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Watanabe Shinichi,Iida Yuki,Hirasawa Jun,Naito Yuji,Mizutani Motoki,Uemura Akihiro,Nishimura Shogo,Suzuki Keisuke,Morita Yasunari 대한재활의학회 2023 Annals of Rehabilitation Medicine Vol.47 No.3
Objective: To investigate the effect on early mobilization in patients undergoing extra-corporeal membrane oxygenation (ECMO) and acute blood purification therapy in the intensive care unit (ICU).Methods: We conducted this multicenter retrospective cohort study by collecting data from six ICUs in Japan. Consecutive patients who were admitted to the ICU, aged ≥18 years, and received mechanical ventilation for >48 hours were eligible. The analyzed were divided into two groups: ECMO/blood purification or control group. Clinical outcomes; time to first mobilization, number of total ICU rehabilitations, mean and highest ICU mobility scale (IMS); and daily barrier changes were also investigated.Results: A total of 204 patients were included in the analysis, 43 in the ECMO/blood purification group and 161 in the control group. In comparison of clinical outcome, the ECMO/blood purification group had a significantly longer time to first mobilization: ECMO/blood purification group 6 vs. control group 4 (p=0.003), higher number of total ICU rehabilitations: 6 vs. 5 (p=0.042), lower mean: 0 vs. 1 (p=0.043) and highest IMS: 2 vs. 3 (p=0.039) during ICU stay. Circulatory factor were most frequently described as barriers to early mobilization on days 1 (51%), 2 (47%), and 3 (26%). On days 4 to 7, the most frequently described barrier was consciousness factors (21%, 16%, 19%, and 21%, respectively)Conclusion: The results of this study comparing the ECMO/blood purification group and the untreated group in the ICU showed that the ECMO/blood purification group had significantly longer days to mobilization and significantly lower mean and highest IMS.
( Takashi Hoshino ),( Toshifumi Watanabe ),( Yusuke Nakagawa ),( Hiroki Katagiri ),( Nobutake Ozeki ),( Toshiyuki Ohara ),( Mikio Shioda ),( Yuji Kono ),( Ichiro Sekiya ),( Hideyuki Koga ) 대한슬관절학회 2021 대한슬관절학회지 Vol.33 No.-
Purpose: This study assessed the clinical outcomes of periprosthetic joint infection patients who underwent twostage revision total knee arthroplasty with antibiotic-loaded cement spacers fabricated using a handmade silicone mold. Materials and methods: This study included seven patients (average age 77 years, average follow-up time 54 months) who underwent surgery at our hospital between 2009 and 2013. Clinical outcomes including knee scores, function scores, knee range of motion, and walking ability at the final observation, period from the primary total knee arthroplasty to implant removal, period from implant removal to revision total knee arthroplasty, and followup period after revision total knee arthroplasty were investigated. Results: At the final follow-up, the average knee range of motion was 99°, with no significant differences at each stage; average knee and function scores were 84 and 77, respectively. With cement spacers, five patients were able to walk with a t-cane. No recurrence of infection was observed. Conclusions: The clinical outcomes of the current case series demonstrated good knee function with preserved walking ability, without any recurrence of periprosthetic joint infection. This study suggests that using a handmade silicone mold could be an effective option for periprosthetic joint infection after a total knee arthroplasty.
Enhanced Heuristic Algorithms K-LAG-V and K-LAG-S for the Constrained Via Minimization Problem
Daisuke Takafuji,Toshimasa Watanabe,Yuji Suga 대한전자공학회 2008 ITC-CSCC :International Technical Conference on Ci Vol.2008 No.7
CVM requires finding any layer assignment of wire-segments, whose topology has already been given, so that the total number of vias may be minimized. A given topology of wire-segments is called an initial wiring layout. Let kCVM denote CVM in which k layers are available for routing. In this paper, only rectilinear routing is considered. The subject of the paper is to propose heuristic algorithms K-LAG-V and K-LAG-S that are enhanced versions of K-LAG. Based on experimental results, it is shown that they are promising ones for solving kCVM with k ∈ {4, 12}.
Hirao Akira,Tsunoda Yuji,Matsuo Akira,Sugiyama Kenji,Watanabe Takumi The Polymer Society of Korea 2006 Macromolecular Research Vol.14 No.3
Dendritic hyperbranched poly(methyl methacrylate)s (PMMA)s, whose branched architectures resemble the 'dendron' part(s) of dendrimer, were synthesized by an iterative methodology consisting of two reactions in each iteration process: (a) a coupling reaction of u-functionalized, living, anionic PMMA having two tert-butyldimethylsilyloxymethylphenyl(SMP) groups with benzyl bromide(BnBr)-chain-end-functionalized PMMA, and (b) a transformation reaction of the introduced SMP groups into BnBr functionalities. These two reactions, (a) and (b), were repeated three times to afford a series of dendron-like, hyperbranched (PMMA)s up to third generation. Three dendron-like, hyperbranched (PMMA)s different in branched architecture were also synthesized by the same iterative methodology using a low molecular weight, functionalized 1,1-diphenylalkyl anion prepared from sec-BuLi and 1,1-bis(3-tert-butyldime-thylsilyloxymethylphenyl)ethylene in the reaction step (b) in each iterative process. Furthermore, structurally similar, dendron-like, hyperbranched block copolymers could be successfully synthesized by the iterative methodology using $\alpha$-functionalized, living, anionic poly(2-(perfluorobutyl) ethyl methacrylate) (PRfMA) in addition to $\alpha$-functionalized, living PMMA. Accordingly, the resulting block copolymers were comprised of both PMMA and PRfMA segments with different sequential orders. After the block copolymers were cast into films and annealed, their surface structures were characterized by angle-dependent XPS and contact angle measurements. All three samples showed significant segregation and enrichment of PRfMA segments at the surfaces.
Mitsukuri, Yuki,Hara, Ryoichi,Kita, Hiroyuki,Watanabe, Keiichi,Mori, Kenjiro,Kataoka, Yasuhiro,Kogure, Eiji,Mishima, Yuji The Korean Institute of Electrical Engineers 2014 The Journal of International Council on Electrical Vol.4 No.2
A surge of needs for the low carbon society promotes a spread of electric vehicle (EV). EVs could be charged at night simultaneously, as a result, severe voltage drop may happen. The authors have proposed the method which can compensate the voltage drop caused by EV charging by means of adjusting charging schedules and controlling reactive power. And, we have confirmed the effectiveness of the method by estimating steady state in order to figure out the limitation of the control capability. In this paper, from a practical viewpoint, we propose the method to consider dynamic behavior. In this method, the EV can not only finish charging effectively but also control minimal reactive power to keep admissible voltage with monitoring system voltage.
Eri Kumai,Fuyumi Shimono,Manabu Tanaka,Takayuki Watanabe,Takeshi Hoshino,Satoshi Hosoda,Hiroshi Kanamori,Yuji Fujita 한국공업화학회 2022 Journal of Industrial and Engineering Chemistry Vol.107 No.-
Oxygen-deficient tungsten oxide is one of the promising materials for broad applications due to itsenhanced characteristics owing to the oxygen-deficiency. Development of a mass production process iscrucial in consideration of the increasing demand of this material in industrial purposes. A continuousscrew reactor was employed to the production of oxygen-deficient tungsten oxide. The effects of hydrogenconcentration and the reduction time on the composition of products were investigated. The maximumWO2.72 mole fraction of 0.95 was achieved by optimum hydrogen concentration and reductiontime. X-ray Photoelectron Spectroscopy (XPS) spectra of the products indicated the introduction ofoxygen-deficiency. Anisotropic crystal growth in the (010) direction is found in the cross-section observationby Scanning Electron Microscope (SEM). The displacing value from High-Resolution TransmissionElectron Microscope (HR-TEM) demonstrated the existence of WO2.72. The reaction kinetic was investigatedby thermogravimetric analysis. Estimated activation energy supported the results from the continuousprocess. This work suggests the promising process for the large-scale production of functionalmaterials.