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Hepatobiliary Surgery and Nutrition 2024年第1期13卷 150-153页

作者： nobuyuki Takemura Norihiro Kokudo Hepato-Biliary Pancreatic Surgery Division Department of SurgeryNational Center for Global Health and MedicineShinjyuku-kuTokyoJapan

Hepatocellular carcinoma(HCC)is the third leading cause of cancer-related deaths worldwide(1).It often arises from the backgrounds of damaged liver due to viral hepatitis,alcoholic,or non-alcoholic liver *** the proportion of patients with HCC of non-hepatitis B and C origins has increased in recent years,hepatitis B and C viruses still cause more than half of all carcinogenesis in patients with HCC(2).Patients with HCC often develop portal hypertension(PHT)from cirrhosis due to the deterioration of the background liver,which proves to be the greatest obstacle to various types of treatments for HCC.

关键词： Hepatocellular carcinoma(HCC) portal hypertension(PHT) Baveno VII hepatectomy clinically significant portal hypertension(CSPH)

Clinical Characteristics of Japanese Type 2 Diabetic Patients Responsive to Sitagliptin

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Journal of Diabetes Mellitus 2014年第3期4卷 172-178页

作者： Kouichi Inukai Takumi Hirata Takashi Sumita Masaki Watanabe Yuichi Ikegami Daisuke Ito Susumu Kurihara nobuyuki yasukawa Jiro Morimoto Nobuki Takata Kenta Kanazawa Tamotsu Neda Yoshikazu Sumitani Kiyoaki Inoue Yuichi Noguchi Toshio Hosaka Hitoshi Ishida Shigehiro Katayama Department of Internal Medicine Saitama Social Insurance Hospital Saitama Japan Division of Endocrinology and Diabetes Saitama Medical University Saitama Japan Foundation for Biomedical Research and Innovation Hyogo Japan Sakado Central Hospital Saitama Japan Third Department of Internal Medicine Division of Diabetes Endocrinology and Metabolism Kyorin University School of Medicine Tokyo Japan Watanabe Medical Clinic Hiroshima Japan

Japanese type 2 diabetic patients were treated with sitagliptin to evaluate the efficacy of this agent, and also to investigate the clinical characteristics of those who responded to sitagliptin. In total, 1001 diabetic patients, inadequately controlled (HbA1c ≥ 6.5%) with oral hypoglycemic agents (OHA) other than DPP-4 inhibitors or with diet and exercise only, were enrolled. We added 50mg of sitagliptin to the therapeutic regimens of 410 patients including 68 OHA naive patients, while the other 591 patients were switched from a single OHA to 50 mg of sitagliptin. After 6 months, glycemic control was significantly improved due to both reduced insulin resistance, as demonstrated by a significant HOMA-R reduction, and recovery of pancreatic β cell function, as assessed by HOMA-β and the proinsulin/insulin (PI/I) ratio. In the bivariable analysis, a good response, defined as an HbA1c reduction during the 6 months of at least 0.9%, was associated with high HbA1c and PI/I at baseline and combination treatments with sulfonylurea, biguanide and α-glucosidase inhibitors, but not with obesity. On the other hand, in the multivariable regression analysis, only high baseline HbA1c and combination treatment with anα-glucosidase inhibitor were significantly associated with a good response to sitagliptin. In patients with type 2 diabetes, the addition of sitagliptin or switching from another OHA to this agent achieved an HbA1c reduction without overloading β cells. In particular, we suggest that a good response to sitagliptin can be expected when this agent is combined with an α-glucosidase inhibitor (UMIN No. #000014157).

关键词： Sitagliptin Type 2 Diabetes DPP-4 Inhibitors

Effects of elafibranor on liver fibrosis and gut barrier function in a mouse model of alcohol-associated liver disease

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World Journal of Gastroenterology 2024年第28期30卷 3428-3446页

作者： Aritoshi Koizumi Kosuke Kaji Norihisa Nishimura Shohei Asada Takuya Matsuda Misako Tanaka nobuyuki Yorioka Yuki Tsuji Koh Kitagawa Shinya Sato Tadashi Namisaki Takemi Akahane Hitoshi Yoshiji Department of Gastroenterology Nara Medical UniversityKashihara 634-8521Japan

BACKGROUND Alcohol-associated liver disease(ALD)is a leading cause of liver-related morbidity and mortality,but there are no therapeutic targets and modalities to prevent ALD-related liver *** proliferator activated receptor(PPAR)α and δ play a key role in lipid metabolism and intestinal barrier homeostasis,which are major contributors to the pathological progression of ***,elafibranor(EFN),which is a dual PPARαand PPARδagonist,has reached a phase III clinical trial for the treatment of metabolic dysfunctionassociated steatotic liver disease and primary biliary ***,the benefits of EFN for ALD treatment is *** To evaluate the inhibitory effects of EFN on liver fibrosis and gut-intestinal barrier dysfunction in an ALD mouse *** ALD-related liver fibrosis was induced in female C57BL/6J mice by feeding a 2.5% ethanol(EtOH)-containing Lieber-DeCarli liquid diet and intraperitoneally injecting carbon tetrachloride thrice weekly(1 mL/kg)for 8 ***(3 and 10 mg/kg/day)was orally administered during the experimental *** and molecular analyses were performed to assess the effect of EFN on steatohepatitis,fibrosis,and intestinal barrier *** EFN effects on HepG2 lipotoxicity and Caco-2 barrier function were evaluated by cell-based *** The hepatic steatosis,apoptosis,and fibrosis in the ALD mice model were significantly attenuated by EFN *** promoted lipolysis and β-oxidation and enhanced autophagic and antioxidant capacities in EtOH-stimulated HepG2 cells,primarily through PPARα***,EFN inhibited the Kupffer cell-mediated inflammatory response,with blunted hepatic exposure to lipopolysaccharide(LPS)and toll like receptor 4(TLR4)/nuclear factor kappa B(NF-κB)*** improved intestinal hyperpermeability by restoring tight junction proteins and autophagy and by inhibiting apoptosis and proinflammatory *** protective effect on intestinal bar

关键词： Liver fibrosis Ethanol Gut barrier function Apoptosis Autophagy Peroxisome proliferator activated receptor

碳布用于锂离子电池三维一体化柔性正极的可行性研究

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材料工程 2024年第3期52卷 192-198页

作者：闫时建郭锦同阳今西诚之太原科技大学材料科学与工程学院太原030024 三重大学材料化学系津市514-8507日本

研究碳纤维编织布用于锂离子电池三维一体化正极的可行性,对三种经过热处理碳布的石墨化程度进行定性分析和定量计算。以锂金属作为对电极,石墨化的碳布电极在0.1~0.5 V的电压下首次放电比容量分别为83.6,94.5mAh·g^(-1)和115.2 mAh·g... 详细信息

研究碳纤维编织布用于锂离子电池三维一体化正极的可行性,对三种经过热处理碳布的石墨化程度进行定性分析和定量计算。以锂金属作为对电极,石墨化的碳布电极在0.1~0.5 V的电压下首次放电比容量分别为83.6,94.5mAh·g^(-1)和115.2 mAh·g^(-1),经过50周次循环充放电后比容量分别为55.0,80.0 mAh·g^(-1)和88.0 mAh·g^(-1)左右。将石墨化的碳布负载LiFePO_(4)后,电极的首次放电比容量分别为73.2,109.5 mAh·g^(-1)和130.2 mAh·g^(-1)。对于石墨化程度为76.02%的碳布,经过50周次循环充放电后比容量稳定在90.0 mAh·g^(-1)左右,综合电化学性能较好,更适合用于锂离子电池的一体化柔性正极。通过建立LiFePO_(4)颗粒与碳纤维之间相互作用的力学模型,探讨一体化正极的力学性能、电学性能和电化学性能之间的关系。将碳布用于锂离子电池一体化正极,可以简化锂离子电池的常规生产过程,革新其生产方式。

关键词：锂离子电池碳布石墨化程度三维一体化柔性正极导电性

Technical aspects in pancreaticoduodenectomy and therapeutic strategies for pancreatic cancer:History,current status,and future perspectives

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Hepatobiliary & Pancreatic Diseases International 2022年第6期21卷 600-602页

作者： Tomohide Hori Daiki yasukawa Department of Surgery Shiga General HospitalMoriyama 524-8524Japan Department of Surgery Shiga University of Medical ScienceOtsu 520-2192Japan

The incidence of pancreatic cancer(PC)has increased,and in-vasive ductal adenocarcinoma is the most common among PC pa-tients[1].Even in patients who receive radical treatments,namely chemotherapy and surgery,the five-year survival is only 2%-9%[1].Currently,many physicians recognize that further developments in multidisciplinary therapy are crucial to overcome PC[1].

关键词： cancer chemotherapy surgery

FE FORMULATION FOR THE VISCOELASTIC BODY MODELED BY FRACTIONAL CONSTITUTIVE LAW

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Acta Mechanica Sinica 2001年第4期17卷 354-365页

作者：张卫 nobuyuki Shimizu Institute of Applied Mechanics Jinan UniversityGuangzhou 510632China Department of Mechanical Engineering Iwaki Meisei UniversityJapan

This paper presents finite element (FE) formulation of the viscoelastic materials described by fractional constitutive law. The time-domain three-dimensional constitutive equation is constructed. The FE equations are set up by treating the fractional operator as a special case of the hereditary integration. The equations are solved by numerical integration method. The numerical algorithm developed by the authors for Liouville-Riemann's fractional derivative was adopted to formulate FE procedures and extended to solve the more general case of the hereditary integration. The numerical examples were given to show the correctness and effectiveness of the integration algorithm.

关键词： viscoelasticity fractional calculus FEM polymer materials

Large Deformation Analysis and Synthesis of Elastic Closed-loop Mechanism Made of a Certain Spring Wire Described by Free Curves

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Chinese Journal of Mechanical Engineering 2015年第4期28卷 756-762页

作者： IWATSUKI nobuyuki KOSAKI Takashi Department of Mechanical Sciences and Engineering Graduate School of Science and EngineeringTokyo Institute of Technology

Recently novel mechanisms with compact size and without many mechanical elements such as bearing are strongly required for medical devices such as surgical operation devices. This paper describes analysis and synthesis of elastic link mechanisms of a single spring beam which can be manufactured by NC coiling machines. These mechanisms are expected as disposable micro forceps. Smooth Curvature Model（SCM） with 3rd order Legendre polynomial curvature functions is applied to calculate large deformation of a curved cantilever beam by taking account of the balance between external and internal elastic forces and moments. SCM is then extended to analyze large deformation of a closed-loop curved elastic beam which is composed of multiple free curved beams. A closed-loop elastic link is divided into two free curved cantilever beams each of which is assumed as serially connected free curved cantilever beams described with SCM. The sets of coefficients of Legendre polynomials of SCM in all free curved cantilever beams are determined by taking account of the force and moment balance at connecting point where external input force is applied. The sets of coefficients of Legendre polynomials of a nonleaded closed-loop elastic link are optimized to design a link mechanism which can generate specified output motion due to input force applied at the assumed dividing point. For example, two planar micro grippers with a single pulling input force are analyzed and designed. The elastic deformation analyzed with proposed method agrees very well with that calculated with FEM. The designed micro gripper can generate the desired pinching motion. The proposed method can contribute to design compact and simple elastic mechanisms without high calculation costs.

关键词： elastic link mechanism closed-loop spring beam large deformation analysis smooth curvature model force balance equation synthesi

Crucial anatomy and technical cues for laparoscopic transabdominal preperitoneal repair: Advanced manipulation for groin hernias in adults

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World Journal of Gastrointestinal Surgery 2020年第7期12卷 307-325页

作者： Daiki yasukawa Yuki Aisu Tomohide Hori Department of Surgery Shiga University of Medical ScienceOtsu 520-2192Japan Department of Surgery Kyoto University Graduate School of MedicineKyoto 606-8507Japan

Groin hernias include indirect inguinal, direct inguinal, and femoral hernias. Obturator and supravesical hernias appear very close to the groin. High-quality repairs are required for groin hernias. The concept of "tension-free repair" is generally accepted, and surgical repairs with mesh are categorized as "hernioplasties". Surgeons should have good knowledge of the relevant anatomy. Physicians generally focus on the preperitoneal space, myopectineal orifice, topographic nerves, and regional vessels. Currently, laparoscopic surgery has therapeutic potential in the surgical setting for hernioplasty, with laparoscopic transabdominal preperitoneal(TAPP) repair appearing to be a powerful tool for use in adult hernia patients. TAPP offers the advantages of accurate diagnoses, repair of bilateral and recurrent hernias, less postoperative pain, early recovery allowing work and activities, tension-free repair of the preperitoneal(posterior) space, ability to cover obturator hernias, and avoidance of potential injury to the spermatic cord. The disadvantages of TAPP are the need for general anesthesia, adhering to a learning curve, higher cost, unexpected complications related to abdominal organs, adhesion to the mesh, unexpected injuries to vessels, prolonged operative time, and as-yet-unknown long-term outcomes. Both technical skill and anatomical familiarity are important for safe, reliable surgery. With increasing awareness of the importance of anatomy during TAPP repair, we address the skills and pitfalls during laparoscopic TAPP repair in adult patients using illustrations and schemas. We also address debatable points on this subject.

关键词： Inguinal hernia Femoral hernia Obturator hernia Laparoscopic surgery Laparoscope Anatomy

An Inverse Problem of Determining Coefficients in a One-Dimensional Radiative Transport Equation

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Advances in Applied Mathematics and Mechanics 2014年第4期6卷 515-522页

作者： nobuyuki Higashimori Faculty of Engineering Shibaura Institute of Technology307 FukakusaMinumaSaitamaJapan

We consider an inverse problem of determining unknown coefficients for a one-dimensional analogue of radiative transport *** show that some combination of the unknown coefficients can be uniquely determined by giving pulse-like inputs at the boundary and observing the corresponding *** result can be applied for determination of absorption and scattering properties of an optically turbid medium if the radiative transport equation is appropriate for describing the propagation of light in the medium.

关键词： Inverse problem radiative transport equation first-order hyperbolic system optical tomography

Laparoscopic and endoscopic cooperative surgery for gastric tumors: Perspective for actual practice and oncological benefits

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World Journal of Gastrointestinal Oncology 2018年第11期10卷 381-397页

作者： Yuki Aisu Daiki yasukawa Yusuke Kimura Tomohide Hori Department of Digestive Surgery Tenri Hospital Department of Surgery Shiga University of Medical Science Department of Hepato-Biliary-Pancreatic Surgery and Transplantation Graduate School of Medicine Kyoto University Department of Surgery Shiga General Hospital

Laparoscopic and endoscopic cooperative surgery(LECS) is a surgical technique that combines laparoscopic partial gastrectomy and endoscopic submucosal dissection. LECS requires close collaboration between skilled laparoscopic surgeons and experienced endoscopists. For successful LECS, experience alone is not sufficient. Instead, familiarity with the characteristics of both laparoscopic surgery and endoscopic intervention is necessary to overcome various technical problems. LECS was developed mainly as a treatment for gastric submucosal tumors without epithelial lesions, including gastrointestinal stromal tumors(GISTs). Local gastric wall dissection without lymphadenectomy is adequate for the treatment of gastric GISTs. Compared with conventional simple wedge resection with a linear stapler, LECS can provide both optimal surgical margins and oncological benefit that result in functional preservation of the residual stomach. As technical characteristics, however, classic LECS involves intentional opening of the gastric wall, resulting in a risk of tumor dissemination with contamination by gastric juice. Therefore, several modified LECS techniques have been developed to av-oid even subtle tumor exposure. Furthermore, LECS for early gastric cancer has been attempted according tothe concept of sentinel lymph node dissection. LECS is a prospective treatment for GISTs and might become a future therapeutic option even for early gastric cancer. Interventional endoscopists and laparoscopic surgeons collaboratively explore curative resection. Simultaneous intraluminal approach with endoscopy allows surgeons to optimizes the resection area. LECS, not simple wedge resection, achieves minimally invasive treatment and allows for oncologically precise resection. We herein present detailed tips and pitfalls of LECS and discuss various technical considerations.

关键词： Minimally invasive surgery Laparoscopic and endoscopic cooperative surgery Facility-based Gastrointestinal stromal tumor Early gastric cancer