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Masahiro Hosoi,Mamoru Mizuno,Jian Shi 대한기계학회 2017 JOURNAL OF MECHANICAL SCIENCE AND TECHNOLOGY Vol.31 No.9
In the present paper, damage development within Carbon fiber reinforced plastic (CFRP) laminates and CFRP/Aluminum (Al) honeycomb core sandwich panels by impact loading was evaluated, and change in material properties due to the damage development was investigated. Falling weight impact tests, 3-point bending tests and cross-sectional observation were carried out. As results, it is found that falling rate of bending elastic modulus due to internal damage in the laminate only is lower than that in the upper face-sheet of the sandwich panel, and that difference in the falling rate between them becomes maximum at the impact energy of 5.1 J. As a result of investigating the relationship between reduction in bending elastic modulus and internal damage development, the reduction is caused by delamination within CFRP laminates mainly. Since total length of cracks in CFRP/Al honeycomb core sandwich panels is smaller than that in the laminates only, the sandwich panels have high impact tolerance because of absorption of impact energy by damaging Al honeycomb core.
Inter-professional and inter-departmental alcoholism rehabilitation program
Masahiro Kikuchi,Naomi Matsutani,Ryota Ishihara,Masako Sugihara,Yuuki Mizuno,Chiyo Chiba,Takahiro Ohta,Eri Yamada,Sota Oguro,Yasuko Sato,Hiroki Bessho,Yoshinori Horie 대한간학회 2020 Clinical and Molecular Hepatology(대한간학회지) Vol.26 No.4
A 3-month alcoholism rehabilitation program at psychiatric hospitals is common in Japan for patients with alcohol use disorder (AUD). However, many AUD patients are often hospitalized for the treatment of digestive disorders due to alcohol-related liver diseases and pancreatitis. In this sense, AUD patients need to be better supported by professionals and departments in general hospitals. Here we analyzed the problems in alcohol-related medical care in Japan and examined the measures to be taken at general hospitals.
Masahiro Sekimoto,Sadao Kawamura,Tomoya Ishitsubo,ShinsukeAkizuki,Masayuki Mizuno 제어로봇시스템학회 2009 제어로봇시스템학회 국제학술대회 논문집 Vol.2009 No.8
This paper aims at generating desired feedforward torque for a specified motion by reuse of time-series to rque data acquired by the iterative learning control. The suggested method named motion-scalet rans for mation realizes a motion to an arbitrarily specified posture of a two-DOF planar robot arm on the basis of arithmetical operations of time-series to rque of only four motions. The algorism is theoretically presented, and the effectiveness is confirmed in experiments. It is shown by the experimental results that the trajectory tracking error so fangular velocities by the motion-scalet rans formationt end to be smaller than those by the computed to rque method.
Masahiro Yamazoe,Atsushi Mizuno,Yasuhiro Suyama,Yutaro Nishi,Koyu Suzuki,Koichiro Niwa,Masato Okada 대한심장학회 2014 Korean Circulation Journal Vol.44 No.6
A 36-year-old female with a high-grade fever and epigastric abdominal pain was prescribed antibiotics, but developed hypoxia and dyspnea. An echocardiography revealed diffuse hypokinesis and massive pericardial effusion, after which diagnostic cardiac catheterizationand an endomyocardial biopsy (EMB) were peformed to reveal fibrosis and infiltration of inflammation cells composed primarily of neutrophils. Clinical manifestation of a spiking fever, leukocytosis, elevated ferritin levels, skin rash and EMB findings led to a diagnosis of adultonsetStill’s disease (AOSD) with acute myocarditis. Pulse therapy of intravenous methylprednisolone was performed for three days, followedby a daily dose of prednisone (60 mg). After a course of steroid therapy for fever and pericardial effusion, and conducting a leftventricular ejection fraction, the patient showed improvement and was discharged asymptomatic within 32 days of admission. This studyis the first to report on a case of myocarditis in AOSD diagnosed by neutrophil infiltration in the myocardium.
Voltage Regulator using Low Temperature Poly Silicon Technology for TFT-LCD Panel
Takahiko Mizuno,Masahiro Yoshida,Shigeki Imai,Yasoji Suzuki,Shinichi Murata 대한전자공학회 2009 ITC-CSCC :International Technical Conference on Ci Vol.2009 No.7
In this paper, a voltage regulator which can be integrated on a LCD panel using LTPS-TFT is proposed. The new voltage regulator can be reduced the deviation rate of the reference voltage (α') depending on the load fluctuation because the new voltage regulator provides a reference voltage shifter (RVS). By utilizing this circuit configulation, the proposed regulator can be obtained a stable constant output voltage. To confirm some performances of the proposed voltage regulator, the circuit analysis is carried out by using Smart-SPICE. As this results, the regulation rate of the output voltage (α) of the proposed voltage regulator is improved about 50% in comparison with that of conventional circuit under the conditions that the supply voltage (VDD) is +15V, the frequency (f) with the load current of+0.5㎃±0.5㎃ is 250㎑.
Nozomi Okuno,Kazuo Hara,Nobumasa Mizuno,Shin Haba,Takamichi Kuwahara,Hiroki Koda,Masahiro Tajika,Tsutomu Tanaka,Sachiyo Onishi,Keisaku Yamada,Akira Miyano,Daiki Fumihara,Moaz Elshair 대한소화기내시경학회 2021 Clinical Endoscopy Vol.54 No.4
Background/Aims: The Japan Gastroenterological Endoscopy Society (JGES) has published guidelines for gastroenterologicalendoscopy in patients undergoing antithrombotic treatment. These guidelines classify endoscopic ultrasound-guided biliary drainage(EUS-BD) as a high-risk procedure. Nevertheless, the bleeding risk of EUS-BD in patients undergoing antithrombotic therapy isuncertain. Therefore, this study aimed to assess the bleeding risk in patients undergoing antithrombotic therapy. Methods: This single-center retrospective study included 220 consecutive patients who underwent EUS-BD between January 2013and December 2018. We managed the withdrawal and continuation of antithrombotic agents according to the JGES guidelines. Wecompared the bleeding event rates among patients who received and those who did not receive antithrombotic agents. Results: A total of 18 patients (8.1 %) received antithrombotic agents and 202 patients (91.8 %) did not. Three patients experiencedbleeding events, with an overall bleeding event rate of 1.3% (3/220): one patient was in the antithrombotic group (5.5%) and twopatients were in the non-antithrombotic group (0.9%) (p=0.10). All cases were moderate. The sole thromboembolic event (0.4%) wasa cerebral infarction in a patient in the non-antithrombotic group. Conclusions: The rate of EUS-BD-related bleeding events was low. Even in patients receiving antithrombotic therapy, the bleedingevent rates were not significantly different from those in patients not receiving antithrombotic therapy.
Review : EUS-Guided Biliary Drainage
( Kenji Yamao ),( Kazuo Hara ),( Nobumasa Mizuno ),( Akira Sawaki ),( Susumu Hijioka ),( Yasumasa Niwa ),( Masahiro Tajika ),( Hiroki Kawai ),( Shinya Kondo ),( Yasuhiro Shimizu ),( Vikram Bhatia ) The Editorial Office of Gut and Liver 2010 Gut and Liver Vol.4 No.s1
Endoscopic ultrasonography (EUS) combines endoscopy and intraluminal ultrasonography, and allows imaging with a high-frequency transducer over a short distance to generate high-resolution ultrasonographic images. EUS is now a widely accepted modality for diagnosing pancreatobiliary diseases. EUS-guided fineneedle aspiration (EUS-FNA) using a curved linear- array echoendoscope was initially described more than 20 years ago, and since then many researchers have expanded its indications to sample diverse lesions and have also used it for various therapeutic purposes. EUS-guided biliary drainage (EUS-BD) is one of the therapeutic procedures that has been developed using a curved linear-array echoendoscope. Technically, EUS-BD includes rendezvous techniques via transesophageal, transgastric, and transduodenal routes, EUS-guided choledochoduodenostomy (EUS-CDS), and EUS-guided hepaticogastrostomy (EUS-HGS). Published data have demonstrated a high success rate, albeit with a comparatively high rate of nonfatal complications for EUS-CDS and EUS-HGS, and a comparatively low success rate with a low complication rate for the rendezvous technique. At present, these procedures represent an alternative to surgery or percutaneous transhepatic biliary drainage (PTBD) for patients with obstructive jaundice when endoscopic biliary drainage (EBD) has failed. However, these procedures should be performed in centers with extensive experience in linear EUS and therapeutic biliary ERCP. Large prospective studies are needed in the near future to establish standardized EUS-BD procedures as well as to perform controlled comparative trials between EUS-BD and PTBD, between rendezvous techniques and direct-access techniques (EUS-CDS and EUS-HGS), and between EBD and EUS-BD. (Gut Liver 2010;4(Suppl. 1):S67-75)
Infectious peritonitis after endoscopic ultrasound-guided biliary drainage in a patient with ascites
Nozomi Okuno,Kazuo Hara,Nobumasa Mizuno,Takamichi Kuwahara,Hiromichi Iwaya,Masahiro Tajika,Tsutomu Tanaka,Makoto Ishihara,Yutaka Hirayama,Sachiyo Onishi,Kazuhiro Toriyama,Ayako Ito,Naosuke Kuraoka,Shi 소화기인터벤션의학회 2018 Gastrointestinal Intervention Vol.7 No.1
Summary of Event Bacterial, mycotic peritonitis and Candida fungemia developed in a patient with moderate ascites who had undergone endoscopic ultrasound-guided biliary drainage (EUS-BD). Antibiotics and antifungal agent were administered and ascites drainage was performed. Although the infection improved, the patient’s general condition gradually deteriorated due to aggravation of the primary cancer and he died. Teaching Point This is the first report to describe infectious peritonitis after EUS-BD. Ascites carries the potential risk of severe complications. As such, in patients with ascites, endoscopic retrograde cholangiopancreatography (ERCP) is typically preferred over EUS-BD or percutaneous drainage to prevent bile leakage. However, ERCP may not be possible in some patients with tumor invasion of the duodenum or with surgically altered anatomy. Thus, in patients with ascites who require EUS-BD, we recommend inserting the drainage tube percutaneously and draining the ascites before and after the intervention in order to prevent severe infection.
Infectious peritonitis after endoscopic ultrasound-guided biliary drainage in a patient with ascites
Nozomi Okuno,Kazuo Hara,Nobumasa Mizuno,Takamichi Kuwahara,Hiromichi Iwaya,Masahiro Tajika,Tsutomu Tanaka,Makoto Ishihara,Yutaka Hirayama,Sachiyo Onishi,Kazuhiro Toriyama,Ayako Ito,Naosuke Kuraoka,Shi 소화기인터벤션의학회 2018 International journal of gastrointestinal interven Vol.7 No.1
Summary of Event Bacterial, mycotic peritonitis and Candida fungemia developed in a patient with moderate ascites who had undergone endoscopic ultrasound-guided biliary drainage (EUS-BD). Antibiotics and antifungal agent were administered and ascites drainage was performed. Although the infection improved, the patient’s general condition gradually deteriorated due to aggravation of the primary cancer and he died. Teaching Point This is the first report to describe infectious peritonitis after EUS-BD. Ascites carries the potential risk of severe complications. As such, in patients with ascites, endoscopic retrograde cholangiopancreatography (ERCP) is typically preferred over EUS-BD or percutaneous drainage to prevent bile leakage. However, ERCP may not be possible in some patients with tumor invasion of the duodenum or with surgically altered anatomy. Thus, in patients with ascites who require EUS-BD, we recommend inserting the drainage tube percutaneously and draining the ascites before and after the intervention in order to prevent severe infection. Summary of Event Bacterial, mycotic peritonitis and Candida fungemia developed in a patient with moderate ascites who had undergone endoscopic ultrasound-guided biliary drainage (EUS-BD). Antibiotics and antifungal agent were administered and ascites drainage was performed. Although the infection improved, the patient’s general condition gradually deteriorated due to aggravation of the primary cancer and he died. Teaching Point This is the first report to describe infectious peritonitis after EUS-BD. Ascites carries the potential risk of severe complications. As such, in patients with ascites, endoscopic retrograde cholangiopancreatography (ERCP) is typically preferred over EUS-BD or percutaneous drainage to prevent bile leakage. However, ERCP may not be possible in some patients with tumor invasion of the duodenum or with surgically altered anatomy. Thus, in patients with ascites who require EUS-BD, we recommend inserting the drainage tube percutaneously and draining the ascites before and after the intervention in order to prevent severe infection.