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【緒 言】 卵巣癌初回手術前に胆嚢炎のため腹腔鏡下胆嚢 摘出術施行し、その後卵巣癌に対しては開腹手術 を施行したが、術後胆嚢摘出術時のポートサイト およびその周囲から早期に卵巣癌転移が発生した 症例を経験したため文献的考察を踏まえて報告す る。尚本症例報告については患者本人から同意を 得ている。 【症 例】 患者:48歳 2妊1産 主訴:下腹痛 既往歴:高血圧 家族歴:特記事項なし 現病歴:7年前に検診にて5cm大の子宮内膜症 性嚢胞を指摘されていた。下腹痛を主訴に近医産 婦人科を受診し超音波検査にて118mm×140mm の巨大卵巣腫瘍を認めた。精査加療目的に当科に 紹介された。 182 --2020 December 日産婦内視鏡学会 第36巻第2号 症例報告 Unusual metastasis of ovarian cancer by laparoscopic cholecystectomy at the port site and surrounding areas Abstract The safety of laparoscopic surgery for earlydoi:10.5180/jsgoe.36.2_182 fatcat:m5p4ucpyencttlzeqkrxcnoynu
more »... tage ovarian cancer remains uncertain, and laparotomy is recommended. We examined a case in which laparoscopic surgery was performed before the first laparotomy for ovarian cancer unexpectedly, and ovarian cancer metastasis occurred at the port site and the circumference. A 48-year-old woman with left ovarian cancer was scheduled to undergo surgery, but acute cholecystitis developed, and an emergency laparoscopic cholecystectomy was performed. On the fifteenth postoperative day, because of acute abdomen and suspected ovarian tumor rupture, total hysterectomy, bilateral salpingo-oophorectomy, and omental biopsy laparotomy were performed. The postoperative pathological diagnosis was endometrial carcinoma with clear cell carcinoma, FIGO stage IC 2 (pT1c2pNXpM0). On the fifty-sixth day after laparotomy, a 10 mm sized tumor was found under the skin at the port site. Computed tomography (CT) revealed a mass in the right upper quadrant of the abdomen, a mass in the porta hepatis, the S4/5 region of the liver, and enlarged lymph nodes in the left external iliac region. It was considered that the ovarian cancer rapidly revived, and debulking surgery was performed. Recurrence of ovarian carcinoma was confirmed by pathological results, including a port-site mass. It is not a typical dissemination of ovarian cancer, and laparoscopic surgery might have resulted in metastasis. It should be prudent for the adaptation of laparoscopic surgery, even if it is an operation for a benign disease in a case, in which ovarian cancer is suspected.
Lecture Notes in Computer Science
To cope with the increasing number of malware attacks that organizations face, anti-malware appliances and sandboxes have become an integral security defense. In particular, appliances have become the de facto standard in the fight against targeted attacks. Yet recent incidents have demonstrated that malware can effectively detect and thus evade sandboxes, resulting in an ongoing arms race between sandbox developers and malware authors. We show how attackers can escape this arms race with whatdoi:10.1007/978-3-319-93411-2_8 fatcat:3bavl7pdlncrbdtwjxtnjad5sq
more »... e call customized malware, i.e., malware that only exposes its malicious behavior on a targeted system. We present a web-based reconnaissance strategy, where an actor leaves marks on the target system such that the customized malware can recognize this particular system in a later stage, and only then exposes its malicious behavior. We propose to implant identifiers into the target system, such as unique entries in the browser history, cache, cookies, or the DNS stub resolver cache. We then prototype a customized malware that searches for these implants on the executing environment and denies execution if implants do not exist as expected. This way, sandboxes can be evaded without the need to detect artifacts that witness the existence of sandboxes or a real system environment. Our results show that this prototype remains undetected on commercial malware security appliances, while only exposing its real behavior on the targeted system. To defend against this novel attack, we discuss countermeasures and a responsible disclosure process to allow appliances vendors to prepare for such attacks.
The current document, deliverable 'D2.2 M-Sec pilots definition, setup and citizen involvement plan', provides the initial version of M-Sec pilots that will be developed in both pilot cities, Santander and Fujisawa. In detail, it presents the IoT infrastructure to be deployed as well as the corresponding application services, cloud infrastructure, and facilities. It also describes how it is planned to attract and engage end-users and stakeholders, while ensuring GDPR compliance. Additionally,doi:10.5281/zenodo.4008996 fatcat:65zayyxunjgdhmsz4n3oqe7x3u
more »... lot setup is defined, including details on how, when and where pilots will be set up, together with the KPIs that will enable the evaluation of the pilots.
Rui Tanabe received his Ph.D. in information sciences from Yokohama National University in 2017. After working at Yokohama National University as a researcher, Dr. ... Tanabe is currently working as a project assistant professor at Yokohama National University. His research interests include information security and network security. ...doi:10.2197/ipsjjip.28.502 fatcat:a33z33lirvgjldp64fk3uxckva
Copyright © 2016 Dai, Huang, Tu, Wang, Tanabe, Weng, He and Li. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). ...doi:10.3389/fnhum.2016.00632 pmid:28066206 pmcid:PMC5169068 fatcat:w3stpeo2fvdhzh5ymyizhbarim
An innovative column attachment ventilation (CAV) was proposed for heating, ventilating and air-conditioning (HVAC) systems and its performance was evaluated through experimental investigation and numerical modeling. Airflow pattern, air temperature distribution, air diffusion performance index (ADPI), predicted mean vote (PMV), and draught rate (DR), were used as the performance indicators to investigate the air distribution performance. The ventilation effectiveness for heat removal in thedoi:10.1051/e3sconf/201911101028 fatcat:klq6l3jeobhgbcowfmwepah7sy
more »... mode was compared with a conventional mixing ventilation (MV). The results showed that the discharged air from the linear slot diffuser can attach to the column and enter into the occupied zone creating air lake phenomenon. The airflow spread over the floor in a radial pattern behaved as a stratified air distribution like displacement ventilation (DV), providing good air quality and comfort level for occupants. Moreover, the heat removal effectiveness in the CAV was found to be higher than in the MV, i.e. 1.32 in the C-CAV and 1.29 in the S-CAV modes. The column attachment ventilation can achieve thermal comfort in the occupied zone without local discomfort caused by high vertical temperature difference and draught, and this ventilation strategy could be expected as a new and efficient air distribution pattern for different HVAC applications.
Baoji "Shigu • Tian Xi Tai", "Shigu • Sun City" ground source heat pump energy station system is an important energy supply project in Shigu. In this paper, we systematically introduce the design of green building and ground-source heat pump system, points of construction process, pre-cooling station technology, EMC economic model in detail. In addition, the ground source heat pump system of the project was tested in the field to analyze and evaluate the running performance of the system. Wedoi:10.1051/e3sconf/201911101065 fatcat:fw42xbzbl5er7efar7bbtzb6nu
more »... e our research can provide some reference and help to the practitioners.
John ................... 787 Tan, John ................... 118 Tanabe, Kengo ............. 586 Tanabe, Masaki ............ 192, 363 Tanajura, Luiz F. .......... 200 Tanaka, Atsushi ............ 567 Tanaka ... .... 92, 119, 120, 720 Teefy, Patrick .............. 733 Teiger, Emmanuel ......... 79 Teijeiro, Rodrigo ........... 281 Teirstein, Paul .............. 177 Tekieli, Lukasz ............. 74, 75 Teles, Rui ...doi:10.1016/s0735-1097(13)05325-4 fatcat:rnmy5lvueffllhmzf24umkt4lq
., Mitsubishi Tanabe Pharma Corporation, Otsuka Pharmaceutical Co., Ltd., Research Organization for GastroEnterological Disease Tereatment, Takeda Pharmaceutical Company Ltd., Tumura & Co., Zeria Pharmaceutical ...doi:10.1007/s10388-017-0591-7 fatcat:ihzbdvzqibdjzmtd3jwpwk6udq
Siwang Yu, Min Ye. " Glycybridins A-K, Bioactive Phenolic Compounds from ", Journal of Natural Products, 2017 Publicat ion www.nejm.org Int ernet Source www.intechopen.com Int ernet Source Xue-Mei Gao, Rui-Rui ... ", Fitoterapia, 2012 Publicat ion e-revista.unioeste.br Int ernet Source Genzoh Tanabe, Yoshiaki Manse, Teppei Ogawa, Naoki Sonoda et al. " Total Synthesis of γ-Alkylidenebutenolides, Potent Melanogenesis ...doi:10.1248/cpb.c17-00983 pmid:29710047 fatcat:x4glmu7gyrcjzbjaz5zabj5tau
Gandamala, Ravi 507 Ge, Li 211 Gelbrich, Thomas 422 Gribble, Gordon W. 478 Hanaki, Yusuke 306 Hari, Yoshiyuki 591 Hashimoto, Yuta 383, 560 Hatae, Noriyuki 478 Hayakawa, Koutaro 507 He, Rui-Jie ... 306 Synthesis of Salacinol-d4 as an Internal Standard for Mass-Spectrometric Quantitation of Salacinol, a Potent α-Glucosidase Inhibitor Found in a Traditional Ayurvedic Medicine "Salacia" Genzoh Tanabe ...doi:10.3987/contents-18-9701 fatcat:seiirnuqzrdonfclrnskhtfirm
, Makoto Tanabé, S. ..... ... Tanabé, Susumu! Tanaka, T. . A IIE ssicieresvsvocucsessse Tandon, R. Tang, Chun-Lei Tang, Feng Jun Wg, A. ...
M Tan, X.G Tan, Xin Xin Tan, Yan Hua Tan, Yan Hua Tanabe, Hiroki Tanabe, Kenichiro Tanaka, Izumi Tanaka, Toshiaki Tanaka, Toshifumi Tanaka, Toshiyuki Tanaka, Yoshio Tanaka, Yoshio’ Tanana, V. ... Ratko Toskano, L Toth, Balint Toth, Csaba D Toth, G Toth Toth 70005 82094,94015 03046 82095 Tosi¢ 60139 68140 Géza Géza 05081 43006 13020 Van Trung ran Tin Kiet ran Van Trung Travadel Travaglini, Gabrie Rui ...
Catalyst Allylic Diester Dihydropyrrole Tetrahydropyridine 410 Concise Formation of Spirocyclic Compounds for Marine Phycotoxins Jun Ishihara,* Shingo Tojo, Takuya Makino, Hiroshi Sekiya, Akiko Tanabe ... 172 Takahashi, Saori 145 Takai, Ryogo 525 Takamizu, Yosuke 314 Takasu, Kiyosei 181 Takayama, Hiromitsu 137 Takeda, Youhei 322 Takezawa, Yoshinori 158 Takita, Ryo 172 Tamura, Osamu 422 Tanabe ...doi:10.3987/contents-17-9501 fatcat:dvqwckqfevbxlieejcmsffhztm
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