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World Journal of Gastroenterology 2019年第28期25卷 3722-3737页

作者： Hiromichi Kawaida Hiroshi Kono Naohiro Hosomura Hidetake Amemiya Jun Itakura Hideki fujii Daisuke Ichikawa First Department of Surgery Faculty of Medicine University of Yamanashi Yamanashi 409-3898 Japan Department of Surgery Kofu Manicipal Hospital Yamanashi 400-0832 Japan

Postoperative pancreatic fistula (POPF) is one of the most severe complications after pancreatic surgeries. POPF develops as a consequence of pancreatic juice leakage from a surgically exfoliated surface and/or anastomotic stump, which sometimes cause intraperitoneal abscesses and subsequent lethal hemorrhage. In recent years, various surgical and perioperative attempts have been examined to reduce the incidence of POPF. We reviewed several well-designed studies addressing POPF-related factors, such as reconstruction methods, anastomotic techniques, stent usage, prophylactic intra-abdominal drainage, and somatostatin analogs, after pancreaticoduodenectomy and distal pancreatectomy, and we assessed the current status of POPF. In addition, we also discussed the current status of POPF in minimally invasive surgeries, laparoscopic surgeries, and robotic surgeries.

关键词： Postoperative pancreatic fistula Pancreaticoduodenectomy Pancreatojejunostomy Pancreatogastrostomy Distal pancreatectomy Prophylactic drainage Somatostatin analogs

Effectiveness of patient education focusing on circadian pain rhythms:A case report and review of literature

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World Journal of Clinical Cases 2021年第17期9卷 4441-4452页

作者： Yoichi tanaka Gosuke Sato Ryota Imai Michihiro Osumi Hayato Shigetoh Ren fujii Shu Morioka Graduate School of Health Sciences Kio UniversityKitakatsuragi-gun 635-0832NaraJapan Department of Rehabilitation Nara Prefecture General Rehabilitation CenterShiki Gun Tawaramoto Cho 636-0345NaraJapan Neuro Rehabilitation Research Center Kio UniversityKitakatsuragi-gun 635-0832NaraJapan Department of Rehabilitation Osaka Kawasaki Rehabilitation UniversityKaizuka Shi 597-0104OsakaJapan

BACKGROUND Neuropathic pain management should aim at improving quality of life and daily living activities of patients;therefore,emphasis should be placed on pain management including understanding the pain patterns during daily ***,lifestyle guidance should be based on a detailed understanding of pain;however,previous studies commonly evaluated pain intensity at a single point in *** report a case on patient education intervention based on the relationship between pain circadian rhythms and detailed physical activity during the *** SUMMARY A man in his 60s,who suffered a brachial plexus injury in a traffic accident,presented with neuropathic *** assessment of the importance of daily living activities to the patient,pain rhythmicity,and physical activity,was *** early assessments showed that the pain intensity was lower on days when more light-intensity physical activity(LIPA)was performed,than on days when less LIPA was ***,patient education focused on methods to decrease the pain intensity that tended to worsen in the afternoon,and encouraged behavioral changes by suggesting the patient to take walks,which could be used to maintain LIPA in the *** reassessment,the afternoon LIPA,which had been the focus of attention,had increased and a change was noted in the circadian rhythm of *** Patient education based on a composite assessment elicited positive results in relation to the pain circadian rhythm and physical activity.

关键词： Circadian rhythms Physical activity Neuropathic pain Pain management Patient education Case report

Hip Joint Pain Caused by Electromagnetic Waves Following an Operation for a Complex Humerus Fracture

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Case Reports in Clinical Medicine 2018年第3期7卷 225-231页

作者： Yoshiro fujii Shin Kobe Dental Clinic Kobe City Japan

This case report illustrates hip joint pain caused by electromagnetic waves following an operation for a complex humerus fracture. The subject was a 22-year-old woman. The patient complained of pain in her left hip joint and discomfort, particularly while walking. The subject suffered a fracture in her left upper arm in a traffic accident approximately 3 months previously. She underwent an operation wherein seven titanium bolts were used to fix the humerus. The operation was deemed successful and the prognosis of the operation was also good;however, approximately 3 months after the operation, she developed pain and discomfort in her left hip joint, particularly while walking. Symptoms were improved by covering the surgical field with aluminum foil, blocking electromagnetic waves. Electromagnetic waves attracted by the titanium bolts may have induced pain.

关键词： Electromagnetic Waves Titanium Bolt Electromagnetic Wave Hypersensitivity (EHS) IT (Information Technology) Society

Electromagnetic Waves Collected by a Dental Amalgam Filling Induced Balance Dysregulation and Dizziness over a Period Exceeding 10 Years

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Open Journal of Stomatology 2015年第10期5卷 235-242页

作者： Yoshiro fujii Shin Kobe Dental Clinic Kobe Japan

This case report describes a woman aged approximately 50 years who has suffered from balance dysregulation and dizziness for more than 10 years. Although the subject underwent several examinations to confirm the etiology of her symptoms, the root cause remained unknown. The symptoms were thought to be caused by electromagnetic wave hypersensitivity because the subject experienced uneasiness and dizziness when a cell phone was held close to her body. A cell phone was used to diagnose the collection of harmful electromagnetic waves, and an amalgam filling was determined to be the cause. The amalgam filling was removed under strict protection, and the subject’s symptoms completely disappeared soon after the filling was removed.

关键词： Electromagnetic Hypersensitivity Amalgam Filling Balance Dysregulation Dizziness Electromagnetic Waves

Dental Treatment with a Gold Alloy Cast Crown for Severe Lumbago

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Open Journal of Stomatology 2019年第2期9卷 21-27页

作者： Yoshiro fujii Shin Kobe Dental Clinic Kobe Japan

The patient was a 41-year-old woman experiencing severe lumbago for several years. The physician-in-charge referred her for dental treatment because examination did not reveal any specific abnormality in her lower back. Prior to the treatment, the patient could barely bend forward and backward because of serious back pain. Her body flexibility and lower back pain improved when a gold alloy cast crown was placed near her feet. However, when the crown was covered with aluminum foil, it was again very difficult for her to bend her body forward and backward. These results suggested that her body reacted positively because good electromagnetic waves emitted by the crown were absorbed by the body. The alloy used to make the crown was chosen using the Bi-Digital O-Ring Test. Moreover, the shape, contact strength, and occlusion (biting condition) of the crown were also determined by the Bi-Digital O-Ring Test. After the crown was placed on her upper right first molar, her lumbago completely disappeared and did not recur for >5 years of follow-up. The effectiveness of electromagnetic waves on the condition of the body, as in this case, has not often been acknowledged in modern medicine, and the underlying mechanism remains unclear;therefore, further research is required.

关键词： Electromagnetic Waves Metal Crown Bi-Digital O-Ring Test Lumbago (Lower Back Pain)

Dental Treatment for Dizziness and Joint Mobility Disorder Caused by Harmful Electromagnetic Waves

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Open Journal of Antennas and Propagation 2015年第1期3卷 1-7页

作者： Yoshiro fujii Shin Kobe Dental Clinic Kobe City Japan

With the development of an IT (Information Technology) society, the opportunity to use electronic devices, such as cell phones and personal computers, has increased. These electronic devices pro-vide many benefits to society. However, there have been a number of reports of electromagnetic hypersensitivity (EHS) related to the use of electronic devices. The symptoms of EHS may include headaches, fatigue, tinnitus, dizziness, memory loss, irregular heartbeat, and skin trouble. Since the pathogenic mechanism of such conditions is not yet clear, further research is required. This report shows how a subject’s dizziness and joint mobility disorder, caused by electromagnetic waves emitted by electronic devices, were cured by removing an onlay from the patient’s mouth and replacing it with a gold alloy onlay. The result indicates that the subject’s symptoms were caused by EHS. Although the symptoms were improved after the dental treatment, the underlying mechanism of the symptoms and the reason why this treatment is successful remain unclear. Further research is required to clarify these issues.

关键词： Dental Treatment Dizziness Electromagnetic Hypersensitivity (EHS) Electromagnetic Waves Joint Mobility Disorder

Mathematical Reinforcement to the Minibatch of Deep Learning

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Advances in Pure Mathematics 2018年第3期8卷 307-320页

作者： Kazuyuki fujii International College of Arts and Sciences Yokohama City University Yokohama Japan

We elucidate a practical method in Deep Learning called the minibatch which is very useful to avoid local minima. The mathematical structure of this method is, however, a bit obscure. We emphasize that a certain condition, which is not explicitly stated in ordinary expositions, is essential for the minibatch method. We present a comprehensive description Deep Learning for non-experts with the mathematical reinforcement.

关键词： Deep Learning Minibatch Error (Loss) Function Local Minima

Least Squares Method from the View Point of Deep Learning II: Generalization

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Advances in Pure Mathematics 2018年第9期8卷 782-791页

作者： Kazuyuki fujii International College of Arts and Sciences Yokohama City University Yokohama Japan Department of Mathematical Sciences Shibaura Institute of Technology Saitama Japan

The least squares method is one of the most fundamental methods in Statistics to estimate correlations among various data. On the other hand, Deep Learning is the heart of Artificial Intelligence and it is a learning method based on the least squares method, in which a parameter called learning rate plays an important role. It is in general very hard to determine its value. In this paper we generalize the preceding paper [K. fujii: Least squares method from the view point of Deep Learning: Advances in Pure Mathematics, 8, 485-493, 2018] and give an admissible value of the learning rate, which is easily obtained.

关键词： Least Squares Method Statistics Deep Learning Learning Rate Gerschgorin’s Theorem

Sensation of Balance Dysregulation Caused/Aggravated by a Collection of Electromagnetic Waves in a Dental Implant

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Open Journal of Antennas and Propagation 2014年第3期2卷 29-35页

作者： Yoshiro fujii Shin Kobe Dental Clinic Kobe City Japan

Cell phone and personal computer users have increased considerably in recent years, particularly in more developed countries. These devices have facilitated communication on a global scale. However, there have been a number of reports of abnormalities occurring in the body due to the electromagnetic waves emitted by such electronic devices. The long lists of both general and severe symptoms, including headaches, fatigue, tinnitus, dizziness, memory loss, irregular heartbeat, and whole-body skin symptoms, have been reported that are apparently associated with the condition of electromagnetic hypersensitivity. In dentistry, titanium dental implants may be commonly associated with antenna-like activity, but the underlying mechanism remains unknown. In the current case studies, balance difficulties were found to occur when the patients had titanium dental implants. These implants seemed to be acting as antennae and collecting harmful electromagnetic waves. Further studies are required to confirm this hypothesis.

关键词： Electromagnetic Hypersensitivity Titanium Dental Implant Balance Dysregulation

Dental Stimulation to the Buccal Mucous Membrane Causes Lumbago: A Report of Two Cases

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Case Reports in Clinical Medicine 2015年第8期4卷 289-296页

作者： Yoshiro fujii Shin Kobe Dental Clinic Kobe Japan

This study aims to demonstrate that harmful stimulation of the buccal mucosa because of a rough tooth surface may cause lumbago. This report illustrates two cases of women in their 30s and 40s who are suffering from lumbago due to unknown causes. The patients are cured by a simple dental procedure in which the buccal surface of a molar is smoothened, thereby inhibiting the negative stimulation of the buccal mucosa. Soon after this treatment, the symptoms of lumbago have subsided. The reason for the effectiveness of this treatment remains unclear. However, the balance dysregulation observed in the patient may have been due to stimulation of the oral mucous membrane by the rough surface of the tooth. It is important for dentists to pay attention to the effects of tooth formation, dental restorations, and dental prosthetics on the entire body. A dental condition may have an effect on diseases affecting other parts of the body;thus a dental treatment may be considered as an option for the management of other systemic disorders. It appears that cooperation between the fields of dentistry and medicine is of utmost importance.

关键词： Oral Mucous Membrane Balance Dysregulation Tooth Formation Lumbago