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Watanabe Shinichi,Liu Keibun,Kozu Ryo,Yasumura Daisetsu,Yamauchi Kota,Katsukawa Hajime,Suzuki Keisuke,Koike Takayasu,Morita Yasunari 대한재활의학회 2023 Annals of Rehabilitation Medicine Vol.47 No.6
Objective: To examine the association between the mobilization level during intensive care unit (ICU) admission and independence in activity of daily living (ADL), defined as Barthel Index (BI)≥70. Methods: This was a post-hoc analysis of the EMPICS study involving nine hospitals. Consecutive patients who spend >48 hours in the ICU were eligible for inclusion. Mobilization was performed at each hospital according to the shared protocol and the highest ICU mobility score (IMS) during the ICU stay, baseline characteristics, and BI at hospital discharge. Multiple logistic regression analysis, adjusted for baseline characteristics, was used to deter-mine the association between the highest IMS (using the receiver operating characteristic [ROC]) and ADL. Results: Of the 203 patients, 143 were assigned to the ADL independence group and 60 to the ADL dependence group. The highest IMS score was significantly higher in the ADL independence group than in the dependence group and was a predictor of ADL independence at hospital discharge (odds ratio, 1.22; 95% confidence interval, 1.07–1.38; adjusted p=0.002). The ROC cutoff value for the highest IMS was 6 (specificity, 0.67; sensitivity, 0.70; area under the curve, 0.69). Conclusion: These results indicate that, in patients who were in the ICU for more than 48 hours, that patients with good function in the ICU also exhibit good function upon discharge. However, prospective, multicenter trials are needed to confirm this conclusion.
Osteoporosis Associated with Chronic Obstructive Pulmonary Disease
Ryo Okazaki,Reiko Watanabe,Daisuke Inoue 대한골대사학회 2016 대한골대사학회지 Vol.23 No.3
Recent epidemiological studies have revealed that osteoporosis is closely associated with common chronic diseases including diabetes, hypertension, chronic kidney disorders, and chronic obstructive pulmonary disease (COPD). COPD is a chronic inflammatory airway disease but now well known to be associated with various systemic comorbidities including osteoporosis. Osteoporosis and osteoporotic fractures are extremely common in COPD patients, which have significant impacts on their quality of life (QOL), activities of daily life (ADL), respiratory function, and possibly their prognosis. COPD-associated osteoporosis is however extremely under-recognized, hence undertreated. Recent studies have suggested that both decreased bone mineral density (BMD) and impaired bone quality compromise bone strength causing fractures in COPD. In COPD patients, various general clinical risk factors for osteoporosis are present including smoking, older age, low body weight, and physical inactivity. In addition, disease-related risk factors such as decreased pulmonary function, inflammation, glucocorticoid use and vitamin D deficiency/insufficiency have been linked to the development of osteoporosis in COPD. Increased awareness of osteoporosis in COPD, especially that of high prevalence of vertebral fractures is called upon among general physicians as well as pulmonologists. Routine screening for osteoporosis and risk assessment of fractures will enable physicians to diagnose COPD patients with comorbid osteoporosis at an early stage. Timely prevention of developing osteoporosis together with appropriate treatment of established osteoporosis may improve QOL and ADL of the COPD patients, preserve their lung function and eventually result in better prognosis in these patients.
Development of Active Seismometer possessing Expanded Dynamic Range by using Analog Feedback Control
Akihiro HARA,Ryo WATANABE,Kazuto SETO,Toru WATANABE,Yuichi IWASAKI,Mitsuru MIYAZAKI 대한기계학회 2015 대한기계학회 춘추학술대회 Vol.춘계 No.-
This paper proposes a new type of active seismometer measuring vibration possessing long period and wide dynamic range. In order to lower the natural frequency and expand the detectable amplitude, the sensor with the low natural frequency is realized by using feedback control. Moreover, to compensate phase-delay, third order phase-lag compensator is added to shape measured output. It has been demonstrated that the detectable frequency range of the sensor is extended from 0.1[㎐] to 10[㎐], while the dynamic range of that is expanded up to 57[㏈], namely vibrations that possess 700times larger amplitude than the maximum stroke of the sensor. New sensor body is produced and tested.
Masamichi Kodera,Kosuke Watanabe,Maxence Lassiège,Saman Alavi,Ryo Ohmura 한국공업화학회 2020 Journal of Industrial and Engineering Chemistry Vol.81 No.-
Interfacial tension is one of the most important physical properties for high-precision simulations todevelop the methods of preventing plugging of pipelines in the oil and natural gas industry. This paperreports experimental data with the pendant drop method for the interfacial tension of adecane + methane + water system at temperatures between 278.2 K to 298.2 K and pressures up to10 MPa. The data show that in this temperature range the interfacial tension in the decane + methane+ water system decreases almost linearly with increasing temperature. The results also show that byincreasing the pressure of methane, the interfacial tension decreases from 53.98 mN m 1 to50.23 mN m 1 at 283.2 K and 52.23 mN m 1 to 49.74 mN m 1 at 288.2 K. The nature of the methanepressure dependence of the interfacial tension changes for pressures above around 2.00 MPa. Theinterfacial tension decreases with the pressure up to 2.00 MPa, but has no pressure dependence above2.00 MPa. It may be inferred that the decane/water interface is saturated with methane at pressuresaround 2.00 MPa and at higher pressure the interfacial tension is no longer affected by the presence ofmethane.
Satoshi FUTAI,Kazuto SETO,Ryo WATANABE,Yuichi IWASAKI,Mitsuru MIYAZAKI,Toru WATANABE 대한기계학회 2015 대한기계학회 춘추학술대회 Vol.춘계 No.-
This paper proposes a new type of active seismo-meter measuring vibration possessing long period and wide dynamic range. In order to lower the natural frequency and expand the detectable amplitude, the sensor with the low natural frequency is realized by using feedback control. Besides, analog feedback control circuit consisted of resistors, capacitors and operational amplifiers possess temperature dependency, while digital feedback control circuit consisted of computer and digital signal processor is temperature independent. In this report, a novel digital feedback control circuit is developed and tested to avoid temperature dependency. It has been demonstrated that the detectable frequency range and the dynamic range of that is expanded.
Itoh Yasunobu,Kitagawa Ryo,Numazawa Shinichi,Yamakawa Kota,Yamada Osamu,Akasu Isao,Sakai Jun,Otomo Tomoko,Yoshida Hirotaka,Mori Kentaro,Watanabe Sadayoshi,Watanabe Kazuo 대한척추외과학회 2023 Asian Spine Journal Vol.17 No.3
In C1–C2 posterior fixation, the C1 lateral mass and C2 pedicle/translaminar screw insertion under spine navigation have been used frequently. To avoid the risk of neurovascular damage in atlantoaxial stabilization, we assessed the safety and effectiveness of a preoperative computed tomography (CT) image-based navigation system with intraoperative independent C1 and C2 vertebral registration. It is ideal when a reference frame can be linked directly to the C1 posterior arch for C1-direct-captured navigation, but there is a mechanical challenge. A new spine clamp-tracker system was implemented recently, which allows reliable C1- and C2- direct-captured navigation in nine patients with traumatic C2 fractures. In this way, there was no misalignment of C1–C2 screws. C1 lateral mass screws were used except for one case, and translaminar screws were primarily used as an anchor for C2. The C1 lateral mass screw locations, which are 19 mm laterally from the C1 posterior arch’s center, are taken to be constant. However, there is one unusual circumstance in which using a C1 laminar hook instead of a C1 lateral mass screw appears to be a beneficial substitute. The increase of surgical accuracy for posterior C1–C2 screw fixation without cost constraints is significantly facilitated by intraoperative C1- and C2-direct-captured navigation with preoperative computed CT images.
Subnanometer Vacancy Defects Introduced on Graphene by Oxygen Gas
Yamada, Yasuhiro,Murota, Kazumasa,Fujita, Ryo,Kim, Jungpil,Watanabe, Ayuko,Nakamura, Masashi,Sato, Satoshi,Hata, Kenji,Ercius, Peter,Ciston, Jim,Song, Cheng Yu,Kim, Kwanpyo,Regan, William,Gannett, Wil American Chemical Society 2014 JOURNAL OF THE AMERICAN CHEMICAL SOCIETY - Vol.136 No.6
<P>The basal plane of graphene has been known to be less reactive than the edges, but some studies observed vacancies in the basal plane after reaction with oxygen gas. Observation of these vacancies has typically been limited to nanometer-scale resolution using microscopic techniques. This work demonstrates the introduction and observation of subnanometer vacancies in the basal plane of graphene by heat treatment in a flow of oxygen gas at low temperature such as 533 K or lower. High-resolution transmission electron microscopy was used to directly observe vacancy structures, which were compared with image simulations. These proposed structures contain CO, pyran-like ether, and lactone-like groups.</P><P><B>Graphic Abstract</B> <IMG SRC='http://pubs.acs.org/appl/literatum/publisher/achs/journals/content/jacsat/2014/jacsat.2014.136.issue-6/ja4117268/production/images/medium/ja-2013-117268_0005.gif'></P><P><A href='http://pubs.acs.org/doi/suppl/10.1021/ja4117268'>ACS Electronic Supporting Info</A></P>