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Review of the literature laparoscopic surgery for metastatic hepatic leiomyosarcoma associated with smooth muscle tumor of uncertain malignant potential: Case report

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World Journal of Hepatology 2018年第4期10卷 402-408页

作者： Keisuke Fukui Nobuhisa Takase Taiichiro Miyake Koji Hisano Eri Maeda Tohru Nishimura Koichiro Abe Akihito Kozuki tomohiro tanaka Naoki Harada Manabu Takamatsu Kunihiko Kaneda Department of Surgery Kakogawa Central City Hospital

Metastatic hepatic leiomyosarcoma is a rare malignant smooth muscle *** report a case of metastatic hepatic leiomyosarcoma associated with smooth muscle tumor of uncertain malignant potential(STUMP).A 68-year-old female presented with a liver mass(60 mm × 40 mm, Segment 4).She underwent left salpingooophorectomy for an ovary tumor with STUMP in a broad ligament 6 years *** FDG-PET showed obvious metabolically active foci, abnormal metabolically active foci other than the lesion were not detected.A malignant liver tumor was strongly suspected and laparoscopic partial liver resection was performed with vessel-sealing devices using the crush clamping method and Pringle *** findings revealed metastatic liver leiomyosarcoma associated with STUMP in a broad *** case is an extremely rare case of malignant transformation from primary STUMP to metastatic hepatic *** provides important evidence regarding the treatment for metastatic hepatic leiomyosarcoma associated with STUMP.

关键词： Leiomyosarcoma Smooth muscle tumor Hepatic neoplasm Neoplasm metastasis Laparoscopic surgery Liver resection

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坐标上的屋子

中国建筑装饰装修 2012年第12期 60-67页

作者：中佐昭夫 tomohiro tanaka

三种空间这是一所坐落于东京市中心的私人住宅．由三种不同空间组合成像玩具一样的房子。三层是为女性设计的私人空间；二层是为其家庭成员所设计．一层是客厅。屋主是一位单身女性，过去与祖母同住在一个小公寓。为她设计一所崭新的住... 详细信息

三种空间这是一所坐落于东京市中心的私人住宅．由三种不同空间组合成像玩具一样的房子。三层是为女性设计的私人空间；二层是为其家庭成员所设计．一层是客厅。屋主是一位单身女性，过去与祖母同住在一个小公寓。为她设计一所崭新的住宅是这个项目的目标。随后考虑的是她常来东京的亲友．这里也将成为他们的休息场所。

关键词：坐标空间组合私人住宅私人空间家庭成员市中心设计东京

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双隧道屋

中国建筑装饰装修 2012年第12期 34-39页

作者：中佐昭夫 tomohiro tanaka Toshiyuki Yano

该项目是一个类似隧道形状的住宅,在东西两端各设有起居室。业主是一对夫妇和他们的孩子,其中男主人是音乐家,妻子是杂志编辑。男主人的父母经营一间寺庙,同时也在经营幼儿园和护理站,幼儿园和护理站占据了寺庙的大部分。夫妻两人也要... 详细信息

该项目是一个类似隧道形状的住宅,在东西两端各设有起居室。业主是一对夫妇和他们的孩子,其中男主人是音乐家,妻子是杂志编辑。男主人的父母经营一间寺庙,同时也在经营幼儿园和护理站,幼儿园和护理站占据了寺庙的大部分。夫妻两人也要参与家庭的所有经营。由于这对夫妇参与着多重社会领域,他们对房子的要求比较复杂,但是经过几次见面后,我们就抓住了他们要求的要点。

关键词：起居室东西儿童房寺庙卧室护理站幼儿园私密性

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Perceptions of post-transplant recidivism in liver transplantation for alcoholic liver disease

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World Journal of Hepatology 2014年第11期6卷 812-817页

作者： Yoshikuni Kawaguchi Yasuhiko Sugawara Nobuhisa Akamatsu Junichi Kaneko tomohiro tanaka Sumihito Tamura Taku Aoki Yoshihiro Sakamoto Kiyoshi Hasegawa Norihiro Kokudo Artificial Organ and Transplantation Surgery Division Department of Surgery Graduate School of Medicine University of Tokyo Organ Transplantation Service University of Tokyo

Although alcoholic liver disease(ALD) is regarded as a common indication for liver transplantation(LT), debatable issues exist on the requirement for preceding alcoholic abstinence, appropriate indication criteria, predictive factors for alcoholic recidivism, and outcomes following living-donor LT. In most institutions, an abstinence period of six months before LT has been adopted as a mandatory selection criterion. Data indicating that pre-transplant abstinence is an associated predictive factor for alcoholic recidivism supports the reasoning behind this. However, conclusive evidence about the benefit of adopting an abstinence period is yet to be established. On the other hand, a limited number of reports available on living-donor LT experiences for ALD patients suggest that organ donations from relatives have no suppressive effect on alcoholic recidivism. Prevention of alcoholic recidivism has proved to be the most important treatment after LT based on the resultant inferior long-term outcome of patients. Further evaluations are still needed to establish strategies before and after LT for ALD.

关键词： Abstinence Alcoholic liver disease Liver transplantation Six-month rule

Influence of normal to high stroke volume on congestive heart failure development after transcatheter aortic valve implantation:case series

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Journal of Geriatric Cardiology 2021年第1期18卷 83-88页

作者： Tomoko Tomioka tomohiro Ito Ryokichi Takahasi Shuhei tanaka Department of Cardiology South Miyagi Medical CenterShibataJapan

Aortic stenosis(AS)is the most common valvular disease in the older adults'population,and its prevalence will likely continue to increase with the aging society.[1]Surgical aortic valve replacement(SAVR)for elderly patients is known as a high-risk procedure.[2-4]Transcatheter aortic valve implantation(TAVI)is a reasonable alternative to SAVR for older and inoperable patients with AS,and TAVI significantly improves outcomes in elderly patients with severe AS and serious comorbidities,[5,6]TAVI achieves a 20%relative reduction in mortality compared with SAVR.

关键词： aortic mortality implantation

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Metallic Contaminant Detection using a High-Temperature Superconducting Quantum Interference Devices Gradiometer

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Chinese Physics Letters 2010年第8期27卷 253-255页

作者： Saburo tanaka tomohiro Akai Makoto Takemoto Yoshimi Hatsukade Takeyoshi Ohtani Yoshio Ikeda Shuichi Suzuki Toyohashi University of Technology 1-1 Hibarigaoka Tempaku-cho Toyohashi Aichi 441-8580 Japan Advance Food Technology Co. Ltd. Toyohashi Aichi 441-8113 Japan

We develop magnetic metallic contaminant detectors using high-temperature superconducting quantum interference devices （HTS-SQUIDs） for industrial products. Finding ultra-small metallic contaminants is an important issue for manufacturers producing commercial products such as lithium ion batteries. If such contaminants cause damages, the manufacturer of the product suffers a big financial loss due to having to recall the faulty products. Previously, we described a system for finding such ultra-smafi particles in food. In this study, we describe further developments of the system, for the reduction of the effect of the remnant field of the products, and we test the parallel magnetization of the products to generate the remnant field only at both ends of the products. In addition, we use an SQUID gradiometer in place of the magnetometer to reduce the edge effect by measuring the magnetic field gradient. We test the performances of the system and find that tiny iron particles as small as 50 × 50 μm^2 on the electrode of a lithium ion battery could be clearly detected. This detection level is difficult to achieve when using other methods.

关键词： Uses Metals Squids Production Productivity Products Ions Lithium Contamination Pollutants

Rate of local tumor progression following radiofrequency ablation of pathologically early hepatocellular carcinoma

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World Journal of Gastroenterology 2017年第17期23卷 3111-3121页

作者： Yoshiteru Hao Kazushi Numata tomohiro Ishii Hiroyuki Fukuda Shin Maeda Masayuki Nakano Katsuaki tanaka Gastroenterological Center Yokohama City University Medical Center Division of Gastroenterology Yokohama City University Graduate School of Medicine Pathological Department Shonan Fujisawa Tokusyukai Hospital

AIM To evaluate whether pathologically early hepatocellular carcinoma(HCC) exhibited local tumor progression after radiofrequency ablation(RFA) less often than typical *** Fifty pathologically early HCCs [tumor diameter(mm): mean, 15.8; range, 10-23; follow-up days after RFA: median, 1213; range, 216-2137] and 187 typical HCCs [tumor diameter(mm): mean, 15.6; range, 6-30; follow-up days after RFA: median, 1116; range, 190-2328] were enrolled in this retrospective study. The presence of stromal invasion(namely, tumor cell invasion into the intratumoral portal tracts) was considered to be the most important pathologic finding for the diagnosis of early HCCs. Typical HCC was defined as the presence of a hyper-vascular lesion accompanied by delayed washout using contrastenhanced computed tomography or contrast-enhanced magnetic resonance imaging. Follow-up examinations were performed at 3-mo intervals to monitor for signs of local tumor progression. The local tumor progression rates of pathologically early HCCs and typical HCCs were then determined using the Kaplan-Meier *** During the follow-up period for the 50 pathologically early HCCs, 49(98%) of the nodules did not exhibit local tumor progression. However, 1 nodule(2%) was associated with a local tumor progression found 636 d after RFA. For the 187 typical HCCs, 46(24.6%) of the nodules exhibited local recurrence after RFA. The follow-up period until the local tumor progression of typical HCC was a median of 605 d, ranging from 181 to 1741 d. Among the cases with typical HCCs, local tumor progression had occurred in 7.0%(7/187), 16.0%(30/187), 21.9%(41/187) and 24.6%(46/187) of the cases at 1, 2, 3 and 4 years, respectively. Pathologically early HCC was statistically associated with a lower rate of local tumor progression, compared with typical HCC, when evaluated using a log-rank test(P = 0.002). CONCLUSION The rate of local tumor progression for pathologically early HCCs after RFA was significa

关键词： Early hepatocellular carcinoma Local tumor progression Radiofrequency ablation Ablative margin Contrast-enhanced ultrasonography

A new simple technique of epididymal sperm collection for obstructive azoospermia

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Asian Journal of Andrology 2016年第1期18卷 149-150页

作者： Tatsuo Morita Maiko Komatsubara tomohiro Kameda Ai Morikawa Taro Kubo Akira Fujisaki Shinsuke Kurokawa Hirotoshi Kawata Akira tanaka Department of Urology Jichi Medical University Shimotsuke-shi Tochigi Japan Department of Pathology Jichi Medical University Shimotsuke-shi Tochigi Japan

Dear Editor,Sperm in patients with obstructive azoospermia （OA） have been retrieved from the reproductive tract and/or from the testis for intracytoplasmic sperm injection （ICSI） in several ways, including microsurgical epididymal sperm aspiration （MESA）, percutaneous epididymal sperm aspiration （PESA）, testicular sperm extraction （TESE）, and other techniques） Each of these has advantages and drawbacks in terms of microsurgical expertise or equipment, number of sperm obtained, invasiveness, and cost. Therefore, we developed a safe, simple, feasible, and low-cost modified MESA technique to collect epididymal sperm under direct vision, which we have labeled macrosurgical epididymal sperm imprint collection （MESIC）. Herein, we present the details of the MESIC technique and our initial experience in patients with suspected OA.

关键词： RETRIEVAL TECHNIQUES ASPIRATION OUTCOMES INJECTION

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久杉桥

城市环境设计 2024年第1期147卷 198-204页

作者：横尾实堀木俊大田敏郎 Hossam Elbrrashi 松长知宏田中克昌

岩国市周东町獺越的一座桥梁在2018年7月的西日本水灾中被摧毁。我们将该桥重建为木桥,成为当地的一个新地标。桥的两侧是以独特酿酒工艺而闻名的日本清酒品牌“獺祭”的酒窖和商店,木制部分的建设费用由他们捐赠承担。考虑到反复发生...

岩国市周东町獺越的一座桥梁在2018年7月的西日本水灾中被摧毁。我们将该桥重建为木桥,成为当地的一个新地标。桥的两侧是以独特酿酒工艺而闻名的日本清酒品牌“獺祭”的酒窖和商店,木制部分的建设费用由他们捐赠承担。考虑到反复发生灾害的风险,设计采用了钢筋混凝土框架与105柏木方栏杆相结合的构造。木方的排列创造了一条平缓的曲线,与周围的山脉相呼应,创造了一座具有人性化尺度的、怀旧风格的桥梁。105木方是日本木制建筑中最常用的构件尺寸。

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来源：博看期刊