WordNet
- formal attendance (in court or at a hearing) of a party in an action (同)appearing, coming into court
- pretending that something is the case in order to make a good impression; "they try to keep up appearances"; "that ceremony is just for show" (同)show
- outward or visible aspect of a person or thing (同)visual aspect
- the act of appearing in public view; "the rookie made a brief appearance in the first period"; "it was Bernhardts last appearance in America"
- a mental representation; "I tried to describe his appearance to the police"
- the event of coming into sight
- plant with trees; "this lot should be treed so that the house will be shaded in summer"
- stretch (a shoe) on a shoetree (同)shoetree
- a figure that branches from a single root; "genealogical tree" (同)tree diagram
- a tall perennial woody plant having a main trunk and branches forming a distinct elevated crown; includes both gymnosperms and angiosperms
- chase an animal up a tree; "the hunters treed the bear with dogs and killed it"; "her dog likes to tree squirrels"
- dried plum
- English actor and theatrical producer noted for his lavish productions of Shakespeare (1853-1917) (同)Sir Herbert Beerbohm Tree
PrepTutorEJDIC
- 〈C〉『現れること』,出現;出演,出廷;出版,発刊 / 〈U〉〈C〉『外観』,見かけ,風さい(outward look) / 《複数形で》形勢
- 『木』,樹木;(潅木)(bush, shrub),低木に対し)喬木,高木 / (低木や草質植物でも形が高木に似ている)木; / 木製具 / 久分かれした図;系統図;(特に)家系図(family tree) / 〈動物・人〉‘を'木に通い上げる
- (草木から)…‘を'切り取る / 〈草木〉‘を'刈り込む / (不要なものを)…‘から'除く
- 干しスモモ / 《英話》間抜け
UpToDate Contents
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English Journal
- A preliminary study on the preparation of wood-plastic composites from urban wastes generated in Merida, Mexico with potential applications as building materials.
- Cruz-Estrada RH, Martínez-Tapia GE, Canché-Escamilla G, González-Chí PI, Martín-Barrera C, Duarte-Aranda S, Guillén-Mallette J, Cupul-Manzano CV, Martínez-Domínguez O, García-Gómez C.SourceCentro de Investigación Científica de Yucatán, Unidad de Materiales, Mérida, Yucatán, México. rhcruze@cicy.mx
- Waste management & research : the journal of the International Solid Wastes and Public Cleansing Association, ISWA.Waste Manag Res.2010 Sep;28(9):838-47. doi: 10.1177/0734242X09350059. Epub 2009 Dec 1.
- A preliminary study on the use of wood and plastic wastes generated in Merida, Mexico to assess their potential for the development of building materials is reported. Composites based on recycled, high-density polyethylene (R-HDPE) loaded with wood particles were prepared. The R-HDPE was collected f
- PMID 19952072
- Diagnostic role of magnetic resonance angiography in Swyer James syndrome: Case series of two cases.
- C Parashari U, Singh R, Parihar A, Aga P, Yadav R.SourceDepartment of Radiodiagnosis, CSM Medical University (Upgraded K.G. Medical University), Lucknow, India.
- Lung India : official organ of Indian Chest Society.Lung India.2010 Jul;27(3):161-3. doi: 10.4103/0970-2113.68326.
- Swyer James syndrome is a rare syndrome which occurs due to viral illness in early childhood. The post infective obliterative bronchiolitis results in arrest of lung growth and alveolarization with reduced vascularity resulting in classical radiological features. We describe two cases of patients fu
- PMID 20931037
Related Links
- Pruned Tree Appearance A generic term for multiple abrupt cut-offs of arterioles seen with peripheral emboli or therapeutic embolisation Imaging gallbladder A descriptive term for the abrupt cut-offs seen by cholangiography in vessels ...
- ぴょこぴょこ メモ 自分のための備忘録・・・ なので、間違った記述があっても責任は取れないです。ご了承下さい(。 ... 3nyoroさんの庭を見に行く pruned tree appearance 原発性硬化性胆管炎(PSC)のERCP像で見られる所見。肝内胆管が ...
★リンクテーブル★
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- 英
- primary sclerosing cholangitis, PSC
- 関
- 硬化性胆管炎、胆管炎
概念
- 稀で原因不明の疾患。
- 肝内・肝外胆管に原因不明の線維性狭窄を来し、持続性あるいは再発性(反復性)の閉塞性黄疸を来す疾患。 (YN.B-73)
- 炎症により胆管壁の周囲に結合織が増生・硬化・狭窄し、胆管の狭窄により胆汁うっ滞による症状を呈し、慢性経過で胆管炎による胆汁うっ滞性肝硬変に進展。
病因
疫学
遺伝形式
病理
- 胆管を取り巻く線維化(線維性閉塞性胆管炎)(YN.B-73)
病態
- 胆管壁の全長~一部に線維性の肥厚が生じて内腔が狭窄する。肝外胆管と肝内胆管の比較的太い部位に限局する(⇔原発性胆汁性肝硬変: 肝内胆管の細胆管の障害)
- 進行性であり、胆汁性肝硬変に至り、肝硬変や食道静脈瘤破裂により死亡。
症状
- 本症の7-50%は全く無症状。症状があるものでは、体重減少(35-80%)、黄疸(25-75%)、掻痒感(10-70%)、右季肋部痛・心窩部痛(75%)、全身倦怠感、発熱。(NSU.643)
- 閉塞性黄疸:消長を繰り返す(SSUR.615)
- 胆管炎:胆管の閉塞・狭窄による
検査
- MRCP、ERCP、(PTC: 今ではあんまりやらない?。肝内胆管周囲の線維化のために不成功に終わる事が多い(NSU.643))
- 血液:胆道系酵素
- 血清学的検査:P-ANCA:陽性、AMA:90%以上の症例で陰性
診断
- 閉塞性黄疸の検査所見(胆道系酵素上昇、直接ビリルビン上昇)、胆道造影、血清学的検査(AMA陰性)
鑑別診断
合併症
- YN.B-73
治療
- 副腎皮質ホルモン、免疫抑制薬、(肝庇護)ウルソデオキシコール酸、
- 胆道ドレナージ
- 胆道内瘻化術
- 肝外胆管切除術
- 胆管空腸吻合術
予後
- 肝移植後の5年生存率:85-90%(YN.B-73)
- 経過中に胆管癌(9-15)が発生しうる。(YN.B-73)
参考
- 原発性硬化性胆管炎
- primary sclerosing cholangitis(PSC)
- http://www.nurs.or.jp/~academy/igaku/s5/s555.htm
- http://www.geekymedics.com/body-systems/hepatology/primary-sclerosing-cholangitis/
- http://emedicine.medscape.com/article/365202-imaging
- http://radiographics.rsna.org/content/20/4/959/F4.expansion.html
-primary sclerosing cholangitis
- 同
- PSC
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- 出現、発生。出頭、出廷。出演、出場。出版、発刊
- 外観、うわべ、見かけ、外見、様相、様子、体面、体裁、(人の)風采
- (ものの)感覚的印象、感じ(方)
- (自然の)現象
- 関
- advent, appear, arrival, emerge, emergence, figure, form, look, manifestation, occurrence, shape, situation
[★]
- 関
- forest
PHP
- ツリーの作り方
- (1) tree
- (2) drree
- (3) find . -type d|sort|sed -ne'1b;s/[^\/]*\//+--/g;s/+--+/| +/g;s/+--+/| +/g;s/+--|/| |/g;p'
[★]
- 関
- pruning