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东芝资深黑带的五道辨析题

中国质量 2007年第8期 37-39页

作者：石山一雄

如何为资深黑带定位、如何发挥资深黑带人员的才能等种种问题,曾经困扰东芝公司,东芝公司做出了自己的回答。也许这回答,不适合被中国的六西格玛推进者们照搬和模仿,也不可能代替我们自己寻找标准答案的过程,但其中的基础原理和东芝问... 详细信息

如何为资深黑带定位、如何发挥资深黑带人员的才能等种种问题,曾经困扰东芝公司,东芝公司做出了自己的回答。也许这回答,不适合被中国的六西格玛推进者们照搬和模仿,也不可能代替我们自己寻找标准答案的过程,但其中的基础原理和东芝问题分析的关键因素,仍然透着实践的真知和智慧。正如全国六西格玛管理推进工作委员会办公室主任岳刚在2007年7月14日第一期资深黑带高级研修班开幕式时说的,通过"体系学习+实践"的培训,努力建成六西格玛领域的"黄埔军校"的过程中,"要在借鉴国外MBB培训的体系基础上,学习国外MBB的实际做法。"希望大家在参考东芝的答案后,在自己公司六西格玛推进的浩大工程中,少走弯路,少犯错误,交出一份令自己企业满意的六西格玛推进的答案。

关键词：黑带课题六西格玛辨析题

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六西格玛管理活动中领导的重要性

中国质量 2008年第5期 22-24页

作者：石山一雄东芝西格玛咨询株式会社营业企划部

序言众所周知,企业或组织的高层领导(Champion)在企业推进六西格玛活动中起到非常重要的作用。首先,组织的高层领导要明确企业或组织的目标,并将为了实现这些目标而要完成的重要课题(CTQ:Critical to Quality)进行分解,与资深黑带(Maste... 详细信息

序言众所周知,企业或组织的高层领导(Champion)在企业推进六西格玛活动中起到非常重要的作用。首先,组织的高层领导要明确企业或组织的目标,并将为了实现这些目标而要完成的重要课题(CTQ:Critical to Quality)进行分解,与资深黑带(Master Black Belt)和黑带(Black Belt)一起制定CTQ的向下分解树型图(CTQ-Drill

关键词：六西格玛管理负责人企业企业管理黑带高层领导

Prognostic factors after palliative resection for colorectal cancer with incurable synchronous liver metastasis

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Open Journal of Gastroenterology 2013年第5期3卷 259-266页

作者： Kiichi Sugimoto Kazuhiro Sakamoto Yuichi Tomiki Michitoshi Goto Yutaka Kojima Hiromitsu Komiyama Makoto Takahashi Yukihiro Yaginuma Shun ishiyama Koichiro Niwa Kiichi Nagayasu Shingo Ito Masaya Kawai Kazuhiro Takehara Yoshihiko Tashiro Shinya Munakata Department of Coloproctological Surgery Faculty of Medicine Juntendo University Tokyo Japan

Purpose: With the improvements in newer chemotherapeutic agents, there is currently no consensus regarding the validity of palliative resection of the primary tumor for colorectal cancer with incurable distant metastasis. We retrospectively analyzed prognostic factor in patients with colorectal cancer accompanied by incurable synchronous liver metastasis. Methods: 82 patients with incurable synchronous liver metastases, who underwent primary tumor resection alone, were enrolled. Results: The multivariate analysis revealed that the presence of ascites (P = 0.001, Hazard ratio = 2.96) and differentiation (P = 0.003, Hazard ratio = 3.68) were found to be significant independent prognostic factors. The median survival time among the patients with ascites was 4.8 months and that among the patients with poorly-differentiated or mucinous adenocarcinoma, or signet ring cell carcinoma (high grade differentiation) was 1.4 months, respectively. Conclusion: The presence of ascites and differentiation were prognostic factors in the patients with incurable liver metastases. Therefore, because prognosis is generally poor after primary tumor resection in the patients with ascites or high grade differentiation, the introduction of systemic chemotherapy with alleviation of symptoms related to the primary tumor should be taken into account as one of the therapeutic strategies.

关键词： Colorectal Carcinoma Liver Metastasis Primary Tumor Resection Palliative Resection Systemic Chemotherapy Postoperative Morbidity

Anal cushion lifting method is a novel radical management strategy for hemorrhoids that does not involve excision or cause postoperative anal complications

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World Journal of Gastrointestinal Surgery 2015年第10期7卷 273-278页

作者： Gentaro ishiyama Toshihiko Nishidate Yuji ishiyama Akihiko Nishio Ken Tarumi Maiko Kawamura Kenji Okita Toru Mizuguchi Mineko Fujimiya Koichi Hirata Department of Anorectal Surgery Sapporo Ishiyama Hospital Department of Anatomy II Graduate School of Medicine Sapporo Medical University Department of Surgery Surgical Oncology and ScienceGraduate School of Medicine Sapporo Medical University

AIM: To describe the anal cushion lifting(ACL) method with preliminary clinical results. METHODS: Between January to September 2007, 127 patients who received ACL method for hemorrhoid was investigated with informed consent. In this study, three surgeons who specialized in anorectal surgery performed the procedures. Patients with grade two or more severe hemorrhoids according to Goligher's classification were considered to be indicated for surgery. The patients were given the choice to undergo either the ACL method or theligation and excision method. ACL method is an original technique for managing hemorrhoids without excision. After dissecting the anal cushion from the internal sphincter muscle, the anal cushion was lifted to oral side and ligated at the proper position. Clinical characteristics and outcomes of patients were recorded including complications after surgery. RESULTS: A total of 127 patients were enrolled. Their median age was 42(19-84) years, and 74.8% were female. In addition, more than 99% of the patients had grade 3 or worse hemorrhoids. The median followup period was 26(0-88) mo, and the median operative time was 15(4-30) min. After surgery, analgesics were used for a median period of three days(0-21). Pain control was achieved using extra-oral analgesic drugs, although some patients required intravenous injections of analgesic drugs. The median duration of the patients' postoperative hospital stay was 7(2-13) d. A total of 10 complications(7.9%) occurred. Bleeding was observed in one patient and was successfully controlled with manual compression. Urinary retention occurred in 6 patients, but it disappeared spontaneously in all cases. Recurrent hemorrhoids developed in 3 patients after 36, 47, and 61 mo, respectively. No anal stenosis or persistent anal pain occurred. CONCLUSION: We consider that the ACL method might be better than all other current methods for managing hemorrhoids.

关键词： Hemorrhoidectomy Anal stenosis Anal cushion liftin

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小缸径柴油机燃烧室新方案

汽车与新动力 2016年第1期48卷 24-31页

作者： K.Nishida T.Ogawa T.Hashizume S.ishiyama R.Hasegawa 闫红梅余洪峰

小缸径柴油机通常采用2气门缸盖和喷油器非中心布置的形式,以扩展气道的流通面积。与缸径相当的采用4气门、喷油器中心布置的气缸盖相比,这种喷油器非中心布置会产生不对称的气体流动和燃油分布,从而导致糟糕的热损失和不太均匀的燃-空... 详细信息

小缸径柴油机通常采用2气门缸盖和喷油器非中心布置的形式,以扩展气道的流通面积。与缸径相当的采用4气门、喷油器中心布置的气缸盖相比,这种喷油器非中心布置会产生不对称的气体流动和燃油分布,从而导致糟糕的热损失和不太均匀的燃-空混合气。介绍通过改进活塞顶燃烧室的几何形状来实现更均匀的气体流动和燃-空混合气。新方案燃烧室与原有的活塞燃烧室相比,能使燃油消耗减少2.5%,同时还能使氮氧化物排放量减少10%左右。

关键词：燃烧室热损失浅凹坑高负荷

PV Roadmap Toward 2030 in Japan

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PV Roadmap Toward 2030 in Japan

第十五届国际光伏科学与工程大会

作者： I.Sakata F.Aratani K.ishiyama K.Kawakami T.Munakata K.Uda H.Kudo T.Yasui H.Mitsuyasu Y.Takaka K.Koizawa NEDO New Energy Technology Development Dept.Muza-Kawasaki Build. 18F 1310 Omiya-cho Saiwai-ku Kawasaki-city 212-8554 Japan NEDO New Energy Technology Development Dept.Muza-Kawasaki Build. 18F 1310 Omiya-cho Saiwai-ku Kawasaki-city 212-8554 Japan NEDO New Energy Technology Development Dept.Muza-Kawasaki Build. 18F 1310 Omiya-cho Saiwai-ku Kawasaki-city 212-8554 Japan NEDO New Energy Technology Development Dept.Muza-Kawasaki Build. 18F 1310 Omiya-cho Saiwai-ku Kawasaki-city 212-8554 Japan NEDO New Energy Technology Development Dept.Muza-Kawasaki Build. 18F 1310 Omiya-cho Saiwai-ku Kawasaki-city 212-8554 Japan NEDO New Energy Technology Development Dept.Muza-Kawasaki Build. 18F 1310 Omiya-cho Saiwai-ku Kawasaki-city 212-8554 Japan NEDO New Energy Technology Development Dept.Muza-Kawasaki Build. 18F 1310 Omiya-cho Saiwai-ku Kawasaki-city 212-8554 Japan NEDO New Energy Technology Development Dept.Muza-Kawasaki Build. 18F 1310 Omiya-cho Saiwai-ku Kawasaki-city 212-8554 Japan NEDO New Energy Technology Development Dept.Muza-Kawasaki Build. 18F 1310 Omiya-cho Saiwai-ku Kawasaki-city 212-8554 Japan NEDO New Energy Technology Development Dept.Muza-Kawasaki Build. 18F 1310 Omiya-cho Saiwai-ku Kawasaki-city 212-8554 Japan NEDO New Energy Technology Development Dept.Muza-Kawasaki Build. 18F 1310 Omiya-cho Saiwai-ku Kawasaki-city 212-8554 Japan

＜正＞ New Energy Industrial Technology Development Organization （NEDO） has established the "PV Roadmap toward 2030 （PV2030）" as a long-term strategy for PV R＆D in Japan. In this Roadmap, PV is expected, by 2030, to supply approximately 50% of residential electricity consumption （cumulative installed capacity in the rang of 100GW） in Japan. In terms of economic efficiency, electricity costs are targeted to equal commercial use, approximately 14 Yen/kWh, by 2020 and industrial use, approximately 7 Yen/kWh, by 2030. The PV R＆D program promoted by NEDO in the future will follow this Roadmap. The basic scheme of this program has been described.

关键词： Roadmap Technology Development National Project

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显性遗传的听觉前庭综合征的颞骨组织病理学

世界核心医学期刊文摘（神经病学分册） 2005年第4期1卷 44-44页

作者： ishiyama A. ishiyama G. Lopez I. R.W. Baloh 夏峰 Department of Neurology UCLA School of Medicine Reed Neurologic Research Center 710 Westwood Los Angeles CA 90095- 1769 United States Dr.

Objective: To describe the clinical and pathologic features of a new dominantly inherited audiovestibular syndrome. Methods: History, examination, and audiometric testing in the proband, brother, and son; quantitative rotational testing in the proband and son; histopathology of the cochlea and vestibular labyrinth in the proband; sequencing candidate genes COCH and MYO7A in the brother and son. Results: Affected family members developed slowly progressive hearing loss beginning in their late 30s and progressive imbalance in their early 70s. Three of four affected had brief (minutes) episodes of vertigo typically occurring a few times per year. Auditory and vestibular function testing documented a slowly progressive loss of auditory and vestibular function. Postmortem examination showed a loss of hair cells in the cochlea and vestibular receptor organs. There were no cellular infiltrates or acidophilic deposits. No mutations were found in the COCH or MYO7A genes. Conclusions: This dominantly inherited audiovestibular syndrome results in a selective loss of hair cells in the auditory and vestibular end organs. Finding the causative gene could have important implications for understanding the pathophysiology of presbycusis and dysequilibrium of aging.

关键词：前庭功能显性遗传组织病理学先证者毛细胞听力减退旋转试验老年性耳聋病理学检查前庭迷路

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DNA纹印在法庭科学中的应用

中国法医学杂志 1988年第3期 157-157页

作者： I.ishiyama 黄力力东京大学医学部法医学教室

DNA纹印做为检出了体中超变区的探针在法医学领域似乎是很重要的调查技术。为了丰富这方面的内容,我们发展了一种用于这一目的的小卫星探针,并在几例案件的亲权认定中成功地证明了它的效用。我们报告了本技术在一些刑事案件中的应用。(... 详细信息

DNA纹印做为检出了体中超变区的探针在法医学领域似乎是很重要的调查技术。为了丰富这方面的内容,我们发展了一种用于这一目的的小卫星探针,并在几例案件的亲权认定中成功地证明了它的效用。我们报告了本技术在一些刑事案件中的应用。(已解剖过尸体的个人识别,从分析胎儿和嫌疑人的DNA纹印证实强奸等)此外,我们进一步证明本方法可

关键词： DNA

波兰-莫比尤斯综合症(Poland-Moebius Syndrome)婴儿猝死一例

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中国法医学杂志 1988年第3期 156-156页

作者： H.Suzuki I.ishiyama 纪立农东京顺天堂大学医学部法医学教室

莫比尤斯综合症的特征是双侧面肌和第Ⅵ对脑神经麻痹。波兰综合症的特征是胸肌发育不全及同侧手畸型。波兰综合症与莫比尤斯综合症常常并发,两者一起被命名为波兰-莫比尤斯综合症。我们剖验了一例11月的男婴尸体,临床诊断为波兰-莫比尤... 详细信息

莫比尤斯综合症的特征是双侧面肌和第Ⅵ对脑神经麻痹。波兰综合症的特征是胸肌发育不全及同侧手畸型。波兰综合症与莫比尤斯综合症常常并发,两者一起被命名为波兰-莫比尤斯综合症。我们剖验了一例11月的男婴尸体,临床诊断为波兰-莫比尤斯综合症猝死。死后发现气

关键词：波兰尤斯