检索结果-南通市图书馆

World Journal of Gastrointestinal Oncology 2018年第3期10卷 91-95页

作者： Akihisa Kato itaru naitoh Hiroyuki Kato Kazuki Hayashi Katsuyuki Miyabe Michihiro Yoshida Yasuki Hori Makoto Natsume Naruomi Jinno Takeshi Yanagita Shuji Takiguchi Satoru Takahashi Takashi Joh Department of Gastroenterology and Metabolism Nagoya City University Graduate School of Medical Sciences Department of Experimental Pathology and Tumor Biology Nagoya City University Graduate School of Medical Sciences Department of Gastroenterological Surgery Nagoya City University Graduate School of Medical Sciences

Endoscopic transpapillary brush cytology and forceps biopsy during endoscopic retrograde cholangiopancreatology are generally used to obtain pathological evidence of biliary strictures. Recently, the new endoscopic scraper Trefle~? has been reported and demonstrated high cancer detectability in malignant biliary strictures. This device is used to scrape the stricture over the guidewire, and, in the original method, the tissue and/or cell samples obtained are subjected to histological and/or cytological analysis separately. However, discrimination of chunks of tissue is hampered by the opacity of the surrounding fluid. We have developed a cell block technique for the Trefle~? device without dividing obtained specimens into tissue and cellular components, which is the simplest method and enables immunohistochemical analysis. We present a case of obstructive jaundice diagnosed immunohistochemically as pancreatic metastasis from colon cancer using cell block sections obtained with the Trefle~? device, which procedure is as easy as conventional brush cytology.

关键词： Trefle? Cell block Endoscopic scraper Pancreatic metastasis Biliary strictures

Diagnosis of IgG4-related sclerosing cholangitis

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Gastroenterology 2013年第43期19卷 7661-7670页

作者： Takahiro Nakazawa itaru naitoh Kazuki Hayashi Katsuyuki Miyabe Shuya Simizu Takashi Joh Department of Gastroenterology and Metabolism Nagoya City University Graduate School of Medical SciencesNagoya 467-8601Japan

IgG4-related sclerosing cholangitis(IgG4-SC)is often associated with autoimmune ***,the diffuse cholangiographic abnormalities observed in IgG4-SC may resemble those observed in primary sclerosing cholangitis(PSC),and the presence of segmental stenosis suggests cholangiocarcinoma(CC).IgG4-SC responds well to steroid therapy,whereas PSC is only effectively treated with liver transplantation and CC requires surgical *** IgG4-SC was first described,it has become a third distinct clinical entity of sclerosing *** aim of this review was to introduce the diagnostic methods for ***4-SC should be carefully diagnosed based on a combination of characteristic clinical,serological,morphological,and histopathological features after cholangiographic classification and targeting of a disease for differential *** intrapancreatic stenosis is detected,pancreatic cancer or CC should be ruled *** multiple intrahepatic stenoses are evident,PSC should be distinguished on the basis of cholangiographic findings and liver biopsy with IgG4 *** inflammatory bowel disease is suggestive of *** stenosis is demonstrated in the hepatic hilar region,CC should be discriminated by ultrasonography,intraductal ultrasonography,bile duct biopsy,and a higher cutoff serum IgG4 level of 182 mg/dL.

关键词： IgG4-related sclerosing cholangitis Primary sclerosing cholangitis IgG4 Sclerosing cholangitis

Inflammatory bowel disease of primary sclerosing cholangitis:A distinct entity?

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Gastroenterology 2014年第12期20卷 3245-3254页

作者： Takahiro Nakazawa itaru naitoh Kazuki Hayashi Hitoshi Sano Katsuyuki Miyabe Shuya Shimizu Takashi Joh Department of Gastroenterology and Metabolism Nagoya City University Graduate School of Medical Sciences Department of Gastroenterology Gifu Prefectual Tajimi Hospital

This is a review of the characteristic findings of inflammatory bowel disease(IBD)associated with primary sclerosing cholangitis(PSC)and their usefulness in the diagnosis of sclerosing *** is a chronic inflammatory disease characterized by idiopathic fibrous obstruction and is frequently associated with *** with PSC(PSC-IBD)shows an increased incidence of pancolitis,mild symptoms,and colorectal *** an increased incidence of pancolitis is a characteristic finding,some cases are endoscopically diagnosed as right-sided ulcerative *** studies have revealed that inflammation occurs more frequently in the right colon than the left *** frequency of rectal sparing and backwash ileitis should be investigated in a future study based on the same *** cholangiographic findings of immunoglobulin G4-related sclerosing cholangitis(IgG4-SC)are similar to those of *** rare association between IBD and IgG4-SC and the unique characteristics of PSC-IBD are useful findings for distinguishing PSC from IgG4-SC.

关键词： Primary sclerosing cholangitis Inflammatory bowel

Isolated intrapancreatic Ig G4-related sclerosing cholangitis

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Gastroenterology 2015年第4期21卷 1334-1343页

作者： Takahiro Nakazawa Yushi Ikeda Yoshiaki Kawaguchi Hirohisa Kitagawa Hiroki Takada Yutaka Takeda Isamu Makino Naohiko Makino itaru naitoh Atsushi Tanaka Department of Gastroenterology and Metabolism Nagoya City University Graduate School of Medical SciencesNagoya 467-8601Japan Department of Gastroenterology Yamagata University Faculty of MedicineYamagata 990-9585Japan Department of Gastroenterology Tokai University School of MedicineKanagawa 259-1153Japan Gastroenterologic Surgery Division of Cancer Medicine Graduate School of Medical ScienceKanazawa UniversityKanazawa 920-8640Japan Department of Gastroenterology Kasugai Municipal HospitalKasugai 486-8510Japan Department of Surgery Kansai Rosai HospitalOsaka 660-8511Japan Department of Medicine Teikyo University School of MedicineTokyo 173-8606Japan

Immunoglobulin G4-related sclerosing cholangitis(Ig G4-SC) is frequently associated with type 1 autoimmune pancreatitis(AIP). Association with AIP can be utilized in the diagnosis of Ig G4-SC. However, some cases of Ig G4-SC are isolated from AIP, which complicates the diagnosis. Most of the reported cases of isolated Ig G4-SC displayed hilar biliary strictures, whereas isolated Ig G4-SC with intrapancreatic biliary stricture is very rare. Recently, we have encountered 5 isolated intrapancreatic Ig G4-SC cases that were not associated with AIP, three of which were pathologically investigated after surgical operation. They all were males with a mean age of 74.2 years. The pancreas was not enlarged in any of these cases. No irregular narrowing of the main pancreatic duct was found. Bile duct wall thickening in lesions without luminal stenosis was detected by abdominal computed tomography in all five cases, by endoscopic ultrasonography in two out of four cases and by intraductal ultrasonography in all three cases. In three cases, serum Ig G4 levels were within the normal limits. The mean serum Ig G4 level measured before surgery was 202.1 mg/d L(4 cases). Isolated intrapancreatic Ig G4-SC is difficult to diagnose, especially if the Ig G4 level remains normal. Thus, this type of Ig G4-SC should be suspected in addition to cholangiocarcinoma and pancreatic cancer if stenosis of intrapancreatic bile duct is present.

关键词： Immunoglobulin G4-related sclerosing cholangitis I

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

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

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

A new cascade-less engine operated from subsonic to hypersonic conditions: designed by computational fluid dynamics of compressible turbulence with chemical reactions

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Journal of Thermal Science 2010年第6期19卷 481-485页

作者： Ken naitoh Kazushi Nakamura Takehiro Emoto Waseda University Faculty of Science and Engineering

By using our computational fluid dynamic models, a new type of single engine capable of operating over a wide range of Mach numbers from subsonic to hypersonic regimes is proposed for airplanes, whereas traditional piston engines, turbojet engines, and scram engines work only under a narrower range of operating conditions. The new engine has no compressors or turbines such as those used in conventional turbojet engines. An important point is its system of super multijets that collide to compress gas for the transonic regime. Computational fluid dynamics is applied to clarify the potential of this engine. The peak pressure at the combustion center is over 2.5 MPa, while that just before ignition is over 1.0 MPa. The maximum power of this engine will be sufficient for actual use. Under the conditions of higher Mach numbers, the main intake passage located in front of the super multijet nozzles, takes in air more. That results in a ram or scramjet engine for supersonic and hypersonic conditions.

关键词：计算流体动力学高超音速操作条件亚音速可压缩湍流引擎超音速冲压喷气发动机 Cal

Distance dependence of atomic-resolution near-field imaging on α-Al2O3 （0001） surface with respect to surface photovoltage of silicon probe tip

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Nano Research 2016年第2期9卷 530-536页

作者： Junsuke Yamanishi Takashi Tokuyama Yoshitaka naitoh Yan Jun Li Yasuhiro Sugawara Department of Applied Physics Graduate School of Engineering Osaka University 2-1 Yamada-oka Suita Osaka 565-0871 Japan

Recently, we achieved atomic-resolution optical imaging with near-field scanning optical microscopy using photon-induced force detection. In this technique, the surface photovoltage of the silicon-tip apex induced by the optical near field on the surface is measured as the electrostatic force. We demonstrated atomicresolution imaging of the near field on the α-Al2O3 （0001） surface of a prism. We investigated the spatial distribution of the near field by scanning at different tip-sample distances and found that the atomic corrugation of the near-field signal was observed at greater distances than that of the atomic force microscopy signal. As the tip-sample distance increased, the normalized signal-to-noise ratio of the near field is in a gradual decline almost twice that of the frequency shift （Δf）.

关键词： near-field scanning optical microscopy near field surface photovoltage ci-Al2O3 (0001) force detection

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

流动加速腐蚀引起的管壁减薄分析及验证

金属学报 2011年第7期47卷 784-789页

作者： Masanori naitoh 陈耀东 Shunsuke Uchida Hidetoshi Okada The Institute of Applied Energy Tokyo 105-0003Japan 中国核电工程有限公司北京100840

针对危害电站安全运行的流动加速腐蚀(FAC)现象,结合专用分析程序包DRAWTHREE的模型和结构.阐明了FAC的发生机理及其决定性因素,提出了用于评估FAC和管壁减薄速率的方法和步骤,并将上述程序分析结果与实验及电厂实际测量数据进行了比较... 详细信息

针对危害电站安全运行的流动加速腐蚀(FAC)现象,结合专用分析程序包DRAWTHREE的模型和结构.阐明了FAC的发生机理及其决定性因素,提出了用于评估FAC和管壁减薄速率的方法和步骤,并将上述程序分析结果与实验及电厂实际测量数据进行了比较,结果吻合较好.最后给出了用于缓解FAC的一些措施.

关键词：流动加速腐蚀管壁减薄电化学双氧化层评价程序DRAWTHREE

Multinomial Logistic Regression Model for Predicting Driver＇s Drowsiness Using Only Behavioral Measures

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Journal of Traffic and Transportation Engineering 2015年第2期3卷 80-90页

作者： Atsuo Murata Kensuke naitoh Department of Intelligent Mechanical Systems Okayama University Okayama 700-8530 Japan

The aim of this study was to explore the effectiveness of behavioral evaluation measures for predicting drivers" subjective drowsiness. Behavioral measures included neck bending angle, back pressure, foot pressure, COP (center of pressure) movement on sitting surface and tracking error in driving simulator task. Drowsy states were predicted by means of the multinomial logistic regression model where behavioral measures and subjective evaluation of drowsiness corresponded to independent variables and a dependent variable, respectively. First, we compared the effectiveness of two methods (correlation coefficient-based method and odds ratio-based method) for determining the order of entering behavioral measures into the prediction model. It was found that the prediction accuracy did not differ between both methods. Second, the prediction accuracy was compared among the numbers of behavioral measures. The prediction accuracy did not differ among four, five and six behavioral measures and it was concluded that entering at least four behavioral measures into the prediction model is enough to achieve higher prediction accuracy. Third, the prediction accuracy was compared between the strongly drowsy and the weakly drowsy groups. The prediction accuracy differed between the two groups and the proposed method was effective under the condition where drowsiness was induced to a larger extent.

关键词：交通工程运输工程综合运输运输体制

急性心肌梗塞(AMI)患者用尿激酶后并发严重出血

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

中国危重病急救医学 1990年第4期2卷 250-251页

作者： Mareo naitoh 尤丕聪

引言:此项研究的目的是对接受冠脉溶栓治疗病人的年龄与并发严重出血之间的关系进行回顾性分析。方法:99个AMI病人接受了经冠脉内或静脉内的冠脉溶栓治疗。

关键词：急性心肌梗塞 AMI 尿激酶心源性休克给药间隔时间皮下血肿心脏破裂腹膜后血肿再灌注损伤总剂量