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Chronological Endoscopic and Pathological Observations in Russell Body Duodenitis
Atsushi Goto,Takeshi Okamoto,Masaharu Matsumoto,Hiroyuki Saito,Hideo Yanai,Hiroshi Itoh,Isao sakaida 대한소화기내시경학회 2016 Clinical Endoscopy Vol.49 No.4
A 64-year-old man was found to have a nodule in his right lung. He also complained of nausea and abdominal pain during the clinical course. Esophagogastroduodenoscopy revealed a duodenal ulcer associated with severe stenosis and a suspicion of malignancy. However, three subsequent biopsies revealed no evidence of malignancy. The fourth biopsy showed scattered large eosinophilic cells with an eccentric nucleus, leading to a diagnosis of Russell body duodenitis (RBD). RBD is an extremely rare disease, and little is known about its etiology and clinical course. The pathogenesis of RBD is discussed based on our experience with this case.
Atsushi Goto,Takeshi Okamoto,Ryo Ogawa,Kouichi Hamabe,Shinichi Hashimoto,Jun Nishikawa,Taro Takami 대한소화기내시경학회 2022 Clinical Endoscopy Vol.55 No.4
Background/Aims: Intralesional steroid injections have been administered as prophylaxis for stenosis after esophageal endoscopicsubmucosal dissection. However, this method carries a risk of potential complications such as perforation because a fine needle is usedto directly puncture the postoperative ulcer. We devised a new method of steroid intralesional infusion using a spray tube and evaluatedits efficacy and safety. Methods: Intralesional steroid infusion using a spray tube was performed on 27 patients who underwent endoscopic submucosal dissectionfor superficial esophageal cancer with three-quarters or more of the lumen circumference resected. The presence or absence ofstenosis, complications, and the number of endoscopic balloon dilations (EBDs) performed were evaluated after treatment. Results: Although stenosis was not observed in 22 of the 27 patients, five patients had stenosis and dysphagia requiring EBD. The stenosisin these five patients was relieved after four EBDs. No complications related to intralesional steroid infusion using the spray tubewere observed. Conclusions: Intralesional steroid infusion using a spray tube is a simple and safe technique that is adequately effective in preventingstenosis (clinical trial number, UMIN000037567).
Bispectral index-guided propofol sedation during endoscopic ultrasonography
Ayana Okamoto,Ken Kamata,Takeshi Miyata,Tomoe Yoshikawa,Rei Ishikawa,Tomohiro Yamazaki,Atsushi Nakai,Shunsuke Omoto,Kosuke Minaga,Kentaro Yamao,Mamoru Takenaka,Yasutaka Chiba,Toshiharu Sakurai,Naoshi 대한소화기내시경학회 2022 Clinical Endoscopy Vol.55 No.4
Background/Aims: Bispectral index (BIS) monitors process and display electroencephalographic data are used to assess the depth ofanesthesia. This study retrospectively evaluated the usefulness of BIS monitoring during endoscopic ultrasonography (EUS). Methods: This study included 725 consecutive patients who underwent EUS under sedation with propofol. BIS monitoring was usedin 364 patients and was not used in 361. The following parameters were evaluated: (1) median dose of propofol; (2) respiratory and circulatorydepression; (3) occurrence of body movements; (4) awakening score >8 at the time; and (5) awakening score 2 hours afterleaving the endoscopy room. Results: The BIS group received a significantly lower median dose of propofol than the non-BIS group (159.2 mg vs. 167.5 mg;p=0.015) in all age groups. For patients aged ≥75 years, the reduction in heart rate was significantly lower in the BIS group than in thenon-BIS group (1.2% vs. 9.1%; p=0.023). Moreover, the occurrence of body movements was markedly lower in the BIS group than inthe non-BIS group (8.5% vs. 39.4%; p<0.001). Conclusions: During EUS examination, BIS monitoring is useful for maintaining a constant depth of anesthesia, especially in patients75 years of age or older.
A New Moving-magnet Type Linear Actuator utilizing Flux Concentration Permanent Magnet Arrangement
Goto, Akira,Okamoto, Takuya,Ikariga, Atsushi,Todaka, Takashi,Enokizono, Masato The Korean Institute of Electrical Engineers 2012 Journal of Electrical Engineering & Technology Vol.7 No.3
This paper presents a moving-magnet type linear actuator designed by using flux concentration type permanent magnet arrangement, which can generate higher magnetic flux density in air-gap. In this construction, detent force which is induced by both slot-effect and end-effect becomes larger due to strong attractive forces. To reduce cogging force we have employed a modular mover structure of two magnetic pole sections connected with a center yoke. The improved motor performance is demonstrated with the prototype machine.
A New Moving-magnet Type Linear Actuator utilizing Flux Concentration Permanent Magnet Arrangement
Akira Goto,Takuya Okamoto,Atsushi Ikariga,Takashi Todaka,Masato Enokizono 대한전기학회 2012 Journal of Electrical Engineering & Technology Vol.7 No.3
This paper presents a moving-magnet type linear actuator designed by using flux concentration type permanent magnet arrangement, which can generate higher magnetic flux density in air-gap. In this construction, detent force which is induced by both slot-effect and end-effect becomes larger due to strong attractive forces. To reduce cogging force we have employed a modular mover structure of two magnetic pole sections connected with a center yoke. The improved motor performance is demonstrated with the prototype machine.
Yoshihisa, Kurasawa,Ritsuko, Katoh,Atsushi, Takada,Kim, Ho Sik,Yoshihisa, Okamoto 대구효성가톨릭대학교 자연과학연구소 1992 基礎科學硏究論集 Vol.1992 No.1
The reaction of 6-chloro-2-(1-methylhydrazino)quinoxaline 4-oxide 4a with methyl or phenyl isothiocyanate gave 6-chloro-2-[1-methyl-2-(N-methylthiocarbamoyl)hydrazino]quinoxaline 4-oxide 7a or 6-chloro-2-[1-methyl-2-(N-phenylthiocarbamoyl)hydrazino]quinoxaline 4-oxide 7b, respectively, whose reaction with dimethyl acetylenedicarboxylate afforded 6-chloro-2-[N-methyl-N-(5-methoxycarbonylmethylene-3-methyl-4-oxo-2-thioxoimidazolidin-l-yl)]aminoquinoxaline 4-oxide 8a or 6-chloro-2-[N-methyl-N-(5-methoxycarbonylmethylene-4-oxo-3-phenyl-2-thioxoimidazolidin-l-yl)]aminoquinoxaline 4-oxide 8b, respectively.
Tautomeric Structure of 1-Methyldihydropyridazino[3,4-b]quinoxalines in Solution
Kurasawa, Yoshihisa,Takada, Atsushi,Kim, Ho Sik,Okamoto, Yoshihisa 대구효성가톨릭대학교 자연과학연구소 1993 基礎科學硏究論集 Vol.1993 No.1
The reaction of 6-chloro-2-(1-methylhydrazino)quinoxaline 4-oxide 1 with ethyl 2-ethoxymethylene-2-cyano-acetate or ethoxymethylenemalononitrile gave 6-chloro-2-[2-{2-cyano-2-ethoxycarbonylvinyl)-1-methylhy-drazino]quinoxaline 4-oxide 3a or 6-chloro-2-[2-(2,2-dicyanovinyl)-1-methylhydrazino]quinoxaline 3b, respec-tively. The reaction of 3a with a base afforded 7-chloro-1-methyl-1,5-dihydropyridazino[3,4-b]quinoxaline 4. From the NOE spectral data, the 1-methyldihydropyridazino[3,4-b]quinoxalines 2a,2b and 4 were found to exist as the 1,5-dihydro from in a dimethyl sulfoxide or trifluoroacetic acid/dimethyl sulfoxide solution.