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Search Results: 1 - 10 of 1480 matches for " Kazuhiro Asada "
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Evaluation of Effective Dose Using the k-Factor of Optimal Scan Range for CT Examination  [PDF]
Masanao Kobayashi, Yasuki Asada, Kosuke Matsubara, Tomonobu Haba, Yuta Matsunaga, Ai Kawaguchi, Kazuhiro Katada, Hiroshi Toyama, Kichiro Koshida, Ryoichi Kato, Shouichi Suzuki
Open Journal of Radiology (OJRad) , 2015, DOI: 10.4236/ojrad.2015.53021
Abstract: The American College of Radiology opened the computed tomography (CT) dose index registry (DIR) for general participation by all facilities in 2011. For each CT examination, data on volume CT dose index (CTDIvol), dose-length product (DLP), and, for body examinations, size-specific dose estimate (SSDE) were collected. However, effective dose is not estimated in DIR. The primary objective of this study was to estimate k-factor profile in detail at various scan positions with modified the ImPACT CT patient dosimetry. A tool that easily estimates the k-factor of suitable scan areas is essential for practical dose estimation in the DIR. We evaluated k-factor (effective dose/ DLP) profiles between a medical international radiation dose-five (MIRD-5) phantom positions using aImPACT software. As a result of this study, practicality of the k-factor profile method in clinical use was clarified. We speculate that a flexible k-factor improves the appropriateness of the E in hospital settings.
Usefulness of Fractional Exhaled Nitric Oxide-Guided Treatment in Patients with Asthma-Chronic Obstructive Pulmonary Disease Overlap  [PDF]
Taisuke Akamatsu, Toshihiro Shirai, Yuko Tanaka, Hirofumi Watanabe, Yoshinari Endo, Yukiko Shimoda, Takahito Suzuki, Rie Noguchi, Mika Saigusa, Akito Yamamoto, Yuichiro Shishido, Takefumi Akita, Satoru Morita, Kazuhiro Asada
Open Journal of Respiratory Diseases (OJRD) , 2018, DOI: 10.4236/ojrd.2018.81001
Abstract:
Background: Some patients present clinical features of both asthma and chronic obstructive pulmonary disease (COPD), which has led to the recent proposal of asthma-COPD overlap (ACO) as a diagnosis. Fractional exhaled nitric oxide (FeNO) is a candidate biomarker to diagnose ACO. We assessed the effect of an add-on treatment with budesonide/formoterol (BUD/FM) combination in patients with ACO, which was diagnosed by FeNO. Methods: This was a prospective, single-arm, open-label, before and after comparison study. Subjects included 83 patients with COPD who attended outpatient clinics for routine checkups at Shizuoka General Hospital between June and November 2016. All patients fulfilled the GOLD definition of COPD and were receiving long-acting muscarinic antagonist (LAMA) or LAMA/long-acting β2 agonist (LABA) combinations. After an 8-week run-in period, BUD/FM was added to the patients with FeNO levels of ≥35 ppb, defined as having ACO. For patients receiving LAMA/LABA, BUD/FM was added after the discontinuation of LABA. The modified British Medical Research Council (mMRC) score, COPD assessment test (CAT) score, spirometric indices, forced oscillation parameters, and FeNO were assessed before and after 8 weeks of BUD/ FM add-on treatment. Results: Twenty-four patients (28.9%) had FeNO levels ≥ 35 ppb, and 17 patients completed the study (mean age: 73 years and GOLD I/II/III/IV, 5/10/1/1). The mean CAT scores significantly improved (9.2 to 5.4, p = 0.015) and 10 patients (58.8%) showed ≥2 points improvement, a minimal clinically important difference. The mean FeNO levels significantly decreased from 63.0 to 34.3 ppb (p < 0.006). However, there were no changes in mMRC scores, spirometric indices, or forced oscillation parameters. Conclusions: FeNO-guided treatment with BUD/FM improves symptoms in patients with ACO.
Right Atrial Blood Cyst Incidentally Detected by Computed Tomography for Metastatic Breast Cancer in an Adult Female Patient: A Case Report  [PDF]
Kazuhiro Higuchi, Koji Furukawa, Eisaku Nakamura, Eriko Nakamura, Yujiro Asada, Hiroshi Nakada, Kunihide Nakamura
World Journal of Cardiovascular Surgery (WJCS) , 2019, DOI: 10.4236/wjcs.2019.95006
Abstract: Cardiac blood cysts are benign congenital cardiovascular tumors that are rare in adults. A 70-year-old woman who underwent left mastectomy for left breast cancer 9 years ago was referred to our institution for a right atrial mass that measured 35 × 30 mm and was detected incidentally by computed tomography for metastatic breast cancer and transthoracic echocardiography. The mass was attached to the interatrial septum by a stalk. Although it was asymptomatic, surgical resection was performed because of the risk of pulmonary embolism. The mass contained blood, and histopathological findings were suggestive of a blood cyst. We described a rare case of a right atrial blood cyst incidentally found during evaluation for metastatic breast cancer in a woman.
Nonlinear Acoustic Shadow Method to Reduce Reverberation Artifact  [PDF]
Kei Fujisawa, Akira Asada
Journal of Flow Control, Measurement & Visualization (JFCMV) , 2016, DOI: 10.4236/jfcmv.2016.42005
Abstract: A novel technique for reducing reverberation artifact in acoustic shadow imaging using nonlinear ultrasound interaction, called nonlinear acoustic shadow method, has been developed and experimentally studied. In this technique, the conventional acoustic shadow method is modified by using the secondary wave generated by nonlinear interaction of two primary sound waves emitted from parametric array. Either conventional or nonlinear acoustic shadow imaging is carried out for aluminum square cylinder and the size of the shadow is compared. The result shows that the nonlinear acoustic shadow method reduces reverberation artifact inside the square cylinder and has better accuracy in the size measurement than conventional acoustic shadow method.
Inventories and Mixed Duopoly with State-Owned and Labor-Managed Firms  [PDF]
Kazuhiro Ohnishi
iBusiness (IB) , 2010, DOI: 10.4236/ib.2010.22014
Abstract: This paper considers a two-period mixed market model in which a state-owned firm and a labor-managed firm are allowed to hold inventories as a strategic device. The paper then shows that the equilibrium in the second period occurs at the Stackelberg point where the state-owned firm is the leader.
Price-Setting Mixed Duopoly Models with Complementary Goods  [PDF]
Kazuhiro Ohnishi
Modern Economy (ME) , 2010, DOI: 10.4236/me.2010.11003
Abstract: This paper considers domestic (resp. international) Bertrand mixed duopoly competition in which a state-owned welfare-maximizing public firm and a domestic (resp. foreign) profit-maximizing private firm produce complementary goods. The main purpose of the paper is to present and to compare the equilibrium outcomes of the two mixed duopoly models.
Partial Privatization in Price-Setting Mixed Duopolies with Complementary Goods  [PDF]
Kazuhiro Ohnishi
Modern Economy (ME) , 2011, DOI: 10.4236/me.2011.21007
Abstract: We consider a domestic (resp. international) mixed duopoly model in which a domestic public firm and a domestic (resp. foreign) private firm produce complementary goods. First, the domestic government chooses the level of privatization to maximize domestic social welfare. Second, observing the level of privatization, the firms simultaneously and independently choose prices. We present the equilibrium outcomes of the two mixed duopoly models and shows that our result is in marked contrast to that of the price-setting mixed du-opoly model with substitute goods.
Labor Investment in a New International Mixed Market  [PDF]
Kazuhiro Ohnishi
Technology and Investment (TI) , 2010, DOI: 10.4236/ti.2010.12017
Abstract: This paper considers a continuous-time dynamic mixed market model of labor investment decisions of a domestic public firm and a foreign private firm. The paper studies the optimal levels of preemptive investment for the long-run structure of the international mixed market. It is then demonstrated that there are no perfect equilibria in which neither firm invests to its steady-state reaction curve.
Trochanteric Fracture of a Congenital/Developmental Dislocation of the Hip in an Elderly Woman: A Case Report  [PDF]
Kazuhiro Imai
Open Journal of Orthopedics (OJO) , 2011, DOI: 10.4236/ojo.2011.11001
Abstract: An 87-year-old woman with a residual dislocated hip suffered a trochanteric fracture on the ipsilateral side. The fracture was treated by open reduction and internal fixation surgery with good results. To treat a proximal femoral fracture of the residual dislocated hip in an elderly patient, the patient’s overall status, pre-fracture ability, hip joint configuration, and fracture pattern should be considered.
Verification of Quality Requirement Method Based on the SQuaRE System Quality Model  [PDF]
Kazuhiro Esaki
American Journal of Operations Research (AJOR) , 2013, DOI: 10.4236/ajor.2013.31006
Abstract:

For a purpose of suitable system product development and acquisition successfully, it is extremely important to specify the quality requirement for target system during system design phase, and developing or selecting a most suitable product finally from among the alternative candidate products. However, the quality requirements analysis is a very difficult matter because it is non-formulaic and demands much of product customer’s technical perceptiveness. Traditionally, analysis of quality requirements of a product has been conducted through questionnaires or interviews with customers based on survey investigator’s personal experience. This kind of lack of structure and incompleteness in the traditional approach introduced missing requirements and errors in prioritizing requirements to implement in the requirement analysis of a product. On the other hand, we have been working on developing the techniques (SQuaRE) for quality requirements and evaluation for system and software product for a long time in ISO/IECJTC1/SC7WG 6. For the purpose of specify the quality requirement of system product, the method of quantitative quality requirement definitions based on ISO/IEC9126 [1] quality model that includes six characteristics is widely recognized. However, independency among each quality characteristic is not sure and the suitability of method by using these six quality characteristics for quality requirement is not certified statistically. In this paper, we propose the concept of quality requirements definition method based on the SQuaRE quality models define in ISO/IEC25030 [2,3]. Also, this paper proposes the result of verification about effectiveness of quantitative quality requirement definition approach from the view point of six quality characteristics described in ISO/IEC9126.

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