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Usefulness of Newly Devised Clomiphene Citrate Administration Method Compared with the Conventional Method in Ovulation and Pregnancy

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Open Journal of Obstetrics and Gynecology 2024年第4期14卷 637-649页

作者： makoto Kawamura Misaki Akiyama Remi Nakajima Eri Satoi Yoko Ogaki Rieko Kanda Department of Obstetrics and Gynecology Kohseichuo General Hospital Tokyo Japan

Objective: Since not all women wish to conceive a child through aggressive treatment, we investigated the usefulness of modified repeated intracyclic clomiphene citrate (CC) therapy (repeated CC therapy) as a newly devised administration method. Methods: We evaluated the effects of CC administration on menstrual cycle length and retrospectively compared ovulation and pregnancy in 220 women who received CC at our hospital. Patients in the conventional method group received 50 mg per day for five days, starting on the fifth day of menstruation (withdrawal bleeding). Groups with and without menstrual cycle shortening after conventional CC administration were compared. The repeated CC therapy group was also compared with the non-shortened group. Repeated CC therapy was administered for the first five days as in the conventional method, and a second five-day repeat treatment was administered after an interval of five to seven days. Pregnancy rates, including indirect pregnancies, were evaluated by three different methods. Results: Ovulation and pregnancy rates were significantly better in the shortened group than in the non-shortened group (P < 0.001 and P = 0.010, respectively). Even in the non-shortened group, ovulation and pregnancy rates including indirect pregnancies were significantly improved when ovulation was observed with repeated CC therapy (P < 0.001 and P = 0.022, respectively). Conclusions: For patients whose menstrual cycle was not improved or shortened, repeated CC therapy as the newly devised CC administration method is useful as the next step after the conventional CC administration method.

关键词： Clomiphene Citrate Infertility Menstrual Cycle Ovulation Induction

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Adult-Type Granulosa Cell Tumor with Similar Clinical Findings Seen during Ovarian Cystectomy Performed at the Same Time as Laparoscopic Ovarian Drilling for Polycystic Ovarian Syndrome: An Extremely Rare Case

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Open Journal of Obstetrics and Gynecology 2024年第8期14卷 1197-1206页

作者： Remi Nakajima Risa Kobayashi Marie Kawai Eriko Sakamoto Miho Matsuda Rieko Kanda makoto Kawamura Department of Obstetrics and Gynecology Kohseichuo General Hospital. Tokyo Japan

Polycystic ovary syndrome (PCOS) is a major cause of anovulatory infertility. Laparoscopic ovarian drilling (LOD) is a treatment for PCOS that allows the laparoscopic identification of other intra-abdominal lesions and the provision of diagnostic treatment. This study reports a case of PCOS with an ovarian mass in which LOD was aggressively used and a granulosa cell tumor (GCT) was found. A 34-year-old woman with secondary amenorrhea and irregular menstrual cycles presented to the emergency department with abdominal pain of unknown etiology. Imaging studies revealed a 6-cm left ovarian mass with an internal appearance suggestive of a hemorrhage. The patient’s secondary amenorrhea was subsequently diagnosed as PCOS, and LOD was performed to preserve her fertility. Simultaneously, a cystectomy was performed to evaluate the tumor in the left ovary;the diagnosis was adult-type GCT. Although concomitant GCT and PCOS are extremely rare, the two conditions have similar clinical manifestations. In women of reproductive age, the impact of surgery on future fertility should be considered, and the initial surgical technique should be chosen carefully.

关键词： Polycystic Ovary Syndrome Laparoscopic Ovarian Drilling Granulosa Cell Tumor

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Multi-Physics CFD Simulations in Engineering

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Journal of Thermal Science 2013年第4期22卷 287-293页

作者： makoto Yamamoto Tokyo University of Science Department of Mechanical Engineering 6-3-1 NiijukuKatsushika-ku Tokyo 125-8585 Japan

Nowadays Computational Fluid Dynamics （CFD） software is adopted as a design and analysis tool in a great number of engineering fields. We can say that single-physics CFD has been suffciently matured in the practical point of view. The main target of existing CFD software is single-phase flows such as water and air. However, many multi-physics problems exist in engineering. Most of them consist of flow and other physics, and the interactions between different physics are very important. Obviously, multi-physics phenomena are critical in devel- oping machines and processes. A multi-physics phenomenon seems to be very complex, and it is so difficult to be predicted by adding other physics to flow phenomenon. Therefore, multi-physics CFD techniques are still under research and development. This would be caused from the facts that processing speed of current computers is not fast enough for conducting a multi-physics simulation, and furthermore physical models except for flow physics have not been suitably established. Therefore, in near future, we have to develop various physical models and ef- ficient CFD techniques, in order to success multi-physics simulations in engineering. In the present paper, I will describe the present states of multi-physics CFD simulations, and then show some numerical results such as ice accretion and electro-chemical machining process of a three-dimensional compressor blade which were obtained in my laboratory. Multi-physics CFD simulations would be a key technology in near future.

关键词： Computational fluid dynamics Multi-physics Engineering problems

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Current perspectives of viral hepatitis

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World Journal of Gastroenterology 2024年第18期30卷 2402-2417页

作者： Daisuke Usuda Yuki Kaneoka Rikuo Ono Masashi Kato Yuto Sugawara Runa Shimizu Tomotari Inami Eri Nakajima Shiho Tsuge Riki Sakurai Kenji Kawai Shun Matsubara Risa Tanaka makoto Suzuki Shintaro Shimozawa Yuta Hotchi Ippei Osugi Risa Katou Sakurako Ito Kentaro Mishima Akihiko Kondo Keiko Mizuno Hiroki Takami Takayuki Komatsu Tomohisa Nomura Manabu Sugita Department of Emergency and Critical Care Medicine Juntendo University Nerima HospitalNerima 177-8521TokyoJapan Department of Sports Medicine Faculty of MedicineJuntendo UniversityBunkyo 113-8421TokyoJapan

Viral hepatitis represents a major danger to public health,and is a globally leading cause of *** five liver-specific viruses:Hepatitis A virus,hepatitis B virus,hepatitis C virus,hepatitis D virus,and hepatitis E virus,each have their own unique epidemiology,structural biology,transmission,endemic patterns,risk of liver complications,and response to antiviral *** remain few options for treatment,in spite of the increasing prevalence of viral-hepatitiscaused liver ***,chronic viral hepatitis is a leading worldwide cause of both liver-related morbidity and mortality,even though effective treatments are available that could reduce or prevent most patients’*** 2016,the World Health Organization released its plan to eliminate viral hepatitis as a public health threat by the year 2030,along with a discussion of current gaps and prospects for both regional and global eradication of viral ***,treatment is sufficiently able to prevent the disease from reaching advanced ***,future therapies must be extremely safe,and should ideally limit the period of treatment necessary.A better understanding of pathogenesis will prove beneficial in the development of potential treatment strategies targeting infections by viral *** review aims to summarize the current state of knowledge on each type of viral hepatitis,together with major innovations.

关键词： Hepatitis A virus Hepatitis B virus Hepatitis C virus Hepatitis D virus Hepatitis E virus Current perspectives

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Innovative nanocrystal-based technologies for ceramic devices with novel electronic functions

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Journal of Advanced Ceramics 2012年第2期1卷 79-88页

作者： makoto KUWABARA 4-36-501 Shimoshirouzu-kita KasugaFukuoka 816-0854Japan

There has been a great progress in the synthesis of a variety of inorganic colloidal nanocrystals(NCs)with highly controlled size and shape in the last *** achievement has promoted comprehensive researches on the fabrication and engineering of NC devices with novel structure and function with the aim of utilizing them in a wide area of applications,including electronics and optoelectronics,by using various NC assembling and patterning ***,colloidal NCs having been extensively investigated so far are mostly metals,semiconductors and magnetic materials,and only limited investigations on oxide NCs from a point of view of NC ceramic engineering have been ***,innovative nanocrystal-based technologies necessary for the fabrication of NC ceramic devices with novel and gigantic electronic functions,limiting the materials to perovskite oxides,and a new perspective on the future ceramic technology are discussed.

关键词： nanocrystals electronic functions Perovskite bottom-up process

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Modulation of Pain and Itch by Spinal Glia

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Neuroscience Bulletin 2018年第1期34卷 178-185页

作者： makoto Tsuda Department of Life Innovation Graduate School of Pharmaceutical Sciences Kyushu University Department of Molecular and System Pharmacology Graduate School of Pharmaceutical Sciences Kyushu University

Chronic pain and itch are a pathological operation of the somatosensory system at the levels of primary sensory neurons, spinal cord and brain. Pain and itch are clearly distinct sensations, and recent studies have revealed the separate neuronal pathways that are involved in each sensation. However, the mechanisms by which these sensations turn into a pathological chronic state are poorly understood. A proposed mechanism underlying chronic pain and itch involves abnormal excitability in dorsal horn neurons in the spinal cord. Furthermore, an increasing body of evidence from models of chronic pain and itch has indicated that synaptic hyperexcitability in the spinal dorsal horn might not be a consequence simply of changes in neurons, but rather of multiple alterations in glial cells. Thus, understanding the key roles of glial cells may provide us with exciting insights into the mechanisms of chronicity of pain and itch, and lead to new targets for treating chronic pain and itch.

关键词： Neuropathic pain Chronic itch Microglia Astrocytes Spinal dorsal horn

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Effect of Seed Layer on the Orientation of Zinc Oxide Film on Silicon Substrate

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Journal of Materials Science & Technology 2005年第6期21卷 887-890页

作者： Mi XIAO makoto KUWABARA School of Electronic Information Engineering Tianjin University Tianjin 300072 China Department of Materials Science Tokyo University Tokyo Japan

The effect of seed layer on the orientation of ZnO film was investigated. Before the preparation of ZnO film using sol-gel method, seed layer of ZnO was prepared in a similar way using the precursor at a rather low concentration. Experiments show that the existence of seed layer can improve the orientation of the finally prepared ZnO film, while baking temperature, baking time and precursor concentration all have effects on the final results.

关键词： ZnO film Sol-gel Seed layer

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Development of a biliary multi-hole self-expandable metallic stent for bile tract diseases: A case report

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World Journal of Clinical Cases 2019年第11期7卷 1323-1329页

作者： makoto Kobayashi Division of Gastroenterology Yokkaichi Municipal Hospital

BACKGROUND Uncovered stents used for malignant obstructions in the biliary tree, especially in the hilar area, are prone to obstruction by tumor ingrowths. In comparison, however, covered stents may block bile duct branches and are at risk of migration. We have developed a multi-hole self-expandable metallic stent (MHSEMS), with a hole in each cell, to prevent the obstruction of bile duct branches. In addition, the holes may prevent migration due to small ingrowths by reducing the tension of the membrane. CASE SUMMARY MHSEMS were placed in five patients with a malignant obstruction and one with post-endoscopic sphincterotomy bleeding. Each MHSEMS was successfully deployed in all cases. Patients showed no complications. Two cases were reviewed. Case 1: A 74-year-old male presented with jaundice and was diagnosed with a sigmoid colon cancer and giant liver metastases in the right liver lobe. A MHSEMS was placed in the left bile duct. The jaundice improved and peroral cholangioscopy was performed. Case 2: A 90-year-old female was admitted to hospital for jaundice and diagnosed with cholangiocarcinoma. A MHSEMS was placed in the left bile duct but after 8 months the stent became obstructed by tumor ingrowth. We treated the patient by ablation therapy. A silicone cover separated the internal bile duct from the surrounding tissue, protecting the latter from thermal injury during treatment by endobiliary ablation of the reobstruction. CONCLUSION A MHSEMS is a new choice of stent for biliary tract diseases.

关键词： Multi-hole self-expandable metallic stent Malignant biliary stricture Benign biliary stricture Hilar biliary obstruction Distal biliary obstruction Endobiliary radiofrequency ablation Case report

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UNDERWATER ACOUSTICS AND CAVITATING FLOW OF WATER ENTRY

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Acta Mechanica Sinica 2004年第4期20卷 374-382页

作者：施红辉 KUME makoto State Key Laboratory of Nonlinear Mechanics Institute of MechanicsChinese Academy of SciencesBeijing 100080China College of Mechanical Engineering and Automatic ControlZhejiang University of SciencesXiasha Higher Education ZoneHangzhou 310018China Department of Mechanical Engineering Nagoya Institute of TechnologyGokiso-choShowa-kuNagoya 466-8555Japan

The fluid mechanics of water entry is studied through investigating the underwater acoustics and the *** acoustic signals in water entry are extensively measured at about 30 different positions by using a PVDF needle *** the measurements we obtain (1)the primary shock wave caused by the impact of the blunt body on free surface;(2)the vapor pressure inside the cavity;(3)the secondary shock wave caused by pulling away of the cavity from free surface;and so *** supercavitation induced by the blunt body is observed by using a digital high-speed video camera as well as the single shot *** periodic and 3 dimensional motion of the supercavitation is *** experiment is carried out at room temperature.

关键词： water entry underwater acoustics supercavitation PVDF hydrophone high-speed photography

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Numerical Simulation of Tip Leakage Vortex Effect on Hydrogen-Combustion Flow around 3D Turbine Blade

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Journal of Thermal Science 2008年第2期17卷 186-192页

作者： Naoto Miyama Kazuaki Inaba makoto Yamamoto Department of Mechanical Engineering Tokyo University of Science Graduate Aeronautical Laboratories California Institute of Technology

In these years, a lot of environmental problems such as air pollution and exhaustion of fossil fuels have been discussed intensively. In our laboratory, a hydrogen-fueled propulsion system has been researched as an alternative to conventional systems. A hydrogen-fueled propulsion system is expected to have higher power, lighter weight and lower emissions. However, for the practical use, there exist many problems that must be overcome. Considering these backgrounds, jet engines with hydrogen-fueled combustion within a turbine blade passage have been studied. Although some studies have been made on injecting and burning hydrogen fuel from a stator surface, little is known about the interaction between a tip leakage vortex near the suction side of a rotor tip and hydrogen-fueled combustion. The purpose of this study is to clarify the influence of the tip leakage vortex on the characteristics of the 3-dimensional flow field with hydrogen-fueled combustion within a turbine blade passage. Reynolds-averaged compressible Navier-Stokes equations are solved with incorporating a k-ε turbulence and a reduced chemical mechanism models. Using the computational results, the 3-dimensional turbulent flow field with chemical reactions is numerically visualized, and the three-dimensional turbulent flow fields with hydrogen combustion and the structure of the tip leakage vortex are investigated.

关键词： numerical simulation CFD gas turbine hydrogen combustion tip leakage vortex

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