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一种测定气肿疽梭菌抗体的间接血凝试验

中国兽药杂志 1986年第3期 35-38页

作者： YUTAKA TAMURA hirotaka MAKIE SHOZO TANAKA 蒋玉文日本国家兽医监测实验室第一分部

提出了一种以超声波处理的浸出液为抗原的间接血凝试验(IHA),来测定气肿疽梭菌的抗体。这种抗原能够吸附到经鞣酸处理过的,戍二醛固定的绵羊红细胞上,并能被胰酶和热处理破坏。用 SDS—聚丙烯酰胺凝胶电泳和凝胶扩散试验对抗原进行分析... 详细信息

提出了一种以超声波处理的浸出液为抗原的间接血凝试验(IHA),来测定气肿疽梭菌的抗体。这种抗原能够吸附到经鞣酸处理过的,戍二醛固定的绵羊红细胞上,并能被胰酶和热处理破坏。用 SDS—聚丙烯酰胺凝胶电泳和凝胶扩散试验对抗原进行分析时,结果与细菌鞭毛抗原完全一致。当这种抗原与4种梭菌抗体作 IHA 试验时,未发现有血清学交叉反应。我们的结果表明,间接血凝试验主要检测气肿疽梭菌鞭毛的抗体。

关键词：间接血凝试验被动血凝反应气肿疽梭菌气肿疽梭状芽孢杆菌 IHA 抗原抗体

Case of arterial hemorrhage after endoscopic papillary large balloon dilation for choledocholithiases using a covered self-expandable metallic stent

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World Journal of Gastroenterology 2015年第16期21卷 5090-5095页

作者： Shuya Shimizu Itaru Naitoh Takahiro Nakazawa Kazuki Hayashi Katsuyuki Miyabe Hiromu Kondo Yuji Nishi Shuichiro Umemura Yasuki Hori Akihisa Kato hirotaka Ohara Takashi Joh Department of Gastroenterology and Metabolism Nagoya City University Graduate School of Medical Sciences Department of Community-based Medical Education Nagoya City University Graduate School of Medical Sciences

A 78-year-old male was admitted to our hospital because of *** demonstrated choledocholithiases with a maximum diameter of 13 mm, and we performed endoscopic papillary large balloon dilation(EPLBD) with a size of 15 *** following the balloon deflation, spurting hemorrhage occurred from the orifice of the duodenal *** we performed endoscopic hemostasis by compressing the bleeding point with the large balloon catheter, we could not achieve ***, we placed a 10 mm fully covered selfexpandable metallic stent(SEMS) across the duodenal papilla, and the hemorrhage stopped *** 1 wk of SEMS placement, duodenal endoscopy revealed ulcerative lesions in both the orifice of the duodenal papilla and the lower bile duct.A direct peroral cholangioscopy using an ultra-slim upper endoscope revealed a visible vessel with a longitudinal mucosal tear in the ulceration of the lower bile *** believe that the mucosal tear and subsequent ruptured vessel were caused by the EPLBD procedure.

关键词： Endoscopic papillary large balloon dilation Hemorrhage Covered self-expandable metallic stent Direct peroral cholangioscopy Endoscopic hemostasis

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千叶6号高炉快速大修技术

浙江冶金 2000年第3期 24-29页

作者： Masao Fujita hirotaka Kojima Hironari Marushima Takanari Kawai 吕杏春杭州钢铁集团公司技术处杭州310022

千叶6号高炉(内容积4500m^3)于1977年6月17日投产到1998年3月24日停产,创造了两项世界纪录:铁水总产量达到6023万吨,累计运行7586天(20年零9个月)。在投入第二代炉役(内容积扩大到5153m^3)前,为了缩短大修时间,研究和采用了旧炉体大块... 详细信息

千叶6号高炉(内容积4500m^3)于1977年6月17日投产到1998年3月24日停产,创造了两项世界纪录:铁水总产量达到6023万吨,累计运行7586天(20年零9个月)。在投入第二代炉役(内容积扩大到5153m^3)前,为了缩短大修时间,研究和采用了旧炉体大块拆卸和新炉体提前装配的大块环形构件法。其结果,大修仅用了62天(3月25日到5月25日),比传统的大修缩短近一半时间。

关键词：高炉快速大修技术大块环形构件法耐火材料

Case of plasmablastic lymphoma of the sigmoid colon and literature review

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World Journal of Gastroenterology 2015年第24期21卷 7598-7603页

作者： Tomoko Haramura Masashi Haraguchi Junji Irie Shinichiro Ito hirotaka Tokai Kazumasa Noda Masachika Kitajima Shigeki Minami Keiji Inoue Yuya Sasaki Koichi Oshima Susumu Eguchi Department of Surgery Nagasaki Harbor Medical Center City Hospital Department of Pathology Nagasaki Harbor Medical Center City Hospital Department of Pathology Kurume University Department of Surgery Nagasaki University Graduate School of Biomedical Sciences

Plasmablastic lymphoma(PBL) is a rare form of nonHodgkin's lymphoma that is associated with human immunodeficiency virus(HIV) infection. Although PBL is most commonly observed in the oral cavity of HIV-positive patients, it can also be observed at extra-oral sites in HIV-negative patients. This report represents an unusual case of HIV-negative PBL that occurred in the sigmoid colon. This patient had a history of systemic lupus erythematosus and an underlying immunosuppressive state from long term steroid therapy. The lymphoma cells were positive for CD138, kappa light chain restriction and Epstein-Barr virus and negative for CD20/L26, CD3, CD79 a, UCHL1(CD45RO) and cytokeratin(AE1/AE3). The patient died approximately 2 mo after the operation. In the present paper, we review cases of PBL of the colon in HIVnegative patients.

关键词： Plasmablastic lymphoma Sigmoid colon Humanimmunodeficiency virus-negative Immunosuppressive state Extra-oral site

Continued Diagnostic Difficulties in Preoperatively Differentiating Lipiodized Oil and Residual Metallic Material: A Case Report

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Case Reports in Clinical Medicine 2016年第4期5卷 125-129页

作者： Masashi Haraguchi Shinichiro Ito Kohei Kotera Aya Fukushima Toshio Fukuda hirotaka Tokai Kazumasa Noda Masataka Hirabaru Toshiyuki Adachi Nobuhiro Tada Keiji Inoue Shinya Onizuka Shigeki Minami Department of Surgery Nagasaki Harbor Medical Center City Hospital Nagasaki Japan Department of Obstetrics and Gynecology Nagasaki Harbor Medical Center City Hospital Nagasaki Japan Department of Radiology Nagasaki Harbor Medical Center City Hospital Nagasaki Japan

Retained foreign objects in the abdomen and pelvis are serious clinical problems yet the imaging required can present difficulties. Prolonged retention of lipiodized oil used for hysterosalpingography over years is very rare. However, lipiodized oil had previously been misdiagnosed as residual metallic material. We are reporting a case in which the latest computed tomography (CT) equipment seemed inadequate for obtaining a clear pre-operative diagnosis. Here, we describe the case of a 33-year-old Japanese female whose pelvis had contained retained lipiodized oil that had been suspected as residual metallic material. The preoperative diagnosis was very difficult and included three-dimensional computed tomography (3D-CT) of unclear results despite expectations of resolution. By laparoscopic surgery, we removed a cyst of approximately 2 cm containing a yellowish oily fluid. Postoperatively, we demonstrated that the fluid was lipiodized oil. A postoperative experiment to attempt distinguishing lipiodized oil from metal through gemstone spectral CT imaging did not offer clarity either. Distinguishing between retained lipiodized oil and metallic material in the abdominal cavity may still present unexpected difficulties even with the latest medical equipments.

关键词： Lipiodized Oil Hysterosalpingography Residual Metallic Material

客家文化重考——全球时代下空间和景观的社会生产

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赣南师范学院学报 2010年第2期31卷 3-9页

作者：河合洋尚嘉应学院客家研究院广东梅州514000 日本东京都立大学社会科学研究院

近十几年来,虽然客家文化的研究越来越被重视,但围绕客家文化的文化问题至今很少被关注。客家文化往往模糊的被认为是反映客家人所有生活方式,其实什么叫做客家文化都一直与各个时代的政治经济意识相关联。客家文化并不是由客家人的生... 详细信息

近十几年来,虽然客家文化的研究越来越被重视,但围绕客家文化的文化问题至今很少被关注。客家文化往往模糊的被认为是反映客家人所有生活方式,其实什么叫做客家文化都一直与各个时代的政治经济意识相关联。客家文化并不是由客家人的生活方式制造出来的"实体",而是与全球时代政治经济空间的生产结合起来并被科学家、政治家、开发商等代理者塑造出来的"概念",通过证明这些事实对今后客家文化研究提出意见是本文的主要目的。

关键词：客家文化研究文化概念空间景观全球经济

Overview of botulinum toxin as a treatment for spasticity in stroke patients

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World Journal of Neurology 2013年第4期3卷 133-137页

作者： hirotaka Isoyama Naoyuki Takeuchi Department of Physical Medicine and Rehabilitation Hospital of Hokkaido University Department of Physical Medicine and Rehabilitation Tohoku University Graduate School of Medicine

Spasticity after the occurrence of stroke induces limb deformity, functional disability and/or pain in patients, which limits their activities of daily living and deteriorates their quality of life. Botulinum toxin(BTX) has recently been reported as an efficacious therapeutic agent for the treatment of spasticity. Systematic review and meta-analysis studies have demonstrated that BTX therapy after stroke reduces spasticity and increases physical activity capacity and performance levels. Moreover, BTX can be used as an adjuvant in physiotherapy. Several studies have confirmed that the combination of BTX therapy and physiotherapy improves motor recovery. However, to date, only a few such combination studies have been conducted and their findings are considered preliminary and controversial. Therefore, future studies are required to determine the appropriate combination of treatment methods that will aid motor recovery.

关键词： Botulinum toxin Rehabilitation Stroke Spasticity Neurorehabilitation

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最新铁路变电所设备新的环保产品

西铁科技 2006年第2期 50-52页

作者： Naoki Kawamura Tetsuya Kato Yoshimasa Eda hirotaka Takahashi 宋文伟

为了缩小铁路变电所装置的体积、降低损耗、便于维修，日立公司研制出了体积小、坚固耐用的SF6GIS（气体绝缘开关装置），噪声低、效率高的电气化铁路变压器和数控电源柜。为满足目前不断增长的环保、安全、高效、坚固、便于维修设备的... 详细信息

为了缩小铁路变电所装置的体积、降低损耗、便于维修，日立公司研制出了体积小、坚固耐用的SF6GIS（气体绝缘开关装置），噪声低、效率高的电气化铁路变压器和数控电源柜。为满足目前不断增长的环保、安全、高效、坚固、便于维修设备的需求，我们研制出了（1）环保型防故障硅变压器；（2）无SF6温室气体环保型GIS和坚固型叠放式SWGR（开关装置）；（3）一种新的不含PFCs（全氟化碳气体）冷却液的生态型低损耗整流器；（4）BBU（组合单元），通过采用标准单元的保护控制器，实现在线维修。

关键词：铁路变电所维修设备气体绝缘开关装置 SF6GIS 降低损耗电气化铁路保护控制器环保型日立公司温室气体

Gastric and enteric anisakiasis successfully treated with Gastrografin therapy: A case report

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World Journal of Gastrointestinal Endoscopy 2018年第3期10卷 69-73页

作者： Hiroki Fujikawa Toshio Kuwai Toshiki Yamaguchi Ryoichi Miura Yuki Sumida Takeshi Takasago Yuki Miyasako Tomoyuki Nishimura Sumio Iio Hiroki Imagawa Atsushi Yamaguchi hirotaka Kouno Hiroshi Kohno Department of Gastroenterology National Hospital OrganizationKure Medical Center and Chugoku Cancer Center

We report a case of a 59-year-old woman who was diagnosed with gastric and small intestinal anisakiasis, which was successfully treated with endoscopic extraction and Gastrografin therapy. She was admitted to our hospital with epigastric pain and vomiting one day after eating raw fish. She exhibited tenderness in the epigastrium without obvious rebound tenderness or guarding. Computed tomography (CT) demonstrated segmental edema of the intestinal wall with proximal dilatation and a small number of ascites. Because enteric anisakiasis was suspected based on the patient's history of recent raw fish consumption and abdominal CT, we performed gastroscopy and confirmed that nine Anisakis larvae were attached to the gastric mucosa. All of the Anisakis larvae were extracted via endoscopy, and the patient was diagnosed with gastric and enteric anisakiasis. Additionally, in the hospital, we performed ileography twice using Gastrografin, which led to shortened hospital stay. Based on the clinical results of this case, we suggest that Gastrografin therapy is a safe, convenient, and useful method to extract enteric Anisakis larvae.

关键词： Enteric anisakiasis Gastrografin Ileus Endoscopic extraction Anisakis larvae