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      • GPS Overlay Experiment Using Geostationary Satellite, ETS-VIII

        Shinichi Nakamura,Takahiro Inoue,Ryo Nakamura,Seiji Katagiri,Suthichai Noppanakeepong,Yanming Feng 제어로봇시스템학회 2009 제어로봇시스템학회 국제학술대회 논문집 Vol.2009 No.8

        For Global Navigation Satellite System (GNSS) technology, the accuracy of navigation signals (time reference signal) is very important. To improve the accuracy of the navigation signals, exact time control of thesatellite and highly accurate clock synchronization between satellites and ground stations are required. JAXA plans to conduct a time synchronization experiment for future global navigation satellite technology. The objective of the experiment is to confirm whether a geostationary satellite is useful for the positioning accuracy improvement if it isused as a GNSS. This clock management technology will be utilized in the quasi-zenith satellite system, which has been studied in Japan. In this symposium, the results of a experiment and the experiment outline will be reported.

      • KCI등재

        Prognostic Factors of Surgical Outcome after Spinous Process-Splitting Laminectomy for Lumbar Spinal Stenosis

        Keishi Maruo,Toshiya Tachibana,Shinichi Inoue,Fumihiro Arizumi,Shinichi Yoshiya 대한척추외과학회 2015 Asian Spine Journal Vol.9 No.5

        Study Design: A retrospective case review. Purpose: To assess the clinical and radiographic outcomes and identify the predictive factors associated with poor clinical outcomes after lumbar spinous process-splitting laminectomy (LSPSL) for lumbar spinal stenosis (LSS). Overview of Literature: LSPSL is an effective surgical treatment for LSS. Special care should be taken in patients with degenerative lumbar scoliosis (DLS). Methods: A consecutive retrospective case review of patients undergoing LSPSL for LSS with a minimum 2-year follow-up was performed. Mild DLS and mild degenerative spondylolisthesis (DS) were included in the study. The Japanese Orthopedic Association (JOA) score and recovery rate were reviewed. Poor clinical outcome was defined as a recovery rate <50% using Hirabayashi’s method. Results: A total of 52 patients (mean age, 72 years) met the inclusion criteria and had a mean follow-up of 2.6 years (range, 2–4.5 years). The preoperative diagnosis was LSS in 19, DS in 19, and DLS in 14 cases. The mean JOA score significantly increased from 14.6 to 23.2 at the final follow-up. The overall mean recovery rate was 60.1%. Thirteen patients (25%) were assigned to the poor outcome group. A higher rate of pre-existing DLS was observed in the poor outcome (poor) group (good, 15%; poor, 62%; p =0.003) than in the good outcome (good) group. None of the patient factors examined were associated with a poor outcome. A progression of slippage ≥5 mm was found in 8 of 24 patients (33%) in the DS group. A progression of curvature ≥5° was found in 5 of 14 patients (36%) in the DLS group. The progression of scoliosis and slippage did not influence the clinical outcome. Conclusions: The clinical and radiographic outcomes of LSPSL for LSS were favorable. Pre-existing DLS was significantly associated with poor clinical outcome.

      • KCI등재

        Preoperative Low Back Pain Affects Postoperative Patient Satisfaction Following Minimally Invasive Transforaminal Lumbar Interbody Fusion Surgery

        Hiranaka Yoshiaki,Miyazaki Shingo,Inoue Shinichi,Ryu Masao,Yurube Takashi,Kakutani Kenichiro,Tadokoro Ko 대한척추외과학회 2023 Asian Spine Journal Vol.17 No.4

        Study Design: A single-center retrospective study.Purpose: To research the predictive factors associated with postoperative patient satisfaction 1 year after minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF), a minimally invasive procedure for lumbar degenerative disease.Overview of Literature: There have been reports of numerous variables influencing patient satisfaction with lumbar surgery; however, there have been few investigations on MIS are limited.Methods: This study included 229 patients (107 men and 122 women; mean age, 68.9 years) who received one or two levels of MISTLIF, and the patient’s age, gender, disease, paralysis, preoperative physical functions, duration of symptom(s), and surgery-associated factors (waiting for surgery, number of surgical levels, surgical time, and intraoperative blood loss) were studied. Radiographic characteristics and clinical outcomes such as Oswestry Disability Index (ODI) scores and Visual Analog Scale (VAS; 0–100) ODI scores for low back pain, leg pain, and numbness were studied. One year following surgery, patient satisfaction (defined as satisfaction for surgery and for present condition; 0–100) was assessed using VAS and its relationships with investigation factors were examined.Results: The mean VAS scores of satisfaction for surgery and for present condition were 88.6 and 84.2, respectively. The results of multiple regression analysis showed that preoperative adverse factors of satisfaction for surgery were being elderly (<i>β </i>=-0.17, <i>p</i> =0.023), high preoperative low back pain VAS scores (<i>β</i> =-0.15, <i>p</i> =0.020), and postoperative adverse factors were high postoperative ODI scores (<i>β </i> =-0.43, <i>p</i> <0.001). In addition, the preoperative adverse factor of satisfaction for present condition was high preoperative low back pain VAS scores (<i>β </i> =-0.21, <i>p</i> =0.002), and postoperative adverse factors were high postoperative ODI scores (<i>β </i> =-0.45, <i>p</i> <0.001) and high postoperative low back pain VAS scores (β =-0.26, p =0.001).Conclusions: According to this study, significant preoperative low back pain and high postoperative ODI score after surgery are linked to patient unhappiness.

      • KCI등재

        Mode of Imaging Study and Endovascular Therapy for a Large Ischemic Core: Insights From the RESCUE-Japan LIMIT

        Sakakibara Fumihiro,Uchida Kazutaka,Yoshimura Shinichi,Sakai Nobuyuki,Yamagami Hiroshi,Toyoda Kazunori,Matsumaru Yuji,Matsumoto Yasushi,Kimura Kazumi,Ishikura Reiichi,Inoue Manabu,Ando Kumiko,Yoshida 대한뇌졸중학회 2023 Journal of stroke Vol.25 No.3

        Background and Purpose Differences in measurement of the extent of acute ischemic stroke using the Alberta Stroke Program Early Computed Tomographic Score (ASPECTS) by non-contrast computed tomography (CT-ASPECTS stratum) and diffusion-weighted imaging (DWI-ASPECTS stratum) may impact the efficacy of endovascular therapy (EVT) in patients with a large ischemic core. Methods The RESCUE-Japan LIMIT (Recovery by Endovascular Salvage for Cerebral Ultra-acute Embolism Japan–Large IscheMIc core Trial) was a multicenter, open-label, randomized clinical trial that evaluated the efficacy and safety of EVT in patients with ASPECTS of 3–5. CT-ASPECTS was prioritized when both CT-ASPECTS and DWI-ASPECTS were measured. The effects of EVT on the modified Rankin Scale (mRS) score at 90 days were assessed separately for each stratum. Results Among 183 patients, 112 (EVT group, 53; No-EVT group, 59) were in the CT-ASPECTS stratum and 71 (EVT group, 40; No-EVT group, 31) in the DWI-ASPECTS stratum. The common odds ratio (OR) (95% confidence interval) of the EVT group for one scale shift of the mRS score toward 0 was 1.29 (0.65–2.54) compared to the No-EVT group in CT-ASPECTS stratum, and 6.15 (2.46–16.3) in DWI-ASPECTS stratum with significant interaction between treatment assignment and mode of imaging study (<i>P</i>=0.002). There were significant interactions in the improvement of the National Institutes of Health Stroke Scale score at 48 hours (CT-ASPECTS stratum: OR, 1.95; DWIASPECTS stratum: OR, 14.5; interaction <i>P</i>=0.035) and mortality at 90 days (CT-ASPECTS stratum: OR, 2.07; DWI-ASPECTS stratum: OR, 0.23; interaction <i>P</i>=0.008). Conclusion Patients with ASPECTS of 3–5 on MRI benefitted more from EVT than those with ASPECTS of 3–5 on CT.

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