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A retrospective chart survey of the clinical features of indolent adult T-cell leukemia/lymphoma (ATL) was conducted in the Miyazaki Prefecture, Japan. This study enrolled 24 smoldering-type ATLs, 10 favorable chronic-type ATLs, and 20 unfavorable chronic-type ATLs diagnosed between 2010 and 2018. Among them, 4, 3, and 10 progressed to acute-type ATLs during their clinical course. The median survival time (MST) in smoldering-type ATL and favorable chronic-type ATL was not reached, and their 4-year overall survival (OS) was 73% and 79%, respectively. Compared with this, the prognosis of unfavorable chronic-type ATL was poor. Its MST was 3.32 years, and the 4-year OS was 46% (p = 0.0095). In addition to the three features that determine the unfavorable characteristics of chronic-type ATL, namely, increased lactate dehydrogenase, increased blood urea nitrogen, and decreased albumin, the high-risk category by the indolent ATL-Prognostic Index, which was defined by an increment of soluble interleukin-2 receptor (sIL2-R) of >6000 U/mL, could explain the poor prognosis in indolent ATL patients. The level of sIL-2R might be an indicator of the initiation of therapy for indolent ATL. [ABSTRACT FROM AUTHOR]

Objective: Astatine (211At) is a promising alpha emitter as an alternative to iodine (131I). We are preparing the first-in-human (FIH) clinical trial of targeted alpha therapy for differentiated thyroid cancer in consultation with Pharmaceuticals and Medical Devices Agency. Here, we performed an extended single-dose toxicity examination under a reliability standard, as a preclinical safety assessment of [211At]NaAt to determine the FIH dose.Methods: [211At]NaAt solution was injected into normal 6-week-old mice (male (n = 50) and female (n = 50), body weight: male 33.2 ± 1.7 g, female 27.3 ± 1.5 g), which were then divided into four groups: 5 MBq/kg (n = 20), 20 MBq/kg (n = 20), 50 MBq/kg (n = 30), saline control (n = 30). The mice were followed up for 5 days (primary evaluation point for acute toxicity: n = 80) or 14 days (n = 20: evaluation point for recovery) to monitor general condition and body weight change. At the end of the observation period, necropsy, blood test, organ weight measurement, and histopathological examination were performed. For body weight, blood test, and organ weight, statistical analyses were performed to compare data between the control and injected groups.Results: No abnormal findings were observed in the general condition of mice. In the 50 MBq/kg group, males (days 3 and 5) showed a significant decrease in body weight compared with the control. However, necropsy did not differ significantly beyond the range of spontaneous lesions. In the blood test, males (50 MBq/kg) and females (50 MBq/kg) showed a decrease in white blood cell and platelet counts on day 5, and recovery on day 14. In the testis, a considerable weight decrease was observed on day 14 (50 MBq/kg), and multinucleated giant cells were observed in all mice, indicating a significant change related to the administration of [211At]NaAt.Conclusions: In the extended single-dose toxicity study of [211At]NaAt, administration of high doses resulted in weight loss, transient bone marrow suppression, and pathological changes in the testis, which require consideration in the FIH clinical trial. [ABSTRACT FROM AUTHOR]

Objective and Method: Adult T‐cell leukemia/lymphoma (ATL) is an aggressive peripheral T‐cell lymphoma with poor prognosis. We retrospectively reviewed the medical records of 312 patients with aggressive ATL and analyzed the effect of chemotherapy dose intensity on prognosis in clinical practice. Result: As first‐line therapy, 62 patients underwent best supportive care (BSC) or single‐agent chemotherapy, and 235 underwent intensive chemotherapy. The median survival time (MST) was 0.58 years in the 312 total patients, and 0.13 years and 0.75 years in the BSC/single‐agent chemotherapy group and intensive chemotherapy group, respectively. The median average relative dose intensity (ARDI) of patients who received intensive chemotherapy was 60%. We divided patients into 3 groups according to ARDI. Those in the top tertile of ARDI (ARDI ≥ 75%, n = 82) had better overall survival compared with those in the intermediate tertile (45% ≤ ARDI < 75%, n = 79) (P <.0001), with MSTs of 4.69 and 0.75 years, respectively. The occurrence of organ dysfunction and infectious complications was comparable between the two ARDI groups. Conclusion: Higher ARDI improves prognosis in patients with aggressive ATL in clinical practice. [ABSTRACT FROM AUTHOR]

Objective The efficacy of mogamulizumab in adult T-cell leukemia/lymphoma ( ATLL) was reported in a previous phase 2 study. Compared with patients in clinical trials, however, most patients in real-life settings have demonstrated worse outcomes. Method We retrospectively analyzed 96 patients with relapsed/refractory ATLL who received mogamulizumab treatment. Results Relapsed/refractory ATLL patients with a median age of 70 years received a median of five courses of mogamulizumab. Hematologic toxicity and skin rash were the most common adverse events, and both were manageable. Of 96 patients, 87 were evaluable for efficacy. The overall response rate was 36%, and the median progression-free survival ( PFS) and overall survival ( OS) from the start of mogamulizumab therapy were 1.8 and 4.0 months, respectively. Of the original 96 patients, only 25 fulfilled the inclusion criteria of the phase 2 study. Those who met the criteria demonstrated longer median PFS and OS durations of 2.7 and 8.5 months, respectively. The median OS from diagnosis in relapsed/refractory ATLL patients receiving mogamulizumab was 12 months, longer than the 5.8 months in a historical cohort without mogamulizumab. Conclusion In clinical practice, mogamulizumab exhibited antitumor activity in patients with relapsed/refractory ATLL, with an acceptable toxicity profile. Mogamulizumab therapy improved the OS of ATLL patients. [ABSTRACT FROM AUTHOR]

Numerical simulation programs were developed for estimating temperature field and snow depth on a snow-melting system using geothermal energy assisted by heat storage during seasons. The system utilized a group of piles underground as a heat exchanger and heat dissipation pipes near the pavement surface, realizing underground solar heat storage from the surface through the seasons. Verification experiments for this system were conducted not only in a relatively mild snowy region, Fukui, but also in a frigid region, Sapporo. Numerical simulation results demonstrated the existence of an optimum space of a group of piles, where snow melting power becomes maximal. The obtained simulation results showed good agreement with the experimental data of both regions, demonstrating the utility and validity of the programs. Also shown was that the proposed system can melt snow well in a frigid region, Sapporo, without the help of a heat pump. © 2013 Wiley Periodicals, Inc. Heat Trans Asian Res, 42(8): 724-744, 2013; Published online in Wiley Online Library (wileyonlinelibrary.com/journal/htj). DOI 10.1002/htj.20393 [ABSTRACT FROM AUTHOR]

We give a method for obtaining infinitely many framed knots which represent a diffeomorphic 4-manifold. We also study a relationship between the n-shake genus and the 4-ball genus of a knot. Furthermore we give a construction of homotopy 4-spheres from a slice knot with unknotting number one. [ABSTRACT FROM PUBLISHER]

We examined clinicopathologic findings in 17 cases of peripheral T-cell lymphoma, follicular variant (f-PTCL), and compared these findings with angioimmunoblastic T-cell lymphoma (AITL) to determine whether they were identical to the spectrum of changes seen in AITL and how each of the findings in f-PTCL were related to the characteristics of AITL. Almost all f-PTCL cases showed pathologic characteristics of AITL and immunohistochemical positivities in lymphoma cells for CD4, CD10, Bcl-6, PD-1, and CXCL13. Except for pathologic characteristics, clinicopathologic findings in f-PTCL had few significant differences from AITL. The positive rate for Bcl-6 expression in neoplastic cells was significantly associated with the frequency of polymorphic infiltrates, vascular proliferation, B-immunoblasts, clear cells, Epstein-Barr virus-positive lymphocytes, hepatosplenomegaly, and skin rash. Our study confirmed the continuity between f-PTCL and AITL. Moreover, Bcl-6 expression in f-PTCL was statistically associated with the characteristics of AITL. [ABSTRACT FROM AUTHOR]

In this paper, an improved rooftop mirror is proposed and its characteristics are evaluated by numerical analysis. First, it is shown by FDTD analysis that it is not easy to obtain a high reflection characteristic with fundamental mode incidence in the conventional structure. Next, the reflection characteristics are analyzed for an improved structure in which the incident single-mode waveguide is connected to a multimode interference waveguide inside the rooftop. In such a process, comparison with the results obtained by FDTD analysis demonstrates that the simple guided mode propagation method neglecting the radiation mode is effective for design of a mode interference section. A reflectivity of 96% is attained by introduction of the mode interference section for both fundamental TE and TM mode incidence. Further, the wavelength characteristics of the reflection coefficient are studied. The effects of misalignment of the waveguide axis and shift of the apex angle of the rooftop on the reflection characteristics are discussed. © 2003 Wiley Periodicals, Inc. Electron Comm Jpn Pt 2, 87(1): 1–8, 2004; Published online in Wiley InterScience (www.interscience.wiley.com). DOI 10.1002/ecjb.10172 [ABSTRACT FROM AUTHOR]

The hybrid composites were molded using the waste cord of synthetic fabrics as a matrix material, wherein continuous glass and carbon fibers were used for the reinforcements and were fed directly into the injection molding machine together with the waste cord. The measured tensile strength and tensile modulus of the molded composites were much higher than those of the matrix material, and they increase with increasing carbon fiber content. It is concluded that the molding system devised herein shows promise for contributing to the material recycling of waste cord of synthetic fabrics. [ABSTRACT FROM PUBLISHER]

The prognosis of multiple myeloma (MM) has improved with the introduction of novel agents. These data are largely derived from clinical trials and might not reflect real-world patient outcomes accurately. We surveyed real-world data from 284 patients newly diagnosed with MM between 2010 and 2018 in Miyazaki Prefecture. The median follow-up period was 32.8 months. The median age at diagnosis was 71 years, with 68% of patients aged >65 years. The International Staging System (ISS) stage at diagnosis was I in 18.4% of patients, II in 34.1%, and III in 47.5%. Bortezomib-containing regimens were preferred as initial treatment; they were used in 147 patients (51.8%). In total, 80% of patients were treated with one or more novel agents (thalidomide, lenalidomide, or bortezomib). Among 228 patients who were treated with novel agents as an initial treatment, the overall response rate (partial response (PR) or better) to initial treatment was 78.4%, and the median time to next treatment (TTNT) was 11.6 months. In the multivariate analysis, PR or better responses to initial treatment were independently favorable prognostic factors for TTNT. The median survival time after initial therapy for patients with novel agents was 56.4 months and 3-year overall survival (OS) was 70.4%. In multivariate analysis, ISS stage I/II disease and PR or better response to initial treatment, and autologous stem cell transplantation (ASCT) were identified as independent prognostic factors for overall survival (OS). [ABSTRACT FROM AUTHOR]

The preparation of carbon nanowalls (CNWs) by hot-wire chemical vapor deposition (HWCVD) and the effects of substrate heating temperature Th and filament temperature Tf in this method have been investigated. The CNWs can be prepared by HWCVD using CH4 without H2 dilution. The wall size obtained from the scanning electron microscope image and the Raman peak intensity ratio of the G peak to the D peak of the sample changed with Th and Tf. However, both were maxima at a substrate surface temperature Ts of 730–740 °C, which was not the same as Th, and this result was independent of Tf. The CNWs did not grow at Tf of 1850 °C, because the Tf of 1850 °C was insufficient for the decomposition of CH4. On the basis of these results, we show that Th, i.e., Ts is a more important parameter than Tf in the preparation of CNWs by HWCVD. [ABSTRACT FROM AUTHOR]

A mixture of triglycerides referred to as enzymatically esterified substitute oil (ESO), made from safflower oil and stearic ethyl ester by a transesterification process catalyzed by an immobilized lipase was studied for acute oral toxicity. The fatty acid composition of ESO consists of myristic acid (0.1%), palmitic acid (5.1%), stearic acid (48.7%), oleic acid (36.3%), linoleic acid (9.1%), and linolenic acid (0.6%). By weight, ESO is 92.5% triglycerides, 4.9% diglycerides, and 0.5 and 0.4% sterol and sterol esters, respectively. Monoglycerides and free fatty acids were not present at detectable levels. Acute oral toxicity studies were conducted using Slc:SD SPF male and female rats administered 50 ml/kg of ESO, which was the maximum technically feasible dose. As no animals died following administration of ESO, the LD50 must be regarded as <50 ml/kg. Excretion of soft stools containing ESO and moistening of the abdomen with urine were observed during the early stages of the observation period for both sexes of all treated animals. Recovery from both effects occurred by 4 days. Slight decreases in body weight gain were noted in both sexes of treated animals from day one to day nine to ten after which recovery occurred. No abnormal findings attributable to treatment with ESO were found at necropsy in animals of either sex. The results indicate that ESO is not acutely toxic. [ABSTRACT FROM PUBLISHER]