A 37-year old male presented with an acute abdomen suggestive of an appendiceal perforation.Urgent laparotomy showed a duplicated appendix with one of the lumens involved with appendicitis and a focal periappendicular...A 37-year old male presented with an acute abdomen suggestive of an appendiceal perforation.Urgent laparotomy showed a duplicated appendix with one of the lumens involved with appendicitis and a focal periappendicular abscess while the other lumen had a localized appendiceal cancer.Recognition of congenital intestinal duplications in adults is important to avoid serious clinical consequences.展开更多
AIM:To investigate the trend in gastric cancer surgery in the context of rapid therapeutic advancement in Japan and East Asia.METHODS:A retrospective analysis was performed on 4163 patients who underwent gastric resec...AIM:To investigate the trend in gastric cancer surgery in the context of rapid therapeutic advancement in Japan and East Asia.METHODS:A retrospective analysis was performed on 4163 patients who underwent gastric resection for gastric cancer with histological confirmation between 1971 and 2007 at the surgical unit in Kitasato University Hospital,to determine the trend in gastric cancer requiring surgery.RESULTS:Gastric cancer requiring surgical resection increased in our hospital,but the incidence adjusted for population was constant during the observed pe-riod.Interestingly,the ratio of diffuse type/intestinal type gastric cancer was unexpectedly unchanged,and that of advanced/early gastric cancer(EGC)was,however,markedly reduced,while the actual incidence of potentially curative advanced gastric cancer tended to decrease.The incidence of EGC requiring surgery tended to increase as a whole,which is consistent with increased prevalence of endoscopic surveillance.As a result,overall survival and mortality of gastric cancer requiring gastric resection has recently markedly improved.CONCLUSION:In Japan,planned interventions may improve surgical gastric cancer mortality,but an unexpected trend of persistent existence of intestinal type cancer suggests the need for more robust medical intervention.展开更多
The development of text messaging in cell phones has influenced punctuation variations in written language. In order to determine how text messaging has resulted in paradigm shift in the traditional uses of punctuatio...The development of text messaging in cell phones has influenced punctuation variations in written language. In order to determine how text messaging has resulted in paradigm shift in the traditional uses of punctuation marks, this paper explores how punctuation marks vary with language, location, register and time, and how they are constantly evolving. The discussion in this paper is structured around Coupland's sociolinguistic theory. The findings reveal that new technology has impacted on the traditional uses of punctuation marks. Thus, the results show that the use of punctuation markers in Short Message Service (SMS) texts is complex. Moreover, the use of punctuation marks in Kenyan text messages reveals personal stylistic choices. However, it is apparent that Kenyan text messages are shaped by social variables.展开更多
Promotion is becoming one of the most commonly and intentionally used by local government element of marketing mix. It can be either internal (addressed to the inhabitants of the unit) or external (aimed at people ...Promotion is becoming one of the most commonly and intentionally used by local government element of marketing mix. It can be either internal (addressed to the inhabitants of the unit) or external (aimed at people who are not residents of the unit). The subject of the presented studies will be culture promotion of the region. One of the areas of promotion, little appreciated in Poland so far, is culture and culture heritage which are of greater and greater importance for the regional development. Culture heritage can be a resource to strengthen the region and improve the conditions for economic growth. Culture goods constitute an important factor in the development of socio-economic region. They increase tourist attractiveness contributing to the development of tourism and agro-tourism in the area. The rich history, multi-layered and diverse culture heritage, both tangible and intangible, can be one of the main assets of raising the competitiveness of the given region in the country and the European Union (EU). It should be assumed that in a market economy town or municipality operate in a manner similar to enterprise, they produce products and services offered to the internal market (municipality) as well as to external one (surrounding of the municipality). Competitive conditions require the use of all tools to increase the effectiveness of the operation, including marketing tools. Being a marketing issue a product, which is offered by a city/town, can be considered in two aspects: first as a mega-product (i.e., a city/town as a whole), second as a distribution of a mega-product for individual municipal sub-products. Presented concept of a product offered by a city in its two distinctions can be also applied to a municipality. Market-based approach in relation to territorial units is usually called "territorial marketing". Alternatively, they can be also called "spatial marketing" and "area marketing". Depending on the type of territorial units and the scope of marketing activities various concepts are used (e.g., urban marketing and municipal marketing). Currently in Poland these concepts are generally related to basic units of the administrative division of the country namely to urban and rural municipalities. Therefore, for this type of activities one can suggest the term "municipal marketing".展开更多
A novel method of deriving the electromagnetic dyadic Green's functions in an unbounded, lossless, reciprocal and homogeneous chiral media described by the constitutive relations D = εE + jγB and H = jγE + μ^-1...A novel method of deriving the electromagnetic dyadic Green's functions in an unbounded, lossless, reciprocal and homogeneous chiral media described by the constitutive relations D = εE + jγB and H = jγE + μ^-1B - (ωε)^-1γJ is given. The divergenceless and irrotational splitting of dyadic Dirac 8 function and Fourier transformation are used to directly obtain the divergenceless and irrotational component of spectral-domain dyadic Green's functions in chiral media. This method avoids using the dyadic Green's function eigenfunction expansion technique. The method given here can be generalized to a source-free region and an achiral case.展开更多
Granular cell tumor (GCT) of the biliary system is rare. It is reported that it occurs more commonly in young black women. We report here our seldom experience of a Japanese case in whom icterus was found as a first s...Granular cell tumor (GCT) of the biliary system is rare. It is reported that it occurs more commonly in young black women. We report here our seldom experience of a Japanese case in whom icterus was found as a first symptom just after a caesarean operation. A 36-year-old Japanese woman developed icterus after delivery by the Caesarean operation. A surgical operation was performed without can deny that there was a tumor-related change in a bile duct as a result of examination for various images. As a result of pathological evaluation, GCT was diagnosed. By the preoperative organization biomicroscopy result, it was not able to be attachd a right diagnosis. It was thought that this tumor, although rare, should be considered as one of the causes of biliary stenosis in the younger population.展开更多
This review discusses Nezakat-Alhossaini, Youhanaee, and Moinzadeh's research study entitled "Impact of Explicit Instruction on EFL Learners' Implicit and Explicit Knowledge: A Case of English Relative Clauses." ...This review discusses Nezakat-Alhossaini, Youhanaee, and Moinzadeh's research study entitled "Impact of Explicit Instruction on EFL Learners' Implicit and Explicit Knowledge: A Case of English Relative Clauses." This study was chosen for evaluation because it strives to attach significance to explicit instruction in L2 acquisition, unlike other more recent research, which seeks to reinforce implicit instruction as it is viewed as the idealistic goal of language learning (Rebuschat & William, 2009). The present review will be developed by means of an evaluation of Alhossaini and her colleagues' study, consisting of a concise summary of the study, a classification of the philosophical perspective, the selection of criteria, and the strengths and weaknesses of the study. In this review, I hope that I succeed to broadly navigate the research enterprise, commencing with the philosophical perspective of research, such as the epistemological and ontological stances shaping the philosophical perspective and then colouring the research. By reviewing this study, I would also hope that I successfully evaluate the research quality by using appropriate criteria in an attempt to suggest potential directions for further research (under strengths and weaknesses of the study).展开更多
In this study, we analyzed the swing motions of more experienced practitioner and new practitioner of iaido players by using tri-axial acceleration sensor and gyro sensor. Iaido is a modern Japanese martial art/sport....In this study, we analyzed the swing motions of more experienced practitioner and new practitioner of iaido players by using tri-axial acceleration sensor and gyro sensor. Iaido is a modern Japanese martial art/sport. In this way, the acceleration and gyro sensor measurement enabled detailed motion information at the installation points to be displayed in a short time, thus making it possible to easily extract the objective problems. Although it was not possible to confirm by the acceleration and angular velocity measurements the detailed motion of the entire body as obtained in the 2D motion analysis with a high-speed camera, it was confirmed that the acceleration and gyro sensor is an evaluation means that can be installed easily and can provide the exercise information in a short time as an objective index.展开更多
The primary objective of this study is to assess the impact of a pharmacist-implemented protocol on number of post-operative alvimopan doses. The secondary objective of this study is to assess LOS (length of stay), ...The primary objective of this study is to assess the impact of a pharmacist-implemented protocol on number of post-operative alvimopan doses. The secondary objective of this study is to assess LOS (length of stay), in days, before and after protocol implementation. A retrospective chart review was conducted from October 2015 through March 2016 for all laparoscopic colorectal surgeries. Number of post-operative alvimopan doses received and LOS was recorded for each patient that received at least one dose of alvimopan. Comparative data, before protocol implementation, from November 2014 through June 2015 were analyzed against the study data. Number of post-operative alvimopan doses and LOS were recorded. The mean number of doses was 6.41 in the comparator group and 4.25 in the study group (probability size P 〈 0.001), which did meet statistical significance. Although the secondary objective was not statistically significant, LOS slightly decreased as the mean LOS was 5.01 days in the comparator group versus 4.49 days in the study group (P = 0.256). At the current price of $120 per capsule, close to $30,000 was saved during the study period, projecting an annual cost savings of approximately $68,000. Results from this study show that pharmacists can play a vital role in cost savings and ensuring appropriate use of certain high-risk medications, like alvimopan, without increasing overall length of stay.展开更多
The transition of strong-interaction matter from the hadronic phase to the quark-gluon plasma phase is a rapid crossover but not a true phase transition in nature.The true phase transition of strong-interaction matter...The transition of strong-interaction matter from the hadronic phase to the quark-gluon plasma phase is a rapid crossover but not a true phase transition in nature.The true phase transition of strong-interaction matter is expected to exist only in certain limits,e.g.chiral limit of massless quarks and etc.In this contribution to CNPC2023 Special Issue we present our recent studies on the true phase transition of strong-interaction matter in the chiral limit of massless quarks as well as its microscopic origin.The study is based on(2+1)-flavor lattice QCD simulations using highly improved staggered fermions,with pion masses ranging from 160 MeV down to 55 MeV.Utilizing a newly proposed method to compute the quark mass derivatives of the Dirac eigenvalue spectrum on the lattice,it is found that the axial U(1)anomaly is still manifested at 1.6T_(c),with a microscopic origin consistent with the dilute instanton gas approximation.Furthermore,based on lattice QCD results and a generalized Banks-Casher relation,it is found that the macroscopic singularity of the chiral phase transition is encoded in the correlation of the Dirac eigenvalue spectrum.Future research directions along these findings are also discussed,including the investigation of the temperature range between T_(c) and 1.6 T_(c) to understand the breakdown of the dilute instanton gas approximation and its connection to the chiral phase transition.展开更多
Most state-of-the-art robotic cars' perception systems are quite different from the way a human driver understands traffic environments. First, humans assimilate information from the traffic scene mainly through visu...Most state-of-the-art robotic cars' perception systems are quite different from the way a human driver understands traffic environments. First, humans assimilate information from the traffic scene mainly through visual perception, while the machine perception of traffic environments needs to fuse information from several different kinds of sensors to meet safety-critical requirements. Second, a robotic car requires nearly 100% correct perception results for its autonomous driving, while an experienced human driver works well with dynamic traffic environments, in which machine perception could easily produce noisy perception results. In this paper, we propose a vision-centered multi-sensor fusing framework for a traffic environment perception approach to autonomous driving, which fuses camera, LIDAR, and GIS information consistently via both geometrical and semantic constraints for efficient self- localization and obstacle perception. We also discuss robust machine vision algorithms that have been successfully integrated with the framework and address multiple levels of machine vision techniques, from collecting training data, efficiently processing sensor data, and extracting low-level features, to higher-level object and environment mapping. The proposed framework has been tested extensively in actual urban scenes with our self-developed robotic cars for eight years. The empirical results validate its robustness and efficiency.展开更多
文摘A 37-year old male presented with an acute abdomen suggestive of an appendiceal perforation.Urgent laparotomy showed a duplicated appendix with one of the lumens involved with appendicitis and a focal periappendicular abscess while the other lumen had a localized appendiceal cancer.Recognition of congenital intestinal duplications in adults is important to avoid serious clinical consequences.
基金Supported by Japanese Foundation for Multidisciplinary Treatment of Cancer
文摘AIM:To investigate the trend in gastric cancer surgery in the context of rapid therapeutic advancement in Japan and East Asia.METHODS:A retrospective analysis was performed on 4163 patients who underwent gastric resection for gastric cancer with histological confirmation between 1971 and 2007 at the surgical unit in Kitasato University Hospital,to determine the trend in gastric cancer requiring surgery.RESULTS:Gastric cancer requiring surgical resection increased in our hospital,but the incidence adjusted for population was constant during the observed pe-riod.Interestingly,the ratio of diffuse type/intestinal type gastric cancer was unexpectedly unchanged,and that of advanced/early gastric cancer(EGC)was,however,markedly reduced,while the actual incidence of potentially curative advanced gastric cancer tended to decrease.The incidence of EGC requiring surgery tended to increase as a whole,which is consistent with increased prevalence of endoscopic surveillance.As a result,overall survival and mortality of gastric cancer requiring gastric resection has recently markedly improved.CONCLUSION:In Japan,planned interventions may improve surgical gastric cancer mortality,but an unexpected trend of persistent existence of intestinal type cancer suggests the need for more robust medical intervention.
文摘The development of text messaging in cell phones has influenced punctuation variations in written language. In order to determine how text messaging has resulted in paradigm shift in the traditional uses of punctuation marks, this paper explores how punctuation marks vary with language, location, register and time, and how they are constantly evolving. The discussion in this paper is structured around Coupland's sociolinguistic theory. The findings reveal that new technology has impacted on the traditional uses of punctuation marks. Thus, the results show that the use of punctuation markers in Short Message Service (SMS) texts is complex. Moreover, the use of punctuation marks in Kenyan text messages reveals personal stylistic choices. However, it is apparent that Kenyan text messages are shaped by social variables.
文摘Promotion is becoming one of the most commonly and intentionally used by local government element of marketing mix. It can be either internal (addressed to the inhabitants of the unit) or external (aimed at people who are not residents of the unit). The subject of the presented studies will be culture promotion of the region. One of the areas of promotion, little appreciated in Poland so far, is culture and culture heritage which are of greater and greater importance for the regional development. Culture heritage can be a resource to strengthen the region and improve the conditions for economic growth. Culture goods constitute an important factor in the development of socio-economic region. They increase tourist attractiveness contributing to the development of tourism and agro-tourism in the area. The rich history, multi-layered and diverse culture heritage, both tangible and intangible, can be one of the main assets of raising the competitiveness of the given region in the country and the European Union (EU). It should be assumed that in a market economy town or municipality operate in a manner similar to enterprise, they produce products and services offered to the internal market (municipality) as well as to external one (surrounding of the municipality). Competitive conditions require the use of all tools to increase the effectiveness of the operation, including marketing tools. Being a marketing issue a product, which is offered by a city/town, can be considered in two aspects: first as a mega-product (i.e., a city/town as a whole), second as a distribution of a mega-product for individual municipal sub-products. Presented concept of a product offered by a city in its two distinctions can be also applied to a municipality. Market-based approach in relation to territorial units is usually called "territorial marketing". Alternatively, they can be also called "spatial marketing" and "area marketing". Depending on the type of territorial units and the scope of marketing activities various concepts are used (e.g., urban marketing and municipal marketing). Currently in Poland these concepts are generally related to basic units of the administrative division of the country namely to urban and rural municipalities. Therefore, for this type of activities one can suggest the term "municipal marketing".
基金Sponsored by the Natural Science Foundation of Liaoning Province (Grant No.20092146)
文摘A novel method of deriving the electromagnetic dyadic Green's functions in an unbounded, lossless, reciprocal and homogeneous chiral media described by the constitutive relations D = εE + jγB and H = jγE + μ^-1B - (ωε)^-1γJ is given. The divergenceless and irrotational splitting of dyadic Dirac 8 function and Fourier transformation are used to directly obtain the divergenceless and irrotational component of spectral-domain dyadic Green's functions in chiral media. This method avoids using the dyadic Green's function eigenfunction expansion technique. The method given here can be generalized to a source-free region and an achiral case.
文摘Granular cell tumor (GCT) of the biliary system is rare. It is reported that it occurs more commonly in young black women. We report here our seldom experience of a Japanese case in whom icterus was found as a first symptom just after a caesarean operation. A 36-year-old Japanese woman developed icterus after delivery by the Caesarean operation. A surgical operation was performed without can deny that there was a tumor-related change in a bile duct as a result of examination for various images. As a result of pathological evaluation, GCT was diagnosed. By the preoperative organization biomicroscopy result, it was not able to be attachd a right diagnosis. It was thought that this tumor, although rare, should be considered as one of the causes of biliary stenosis in the younger population.
文摘This review discusses Nezakat-Alhossaini, Youhanaee, and Moinzadeh's research study entitled "Impact of Explicit Instruction on EFL Learners' Implicit and Explicit Knowledge: A Case of English Relative Clauses." This study was chosen for evaluation because it strives to attach significance to explicit instruction in L2 acquisition, unlike other more recent research, which seeks to reinforce implicit instruction as it is viewed as the idealistic goal of language learning (Rebuschat & William, 2009). The present review will be developed by means of an evaluation of Alhossaini and her colleagues' study, consisting of a concise summary of the study, a classification of the philosophical perspective, the selection of criteria, and the strengths and weaknesses of the study. In this review, I hope that I succeed to broadly navigate the research enterprise, commencing with the philosophical perspective of research, such as the epistemological and ontological stances shaping the philosophical perspective and then colouring the research. By reviewing this study, I would also hope that I successfully evaluate the research quality by using appropriate criteria in an attempt to suggest potential directions for further research (under strengths and weaknesses of the study).
文摘In this study, we analyzed the swing motions of more experienced practitioner and new practitioner of iaido players by using tri-axial acceleration sensor and gyro sensor. Iaido is a modern Japanese martial art/sport. In this way, the acceleration and gyro sensor measurement enabled detailed motion information at the installation points to be displayed in a short time, thus making it possible to easily extract the objective problems. Although it was not possible to confirm by the acceleration and angular velocity measurements the detailed motion of the entire body as obtained in the 2D motion analysis with a high-speed camera, it was confirmed that the acceleration and gyro sensor is an evaluation means that can be installed easily and can provide the exercise information in a short time as an objective index.
文摘The primary objective of this study is to assess the impact of a pharmacist-implemented protocol on number of post-operative alvimopan doses. The secondary objective of this study is to assess LOS (length of stay), in days, before and after protocol implementation. A retrospective chart review was conducted from October 2015 through March 2016 for all laparoscopic colorectal surgeries. Number of post-operative alvimopan doses received and LOS was recorded for each patient that received at least one dose of alvimopan. Comparative data, before protocol implementation, from November 2014 through June 2015 were analyzed against the study data. Number of post-operative alvimopan doses and LOS were recorded. The mean number of doses was 6.41 in the comparator group and 4.25 in the study group (probability size P 〈 0.001), which did meet statistical significance. Although the secondary objective was not statistically significant, LOS slightly decreased as the mean LOS was 5.01 days in the comparator group versus 4.49 days in the study group (P = 0.256). At the current price of $120 per capsule, close to $30,000 was saved during the study period, projecting an annual cost savings of approximately $68,000. Results from this study show that pharmacists can play a vital role in cost savings and ensuring appropriate use of certain high-risk medications, like alvimopan, without increasing overall length of stay.
文摘The transition of strong-interaction matter from the hadronic phase to the quark-gluon plasma phase is a rapid crossover but not a true phase transition in nature.The true phase transition of strong-interaction matter is expected to exist only in certain limits,e.g.chiral limit of massless quarks and etc.In this contribution to CNPC2023 Special Issue we present our recent studies on the true phase transition of strong-interaction matter in the chiral limit of massless quarks as well as its microscopic origin.The study is based on(2+1)-flavor lattice QCD simulations using highly improved staggered fermions,with pion masses ranging from 160 MeV down to 55 MeV.Utilizing a newly proposed method to compute the quark mass derivatives of the Dirac eigenvalue spectrum on the lattice,it is found that the axial U(1)anomaly is still manifested at 1.6T_(c),with a microscopic origin consistent with the dilute instanton gas approximation.Furthermore,based on lattice QCD results and a generalized Banks-Casher relation,it is found that the macroscopic singularity of the chiral phase transition is encoded in the correlation of the Dirac eigenvalue spectrum.Future research directions along these findings are also discussed,including the investigation of the temperature range between T_(c) and 1.6 T_(c) to understand the breakdown of the dilute instanton gas approximation and its connection to the chiral phase transition.
基金supported by the National Key Program Project of China(No.2016YFB1001004)the National Natural Science Foundation of China(Nos.91320301 and 61273252)
文摘Most state-of-the-art robotic cars' perception systems are quite different from the way a human driver understands traffic environments. First, humans assimilate information from the traffic scene mainly through visual perception, while the machine perception of traffic environments needs to fuse information from several different kinds of sensors to meet safety-critical requirements. Second, a robotic car requires nearly 100% correct perception results for its autonomous driving, while an experienced human driver works well with dynamic traffic environments, in which machine perception could easily produce noisy perception results. In this paper, we propose a vision-centered multi-sensor fusing framework for a traffic environment perception approach to autonomous driving, which fuses camera, LIDAR, and GIS information consistently via both geometrical and semantic constraints for efficient self- localization and obstacle perception. We also discuss robust machine vision algorithms that have been successfully integrated with the framework and address multiple levels of machine vision techniques, from collecting training data, efficiently processing sensor data, and extracting low-level features, to higher-level object and environment mapping. The proposed framework has been tested extensively in actual urban scenes with our self-developed robotic cars for eight years. The empirical results validate its robustness and efficiency.