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Footballer's ankle: a case report

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Chinese Medical Journal 2002年第6期 142-143页

作者：张耀南 Hashimoto Jun Inui Hiroaki nobuhara katsuya

ZHANG Yaonan , Hashimoto Jun, Inui Hiroaki and nobuhara katsuya Department of Orthopaedics, Beijing Hospital, Beijing 100730, China (Zhang YN)

关键词： impingement symptom · footballer’s ankle · degenerative joint disease

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肩袖撕裂的病因探讨

中华骨科杂志 1996年第9期16卷 562-563页

作者：孙常太黄公怡信原克哉北京医院骨科日本国兵库县野市揖西町土师720信原医院

Ｃｏｄｍａｎ提出冈上肌离大结节止点１ｃｍ处为乏血管区，此区是造成肩袖撕裂的主要原因。ＮｅｅｒⅡ则提出９５％的肩袖撕裂是由肩峰下撞击引起。作者对３５例肩袖撕裂的病人进行了临床与手术的观察，发现肩袖撕裂的部位主要分布于冈... 详细信息

Ｃｏｄｍａｎ提出冈上肌离大结节止点１ｃｍ处为乏血管区，此区是造成肩袖撕裂的主要原因。ＮｅｅｒⅡ则提出９５％的肩袖撕裂是由肩峰下撞击引起。作者对３５例肩袖撕裂的病人进行了临床与手术的观察，发现肩袖撕裂的部位主要分布于冈上肌，占９７．１％。３５例中撞击征病人１０例。Ｃｏｄｍａｎ的乏血管区不仅存在于冈上肌，亦存在于肩袖其它肌腱，故乏血管区不是引起肩袖撕裂的主要原因。撞击征亦不是，只占全部撕裂总数的２８．６％。作者认为引起肩袖撕裂的内在因素包括肩袖肌腱的乏血管区和冈上肌的特殊位置和功能，外在因素包括肩关节反复应用，肩峰下撞击和不同程度的肩部外伤。

关键词：肩袖撕裂病因

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老年人肩袖撕裂的手术治疗

中华老年医学杂志 1999年第2期18卷 108-109页

作者：路奎元信原克哉三森歧卫生部北京医院骨科日本信原病院

目的增强对老年人肩袖撕裂的认识，以正确处理老年人肩袖损伤。方法回顾性分析１３３例老年肩袖撕裂患者的临床及手术治疗情况，探索老年人肩袖撕裂的诊断和治疗方法。结果１３３例经手术治疗后，疼痛消失率为８４．２％，肌力恢复者占... 详细信息

目的增强对老年人肩袖撕裂的认识，以正确处理老年人肩袖损伤。方法回顾性分析１３３例老年肩袖撕裂患者的临床及手术治疗情况，探索老年人肩袖撕裂的诊断和治疗方法。结果１３３例经手术治疗后，疼痛消失率为８４．２％，肌力恢复者占７０．６％，有正常生活能力者占８８．７％；手术后优良率达８８．０％。结论老年人肩袖撕裂多发生在退变基础上，一旦损伤并伴有明显症状者，应及时手术治疗。

关键词：回旋套老年人肩袖撕裂外科手术治疗

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MRI在常见肩关节疾病诊断中的应用

中华骨科杂志 1999年第2期19卷 103-105,I003页

作者：朱庆生桥本淳信原克哉第四军医大学西京医院骨科日本兵库信原病院骨科和生物力学研究所

目的探讨ＭＲＩ对慢性肩关节疼痛的诊断和鉴别诊断的重要性。方法本组通过７０例８６肩的ＭＲＩ肩关节造影与手术发现结果的比较。评价肩关节造影和ＭＲＩ在诊断肩袖疾患和肩关节不稳中的应用价值。结果在诊断肩袖完全撕裂中，关节造影... 详细信息

目的探讨ＭＲＩ对慢性肩关节疼痛的诊断和鉴别诊断的重要性。方法本组通过７０例８６肩的ＭＲＩ肩关节造影与手术发现结果的比较。评价肩关节造影和ＭＲＩ在诊断肩袖疾患和肩关节不稳中的应用价值。结果在诊断肩袖完全撕裂中，关节造影的敏感性为９１％，特异性为１００％，ＭＲＩ的敏感性为９５％，特异性为８８％。ＭＲＩ不但能够准确显示肩袖撕裂的部位。尚能显示出其它相关组织的病理改变。关节造影难以显示肩袖不全撕裂，ＭＲＩ虽能显示，但缺乏敏感性。在肩关节前方不稳关节盂唇损伤的诊断中，ＭＲＩ对关节盂唇异常的显示其敏感性为９６％，特异性为７５％。对关节盂唇撕裂的显示，其敏感性为７８％，特异性为８８％。结论ＭＲＩ在对引起肩关节慢性疼痛最常见的疾病即肩袖撕裂和习惯性肩关节前脱位或半脱位的诊断中能够清楚显示病变部位和相关组织的病理改变。有较高敏感性和特异性。关节造影诊断肩袖完全撕裂有较高的敏感性和特异性，且方法简单、费用较低，便于临床开展。

关键词：肩关节疾病 NMR 成像诊断

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肩袖撕裂与肩峰骨棘之间关系的临床研究

中华关节外科杂志（电子版） 2010年第1期4卷 3-7页

作者：张耀南乾皓明驹井正彦桥本淳金谷整亮信原克哉卫生部北京医院骨科 100730 信原病院暨生物力学研究所整形外科

目的回顾性分析肩袖撕裂患者术前肩关节X线片显示的肩峰骨棘的形态学变化,探讨与其合并肩袖撕裂的关系。方法依据1970年5月至1998年3月间,日本信原病院1068例肩袖撕裂患者的1121个肩关节正位X线片和其临床患者资料。分别测量X线片上超过... 详细信息

目的回顾性分析肩袖撕裂患者术前肩关节X线片显示的肩峰骨棘的形态学变化,探讨与其合并肩袖撕裂的关系。方法依据1970年5月至1998年3月间,日本信原病院1068例肩袖撕裂患者的1121个肩关节正位X线片和其临床患者资料。分别测量X线片上超过1mm的肩峰骨棘大小(A级为≥1～5mm,B级为≥5～10mm,C级为≥10mm)及肩峰下间隙(又称作肩峰与肱骨头间距离,AHI)。临床患者资料分析包括患者的年龄、性别、肩关节疾病史及既往病史,治疗、手术经过等。结果根据肩峰骨棘的形态学变化,本文将肩峰形态分为六型,Ⅰ型(正常肩峰47.6%),Ⅱ型(肩峰下平面的骨棘16.5%),Ⅲ型(外侧肩峰的骨棘3.3%),Ⅳ型(喙肩韧带方向的骨棘11.9%),Ⅴ型(肩锁关节的退变20.4%),Ⅵ型(肩峰的双边征象17.8%);其中534肩(47.6%)无肩峰骨棘(12～87岁,平均54.1岁);587肩(52.4%)有肩峰骨棘(17～83岁,平均59.4岁);肩峰骨棘的患者中467个肩(41.7%)的骨棘为A级,112个肩(10%)为B级,8个肩(0.7%)为C级。801个肩(71.5%)的肩袖撕裂是由创伤所致;不明原因的肩袖撕裂有201个肩(17.9%);过度使用、积累性劳损的是119个肩(10.6%)。AHI的平均值为(8.7±2.6)mm,男性患者为(8.8±2.6)mm,女性患者为(8.4±2.7)mm,在有肩峰骨棘患者群中AHI为(8.4±2.7)mm,无肩峰骨棘患者群中AHI为(9.1±2.5)mm(t=2.93,P0.05)。肩峰骨棘患者群中51～60岁年龄组与61岁以上各年龄组间都有统计学差异(2=64.64,P<0.05)。结论肩关节X线片上肩峰骨棘的形态学分类,有助于医师认识和确诊患者患有肩峰骨棘。本研究认为肩峰骨棘与肩袖撕裂有明确相关性。随着患者年龄的增大,肩袖肌腱和肩峰骨质退行性变的发生,轻微的创伤都有可能导致肩袖撕裂。50岁以上的肩关节患者合并有肩峰骨棘,都应考虑其有肩袖撕裂的可能。

关键词：肩峰肩袖撕裂放射摄影术

Using GIS to develop a mobile communications network for disaster-damaged areas

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International Journal of Digital Earth 2014年第4期7卷 279-293页

作者： Youhei Kawamura Ashraf MDewan Bert Veenendaal Masahiro Hayashi Takeshi Shibuya Itaru Kitahara Hajime nobuhara Kento Ishii Department of Mining Engineering Curtin UniversityKalgoorlieAustralia Department of Spatial Sciences Curtin UniversityPerthAustralia Graduate School of System and Information Engineering University of TsukubaTsukubaJapan

Communications network damage resulting from a large disaster causes difficulties in the ability to rapidly understand the current situation and thus make appropriate decisions towards mitigating problems,such as where to send and dispense emergency *** research outlined in this paper focuses on the rapid construction of a network after a disaster *** study suggests ZigBee and geographic information systems(GIS)technologies to resolve these problems and provide an effective communication *** experimental results of the ZigBee network system are presented,examples are provided of the mapping and analysis undertaken using GIS for the disaster-stricken area of Tsukuba City,Japan,and the communications node arrangements are determined for this *** results demonstrate the effectiveness of establishing such a communications system for supporting efforts to relieve disaster-damaged areas.

关键词： ZigBee GIS disaster network

Trimethoprim-Sulfamethoxazole-Induced Hepatitis in Mixed Connective Tissue Disease

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International Journal of Clinical Medicine 2011年第5期2卷 629-632页

作者： Takeshi Sugimoto Yumiko nobuhara Seiji Kawano Akio Morinobu 不详

Trimethoprim-Sulfamethoxazole (TMP-SMZ) is associated with severe hepatic toxicity or liver failure. We present a case of severe hepatic toxicity for whom TMP-SMZ was prescribed as part of treatment for mixed connective tissue disease (MCTD). TMP-SMZ was used to prevent complications from steroid therapy, but fever and hepatic toxicity developed with repeated TMP-SMZ medication. While the drug lymphocyte stimulation test (DLST) for TMP-SMZ showed negative, the genotype for N-acetyltransferase 2 (NAT2) showed type *6/*7, which is the slow acetylating type for NAT2 activity. This finding for NAT2 genotype and the patient’s clinical history lead us to speculate that her fever and hepatic toxicity were caused by TMP-SMZ.

关键词： Hepatic toxicity Mixed Connective Tissue Disease N-Acetyltransferase 2 Trimethoprim-Sulfamethoxazole

Nondestructive high-sensitivity measurement method for activation estimation in accelerator room concrete

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辐射防护 2020年第6期40卷 677-682页

作者： Hiroshi Matsumura Go Yoshida Akihiro Toyoda Kazuyoshi Masumoto Hajime Nakamura Taichi Miura Koichi Nishikawa Kotaro Bessho Kimikazu Sasa Tetsuaki Moriguchi Fumiyoshi nobuhara Yoko Nagashima High Energy Accelerator Research Organization(KEK) Oho 1-1Tsukuba Ibaraki 305-0801Japan University of Tsukuba 1-1-1 TennodaiTsukubaIbaraki 305-8577Japan Tokyo Nuclear Services Co. Ltd.1-3-5.TaitoTaito-kuTokyo 110-0016Japan

This study established a method for easily and quickly estimating the specific activity produced in the concrete walls and floors of accelerator rooms during long-term operation of accelerator,for advanced zoning of activated/nonactivated areas in planning the decommissioning of an *** propose a new,highly sensitive method for nondestructively estimating the specific activity in concrete that can be applied to activation *** this method,instead of direct determination of the specific activities of important long-half-life radionuclides for decommissioning,such as 152 Eu and 60 Co,we determine the specific activities of short-half-life radionuclides,24 Na and 56 Mn,in situ to obtain neutron *** obtained neutron flux and accelerator operation history yield the specific activities of 152 Eu and 60 Co for the advance zoning of activated/non-activated *** method is a powerful long-term prediction tool for concrete activation.

关键词： accelerator activation concrete specific activity decommissioning

Distribution of late gadolinium enhancement in various types of cardiomyopathies:Significance in differential diagnosis, clinical features and prognosis

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World Journal of Cardiology 2014年第7期6卷 585-601页

作者： Hiroshi Satoh Makoto Sano Kenichiro Suwa Takeji Saitoh Mamoru nobuhara Masao Saotome Tsuyoshi Urushida Hideki Katoh Hideharu Hayashi Division of Cardiology Internal Medicine ⅢHamamatsu University School of Medicine

The recent development of cardiac magnetic resonance(CMR)techniques has allowed detailed analyses of cardiac function and tissue characterization with high spatial *** review characteristic CMR features in ischemic and non-ischemic cardiomyopathies(ICM and NICM),especially in terms of the location and distribution of late gadolinium enhancement(LGE).CMR in ICM shows segmental wall motion abnormalities or wall thinning in a particular coronary arterial territory,and the subendocardial or transmural *** in NICM generally does not correspond to any particular coronary artery distribution and is located mostly in the mid-wall to subepicardial *** analysis of LGE distribution is valuable to differentiate NICM with diffusely impaired systolic function,including dilated cardiomyopathy,end-stage hypertrophic cardiomyopathy(HCM),cardiac sarcoidosis,and myocarditis,and those with diffuse left ventricular(LV)hypertrophy including HCM,cardiac amyloidosis and Anderson-Fabry disease.A transient low signal intensity LGE in regions of severe LV dysfunction is a particular feature of stress *** arrhythmogenic right ventricular cardiomyopathy/dysplasia,an enhancement of right ventricular(RV)wall with functional and morphological changes of RV becomes ***,the analyses of LGE distribution have potentials to predict cardiac outcomes and response to treatments.

关键词： Cardiomyopathy Cardiac magnetic resonance Late gadolinium enhancement Cardiac function Clinical features Prognosis