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Search Results: 1 - 10 of 801 matches for " Hideyuki Terao "
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Ureteroscopy-Assisted Retrograde Nephrostomy (UARN) after Anatrophic Nephrolithotomy
Takashi Kawahara,Hiroki Ito,Hideyuki Terao,Yoshitake Kato,Takehiko Ogawa,Hiroji Uemura,Yoshinobu Kubota,Junichi Matsuzaki
Case Reports in Medicine , 2012, DOI: 10.1155/2012/164963
Abstract: Introduction. Open surgical anatrophic nephrolithotomy (ANL) had been the standard treatment for large renal calculi prior to the development of endoscopic devices and endoscopic techniques. A previous report described the efficacy of ureteroscopy-assisted retrograde nephrostomy (UARN) and presented a case of renal calculi successfully treated with UARN during percutaneous nephrolithotomy (PCNL) in a patient after ANL. Case Presentation. A 61-year-old male with left renal calculi was referred for further treatment. The patient was placed under general and epidural anesthesia, in a Galdakao-modified Valdivia position. A flexible ureteroscope (URS) was inserted, and a Lawson retrograde nephrostomy puncture wire was advanced into the flexible URS. The puncture wire then followed the route from the renal pelvis to the exit skin. Calculus fragmentation was undertaken using a pneumatic lithotripter. Conclusions. UARN for PCNL was therefore found to be a safe, effective, and appropriate treatment for a patient presenting with renal calculi after undergoing ANL.
Encrusted Ureteral Stent Retrieval Using Flexible Ureteroscopy with a Ho: YAG Laser
Takashi Kawahara,Hiroki Ito,Hideyuki Terao,Takehiko Ogawa,Hiroji Uemura,Yoshinobu Kubota,Junichi Matsuzaki
Case Reports in Medicine , 2012, DOI: 10.1155/2012/862539
Abstract: A 23-year-old female had bilateral ureteral stents placed due to bilateral renal stones and hydronephrosis. The bilateral ureteral stents were changed every 3 months. A kidney ureter bladder (KUB) film showed left encrustation along the ureteral stent thus necessitating removal; however, the ureteral stent could not be removed cystoscopically. The ureteral stent was, therefore, extracted using flexible ureteroscopy (URS) with a holmium (Ho): yttrium aluminum garnet (YAG) laser.
Ureteral Stent Retrieval Using the Crochet Hook Technique in Females
Takashi Kawahara, Hiroki Ito, Hideyuki Terao, Takuya Yamagishi, Takehiko Ogawa, Hiroji Uemura, Yoshinobu Kubota, Junichi Matsuzaki
PLOS ONE , 2012, DOI: 10.1371/journal.pone.0029292
Abstract: Introduction We developed a method for ureteral stent removal in female patients that requires no cystoscopy or fluoroscopic guidance using a crochet hook. In addition, we also investigated the success rate, complications and pain associated with this procedure. Methods A total of 40 female patients (56 stents) underwent the removal of ureteral stents. All procedures were carried out with the patients either under anesthesia, conscious sedation, or analgesic suppositories as deemed appropriate for each procedure including Shock Wave Lithotripsy (SWL), Ureteroscopy (URS), Percutaneous Nephrolithotomy (PCNL), and ureteral stent removal. At the time of these procedures, fluoroscopy and/or cystoscopy were prepared, but they were not used unless we failed to successfully remove the ureteral stent using the crochet hook. In addition, matched controls (comprising 50 stents) which were removed by standard ureteral stent removal using cystoscopy were used for comparison purposes. Results A total of 47 of the 56 stents (83.9%) were successfully removed. In addition, 47 of 52 (90.4%) were successfully removed except for two migrated stents and two heavily encrusted stents which could not be removed using cystoscopy. Ureteral stent removal using the crochet hook technique was unsuccessful in nine patients, including two encrustations and two migrations. Concerning pain, ureteral stent removal using the crochet hook technique showed a lower visual analogue pain scale (VAPS) score than for the standard technique using cystoscopy. Conclusions Ureteral stent removal using a crochet hook is considered to be easy, safe, and cost effective. This technique is also easy to learn and is therefore considered to be suitable for use on an outpatient basis.
Ureteroscopy-assisted retrograde nephrostomy for lower calyx calculi in horseshoe kidney: two case reports
Takashi Kawahara, Hiroki Ito, Hideyuki Terao, Katsuyuki Tanaka, Takehiko Ogawa, Hiroji Uemura, Yoshinobu Kubota, Junichi Matsuzaki
Journal of Medical Case Reports , 2012, DOI: 10.1186/1752-1947-6-194
Abstract: Case 1 was a 68-year-old man who was shown on radiography to have left lower calyx calculi (19?×?15mm, 7?×?5mm, and 7?×?3mm) in horseshoe kidney. Case 2 was a 36-year-old woman shown on radiography to have a left lower calyx calculus (10?×?8mm) in horseshoe kidney.Both patients were stone-free after ureteroscopy-assisted retrograde nephrostomy during percutaneous nephrolithotomy. Ureteroscopy-assisted retrograde nephrostomy is a promising procedure for safely and effectively treating lower calyx stones in horseshoe kidney.
Effectiveness of Ureteroscopy-Assisted Retrograde Nephrostomy (UARN) for Percutaneous Nephrolithotomy (PCNL)
Takashi Kawahara, Hiroki Ito, Hideyuki Terao, Yoshitake Kato, Hiroji Uemura, Yoshinobu Kubota, Junichi Matsuzaki
PLOS ONE , 2012, DOI: 10.1371/journal.pone.0052149
Abstract: Objective To determine the impact of ureteroscopy-assisted retrograde nephrostomy (UARN) during percutaneous nephrolithotomy (PCNL). Materials and Methods From April 2009 to September 2011, a total of 50 patients underwent PCNL for large renal stones (stone burden >2 cm). We performed UARN in the Galdakao-modified Valdivia position for 27 patients (UARN PCNL) and ultrasonography-assisted percutaneous nephrostomy in the prone position for 23 patients (prone PCNL). Results UARN PCNL significantly improved the stone-free rate (81.5% vs 52.2%) and the rate of residual stones (<4 mm, 92.6% vs 65.2%, P<0.05). The median length of the operation was significantly shorter for UARN PCNL, at 160 min, compared to 299 min for prone PCNL (P<0.001). There was one intraoperative complication in prone PCNL, namely a hemorrhage that resulted in stopping the initial treatment, but it was cured conservatively. The postoperative complications included a high grade fever that persisted for three days in two UARN PCNL patients (7.4%) and six prone PCNL patients (26.1%). The Clavien grading scores showed significantly lower postoperative complications for UARN PCNL compared to prone PCNL. Conclusion UARN is associated with a higher stone-free rate, shorter operation time, and fewer complications during PCNL than prone PCNL.
Utility and Limitation of Cumulative Stone Diameter in Predicting Urinary Stone Burden at Flexible Ureteroscopy with Holmium Laser Lithotripsy: A Single-Center Experience
Hiroki Ito, Takashi Kawahara, Hideyuki Terao, Takehiko Ogawa, Masahiro Yao, Yoshinobu Kubota, Junichi Matsuzaki
PLOS ONE , 2013, DOI: 10.1371/journal.pone.0065060
Abstract: Purpose To retrospectively assess the clinical utility in ureteroscopy (URS) planning of cumulative stone diameter (CSD), which does not account for stone width or depth, as a predictor of URS outcome and compare it with stone volume. Materials and Methods Patients with renal stones treated at a single institute by flexible URS were retrospectively evaluated. To assess the clinical utility of CSD, relationships between stone-free (SF) status and stone burden (CSD and volume) were analyzed using the area under the receiver operating characteristics (AUROC) curve. To identify stone number impact on CSD, the AUROC of CSD divided by stone number was evaluated. Correlation coefficients of CSD and stone volume were also calculated for groups by stone number. Results In cases with CSD <20.0 mm, CSD and stone volume revealed equal ability to predict SF status. In cases with CSD ≥20.0 mm, stone volume showed higher predictive ability. The ROC curves for cases with ≥4 stones showed that CSD was less predictive of SF status than stone volume. The correlation coefficients of CSD and stone volume by stone number were 0.922 for 1 stone, 0.900 for 2–3 stones, and 0.661 for ≥4 stones. Conclusions In cases with CSD ≥20.0 mm or ≥4 stones, we should evaluate stone volume for a more predictive stone burden, and pretreatment non-contrast CT seems sufficient. In cases with CSD <20.0 mm or 1–3 stones, CSD was as valid a predictor of preoperative stone burden as stone volume, so preoperative kidney-ureter-bladder (KUB) films may be sufficient.
Where Do Neurologists Look When Viewing Brain CT Images? An Eye-Tracking Study Involving Stroke Cases
Hideyuki Matsumoto, Yasuo Terao, Akihiro Yugeta, Hideki Fukuda, Masaki Emoto, Toshiaki Furubayashi, Tomoko Okano, Ritsuko Hanajima, Yoshikazu Ugawa
PLOS ONE , 2011, DOI: 10.1371/journal.pone.0028928
Abstract: The aim of this study was to investigate where neurologists look when they view brain computed tomography (CT) images and to evaluate how they deploy their visual attention by comparing their gaze distribution with saliency maps. Brain CT images showing cerebrovascular accidents were presented to 12 neurologists and 12 control subjects. The subjects' ocular fixation positions were recorded using an eye-tracking device (Eyelink 1000). Heat maps were created based on the eye-fixation patterns of each group and compared between the two groups. The heat maps revealed that the areas on which control subjects frequently fixated often coincided with areas identified as outstanding in saliency maps, while the areas on which neurologists frequently fixated often did not. Dwell time in regions of interest (ROI) was likewise compared between the two groups, revealing that, although dwell time on large lesions was not different between the two groups, dwell time in clinically important areas with low salience was longer in neurologists than in controls. Therefore it appears that neurologists intentionally scan clinically important areas when reading brain CT images showing cerebrovascular accidents. Both neurologists and control subjects used the “bottom-up salience” form of visual attention, although the neurologists more effectively used the “top-down instruction” form.
An Improved Open-Top Chamber with Solar-Heated Double Funnels That Can Adapt to All Wind Directions for Simulating Future Global Warming Conditions in Rice Paddy Fields  [PDF]
Tomio Terao, Masahiro Chiba
Agricultural Sciences (AS) , 2016, DOI: 10.4236/as.2016.710067
Abstract:
An Open-Top Chamber with Solar-heated Double Funnels (OTC-SDF2) that uses solar energy as a heating source was developed in this study. Two air entry/exit funnels were connected to the OTC via flat tunnels through which air was warmed by solar radiation. The new apparatus increased the air temperature by approximately 1°C throughout the chamber when more than half the energy of full sunlight was supplied. Although air flow occurs in only two directions, a nearly constant temperature increase was observed for each wind direction. This increase in temperature was stable for 1 mˉs to 4 mˉs wind speeds in every direction. This degree of warming may be adequate for screening high-temperature tolerant plants from medium to weak cultivars. The OTC-SDF2 has the potential to provide moderately high-temperature treatments for screening various cultivars/strains and may be used to evaluate easy, low-cost cropping methods associated with high-temperature stresses.
Multi-Name Extension to the Credit Grades and an Efficient Monte Carlo Method  [PDF]
Hideyuki Takada
Journal of Mathematical Finance (JMF) , 2014, DOI: 10.4236/jmf.2014.43017
Abstract:

In this paper, we present a multi-name incomplete information structural model which possess the contagion mechanism and its efficient Monte Carlo algorithm based on Interacting Particle System. Along with the Credit Grades, which is industrially used single-name credit model, we suppose that investors can observe firm values and defaults but are not informed of the threshold level at which a firm is deemed to default. Additionally, in order to model the possibility of crisis normalization, we introduce the concept of memory period after default. During the memory period after a default, public investors remember when the previous default occurred and directly reflect that information for updating their belief. When the memory period after a default finish, investors forget about that default and shift their interest to recent defaults if exist. One of the variance reduction techniques, relying upon Interacting Particle System, is combined with the standard Monte Carlo method to address the rare but critical events represented by the tail of loss distribution of portfolio.

Higgs and Top quark coupled with a conformal gauge sector
Terao, Haruhiko
High Energy Physics - Phenomenology , 2007,
Abstract: We propose a dynamical scenario beyond the standard model, in which the radiative correction to the Higgs mass parameter is suppressed due to a large anomalous dimension induced through a conformal invariant coupling with an extra gauge sector. Then the anomalous dimension also suppresses the Yukawa couplings of the Higgs field. However, the large top Yukawa coupling can be generated effectively through mixing among top quarks and the fermions of the conformal gauge sector. This scenario is found to predict a fairly heavy Higgs mass of about 500 GeV. We present an explicit model and show consistency with the Electro-Weak precision measurements of the S and T parameters as well as the Z boson decay width.
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