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Angle of covered self-expandable metallic stents after placement is a risk factor for recurrent biliary obstruction

World Journal of Hepatology 2022年第5期14卷 992-1005页

作者： Kojiro Tanoue Hirotsugu Maruyama Yuki Ishikawa-Kakiya Yosuke Kinoshita Kappei Hayashi Masafumi Yamamura Masaki Ominami Yuji Nadatani Shusei Fukunaga Koji Otani shuhei hosomi Fumio Tanaka Noriko Kamata Yasuaki Nagami Koichi Taira Toshio Watanabe Yasuhiro Fujiwara Department of Gastroenterology Osaka City University Graduate School of MedicineOsaka 545-8585Japan

BACKGROUND Studies have shown that covered self-expandable metallic stents(CSEMS)with a low axial forces after placement can cause early recurrent biliary obstruction(RBO)due to precipitating sludge *** To ascertain whether the angle of CSEMS after placement is a risk factor for RBO in unresectable distal malignant biliary obstruction(MBO).METHODS Between January 2010 and March 2019,261 consecutive patients underwent selfexpandable metallic stent insertion by endoscopic retrograde cholangiopancreatography at our facility,and 87 patients were included in this *** evaluated the risk factors for RBO,including the angle of CSEMS after placement as the primary *** measured the obtuse angle of CSEMS after placement on an abdominal radiograph using the SYNAPSE PACS *** also evaluated technical and functional success,adverse events,time to RBO(TRBO),non-RBO rate,survival time,cause of RBO,and reintervention procedure as secondary *** We divided the patients into two cohorts based on the presence or absence of *** angle of CSEMS after placement(per 1°and per 10°)was evaluated using the multivariate Cox proportional hazard analysis,which was an independent risk factor for RBO in unresectable distal MBO[hazard ratio,0.97 and 0.71;95%confidence interval(CI):0.94-0.99 and 0.54-0.92;P=0.01 and 0.01,respectively].For early diagnosis of RBO,the cut-off value of the angle of CSEMS after placement using the receiver operating characteristic curve was 130°[sensitivity,50.0%;specificity 85.5%;area under the curve 0.70(95%CI:0.57-0.84)].TRBO in the<130°angle group was significantly shorter than that in the≥130°angle group(P<0.01).CONCLUSION This study suggests that the angle of the CSEMS after placement for unresectable distal MBO is a risk factor for *** novel results provide pertinent information for future stent management.

关键词： Covered self-expandable metallic stents Recurrent biliary obstruction Malignant biliary obstruction Endoscopic retrograde cholangiopancreatography Angle Axial force

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Measurement of prostaglandin metabolites is useful in diagnosis of small bowel ulcerations

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World Journal of Gastroenterology 2019年第14期25卷 1753-1763页

作者： Yuichi Matsuno Junji Umeno Motohiro Esaki Yoichiro Hirakawa Yuta Fuyuno Yasuharu Okamoto Atsushi Hirano Shigeyoshi Yasukawa Fumihito Hirai Toshiyuki Matsui shuhei hosomi Kenji Watanabe Naoki Hosoe Haruhiko Ogata Tadakazu Hisamatsu Shunichi Yanai Shuji Kochi Koichi Kurahara Tsuneyoshi Yao Takehiro Torisu Takanari Kitazono Takayuki Matsumoto Department of Medicine and Clinical Science Graduate School of Medical Sciences Kyushu University Department of Endoscopic Diagnostics and Therapeutic Saga University Hospital Department of Epidemiology and Public Health Graduate School of Medical Sciences Kyushu University Department of Gastroenterology Fukuoka University Chikushi Hospital Department of Gastroenterology Osaka City University Graduate School of Medicine Department of Intestinal Inflammation Research Hyogo College of Medicine Center for Diagnostic and Therapeutic Endoscopy School of Medicine Keio University the Third Department of Internal Medicine Kyorin University School of Medicine Division of Gastroenterology Department of Internal Medicine Iwate Medical University Division of Gastroenterology Matsuyama Red Cross Hospital Department of Gastroenterology Sada Hospital

BACKGROUND We recently reported on a hereditary enteropathy associated with a gene encoding a prostaglandin transporter and referred to as chronic enteropathy associated with SLCO2 A1 gene(CEAS). Crohn's disease(CD) is a major differential diagnosis of CEAS, because these diseases share some clinical features. Therefore, there is a need to develop a convenient screening test to distinguish CEAS from *** To examine whether prostaglandin E major urinary metabolites(PGE-MUM) can serve as a biomarker to distinguish CEAS from *** This was a transactional study of 20 patients with CEAS and 98 patients with *** was diagnosed by the confirmation of homozygous or compound heterozygous mutation of SLCO2 A1. We measured the concentration of PGEMUM in spot urine by radioimmunoassay, and the concentration was compared between the two groups of patients. We also determined the optimal cut-off value of PGE-MUM to distinguish CEAS from CD by receiver operating characteristic(ROC) curve *** Twenty Japanese patients with CEAS and 98 patients with CD were ***-MUM concentration in patients with CEAS was significantly higher than that in patients with CD(median 102.7 vs 27.9 μg/g × Cre, P < 0.0001). One log unit increase in PGE-MUM contributed to 7.3 increase in the likelihood for the diagnosis of CEAS [95% confidence interval(CI) 3.2-16.7]. A logistic regression analysis revealed that the association was significant even after adjusting confounding factors(adjusted odds ratio 29.6, 95%CI 4.7-185.7). ROC curve analysis revealed the optimal PGE-MUM cut-off value for the distinction of CEAS from CD to be 48.9 μg/g × Cre with 95.0% sensitivity and 79.6% *** PGE-MUM measurement is a convenient, non-invasive and useful test for the distinction of CEAS from CD.

关键词： Chronic enteropathy associated with SLCO2A1 gene Prostaglandin E major urinary metabolites Chronic nonspecific multiple ulcers of the small intestine Crohn's disease Small intestine

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Symmetric silicon microring resonator optical crossbar array for accelerated inference and training in deep learning

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Photonics Research 2024年第8期12卷 1681-1688页

作者： RUI TANG shuhei OHNO KEN TANIZAWA KAZUHIRO IKEDA MAKOTO OKANO KASIDIT TOPRASERTPONG SHINICHI TAKAGI MITSURU TAKENAKA Department of Electrical Engineering and Information Systems The University of TokyoTokyo 113-8656Japan Quantum ICT Research Institute Tamagawa UniversityTokyo 194-8610Japan National Institute of Advanced Industrial Science and Technology Ibaraki 305-8568Japan

Photonic integrated circuits are emerging as a promising platform for accelerating matrix multiplications in deep learning,leveraging the inherent parallel nature of *** various schemes have been proposed and demonstrated to realize such photonic matrix accelerators,the in situ training of artificial neural networks using photonic accelerators remains challenging due to the difficulty of direct on-chip backpropagation on a photonic *** this work,we propose a silicon microring resonator(MRR)optical crossbar array with a symmetric structure that allows for simple on-chip backpropagation,potentially enabling the acceleration of both the inference and training phases of deep *** demonstrate a 4×4 circuit on a Si-on-insulator platform and use it to perform inference tasks of a simple neural network for classifying iris flowers,achieving a classification accuracy of 93.3%.Subsequently,we train the neural network using simulated on-chip backpropagation and achieve an accuracy of 91.1%in the same inference task after ***,we simulate a convolutional neural network for handwritten digit recognition,using a 9×9 MRR crossbar array to perform the convolution *** work contributes to the realization of compact and energy-efficient photonic accelerators for deep learning.

关键词： resonator neural matrix

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Hyperacute experimental model of rat lung transplantation using a coronary shunt cannula

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World Journal of Transplantation 2024年第2期14卷 155-161页

作者： Munehisa Takata Yusuke Tanaka Daisuke Saito shuhei Yoshida Isao Matsumoto Department of Thoracic Surgery Kanazawa UniversityKanazawa 920-8641IshikawaJapan

BACKGROUND Lung transplantation is a well-established treatment of end-stage lung disease.A rodent model is an inexpensive way to collect biological data from a living model after lung ***,mastering the surgical technique takes time owing to the small organ *** To conduct rat lung transplantation using a shunt cannula(SC)or modified cannula(MC)and assess their *** Rat lung transplantation was performed in 11 animals in the SC group and 12 in the MC *** devised a method of rat lung transplantation using a coronary SC for coronary artery bypass surgery as an anastomosis of pulmonary arteri-ovenous vessels and *** same surgeon performed all surgical proce-dures in the donor and recipient rats without using a magnifying *** success rate of lung transplantation,operating time,and PaO2 values were com-pared after 2-h reperfusion after *** Ten and 12 lungs were successfully transplanted in the SC and MC groups,*** the SC group,one animal had cardiac arrest within 1 h after reperfusion owing to bleeding during pulmonary vein *** opera-ting time for the removal of the heart-lung block from the donor and preparation of the left lung graft was 26.8±2.3 and 25.7±1.3 min in the SC and MC groups,respectively(P=0.21).The time required for left lung transplantation in the recipients was 37.5±2.8 min and 35.9±1.4 min in the SC and MC groups,respectively(P=0.12).PaO2 values at 2 h after reperfusion were 456.2±25.5 and INTRODUCTION Lung transplantation is a well-established treatment of end-stage lung *** immune and non-immune mech-anisms in lung transplantation are highly complex,and post-transplant complications such as infections and primary and chronic lung allograft dysfunction must be reduced to improve ***,there is a need for immunological and pathophysiological analyses using animal lung transplantation *** rat lung transplantation model was f

关键词： Lung transplantation Rat Shunt cannula Modified cannula Reperfusion

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Comparison between combination therapy of percutaneous ethanol injection and radiofrequency ablation and radiofrequency ablation alone for patients with hepatocellular carcinoma

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World Journal of Gastroenterology 2005年第10期11卷 1426-1432页

作者： Kazutaka Kurokohchi Seishiro Watanabe Tsutomu Masaki Naoki hosomi Yoshiaki Miyauchi Takashi Himoto Yasuhiko Kimura Seiji Nakai Akihiro Deguchi Hirohito Yoneyama shuhei Yoshida Shigeki Kuriyama Third Department of Internal Medicine

AIM: In the present study, the characteristics of PEI-RFA treatment were further elucidated by analyzing the relationship between the volume of coagulated necrosis and the energy requirement for ablation or the amount of ethanol injected into ***: The volume of coagulated necrosis, total energy requirement and energy requirement for coagulation of per unit volume were examined in the groups of PEI-RFA and RFA alone using the Cool-tip RF ***: The results showed that the volume of coagulated necrosis induced was significantly larger in PEI-RFA group than in routine RFA group, when the total energy administered was comparable in both *** PEI-RFA, enlargement of coagulated necrosis was admitted in 3 dimensions and the amount of energy requirement per unit volume of coagulated necrosis was negatively correlated with the amount of ethanol injected into ***: These results suggest that, compared to RFA alone, PEI-RFA enables to induce comparable coagulated necrosis with smaller energy requirement, and that PEI-RFA is likely to be less invasive than RFA alone irrespective of inducing enhanced coagulated ***, simple prior injection of ethanol may make RFA treatment more effective and less invasive for the treatment of patients with HCC.

关键词： Combination therapy Percutaneous ethanol injection Radiofrequency ablation Energy requirement

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Prioritizing Strategies for Building the Resilience of Public Health Systems to Disasters Across Multiple Communities and Countries

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International Journal of Disaster Risk Science 2024年第1期15卷 1-17页

作者： Benjamin J.Ryan Mayumi Kako Shelby Garner Rok Fink Ismail Tayfur Jonathan Abrahams Sanjaya Bhatia Adriana Campelo Matthew Fendt Alicia Fontenot Nahuel Arenas Garcia Tim Hatch Ryoma Kayano LaShonda Malrey‑Horne Makiko MacDermot Md Moshiur Rahman Chaverle Noel shuhei Nomura Jeremy P.Novak Maria Opazo Kendell Oliver Luciana Peters Sohel Rahman PerihanŞimşek Andrew Stricklin Raymond Swienton Bryan W.Brooks Frist College of Medicine Belmont UniversityNashvilleTN 37212USA Department of Environmental Science Environmental Health Science ProgramCollege of Arts and SciencesBaylor UniversityWacoTX 76798USA Division of Nursing Science School of Biomedical and Health SciencesHiroshima UniversityHiroshima 734-8553Japan Gordon E.Inman College of Health Sciences and Nursing Belmont UniversityNashvilleTN 37212USA Faculty of Health Sciences University of Ljubljana1000 LjubljanaSlovenia Department of Emergency Medicine University of Health Sciences34668 IstanbulTurkey Monash University Accident Research Center MelbourneVIC 3800Australia Global Education and Training Institute United Nations Ofce for Disaster Risk ReductionIncheon 22004Republic of Korea Regional Ofce for the Americas and Caribbean United Nations Ofce for Disaster Risk ReductionPanama City 0843-03441Panama Engineering and Computer Science Baylor UniversityWacoTX 76798USA Department of Public Health Robbins College of Health and Human SciencesBaylor UniversityWacoTX 76798USA Alabama Department of Public Health MontgomeryAL 36092USA World Health Organization Centre for Health Development(WHO Kobe Centre) Kobe 651-0073Japan Waco-McLennan County Public Health District WacoTX 76707USA Department of Health Policy and Management School of MedicineKeio UniversityTokyo 160-8582Japan Department of Global Health Policy Graduate School of MedicineThe University of TokyoTokyo 113-0033Japan Tokyo Foundation for Policy Research Tokyo 106-6234Japan Global Development College BrisbaneQLD 4000Australia Municipality of Pudahuel 13124 PudahuelChile City Hall of Porto Alegre Porto Alegre 90010-170Brazil Ministry of Health and Family Welfare Government of the People’s Republic of BangladeshDhaka 1000Bangladesh Department of Emergency Aid and Disaster Management Trabzon University61335 TrabzonTurkey Department of Emergency Medicine UT SouthwesternDallasTX 75390USA

The COVID-19 pandemic highlighted the urgent need to strengthen public health *** response,the United Nations Disaster Risk Reduction(UNDRR) Public Health System Resilience Scorecard(Scorecard) was applied in workshops across multiple *** aim of our research was to explore the workshop findings to develop priority strategies for strengthening public health system *** conducted a workshop from 14 to 16 March 2023,at the UNDRR Global Education and Training Institute in Incheon,Republic of Korea.A sequential modified Delphi method was utilized to develop a set of prioritized resilience *** were drawn from 70 strategies identified from 13 distinct workshops in eight *** two surveys,23 strategies were *** received ratings of "High" or Very High" from89% of *** related to the inclusion of public health risks in emergency plans,integrating multidisciplinary teams into public health,enabling local transport mechanisms,and improving the ability to manage an influx of *** Scorecard provides an adaptable framework to identify and prioritize strategies for strengthening public health system *** leveraging this methodology,our study demonstrated how resilience strategies could inform disaster risk reduction funding,policies,and actions.

关键词： Health system resilience Public policy Resilience scorecard Workshops

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A COMBINATORIAL ASPECT OF A DISCRETE-TIME SEMI-INFINITE LOTKA-VOLTERRA EQUATION

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Journal of Systems Science & Complexity 2010年第1期23卷 71-80页

作者： shuhei KAMIOKA Satoru MIZUTANI Department of Applied Mathematics and Physics Graduate School of InformaticsKyoto University KDDI Corporation Garden Air Tower

A graph is introduced,which allows of a combinatorial interpretation of a discrete-timesemi-infinite Lotka-Volterra (dLV) *** particular,Hankel determinants used in a determinantsolution to the dLV equation are evaluated,via the Gessel-Viennot method,in terms of ***,the recurrence of the dLV equation describing its time-evolution is equivalentlyexpressed as a time-evolution of weight of specific subgraphs.

关键词： Combinatorial proofs discrete integrable systems dynamics on graphs Gessel-Viennot method Hankel determinants non-intersecting paths weighted paths on labeled graphs.

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Dynamic properties of a flexible metal-organic framework exhibiting a unique"picture frame"-like crystal morphology

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Nano Research 2021年第2期14卷 432-437页

作者： Kenji Sumida Nao Horike shuhei Furukawa Institute for Integrated Cell-Material Sciences(WPI-iCeMS) Kyoto UniversityYoshidaSakyo-kuKyoto 606-8501Japan Centre for Advanced Nanomaterials School of Physical SciencesUniversity of AdelaideSA 5005Australia

The precise control of the crystal morphology of metal-organic frameworks(MOFs)enables optimization of its adsorptive properties,as well as enables better integration within functional ***,the influence of such modifications on the dynamic properties of flexible MOFs is poorly understood Here,we report the synthesis of a series of Cu_(2)(bdc)_(2)(bpy)(bdc^(2-)=1,4-benzenedicarboxylate;bpy=4,4,-bipyridine)crystals having an unusual picture frame-like morphology that results from a restriction in the quantity of bpy pillars added to the reaction mixture during the intercalation of the Cu_(2)(bdc)_(2)(MeOH)_(2)*** width of the frames is found to correlate with the quantity of bpy,and importantly,causes the dynamic properties of the resulting Cu_(2)(bdc)_(2)(bpy)material to vary between rigid,elastic,and shape memory *** all,the results demonstrate the potential for the properties of MOFs to be optimized via subtle manipulations in the crystal morphology rather than changes in the overall material composition.

关键词： metal-organic frameworks morphology control framework flexibility shape-memory effect gas sorption

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What is the purpose of launching the World Journal of Clinical Cases?

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World Journal of Clinical Cases 2013年第1期1卷 1-3页

作者： shuhei Yoshida Division of Gastroenterology Harvard Medical SchoolBeth Israel Deaconess Medical CenterBostonMA 02215 United States

The first issue of the World Journal of Clinical Cases(WJCC), whose preparatory work was initiated on October 26, 2012, will be published on April 16, 2013. The WJCC Editorial Board has now been established and consists of 520 distinguished experts from 55 countries. Our purpose of launching WJCC is to publish peer-reviewed, high-quality articles via an open-access online publishing model, thereby acting as a platform for communication between peers and the wider public, and maximizing the benefits to editorial board members, authors and readers.

关键词： Clinical cases Peer-reviewed Open-access Authors Readers

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Trade-off evaluation using carbon dioxide equivalent and hazard index of a paddy soil with application of organic liquid fertilizer

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Pedosphere 2022年第6期32卷 928-932页

作者： Shohei RIYA Ryo IMANO Jining LI Huifeng SUN Sheng ZHOU Masaaki hosomi Department of Chemical Engineering Faculty of EngineeringTokyo University of Agriculture and Technology2-24-16 Naka-ChoKoganeiTokyo 184-8588(Japan) School of Environment Nanjing Normal UniversityNanjing 210023(China) Eco-Environmental Protection Research Institute Shanghai Academy of Agricultural SciencesShanghai 201403(China)

Dear Editor,Rice is an important staple food crop in Asia,but the anaerobic soil conditions in rice fields cause emission of the potent greenhouse gas,methane(CH)(Le Mer and Roger,2001),and promote the accumulation of arsenic(As)in the grain(Le Mer and Roger,2001;Khanam et al.,2020).To facilitate sustainable agriculture,using wastewater as an organic fertilizer is essential for reducing wastewater treatment-associated energy consumption and the recycling of wastewater nutrients(Zou et al.,2009).

关键词： wastewater soil dioxide

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