Hepatocellular adenoma(HCA)is one of the important complications of glycogen storage disease typeⅠa(GSD-Ⅰa)because it can be transformed into hepatocellular carcinoma.Although surgical resection is a standard treatm...Hepatocellular adenoma(HCA)is one of the important complications of glycogen storage disease typeⅠa(GSD-Ⅰa)because it can be transformed into hepatocellular carcinoma.Although surgical resection is a standard treatment of choice for solitary HCA,multiple HCAs in GSD-Ⅰa patients present as therapeutic challenges for curative treatment.Therefore,treatment strategy according to malignant potential is important in management of HCAs in GSD-Ⅰa.The authors present a case of histologically proven multiple HCAs withoutβ-catenin mutations occurred in a GSD-Ⅰa patient treated successfully with percutaneous radiofrequency ablation as a minimally invasive therapy.展开更多
Leiomyoma is the most common benign mesenchymal tumor of the esophagus.A small leiomyoma covered with endoscopically normal mucosa has a characteristic endoscopic ultrasonographic appearance,slow growth rate,and negli...Leiomyoma is the most common benign mesenchymal tumor of the esophagus.A small leiomyoma covered with endoscopically normal mucosa has a characteristic endoscopic ultrasonographic appearance,slow growth rate,and negligible risk of malignant transformation;therefore the histology does not need to be proven.Synchronous tumors such as an epithelial tumor and small subepithelial tumor in the upper gastrointestinal tract are uncommon.We describe a case with a coexisting small leiomyoma and severe dysplasia in the esophagus which were completely resected by endoscopic mucosal resection.展开更多
Reductions in CO2 emissions have a significant effect on the transportation sector, and there is increasing interest in developing green cars such as electric cars. To prepare for the advent of the electric car era, i...Reductions in CO2 emissions have a significant effect on the transportation sector, and there is increasing interest in developing green cars such as electric cars. To prepare for the advent of the electric car era, it will be necessary to predict the increase in electricity demand owing to the spread of electric cars and determine the policy approaches. Therefore, the analysis was performed to promote the use of electric car that helps reduce CO2 emissions. This study establishes a mode choice model using the stated preference method. To improve the predictive power of the model, some revealed preference data were also examined to consider the characteristics of the commuters and the extent of current electric car technology to determine and verify the parameters of the mode choice models. This was used to estimate changes in CO2 emissions owing to the introduction of electric cars and present effective policy approaches to reduce CO2 emissions.展开更多
文摘Hepatocellular adenoma(HCA)is one of the important complications of glycogen storage disease typeⅠa(GSD-Ⅰa)because it can be transformed into hepatocellular carcinoma.Although surgical resection is a standard treatment of choice for solitary HCA,multiple HCAs in GSD-Ⅰa patients present as therapeutic challenges for curative treatment.Therefore,treatment strategy according to malignant potential is important in management of HCAs in GSD-Ⅰa.The authors present a case of histologically proven multiple HCAs withoutβ-catenin mutations occurred in a GSD-Ⅰa patient treated successfully with percutaneous radiofrequency ablation as a minimally invasive therapy.
文摘Leiomyoma is the most common benign mesenchymal tumor of the esophagus.A small leiomyoma covered with endoscopically normal mucosa has a characteristic endoscopic ultrasonographic appearance,slow growth rate,and negligible risk of malignant transformation;therefore the histology does not need to be proven.Synchronous tumors such as an epithelial tumor and small subepithelial tumor in the upper gastrointestinal tract are uncommon.We describe a case with a coexisting small leiomyoma and severe dysplasia in the esophagus which were completely resected by endoscopic mucosal resection.
文摘Reductions in CO2 emissions have a significant effect on the transportation sector, and there is increasing interest in developing green cars such as electric cars. To prepare for the advent of the electric car era, it will be necessary to predict the increase in electricity demand owing to the spread of electric cars and determine the policy approaches. Therefore, the analysis was performed to promote the use of electric car that helps reduce CO2 emissions. This study establishes a mode choice model using the stated preference method. To improve the predictive power of the model, some revealed preference data were also examined to consider the characteristics of the commuters and the extent of current electric car technology to determine and verify the parameters of the mode choice models. This was used to estimate changes in CO2 emissions owing to the introduction of electric cars and present effective policy approaches to reduce CO2 emissions.
