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您的检索式：作者名="Yosuke OTANI"
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| 1 | Angle of covered self-expandable metallic stents after placement is a risk factor for recurrent biliary obstruction显示文摘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 formation.AIM 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 study.We evaluated the risk factors for RBO,including the angle of CSEMS after placement as the primary outcome.We measured the obtuse angle of CSEMS after placement on an abdominal radiograph using the SYNAPSE PACS system.We 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 outcomes.RESULTS We divided the patients into two cohorts based on the presence or absence of RBO.The 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 RBO.These novel results provide pertinent information for future stent management. | 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 | 2022 | World Journal of Hepatology2022，14，5： | 0 |
| 2 | A short note on seed dispersal by colobines:the case of the proboscis monkey显示文摘Although the role of primates in seed dispersal is generally well recognized,this is not the case for colobines,which are widely distributed in Asian and African tropical forests.Colobines consume leaves,seeds and fruits,usually unripe.A group of proboscis monkeys(Colobinae,Nasalis larvatus)consisting of 1 alpha-male,6 adult females and several immatures,was observed from May 2005 to May 2006.A total of 400 fecal samples from focal group members covering 13 months were examined,with over 3500 h of focal observation data on the group members in a forest along the Menanggul River,Sabah,Malaysia.Intact small seeds were only found in 23 of 71 samples in Nov 2005,15 of 38 in Dec 2005 and 5 of 21 in Mar 2006.Seeds of Ficus(all<1.5 mm in length)were found in all 3 months and seeds from Antidesma thwaitesianum(all<3 mm)and Nauclea subdita(all<2 mm)only in Nov and Dec,which was consistent with members of the study group consuming fruits of these species mostly at these times.To our knowledge,these are the fi rst records of seeds in the fecal samples of colobines.Even if colobines pass relatively few seeds intact,their high abundance and biomass could make them quantitatively significant in seed dispersal.The potential role of colobines as seed dispersers should be considered by colobine researchers. | Ikki MATSUDA Seigo HIGASHI Yosuke OTANI Augustine TUUGA Henry BERNARD Richard T.CORLETT | 2013 | Integrative Zoology2013，8，4： | 0 |
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