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We explore the spatial layouts of mega-shelters and suggest better spatial planning strategies. A mega-shelter for refugees contains multiple functions, such as dormitory, dining, medical, kitchen, storage, and community areas. Post-disaster refugees often suffer from PTSD that affects their mental health and spatial cognitive ability. The spatial configuration of a mega-shelter can accelerate their recovery by providing an environment that not only satisfies the basic needs, but one that can improve their spatial cognitive ability and promote a sense of community in this new, albeit temporary, small society. Four mega-shelters in the U.S., Australia, and Japan were analyzed using space syntax methods, specifically axial line analysis and visibility graph analysis (VGA), as well as justified graph analysis. The comparative analysis shows that while specific spatial layouts are different, all shelters were designed from a manager's perspective. The movements of the refugees were sometimes unnecessarily exposed to supervision and control, and community areas were often found in locations with low accessibility. By incorporating strategies such as siting community space in areas with high global integration values and adopting transition areas, mega-shelters can create an environment that can enhance the refugees' will to recover and rebuild by promoting communications with neighbors and various community activities. [ABSTRACT FROM AUTHOR]

Background: The prevalent location and incidence of intraductal papillary neoplasm of the bile duct (IPNB) and invasive carcinoma associated with them have varied markedly among studies due to differences in diagnostic criteria and tumor location., Methods: IPNBs were classified into two types: Type 1 IPNB, being histologically similar to intraductal papillary mucinous neoplasm of the pancreas, and Type 2 IPNB, having a more complex histological architecture with irregular papillary branching or foci of solid-tubular components. Medical data were evaluated., Results: Among 694 IPNB patients, 520 and 174 had Type 1 and Type 2, respectively. The levels of AST, ALT, ALP, T. Bil, and CEA were significantly higher in patients with Type 2 than in those with Type 1. Type 1 IPNB was more frequently located in the intrahepatic bile duct than Type 2, whereas Type 2 was more frequently located in the distal bile duct than Type 1 IPNB (P < 0.001). There were significant differences in 5-year cumulative survival rates (75.2% vs 50.9%; P < 0.0001) and 5-year cumulative disease-free survival rates (64.1% vs 35.3%; P < 0.0001) between the two groups., Conclusion: Type 1 and Type 2 IPNBs differ in their clinicopathological features and prognosis. This classification may help to further understand IPNB., (© 2020 Japanese Society of Hepato-Biliary-Pancreatic Surgery.)