일본의 진료비 청구심사시스템

( Kenichi Tanaka ) 건강보험심사평가원 심사평가연구소 2010 HIRA 정책동향 Vol.4 No.4

Frequency and clinical features of deficient mismatch repair in ovarian clear cell and endometrioid carcinoma

Tamaki Tanaka,Kazuhiro Takehara,Natsumi Yamashita,Mika Okazawa-Sakai,Kazuya Kuraoka,Norihiro Teramoto,Kenichi Taguchi,Katsushige Yamashiro,Hidenori Kato,Tomoya Mizunoe,Rie Suzuki,Dan Yamamoto,Arisa Ue 대한부인종양학회 2022 Journal of Gynecologic Oncology Vol.33 No.5

Objective: To clarify the frequency of deficient mismatch repair (dMMR) in Japanese ovarian cancer patients, we examined microsatellite instability (MSI) status and immunohistochemistry (IHC) subtypes, including endometrioid carcinoma (EMC), clear cell carcinoma (CCC), or a mixture of both (Mix). Methods: We registered 390 patients who were diagnosed with EMC/CCC/Mix between 2006 and 2015 and treated at seven participating facilities. For 339 patients confirmed eligible by the Central Pathological Review Board, MSI, IHC, and MutL homolog 1 methylation analyses were conducted. The tissues of patients with Lynch syndrome (LS)-related cancer histories, such as colorectal and endometrial cancer, were also investigated. Results: MSI-high (MSI-H) status was observed in 2/217 CCC (0.9%), 10/115 EMC (8.7%), and 1/4 Mix (25%). Additionally, loss of MMR protein expression (LoE-MMR) was observed in 5/219 (2.3%), 16/115 (14.0%), and 1/4 (25%) patients with CCC, EMC, and Mix, respectively. Both MSI-H and LoE-MMR were found significantly more often in EMC (p<0.001). The median (range) ages of patients with MMR expression and LoE-MMR were 54 (30–90) and 46 (22–76) (p=0.002), respectively. In the multivariate analysis, advanced stage and histological type were identified as prognostic factors. Conclusion: The dMMR rate for EMC/CCC was similar to that reported in Western countries. In Japan, it is assumed that the dMMR frequency is higher because of the increased proportion of CCC.

Effect of waste cooking oil addition on ammonia emissions during the composting of dairy cattle manure

Kuroda Kazutaka,Tanaka Akihiro,Furuhashi Kenichi,Fukuju Naoki 아세아·태평양축산학회 2022 Animal Bioscience Vol.35 No.7

Objective: The objective of this study was to evaluate the effect of waste cooking oil (WCO) addition on ammonia (NH3) emissions during the composting of dairy cattle manure under two aeration conditions. Methods: The composting tests were conducted using the laboratory-scale composting apparatuses (14 L of inner volume). Three composting treatments (Control, WCO1.5, and WCO3, with WCO added at 0 wt%, 1.5 wt%, and 3 wt% of manure, respectively) were performed in two composting tests: aeration rate during composting was changed from 0.55 to 0.45 L/min in Test 1, and fixed at 0.3 L/min in Test 2, respectively. The NH3 emitted and nitrogen losses during the composting were analyzed, and the effect of the addition of WCO on NH3 emissions were evaluated. Results: Both tests indicated that the composting mixture temperature increased while the weight and water content decreased with increasing WCO content of the composting mixtures. On the other hand, the NH3 emissions and nitrogen loss trends observed during composting in Tests 1 and 2 were different from each other. In Test 1, NH3 emissions and nitrogen losses during composting increased with increasing WCO contents of the composting samples. Conversely, in Test 2, they decreased as the WCO contents of the samples increased. Conclusion: The WCO addition showed different effect on NH3 emissions during composting under two aeration conditions: the increase in WCO addition ratio increased the emissions under the higher aeration rate in Test 1, and it decreased the emissions under the lower aeration rate in Test 2. To obtain reduction of NH3 emissions by adding WCO with the addition ratio ≤3 wt% of the manure, aeration should be considered. Objective: The objective of this study was to evaluate the effect of waste cooking oil (WCO) addition on ammonia (NH₃) emissions during the composting of dairy cattle manure under two aeration conditions.Methods: The composting tests were conducted using the laboratory-scale composting apparatuses (14 L of inner volume). Three composting treatments (Control, WCO1.5, and WCO3, with WCO added at 0 wt%, 1.5 wt%, and 3 wt% of manure, respectively) were performed in two composting tests: aeration rate during composting was changed from 0.55 to 0.45 L/min in Test 1, and fixed at 0.3 L/min in Test 2, respectively. The NH₃ emitted and nitrogen losses during the composting were analyzed, and the effect of the addition of WCO on NH₃ emissions were evaluated.Results: Both tests indicated that the composting mixture temperature increased while the weight and water content decreased with increasing WCO content of the composting mixtures. On the other hand, the NH₃ emissions and nitrogen loss trends observed during composting in Tests 1 and 2 were different from each other. In Test 1, NH₃ emissions and nitrogen losses during composting increased with increasing WCO contents of the composting samples. Conversely, in Test 2, they decreased as the WCO contents of the samples increased.Conclusion: The WCO addition showed different effect on NH₃ emissions during composting under two aeration conditions: the increase in WCO addition ratio increased the emissions under the higher aeration rate in Test 1, and it decreased the emissions under the lower aeration rate in Test 2. To obtain reduction of NH₃ emissions by adding WCO with the addition ratio ≤3 wt% of the manure, aeration should be considered.

Evaluation of ammonia emission reducing effect by adding waste cooking oil in pilot-scale composting of dairy cattle manure

Kazutaka Kuroda,Akihiro Tanaka,Kenichi Furuhashi,Naoki Fukuju Asian Australasian Association of Animal Productio 2023 Animal Bioscience Vol.36 No.10

Objective: In our previous study, we observed that the addition of waste cooking oil (WCO) reduced ammonia (NH₃) emissions during laboratory-scale composting of dairy cattle manure under low-aeration condition. Therefore, this study aimed to evaluate the effect of addition of WCO on NH₃ emissions reduction during pilot-scale composting of dairy cattle manure, which is close to the conditions of practical composting treatment. Methods: Composting tests were conducted using pilot-scale composting facilities (1.8 m³ of capacity). The composting mixtures were prepared from manure, sawdust, and WCO. Two treatments were set: without WCO (Control) and with WCO added to 3 wt% of manure (WCO3). Composting was conducted under continuous aeration at 40 L/min, corresponding to 22.2 L/(min·m³) of the mixture at the start of composting. The changes in temperatures, NH₃ concentrations in the exhaust gases, and contents of the composted mixtures were analyzed. Based on these analysis results, the effect of WCO addition on NH₃ emissions and nitrogen loss during composting was evaluated. Results: During composting, the temperature increase of the composting mixture became higher, and the decreases of weight and water content of the mixture became larger in WCO3 than in Control. In the decrease of weight, and the residual weight and water content of the mixture, significant differences (p<0.05) were detected between the two treatments at the end of composting. The NH₃ concentrations in the exhaust gases tended to be lower in WCO3 than in Control. Nitrogen loss was 21.5% lower in WCO3 than in Control. Conclusion: Reduction of NH₃ emissions by the addition of WCO under low aeration condition was observed in pilot-scale composting, as well as in laboratory-scale composting. This result suggests that this method is effective in reducing NH₃ emissions in practical-scale composting.

Anti-tumor effect and radioprotection effect on chaga

Yeunhwa Gu,Kenichirou Tanaka,Kyoo Seok Ahn,Ikukatsu Suzuki,Hiroaki Tanabe,Masayuki Tajima,Hiroyuki Iwasa,Kenichi Bamen,Matsuo Koike 한의병리학회 2003 대한동의병리학회 학술대회논문집 Vol.2003 No.7

Negative Effects of Diffuse Idiopathic Skeletal Hyperostosis on Bone Fusion after Transforaminal Lumbar Interbody Fusion

Hagihara Shusuke,Ohta Hideki,Tanaka Jun,Shiokawa Teruaki,Kida Yoshikuni,Iguchi Yohei,Tatsumi Masato,Shibata Ryo,Tahara Kenichi,Shibata Tatsuya,Sanada Kyoichi,Ymamoto Takuaki 대한척추외과학회 2023 Asian Spine Journal Vol.17 No.5

Study Design: This study adopted a retrospective cohort study design.Purpose: This study aimed to clarify the influence of diffuse idiopathic skeletal hyperostosis (DISH) on bone fusion after transforaminal lumbar interbody fusion (TLIF).Overview of Literature: The negative effects of DISH on lumbar degenerative diseases have been reported, and DISH may be involved in the onset and severity of lumbar spinal canal stenosis. Patients with DISH have significantly more reoperations after posterior lumbar fusion, including TLIF. However, the effects of DISH on bone fusion after TLIF have not been reported.Methods: The medical records of patients with intervertebral TLIF from 2012 to 2018 were retrospectively examined. The patients were divided into those with fusion and those with pseudoarthrosis, and the following data were compared: age, sex, DISH, diabetes mellitus, smoking, drinking, albumin levels, body mass index ≥30 kg/m², and L5/S fixation. Statistical analyses were performed using regression models.Results: In this study, 180 patients (78.6%) had fusion and 49 patients (21.4%) had pseudoarthrosis. The number of patients with DISH was significantly higher in the pseudoarthrosis group than in the fusion group (36.7% and 21.7%, respectively; univariate <i>p</i>=0.031, multivariate p =0.019). No significant differences in age, sex, diabetes mellitus, smoking, drinking, albumin levels, body mass index ≥30 kg/m², and L5/S fixation were observed between the two groups. The risk factors for bone fusion were statistically analyzed in 57 patients with DISH. DISH with a caudal end below Th11 was an independent risk factor for pseudoarthrosis (univariate <i>p</i>=0.011, multivariate <i>p</i>=0.033).Conclusions: DISH is an independent risk factor for pseudoarthrosis after one intervertebral TLIF, and DISH with a caudal end below Th11 is associated with a higher risk of pseudoarthrosis than DISH without a caudal end below Th11.

Perioperative management and monitoring of antiplatelet agents: a focused review on aspirin and P2Y12 inhibitors

Michael A. Mazzeffi,Kenichi A. Tanaka,Khang Lee,Bradley Taylor 대한마취통증의학회 2017 Korean Journal of Anesthesiology Vol.70 No.4

Platelets play pivotal roles in hemostasis as well as pathological arterial thrombosis. The combination of aspirin and a P2Y12 inhibitor has become the mainstay therapy in the ageing population with cardiovascular conditions, particularly during and after percutaneous coronary intervention. A number of novel P2Y12 inhibitors has become available in the recent years, and they markedly vary in pharmacokinetic and pharmacodynamic properties. Perioperative physicians today face a challenge of preventing hemorrhage due to platelet inhibitors, while minimizing thrombotic risks. There are several point-of-care platelet function tests available in the peri-procedural assessment of residual platelet aggregation. However, these platelet function tests are not standardized in terms of sample processing, agonist type and potency as well as methods of detecting platelet activity. Understanding the differences in pharmacological properties of antiplatelet agents, principles of platelet function tests, and pertinent hemostatic strategies may be useful to anesthesiologists and intensivists who manage perioperative issues associated with antiplatelet agents. The objectives of this review are: 1) to discuss clinical data on aspirin and P2Y12 inhibitors relating to perioperative bleeding, 2) to outline different features of point-of-care platelet function tests, and 3) to discuss therapeutic options for the prevention and treatment of bleeding associated with antiplatelet agents.

Micro Metal Injection Molding Using Hybrid Micro/Nano Powders

Nishiyabu Kazuaki,Kakishita Kenichi,Osada Toshiko,Tanaka Shigeo 한국분말야금학회 2006 한국분말야금학회 학술대회논문집 Vol.2006 No.1

This study aims to investigate the usage of nano-scale particles in a micro metal injection molding (-MIM) process. Nanoscale particle is effective to improve transcription and surface roughness in small structure. Moreover, the effects of hybrid micro/nano particles, Cu/Cu and SUS/Cu were investigated. Small dumbbell specimens were produced using various feedstocks prepared by changing binder content and fraction of nano-scale Cu particle (0.3 and in particle size). The effects of adding the fraction of nano-scale Cu powder on the melt viscosity of the feedstock, microstructure, density and tensile strength of sintered parts were discussed.

Phellinus linteus and Propolis about radioprotection effects in ICR mice

Yeunhwa Gu,Kenji Hirose,Kenichirou Tanaka,Kyoo Seok Ahn,Ikukatsu Suzuki,Hiroaki Tanabe,Masayuki Tajima,Hiroyuki Iwasa,Kenichi Bamen,Hidefumi Okamoto 한의병리학회 2003 대한동의병리학회 학술대회논문집 Vol.2003 No.7

Regioselective phenylene-fusion reactions of Ni( <small>II</small> )-porphyrins controlled by an electron-withdrawing <i>meso</i> -substituent

Fukui, Norihito,Lee, Seung-Kyu,Kato, Kenichi,Shimizu, Daiki,Tanaka, Takayuki,Lee, Sangsu,Yorimitsu, Hideki,Kim, Dongho,Osuka, Atsuhiro Royal Society of Chemistry 2016 Chemical science Vol.7 No.7

<▼1><P>Oxidation of 10,15,20-triaryl Ni(<SMALL>II</SMALL>)-porphyrins bearing an electron-withdrawing substituent at the 5-position with DDQ and FeCl<SUB>3</SUB> gave 10,12- and 18,20-doubly phenylene-fused Ni(<SMALL>II</SMALL>)-porphyrins regioselectively.</P></▼1><▼2><P>Oxidation of 10,15,20-triaryl Ni(<SMALL>II</SMALL>)-porphyrins bearing an electron-withdrawing substituent at the 5-position with DDQ and FeCl<SUB>3</SUB> gave 10,12- and 18,20-doubly phenylene-fused Ni(<SMALL>II</SMALL>)-porphyrins regioselectively. A doubly phenylene-fused <I>meso</I>-chloro porphyrin thus prepared was reductively coupled to give a <I>meso</I>–<I>meso</I> linked dimer, which was further converted to a quadruply phenylene-fused <I>meso</I>–<I>meso</I>, β–β, β–β triply linked Zn(<SMALL>II</SMALL>)–diporphyrin <I>via</I> inner-metal exchange followed by oxidation with DDQ and Sc(OTf)<SUB>3</SUB>. As compared to the usual <I>meso</I>–<I>meso</I>, β–β, β–β triply linked Zn(<SMALL>II</SMALL>)-diporphyrin, this π-extended porphyrin dyad exhibits a smaller HOMO–LUMO gap and a larger two-photon absorption cross-section.</P></▼2>