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SHIMODA Masahiro 동국대학교 불교학술원 2021 International Journal of Buddhist Thought & Cultur Vol.31 No.2
The significance of East Asian research is a longstanding issue in the humanities that is yet to be sufficiently addressed. At the same time, it is true that Buddhist thought is now a research subject shared among scholars across and beyond the boundaries of the East and the West. Then, the question may well be posed as to whether Buddhist thought ought to be examined through a specific East Asian research lens. With this question in mind, I will focus on the topic of “East Asia as a Method of Research” by considering the example of haiku interpretations, with reference to the work of John White (1924–2021), a preeminent scholar of Medieval and Renaissance art. In so doing, this short article will demonstrate that the haikus cited here vividly expound the content of such Buddhist principal concepts as impermanence, non-self, emptiness, dependent origination, and the unity of being and not being, without referring to them explicitly. Second, it elucidates the universal nature of this phenomenon, which has been discerned by John White, a specialist in Western humanities. Third, it will enable us to reconsider the conventional methods of Buddhist studies not only from the viewpoint of East Asia but also from that of literariness.
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Bleeding After Gastric Endoscopic Submucosal Dissection Focused on Management of Xa Inhibitors
Ono Shoko,Ieko Masahiro,Tanaka Ikko,Shimoda Yoshihiko,Ono Masayoshi,Yamamoto Keiko,Sakamoto Naoya 대한위암학회 2022 Journal of gastric cancer Vol.22 No.1
Purpose: The use of direct oral Xa inhibitors (DXaIs) to prevent venothrombotic events is increasing. However, gastrointestinal bleeding, including that related to endoscopic resection, is a concern. In this study, we evaluated bleeding and coagulation times during the perioperative period of gastric endoscopic submucosal dissection (ESD). Materials and Methods: Patients who consecutively underwent gastric ESD from August 2016 to December 2018 were analyzed. Bleeding rates were compared among the 3 groups (antiplatelet, DXaIs, and control). DXaI administration was discontinued on the day of the procedure. Prothrombin time (PT), activated partial thromboplastin time, and the ratio of inhibited thrombin generation (RITG), which was based on dilute PT, were determined before and after ESD. Results: During the study period, 265 gastric ESDs were performed in 239 patients, where 23 and 50 patients received DXaIs and antiplatelets, respectively. Delayed bleeding occurred in 17 patients (7.4%) and 21 lesions (7.1%). The bleeding rate in the DXaI group was significantly higher than that in the other groups (30.4%, P<0.01), and the adjusted odds ratio of bleeding was 5.7 (95% confidence interval, 1.4–23.7; P=0.016). In patients using DXaIs, there was a significant (P=0.046) difference in the median RITG between bleeding cases (18.6%) and non-bleeding cases (3.8%). Conclusions: A one-day cessation of DXaIs was related to a high incidence of bleeding after gastric ESD, and monitoring of residual coagulation activity at trough levels might enable the predicted risk of delayed bleeding in patients using DXaIs.
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