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Hitoshi Kameyama,Yoshifumi Hashimoto,Yoshifumi Shimada,Saki Yamada,Ryoma Yagi,Yosuke Tajima,Takuma Okamura,Masato Nakano,Kohei Miura,Masayuki Nagahashi,Jun Sakata,Takashi Kobayashi,Shin-ichi Kosugi,To 대한대장항문학회 2018 Annals of Coloproctolgy Vol.34 No.2
Purpose: Small bowel obstruction (SBO) remains a common complication after pelvic or abdominal surgery. However, the risk factors for SBO in ulcerative colitis (UC) surgery are not well known. The aim of the present study was to clarify the risk factors associated with SBO after ileal pouch-anal anastomosis (IPAA) with a loop ileostomy for patients with UC. Methods: The medical records of 96 patients who underwent IPAA for UC between 1999 and 2011 were reviewed. SBO was confirmed based on the presence of clinical symptoms and radiographic findings. The patients were divided into 2 groups: the SBO group and the non-SBO group. We also analyzed the relationship between SBO and computed tomography (CT) scan image parameters. Results: The study included 49 male and 47 female patients. The median age was 35.5 years (range, 14–72 years). We performed a 2- or 3-stage procedure as a total proctocolectomy and IPAA for patients with UC. SBO in the pretakedown of the loop ileostomy after IPAA occurred in 22 patients (22.9%). Moreover, surgical intervention for SBO was required for 11 patients. In brief, closure of the loop ileostomy was performed earlier than expected. A multivariate logistic regression analysis revealed that the 2-stage procedure (odds ratio, 2.850; 95% confidence interval, 1.009–8.044; P = 0.048) was a significant independent risk factor associated with SBO. CT scan image parameters were not significant risk factors of SBO. Conclusion: The present study suggests that a 2-stage procedure is a significant risk factor associated with SBO after IPAA in patients with UC.
Yuji Yamada,Yoshihiro Kai,Noriyuki Kida,Hitoshi Koda,Minoru Takeshima,Kenji Hoshi,Kazuyoshi Gamada,Toru Morihara 대한견주관절의학회 2022 대한견주관절의학회지 Vol.25 No.4
Background: Massive rotator cuff tears (MRCTs) with subscapularis (SSC) tears cause severe shoulder dysfunction. In the present study, the influence of SSC tears on three-dimensional (3D) shoulder kinematics during scapular plane abduction in patients with MRCTs was examined. Methods: This study included 15 patients who were divided into two groups: supraspinatus (SSP) and infraspinatus (ISP) tears with SSC tear (torn SSC group: 10 shoulders) or without SSC tear (intact SSC group: 5 shoulders). Single-plane fluoroscopic images during scapular plane elevation and computed tomography (CT)-derived 3D bone models were matched to the fluoroscopic images using two-dimensional (2D)/3D registration techniques. Changes in 3D kinematic results were compared. Results: The humeral head center at the beginning of arm elevation was significantly higher in the torn SSC group than in the intact SSC group (1.8±3.4 ㎜ vs. −1.1±1.6 ㎜, p<0.05). In the torn SSC group, the center of the humeral head migrated superiorly, then significantly downward at 60° arm elevation (p<0.05). In the intact SSC group, significant difference was not observed in the superior-inferior translation of the humeral head between the elevation angles. Conclusions: In cases of MRCTs with a torn SSC, the center of the humeral head showed a superior translation at the initial phase of scapular plane abduction followed by inferior translation. These findings indicate the SSC muscle plays an important role in determining the dynamic stability of the glenohumeral joint in a superior-inferior direction in patients with MRCTs.
Hachikubo, Akihiro,Yamada, Koutarou,Miura, Taku,Hyakutake, Kinji,Abe, Kiyoshi,Shoji, Hitoshi Korea Institute of Ocean ScienceTechnology 2004 Ocean and Polar Research Vol.26 No.3
The processes of formation and dissociation of gas hydrates were investigated by monitoring pressure and temperature variations in a pressure cell in order to understand the kinetic behavior of gas hydrate and the controlling factors fur the phase transition of gas hydrate below freezing. Gas hydrates were made kom guest gases ($CH_4,\;CO_2$, and their mixed-gas) and fine ice powder. We found that formation and dissociation speeds of gas hydrates were not controlled by temperature and pressure conditions alone. The results of this study suggested that pressure levels at the formation of mixed-gas hydrate determine the transient equilibrium pressure itself.
Direct identification of aeroelastic force coefficients using forced vibration method
Herry Irpanni,Hiroshi Katsuchi,Hitoshi Yamada 한국풍공학회 2022 Wind and Structures, An International Journal (WAS Vol.35 No.5
This study investigates the applicability of the direct identification of flutter derivatives in the time domain using Rational Function Approximation (RFA), where the extraction procedure requires either a combination of at least two wind speeds or one wind speed. In the frequency domain, flutter derivatives are identified at every wind speed. The ease of identifying flutter derivatives in the time domain creates a paradox because flutter derivative patterns sometimes change in higher-order polynomials. The first step involves a numerical study of RFA extractions for different deck shapes from existing bridges to verify the accurate wind speed combination for the extraction. The second step involves validating numerical simulation results through a wind tunnel experiment using the forced vibration method in one degree of freedom. The findings of the RFA extraction are compared to those obtained using the analytical solution. The numerical study and the wind tunnel experiment results are in good agreement. The results show that the evolution pattern of flutter derivatives determines the accuracy of the direct identification of RFA.
Involvements of Stress Triaxiality in the Brittle Fracture during Earthquakes in Steel Bridge Bents
Hiroshi Tamura,Eiichi Sasaki,Hitoshi Yamada,Hiroshi Katsuchi,Theeraphong Chanpheng 한국강구조학회 2009 International Journal of Steel Structures Vol.9 No.3
Stress triaxiality is proposed as one of the key parameters to discuss the cause of brittle fracture during earthquakes in steel structures. This study analytically investigated the features of stress triaxiality in steel bridge bent subjected to earthquakes. The target structure is a steel bridge bent actually fractured during the South Hyogo prefecture Earthquake. From the investigations, it was confirmed that high stress triaxiality was generated at a point supposed as fracture origin. There is a possibility that the triaxiality was involved in the fracture strongly through the increase of maximum principal stress. Moreover, from the analyses accounting for several kinds of large earthquake waveforms, it was indicated that threre is possibility that the distribution of triaxiality around the fracture origin was not affected by significantly by each cycle and each waveform. Stress triaxiality is proposed as one of the key parameters to discuss the cause of brittle fracture during earthquakes in steel structures. This study analytically investigated the features of stress triaxiality in steel bridge bent subjected to earthquakes. The target structure is a steel bridge bent actually fractured during the South Hyogo prefecture Earthquake. From the investigations, it was confirmed that high stress triaxiality was generated at a point supposed as fracture origin. There is a possibility that the triaxiality was involved in the fracture strongly through the increase of maximum principal stress. Moreover, from the analyses accounting for several kinds of large earthquake waveforms, it was indicated that threre is possibility that the distribution of triaxiality around the fracture origin was not affected by significantly by each cycle and each waveform.
Akihiro Hachikubo,Koutarou Yamada,Taku Miura,Kinji Hyakutake,Kiyoshi Abe,Hitoshi Shoji 한국해양과학기술원 2004 Ocean and Polar Research Vol.26 No.3
The processes of formation and dissociation of gas hydrates were investigated by monitoring pressure and temperature variations in a pressure cell in order to understand the kinetic behavior of gas hydrate and the controlling factors for the phase transition of gas hydrate below freezing. Gas hydrates were made from guest gases (CH4, CO2 and their mixed-gas) and fine ice powder. We found that formation and dissociation speeds of gas hydrates were not controlled by temperature and pressure conditions alone. The results of this study suggested that pressure levels at the formation of mixed-gas hydrate determine the transient equilibrium pressure itself.