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( Hiroyasu Iwasaki ),( Takashi Mizushima ),( Yuta Suzuki ),( Shigeki Fukusada ),( Kenta Kachi ),( Takanori Ozeki ),( Kaiki Anbe ),( Hironobu Tsukamoto ),( Fumihiro Okumura ),( Takashi Joh ),( Hitoshi 대한소화기학회 2017 Gut and Liver Vol.11 No.1
Background/Aims: Self-expandable metallic stent (SEMS) placement is effective for dysphagia that results from malignant obstruction of the esophagus or gastric cardia; however, stent-related complications may be life-threatening. Thus, the goal of this study was to identify risk factors associated with complications following esophageal stenting. Methods: Of the 71 patients who underwent SEMS placement for dysphagia as a result of malignant stricture of the esophagus or gastric cardia, 53 patients with squamous cell carcinoma or adenocarcinoma, without previous SEMS placement, without a fistula, and without recurrent tumor after surgery were retrospectively identified. The occurrence of stent-related complications was used as an endpoint. Results: Stentrelated complications were identified in 26 patients (49.1%), and major complications occurred in 14 patients (26.4%). The use of an Ultraflex stent (odds ratio [OR], 6.81; 95% confidence interval [CI], 1.54 to 30.00; p=0.011) and prior chemotherapy (OR, 6.13; 95% CI, 1.46 to 25.70; p=0.013) were significantly associated with stent-related complications. Moreover, the use of an Ultraflex stent (OR, 19.60; 95% CI, 2.26 to 170.00; p=0.007) and prior radiation (OR, 25.70; 95% CI, 2.37 to 280.00; p=0.008) significantly increased the risk of major complications. Conclusions: The use of an Ultraflex stent and prior radiation and/or chemotherapy may represent risk factors for complications following esophageal SEMS placement. (Gut Liver 2017;11:47-54)
Development of Simulator of Allophone of Motors for Automobiles
Ryo Kano,Hiroyasu Ohtake,Yoshifumi Morita,Makoto Iwasaki,Hiroyuki Ukai,Yasuhiko Mukai,Hideki Kabune,Norihisa Ito 제어로봇시스템학회 2011 제어로봇시스템학회 국제학술대회 논문집 Vol.2011 No.10
Recently reduction of allophone of motors for automobiles has received a great deal of attention. For this background, the final goal of our research is to develop a simulator for transfer characteristics of allophone of motors in automobiles. In this paper at the preparation phase for the development of a simulator, we investigated the applicability of the transfer function synthesis method (TFSM) experimentally. Additionally, we examined some problems to be solved for practical use of the TFSM by using the finite element method (FEM). As a result, it was found that the derivation of the transfer functions H22 and H33 at the connecting point was difficult and that the modeling accuracy of H22 and H33 had a large influence on the modeling accuracy of the total transfer function H41_sim. Moreover, the method to improve the modeling accuracy was proposed on the basis of the results by FEM analysis. It was confirmed that we could apply the TFSM to the simple test body with the contact area by using the proposed method and the adjustment for damping coefficient of the transfer function obtained by the curve fitting technique (CFT).
( Tadahisa Inoue ),( Fumihiro Okumura ),( Takashi Mizushima ),( Hirotada Nishie ),( Hiroyasu Iwasaki ),( Kaiki Anbe ),( Takanori Ozeki ),( Kenta Kachi ),( Shigeki Fukusada ),( Yuta Suzuki ),( Hitoshi 대한소화기기능성질환·운동학회 2016 Gut and Liver Vol.10 No.1
Background/Aims: A barbed puncture needle with a side hole was recently developed to improve sample quality and quantity in endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA). In this study, we retrospectively assessed the usefulness of this puncture needle. Methods: Factors affecting diagnostic yield, safety, and diagnostic accuracy were investigated in 76 patients who consecutively underwent EUS-FNA for neoplastic lesions at our hospital between January and December 2013. Results: The procedure was successful in all cases; the rates of sample collection and determination of the correct diagnosis were 92.1% and 89.5%, respectively. The mean number of needle passes required for diagnosis was 1.1. Complications included mild intraluminal bleeding in two patients (2.6%). Multivariate analysis revealed that lesion size (≤20 mm) was significantly associated with a decreased chance of determining the correct diagnosis. Conclusions: Core biopsy needles with a side hole are safe and provide a satisfactory diagnostic yield. However, the side hole may potentially reduce the rate of making the correct diagnosis in small lesions. (Gut Liver 2016;10:51-57)