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Uterine artery pseudoaneurysm caused by hysteroscopic surgery: A case report

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World Journal of Clinical Cases 2024年第26期12卷 5968-5973页

作者： Kaoru Kakinuma toshiyuki Kakinuma Kyouhei Ueyama Rora Okamoto Kaoru Yanagida Nobuhiro Takeshima Michitaka Ohwada Department of Obstetrics and Gynecology International University of Health and Welfare Hospital537-3 IguchiNasushiobaraTochigi 329-2763Japan

BACKGROUND We report a case of uterine artery pseudoaneurysm(UAP)occurrence during hysteroscopic endometrial polypectomy and its treatment via uterine artery embolization(UAE).CASE SUMMARY A 48-year-old primigravid,primiparous patient was incidentally found to have an endometrial polyp during a health checkup,and underwent a hysteroscopic polypectomy at another *** cervix was dilated with a Laminken-R®*** the Laminken-R®was withdrawn,a large amount of genital bleeding was *** bleeding persisted after the hysteroscopic polypectomy,and,as hemostasis became impossible,the patient was transferred to our hospital by *** arrival,transvaginal ultrasonography revealed a 3-cm hypoechoic mass with a swirling internal pulse on the right side of the uterus,and color Doppler ultrasonography showed feeder vessels penetrating the *** contrast-enhanced computed tomography(CT)confirmed the presence of a mass at this site,and vascular proliferation was observed within the uterine ***,UAP was diagnosed,and UAE was *** patient’s postoperative course was uneventful,and 6 mo post-UAE,no recurrence of blood flow to the UAP was *** When abnormal genital bleeding occurs during hysteroscopic surgery,ultrasonography and contrast-enhanced CT can assist in the detection of early UAPs.

关键词： Cervical dilation Hysteroscopic surgery Uterine artery pseudoaneurysm Uterine artery embolization Case report

A Case Report of Kissing Molars Class II

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Open Journal of Stomatology 2024年第5期14卷 249-254页

作者： toshiyuki Inou Keiichi Uchida Keiko Kaneko Anna Fuji Nina Wakimoto Tatsuo Takaya Hiroyuki Kitamura Hiroshi Mori Yuji Kurihara Department of Oral Diagnostics and Comprehensive Dentistry Matsumoto Dental University Hospital Shiojiri Japan Department of Oral and Maxillofacial Surgery School of Dentistry Matsumoto Dental University Shiojiri Japan

Kissing molars (KMs) is a condition of occlusal molar surfaces in a single follicular space with roots extending in opposite directions. Here, we have reported a case of KMs in a 58-year-old woman. The patient complained of pain in the right mandibular molar region and was diagnosed with KMs consisting of the right mandibular second and third molars. Because of the patient’s pain having subsided at the time of the visit and her unwillingness to undergo tooth extraction, the patient was followed up. KMs is classified into three classes (I-III) and is either true-KMs or pseudo-KMs and presents with or without cystic variants of dental follicles. The presents as true-KMs class II without a cystic variant. With reference to the literature and based on our analysis, the mean age of patients affected by this specific case of KMs is 31.7 years and unilateral KMs is relatively more common (85.7%). Histopathological findings of dentigerous cysts are more often indicated (42.9%). The treatment policy for KMs should therefore be based on the classification of KMs. Importantly, the focus should be on preserving the first and second molars as much as possible. The treatment approach, such as the employment of surgical removal or orthodontics, should be determined by considering the associated factors such as the crowns, tissues, and age of the patient.

关键词： Kissing Molars Mandibular Second Molar Mandibular Third Molar Cone-Beam Computed Tomography

Managing Vogt–Koyanagi–Harada disease during pregnancy with steroid pulse therapy:A case report

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World Journal of Clinical Cases 2024年第31期12卷 6493-6499页

作者： Kyouhei Ueyama toshiyuki Kakinuma Keisuke Mori Ayumi Hayashi Kaoru Kakinuma Rora Okamoto Ayaka Kaneko Kaoru Yanagida Nobuhiro Takeshima Michitaka Ohwada Department of Obstetrics and Gynecology International University of Health and Welfare HospitalTochigi 329-2763NasushiobaraJapan Department of Ophthalmology International University of Health and Welfare HospitalTochigi 327-2763Japan

BACKGROUND High-dose steroid administration is a common initial therapeutic approach for Vogt–Koyanagi–Harada disease(VKH).Nonetheless,administering substantial doses of steroids to pregnant women necessitates meticulous consideration due to the potential impacts on the mother and *** present a case wherein steroid pulse therapy was administered to a patient who developed VKH during the late stages of *** SUMMARY The patient was a 26-year-old nulliparous *** 33 weeks and 1 day of her pregnancy,she experienced a decline in visual acuity and noticed metamorphopsia in her left *** revealed bilateral serous retinal detachment,leading to VKH diagnosis.A collaborative effort involving the departments of ophthalmology,internal medicine,and neonatology was *** pulse therapy was administered at 34 weeks and 1 day of pregnancy under hospital ***,such as threatened preterm labor and gestational diabetes,emerged,necessitating the initiation of oral ritodrine hydrochloride and insulin ***,serous retinal detachment was resolved,and visual acuity was *** pains initiated 32 days post-initiation of steroid pulse therapy(at 38 weeks and 4 days of gestation),culminating in a normal *** and newborn experienced an uneventful puerperal course and were discharged from the hospital on the 5th day following *** VKH management in pregnancy requires multidisciplinary coordination,emphasizing collaboration with ophthalmologists and specialists in internal medicine and neonatology.

关键词： Vogt-Koyanagi-Harada disease Gestational diabetes mellitus pregnancy Steroid pulse therapy Threatened preterm labor Case report

调控铝在ITH沸石骨架中的位置以用于催化甲醇制烯烃

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Chinese Journal of Catalysis 2024年第1期56卷 114-121页

作者：范凯吴勤明刘烁孔海宇王森 Eduard Kunkes Trees De Baerdemaeker Andrei-Nicolae Parvulescu Nils Bottke toshiyuki Yokoi Dirk E.De Vos 孟祥举张维萍肖丰收浙江省应用化学重点实验室浙江大学化学系中国浙江杭州310028 浙江大学化学与生物工程学院中国浙江杭州310028 大连理工大学精细化工国家重点实验室中国辽宁大连116012 中国科学院山西煤炭化学研究所煤转化国家重点实验室中国山西太原030001 巴斯夫股份有限公司德国东京工业大学资源化学研究所日本鲁汶大学表面化学与催化中心比利时

随着低碳烯烃需求量的增加,甲醇制烯烃(MTO)成为由非石油资源制取低碳烯烃的关键技术,其中沸石由于具有可调节的酸度、有序的微孔结构和较好的择型性能而被广泛用作MTO反应催化剂.ITQ-13沸石(ITH拓扑结构)由于其独特的九元环结构在MTO... 详细信息

随着低碳烯烃需求量的增加,甲醇制烯烃(MTO)成为由非石油资源制取低碳烯烃的关键技术,其中沸石由于具有可调节的酸度、有序的微孔结构和较好的择型性能而被广泛用作MTO反应催化剂.ITQ-13沸石(ITH拓扑结构)由于其独特的九元环结构在MTO反应中表现出较好的丙烯选择性和反应寿命,引起了广泛关注.研究表明,分子筛的酸中心分布与MTO反应性能密切相关,因此,研究ITQ-13沸石中铝分布与MTO反应性能的关系,对进一步提升其MTO催化性能具有重要意义.本文分别以与ITH具有共同基本结构单元(双四元环,D4Rs)的LTA沸石(LTA-ITH)和薄水铝石(C-ITH)为铝源,合成了两类铝硅酸盐ITH沸石.X射线衍射、扫描电子显微镜以及氮气吸脱附表征结果表明,这两类分子筛具有相似的片状形貌和微孔性质.氨气程序升温脱附结果表明,具有相近硅铝比的两类ITH沸石具有相近的酸量.进一步采用27Al魔角旋转核磁共振(MAS NMR)、密度泛函理论计算和1-己烯裂解反应对两类ITH分子筛的铝分布进行研究.结果表明,两类分子筛具有不同的铝分布,LTA-ITH中有更多的铝进入ITH的正弦孔道与直孔道,而C-ITH中有更多的铝分布在交叉孔道.当前,研究者普遍认为MTO反应过程遵循双循环烃池机理,ITH交叉孔道由于具有较大的空间,相比于正弦孔道和直孔道,更有利于芳烃循环中间体的产生,从而有利于形成芳烃循环产物(乙烯),而正弦孔道和直孔道却更有利于烯烃循环过程,导致产生更多的丙烯.对两类ITH进行了MTO催化性能测试,结果表明,LTA-ITH比C-ITH表现出更高的丙烯选择性,并且表现出更高的丙烯与乙烯的比率,表明其烯烃循环过程得到加强,这与^(27)Al MAS NMR以及1-己烯裂解反应得到的结论一致,进一步证明ITH分子筛的铝分布得到有效调控.综上,本文阐明了ITH沸石中铝分布与其反应性能的关系,为调整沸石骨架中的Al位点提供一种新策略,为未来制备高效的MTO沸石基催化剂提供参考.

关键词：骨架铝分布硅铝ITH分子筛甲醇制烯烃铝核磁

How have they started？ - A brief guide for pedestrians

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Frontiers of physics 2018年第6期13卷 3-10页

作者： Takaharu otsuka Department of Physics University of Tokyo Hongo Bunkyo-ku Tokyo 113-0033 Japan Center for Nuclear Study University of Tokyo Hongo Bunkyo-ku Tokyo 113-0033 Japan RIKEN Nishina Center 2-1 Hirosawa Wako Saitama 351-0198 Japan Instituut voor Kern- en Stralingsfysica KU Leuven B-3001 Leuven Belgium

I shall present a very brief summary of subjects selected from what Prof. Akito Arima has done in the past years. I will focus on the initial works on the configuration mixing and on the Interacting Boson Model. Since there are many literatures on these subjects, I shall concentrate what have been done at the initial or at the pre-history stages. By doing this, we shall see how Prof. Akito Arima started from the scratch.

关键词： shell model configuration mixing magnetic moment interacting boson model

Tumor size discrepancy between endoscopic and pathological evaluations in colorectal endoscopic submucosal dissection

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World Journal of Gastrointestinal Endoscopy 2024年第3期16卷 136-147页

作者： Takeshi Onda Osamu Goto Toshiaki otsuka Yoshiaki Hayasaka Shun Nakagome Tsugumi Habu Yumiko Ishikawa Kumiko Kirita Eriko Koizumi Hiroto Noda Kazutoshi Higuchi Jun Omori Naohiko Akimoto Katsuhiko Iwakiri Department of Gastroenterology Nippon Medical SchoolGraduate School of MedicineBunkyo-ku 113-8603TokyoJapan Endoscopy Center Nippon Medical School HospitalBunkyo-ku 113-8603TokyoJapan Department of Hygiene and Public Health Nippon Medical SchoolBunkyoku 113-8603TokyoJapan Center for Medical Education Nippon Medical SchoolBunkyo-ku 113-8603TokyoJapan

BACKGROUND Tumor size impacts the technical difficulty and histological curability of colorectal endoscopic submucosal dissection(ESD);however,the preoperative evaluation of tumor size is often different from histological *** influential factors on failure to obtain an accurate tumor size evaluation could help prepare optimal conditions for safer and more reliable *** This was a retrospective study conducted at a single institution.A total of 377 lesions removed by colorectal ESD at our hospital between April 2018 and March 2022 were *** first assessed the difference in size with an absolute per-centage of the scaling ***,we compared the clinicopatho-logical characteristics of the correct scaling group(>-33%and33%),which was further subdivided into the underscaling group(-33%or less of the discrepancy)and overscaling group(33%or more of the discrepancy),*** secondary outcome measures,parameters on size estimation were compared between the underscaling and correct scaling groups,as well as between the overscaling and correct scaling ***,multivariate analysis was performed in terms of the following relevant parameters on size estimation:Pathological size,location,and possible influential factors(P<0.1)in the univariate *** The mean of absolute percentage in the scaling discordance was 21%,and 91 lesions were considered to be incorrectly estimated in *** incorrect scaling was significantly remarkable in larger lesions(40 mm vs 28 mm;P<0.001)and less experience(P<0.001),and these two factors were influential on the underscaling(75 lesions;P<0.001).Conversely,compared with the correct scaling group,16 lesions in the overscaling group were significantly small(20 mm vs 28 mm;P<0.001),and the small lesion size was influential on the overscaling(P=0.002).CONCLUSION Lesions indicated for colorectal ESD tended to be underestimate

关键词： Endoscopic submucosal dissection Colorectal tumor Tumor size Size estimation Size discrepancy

Contour detection with bicubic spline surfaces

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International Journal of Digital Earth 2023年第1期16卷 1801-1827页

作者： Hiroyuki Goto Taiki otsuka Department of Industrial and Systems Engineering Hosei UniversityTokyoJapan Faculty of IT and Business Cyber UniversityTokyoJapan

Contour detection has a rich history in multiplefields such as geography,engineering,and earth *** predominant approach is based on piecewise planar tessellation and now being challenged concerning the extraction of contour objects for non-linear elevation functions,particularly with respect to bicubic spline functions.A storage-efficient method was developed in previous research,but the detection of the complete set of contour objects is yet to be *** intractable,theoretical underpinnings pertinent to curvature resulted in an approach to realize the complete detection of *** a digital elevation model dataset,in this study,a bicubic spline surface function wasfirst ***,candidate initial points on the edges across the region of interest were identified,and the recursive disaggregation of rectangles was repeated if the non-existence of a solution could not be assured.A developed tracking method was then *** advancement,other initial points on the same contour curve were identified and eliminated to circumvent duplicate *** completeness of the outlets provides analytical tools for elevation and other geographical *** experiments included the development of a three-dimensional contour-based network and slope *** latter application transforms the slope analysis type from raster-based to *** of a complete set of contour objects amenable to bicubic spline surfaces..Small closure inside a single patch is detectable if size exceeds the standard..Curvature&tolerances central to step length adjustment and tangent angle determination..Redundant initial points are identified and eliminated during the tracking process..Various potential applications in addition to geographical elevations.

关键词： Contour detection bicubic spline surface curvature tolerance patch disaggregation

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寓居自然井原俊之访谈录

室内设计与装修 2024年第5期 101-102页

作者：井原俊之 COCHI建筑事务所

id+c:请先为我们介绍一下您创立的COCHI建筑事务所。井原俊之:COCHI建筑事务所创立于2014年,目前设有设计部和木工部2个职能部门,并有4名设计师、1名木工和1名财务行政人员。虽然公司规模并不大,但所有员工各司其职,长时间的共同协作,... 详细信息

id+c:请先为我们介绍一下您创立的COCHI建筑事务所。井原俊之:COCHI建筑事务所创立于2014年,目前设有设计部和木工部2个职能部门,并有4名设计师、1名木工和1名财务行政人员。虽然公司规模并不大,但所有员工各司其职,长时间的共同协作,更磨合出彼此之间的融洽和信任。事务所的企业理念是将建筑作为纽带,将自然与人、建筑联系起来,以打造更为丰富多彩的相互关系。

关键词：企业理念建筑事务所自然与人财务行政各司其职木工相互关系

SYNTHESIS AND CATIONIC RING-OPENING POLYMERIZATION OF 1, 4-ANHYDRO-2, 3-DI-O-(P-AZIDOBENZYL)-α-D-RIBOPYRANOSE

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Chinese Journal of Polymer Science 1999年第2期17卷 123-128页

作者： toshiyuki Uryu Institute of Industrial Science University of Tokyo Roppongi Minato-ku Tokyo 106 Japan

New highly stereoregular 2, 3 -di- O-(p-azidobenzyl )-(1 →5 ) - α-D -ribofuranan was synthesized byselective ring-opening polymerization of 1, 4-anhydro-2, 3 - di-O -(p-azidobenzyl )-α-D -ribopyranose(ADABR) using phosphorus pentafluoride or tin tetrachloride as catalyst at low temperature indichloromethane. The monomer was obtained by the reaction of p - bromomethyl -phenyleneazide with 1, 4 -anhydro-α-D-ribose in DMF. The structure of poly(ADANR) was identified by specific rotation and ^(13)C-NMR spectroscopy. Acid chloride-AgCl_4 complex catalyst such as CH_2=C(CH_3)C^+OClO_4^- used in thepolymerization resulted in polymers with mixed structures, i.e. (1→5)-α-D-ribofuranosidic and (1→4)-β-D-ribopyranosidic units. However, with C_6H_5C^+OClO_4^- as catalyst, pure (1→5)-α-D-ribofuranan was *** effects of catalyst, polymerization temperature and time on polymer stereoregularity were examined, andthe mechanism of the ring-opening polymerization was discussed.

关键词： Cationic ring-opening polymerization Azido-containing polysaccharide Lewis acid catalysts 1, 4-anhydro-2,3-di-O-(p-azidobenzyl)-α-D-ribopyranose Stereoregularity