45.9 in the fat dissociation group and 44.3 in the control group, and there was no significant difference between the two groups. There were also no significant differences in the number of lymph nodes between the two groups based on a comparison of the lymphatic compartments. However, the total median duration of the fat-dissociation method was 38.2 min, reflecting a reduced duration of approximately 60 min compared to the control *** Based on our results, the fat-dissociation method is effective in shortening the duration of lymph node harvest in gastric cancer surgery.

关键词： Gastric cancer Lymph node dissection Staging Lymph node mapping Fatdissociationmethod Efficacy

Development of a roll-to-roll high-speed laser micro processing machine for preparing through-holed anodes and cathodes of lithium-ion batteries

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International Journal of Extreme Manufacturing 2023年第3期5卷 534-546页

作者： Mitsuru Yamada naohiko Soma Masaya Tsuta Susumu nakamura Nobuo Ando Futoshi Matsumoto Department of Materials and Life Chemistry Kanagawa University3-27-1RokkakubashiKanagawa-kuYokohamaKanagawa221-8686Japan Wired Co. Ltd2-4-15kitashinboSanjoNiigata955-0861Japan Department of Electrical and Electronic Systems Engineering National Institute of TechnologyNagaoka College888NishikatakaiNagaokaNiigata940-8532Japan Research Institute for Engineering Kanagawa University3-27-1RokkakubashiKanagawa-kuYokohamaKanagawa221-8686Japan

Aiming to improve the battery performance of lithium-ion batteries(LIBs),modification of the cathodes and anodes of LIBs using laser beams to prepare through-holes,non-through-holes or ditches arranged in grid and line patterns has been proposed by many researchers and *** this study,a laser processing system attached to rollers,which realizes this modification without large changes in the present mass-production system,was *** laser system apparatus comprises roll-to-roll equipment and laser *** roll-to-roll equipment mainly consists of a hollow cylinder with openings on its circumferential *** and anode electrodes for LIBs are wound around the cylinder in the longitudinal direction of the electrodes.A pulsed beam reflected from the central axis of the cylinder can continuously open a large number of through-holes in the thin ***-holes were formed at a rate of 100000 holes per second on lithium iron phosphate cathodes and graphite anodes with this *** through-holed cathodes and anodes prepared with this system exhibited higher C-rate performance than nontreated cathodes and anodes.

关键词： lithium-ionbatteries laser processingsystem roll-to-roll system through-holing structure high-rate performance

Review of the structure and performance of through-holed anodes and cathodes prepared with a picosecond pulsed laser for lithium-ion batteries

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International Journal of Extreme Manufacturing 2023年第1期5卷 1-20页

作者： Futoshi Matsumoto Mitsuru Yamada Masaya Tsuta Susumu nakamura Nobuo Ando naohiko Soma Department of Material and Life Chemistry Faculty of EngineeringKanagawa University3-27-1 Rokkakubashikanagawa-kuYokohama 221-8686Japan Department of Electrical and Electronic Systems Engineering National Institute of TechnologyNagaoka College888 NishikatakaiNagaokaNiigata 940-8532Japan Research Institute for Engineering Kanagawa University3-27-1RokkakubashiKanagawa-kuYokohamaKanagawa 221-8686Japan Wired Co. Ltd1628 Hitotsuyashiki ShindenSanjoNiigata 959-1152Japan

To move the performance of lithium-ion batteries into the next stage,the modification of the structure of cells is the only choice except for the development of materials exhibiting higher *** this review paper,the employment of through-holing structures of anodes and cathodes prepared with a picosecond pulsed laser has been *** laser system and the structure for improving the battery performance were *** performance of laminated cells constructed with through-holed anodes and cathodes was reviewed from the viewpoints of the improvement of high-rate performance and energy density,removal of unbalanced capacities on both sides of the current collector,even greater high-rate performance by hybridizing cathode materials and removal of irreversible *** conclusion,the points that should be examined and the problem for the through-holed structure to be in practical use are summarized.

关键词： lithium-ionbattery picosecond pulsedlaser through-holed structure high-rate performance energydensity prelithiation

Novel strategies for the treatment of inflammatory bowel disease: Selective inhibition of cytokines and adhesion molecules

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World Journal of Gastroenterology 2006年第29期12卷 4628-4635页

作者： Kazuhiko nakamura Kuniomi Honda Takahiro Mizutani Hirotada Akiho naohiko Harada Department of Medicine and Bioregulatory Science Graduate School of Medical Sciences Kyushu UniversityFukuoka 812-8582Japan Fukuoka-Higashi Medical Center Koga 811-3195 Japan

The etiology of inflammatory bowel disease （IBD） has not yet been clarified and immunosuppressive agents which non-specifically reduce inflammation and immunity have been used in the conventional therapies for IBD. Evidence indicates that a dysregulation of mucosal immunity in the gut of IBD causes an overproduction of inflammatory cytokines and trafficking of effector leukocytes into the bowel, thus leading to an uncontrolled intestinal inflammation. Such recent advances in the understanding of the pathogenesis of IBD created a recent trend of novel biological therapies which specifically inhibit the molecules involved in the inflammatory cascade. Major targets for such treatment are inflammatory cytokines and their receptors, and adhesion molecules. A chimeric anti-TNF-α monoclonal antibody, infiiximab, has become a standard therapy for CD and it is also likely to be beneficial for UC. Several anti-TNF reagents have been developed but most of them seem to not be as efficacious as infliximab. A humanized anti-TNF monoclonal antibody, adalimumab may be useful for the treatment of patients who lost responsiveness or developed intolerance to infliximab. Antibodies against IL-12 p40 and IL-6 receptor could be alternative new anti-cytokine therapies for IBD. Antiinterferon-γ and anti-CD25 therapies were developed, but the benefit of these agents has not yet been established. The selective blocking of migration of leukocytes into intestine seems to be a nice approach. Antibodies against α4 integrin and α4β7 integrin showed benefit for IBD. Antisense oligonucleotide of intercellular adhesion molecule 1 （ICAM-1） may be efficacious for IBD. Clinical trials of such compounds have been either recently reported or are currently underway. In this article, we review the efficacy and safety of such novel biological therapies for IBD.

关键词： Inflammatory bowel disease Cytokine Adhesion molecule Treatment

Practical applications and limitations of basalt discrimination diagrams

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Big Earth Data 2023年第4期7卷 1081-1093页

作者： Kentaro nakamura Frontier Research Center for Energy and Resources(FRCER) School of EngineeringThe University of TokyoTokyoJapan

Determining the tectonic setting of unknown volcanic rocks continues to be one of the key challenges in *** discrimination diagrams have been successfully employed due to their ease of use,recently,validation with big data has raised questions about their *** this study,the discrimination boundaries of Th/Yb versus(vs.)Nb/Yb and TiO2/Yb ***/Yb diagrams,which are the most used types of discrimination diagrams,were redefined based on a large amount of compiled data and support vector machine,a machine learning *** effectiveness of discrimination diagrams was verified,and the limitations and conditions when using them were *** results show that when using the Th/Yb ***/Yb diagram,only basalts with Th/Yb ratios higher than the discrimination boundary can be identified as volcanic arcs in *** contrast,a significant overlap occurs across boundaries in other cases when using these diagrams,particularly for enriched samples with Nb/Yb ratios higher than ***,when using these diagrams to determine the tectonic setting of unknown samples,their limitations must be considered when interpreting their results.

关键词： Discrimination diagram tectonic setting support vector machine big data large petrological databases

Temporal variation in modal properties of a base-isolated building during an earthquake

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Journal of Zhejiang University-Science A(Applied Physics & Engineering) 2010年第1期11卷 1-8页

作者： Izuru TAKEWAKI Mitsuru nakamura Department of Urban and Environmental Engineering Graduate School of EngineeringKyoto University Technical Research Institute Obayashi Corporation

Temporal variation of dynamical modal properties of a base-isolated building is investigated using earthquake records in the building. A batch processing least-squares estimation method is applied to segment-wise time-series data. To construct an input-output system,an auto-regressive model with exogenous input (ARX) of second-order including a forgetting coefficient as a weighting coefficient is used for the estimation of modal parameters. The fundamental and second natural frequencies and the damping ratios of the fundamental and second natural modes of the base-isolated building are identified in the time domain. The identified results are consistent with the results obtained from the micro-tremor vibration data,forced-vibration test data and earthquake records in the present base-isolated building in the case of taking into account the amplitude-dependency of the isolators and viscous dampers. It is finally pointed out that several factors,e.g.,amplitude dependency of the isolator and damper system and special characteristics of the series-type viscous damper system,may be related complicatedly with the temporal variation in modal properties of the above-mentioned system.

关键词： System identification Shear building model Modal parameters Batch processing least-squares estimation method Forgetting coefficient Auto-regressive model with exogenous input (ARX) model

Modern Biotechnology—Current Standards in Japan

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Biomedical and Environmental Sciences 2001年第1期14卷 40-43页

作者： YASUHISA nakamura DeputyDirector StandardsDivisionDepartmentofFoodSanitationMinistryofHealth

In the past few years, a new technology, biotechnology, has come into practical use internationally. It is prospective that application of biotechnology in the field of food production may lead to improved food quality and productivity.　　Modern biotechnology, through the use of recombinant DNA techniques, has been used for food production for some time now. Therefore, particular attention should be paid to the safety of foods and food additives produced by recombinant DNA techniques. For this reason, Japan set out the “Guideline for Safety Assessment of Foods and Food Additives Produced by Recombinant DNA Techniques” and “Guideline for Manufacturing Foods and Food Additives Produced by Recombinant DNA Techniques,” in 1991.

关键词： Public Policy Biotechnology Food Industry Food Genetically Modified Humans Japan Safety