检索结果-南通市图书馆

维普期刊数据库

Biliary metal stents should be placed near the hilar duct in distal malignant biliary stricture patients

在线全文

学校读者我要写书评

暂无评论

World Journal of Gastroenterology 2022年第17期28卷 1860-1870页

作者： Mitsuru Sugimoto Tadayuki Takagi Rei Suzuki Naoki Konno Hiroyuki Asama Yuki sato Hiroki Irie Yoshinori Okubo Jun Nakamura Mika Takasumi Minami Hashimoto Tsunetaka Kato Ryoichiro Kobashi takumi Yanagita Takuto Hikichi Hiromasa Ohira Department of Gastroenterology Fukushima Medical UniversityFukushima 9601295Japan Department of Endoscopy Fukushima Medical University HospitalFukushima 9601295Japan

BACKGROUND Endoscopic biliary drainage using a self-expandable metallic stent(SEMS)has been widely performed to treat distal malignant biliary obstruction(DMBO).However,the optimal position of the stent remains *** To determine the ideal position for SEMS *** In total,135 DMBO patients underwent SEMS(uncovered or covered)placement over a ten-year period.A total of 127 patients with biliary obstruction between the junction of the cystic duct and Vater’s papilla were *** SEMS was placed through the upper common bile duct 2 cm from the biliary hilar duct in 83 patients(Hilar group)or near the top of the biliary obstruction in 44 patients(Lower group).Technical and functional success,adverse events,and risk factors for SEMS dysfunction were *** The stent patency period was significantly longer in the Hilar group than in the Lower group(P value<0.01).In multivariate analysis,the only statistically significant risk factor for SEMS dysfunction was being in the Lower group(hazard ratio:9.94,95%confidence interval:2.25–44.0,P<0.01).CONCLUSION A longer patency period was achieved by positioning the SEMS near the biliary hilar duct.

关键词： Endoscopic biliary drainage Malignant biliary obstruction Uncovered self-expandable metallic stent Covered self-expandable metallic stent Biliary hilar duct Patency period

Screening for hilar biliary invasion in ampullary cancer patients

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Gastrointestinal Endoscopy 2022年第9期14卷 536-546页

作者： Tadayuki Takagi Mitsuru Sugimoto Rei Suzuki Naoki Konno Hiroyuki Asama Yuki sato Hiroki Irie Jun Nakamura Mika Takasumi Minami Hashimoto Tsunetaka Kato Ryoichiro Kobashi takumi Yanagita Yuko Hashimoto Shigeru Marubashi Takuto Hikichi Hiromasa Ohira Department of Gastroenterology Fukushima Medical UniversityFukushima 960-1295Japan Department of Endoscopy Fukushima Medical University HospitalFukushima 960-1295Japan Department of Pathological Diagnosis Fukushima Medical UniversityFukushima 960-1295Japan Department of Hepato-Biliary-Pancreatic and Transplant Surgery Fukushima Medical UniversityFukushima 960-1295Japan

BACKGROUND The treatment for ampullary cancer is pancreatoduodenectomy or local ***,effective methods for the preoperative investigation of hilar biliary invasion in ampullary cancer patients have not yet been *** To determine the necessity of and an appropriate method for investigating hilar biliary invasion of ampullary *** Among 43 ampullary cancer patients,34 underwent endoscopic treatment(n=9)or surgery(n=25).The use of imaging findings(thickening and enhancement of the bile duct wall on contrast-enhanced computed tomography,irregularity on endoscopic retrograde cholangiography,thickening of the entire bile duct wall on intraductal ultrasonography(IDUS),and partial thickening of the bile duct wall on IDUS)and biliary biopsy results for diagnosing hilar biliary invasion of ampullary cancer was *** Hilar invasion was not observed in every *** the patients who did not undergo biliary stent insertion,the combination of partial thickening of the bile duct wall on IDUS and biliary biopsy results showed the highest accuracy(100%)for diagnosing hilar biliary ***,each imaging method and biliary biopsy yielded some false-positive *** Although some false-positive results were obtained with each method,the combination of partial thickening of the bile duct wall on IDUS and biliary biopsy results was useful for diagnosing hilar biliary invasion of ampullary ***,hilar invasion of ampullary cancer is rare;therefore,the investigation of hilar biliary invasion of ampullary cancer might be unnecessary.

关键词： Ampullary cancer Biliary biopsy Contrast-enhanced CT Hilar biliary invasion Intraductal ultrasonography

Late-onset severe biliary bleeding after endoscopic pigtail plastic stent insertion

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Gastroenterology 2017年第4期23卷 735-739页

作者： Muneji Yasuda Hideki sato Yuki Koyama Tomoki Sakakida takumi Kawakami Takeshi Nishimura Hideki Fujii Yoshikazu Nakatsugawa Shinya Yamada Naoya Tomatsuri Yusuke Okuyama Hiroyuki Kimura Takaaki Ito Hiroyuki Morishita Norimasa Yoshida Department of Gastroenterology and Hepatology Japanese Red Cross Kyoto Daiichi Hospital Department of Radiology Japanese Red Cross Kyoto Daiichi Hospital

Here, we report our experience with a case of severe biliary bleeding due to a hepatic arterial pseudoaneurysm that had developed 1 year after endoscopic biliary plastic stent insertion. The patient, a 78-year-old woman, presented with hematemesis and obstructive jaundice. Ruptured hepatic arterial pseudoaneurysm was diagnosed, which was suspected to have been caused by long-term placement of an endoscopic retrograde biliary drainage(ERBD) stent. This episode of biliary bleeding was successfully treated by transarterial embolization(TAE). Pseudoaneurysm leading to hemobilia is a rare but potentially fatal complication in patients with long-term placement of ERBD. TAE is a minimally invasive procedure that offers effective treatment for biliary bleeding.

关键词：胆汁的 stent 塑料 stent 胆汁的流血 Pseudoaneurysm 辫子 stent

Analysis of Residual Solvents in Annatto Extracts Using a Static Headspace Gas Chromatography Method

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

American Journal of Analytical Chemistry 2012年第9期3卷 638-645页

作者： Yusai Ito Kyoko Ishizuki Wakana Sekiguchi Atsuko Tada takumi Akiyama Kyoko sato Takeshi Yamazaki Hiroshi Akiyama Division of Food Additives National Institute of Health Sciences: Kamiyoga Setagaya-ku Tokyo Japan

An analytical method for the quantification of residual solvents in annatto extracts, natural food colorants, was established using a static headspace gas chromatography (HSGC) coupled with a flame ionization detector (FID). As a sample diluent in a headspace sampling, dimethylformamide (DMF) was selected owing to its high capacity for dissolving both bixin-based and norbixin-based annatto extracts. The quantification of residual solvents was performed using the external standard method. The linearity of the calibration curves was assured with relative coefficients (R2) that were greater than 0.999. The recoveries of all standard solvents spiked in the annatto extracts were in the range from 95.1% to 107.1% to verify the accuracy and the relative standard deviation (RSD%) values (n = 3) were in the range from 0.57% to 3.31%. The quantification limits (QL) were sufficiently lower than the limits specified by Joint FAO/WHO Expert Committee on Food Additives (JECFA). With the established HSGC method, six residual solvents (methanol, ethanol, 2-propanol, acetone, ethyl acetate, and hexane) in 23 commercial annatto-extract products that consist of seven bixin-based and 16 norbixin-based products were quantified. The levels of residual ethyl acetate and hexane in all products were lower than the specified limits of JECFA. However, three samples of bixin-based products showed higher levels of residual 2-propanol (approximately 313.9 - 427.7 ppm) than the specified limit. Other bixin products also showed higher concentrations of residual methanol (approximately 166.6 - 394.7 ppm) and residual acetone (approximately 75.2 - 179.8 ppm) than the limits of JECFA. In the case of norbixin-based products, nine samples showed higher levels of residual acetone (approximately 42.6 - 139.5 ppm) than the limits of JECFA. This is the first survey of residual solvents in annatto extracts using the validated HSGC method.

关键词： Annatto Extracts Bixin Norbixin Headspace Gas Chromatography Residual Solvents

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

资生堂旗舰店改造

现代装饰 2018年第6期 30-39页

作者： Oki sato takumi Ota Keta Tamamura 彭佳 Nendo Nendo设计事务所

日本最大的化妆品公司资生堂委托Nendo对其位于东京银座的旗舰店进行了改造。店铺共有四个楼层,每层作为不同的功能区提供不同的服务。一层和二层用于化妆品销售,其中一层的产品主要面向国外游客,二层除了化妆品外,还包含一间护肤沙龙... 详细信息

日本最大的化妆品公司资生堂委托Nendo对其位于东京银座的旗舰店进行了改造。店铺共有四个楼层,每层作为不同的功能区提供不同的服务。一层和二层用于化妆品销售,其中一层的产品主要面向国外游客,二层除了化妆品外,还包含一间护肤沙龙。三层设有摄影室和美容美发沙龙,四层则是咖啡厅、活动空间和私人美妆咨询室。设计的主要理念是融合室内装修与化妆之间的共性。在粉刷墙壁或者地面的时候,我们会先上一层底漆,然后再进行粉刷或抛光,最后再涂以保护层。而化妆也是一样,首先进行护肤,然后化上底妆,最后再涂唇膏、眼影等彩妆。这些共

关键词：旗舰店资生堂山茶花

在线全文

同方期刊数据库

学校读者我要写书评

暂无评论

日本CoFuFun车站广场

现代装饰 2017年第8期 70-75页

作者： Oki sato Daici Ano takumi Ota 姜敏华 Nendo

这些看似由大小＂飞碟＂组成的白色建筑其实是位于日本西南部奈良县天理市的一个车站广场,设计灵感来自当地的一种古代陵墓。6000平方米的广场容纳了自行车租赁处、咖啡厅和商店、信息亭、游乐区、户外舞台和会议室等。项目的目标是为... 详细信息

这些看似由大小＂飞碟＂组成的白色建筑其实是位于日本西南部奈良县天理市的一个车站广场,设计灵感来自当地的一种古代陵墓。6000平方米的广场容纳了自行车租赁处、咖啡厅和商店、信息亭、游乐区、户外舞台和会议室等。项目的目标是为了振兴当地社区,为居民提供活动场所、休闲设施和旅游信息。

关键词：广场车站日本旅游信息设计灵感活动场所休闲设施西南部

维普期刊数据库

Usefulness of vonoprazan,a potassium ion-competitive acid blocker,for primary eradication of Helicobacter pylori

在线全文

学校读者我要写书评

暂无评论

World Journal of Gastrointestinal Pharmacology and Therapeutics 2016年第4期7卷 550-555页

作者： Shinya Yamada takumi Kawakami Yoshikazu Nakatsugawa Takahiro Suzuki Hideki Fujii Naoya Tomatsuri Hideki Nakamura Hideki sato Yusuke Okuyama Hiroyuki Kimura Norimasa Yoshida Department of Gastroenterology Japanese Red Cross Kyoto Daiichi Hospital

AIM To investigate usefulness of triple therapy with vonoprazan,a potassium ion-competitive acid blocker and antibiotics,for Helicobacter pylori(***) *** The *** eradication rate was examined in 2507 patients(2055 undergoing primary eradication and 452 undergoing secondary eradication,excluding patients with subtotal gastrectomy) at the Japanese Red Cross Kyoto Daiichi Hospital from March 2013 to September *** patients treated from March 2013 to February 2015,a proton pump inhibitor(PPI) was used to reduce acid secretion,while vonoprazan was used after March *** success rates of the 2 regimens(PPI + amoxicillin + clarithromycin/metronidazole,or vonoprazan + amoxicillin + clarithromycin/metronidazole) were *** The success rate of primary *** eradication was significantly higher in the vonoprazan *** stratified by the underlying disease,a significant increase of the *** eradication rate was observed in patients with chronic gastritis.A significantly lower *** eradication rate was observed in younger patients compared to older patients in the PPI group,but there was no difference according to age in the vonoprazan *** the otherhand,the success rate of secondary eradication was similar at approximately 90% in both *** Vonoprazan is very useful for primary eradication of ***,and may become a first-line acid secretion inhibitor instead of PPIs.

关键词： Helicobacter pylori 根除 Vonoprazan 长期的胃炎钾离子竞争的酸 blocker

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

GACHA GACHA扭蛋咖啡店

现代装饰 2020年第10期 76-80页

作者： Oki sato Akihiro Yoshida(摄) takumi Ota(摄) 郭映琴(译) 不详 Nendo

在日本,特色咖啡连锁店的增长、第三波咖啡浪潮以及便利咖啡店的普及,使得咖啡的选择及享用方式更多样化,咖啡已成为人们生活中不可缺少的一部分。在这股咖啡浪潮中,由于出生率的下降,许多咖啡连锁店面临着严重的员工短缺问题。鉴于当... 详细信息

在日本,特色咖啡连锁店的增长、第三波咖啡浪潮以及便利咖啡店的普及,使得咖啡的选择及享用方式更多样化,咖啡已成为人们生活中不可缺少的一部分。在这股咖啡浪潮中,由于出生率的下降,许多咖啡连锁店面临着严重的员工短缺问题。鉴于当下人工无法保障,因此咖啡店的员工在被要求对咖啡有深入的了解并掌握服务技巧之余,他们还需接受诸如收银、烹饪、上菜及清洁等基本操作的学习。

关键词：服务技巧基本操作咖啡店第三波多样化

维普期刊数据库