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1Risk factors for bleeding after endoscopic mucosal resection显示文摘AIM: To clarify the risk factors for bleeding after endoscopic mucosal resection (EMR).METHODS: A total of 297 consecutive patients who underwent EMR were enrolled. Some of the patients had multiple lesions. Bleeding requiring endoscopic treatment was defined as bleeding after EMR. Odds ratios (OR) with 95% confidence intervals (CI), calculated by logistic regression with multivariate adjustments for covariates,were the measures of association.RESULTS: Of the 297 patients, 57 (19.2%) patients with bleeding after EMR were confirmed. With multivariate adjustment, the cutting method of ENR, diameter, and endoscopic pattern of the tumor were associated with the risk of bleeding after ENR. The multivariate-adjusted OR for bleeding after EMR using endoscopic aspiration mucosectomy was 3.07 (95%CI, 1.59-5.92) compared with strip biopsy. The multiple-adjusted OR for bleeding after EMR for the highest quartile (16-50 mm) of tumor diameter was 5.63 (95%CI, 1.84-17.23) compared with that for the lowest (4-7 mm). The multiple-adjusted OR for bleeding after EM R for depressed type of tumor was 4.21 (95%CI, 1.75-10.10) compared with elevated type.CONCLUSION: It is important to take tumor characteristics (tumor size and endoscopic pattern) and cutting method of EMR into consideration in predicting bleeding after ENR.Masatsugu Shiba Kazuhide Higuchi Kaori Kadouchi Ai Montani Kazuki Yamamori Hirotoshi Okazaki Makiko Taguchi Tomoko Wada Atsushi Itani Toshio Watanabe Kazunari Tominaga Yoshihiro Fujiwara Tomoshige Hayashi Kei Tsumura Tetsuo Arakawa 2005World Journal of Gastroenterology2005,11,46:25
2Xanthogranulomatous cholecystitis:Difficulty in differentiating from gallbladder cancer显示文摘AIM: To compare cases of xanthogranulomatous cholecystitis(XGC) and advanced gallbladder cancer and discuss the differential diagnoses and surgical options.METHODS: From April 2000 to December 2013, 6 XGC patients received extended surgical resections. During the same period, 16 patients were proven to have gallbladder(GB) cancer, according to extended surgical resection. Subjects chosen for analysis in this study were restricted to cases of XGC with indistinct borders with the liver as it is often difficult to distinguish these patients from those with advanced GB cancer. We compared the clinical features and computed tomography findings between XGC and advanced GB cancer. The following clinical features were retrospectively assessed: age, gender, symptoms, and tumor markers. As albumin and the neutrophil/lymphocyte ratio(NLR) are prognostic in several cancers, we compared serum albumin levels and the NLR between the two groups. The computerized tomography findings were used to compare the two diseases, determine the coexistence of gallstones, the pattern of GB thickening(focal or diffuse), the presence of a hypoattenuated intramural nodule, and continuity of the mucosal line.RESULTS: Based on the preoperative image findings, we suspected GB carcinoma in all cases includingXGC in this series. In addition, by pathological examination, we found that the group of patients with XGC developed inflammatory disease after surgery. Patients with XGC tended to have abdominal pain(4/6, 67%). However, there was no significant difference in clinical symptoms, including fever, between the two groups. Serum albumin and NLR were also similar in the two groups. Serum tumor markers, such as carcinoembryonic antigen(CEA) and carbohydrate antigen 19-9(CA19-9), tended to increase in patients with GB cancer. However, no significant differences in tumor markers were identified. On the other hand, gallstones were more frequently observed in patients with XGC(5/6, 83%) than in patients with GB cancer(4/16, 33%)(P = 0.0116). A hypoattenuated intramural nodule was found in 3 patients with XGC(3/6, 50%), but in only 1 patient with GB cancer(1/16, 6%)(P = 0.0024). The GB thickness, continuous mucosal line, and bile duct dilatation showed no significant differences between XGC and GB cancer.CONCLUSION: Although XGC is often difficult to differentiate from GB carcinoma, it is possible to obtain an accurate diagnosis by careful intraoperative gross observation, and several intraoperative frozen sections.Hideki Suzuki Satoshi Wada Kenichiro Araki Norio Kubo Akira Watanabe Mariko Tsukagoshi Hiroyuki Kuwano 2015World Journal of Gastroenterology2015,21,35:18
3一种用于GPS定位估计滤波算法的非线性模型显示文摘提出了一种将现代非线性滤波技术用于GPS定位估计的方法,该方法可用于低价位的单机GPS接收器的定位,提高它们的定位精度和鲁棒性.应用该方法,根据单机GPS的原始数据、伪距和多普勒频移进行定位估计,开发了一种新的基于非线性滤波的位置和速度估计模型,该非线性模型具有随观察到的卫星数量而改变状态和测量元个数的动态特性.运用一种新型的非线性滤波-平淡卡尔曼滤波求解该模型.GPS定位实验结果表明,与通用的最小二乘迭代法或直接从接受机获得的结果相比,所提出的非线性模型得出的滤波估计结果具有较高的精度和鲁棒性.茅旭初 Wada Massaki 桥本秀纪 2004上海交通大学学报2004,38,4:18
4Unsteady Internal Flow Conditions of Mini-Centrifugal Pump with Splitter Blades显示文摘Mini centrifugal pumps having a diameter smaller than 100mm are employed in many fields. But the design method for the mini centrifugal pump is not established because the internal flow condition for these small-sized fluid machines is not clarified and conventional theory is not suitable for small-sized pumps. Therefore, mini centrifugal pumps with simple structure were investigated by this research. Splitter blades were adopted in this research to improve the performance and the internal flow condition of mini centrifugal pump which had large blade outlet angle. The original impeller without the splitter blades and the impeller with the splitter blades were prepared for experiment. The performance tests are conducted with these rotors in order to investigate the effect of the splitter blades on performance and internal flow condition of mini centrifugal pump. On the other hand, a three dimensional unsteady numerical flow analysis was conducted to investigate the change of the internal flow according to the rotor rotation. It is clarified from the experimental results that the performance of the mini centrifugal pump is improved by the splitter blades. The blade-to-blade low velocity region was suppressed in the case with the splitter blades. In addition to that, the unsteady flows near the volute casing tongue were suppressed due to the splitter blades. In the present paper, the performance of the mini centrifugal pump is shown and the unsteady flow condition is clarified with the results of the numerical flow analysis. Furthermore, the effects of the splitter blades on the performance and the unsteady internal flow condition are investigated.T. Shigemitsu J. Fukutomi K. Kaji T. Wada 2013Journal of Thermal Science2013,22,1:18
5网织血小板的研究和应用显示文摘刘湘帆 HIDEO WADA 胡翊群 2005诊断学理论与实践2005,4,6:17
6Performance Analysis of Mini Centrifugal Pump with Splitter Blades显示文摘Design method for a mini centrifugal pump is not established because the internal flow condition for these small-sized fluid machines is not clarified and conventional theory is not suitable for small-sized pumps. Then, a semi-open impeller for the mini centrifugal pump with 55mm impeller diameter is adopted in this research to take simplicity and maintenance into consideration. Splitter blades are adopted in this research to improve the performance and internal flow condition of mini centrifugal pump having large blade outlet angle. The performance tests are conducted with these rotors in order to investigate the effect of the splitter blades on the performance and internal flow condition of the mini centrifugal pump. A three dimensional steady numerical flow analysis is conducted to analyze rotor, volute efficiency and loss caused by a vortex. It is clarified from the experimental results that the performance of the mini centrifugal pump is improved by the effect of the splitter blades. Flow condition at outlet of the rotor becomes uniform and back flow regions are suppressed in the case with the splitter blades.Further, the volute efficiency increases and the vortex loss decreases. In the present paper, the performance of the mini centrifugal pump is shown and the flow condition is clarified with the results of the experiment and the numerical flow analysis. Furthermore, the performance analyses of the mini centrifugal pumps with and without the splitter blades are conducted.T. Shigemitsu J. Fukutomi T. Wada H. Shinohara 2013Journal of Thermal Science2013,22,6:13
7Conventional therapy for moderate to severe inflammatory bowel disease: A systematic literature review显示文摘BACKGROUND Despite the advent of biological drugs, conventional therapy continues to be used in moderate to severe inflammatory bowel disease(MS-IBD). This study hypothesized that as a standard of treatment and the primary alternative to biologics, conventional therapy should present robust effectiveness results in IBD outcomes.AIM To investigate the effectiveness of conventional therapy for MS-IBD.METHODS A systematic review with no time limit was conducted in July 2017 through the Cochrane Collaboration, MEDLINE, and LILACS databases. The inclusion criteria encompassed meta-analyses, systematic reviews, randomized clinical trials, observational and case-control studies concerning conventional therapy in adult patients with MS-IBD, including Crohn's disease(CD) and ulcerative colitis(UC). Corticosteroids(prednisone, hydrocortisone, budesonide, prednisolone,dexamethasone), 5-aminosalicylic acid(5-ASA) derivatives(mesalazine and sulfasalazine) and immunosuppressants [azathioprine(AZA), methotrexate(MTX), mycophenolate, cyclosporine, tacrolimus, 6-mercaptopurine(6-MP)] were considered conventional therapy. The exclusion criteria were sample size below50; narrative reviews; specific subpopulations(e.g., pregnant women,comorbidities); studies on postoperative IBD; and languages other than English,Spanish, French or Portuguese. The primary outcome measures were clinical remission(induction or maintenance), clinical response and mucosal healing. As secondary outcomes, fecal calprotectin, hospitalization, death, and surgeries were analyzed. The quality of the evidence was assessed using the Grading of Recommendations Assessment, Development and Evaluation criteria.RESULTS The search strategy identified 1995 citations, of which 27 were considered eligible(7 meta-analyses, 20 individual studies). For induction of clinical remission, four meta-analyses were selected(AZA and 6-MP showed no advantage over placebo,MTX or 5-ASA in CD; MTX showed no statistically significant difference versus placebo, 6-MP, or 5-ASA in UC; tacrolimus was superior to placebo for UC in two meta-analyses). Only one meta-analysis evaluated clinical remission maintenance, showing no statistically significant difference between MTX and placebo, 5-ASA, or 6-MP in UC. AZA and 6-MP had no advantage over placebo in induction of clinical response in CD. Three meta-analyses showed the superiority of tacrolimus vs placebo for induction of clinical response in UC. The clinical response rates for cyclosporine were 41.7% in randomized controlled trials(RCTs) and 55.4% in non-RCTs for UC. For induction of mucosal healing,one meta-analysis showed a favorable rate with tacrolimus versus placebo for UC. For secondary outcomes, no meta-analyses specifically evaluated fecal calprotectin, hospitalization or death. Two meta-analyses were retrieved evaluating colectomy rates for tacrolimus and cyclosporine in UC. Most of the twenty individual studies retrieved contained a low or very low quality of evidence.CONCLUSION High-quality evidence assessing conventional therapy in MS-IBD treatment is scarce, especially for remission maintenance, mucosal healing and fecal calprotectin.Adérson Omar Mourao Cintra Damiao Matheus Freitas Cardoso de Azevedo Alexandre de Sousa Carlos Marcela Yumi Wada Taciana Valéria Marcolino Silva Flávio de Castro Feitosa 2019World Journal of Gastroenterology2019,25,9:13
8Research and development of electric vehicles for clean transportation显示文摘This article presents the research and development of an electric vehicle(EV) in Department of Human-Robotics Saitama Institute of Technology,Japan.Electric mobile systems developed in our laboratory include a converted electric automobile,electric wheelchair and personal mobile robot.These mobile systems contribute to realize clean transportation since energy sources and devices from all vehicles,i.e.,batteries and electric motors,does not deteriorate the environment.To drive motors for vehicle traveling,robotic technologies were applied.WADA Masayoshi 2009Journal of Environmental Sciences2009,21,6:12
9DOG1 is useful for diagnosis of KIT-negative gastrointestinal stromal tumor of stomach显示文摘Approximately 80%-95%of gastrointestinal stromal tumors(GISTs)show positive staining for KIT,while the other 5%-20%show negative staining.If the tumor is negative for KIT,but is positive for CD34,a histological diagnosis is possible.However,if the tumor is negative for KIT,CD34,S-100,and SMA,a definitive diagnosis is often challenging.Recently,Discovered on GIST-1(DOG1)has received considerable attention as a useful molecule for the diagnosis of GIST.DOG1,a membrane channel protein,is known to be overexpressed in GIST.Because the sensitivity and specificity of DOG1 are higher than those of KIT,positive staining for DOG1has been reported,even in KIT-negative GISTs.KITnegative GISTs most commonly arise in the stomach and are mainly characterized by epithelioid features histologically.We describe our experience with a rare case of a KIT-negative GIST of the stomach that was diagnosed by positive immunohistochemical staining for DOG1 in a patient who presented with severe anemia.Our findings suggest that immunohistochemical staining for DOG1,in addition to gene analysis,is useful for the diagnosis of KIT-negative tumors that are suspected to be GISTs.Takuya Wada Satoshi Tanabe Kenji Ishido Katsuhiko Higuchi Tohru Sasaki Chikatoshi Katada Mizutomo Azuma Akira Naruke Myunguchul Kim Wasaburo Koizumi Tetsuo Mikami 2013World Journal of Gastroenterology2013,19,47:11
10Advantage of autologous blood transfusion in surgery for hepatocellular carcinoma显示文摘AIM: To evaluate the significance of autologous blood transfusion (AT) in reducing homologous blood transfusion (HT) in surgery for hepatocellular carcinoma (HCC). METHODS: The proportion of patients who received HT was compared between two groups determined by the time of AT introduction; period A (1991-1994, n = 93) and period B (1995-2000, n = 201). Multivariate logistic regression analysis was performed in order to identify independent significant predictors of the need for HT. We also investigated the impact of AT and HT on long-term postoperative outcome after curative surgery for HCC. RESULTS: The proportion of patients with HT was significantly lower in period B than period A (18.9% vs 60.2%, P < 0.0001). Multivariate logistic regression analysis identified AT administration as a significant independent predictor of the need for HT (P < 0.0001). Disease-free survival in patients with AT was comparable to that without any transfusion. Multivariate analysis identified HT administration as an independent significant factor for poorer disease-free survival (P = 0.0380). CONCLUSION: AT administration significantly decreased the need for HT. Considering the postoperative survival disadvantage of HT, AT administration could improve the long-term outcome of HCC patients.Yoshito Tomimaru Hidetoshi Eguchi Shigeru Marubashi Hiroshi Wada Shogo Kobayashi Masahiro Tanemura Koji Umeshita Yuichiro Doki Masaki Mori Hiroaki Nagano 2011World Journal of Gastroenterology2011,17,32:8
11Prognostic factors of T4 gastric cancer patients undergoing potentially curative resection显示文摘AIM:To investigate the prognostic factors of T4 gastric cancer patients without distant metastasis who could undergo potentially curative resection. METHODS:We retrospectively analyzed the clinical data of 71 consecutive patients diagnosed with T4 gastric cancer and who underwent curative gastrectomy at our institutions.The clinicopathological factors that could be associated with overall survival were evaluated.The cumulative survival was determined by the Kaplan-Meier method,and univariate comparisons between the groups were performed using the log-rank test.Multivariate analysis was performed using the Cox proportional hazard model and a step-wise procedure. RESULTS:The study patients comprised 53 men (74.6%)and 18 women(25.4%)aged 39-89 years (mean,68.9 years).Nineteen patients(26.8%)had postoperative morbidity:pancreatic fistula developed in 6 patients(8.5%)and was the most frequent complication,followed by anastomosis stricture in 5 patients (7.0%).During the follow-up period,28 patients(39.4%)died because of gastric cancer recurrence,and 3(4.2%) died because of another disease or accident.For all patients,the estimated overall survival was 34.1%at 5 years.Univariate analyses identified the following statistically significant prognostic factors in T4 gastric cancer patients who underwent potentially curative resection: peritoneal washing cytology(P<0.01),number of metastatic lymph nodes(P<0.05),and venous invasion(P <0.05).In multivariate analyses,only peritoneal washing cytology was identified as an independent prognostic factor(HR=3.62,95%CI=1.37-9.57)for longterm survival. CONCLUSION:Positive peritoneal washing cytology was the only independent poor prognostic factor for T4 gastric cancer patients who could be treated with potentially curative resection.Naoto Fukuda Yasuyuki Sugiyama Joji Wada 2011World Journal of Gastroenterology2011,17,9:8
12Experimental Evaluation of the Post-ultimate Strength Behavior of a Ship's Hull Girder in Waves显示文摘Experimental investigations into the collapse behavior of a box-shape hull girder subjected to extreme wave-induced loads are presented.The experiment was performed using a scaled model in a tank.In the middle of the scaled model,sacrificial specimens with circular pillar and trough shapes which respectively show different bending moment-displacement characteristics were mounted to compare the dynamic collapse characteristics of the hull girder in waves.The specimens were designed by using finite element(FE)-analysis.Prior to the tank tests,static four-point-bending tests were conducted to detect the load-carrying capacity of the hull girder.It was shown that the load-carrying capacity of a ship including reduction of the capacity after the ultimate strength can be reproduced experimentally by employing the trough type specimens.Tank tests using these specimens were performed under a focused wave in which the hull girder collapses under once and repetitive focused waves.It was shown from the multiple collapse tests that the increase rate of collapse becomes higher once the load-carrying capacity enters the reduction path while the increase rate is lower before reaching the ultimate strength.Kazuhiro Iijima Ryota Wada Masahiko Fujikubo 2012Journal of Marine Science and Application2012,11,1:6
13New Insights into Dynamic Actin-Based Chloroplast Photorelocation Movement显示文摘叶绿体运动是必要的让植物在各种各样的环境轻条件下面幸存。Phototropinsplant 特定的 blue-light-activated 受体 kinasesmediate 由察觉轻紧张和方向的反应。最近,新奇叶绿体肌动朊(cp 肌动朊) 细丝作为在方向性的叶绿体 photorelocation 运动起一个枢轴的作用被识别了。令人鼓舞的进步最近通过分子的遗传和房间在研究的这个领域里被取得了生物分析。当在 cp 肌动朊细丝的规定涉及叶绿体运动和他们的角色,这评论描述被识别了的因素,因此在他们的生物化学的活动和功能为思考提供一个基础。Sam-Geun Kong Masamitsu Wada 2011Molecular Plant2011,4,5:6
14Adiponectin deficiency exacerbates lipopolysaccharide/ D-galactosamine-induced liver injury in mice显示文摘瞄准:在 Kupffer 房间的功能上检验 adiponectin 的效果,脂肪的多糖(LPS ) 的关键调节的人导致了肝损伤。方法:D-galactosamine (GalN ) 和 LPS intraperitoneally 被注入 adiponectin-/- 老鼠和野类型老鼠。Kupffer 房间,从 Sprague-Dawley 孤立老鼠,是 preincubated 与或没有 adiponectin,然后与 LPS 对待。结果:在猛烈老鼠, GalN/LPS 注射显著地降低了幸存率,显著地提起了丙氨酸转氨酶和肿瘤坏死 factor-alpha (TNF-alpha ) 的血浆层次并且显著地减少了与野类型老鼠相比的 IL-10 层次。在肝的 TNF-alpha 基因表示是哪个更高并且 IL-10 的那些比在野类型老鼠在猛烈老鼠是更低的。在有教养的 adiponectin-pre-treated Kupffer 房间, LPS 显著地降低了 TNF-alpha 层次并且在培养基和他们的各自的基因表示层次提起了 IL-10 层次,与没有 adiponectin-pre-treatment 的 Kupffer 房间相比。结论:Adiponectin supresses TNF-alpha 生产并且响应 LPS 刺激由 Kupffer 房间导致 IL-10 生产,并且 adiponectin 的缺乏提高导致 LPS 的肝损伤。Hitoshi Matsumoto Shinji Tamura Yoshihiro Kamada Shinichi Kiso Juichi Fukushima Akira Wada Norikazu Maeda Shinji Kihara Tohru Funahashi Yuji Matsuzawa Iichiro Shimomura Norio Hayashi 2006World Journal of Gastroenterology2006,12,21:5
15Treatment of bleaching wastewater from pulp paper plants in China using enzymes and coagulants显示文摘The treatment of wastewater from pulp\|paper plants in China by horseradish peroxidase was investigated in this study. The effects of horseradish peroxidase and coagulants were discussed in detail. The results indicated that enzymes might improve the removal of AOX, TOC and colour for pulp\|paper wastewater and modified chitosan is far more effective than Al\-2(SO\-4)\-3 to remove AOX, TOC and colour.ZHANG Tong\+1, Shinji Wada\+2, Takao Yamagishi\+2, Ichikawa Hiroyasu\+2, Kenji Tatsumi\+ 2* , ZHAO Qing\|xiang\+1 (1. Department of Environmental Engineering, East China University of Science and Technology, Shanghai 200237,China 2. National Institut 1999Journal of Environmental Sciences1999,11,4:5
16Non-exposed endoscopic wall-inversion surgery as a novel partial gastrectomy technique显示文摘Takashi Mitsui Keiko Niimi Hiroharu Yamashita Osamu Goto Susumu Aikou Fumihiko Hatao Ikuo Wada Nobuyuki Shimizu Mitsuhiro Fujishiro Kazuhiko Koike Yasuyuki Seto 2014Gastric Cancer2014,,3:5
17IMF production and symmetry energy in heavy ion collisions near Fermi energy显示文摘The symmetry energy at the time of the production of intermediate mass fragments(IMFs) is studied using experimentally observed IMF multiplicities combined with quantum statistical model calculations(QSM of Hahn and St cker).The ratios of difference in chemical potentials between neutrons and protons relative to the temperature,(μn-μp)/T,and the double ratio temperature,T,were extracted experimentally in the reactions of64,70Zn,64Ni+58,64Ni,112,124Sn,197Au,232Th at 40A MeV.The extracted(μn-μp)/TTscales linearly with δNN,where δNN is the asymmetry parameter,(N-Z)/A,of the emitting source and(μn-μp)/T=(11.1 1.4)δNN0.21 was derived.The experimentally extracted(μn-μp)/T and the double ratio temperatures are compared with those from the QSM calculations.The temperatures-,T,and densities,ρ,extracted from the(μn-μp)/T values agreed with those from the double ratio thermometer which used the yield ratios of d,t,h and α particles.However the two analyses of the differential chemical potential analysis and the initial temperature analysis end up almost identical relation between T and ρ.T=5.25±0.75 MeV is evaluated from the(μn-μp)/Tanalysis,but no density determination was possible.From the extracted T value,the symmetry energy coefficient Esym =14.6±3.5 MeV is determined for the emitting source of T=5.25±0.75 MeV.WADA Roy HUANG Meirong LIN Weiping LIU Xingquan ZHAO Minghui CHEN Zhiqiang 2013Nuclear Science and Techniques2013,24,5:5
18Familial pancreatic cancer: Concept, management and issues显示文摘Familial pancreatic cancer (FPC) is broadly defined as two first-degree-relatives with pancreatic cancer (PC) and accounts for 4%-10% of PC. Several genetic syndromes, including Peutz-Jeghers syndrome, hereditary pancreatitis, hereditary breast-ovarian cancer syndrome(HBOC), Lynch syndrome, and familial adenomatous polyposis (FAP), also have increased risks of PC, but the narrowest definition of FPC excludes these known syndromes. When compared with other familial tumors, proven genetic alterations are limited to a small proportion (<20%) and the familial aggregation is usually modest. However, an ethnic deviation (Ashkenazi Jewish>Caucasian) and a younger onset are common also in FPC. In European countries, 'anticipation' is reported in FPC families, as with other hereditary syndromes; a trend toward younger age and worse prognosis is recognized in the late years. The resected pancreases of FPC kindred often show multiple pancreatic intraepithelial neoplasia (Pan IN) foci, with various K-ras mutations, similar to colorectal polyposis seen in the FAP patients. As with HBOC patients, a patient who is a BRCA mutation carrier with unresectable pancreatic cancer (accounting for 0%-19% of FPC patients) demonstrated better outcome following platinum and Poly (ADP-ribose) polymerase inhibitor treatment. Western countries have established FPC registries since the 1990 s and several surveillance projects for highrisk individuals are now ongoing to detect early PCs. Improvement in lifestyle habits, including non-smoking, is recommended for individuals at risk. In Japan, the FPC study group was initiated in 2013 and the Japanese FPC registry was established in 2014 by the Japan Pancreas Society.Hiroyuki Matsubayashi Kyoichi Takaori Chigusa Morizane Hiroyuki Maguchi Masamichi Mizuma Hideaki Takahashi Keita Wada Hiroko Hosoi Shinichi Yachida Masami Suzuki Risa Usui Toru Furukawa Junji Furuse Takamitsu Sato Makoto Ueno Yoshimi Kiyozumi Susumu Hijioka Nobumasa Mizuno Takeshi Terashima Masaki Mizumoto Yuzo Kodama Masako Torishima Takahisa Kawaguchi Reiko Ashida Masayuki Kitano Keiji Hanada Masayuki Furukawa Ken Kawabe Yoshiyuki Majima Toru Shimosegawa 2017World Journal of Gastroenterology2017,23,6:5
19Fresh frozen plasma transfusion does not affect outcomes following hepatic resection for hepatocellular carcinoma显示文摘AIM:To investigate whether fresh frozen plasma (FFP) transfusion affects outcomes following hepatic resection for hepatocellular carcinoma (HCC) in terms of liver function,postoperative complications and cancer prognosis.METHODS:We retrospectively compared the incidence of postoperative complications between 204 patients who underwent hepatectomy for HCC with routine FFP transfusion in an early period (1983-1993,Group A) and 293 with necessity for FFP transfusion during a later period (1998-2006,Group B),and also between two subgroups of Group B [22 patients with FFP transfusion (Group B1) and 275 patients without FFP transfusion (Group B2)].Additionally,only in limited patients in Group B1 and Group B2 with intraoperative blood loss≥ 2000 mL (Group B1 ≥ 2000 mL and Group B2 ≥ 2000 mL),postoperative complications,liver function tests,and cancer prognosis were compared.RESULTS:No mortality was registered in Group B,compared to 8 patients (3.9%) of Group A.The incidence of morbidity in Group B2 [23.2% (64/275)] was not significantly different from Group B1 [40.9% (9/22)] and Group A [27.0% (55/204)].The incidence of complications and postoperative liver function tests were comparable between Group B1 ≥ 2000 mL vs Group B2 ≥ 2000 mL.Postoperative prognosis did not correlate with administration of FFP,but with tumor-related factors.CONCLUSION:The outcome of hepatectomy for HCC is not influenced by FFP transfusion.We suggest FFP transfusion be abandoned in patients who undergo hepatectomy for HCC.Yoshito Tomimaru Hiroshi Wada Shigeru Marubashi Shogo Kobayashi Hidetoshi Eguchi Yutaka Takeda Masahiro Tanemura Takehiro Noda Koji Umeshita Yuichiro Doki Masaki Mori Hiroak Nagano 2010World Journal of Gastroenterology2010,16,44:5
20Clues to the signals for chloroplast photorelocation from the lifetimes of accumulation and avoidance responses显示文摘Chloroplast photo-relocation movement is crucial for plant survival; however, the mechanism of this phenomenon is still poorly understood. Especially, the signal that goes from photoreceptor to chloroplast is unknown, although the photoreceptors(phototropin 1 and 2) have been identified and an actin structure(chloroplast actin filaments) has been characterized that is specific for chloroplast movement. Here,in gametophytes of the fern Adiantum capillus-veneris,gametophores of the moss Physcomiterella patens, and leaves of the seed plant Arabidopsis thaliana, we sought to characterize the signaling system by measuring the lifetime of the induced response. Chloroplast movements were induced by microbeam irradiation with high-intensity blue light and recorded. The lifetime of the avoidance state was measured as a lag time between switching off the beam and the loss of avoidance behavior, and that of the accumulation state was measured as the duration of accumulation behavior following the extinction of the beam. The lifetime for the avoidance response state is approximately 3–4 min and that for the accumulation response is 19–28 min. These data suggest that the two responses are based on distinct signals.Takeshi Higa Masamitsu Wada 2015Journal of Integrative Plant Biology2015,57,1:4
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