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  1. No Access

    Article

    Displacement of the transverse colon is a highly specific computed tomography finding for the preoperative diagnosis of a transomental hernia

    A transomental hernia (TOH) is a rare type of internal hernia and is associated with a high strangulation rate and high mortality rate. Displacement of the transverse colon on computed tomography (CT) may be s...

    Ryota Ito, Kazuhiko Mori, Keisuke Minamimura, Toru Hirata in Japanese Journal of Radiology (2019)

  2. No Access

    Article

    A Japanese survey of malignant disease in pregnancy

    In recent years, the incidence of malignant disease in pregnancy has been increasing, but there are few large-scale surveys of malignant disease in pregnancy in Japan. The aim of this study was to survey malig...

    Yoshiyuki Kobayashi, Tsutomu Tabata in International Journal of Clinical Oncology (2019)

  3. Article

    Open Access

    Sudden development of adult-onset type II citrullinemia after total gastrectomy: a case report

    Adult-onset type II citurullinemia is an autosomal recessive disorder characterized by recurrent encephalopathy with hyperammonemia resulting from high plasma citrulline and ammonium levels. This report descri...

    Ryuji Komine, Keisuke Minamimura, Akihiro Watanabe, Atushi Shimizu in Surgical Case Reports (2018)

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    Article

    Perioperative management of continuous ambulatory peritoneal dialysis patients undergoing inguinal hernia surgery

    Management of patients undergoing dialysis after inguinal hernia surgery has not been standardized. This report presents the results of 9 patients with inguinal hernias (11 hernias) who were undergoing continu...

    Masaki Wakasugi, Toru Hirata, Yusuke Okamura, Keisuke Minamimura in Surgery Today (2011)

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    Book

    Managing Flow

    A Process Theory of the Knowledge-Based Firm

    Ikujiro Nonaka, Ryoko Toyama, Toru Hirata, Susan J. Bigelow (2008)

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    Chapter

    Conclusions

    In this book, we have tried to present new developments in the theory of organizational knowledge creation. Widespread interest in the theory during the past 15 years, both in academia and in business (Nonaka ...

    Ikujiro Nonaka, Ryoko Toyama, Toru Hirata, Susan J. Bigelow, Ayano Hirose in Managing Flow (2008)

  7. No Access

    Chapter

    Introduction: Why We Need a New Theory of the Knowledge-Based Firm

    We are currently in the midst of great change, a condition which Lester Thurow (2003) called the third industrial revolution. It is a shift towards a knowledge-based economy, where knowledge is the most import...

    Ikujiro Nonaka, Ryoko Toyama, Toru Hirata, Susan J. Bigelow, Ayano Hirose in Managing Flow (2008)

  8. No Access

    Chapter

    The Characteristics of Knowledge

    In this chapter, we discuss the nature of knowledge and how it differs from other resources. This will explain why we need a new theory of knowledge and its management. The issue of knowledge in theories of th...

    Ikujiro Nonaka, Ryoko Toyama, Toru Hirata, Susan J. Bigelow, Ayano Hirose in Managing Flow (2008)

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    Chapter

    Leading the Knowledge-Creating Firm

    In the previous chapter we discussed the dynamic model in which a firm creates knowledge through interactions with its environment. The driver of this entire dynamic process is leadership. Leadership plays a v...

    Ikujiro Nonaka, Ryoko Toyama, Toru Hirata, Susan J. Bigelow, Ayano Hirose in Managing Flow (2008)

  10. No Access

    Chapter

    Ba

    In this chapter we elaborate on the concept of ba, the enabling context for knowledge creation and innovation. Applying the theory of organizational knowledge creation to the case of the Mayekawa Manufacturing Co...

    Ikujiro Nonaka, Ryoko Toyama, Toru Hirata, Susan J. Bigelow, Ayano Hirose in Managing Flow (2008)

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    Chapter

    Dynamic Knowledge Assets in Process

    A person’s cumulative experiences form an archive of personal knowledge. To share and effectively utilize this personal knowledge in an organization, the fluctuating relationships in the organization have to b...

    Ikujiro Nonaka, Ryoko Toyama, Toru Hirata, Susan J. Bigelow, Ayano Hirose in Managing Flow (2008)

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    Chapter

    The Theoretical Framework

    As discussed in the previous chapter, knowledge is created in the dynamic interaction between subjectivity and objectivity. Knowledge emerges from the subjectivity of actors embedded in a context and is object...

    Ikujiro Nonaka, Ryoko Toyama, Toru Hirata, Susan J. Bigelow, Ayano Hirose in Managing Flow (2008)

  13. No Access

    Chapter

    Vision and Driving Objectives: Values for the Common Good

    This chapter describes how firms create knowledge to change themselves and their environment, based on their vision and driving objectives. The vision sets the direction for the firm’s strategy and its operati...

    Ikujiro Nonaka, Ryoko Toyama, Toru Hirata, Susan J. Bigelow, Ayano Hirose in Managing Flow (2008)

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    Chapter

    Dialogue and Practice: Leveraging Organizational Dialectics

    Breakthrough occurs in knowledge creation not only in the form of radical innovation in a product or service, but also in the form of gradual innovation through everyday practice. In this chapter, we shall exa...

    Ikujiro Nonaka, Ryoko Toyama, Toru Hirata, Susan J. Bigelow, Ayano Hirose in Managing Flow (2008)

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    Chapter

    Leadership: Fostering Distributed Excellence in the Organization

    In previous chapters we have discussed how a firm creates knowledge through dialogue and practice, guided by its knowledge vision and following a driving objective. We have also looked at ba, knowledge assets, an...

    Ikujiro Nonaka, Ryoko Toyama, Toru Hirata, Susan J. Bigelow, Ayano Hirose in Managing Flow (2008)

  16. No Access

    Article

    Vertical distribution of wild Yakushima macaques (Macaca fuscata yakui) in the western area of Yakushima Island, Japan: Preliminary report

    A census of wild Yakushima macaques (Macaca fuscata yakui) was carried out in a 23-km2 area of the western coast of Yakushima Island, Japan. We analyzed the census data to investigate changes in monkey distributi...

    Shinichi Yoshihiro, Masaru Ohtake, Hajime Matsubara, Koichiro Zamma in Primates (1999)

  17. No Access

    Chapter and Conference Paper

    Leucovorin, Cisplatin, and 5-Fluorouracil for Advanced Esophageal Cancer

    Biochemical modulation involves the use of one drug (modulating agent; modulator) to change the pharmacokinetics and/or pharmacodynamics of a cytotoxic agent (effector), in a way that the therapeutic index of ...

    Toshiro Konishi, Toru Hirata in Recent Advances in Diseases of the Esophag… (1993)

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    Article

    Resection of carcinoma in the cervical esophagus following prior removal of a thoracic esophageal carcinoma — A case report—

    We report herein, a rare case of a patient who, having undergone resection of a thoracic esophageal cancer, underwent removal of a cervical esophageal cancer, for which a free jejunal graft with microvascular ...

    Toshiro Konishi, Ken-ichi Mafune, Toru Hirata in The Japanese journal of surgery (1989)