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Reading impairment after neonatal hypoglycemia with parietotemporo-occipital injury without cortical blindness:A case report

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World Journal of Clinical Cases 2023年第16期11卷 3899-3906页

作者： Naoko Kurahashi shunsuke Ogaya Yuki Maki Norie Nonobe Sumire Kumai Yosuke Hosokawa Chikako Ogawa Keitaro Yamada Koichi Maruyama Kiyokuni Miura Miho Nakamura Department of Pediatric Neurology Central HospitalAichi Developmental Disability CenterKasugai 480-0392AichiJapan Department of Pediatrics Nagoya University Graduate School of MedicineNagoya 466-8560AichiJapan Division of Neonatology Center for Maternal-Neonatal Care Nagoya University HospitalNagoya 466-8560AichiJapan Department of Pediatrics Tokyo Metropolitan Fuchu Medical Center for the DisabledFuchu 183-0042TokyoJapan Department of Functioning and Disability Institute for Developmental ResearchAichi Developmental Disability CenterKasugai 480-0392AichiJapan Okazaki Medical Center for Child Development Okazaki 444-0011AichiJapan

BACKGROUND Perinatal brain injury may lead to later neurodevelopmental disorders,whose outcomes may vary due to neuroplasticity in young *** neuroimaging studies have shown that the left parietotemporal area(which includes the left inferior parietal lobe)is associated with phonological awareness and decoding skills,which are essential skills for reading acquisition in ***,the literature on the effect of perinatal cerebral injury on the development of phonological awareness or decoding ability in childhood is *** SUMMARY We report the case of an 8-year-old boy who presented with reading difficulty following a perinatal injury in the parieto-temporal-occipital *** patient was born at term and was treated for hypoglycemia and seizures during the neonatal ***-weighted brain magnetic resonance imaging on postnatal day 4 revealed cortical and subcortical hyperintensities in the parieto-temporo-occipital *** the age of 8 years,physical examination was unremarkable,aside from mild *** occipital lobe injury,the patient had adequate visual acuity,normal eye movement,and no visual field ***-scale intelligence quotient and verbal comprehension index on Wechsler Intelligence Scale for Children-Fourth Edition were 75 and 90,*** assessment revealed adequate recognition of Japanese Hiragana ***,he had significantly slower reading speed in the Hiragana reading test than control *** phonological awareness test revealed significant errors(standard deviation+2.7)in the mora reversal *** Patients with perinatal brain injuries in the parietotemporal area require attention and may benefit from additional reading instructions.

关键词： Brain diseases Hypoglycemia Dyslexia Long-term care Education Case report

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OsIDD2, a zinc finger and INDETERMINATE DOMAIN protein, regulates secondary cell wall formation

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Journal of Integrative Plant Biology 2018年第2期60卷 130-143页

作者： Peng Huang Hideki Yoshida Kenji Yano shunsuke Kinoshita Kyosuke Kawai Eriko Koketsu Masako Hattori Sayaka Takehara Ji Huang Ko Hirano Reynante Lacsamana Ordonio Makoto Matsuoka Miyako Ueguchi-Tanaka Bioscience and Biotechnology Center Nagoya University Nagoya 464-8601 Japan State Key Laboratory of Crop Genetics and Germplasm Enhancement Nanjing Agricultural University Nanjing 210095 China Graduate School of Agricultural and Life Sciences The University of Tokyo Tokyo 113-8657 Japan Plant Breeding and Biotechnology Division Philippine Rice Research Institute Maligaya Science City of Munoz 3119 The Philippines

Previously, we found 123 transcription factors（TFs） as candidate regulators of secondary cell wall（SCW）formation in rice by using phylogenetic and co-expression network analyses. Among them, we examined in this work the role of OsIDD_2, a zinc finger and indeterminate domain（IDD） family TF. Its overexpressors showed dwarfism, fragile leaves, and decreased lignin content, which are typical phenotypes of plants defective in SCW formation, whereas its knockout plants showed slightly increased lignin *** RNA-seq and quantitative reverse transcription polymerase chain reaction analyses confirmed that some lignin biosynthetic genes were downregulated in the OsIDD_2-overexpressing plants, and revealed the same case for other genes involved in cellulose synthesis and sucrose metabolism. The transient expression assay using rice protoplasts revealed that OsIDD_2 negatively regulates the transcription of genes involved in lignin biosynthesis, cinnamyl alcohol dehydrogenase 2 and 3（CAD_2 and 3）, and sucrose metabolism, sucrose synthase 5（SUS_5）, whereas an Alpha Screen assay, which can detect the interaction between TFs and their target DNA sequences, directly confirmed the interaction between OsIDD_2 and the target sequences located in the promoter regions of CAD_2 and CAD_3. Based on these observations, we conclude that OsIDD_2 is negatively involved in SCW formation and other biological events by downregulating its target genes.

关键词： IDD Figure OsIDD2 a zinc finger and INDETERMINATE DOMAIN protein SCW

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Enhancing clinical proficiency through laparoscopic training using Japanese origami

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Laparoscopic, Endoscopic and Robotic Surgery 2024年第3期7卷 102-106页

作者： shunsuke Furukawa Masatsugu Hiraki Naoya Kimura Ryota Sakurai Ryo Kohata Naohiko Kohya Masashi Sakai Akashi Ikubo Ryuichiro Samejima Department of Surgery Japanese Red Cross Society Karatsu Red Cross HospitalSaga847-8588Japan Department of Surgery Saga University Faculty of MedicineSaga849-8501Japan

Objective This study aimed to investigate the clinical efficacy of laparoscopic training using origami,a traditional Japanese papercraft,using laparoscopic forceps to create origami *** In this retrospective study,4 surgeons were randomly divided into 2 groups:The training group,consisting of surgeons 1 and 2,and the non-training group,consisting of surgeons 3 and *** the course of a one-year study period,the training group regularly underwent laparoscopic surgery training with a dry box,wherein they folded a total of 1000 origami cranes using laparoscopic *** non-training group periodically underwent common laparoscopic surgery training of techniques such as suturing and *** surgeon regularly performed the transabdominal preperitoneal approach for inguinal *** training was conducted concurrently with the *** procedure time(peritoneum detachment,mesh placement,and closure of the peritoneum),total operation time(time from peritoneum detachment to closure of the peritoneum),and surgical outcomes were *** The training group showed greater improvement in the total operation time and more stable performance than the non-training ***,the time taken for peritoneum detachment was significantly shorter in the training *** Laparoscopic training using origami has the potential to enhance laparoscopic surgical skills and improve surgical outcomes.

关键词： Laparoscopic surgery Training Dry box Origami

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No-touch isolation technique in emergency pancreaticoduodenectomy for neoplastic hemorrhage: Two case reports and review of literature

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World Journal of Gastrointestinal Surgery 2024年第6期16卷 1910-1917页

作者： Akihiro Cho Satoshi Katagiri Masao Ota shunsuke Onizawa Ryota Higuchi Toshiya Sugishita Yukiko Niwa Takeshi Ishita Toshihiko Mouri Akita Kato Moe Iwata Division of Gastroenterological Surgery Tokyo Women’s Medical UniversityYachiyo Medical CenterChiba 276-8524Japan

BACKGROUND Emergency pancreaticoduodenectomy(EPD)is a rare event for complex periam-pullary *** intraoperative blood loss is correlated with poor post-operative *** SUMMARY Two patients underwent EPD using a no-touch isolation technique,in which all arteries supplying the pancreatic head region were ligated and divided before manipulation of the pancreatic head and *** operative times were 220 and 239 min,and the blood loss was 70 and 270 g,*** patients were discharged on the 14^(th) and 10^(th) postoperative day,***-two patients underwent EPD for the treatment of neoplastic *** mean operative time was 361.6 min,and the mean blood loss was 747.3 *** comp-lication rate was 37.5%.The in-hospital mortality rate was 9.38%.CONCLUSION The no-touch isolation technique is feasible,safe,and effective for reducing intraoperative blood loss in EPD.

关键词： No-touch isolation technique Pancreaticoduodenectomy Emergency pancre-aticoduodenectomy Neoplastic bleeding Superior mesenteric artery first approach Case report

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Who needs further evaluations to diagnose upper urinary tract urothelial cancers among patients with abnormal findings by enhanced CT?

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Asian Journal of Urology 2016年第1期3卷 44-48页

作者： Akio Takayanagi Atsushi Takahashi Fumimasa Fukuta Manabu Okada Masahiro Matsuki shunsuke Sato Teruhisa Uehara Shuichi Kato Yoshio Takagi Department of Urology Hakodate Goryoukaku HospitalHakodateHokkaidoJapan Department of Urology Sapporo Medical University School of MedicineSapporoHokkaidoJapan

Objective:We evaluated who would need further evaluations such as retrograde pyelography(RP)and/or ureteroscopy to diagnose upper urinary tract urothelial cancers(UUTUCs)when abnormal findings for the upper urinary tract(UUT)were detected by enhanced computed tomography(CT).Methods:We retrospectively analyzed 125 patients who underwent enhanced CT for various reasons and had abnormal findings for the *** whose tumors were suspected to be of extraureteral origin were *** patients received RP and/or ureteroscopy to evaluate the ***:The median age of the 125 patients was 70 years and gross hematuria(26.4%)was the most frequently observed ***,ureteroscopy and both were performed for 121,59 and 55 patients,*** revealed tumor-like lesions in 58 patients and the other patients had non-tumor-like *** were found in 43(34.4%)of the 125 *** of them had tumor-like lesions on *** 58 patients who had tumor-like lesions on CT,univariate and multivariate analyses revealed that tumor diameter and tumor enhancement were significant predictive factors for *** curve analysis of enhanced CT to diagnose UUTUCs revealed that a tumor diameter of 18 mm was the best cutoff *** sensitivity,specificity and accuracy were 90.0%,98.8% and 92.7% for RP and 95.5%,100% and 97.1%for ureteroscopy,*** of them had high sensitivity,specificity and ***:We should decide to evaluate the UUT according to the tumor diameter on enhanced *** we evaluate the UUT in patients with tumor diameters of less than 20 mm,ureteroscopy is recommended.

关键词： Upper urinary tract urothelial cancers Enhanced CT Ureteroscopy Retrograde pyelography

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BiFeO_(3)-BaTiO_(3):A new generation of lead-free electroceramics

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Journal of Advanced Dielectrics 2018年第6期8卷 8-42页

作者： Dawei Wang Ge Wang shunsuke Murakami Zhongming Fan Antonio Feteira Di Zhou Shikuan Sun Quanliang Zhao Ian M.Reaney Department of Materials Science and Engineering University of Sheffield Sheffield S13JDUK Department of Materials Science and Engineering Iowa State University AmesIowa 50011USA Christian Doppler Laboratory for Advanced Ferroic Oxides Sheffield Hallam University Sheffield S11WBUK Electronic Materials Research Laboratory Key Laboratory of the Ministry of Education&International Center for Dielectric Research Xi’an Jiaotong University Xi’an 710049ShaanxiP.R.China School of Mechanical and Materials Engineering North China University of Technology Beijing 100144 P.R.China

Lead-based electroceramics such as Pb(***)O_(3)(PZT)and its derivatives have excellent piezoelectric,pyroelectric and energy storage properties and can be used in a wide range of *** lead-free replacements for PZT such as potassium sodium niobate(KNN)and sodium bismuth titanate(NBT)have a much more limited range of useful properties and have been optimized primarily for piezoelectric ***,we review the initial results on a new generation of lead-free electroceramics based on BiFeO_(3)-BaTiO_(3)(BF-BT)highlighting the essential crystal chemistry that permits a wide range of functional *** demonstrate that with the appropriate dopants and heat treatment,BF-BT can be used to fabricate commercially viable ceramics for applications,ranging from sensors,multilayer actuators,capacitors and high-density energy storage *** also assess the potential of BF-BT-based ceramics for electrocaloric and pyroelectric applications.

关键词： BiFeO_(3)-BaTiO_(3) lead-free piezoelectrics energy storage dielectrics capacitors

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An autopsy case of metastatic extramammary Paget’s disease treated with multimodality treatment including anti-HER2 therapy: What is the clinical and pathological significance of trastuzumab to the patient?

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Modern Chemotherapy 2013年第4期2卷 66-68页

作者： Noriko Yoshimura Koji Arihiro shunsuke Takahagi Michihiro Hide Department of Dermatology Hiroshima University Hospital Hiroshima Japan Department of Pathology Hiroshima University Hospital Hiroshima Japan Department of Surgery Hiroshima General Hospital Hiroshima Japan

Advanced Extramammary Paget’s disease (AEMPD) shows a poor prognosis despite multimodality therapy. In recent years, it is suggested that anti-HER2 therapy may be promising for HER2-positive AEMPD. We herein present an autopsy case of a patient with AEMPD treated with multimodality treatment including anti-HER2 therapy. A 78-year-old man who diagnosed with AEMPD died after surgery and systemic chemotherapy including anti-HER2 therapy (trastuzumab). The metastatic skin lesions were immnohistologically HER2-positive. While the patients were administrated trastuzumab plus taxan (docetaxel, and paclitaxel) regimen, the metastatic skin lesion decreased, however, brain metastases were found in his brain and trastuzumab is discontinued. The skin metastasis rapidly spread over his body, leading to weakness, and he eventually died. At autopsy, the lesions of EMPD were extended distant organs including brain, although each metastasis was small and asymptomatic. The wide lesion of skin metastasis was exacerbated after discontinuation of trastuzumab, and transudate was observed due to the extensive necrosis and erosion. Our autopsy findings showed one progressive pattern of AEMPD, and indicated what is the clinical and pathological significance of anti HER2 therapy for HER2-positive AEMPD.

关键词： Extramammary Paget’s Disease HER2 Autopsy

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Production of Sucrose Crystals of Uni-Modal Size Distribution by Seeded Batch Cooling Crystallization

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Journal of Materials Science and Chemical Engineering 2022年第11期10卷 16-23页

作者： Norihito Doki shunsuke Kayamori Masaaki Yokota Takahiro Nemoto Yoshikazu Kato Department of Chemical Engineering Iwate University Morioka Japan SATAKE MultiMix Corporation Toda-Shi Japan

From sucrose aqueous solution of high viscosity, sucrose was crystallized by seeded cooling in a batch crystallizer. At low seed loadings, the product crystal size distribution (CSD) was wide-spread because of enormous secondary and primary nucleation. However, at high seed loadings, it became uni-modal, where the crystallization was dominated by seed growth with practically no secondary nucleation. Enough seeding was thus effective in suppressing nucleation even during batch crystallization with high viscosity solution. The volume mean size of the product crystals obtained at high seed loadings agreed with that calculated by a simple mass balance assuming growth-dominated crystallization with no change in the number of crystals.

关键词： Batch Cooling Crystallization Seeding Effect Sucrose

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Beneficial effect of an omega-6 PUFA-rich diet in non-steroidal anti-inflammatory drug-induced mucosal damage in the murine small intestine

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World Journal of Gastroenterology 2015年第1期21卷 177-186页

作者： Toshihide Ueda Ryota Hokari Masaaki Higashiyama Yuichi Yasutake Koji Maruta Chie Kurihara Kengo Tomita shunsuke Komoto Yoshikiyo Okada Chikako Watanabe Shingo Usui Shigeaki Nagao Soichiro Miura Department of Internal Medicine National Defense Medical CollegeSaitama 359-8513Japan

AIM: To investigate the effect of a fat rich diet onnon-steroidal anti-inflammatory drug(NSAID)-induced mucosal damage in the murine small ***: C57BL6 mice were fed 4 types of diets with or without *** group was fed standard laboratory *** other groups were fed a fat diet consisting of 8% w/w fat,beef tallow(rich in SFA),fish oil,(rich in omega-3 PUFA),or safflower oil(rich in omega-6 PUFA).Indomethacin(3 mg/kg) was injected intraperitoneally from day 8 to day *** day 11,intestines and adhesions to submucosal microvessels were ***: In the indomethacin-treated groups,mucosal damage was exacerbated by diets containing beef tallow and fish oil,and was accompanied by leukocyte infiltration(P < 0.05).The mucosal damage induced by indomethacin was significantly lower in mice fed the safflower oil diet than in mice fed the beef tallow or fish oil diet(P < 0.05).Indomethacin increased monocyte and platelet migration to the intestinal mucosa,whereas safflower oil significantly decreased monocyte and platelet recruitment(P < 0.05).CONCLUSION: A diet rich in SFA and omega-3 PUFA exacerbated NSAID-induced small intestinal damage via increased leukocyte ***,a diet rich in omega-6-PUFA did not aggravate inflammation as monocyte migration was blocked.

关键词： Non-steroidal anti-inflammatory drugs Small intest

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Clinical utility of treatment method conversion during single-session endoscopic ultrasound-guided biliary drainage

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World Journal of Gastroenterology 2020年第9期26卷 947-959页

作者： Kosuke Minaga Mamoru Takenaka Kentaro Yamao Ken Kamata shunsuke Omoto Atsushi Nakai Tomohiro Yamazaki Ayana Okamoto Rei Ishikawa Tomoe Yoshikawa Yasutaka Chiba Tomohiro Watanabe Masatoshi Kudo Department of Gastroenterology and Hepatology Kindai University Faculty of MedicineOsaka-Sayama 589-8511Japan Clinical Research Center Kindai University HospitalOsaka-Sayama 589-8511Japan

BACKGROUND Although several techniques for endoscopic ultrasound-guided biliary drainage(EUS-BD)are available at present,an optimal treatment algorithm of EUS-BD has not yet been *** To evaluate the clinical utility of treatment method conversion during single endoscopic sessions for difficult cases in initially planned *** This was a single-center retrospective analysis using a prospectively accumulated *** with biliary obstruction undergoing EUS-BD between May 2008 and April 2016 were *** primary outcome was to evaluate the improvement in EUS-BD success rates by converting the treatment methods during a single endoscopic *** outcomes were clarification of the factors leading to the conversion from the initial EUS-BD and the assessment of efficacy and safety of the conversion as judged by technical success,clinical success,and adverse events(AEs).RESULTS A total of 208 patients underwent EUS-BD during the study *** 18.8%(39/208)of the patients,the treatment methods were converted to another EUSBD technique from the initial *** obstruction was caused by pancreatobiliary malignancies,other malignant lesions,biliary stones,and other benign lesions in 22,11,4,and 2 patients,*** reasons for the difficulty with the initial EUS-BD were classified into the following 3 procedures:Target puncture(n=13),guidewire manipulation(n=18),and puncture tract dilation(n=8).Technical success was achieved in 97.4%(38/39)of the cases and clinical success was achieved in 89.5%of patients(34/38).AEs occurred in 10.3%of patients,including bile leakage(n=2),bleeding(n=1),and cholecystitis(n=1).The puncture target and drainage technique were altered in subsequent EUSBD procedures in 25 and 14 patients,*** final technical success rate with 95%CI for all 208 cases was 97.1%(95%CI:93.8%-98.9%),while that of the initially planned EUS-BD was 78.8%(95%CI:72.6%-84.2%).CONCLUSION Among multi-step pro

关键词： Endoscopic ultrasound Endoscopic ultrasound-guided biliary drainage Interventional endoscopic ultrasound Biliary drainage Biliary obstruction

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