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Comparison of self-report and objective measures of male sexual dysfunction in a Japanese primary care setting:a cross-sectional,self-administered mixed methods survey

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Family Medicine and Community Health 2021年第1期9卷 18-27页

作者： Yuki Takeuchi ryohei Otsuka Hajime Kojima Michael D Fetters Teine Family Medicine Clinic Teine Keijinkai HospitalSapporoHokkaidoJapan Mixed Methods Program Department of Family MedicineUniversity of MichiganAnn ArborMichiganUSA

Objectives Erectile dysfunction(ED)is a common problem among middle-aged males and men often do not talk about sexual problems with their primary care physicians(PCPs).We hypothesised that many Japanese men who meet the criteria for ED would not recognise their condition based on responses to an internationally validated *** secondary aims were to examine potential barriers to seeking treatment for ED by their *** sought to elucidate their perspectives about male sexual dysfunction *** merging of the quantitative and qualitative findings,we sought an enhanced understanding of the factors affecting sexual dysfunction *** A cross-sectional,self-administered mixed methods survey was distributed at a suburban family medicine clinic in Sapporo,*** participants were 40 to 69-year old men who came for routine scheduled visits from 5 November to 21 December *** the office visit,participants completed a confidential 11-item survey addressing sexual dysfunction including the 5-item version of the International Index of Erectile Function scale and open-ended *** Teine Family Medicine Clinic,a suburban family medicine clinic in Sapporo,*** We enroled 66 male patients aged 40-69 years who presented for routine outpatient care in the Teine Family Medicine *** Of surveyed participants,39%(26/66)reported having sexual dysfunction,but 92%(61/66)met ED *** respondents,48%(16/33)had desire for treatment,but only one man had discussed sexual dysfunction with his *** the 12 desiring treatment from PCPs,the main barriers to discussing were shame(n=7)and lack of awareness that PCPs can treat ED(n=5).These men’s perspectives about sexual dysfunction included viewing sexual dysfunction as normal ageing,attributing sexual dysfunction to decreased libido,considering sexual activity for a healthy life,having good rapport with PCPs,having incomplete knowledge about treatment and l

关键词： routine sectional measures

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中国城市及城市群技术效率差异研究

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经济经纬 2013年第3期30卷 14-19页

作者：宣超中村良平中国人民大学国际学院江苏苏州215123 日本冈山大学

笔者通过随机前沿分析方法,测算中国不同地理范围的城市技术效率值并对其影响因素做出分析。研究发现,大规模生产资料的投入仍然是我国城市经济增长的主要决定因素;中国城市的生产效率并未出现逐年改进;东部城市群的技术效率一定程度上... 详细信息

笔者通过随机前沿分析方法,测算中国不同地理范围的城市技术效率值并对其影响因素做出分析。研究发现,大规模生产资料的投入仍然是我国城市经济增长的主要决定因素;中国城市的生产效率并未出现逐年改进;东部城市群的技术效率一定程度上优于中西部,单个城市的技术效率差异更加明显,现阶段的资源型小城市技术效率优于大中型城市;外资能够与城市技术效率改进形成良性互动,国内资本则反之。

关键词：城市技术效率随机前沿分析地区产出

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超导磁悬浮列车推进线圈局部放电的绝缘诊断

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国外铁道机车与动车 2021年第6期 27-32页

作者： [日]ryohei IKEDA 刘志荣(译) 于伟业(校) 不详

磁悬浮列车需要大量的地面线圈,这些地面线圈安装在长期暴露的野外。因此,要对运用中的地面线圈进行维护,效能是至关重要的。磁悬浮列车运行时,将高电压施加到推进线圈。为检测预报推进线圈绝缘故障的局部放电,而设计了绝缘诊断方法[1-2... 详细信息

磁悬浮列车需要大量的地面线圈,这些地面线圈安装在长期暴露的野外。因此,要对运用中的地面线圈进行维护,效能是至关重要的。磁悬浮列车运行时,将高电压施加到推进线圈。为检测预报推进线圈绝缘故障的局部放电,而设计了绝缘诊断方法[1-2]。文章介绍了评定绝缘性能用的局部放电试样及对局部放电中电磁波传播的检查。

关键词：超导磁悬浮推进线圈绝缘诊断局部放电

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Prognostic Significance of Hematologic Markers in Patients with Head and Neck Squamous Cell Carcinomas

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International Journal of Otolaryngology and Head & Neck Surgery 2018年第2期7卷 55-65页

作者： ryohei Oya Yukinori Takenaka Kengo Aoki Hiroko Hamaguchi Kazuya Takemura Masayuki Nozawa Takahiro Kitamura Yoshifumi Yamamoto Atsuhiko Uno Department of Otorhinolaryngology-Head and Neck Surgery Osaka General Medical Center Osaka Japan Department of Otorhinolaryngology-Head and Neck Surgery Osaka University Graduate School of Medicine Osaka Japan Department of Otorhinolaryngology-Head and Neck Surgery Kansai Medical Hospital Osaka Japan

Aim: To assess the prognostic value of hematologic markers for cancers of the head and neck region, according to tumor site. Methods: We reviewed the data of 441 patients diagnosed with head and neck squamous cell carcinomas (HNSCC) between 2006 and 2014. Overall survival rates were estimated using the Kaplan-Meier method and Cox proportional hazards models were used to assess the hazard ratio (HR) for death, according to hematologic markers. Results: In the univariate analyses, hemoglobin concentration;leukocyte, neutrophil, monocyte, and platelet counts;and the platelet-lymphocyte ratio were associated with overall survival. In the multivariate analyses, hemoglobin concentration (HR 0.55, 95% confidence interval [CI] 0.38 - 0.78, p Conclusions: Several hematologic markers have prognostic significance for patients with HNSCC, however, the magnitude of the effect depends on the tumor site.

关键词： Biomarkers Head and Neck Cancer Hematologic Marker

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一风堂餐饮企业海外扩张运营体系研究

一风堂餐饮企业海外扩张运营体系研究

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作者：渡邉良平（ryohei Watanabe）华东师范大学

学位级别：硕士

我是一名来自日本的留学生。近年来,日本伴随着人口数量的逐年减少,国内市场也在不断萎缩。在这样的背景下,很多日本企业都积极实现了海外扩张,其中,餐饮企业的海外扩张也不少见。然而,至今为止关于制造业的国际化和海外扩张的研究有很... 详细信息

我是一名来自日本的留学生。近年来,日本伴随着人口数量的逐年减少,国内市场也在不断萎缩。在这样的背景下,很多日本企业都积极实现了海外扩张,其中,餐饮企业的海外扩张也不少见。然而,至今为止关于制造业的国际化和海外扩张的研究有很多,而关于餐饮业的国际化和海外扩张的研究却非常少。对日本餐饮企业来说,海外扩张是如何进行的,面临着哪些挑战以及如何克服这些挑战等方面都不明确,所以,需要在这些方面进行对餐饮业今后的海外扩张有益的研究。因此,本文通过分析研究餐饮企业“一风堂”海外扩张案例,旨在阐明餐饮业在海外扩张目的地运营体系的构建过程。本文首先从文献综述中分析验证了制造业国际化和海外扩张的理论是否可以应用于餐饮业的国际化和海外扩张。然后,基于少数几个关于餐饮业的研究,即川端提出的餐饮业国际化的研究框架,采用了案例研究分析的方法来研究尚未厘清的部分。本文从食材采购、人力资源开发和门店开发等三个方面来研究餐饮业门店运营体系的构建,同时,明确了在体系推动过程中出现了哪些障碍因素,又是如何克服这些障碍的。经过研究分析后得出了结论,即在运营体系构建过程中,通过人与人接触进行了技术和知识的转移,从而克服了上述障碍因素。

关键词：海外扩张餐饮企业一风堂运营体系

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高效化学药品混合系统节约成本的实例

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国际造纸 2008年第6期27卷 51-57页

作者： Jouni Matula Keiichi Sato ryohei Watanabe Wetend Technologies Ltd. Mitsubishi Paper Mills Hachinohe Mill

当前,造纸原料和能源价格上涨,日本清淼市的三菱纸业Hachinohe厂早在2005年就开始对#7纸机湿部工艺进行优化节约成本。2006年,Hachinohe厂#7纸机引进了由芬兰造纸湿部技术公司开发的创捷系统,大大改善了化学品的混合,使助留剂总消耗量... 详细信息

当前,造纸原料和能源价格上涨,日本清淼市的三菱纸业Hachinohe厂早在2005年就开始对#7纸机湿部工艺进行优化节约成本。2006年,Hachinohe厂#7纸机引进了由芬兰造纸湿部技术公司开发的创捷系统,大大改善了化学品的混合,使助留剂总消耗量减少了35%,改善了纤维的首程留着率(FPR)和灰分留着率,延长了造纸网毯的使用寿命。

关键词：混合系统节约成本化学药品实例纸机湿部价格上涨造纸原料造纸湿部

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热老化对丁苯胶乳体系机械稳定性的影响

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高分子学报 2009年第7期19卷 627-632页

作者：柳秀史李宁吴驰飞吴国章华东理工大学材料科学与工程学院上海200237 日本普利司通有限公司东京104-8340

研究了热老化处理对丁苯胶乳体系机械稳定性的影响.发现丁苯胶乳在高温老化过程中,胶粒容易团聚并形成凝胶,老化处理温度越高,凝胶出现时间越短,但是它的机械稳定性却随着老化处理时间的延长和老化处理温度的升高反而不断提高.为了阐明... 详细信息

研究了热老化处理对丁苯胶乳体系机械稳定性的影响.发现丁苯胶乳在高温老化过程中,胶粒容易团聚并形成凝胶,老化处理温度越高,凝胶出现时间越短,但是它的机械稳定性却随着老化处理时间的延长和老化处理温度的升高反而不断提高.为了阐明这种异常现象,测试了不同老化处理温度下胶乳的粒子尺寸、剪切作用下的凝胶比率、丁苯分子的结构与分子量分布,以及胶粒的力学强度随老化时间的变化规律,分析了影响机械稳定性的可能因素.结果表明,胶乳体系中丁苯分子在高温老化过程中发生了轻度的交联反应,导致胶乳干膜的300%定伸模量提高.进一步研究还发现,这个定伸模量与胶乳的机械稳定性具有对应关系,胶乳干膜的定伸模量越大,胶乳的机械稳定性越高,因此造成机械稳定性大幅上升的主要原因很可能是热老化交联后刚性较大的胶粒在高速剪切碰撞时难以及时融合.

关键词：丁苯胶乳分散稳定性机械稳定性老化

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ECA39 is a novel distant metastasis-related biomarker in colorectal cancer

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World Journal of Gastroenterology 2006年第36期12卷 5884-5889页

作者： Reigetsu Yoshikawa Hidenori yanagi Chun-Shen Shen Yoshinori Fujiwara Masafumi Noda Toshihiko Yagyu Makoto Gega Tsutomu Oshima Takehira Yamamura Haruki Okamura Yoshiro Nakano Tomonori Morinaga Tomoko Hashimoto-Tamaoki Second Department of Surgery Hyogo College of Medicine Nishinomiya Hyogo 663-8501 Japan Institute for Advanced Medical Sciences Hyogo College of Medicine Nishinomiya Hyogo 663-8501 Japan Department of Dermatology Hyogo College of Medicine Nishinomiya Hyogo 663-8501 Japan Department of Genetics Hyogo College of Medicine Nishinomiya Hyogo 663-8501 Japan

AIM: To investigate the possible role of polysaccharide-K (PSK) -related markers in predicting distant metastasis and in the clinical outcome of colorectal cancer (CRC).METHODS: Firstly, we used protein microarrays to analyze the in vitro expression profiles of potential PSK-related markers in the human colorectal adenocarcinoma cell line SW480, which carries a mutant p53 gene. Then, we investigated the clinical implications of these markers in the prognosis of CRC patients. RESULTS: ECA39, a direct target of c-Myc, was identi-fied as a candidate protein affected by the anti-metastat-ic effects of PSK. Immunohistochemistry revealed that ECA39 was expressed at significantly higher levels in tumor tissues with distant metastases compared to those without (P < 0.00001). Positive ECA39 expression was shown to be highly reliable for the prediction of distant metastases (sensitivity: 86.7%, specificity: 90%, posi-tive predictive value: 86.7%, negative predictive value: 90%). A significantly higher cumulative 5-yr disease free survival rate was observed in the ECA39-negative patient group (77.3%) compared with the ECA39-positive patient group (25.8%) (P < 0.05). CONCLUSION: Our results suggest that ECA39 is a dominant predictive factor for distant metastasis in pa-tients with advanced CRC and that its suppression by PSK might represent a useful application of immuno-therapy as part of a program of integrated medicine.

关键词： ECA39 Distant metastasis Colorectal cancer Polysaccharide-K Integrated medicine

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Total cystectomy of 10 dogs with transitional cell carcinoma of urinary bladder involving trigonal area-retrospective case study

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畜牧与兽医 2012年第S2期44卷 32-32页

作者： Kohei Saeki Atsushi Fujita Takayuki Nakagawa Manabu Mochizuki ryohei Nishimura Laboratory of Veterinary Surgery Graduate School of Agricultural and Life SciencesThe University of Tokyo Veterinary Medical Center The University of Tokyo Laboratory of Emergency Medicine Graduate School of Agricultural and Life SciencesThe University of Tokyo

Transitional cell carcinoma(TCC)is the most common tumor of urinary bladder(UB)in *** usually has high invasiveness and frequent involvement of trigone region,and therefore most TCC in dogs are judged as unresectable when ***,tumor involvement of trigone region and urethra could cause partial or complete urinary tract *** TCCs are clinically highly malignant,median survival time of the patients with TCCs at any TMN stage has been reported to be less than 1 year regardless of the type of surgical intervention and chemotherapeutic regimen in most previously studies.

关键词： bladder cystectomy urinary transitional obstruction regardless retrospective involvement judged regimen

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Analysis of Endoscopic Sphenopalatine Artery Surgery for Refractory Epistaxis

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International Journal of Otolaryngology and Head & Neck Surgery 2020年第2期9卷 78-85页

作者： Takahiro Kitamura Yukinori Takenaka Kengo Aoki Takuma Shimada Hiroko Hamaguchi Ayaka Nakatani Masayuki Nozawa ryohei Oya Yoshifumi Yamamoto Atsuhiko Uno Department of Otorhinolaryngology-Head and Neck Surgery Osaka General Medical CenterOsakaJapan

Background: This study aimed to determine the safety and efficacy of sphenopalatine artery (SPA) surgery in patients with refractory epistaxis and to identify factors associated with the indications for surgery to assist clinicians in making prompt and appropriate decisions regarding SPA surgery for refractory epistaxis. Methods: We analyzed 97 consecutive patients with nasal bleeding hospitalized in our institution between April 2009 and March 2018. Clinicopathological characteristics and clinical outcomes were analyzed from retrospective chart reviews. Results: Of the 97 patients, 28 (29 sides) required SPA surgery. There were no differences in sex, anti-coagulant drug or antiplatelet use, hemoglobin concentration, or platelet count between Group A (patients who required surgery) and Group B (patients who did not require surgery). Age (58 vs. 67 years, p = 0.038) and severity of comorbidity (0 vs. 1, p = 0.039) were significantly lower in the surgery group. Patients who were younger and had lower Charlson Comorbidity Index (CCI) scores had more requirements for surgery than those who were older and had higher CCI scores. There was no significant difference between the groups with respect to the proportion of patients receiving blood transfusions;however, the length of hospitalization was significantly longer in Group A than in Group B (8.9 vs. 8 days, p = 0.038). Success rate (non-rebleeding rate) was 89%, comparable to that reported in previous studies. Conclusions: Endoscopic SPA surgery was found safe and effective method with few complications. Younger patients with lower CCI scores were found appropriate for SPA surgery for refractory epistaxis due in part to a lower risk of anesthesia.

关键词： Epistaxis Sphenopalatine Artery Emergency Admission Cauterization Ligation Endoscope

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