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Exploring Global Demands for Integrating Social Aspects into Community Healthcare: A Literature Review

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Health 2024年第9期16卷 785-793页

作者： Junko Imaiso Faculty of Nursing Kansai University of Social Welfare Ako Japan

Aging and crises like pandemics and climate change are global concerns that affect community environments. These social and natural changes influence people’s health worldwide. Aging impacts human health, including physical and mental aspects, and increases the need for care. Recent crises have affected not only the elderly but also younger populations, necessitating further efforts to develop a systematic community strategy. The goal of such a strategy is to maintain or enhance people’s well-being. As we face aging and crises like pandemics and climate change, it becomes essential to consider health holistically and globally, taking into account the community environment and social determinants without boundaries. The present study aimed to explore the necessary aspects of incorporating social determinants into clinical practice, enabling healthcare providers to view health from a holistic and planetary perspective. This approach facilitates the development of integrated community strategies. The study reviewed literature from PubMed, MEDLINE, and CINAHL databases, focusing on medicine, health, and welfare. An electronic search for English-language articles in peer-reviewed journals was conducted up to July 2024, using search terms such as “holistic health,” “planetary health,” and “social determinants.” Eight articles were identified through the search. After excluding three based on their titles, abstracts, and full texts, five articles were selected. The research focused on three areas: perceiving health in ecosystems, considering health-related policy in clinical situations, and addressing health in primary care settings. This study emphasizes the need for further research on innovative, integrated community strategies in the context of a globally aging society, focusing on non-medical aspects like pandemics, climate change, and social determinants to achieve a holistic and planetary understanding of people’s health. It suggests that understanding the social as

关键词： Community Environment Global Healthcare Holistic Planetary Social

Electro-optic 3D snapshot of a laser wakefield accelerated kilo-ampere electron bunch

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Light(Science & Applications) 2024年第5期13卷 823-834页

作者： Kai Huang Zhan Jin Nobuhiko Nakanii Tomonao Hosokai Masaki Kando kansai Institute for Photon Science(KPSI) National Institutes for Quantum Science and Technology(QST)KyotoJapan. Laser Accelerator R&D Innovative Light Sources DivisionRIKEN SPring-8 CenterHyogoJapan. SANKEN Osaka UniversityOsakaJapan

Laser wakefield acceleration,as an advanced accelerator concept,has attracted great attentions for its ultrahigh acceleration gradient and the capability to produce high brightness electron *** three-dimensional(3D)density serves as an evaluation metric for the particle bunch quality and is intrinsically related to the applications of an *** its significance,this parameter has not been experimentally measured in the investigation of laser wakefield *** report on an electro-optic 3D snapshot of a laser wakefield electron bunch at a position outside the *** 3D shape of the electron bunch was detected by simultaneously performing optical transition radiation imaging and electro-optic *** 3D structures to a few micrometer levels were reconstructed using a genetic *** electron bunch possessed a transverse size of less than 30 *** current profile shows a multi-peak *** main peak had a duration of1 *** maximum electron 3D number density was~9×10^(21)m^(-3).This research demonstrates a feasible way of 3D density monitoring on femtosecond kilo-ampere electron bunches,at any position of a beam transport line for relevant applications.

关键词： laser acceleration field

Operationally Simple Enantioselective Silane Reduction of Ketones by the [Ir(OMe)(cod)]₂/Azolium Catalytic System

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International Journal of Organic Chemistry 2024年第1期14卷 1-19页

作者： Satoshi Sakaguchi Chika Nagao Ryo Ichihara Shogo Matsuo Department of Chemistry and Materials Engineering Faculty of Chemistry Materials and Bioengineering Kansai University Suita Japan

An operationally simple protocol was designed for the enantioselective silane reduction (ESR) of ketones using air- and moisture-stable [Ir(OMe)(cod)]2 (cod = 1,5-cyclooctadiene) (3) as a metal catalyst precursor. This reaction was driven by chiral hydroxyamide-functionalized azolium salt 2. The catalytic ESR reaction could be performed under benchtop conditions at room temperature. Treatment of 2 with 3 in THF yielded the monodentate IrCl(NHC)(cod) (NHC = N-heterocyclic carbene) complex 4 in 93% yield, herein the anionic methoxy ligand of 3 serves as an internal base that deprotonates the azolium ring of 2. The well-defined Ir complex 4 catalyzed the ESR reaction of propiophenone (6) with (EtO)2MeSiH using the pre-mixing reaction procedure. Based on this success, the catalytic ESR reaction was designed and implemented using an in situ-generated NHC/Ir catalyst derived from 2 and 3. Thus, a wide variety of aryl ketones could be reduced to the corresponding optically active alcohols in moderate to excellent stereoselectivities at room temperature without temperature control. Since the high catalytic activity of 3 was observed, we next evaluated several other transition metal catalyst precursors for the catalytic ESR reaction under the influence of 2. This evaluation revealed that Ir(acac)(cod) (acac = acetylacetonate) (28) and [IrCl(cod)]2 (5) can be successfully used as metal catalyst precursors in the ESR reaction.

关键词： Asymmetric Catalysis Enantioselective Reduction Hydrosilylation Reaction N-Heterocyclic Carbene Iridium

The optimal stent pusher position to achieve successful ureteral stent insertion under fluoroscopic guidance

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Asian Journal of Urology 2024年第2期11卷 311-315页

作者： Makoto Taguchi Kaneki Yasuda Hidefumi Kinoshita Department of Urology Osaka Saiseikai Izuo Hospital Based on Social Welfare Organization“Saiseikai”Imperial Gift Foundation Inc.OsakaJapan Department of Urology and Andrology Kansai Medical UniversityHirakataOsakaJapan

Objective: To examine factors to predict the optimal stent pusher position when inserting ureteral stents under ***: We retrospectively reviewed 327 patients who underwent ureteral stent insertion. We considered the pubic bone as a useful anatomical landmark to insert ureteral stents under fluoroscopic guidance. Thus, we categorized patients into three groups (proximal, middle, and distal groups) according to the position of the radiopaque tip of the push catheter when inserting the ureteral stent. Success was defined as a completely curled ureteral stent tail. We compared stent insertion success rates among the three groups. A multivariate analysis was performed to identify the factors affecting stent insertion ***: In men, 36 (63.2%) cases were deemed successful in the proximal group compared with 40 (80.0%) cases in the middle group and 12 (20.7%) cases in the distal group (p<0.001). In women, 26 (45.6%) cases were deemed successful in the proximal group compared with 54 (98.2%) cases in the middle group and 38 (76.0%) cases in the distal group (p<0.001). With the multivariate analysis, the stent pusher position was the most significant factor influencing successful stent insertion (men: odds ratio 6.00, 95% confidence interval 2.66-13.51, p<0.001;women: odds ratio 37.80, 95% confidence interval 4.94-289.22, p<0.001).Conclusion: The position of the stent pusher affects stent insertion success. The middle of the pubic symphysis is the optimal position for the radiopaque tip of the pusher when inserting ureteral stents under fluoroscopic guidance.

关键词： Stent Cystoscopy Fluoroscopy Ureter

Thermal Properties of Al-50%Si Alloys

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材料热处理学报 2004年第5期25卷 180-182页

作者： Akio Nishimoto Katsuya Akamatsu Kazuyoshi Nakao Kazuo Ichii Department of Materials Science and Engineering Kansai University Osaka JapanDepartment of Materials Science and Engineering Kansai University Osaka JapanDepartment of Materials Science and Engineering Kansai University Osaka JapanDepartment of Materials Science and Engineering Kansai University Osaka Japan

In order to prepare a hypereutectic Al-Si alloy with low coefficients of thermal expansion (CTE), Al-50%Si alloy was produced by powder metallurgy (P/M) and ingot metallurgy (I/M). P/M specimen was prepared by mechanical alloying (MA) and pulsed electric-current sintering (PECS). The microstructures of specimens were characterized by optical microscopy and scanning electron microscopy (SEM) equipped with energy dispersive X-ray spectroscopy (EDS). Vickers microhardness and CTE measurements were performed. The grains in the P/M specimen were refined with increasing MA time. Primary Si and eutectic Si in the I/M specimen were remarkably refined by adding minute amounts of Sr. The CTE of P/M and I/M specimens were estimated as ***"6 and 10.7xlO"6, respectively. These values were as same as a CTE of AlaOs ceramics.

关键词： Al-Si合金热膨胀系数焙烧浇铸锶增加

Optimal Restoration Scheduling of Damaged Networks Under Uncertain Environment by Using Improved Genetic Algorithm

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Tsinghua Science and Technology 2008年第S1期13卷 400-405页

作者： Hitoshi FURUTA Ken ISHIBASHI Koichiro NAKATSU Shun HOTTA Department of Informatics Kansai University Graduate School of Informatics Kansai University

The purpose of this research is to propose an early restoration for lifeline systems after earthquake disasters. The previous researches show that the optimization of the restoration schedule by using genetic algorithm (GA) is powerful. However, those are not considering the uncertain environment after earthquake disasters. The circumstances of the damage at devastated areas are very changeable due to the aftershock, fire disaster and bad weather. In addition, the restoring works may delay by unexpected accidents. Therefore, it is necessary to obtain the restoration schedule which has robustness, because the actual restoring works could not progress smoothly under the uncertain environment. GA considering uncertainty (GACU) can treat various uncertainties involved, but it is difficult to obtain the robust schedule. In this study, an attempt is made to develop a decision support system of the optimal restoration scheduling by using the improved GACU.

关键词： restoration schedule genetic algorithm uncertainty delay of schedule

Preparation of Fe-Al Binary System Intermetallic Compounds by Multi-Layered Roll-Bonding

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材料热处理学报 2004年第5期25卷 53-55页

作者： Akio Nishimoto Katsuya Akamatsu Kazuyoshi Nakao Kazuo Ichii Tomohiro Hiraki Department of Materials Science and Engineering Kansai University Osaka JapanDepartment of Materials Science and Engineering Kansai University Osaka JapanDepartment of Materials Science and Engineering Kansai University Osaka JapanDepartment of Materials Science and Engineering Kansai University Osaka JapanToho Zinc Co. Ltd. Gunma Japan

Iron aluminides exhibit good resistance to high-temperature sulfidizing and oxidizing environments and potential for structural applications at high temperatures under corrosive environments. In this study, Fe-Al intermetallic compound was prepared by multi-layered roll-bonding of elemental Fe and Al foils. The process consisted of the accumulative roll-bonding (ARE) for making a laminated Fe/Al sheet and the subsequent heat treatment promoting a solid phase reaction in the laminated Fe/Al sheet. The microstructures produced at each processing stage were characterized by optical microscopy and scanning electron microscopy (SEM) equipped with energy dispersive X-ray spectroscopy (EDS). Vickers microhardness testing was used for hardness determination. A homogeneous intermetallic compound of Fe3Al or FeAl could be obtained after the subsequent heat treatment for 1.8 ks at 973 K and for 10.8 ks at 1123 or 1173 K.

关键词：铁铝合金金属互化物辊压接合分界面反应反应扩散

On Exit Time from Balls of Jump-type Symmetric Markov Processes

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Acta Mathematica Sinica,English Series 2010年第1期26卷 185-192页

作者： Toshihiro UEMURA Department of Mathematics Faculty of Engineering Science Kansai University

We obtain upper and lower bounds of the exit times from balls of a jump-type symmetric Markov process. The proofs are delivered separately. The upper bounds are obtained by using the Levy system corresponding to the process, while the precise expression of the （L^2-）generator of the Dirichlet form associated with the process is used to obtain the lower bounds.

关键词： symmetric Dirichlet form jump-type Markov process Levy system exit times from balls

Linker phosphorylation of Smad3 promotes fibro-carcinogenesis in chronic viral hepatitis of hepatocellular carcinoma

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World Journal of Gastroenterology 2014年第41期20卷 15018-15027页

作者： Miki Murata Katsunori Yoshida Takashi Yamaguchi Koichi Matsuzaki Department of Gastroenterology and Hepatology Kansai Medical University

Epidemiological and clinical data point to a close association between chronic hepatitis B virus infection or chronic hepatitis C virus infection and development of hepatocellular carcinoma (HCC). HCC develops over several decades and is associated with fibrosis. This sequence suggests that persistent viral infection and chronic inflammation can synergistically induce liver fibrosis and hepatocarcinogenesis. The transforming growth factor-β (TGF-β) signaling pathway plays a pivotal role in diverse cellular processes and contributes to hepatic fibro-carcinogenesis under inflammatory microenvironments during chronic liver diseases. The biological activities of TGF-β are initiated by the binding of the ligand to TGF-β receptors, which phosphorylate Smad proteins. TGF-β type I receptor activates Smad3 to create COOH-terminally phosphorylated Smad3 (pSmad3C), while pro-inflammatory cytokine-activated kinases phosphorylates Smad3 to create the linker phosphorylated Smad3 (pSmad3L). During chronic liver disease progression, virus components, together with pro-inflammatory cytokines and somatic mutations, convert the Smad3 signal from tumor-suppressive pSmad3C to fibro-carcinogenic pSmad3L pathways, accelerating liver fibrosis and increasing the risk of HCC. The understanding of Smad3 phosphorylation profiles may provide new opportunities for effective chemoprevention and personalized therapy for patients with hepatitis virus-related HCC in the future.

关键词： Chronic viral hepatitis Transforming growth factor-β Smad3 Phosphorylation Fibro-carcinogenesis Hepatocellular carcinoma