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Koji Nakada,Akitoshi Kimura,Kazuhiro Yoshida,Nobue Futawatari,Kazunari Misawa,Kuniaki Aridome,Yoshiyuki Fujiwara,Kazuaki Tanabe,Hirofumi Kawakubo,Atsushi Oshio,Yasuhiro Kodera 대한위암학회 2023 Journal of gastric cancer Vol.23 No.2
Purpose: This study aimed to examine the effects of 4 main types of gastrectomy for proximal gastric cancer on postoperative symptoms, living status, and quality of life (QOL) using the Postgastrectomy Syndrome Assessment Scale-45 (PGSAS-45). Materials and Methods: We surveyed 1,685 patients with upper one-third gastric cancer who underwent total gastrectomy (TG; n=1,020), proximal gastrectomy (PG; n=518), TG with jejunal pouch reconstruction (TGJP; n=93), or small remnant distal gastrectomy (SRDG; n=54). The 19 main outcome measures (MOMs) of the PGSAS-45 were compared using the analysis of means (ANOM), and the general QOL score was calculated for each gastrectomy type. Results: Patients who underwent TG experienced the lowest postoperative QOL. ANOM showed that 10 MOMs were worse in patients with TG. Four MOMs improved in patients with PG, while 1 worsened. One MOM was improved in patients with TGJP versus 8 MOMs in patients with SRDG. The general QOL scores were as follows: SRDG (+39 points), TGJP (+6 points), PG (+3 points), and TG (−1 point). Conclusions: The TG group experienced the greatest decline in postoperative QOL. SRDG and PG, which preserve part of the stomach without compromising curability, and TGJP, which is used when TG is required, enhance the postoperative QOL of patients with proximal gastric cancer. When selecting the optimal gastrectomy method, it is essential to understand the characteristics of each and actively incorporate guidance to improve postoperative QOL.
Yoshida, Yoshiaki,Fujiwara, Koji,Ishihara, Yoshiyuki,Suzuki, Hirokazu The Korean Institute of Electrical Engineers 2013 The Journal of International Council on Electrical Vol.3 No.1
When distributed generators such as photovoltaic (PV) systems spread widely in distribution networks, it is important to detect islanding caused by power system fault for ensuring electrical safety. We developed the nonlinear magnetizing characteristics model of a pole transformer for analyzing islanding-prevention of PV system. Basic experiments of the islanding-detection were conducted by using the RLC resonant circuit for verification of the developed model. Analytical results by the proposed model agreed well with experimental results.
Yoshida, Yoshiaki,Fujiwara, Koji,Ishihara, Yoshiyuki,Suzuki, Hirokazu Journal of International Conference on Electrical 2014 Journal of international Conference on Electrical Vol.3 No.3
When large penetration of the distributed generators (DGs) such as photovoltaic (PV) systems is growing up in grid system, it is important to quickly prevent islanding caused by power system fault to ensure electrical safety. We propose a novel active method for islanding prevention by harmonic injection synchronized with the exciting current harmonics of the pole transformer to avoid mutual interference between active signals. We confirm the validity of the proposed method by performing the basic tests of islanding by using a current source superimposed the harmonic active signal. Further, we carry out the simulation using PSCAD/EMTDC, and verify the fast islanding detection.
Takegami Norihiko,Akeda Koji,Yamada Junichi,Imanishi Takao,Fujiwara Tatsuhiko,Kondo Tetsushi,Takegami Kenji,Sudo Akihiro 대한척추외과학회 2023 Asian Spine Journal Vol.17 No.1
Study Design: Retrospective study.Purpose: This study aimed to evaluate the incidence, characteristics, and risk factors for clinical L5–S1 adjacent segment degeneration (ASD) after L5 floating lumbar fusion.Overview of Literature: ASD is known to occur after lumbar spine fusion at a certain frequency. Several studies on radiological L5– S1 ASD have been reported. However, there are only a few studies on L5–S1 ASD with clinical symptoms, including back pain and/or radiculopathy.Methods: In total, 306 patients who received L5 floating lumbar fusion were included in this study. Clinical L5–S1 ASD was defined as newly developed radiculopathy in relation to the L5–S1 segment. Patients’ medical records and imaging data were retrospectively analyzed. The risk factors for clinical ASD were assessed by an inverse probability of treatment weighting-adjusted logistic regression analysis.Results: Clinical L5–S1 ASD occurred in 17 patients (5.6%). The mean onset time of L5–S1 ASD was 12.9±7.5 months after the primary surgery. Among these patients, 10 (58.8%) presented with clinical L5–S1 ASD within 12 months. Reoperation was performed in three patients (1.0%). The severity of L5–S1 disk degeneration did not affect the occurrence of L5–S1 ASD. Logistic regression analysis showed that the number of fusion levels was a significant risk factor for clinical L5–S1 ASD.Conclusions: The incidence and characteristics of clinical L5–S1 ASD after L5 floating lumbar fusion were retrospectively investigated. This study established that the number of fusion levels was a significant candidate factor for clinical L5–S1 ASD. Careful clinical follow-up is deemed necessary after L5 floating lumbar fusion surgery, especially for patients who received multiple-level fusions.
Yao, Yingying,Li, Wei,Yoon, Hee-Sung,Fujiwara, Koji,Koh, Chang-Seop The Korean Institute of Electrical Engineers 2008 Journal of Electrical Engineering & Technology Vol.3 No.3
For taking account of the two-dimensional magnetic properties of a grain-oriented electrical steel sheet, the effective anisotropic tensor reluctivity is examined, and a computationally efficient algorithm is suggested by using the response surface method to model the two-dimensional magnetic properties. It is shown that the reconstructed two-dimensional magnetic properties are fairly effective to stabilize the convergence characteristics of the Newton-Raphson iteration in the nonlinear magnetic field analysis.
Yao, Yingying,Eum, Young Hwan,Koji Fujiwara,Koh, Chang Seop 충북대학교 컴퓨터정보통신연구소 2007 컴퓨터정보통신연구 Vol.15 No.3
For taking account of the two-dimensional magnetic properties of a grain-oriented electrical steel sheet, the effective anisotropic tensor reluctivity is examined, and a computationally efficient algorithm is suggested by using response surface method to model the two-dimensional magnetic properties. It is shown that the reconstructed two-dimensional magnetic properties are fairly effective to stabilize the convergence characteristics of the Newton-Raphson iteration in the nonlinear magnetic field analysis.
Yingying Yao,Wei Li,Hee Sung Yoon,Koji Fujiwara,Chang Seop Koh 대한전기학회 2008 Journal of Electrical Engineering & Technology Vol.3 No.3
For taking account of the two-dimensional magnetic properties of a grain-oriented electrical steel sheet, the effective anisotropic tensor reluctivity is examined, and a computationally efficient algorithm is suggested by using the response surface method to model the two-dimensional magnetic properties. It is shown that the reconstructed two-dimensional magnetic properties are fairly effective to stabilize the convergence characteristics of the Newton-Raphson iteration in the nonlinear magnetic field analysis.