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Rotatable sphincterotome as a rescue device for endoscopic retrograde cholangiopancreatography cannulation: a single-center experience

  • Takeshi Okamoto;Takashi Sasaki;Tsuyoshi Takeda;Takafumi Mie;Chinatsu Mori;Takaaki Furukawa;Yuto Yamada;Akiyoshi Kasuga;Masato Matsuyama;Masato Ozaka;Naoki Sasahira
    • Clinical Endoscopy
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    • v.57 no.1
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    • pp.96-104
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    • 2024
  • Background/Aims: Selective bile duct or pancreatic duct cannulation remains a significant initial hurdle in endoscopic retrograde cholangiopancreatography (ERCP) despite advances in endoscopy and accessories. This study evaluated our experience with a rotatable sphincterotome in cases of difficult cannulation. Methods: We retrospectively reviewed ERCP cases using TRUEtome, a rotatable sphincterotome, as a rescue device for cannulation at a cancer institute in Japan from October 2014 to December 2021. Results: TRUEtome was used in 88 patients. Duodenoscopes were used for 51 patients, while single-balloon enteroscopes (SBE) were used for 37 patients. TRUEtome was used for biliary and pancreatic duct cannulation (84.1%), intrahepatic bile duct selection (12.5%), and strictures of the afferent limb (3.4%). Cannulation success rates were similar in the duodenoscope and SBE groups (86.3% vs. 75.7%, p=0.213). TRUEtome was more commonly used in cases with steep cannulation angles in the duodenoscope group and in cases requiring cannulation in different directions in the SBE group. There were no significant differences in adverse events between the two groups. Conclusions: The cannulation sphincterotome was useful for difficult cannulations in both unaltered and surgically altered anatomies. It may be an option to consider before high-risk procedures such as precut and endoscopic ultrasound-guided rendezvous techniques.

Japanese and Korean speakers' production of Japanese fricative /s/ and affricate /ts/

  • Yamakawa, Kimiko;Amano, Shigeaki
    • Phonetics and Speech Sciences
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    • v.14 no.1
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    • pp.13-19
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    • 2022
  • This study analyzed the pronunciations of Japanese fricative /s/ and affricate /ts/ by 24 Japanese and 40 Korean speakers using the rise and steady+decay durations of their frication part in order to clarify the characteristics of their pronunciations. Discriminant analysis revealed that Japanese speakers' /s/ and /ts/ were well classified by the acoustic boundaries defined by a discriminant function. Using this boundary, Korean speakers' production of /s/ and /ts/ was analyzed. It was found that, in Korean speakers' pronunciation, misclassification of /s/ as /ts/ was more frequent than that of /ts/ as /s/, indicating that both the /s/ and /ts/ distributions shift toward short rise and steady+decay durations. Moreover, their distributions were very similar to those of Korean fricatives and affricates. These results suggest that Korean speakers' classification error might be because of their use of Korean lax and tense fricatives to pronounce Japanese /s/, and Korean lax and tense affricates to pronounce Japanese /ts/.

Features in Using and Planting of Japanese Apricot(Prunus mume) Adopted to Traditional Gardens (전통원림에 도입된 매화(Prunus mume)의 이용과 배식 특성)

  • Lim, Eui-Je;So, Hyun-Su
    • Journal of the Korean Institute of Traditional Landscape Architecture
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    • v.30 no.3
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    • pp.68-79
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    • 2012
  • This study examines features in using Japanese apricots that assume a leading place with a special symbolism among various species of trees adopted to traditional gardens from a landscaping view. Specific aspects of how Japanese apricots were adopted to traditional gardens are as follows. First, while Japanese apricots are used in modern landscape space, there traditionally were six types in use of Japanese apricots as Tammae(探梅) Jungmae(庭梅) Bunmae(盆梅) Byoungmae(甁梅) Chomae(造梅) and Mukmae(墨梅). Second, Japanese apricots planted in gardens[庭梅] were placed mainly in a front yard of Sarang-Chae(the men's part of a traditional house) took a central area because symbolism and ornamental values of Japanese apricots suited what classical scholars sought. Preferred planting sites at that time include south of the building, the yard of Sarang-Chae, space in front of windows and next to fences and waterside. Third, Japanese apricots in traditional gardens were planted in five ways; Dansik(單植) Daesik(對植) Gunsik(群植) Yeolsik(列植) Honsik(混植). Dansik was the most common way in planting Japanese apricots and Daesik intended to enhance orderedness and symbolism of space. Japanese apricots for appreciating in an open field took the form of Gunsik in general but Honsik was also used with species of special symbolism. This study offers an opportunity to grasp traditional planting methods of Japanese apricots based on understanding of cultural aspects of Japanese apricots by focusing on Japanese apricots, the representative traditional species of trees. Results of the study would help to recognize the need to newly understand Japanese apricots and be useful information to plant and use Japanese apricots in a traditional way.

A Research of that Architectural Influence of Bruno Taut on Japanese Modern Architecture (건축가 브르노 타우트가 일본 근대건축에 미친 영향에 관한 고찰)

  • 김기수
    • Korean Institute of Interior Design Journal
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    • v.13 no.2
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    • pp.20-28
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    • 2004
  • This paper aims at researching the characteristics in Bruno Taut of architecture and its influence In Japanese modern architecture. We also can study how to harmonize Japanese traditional architecture with western architecture through activities of Bruno Taut in Japan. Especially, Japanese architectural society had a dispute on their national architectural style in 1910. During the 1930's, however, the rationalist architects denied this 'Jaegwan' style architecture, and insisted a different new Japanese architectural style. Thus Japanese modem architecture adapted two axis of Western and Japan, it had been developed with their conflict and harmony by turns. This activities of Bruno Taut in Japan deeply and freshly influenced on the contemporary Japanese Architectural situation.

Risk factors for recurrent stenosis after balloon dilation for benign hepaticojejunostomy anastomotic stricture

  • Takafumi Mie;Takashi Sasaki;Takeshi Okamoto;Tsuyoshi Takeda;Chinatsu Mori;Yuto Yamada;Takaaki Furukawa;Akiyoshi Kasuga;Masato Matsuyama;Masato Ozaka;Naoki Sasahira
    • Clinical Endoscopy
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    • v.57 no.2
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    • pp.253-262
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    • 2024
  • Background/Aims: Hepaticojejunostomy anastomotic stricture (HJAS) is a feared adverse event associated with hepatopancreatobiliary surgery. Although balloon dilation for benign HJAS during endoscopic retrograde cholangiopancreatography with balloon-assisted enteroscopy has been reported to be useful, the treatment strategy remains controversial. Therefore, we evaluated the outcomes and risk factors of recurrent stenosis after balloon dilation alone for benign HJAS. Methods: We retrospectively analyzed consecutive patients who underwent balloon-assisted enteroscopy-endoscopic retrograde cholangiopancreatography for benign HJAS at our institution between July 2014 and December 2020. Results: Forty-six patients were included, 16 of whom had recurrent HJAS after balloon dilation. The patency rates at 1 and 2 years after balloon dilation were 76.8% and 64.2%, respectively. Presence of a residual balloon notch during balloon dilation was an independent predictor of recurrence (hazard ratio, 2.80; 95% confidence interval, 1.01-7.78; p=0.048), whereas HJAS within postoperative 1 year tended to be associated with recurrence (hazard ratio, 2.43; 95% confidence interval, 0.85-6.89; p=0.096). The patency rates in patients without a residual balloon notch were 82.1% and 73.1% after 1 and 2 years, respectively. Conclusions: Balloon dilation alone may be a viable option for patients with benign HJAS without residual balloon notches on fluoroscopy.

The Influence of Japanese Fashion Which Shown in Korean Contemporary Costume -Focused on College Women(1998)- (한국 현대복식에 나타난 일본 패션의 영향 -여대생을 중심으로 (1998년)-)

  • 박길순;김세윤
    • The Research Journal of the Costume Culture
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    • v.7 no.1
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    • pp.27-37
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    • 1999
  • The results of this study are as follows : 1. Though Korean college women have taken unfriendly attitudes and thoughts to Japan, they have enjoyed themselves over the various Japanese cultures. 2. They have thought that Japanese fashion becomes popular in Korea, Japanese clothes are superior to Korean clothes in quality, and they are suitable to express personality. 3. Japanese clothing elements which become popular now in Korea are the clothing style of ‘school girl-look’, ‘Avant-garde’, punk hair style, and the various shapes of shoes, accessories, and make-up.

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open-japanese-mesh: assigning MeSH UIDs to Japanese medical terms via open Japanese-English glossaries

  • Yamada, Ryota;Tatieisi, Yuka
    • Genomics & Informatics
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    • v.18 no.2
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    • pp.22.1-22.3
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    • 2020
  • The Medical Subject Headings (MeSH) thesaurus is a controlled vocabulary for indexing biomedical documents that is used for document retrieval and other natural language processing purposes. However, although the oariginal English MeSH is freely available, its Japanese translation has a restricted license. We attempted to create an open alternative, and for this purpose we made a script for assigning MeSH UIDs to Japanese medical terms using Japanese-English glossaries. From the MeSpEn glossary and MEDUTX dictionary, we generated a 12,457-word Japanese-MeSH dictionary.

Australian English Sequences of Semivowel /w/+Back Vowel /3:/, c:/ or /a/ Perception by Korean and Japanese Learners of English

  • Park, See-Gyoon
    • Speech Sciences
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    • v.4 no.1
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    • pp.91-112
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    • 1998
  • This paper aimed at examining the influence of L1 (native language) phonology when speakers of L1 perceive L2 (foreign language) sounds. Korean and Japanese learners of English took a perception test of Australian English words 'work', 'walk' and 'wok'. Based on Korean and Japanese phonology, it was predicted that Korean subjects would face more difficulties than Japanese subjects. The results of the experiment substantiated the influence of L1 phonology in L2 learners' L2 sound perception.

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A Study of The Suncheon-Japanese Castle (순천왜성(順天倭城)의 구조(構造)와 축성방법(築城方法)에 대한 조사연구)

  • Cheon, Deuk-Youm;Jo, Jun-Ik;Jung, Chuel-Sung
    • Journal of architectural history
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    • v.10 no.2 s.26
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    • pp.21-34
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    • 2001
  • The purpose of this study is that it is made clear the construction method of Japanese Castle Architecture in Korea as I study the construction method of Suncheon-Japanese Castle(順天倭城) in those days of Jeong-yu Japanese Invasion. Moreover, I intend to analyze the similarity and the difference between Suncheon-Japanese Castle and Korean Castle Architecture by a comparative study. The result of the study is showed that Suncheon-Japanese Castle seemed to be built with the object of a long time stay rather than it was of strategic importance for the national defense. In addition, it was different from other Japanese Castle in Korea because the watch tower(天守閣) of it stood in the middle of stronghold and the watch tower stronghold dividing the round of it while that of it stood the comer of stronghold. The face stone used in important part of watch tower, gate, and so on was mostly a trimed hexangular stone. On the other hand, the face abbuting on the Gulf of kwang-yang was made of naturally wild face stone. The stone cleared traces of Si-hyeol(矢穴) and domestic Castle in Japan was also made of this method after Im-Jin Japanese Invasion. According to the construction method, the wall of castle made use of the Netak(內托) method except the gate, the support stronghold and the watch. The early mountain castle in Korea have this construction method in common.

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