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5-year audit of the range and volume of diagnostic radiographic services at the University of Nairobi Dental Hospital

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Open Journal of Stomatology（口腔学期刊） 2012年第3期

作者： Eunice N. kihara Florence Opondo tom J. Ocholla Mark L. Chindia Evelyn Wagaiyu

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A Fundamental Study on Multi-agent Pedestrian Model Based on Risk Avoidance Behavior during Road Blockage and Evacuation Simulation of Regional Urban Disaster

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Journal of Civil Engineering and Architecture 2019年第4期13卷 219-237页

作者： Hideaki takayanagi t.t.ut. kihara Yosuke Kurita Kazuhide Kawaguchi Hidetoshi Kawaguchi takaaki Furukawa takuhi Ono Shogo Yamada Department of Urban Life Studies Tokyo City UniversityTokyo 158-8586Japan General Design Planning kihara Tokyo157-0067Japan Chuo Fukken Consultants co. LTD.Osaka533-0033Japan the Graduate of Environmental and Information Tokyo202-0006Japan

Regional cities in Japan are at the risk of experiencing big fire accidents or earthquakes every ***,neither the number nor the capacity of shelters has increased because local governments might not consider them owing to budget *** contrast,wide-area evacuation simulations can easily provide an antagonizing image of regional urban *** a disaster,the city collapses and the evacuation routes are closed;consequently,evacuees feel anxious and they cannot move as *** anxiety behavior has not been considered in previous related studies and *** this study,a wide-area evacuation simulation is developed;this model can not only calculate the possibility of blocking escape routes when the city is broken but also provide safe and more realistic evacuation plans before a disaster occurs by incorporating into the simulation the risk avoidance behaviors of evacuees from road blockage,such as“the route re-seeking behavior”and“the shelter re-selecting behavior”.

关键词： Wide-area evacuation simulation multi-agent model risk avoidance behavior regional disaster prevention plan

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Neoadjuvant Chemotherapy for Clinical Stage II and III thoracic Esophageal Squamous Cell Carcinoma with Curative Esophagectomy

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Journal of Cancer therapy（癌症治疗） 2015年第15期

作者： Masahide Ikeguchi Yusuke Kohno Kyoichi kihara Kazunori Suzuki Kanenori Endo Seiichi Nakamura takashi Sawada tetsu Shimizu tomoyuki Matsunaga Yoji Fukumoto Hiroaki Saito

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Clinical efficacy of anti-Mullerian hormone inspection in supporting diagnosis for climacteric disorders

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Open Journal of Internal Medicine（内科学期刊） 2011年第3期

作者： takao Namiki Haruka Kakikura Yukari Matsumoto Ueno Koichi Hiromi Sato Atsushi Chino Akito Hisanaga Akiyo Kaneko toshiaki Kita Maki kihara Makio Shozu Katsutoshi terasawa

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HCV感染患者的胰岛素抵抗和胰岛素释放

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世界核心医学期刊文摘（胃肠病学分册） 2005年第1期1卷 62-62页

作者： Narita R. Abe S. kihara Y. M. Otsuki 刘娜 third Dept.of Internal Medicine Univ.of Occup.and Environ.HealthJapanSch.Med.1-1 IseigaokaY.KitakyushuJapan

Background/Aims Diabetes mellitus (DM) is frequently observed in patients with chronic hepatitis caused by hepatitis C virus infection (CHC). the present study was designed to determine the pathogenic factors responsible for glucose intolerance in CHC patients. Methods A total of 131 patients with CHC were enrolled in this study. Insulin resistance and β-cell function were determined after 75 g oral glucose tolerance tests. Results Glucose intolerance was detected in 27.5% (36/131) of CHC patients; 10 had DM and 26 impaired glucose tolerance. HOMA-R insulin 0× glucose 0/22.5 was greater in patients with both impaired glucose tolerance and DM than in those with normal glucose tolerance (Ptsuda index 104/√ (mean insulin× mean glucose× glucose0× insulin 0) was lower in diabetic patients than in those with normal glucose tolerance (Pthe insulinogenic indexΔ insulin 30-0/Δ glucose 30-0 and Δ C-peptide 30 Δ C-peptide30-0/Δ glucose 30-0 were significantly lower even in patients with impaired glucose tolerance than in patients with normal glucose tolerance (Pth insulin resistance and β-cell dysfunction contribute to glucose intolerance in CHC patients.

关键词：胰岛素释放胰岛素抵抗 HCV感染糖耐量异常空腹胰岛素口服葡萄糖耐量空腹血糖慢性丙型肝炎空腹葡萄糖功能失调

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定向冠状动脉粥样斑块旋切术切取的不稳定斑块中白介素-10的表达增加

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世界核心医学期刊文摘（心脏病学分册） 2006年第12期2卷 34-页

作者： Nishihira K. Imamura t. Yamashita A. 刘少伟 First Department of Internal Medicine University of Miyazaki 5200 Kihara Kiyotake Miyazaki 889-1692 Japan

Aims: the present study investigates the expression and localization of interleukin(IL)-10, an important anti-inflammatory cytokine, in atherectomy specimens from patients with stable and unstable angina. Methods and results: twenty-two patients with stable angina and 21 with unstable angina who underwent directional coronary atherectomy for de novo lesions were studied. the atherectomy specimens were morphologically assessed and immunohistochemically stained with antibodies for IL-10, macrophages, smoothmuscle cells, and endothelial cells. the localization and immunopositive areas were evaluated using an image analysing system. Immunoreactivity for IL-10 was detected in coronary plaques, especially in macrophages. Immunopositive areas of macrophages and IL-10, as well as the incidence of thrombus formation, were significantly greater in specimens from patients with unstable angina than in those from patients with stable angina(macrophages, Pthrombus formation, Ptively). Even after adjustment, IL-10 expression and the incidence of thrombus formation were significantly greater in the unstable angina group(Pthe immunoreactivities for smooth muscle cells and endothelial cells did not differ between the two groups. Conclusion: IL-10 was more frequently expressed in specimens from patients with unstable angina. this finding might contribute to a better understanding of plaque instability.

关键词：冠状动脉粥样斑块不稳定型心绞痛患者 IL 斑块旋切白介素旋切术

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1例发生在降结肠的原发性孤立性成人t细胞淋巴瘤

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世界核心医学期刊文摘（胃肠病学分册） 2005年第3期1卷 54-54页

作者： Hidaka H. Hotokezaka M. Iwamura t. 姜志茹 First Department of Surgery Miyazaki Medical College 5200 Kihara Kiyotake Miyazaki 899-1692 Japan

We herein report a patient with adult t cell leukemia/ lymphoma (AtLL) of the descending colon. A 64 year old man was admitted to our hospital complaining of left lower abdominal pain. Endoscopic examination revealed an ulcerative tumor in the descending colon that was diagnosed as t cell lymphoma by biopsy. Neither distant organ metastasis nor lymph node swelling was observed by radiographic examinations. Curative excision with left hemicolectomy and regional lymph node dissection was performed. Surgical sections contained ulcerative and superficially elevated lesions; these were continuous with each other. Histological examination revealed diffuse proliferation of medium sized abnormal lymphoid cells. Immunohistochemically, these lymphoid cells were positive for UCHL 1/CD45RO and CD3 and negative for CD79a, indicating that the tumor was a primary malignant t cell lymphoma of the descending colon. Integration of the proviral DNA of human t lymphotropic virus type 1 (HtLV 1) was confirmed by Southern blotting analysis.

关键词：淋巴瘤异常淋巴细胞左半结肠切除范围淋巴结清扫淋巴结肿大前病毒放射学检查端器 DNA

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