Relationship between straight and curved walking abilities among inpatients in the subacute phase according to walking independence level

Kazuya Fujii,Masaki Kobayashi,Miyuki Sato,Yasuyoshi Asakawa 물리치료재활과학회 2018 Physical therapy rehabilitation science Vol.7 No.2

Objective: This study was performed to examine differences in the association between straight and curved walking abilities of inpatients in the subacute phase and walking independence level. Design: Cross-sectional study. Methods: Subjects were divided into an independent group and a supervised group (n=10 each) by walking independence level within the ward decided by physical therapists. Inclusion criteria comprised the ability to ambulate independently within the ward, regardless of the use of walking aids. Straight walking abilities (walking velocity, stride length, and cadence) were evaluated using the 5-meter walk test. Curved walking abilities were evaluated using the Figure-of-8 Walk Test (F8W) and the 3-meter zigzag walk test (3ZW). Differences in associations between straight and curved walking abilities of inpatients were examined by calculating correlation coefficients between straight and curved walking abilities. Results: Age, walking velocity, stride length, F8W and 3ZW varied markedly between independent and supervised groups. In the independent group, F8W and 3ZW correlated significantly with walking velocity and cadence (p<0.05). In the supervised group, F8W correlated significantly with walking velocity and stride length (p<0.05), but 3ZW did not correlate significantly with straight walking abilities. Conclusions: The association between straight and curved walking abilities varied between inpatients who could ambulate independently and inpatients requiring supervision for ambulating. These differences may depend on skill on straight and curved walking abilities. There is a possibility that curved walking exercise is necessary for supervised group.

Powder Neutron Diffraction Study of HoCoGa5

Riki Kobayashi,Koji Kaneko,Shuichi Wakimoto,Songxue Chi,Naoyuki Sanada,Ryuta Watanuki,Kazuya Suzuki 한국물리학회 2013 THE JOURNAL OF THE KOREAN PHYSICAL SOCIETY Vol.63 No.3

We have studied successive magnetic transitions of HoCoGa5 at TN1 = 9.6 K and TN2 = 7.5 Kby using powder neutron diffraction. Apparent superlattice peaks were observed at temperaturesbelow TN1. With further decreases temperature, the patterns exhibit a substantial change at temperaturesbelow TN2. The observed magnetic peaks at 8 K (AntiFerromagnetic InCommensurate(AFIC) phase : TN2 < T < TN1) can be represented by the propagation vector qL = (1/2 0 ) with = 0.35(2). In contrast, the magnetic structure becomes commensurate with qC = (1/2 0 1/2) at4 K (AntiFerromagnetic Commensurate (AFC) phase : T < TN2). The temperature dependence ofmagnetic intensity shows an apparent temperature hysteresis at TN2, indicates a first-order transitionat TN2. Analysis of the integrated intensity at 4 K reveals that the Ho moment with a sizeof 8.6(2) µB, oriented parallel to the c-axis in the AFC phase. While the successive transitionsof HoCoGa5 are different from those of TbCoGa5, the magnetic structure in the AFC phase ofHoCoGa5 is the same as the AFTbI of TbCoGa5, and may indicate an additional transition at alower temperature in HoCoGa5.

Relationship between straight and curved walking abilities among inpatients in the subacute phase according to walking independence level

Fujii, Kazuya,Kobayashi, Masaki,Sato, Miyuki,Asakawa, Yasuyoshi korean Academy of Physical Therapy Rehabilitation 2018 Physical therapy rehabilitation science Vol.7 No.2

Objective: This study was performed to examine differences in the association between straight and curved walking abilities of inpatients in the subacute phase and walking independence level. Design: Cross-sectional study. Methods: Subjects were divided into an independent group and a supervised group (n=10 each) by walking independence level within the ward decided by physical therapists. Inclusion criteria comprised the ability to ambulate independently within the ward, regardless of the use of walking aids. Straight walking abilities (walking velocity, stride length, and cadence) were evaluated using the 5-meter walk test. Curved walking abilities were evaluated using the Figure-of-8 Walk Test (F8W) and the 3-meter zigzag walk test (3ZW). Differences in associations between straight and curved walking abilities of inpatients were examined by calculating correlation coefficients between straight and curved walking abilities. Results: Age, walking velocity, stride length, F8W and 3ZW varied markedly between independent and supervised groups. In the independent group, F8W and 3ZW correlated significantly with walking velocity and cadence (p<0.05). In the supervised group, F8W correlated significantly with walking velocity and stride length (p<0.05), but 3ZW did not correlate significantly with straight walking abilities. Conclusions: The association between straight and curved walking abilities varied between inpatients who could ambulate independently and inpatients requiring supervision for ambulating. These differences may depend on skill on straight and curved walking abilities. There is a possibility that curved walking exercise is necessary for supervised group.

Endoscopic Findings and Treatment of Gastric Neoplasms in Familial Adenomatous Polyposis

Sato, Chihiro,Takahashi, Kazuya,Sato, Hiroki,Naruse, Takumi,Nakajima, Nao,Takatsuna, Masafumi,Mizuno, Ken-ichi,Hashimoto, Satoru,Takeuchi, Manabu,Yokoyama, Junji,Kobayashi, Masaaki,Terai, Shuji The Korean Gastric Cancer Association 2022 Journal of gastric cancer Vol.22 No.-

Purpose: Gastric neoplasia is a common manifestation of familial adenomatous polyposis (FAP). This study aimed to elucidate the clinical characteristics, endoscopic features including fundic gland polyposis (FGPsis), and treatment outcomes of gastric neoplasms (GNs) in patients with FAP. Materials and Methods: A total of 35 patients diagnosed with FAP, including nine patients from four pedigrees who underwent esophagogastroduodenoscopy (EGD), were investigated regarding patient characteristics, GN morphology, and treatment outcomes. Results: Twenty-one patients (60.0%) had 38 GNs; 33 (86.8%) and 5 (13.2%) were histologically diagnosed with adenocarcinoma and adenoma, respectively. There were no specific patient characteristics related to GNs.Nodule-type GNs were more prevalent in patients with FGP than without (52.2% vs. 0.0%, P=0.002) in the upper body of the stomach. Conversely, depressed-type GNs were fewer in patients with FGPsis than in those without (13.0% vs. 73.3%, P<0.001). Slightly elevated-type GNs were observed in both groups (34.8% vs. 20.0%, P=0.538). Even within pedigrees, the background gastric mucosa and types of GNs varied. In total, 24 GNs were treated with endoscopic submucosal dissection (ESD) and eight with endoscopic mucosal resection (EMR). EMR was selected for GNs with FGPsis because of the technical difficulty of ESD, resulting in a lower en bloc resection rate (62.5% vs. 100%, P=0.014). Conclusions: Our study indicates the necessity of routine EGD surveillance in patients diagnosed with FAP. Notably, the morphology and location of GNs differed between patients with and without FGPsis. Endoscopic treatment and outcomes require more attention in cases of FGPsis.

Analytical-Numerical Approach for the Solution of the Diffraction by a Resistive Strip : The Case of H Polarization

Eldar I. Veliev,Kazuya Kobayashi,Shoichi Koshikawa 대한전자공학회 1996 대한전자공학회 Conference Vol.1996 No.1

Performance Evaluation of Advanced Pavement Materials by Bayesian Markov Mixture Hazard Model

한대석,Kiyoyuki Kaito,Kiyoshi Kobayashi,Kazuya Aoki 대한토목학회 2016 KSCE JOURNAL OF CIVIL ENGINEERING Vol.20 No.2

Optimized maintenance and management strategies are often emphasized in infrastructure management. Although such strategies serve to facilitate decision making, it is important to recognize that revolutions in asset management can come from improvements to hardware performance rather than managerial techniques. Underlying the managerial solutions, this study focused on the utility of various pavement materials and a special layer to support a performance-oriented asset management plan. This study compared the life expectancy and uncertainties of Stone Mastic Asphalt (SMA), Polymer Modified Asphalt (PMA), Rut-resistant Asphalt (RRA), Porous Asphalt (PA), and conventional hot-mix asphalt (HMA), which are widely introduced in field maintenance works. Problems associated with insufficient data due to short elapsed time and insufficient time-series performance data were mitigated by employing an advanced statistical method, the Markov mixture hazard model applying hierarchical Bayesian estimation. Empirical studies were conducted using historical performance data covering a period of 5 years (2002-2007) from 150 special monitoring sections in the K-Network. The results provide useful information for developing improved specifications for maintenance design and performance-based contracts that may lead to radical reform of infrastructure asset management. The Markov mixture hazard model with hierarchical Bayesian estimation is also a powerful tool for solving critical limitations in the post-evaluation of short-term projects.

Management Scheme of Road Pavements Considering Heterogeneous Multiple Life Cycles Changed by Repeated Maintenance Work

한대석,Kiyoyuki Kaito,Kiyoshi Kobayashi,Kazuya Aoki 대한토목학회 2017 KSCE JOURNAL OF CIVIL ENGINEERING Vol.21 No.5

Road agencies provide maintenance work to serve a satisfactory level of road services to the public. However, as time goes on, pavement structure deteriorates for many reasons. Since repeated maintenance work upon deteriorated pavement structures can accelerate the deterioration speed, the pavements require periodic reconstruction work to recover original integrity. However, in the real world, it is difficult to carry out such a high level of maintenance work due to insufficient budgets, and no evidence for a guarantee of better economic efficiency. To support decision making in asset management, this study tries to define changing pavement performance by repeated maintenance work with empirical data. As an analytical tool, mixed hazard model with hierarchical Bayesian estimation method was applied. With the results, a best maintenance scheme on reconstruction timing was suggested by life cycle cost analysis. For the empirical study, a maintenance history data on Korean national highways, accumulated from 1965, was applied. The analysis procedures and results of this paper could be a good reference to build much realistic long-term maintenance strategy and reasonable budget allocation. In addition, the mixed hazard model with the hierarchical Bayesian estimation method is expected to be a useful tool in solving problems with heterogeneous population sampling, and in finding best practice and gaps among competitive alternatives.

Endoscopic Findings and Treatment of Gastric Neoplasms in Familial Adenomatous Polyposis

Sato Chihiro,Takahashi Kazuya,Sato Hiroki,Naruse Takumi,Nakajima Nao,Takatsuna Masafumi,Mizuno Ken-ichi,Hashimoto Satoru,Takeuchi Manabu,Yokoyama Junji,Kobayashi Masaaki,Terai Shuji 대한위암학회 2022 Journal of gastric cancer Vol.22 No.4

Purpose Gastric neoplasia is a common manifestation of familial adenomatous polyposis (FAP). This study aimed to elucidate the clinical characteristics, endoscopic features including fundic gland polyposis (FGPsis), and treatment outcomes of gastric neoplasms (GNs) in patients with FAP. Materials and Methods A total of 35 patients diagnosed with FAP, including nine patients from four pedigrees who underwent esophagogastroduodenoscopy (EGD), were investigated regarding patient characteristics, GN morphology, and treatment outcomes. Results Twenty-one patients (60.0%) had 38 GNs; 33 (86.8%) and 5 (13.2%) were histologically diagnosed with adenocarcinoma and adenoma, respectively. There were no specific patient characteristics related to GNs. Nodule-type GNs were more prevalent in patients with FGP than without (52.2% vs. 0.0%, P=0.002) in the upper body of the stomach. Conversely, depressed-type GNs were fewer in patients with FGPsis than in those without (13.0% vs. 73.3%, P<0.001). Slightly elevated-type GNs were observed in both groups (34.8% vs. 20.0%, P=0.538). Even within pedigrees, the background gastric mucosa and types of GNs varied. In total, 24 GNs were treated with endoscopic submucosal dissection (ESD) and eight with endoscopic mucosal resection (EMR). EMR was selected for GNs with FGPsis because of the technical difficulty of ESD, resulting in a lower en bloc resection rate (62.5% vs. 100%, P=0.014). Conclusions Our study indicates the necessity of routine EGD surveillance in patients diagnosed with FAP. Notably, the morphology and location of GNs differed between patients with and without FGPsis. Endoscopic treatment and outcomes require more attention in cases of FGPsis. Purpose Gastric neoplasia is a common manifestation of familial adenomatous polyposis (FAP). This study aimed to elucidate the clinical characteristics, endoscopic features including fundic gland polyposis (FGPsis), and treatment outcomes of gastric neoplasms (GNs) in patients with FAP. Materials and Methods A total of 35 patients diagnosed with FAP, including nine patients from four pedigrees who underwent esophagogastroduodenoscopy (EGD), were investigated regarding patient characteristics, GN morphology, and treatment outcomes. Results Twenty-one patients (60.0%) had 38 GNs; 33 (86.8%) and 5 (13.2%) were histologically diagnosed with adenocarcinoma and adenoma, respectively. There were no specific patient characteristics related to GNs. Nodule-type GNs were more prevalent in patients with FGP than without (52.2% vs. 0.0%, P=0.002) in the upper body of the stomach. Conversely, depressed-type GNs were fewer in patients with FGPsis than in those without (13.0% vs. 73.3%, P<0.001). Slightly elevated-type GNs were observed in both groups (34.8% vs. 20.0%, P=0.538). Even within pedigrees, the background gastric mucosa and types of GNs varied. In total, 24 GNs were treated with endoscopic submucosal dissection (ESD) and eight with endoscopic mucosal resection (EMR). EMR was selected for GNs with FGPsis because of the technical difficulty of ESD, resulting in a lower en bloc resection rate (62.5% vs. 100%, P=0.014). Conclusions Our study indicates the necessity of routine EGD surveillance in patients diagnosed with FAP. Notably, the morphology and location of GNs differed between patients with and without FGPsis. Endoscopic treatment and outcomes require more attention in cases of FGPsis.

Radiographic Measurement of Joint Space Width Using the Fixed Flexion View in 1,102 Knees of Japanese Patients with Osteoarthritis in Comparison with the Standing Extended View

( Hiroyuki Kan ),( Yuji Arai ),( Masashi Kobayashi ),( Shuji Nakagawa ),( Hiroaki Inoue ),( Manabu Hino ),( Shintaro Komaki ),( Kazuya Ikoma ),( Keiichiro Ueshima ),( Hiroyoshi Fujiwara ),( Toshikazu 대한슬관절학회 2017 대한슬관절학회지 Vol.29 No.1

Purpose: The fixed flexion view (FFV) of the knee is considered useful for evaluating the joint space when assessing the severity of osteoarthritis (OA) of the knee. To clarify the usefulness of FFV for evaluation of the joint space and severity of knee OA, this study evaluated changes in the joint space on the FFV and standing extended view (SEV) in patients with knee OA. Materials and Methods: The SEV and FFV images were acquired in 567 patients (1,102 knees) who visited the hospital with a chief complaint of knee joint pain. Medial joint space width (MJSW) and Kellgren-Lawrence (K-L) classification assessed using the SEV and FFV images were compared. Results: Mean MJSW was significantly smaller when assessed on the FFV than on the SEV (3.02±1.55 mm vs. 4.31±1.30 mm; p<0.001). The K-L grade was the same or higher on the FFV than on the SEV. Conclusions: The FFV is more useful than the SEV for evaluating the joint space in OA knees. Treatment strategies in patients with knee OA should be determined based on routinely acquired FFV images.