著者
Daisuke Miyagishima Masanori Inoue Kaori Kinjo Kentaro Fujimoto Hiromasa Suzuki Kaoru Sugimura Michio Kubota Akihiko Nakagawa Yasuharu Kikuchi Masami Shinozaki Hajime Fujimoto
出版者
The Japanese Society of Internal Medicine
雑誌
Internal Medicine (ISSN:09182918)
巻号頁・発行日
pp.9181-21, (Released:2022-04-23)
参考文献数
35

Shiitake mushrooms are edible mushrooms popular in East Asian cuisine. We herein report a 69-year-old man with abdominal distension and vomiting after ingesting several pieces of sautéed Shiitake mushrooms. Abdominal computed tomography (CT) revealed ring-shaped and crescent-shaped low-density objects (−100 to −300 Hounsfield units) in the ileum. Based on the specific shapes and CT numbers of the foreign bodies, he was diagnosed with small bowel obstruction due to Shiitake mushrooms. After conservative treatment, he passed four pieces of Shiitake mushrooms. Despite the rarity, the condition can be diagnosed before exploratory surgery by careful and detailed interpretation of CT findings.
著者
Yukihiro Hashimoto Tsunenari Soeda Ayako Seno Satoshi Okayama Nozomi Fukuda Hiroki Yano Atsushi Iwai Kazutaka Nogi Kaeko Hirai Hajime Fujimoto Megumi Suzuki Hajime Iwama Takehito Nakai Naofumi Doi Yoshihiko Saito
出版者
The Japanese Circulation Society
雑誌
Circulation Journal (ISSN:13469843)
巻号頁・発行日
vol.86, no.12, pp.1968-1979, 2022-11-25 (Released:2022-11-25)
参考文献数
25
被引用文献数
1 2

Background: Non-contrast T1 hypointense infarct cores (ICs) within infarcted myocardium detected using cardiac magnetic resonance imaging (CMR) T1 mapping may help assess the severity of left ventricular (LV) injury. However, because the relationship of ICs with chronic LV reverse remodeling (LVRR) is unknown, this study aimed to clarify it.Methods and Results: We enrolled patients with reperfused AMI who underwent baseline CMR on day-7 post-primary percutaneous coronary intervention (n=109) and 12-month follow-up CMR (n=94). Correlations between ICs and chronic LVRR (end-systolic volume decrease ≥15% at 12-month follow-up from baseline CMR) were investigated. We detected 52 (47.7%) ICs on baseline CMR by non-contrast-T1 mapping. LVRR was found in 52.1% of patients with reperfused AMI at 12-month follow-up. Patients with ICs demonstrated higher peak creatine kinase levels, higher B-type natriuretic peptide levels at discharge, lower LV ejection fraction at discharge, and lower incidence of LVRR than those without ICs (26.5% vs. 73.3%, P<0.001) at follow-up. Multivariate logistic regression analysis showed that the presence of ICs was an independent and the strongest negative predictor for LVRR at 12-month follow-up (hazard ratio: 0.087, 95% confidence interval: 0.017–0.459, P=0.004). Peak creatine kinase levels, native T1 values at myocardial edema, and myocardial salvaged indices also correlated with ICs.Conclusions: ICs detected by non-contrast-T1 mapping with 3.0-T CMR were an independent negative predictor of LVRR in patients with reperfused AMI.
著者
Jiro SENDA Takatsugu ASAI Bungo KAWAGUCHI Hajime FUJIMOTO
出版者
社団法人 日本機械学会
雑誌
JSME International Journal Series B Fluids and Thermal Engineering (ISSN:13408054)
巻号頁・発行日
vol.43, no.3, pp.503-510, 2000-08-15 (Released:2008-02-18)
参考文献数
14
被引用文献数
5 11

A new injection system using mixed fuel dissolved with liquefied CO2 is proposed in this paper. Liquefied CO2 is mixed with n-Tridecane under pressure in order to promote spray atomization and evaporation due to the effect of the flash boiling phenomenon during fuel injection, and to control the combustion process due to the effect of the internal exhaust gas recirculation (EGR) effct of CO2 gas. Therefore, a simultaneous recduction of soot and NOx is achieved effectively using this injection system. In this study, the characteristics of diesel fuel spray dissolved with liquefied CO2 are investigated quantitatively by several optical measurements. The spray characteristics are revealed by analyzing the chemical thermodynamics. As a result, it is determined that atomization of this fuel is promoted by flash boiling much more than in n-Tridecane, which is normal reference fuel, and the spray structure is considerably different from that of the normal fuel. Moreover, the numerical analysis of atomization and vaporization processes are carried out, based on the flash boiling spray model.