449 results on '"Hiroshi Fuji"'
Search Results
52. Impact of gut microbiome on serum IgG4 levels in the general population: Shika-machi super preventive health examination results
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Aoi Koshida, Shigehiro Karashima, Kohei Ogura, Yuna Miyajima, Kazuhiro Ogai, Ren Mizoguchi, Yasuo Ikagawa, Satoshi Hara, Ichiro Mizushima, Hiroshi Fujii, Mitsuhiro Kawano, Hiromasa Tsujiguchi, Akinori Hara, Hiroyuki Nakamura, and Shigefumi Okamoto
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Megasphaera ,immunoglobulin G4 ,causal relationship ,direct linear non-Gaussian acyclic model ,gut microbiota ,IgG4-related disease ,Microbiology ,QR1-502 - Abstract
IntroductionImmunoglobulin G4 (IgG4) is a member of the human immunoglobulin G (IgG) subclass, a protein involved in immunity to pathogens and the body’s resistance system. IgG4-related diseases (IgG4-RD) are intractable diseases in which IgG4 levels in the blood are elevated, causing inflammation in organs such as the liver, pancreas, and salivary glands. IgG4-RD are known to be more prevalent in males than in females, but the etiology remains to be elucidated. This study was conducted to investigate the relationship between gut microbiota (GM) and serum IgG4 levels in the general population.MethodsIn this study, the relationship between IgG4 levels and GM evaluated in male and female groups of the general population using causal inference. The study included 191 men and 207 women aged 40 years or older from Shika-machi, Ishikawa. GM DNA was analyzed for the 16S rRNA gene sequence using next-generation sequencing. Participants were bifurcated into high and low IgG4 groups, depending on median serum IgG4 levels.ResultsANCOVA, Tukey’s HSD, linear discriminant analysis effect size, least absolute shrinkage and selection operator logistic regression model, and correlation analysis revealed that Anaerostipes, Lachnospiraceae, Megasphaera, and [Eubacterium] hallii group were associated with IgG4 levels in women, while Megasphaera, [Eubacterium] hallii group, Faecalibacterium, Ruminococcus.1, and Romboutsia were associated with IgG4 levels in men. Linear non-Gaussian acyclic model indicated three genera, Megasphaera, [Eubacterium] hallii group, and Anaerostipes, and showed a presumed causal association with IgG4 levels in women.DiscussionThis differential impact of the GM on IgG4 levels based on sex is a novel and intriguing finding.
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- 2023
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53. αβ-T cell receptor transduction gives superior mitochondrial function to γδ-T cells with promising persistence
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Mikiya Ishihara, Hiroshi Miwa, Hiroshi Fujiwara, Yasushi Akahori, Takuma Kato, Yoshimasa Tanaka, Isao Tawara, and Hiroshi Shiku
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Cellular therapy ,Molecular biology ,Immunology ,Science - Abstract
Summary: Adoptive cell therapy using allogeneic γδ-T cells is a promising option for off-the-shelf T cell products with a low risk of graft-versus-host disease (GVHD). Long-term persistence may boost the clinical development of γδ-T cell products. In this study, we found that genetically modified Vγ9+Vδ2+ T cells expressing a tumor antigen-specific αβ-TCR and CD8 coreceptor (GMC) showed target-specific killing and excellent persistence. To determine the mechanisms underlying these promising effects, we investigated metabolic characteristics. Cytokine secretion by γδ-TCR-stimulated nongene-modified γδ-T cells (NGMCs) and αβ-TCR-stimulated GMCs was equally suppressed by a glycolysis inhibitor, although the cytokine secretion of αβ-TCR-stimulated GMCs was more strongly inhibited by ATP synthase inhibitors than that of γδ-TCR-stimulated NGMCs. Metabolomic and transcriptomic analyses, flow cytometry analysis using mitochondria-labeling dyes and extracellular flux analysis consistently suggest that αβ-TCR-transduced γδ-T cells acquire superior mitochondrial function.In conclusion, αβ-TCR-transduced γδ-T cells acquire superior mitochondrial function with promising persistence.
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- 2023
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54. PEDT-04 SIX CASES OF RETINOBLASTOMA WITH CNS INVOLVEMENT
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Yoshiyuki Tsutsumi, Shinichi Tsujimoto, Keita Terashima, Kenichi Usami, Noriyuki Azuma, Masahiro Sugawa, Chikako Kiyotani, Takako Yosioka, Hideki Ogiwara, Hiroshi Fuji, Kyohei Isshiki, and Kimikazu Matsumoto
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Pathology ,medicine.medical_specialty ,Trilateral retinoblastoma ,business.industry ,Retinoblastoma ,medicine.medical_treatment ,Central nervous system ,medicine.disease ,Chemotherapy regimen ,Radiation therapy ,Abstracts ,Cerebrospinal fluid ,medicine.anatomical_structure ,Pediatric Clinical Trials/Therapeutic Studies (Pedt) ,medicine ,Optic nerve ,business ,Survival rate - Abstract
Although the survival rate of intraocular retinoblastoma (RB) is nearly 100%, the outcome of central nervous system (CNS) involvement or Trilateral retinoblastoma (TRb: very rare RB which associated with brain tumor) is dismal. We retrospectively reviewed our six cases of these rare tumors. Their ages at diagnosis are 0y3m-1y10m (median 1y3m) (Male 4, Female 2). Only one had RB family history. Their affected eyes were bilateral 2, unilateral 3 and no 1. Their CNS diseases were suprasellar tumor 3, pineal tumor 1 and cerebrospinal fluid (CSF) cytology positive 2. Two of the suprasellar tumor patients had spinal metastasis. Three of the six patients were TRb. One TRb patient was treated with chemotherapy and high-dose chemotherapy without radiotherapy. Although he suffered with secondary osteosarcoma seven years later, he got complete remission and alive 5 years more without any tumor recurrence. The second TRb patient was treated with chemotherapy and local radiotherapy but relapsed 20 months later. The third TRb patient was chemotherapy resistant. Two CSF positive patients had optic nerve invasion. One patient with chiasm invasion died 11 months later because of treatment resistance. The other patient with optic nerve invasion before optic canal had no CNS tumor nor CSF involvement at diagnosis. Chemotherapy before enucleation was given to avoid dissemination. However, CSF cytology became positive after enucleation and remained even with intensified chemotherapy. Finally, he got remission with radiotherapy and high-dose chemotherapy, and alive without disease for 3.8 years. The last patient had suprasellar genetically classified retinoblastoma tumor and cerebrospinal metastasis. This patient showed good chemotherapy response and is still under treatment. Even with "so called° fatal RB cases, some case could survive with intensified therapy. Data accumulation is necessary for better survival of these tumors.
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- 2019
55. Prediction of Short-Term Mortality of Cardiac Care Unit Patients Using Image-Transformed ECG Waveforms
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Terumasa Kondo, Atsushi Teramoto, Eiichi Watanabe, Yoshihiro Sobue, Hideo Izawa, Kuniaki Saito, and Hiroshi Fujita
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Deep learning ,electrocardiogram ,GradCAM ,mortality prediction ,Computer applications to medicine. Medical informatics ,R858-859.7 ,Medical technology ,R855-855.5 - Abstract
Objective: The early detection of cardiac disease is important because the disease can lead to sudden death and poor prognosis. Electrocardiograms (ECG) are used to screen for cardiac diseases and are useful for the early detection and determination of treatment strategies. However, the ECG waveforms of cardiac care unit (CCU) patients with severe cardiac disease are often complicated by comorbidities and patient conditions, making it difficult to predict the severity of further cardiac disease. Therefore, this study predicts the short-term prognosis of CCU patients to detect further deterioration in CCU patients at an early stage. Methods: The ECG data (II, V3, V5, aVR induction) of CCU patients were converted to image data. The transformed ECG images were used to predict short-term prognosis with a two-dimensional convolutional neural network (CNN). Results: The prediction accuracy was 77.3%. Visualization by GradCAM showed that the CNN tended to focus on the shape and regularity of waveforms, such as heart failure and myocardial infarction. Conclusion: These results suggest that the proposed method may be useful for short-term prognosis prediction using the ECG waveforms of CCU patients. Clinical impact: The proposed method could be used to determine the treatment strategy and choose the intensity of treatment after admission to the CCU.
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- 2023
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56. Trends of Early Helicobacter pylori-Uninfected Gastric Cancer in an Aging Regional Area
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Hidehito Maeda, Fumisato Sasaki, Takayuki Ooi, Shohei Uehara, Hiroki Yano, Yoichi Sameshima, Yoshio Fukuda, Yuichiro Nasu, Yusuke Fujino, Koichiro Shigeta, Hiroshi Fujita, Akihito Tanaka, Shuji Kanmura, and Akio Ido
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Helicobacter pylori-uninfected gastric cancer ,aging regional area ,early gastric cancer ,endoscopic submucosal resection ,Medicine - Abstract
Background/Objectives: We aimed to determine the trends over time and current status of early Helicobacter pylori-uninfected gastric cancer (HpUIGC) treatment in a region with an aging population. Methods: This retrospective, multi-center observational study was conducted at seven major general hospitals in Kagoshima Prefecture. From January 2009 to July 2022, 2091 patients who received endoscopic resection (ER) for early gastric cancer (EGC) were retrospectively enrolled, of which 35 were identified as early HpUIGC cases. Results: The number of ERs for EGC demonstrated a significant increasing trend from 2010 to 2021 (p = 0.01 for trend). Furthermore, the 12-year period from 2010 to 2021 was divided into an early and late phase every 6 years. In the early phase, there were 5 cases (0.7%) of early HpUIGC, while in the late phase, there were 25 cases (2.1%), indicating a significant increase in the proportion of ERs for early HpUIGC cases in the late phase (p = 0.02). Conclusions: The proportion of ERs for early HpUIGC, which are more common in relatively young patients, may be increasing as a proportion of all ERs for GC, even in areas of Japan with an aging population.
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- 2024
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57. Multiplex Real-Time PCR-Based Newborn Screening for Severe Primary Immunodeficiency and Spinal Muscular Atrophy in Osaka, Japan: Our Results after 3 Years
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Tomokazu Kimizu, Masatoshi Nozaki, Yousuke Okada, Akihisa Sawada, Misaki Morisaki, Hiroshi Fujita, Akemi Irie, Keiko Matsuda, Yuiko Hasegawa, Eriko Nishi, Nobuhiko Okamoto, Masanobu Kawai, Kohsuke Imai, Yasuhiro Suzuki, Kazuko Wada, Nobuaki Mitsuda, and Shinobu Ida
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newborn screening ,multiplex qPCR ,primary immunodeficiency ,spinal muscular atrophy ,Genetics ,QH426-470 - Abstract
In newborn screening (NBS), it is important to consider the availability of multiplex assays or other tests that can be integrated into existing systems when attempting to implement NBS for new target diseases. Recent developments in innovative testing technology have made it possible to simultaneously screen for severe primary immunodeficiency (PID) and spinal muscular atrophy (SMA) using quantitative real-time polymerase chain reaction (qPCR) assays. We describe our experience of optional NBS for severe PID and SMA in Osaka, Japan. A multiplex TaqMan qPCR assay was used for the optional NBS program. The assay was able to quantify the levels of T-cell receptor excision circles and kappa-deleting recombination excision circles, which is useful for severe combined immunodeficiency and B-cell deficiency screening, and can simultaneously detect the homozygous deletion of SMN1 exon 7, which is useful for NBS for SMA. In total, 105,419 newborns were eligible for the optional NBS program between 1 August 2020 and 31 August 2023. A case each of X-linked agammaglobulinemia and SMA were diagnosed through the optional NBS and treated at early stages (before symptoms appeared). Our results show how multiplex PCR-based NBS can benefit large-scale NBS implementation projects for new target diseases.
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- 2024
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58. Pulsed sputtering selective epitaxial formation of highly degenerate n-type GaN ohmic contacts for GaN HEMT applications
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Ryota Maeda, Kohei Ueno, and Hiroshi Fujioka
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Physics ,QC1-999 - Abstract
This study describes the selective formation process of highly degenerate n-type GaN (d-GaN) ohmic contacts for the source and drain regions of GaN high electron mobility transistors (HEMTs) using pulsed sputtering deposition (PSD). The selective formation process using SiO _2 masks and PSD epitaxial growth enabled the uniform formation of d-GaN in micron-meter size. The optimally formed d-GaN exhibited a minimum resistivity as low as 0.16 mΩ·cm, an electron concentration of 3.6 × 10 ^20 cm ^−3 , and a mobility of 108 cm ^2 V ^−1 s ^−1 . Transmission-line-method measurements demonstrated that the contact resistance of GaN HEMTs with d-GaN regrowth contacts was remarkably low at 0.28 Ω·mm, leading to the reasonable DC output characteristics with an on-resistance of 2.8 Ω·mm and a maximum current density of 850 mA mm ^−1 . These findings suggest that PSD epitaxial regrowth of d-GaN is a promising approach for the high-throughput formation of low-resistivity ohmic contacts on large-area GaN HEMT wafers.
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- 2024
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59. Laeverin/aminopeptidase Q induces indoleamine 2,3-dioxygenase-1 in human monocytes
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Takuma Suzuki, Takashi Iizuka, Kyosuke Kagami, Takeo Matsumoto, Rena Yamazaki, Takiko Daikoku, Akihito Horie, Masanori Ono, Akira Hattori, and Hiroshi Fujiwara
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Molecular biology ,Developmental biology ,Embryology ,Science - Abstract
Summary: Human extravillous trophoblast (EVT) invades the maternal endometrium and reconstructs uterine spiral arteries cooperatively with maternal immune cells. Although EVT has allogeneic paternal antigens, the maternal immune system does not reject it. Here, we found that laeverin (LVRN), an EVT-specific cell surface peptidase, interacts with monocytes to produce indoleamine 2,3-dioxygenase-1 (IDO1). LVRN-transfected Swan71 cells, a cytotrophoblast-derived cell line, and increased IDO1 expression in PBMC under cell-to-cell interacting conditions. Soluble recombinant LVRN (r-LVRN) interacted with CD14-positive monocytes and induced their IDO1 expression without the intervention of other immune cell populations. LVRN-induced IDO1 production was promoted in PMA-activated monocyte-like THP-1 cells. Furthermore, r-LVRN decreased the tryptophan level and increased the kynurenine/tryptophan ratio in the culture media of the PMA-treated THP-1 cells. These findings suggest that LVRN is one of the key molecules that mediate the interaction between EVT and monocytes/macrophages and creates an immunosuppressive environment at the maternal-fetal interface in the uterus.
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- 2023
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60. A simpler method for total scalp irradiation: the multijaw‐size concave arc technique
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Minoru Inoue, Masahiro Konno, Tetsuo Nishimura, Hideyuki Harada, Hiroshi Fuji, Hirofumi Asakura, Hirofumi Ogawa, and Shigeyuki Murayama
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Organs at Risk ,Low dosage ,medicine.medical_treatment ,Hemangiosarcoma ,Planning target volume ,Arc (geometry) ,medicine ,Radiation Oncology Physics ,Humans ,Radiology, Nuclear Medicine and imaging ,Irradiation ,Radiation treatment planning ,scalp irradiation ,Instrumentation ,Photons ,angiosarcoma ,Scalp ,Radiation ,business.industry ,Radiotherapy Planning, Computer-Assisted ,conformal arc therapy ,Radiotherapy Dosage ,Radiation therapy ,Multileaf collimator ,medicine.anatomical_structure ,Radiotherapy, Intensity-Modulated ,cutaneous malignancies ,Nuclear medicine ,business - Abstract
The lateral electron‐photon technique (LEPT) and intensity‐modulated radiation therapy (IMRT) are commonly used for total scalp irradiation. However, the treatment planning and irradiation are laborious and time‐consuming. We herein present the multijaw‐size concave arc technique (MCAT) as a total scalp irradiation method that overcomes these problems. CT datasets for eight patients previously treated for angiosarcoma of the scalp were replanned using MCAT, LEPT, and IMRT. The MCAT was designed with a dynamic conformal arc for the total scalp, with a multileaf collimator to shield the brain. Two additional conformal arcs with a decreased upper‐jaw position of the first dynamic conformal arc were used to reduce the cranial hotspots. The prescribed dose was 40 Gy (2 Gy/fraction) to 95% of the planning target volume (PTV, defined as the total scalp plus a 4 mm margin). MCAT was compared with LEPT and IMRT with respect to the PTV dose homogeneity (D5%–95%), underdosage (V < 90%), overdosage (V > 110%), doses to the brain, and the delivery time and monitor units (MUs) for single irradiation. We were able to formulate treatment plans for all three techniques that could deliver the prescription dose in all patients. MCAT was significantly superior to LEPT with respect to PTV dose homogeneity, overdosage, and underdosage, although MCAT was inferior to IMRT with respect to dose homogeneity and overdosage. The mean brain dose and high‐dosage volume of all three techniques were low, but IMRT provided larger volume to the brain than did the other two techniques in the low dosage region. In MCAT, the mean delivery time could be reduced by approximately half or more, and the mean MUs could be reduced by at least 100 compared to the other two techniques. MCAT can achieve total scalp irradiation with substantially fewer MUs and a shorter delivery time than LEPT and IMRT. PACS number: 87.55.D‐
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- 2014
61. Relative biological effectiveness of therapeutic proton beams for HSG cells at Japanese proton therapy facilities
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Masanori Hatashita, Hideki Matsumoto, Masao Murakami, Yoshitaka Matsumoto, Shigekazu Fukuda, Shigeyuki Murayama, Takashi Ogino, Masaharu Hata, Ryoichi Hirayama, Takeji Sakae, Teiji Nishio, Kazufumi Kagawa, Mizuho Aoki-Nakano, Akiko Uzawa, Chizuru Tsuruoka, Yoshiya Furusawa, Kazutaka Yamamoto, Hiroshi Fuji, Go Kagiya, and Kyo Kume
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Technology ,Radiation ,Proton ,Cell Survival ,business.industry ,Health, Toxicology and Mutagenesis ,Coefficient of variation ,Sobp ,Bragg peak ,Salivary Gland Neoplasms ,spread-out Bragg-peak ,Linear particle accelerator ,Japan ,relative biological effectiveness ,Cell Line, Tumor ,proton therapy ,Relative biological effectiveness ,Humans ,Medicine ,Radiology, Nuclear Medicine and imaging ,Nuclear medicine ,business ,Proton therapy ,Tumor Stem Cell Assay ,Beam (structure) - Abstract
We investigated the relative biological effectiveness (RBE) of therapeutic proton beams at six proton facilities in Japan with respect to cell lethality of HSG cells. The RBE of treatments could be determined from experimental data. For this purpose, we used a cell survival assay to compare the cell-killing efficiency of proton beams. Among the five linear accelerator (LINAC) X-ray machines at 4 or 6 MeV that were used as reference beams, there was only a small variation (coefficient of variation CV = 3.1% at D10) in biological effectiveness. The averaged value of D10 for the proton beams at the middle position of the spread-out Bragg peak (SOBP) was 4.98. These values showed good agreement, with a CV of 4.3% among the facilities. Thus, the average RBE10 (RBE at the D10 level) at the middle position of the SOBP beam for six facilities in Japan was 1.05 with a CV of 2.8%.
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- 2014
62. Evaluation of pretreatment ADC values as predictors of treatment response to neoadjuvant chemotherapy in patients with breast cancer - a multicenter study
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Alexey Surov, Maciej Pech, Hans-Jonas Meyer, Almir G. V. Bitencourt, Hiroshi Fujimoto, Gabrielle C. Baxter, Gorane Santamaría, Fiona J. Gilbert, and Andreas Wienke
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Breast cancer ,DWI ,ADC ,Neoadjuvant treatment ,Medical physics. Medical radiology. Nuclear medicine ,R895-920 ,Neoplasms. Tumors. Oncology. Including cancer and carcinogens ,RC254-282 - Abstract
Abstract Background Magnetic resonance imaging (MRI) can be used to diagnose breast cancer. Diffusion weighted imaging (DWI) and the apparent diffusion coefficient (ADC) can reflect tumor microstructure in a non-invasive manner. The correct prediction of response of neoadjuvant chemotherapy (NAC) is crucial for clinical routine. Our aim was to compare ADC values between patients with pathological complete response (pCR) and non-responders based upon a multi-center design to improve the correct patient selection, which patient would more benefit from NAC and which patient would not. Methods For this study, data from 4 centers (from Japan, Brazil, Spain and United Kingdom) were retrospectively acquired. The time period was overall 2003–2019. The patient sample comprises 250 patients (all female; median age, 50.5). In every case, pretreatment breast MRI with DWI was performed. pCR was assessed by experienced pathologists in every center using the surgical specimen in the clinical routine work up. pCR was defined as no residual invasive disease in either breast or axillary lymph nodes after NAC. ADC values between the group with pCR and those with no pCR were compared using the Mann–Whitney U test (two-group comparisons). Univariable and multivariabe logistic regression analysis was performed to predict pCR status. Results Overall, 83 patients (33.2%) achieved pCR. The ADC values of the patient group with pCR were lower compared with patients without pCR (0.98 ± 0.23 × 10− 3 mm2/s versus 1.07 ± 0.24 × 10− 3 mm2/s, p = 0.02). The ADC value achieved an odds ratio of 4.65 (95% CI 1.40–15.49) in univariable analysis and of 3.0 (95% CI 0.85–10.63) in multivariable analysis (overall sample) to be associated with pCR status. The odds ratios differed in the subgroup analyses in accordance with the molecular subtype. Conclusions The pretreatment ADC-value is associated with pathological complete response after NAC in breast cancer patients. This could aid in clinical routine to reduce treatment toxicity for patients, who would not benefit from NAC. However, this must be tested in further studies, as the overlap of the ADC values in both groups is too high for clinical prediction.
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- 2022
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63. Peer group-based online intervention program to empower families raising children with disabilities: protocol for a feasibility study using non-randomized waitlist-controlled trial
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Akemi Matsuzawa, Rie Wakimizu, Iori Sato, Hiroshi Fujioka, Kaori Nishigaki, Seigo Suzuki, and Naoko Iwata
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Disabled children ,Family ,Family empowerment ,Caregiver burden ,Health care service ,QOL ,Medicine (General) ,R5-920 - Abstract
Abstract Background Families raising children with disabilities assume risks to their health and lives. Therefore, it is necessary to support these families to improve family empowerment, which is the ability of these families to control their own lives and to promote the collaborative raising of children with disabilities. This is the first online intervention program focusing on the empowerment of families raising children with disabilities who live at home in Japan. Method The program consists of four online peer-based group sessions. Moreover, the families engage in several activities in stages wherein they discover their own issues, find measures to resolve them, and take action, while visualizing interfamily relationships, including social resources, and the status of their family life, with facilitators and other peer members. This study is a non-randomized, waitlist-controlled trial. It compares the results of the intervention group (early group) and the waitlist-controlled group (delayed group). The participants are allocated to the early or delayed group in the order of their applications. The main outcome is family empowerment. Other outcomes are the caregiver burden, self-reported capability to use social resources, self-compassion, and the quality of life (QOL) of primary caregivers. The timeline of the online outcome evaluation is as follows: the initial evaluation (Time 1 [T1]) is conducted before the start of the first early group program, and post-intervention evaluation (Time 2 [T2]) is conducted immediately (within 1 week) after the early group completes all four sessions (4 weeks) of the program. Follow-up evaluation (Time 3 [T3]) is conducted 4 weeks after the post-intervention evaluation. This timing is the same in the delayed group, but the delayed group will attend the program after a 4-week waiting period, compared to the early group. Discussion The intention is to evaluate whether the provision of the program developed in this study and the evaluation test design are feasible and to verify the efficacy of this program. Trial registration The UMIN Clinical Trials Registry (UMIN000044172), registration date: May 19, 2021.
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- 2022
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64. Executive summary: Japanese guidelines for allergic conjunctival diseases 2021
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Dai Miyazaki, Atsuki Fukushima, Eiichi Uchio, Jun Shoji, Kenichi Namba, Nobuyuki Ebihara, Etsuko Takamura, Ken Fukuda, Akira Matsuda, Shigeki Okamoto, Kazumi Fukagawa, Hiroshi Fujishima, Shigeaki Ohno, and Yuichi Ohashi
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Allergic conjunctivitis ,Atopic keratoconjunctivitis ,Cyclosporine ,Tacrolimus ,Vernal keratoconjunctivitis ,Immunologic diseases. Allergy ,RC581-607 - Abstract
Allergic conjunctival disease (ACD) is an inflammatory disease of the conjunctiva that is mainly caused by type I hypersensitivity response to allergens and accompanied by subjective symptoms and other findings induced by antigens. ACD is classified as allergic conjunctivitis, atopic keratoconjunctivitis, vernal keratoconjunctivitis, and giant papillary conjunctivitis. This article summarizes the third edition of the Japanese guidelines for allergic conjunctival diseases published in 2021 and outlines the diagnosis, pathogenesis, and treatment of ACD.Since the introduction of immunosuppressive eye drops, the treatment strategies for severe ACDs have significantly changed. To clarify the recommended standard treatment protocols for ACD, the advantages and disadvantages of these treatments were assessed using clinical questions, with a focus on the use of steroids and immunosuppressive drugs. This knowledge will assist healthcare providers and patients in taking an active role in medical decision making.
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- 2022
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65. Cost-effectiveness analysis of cochlear dose reduction by proton beam therapy for medulloblastoma in childhood
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Koichi Kawabuchi, Emi Hirano, Tsuyoshi Onoe, Hiroshi Fuji, Hiroki Shirato, and Vinay Kumar
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Male ,Organs at Risk ,medicine.medical_specialty ,Hearing loss ,Cost effectiveness ,Cost-Benefit Analysis ,Health, Toxicology and Mutagenesis ,medicine.medical_treatment ,medulloblastoma ,Radiotherapy, High-Energy ,Radiation Protection ,Japan ,Quality of life ,Proton Therapy ,medicine ,Humans ,Radiology, Nuclear Medicine and imaging ,Cerebellar Neoplasms ,Child ,Hearing Loss ,Radiation Injuries ,Proton therapy ,Survival rate ,health care economics and organizations ,Retrospective Studies ,Medulloblastoma ,Radiation ,cost effectiveness ,business.industry ,Radiotherapy Dosage ,Health Care Costs ,Cost-effectiveness analysis ,medicine.disease ,humanities ,Cochlea ,Surgery ,Survival Rate ,Radiation therapy ,Models, Economic ,Treatment Outcome ,Oncology ,Quality of Life ,Female ,Radiology ,medicine.symptom ,business ,Organ Sparing Treatments - Abstract
Background: The aim of this study is to evaluate the cost-effectiveness of proton beam therapy with cochlear dose reduction compared with conventional X-ray radiotherapy for medulloblastoma in childhood. Methods: We developed a Markov model to describe health states of 6-year-old children with medulloblastoma after treatment with proton or X-ray radiotherapy. The risks of hearing loss were calculated on cochlear dose for each treatment. Three types of health-related quality of life (HRQOL) of EQ-5D, HUI3 and SF-6D were used for estimation of quality-adjusted life years (QALYs). The incremental cost-effectiveness ratio (ICER) for proton beam therapy compared with X-ray radiotherapy was calculated for each HRQOL. Sensitivity analyses were performed to model uncertainty in these parameters. Results: The ICER for EQ-5D, HUI3 and SF-6D were $21 716/QALY, $11 773/QALY, and $20 150/QALY, respectively. One-way sensitivity analyses found that the results were sensitive to discount rate, the risk of hearing loss after proton therapy, and costs of proton irradiation. Cost-effectiveness acceptability curve analysis revealed a 99% probability of proton therapy being cost effective at a societal willingness-to-pay value. Conclusions: Proton beam therapy with cochlear dose reduction improves health outcomes at a cost that is within the acceptable cost-effectiveness range from the payer's standpoint.
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- 2013
66. Visual hallucinations in dementia with Lewy bodies originate from necrosis of characteristic neurons and connections in three-module perception model
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Shigetoshi Nara, Hiroshi Fujii, Hiromichi Tsukada, and Ichiro Tsuda
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Medicine ,Science - Abstract
Abstract Mathematical and computational approaches were used to investigate dementia with Lewy bodies (DLB), in which recurrent complex visual hallucinations (RCVH) is a very characteristic symptom. Beginning with interpretative analyses of pathological symptoms of patients with RCVH-DLB in comparison with the veridical perceptions of normal subjects, we constructed a three-module scenario concerning function giving rise to perception. The three modules were the visual input module, the memory module, and the perceiving module. Each module interacts with the others, and veridical perceptions were regarded as a certain convergence to one of the perceiving attractors sustained by self-consistent collective fields among the modules. Once a rather large but inhomogeneously distributed area of necrotic neurons and dysfunctional synaptic connections developed due to network disease, causing irreversible damage, then bottom-up information from the input module to both the memory and perceiving modules were severely impaired. These changes made the collective fields unstable and caused transient emergence of mismatched perceiving attractors. This may account for the reason why DLB patients see things that are not there. With the use of our computational model and experiments, the scenario was recreated with complex bifurcation phenomena associated with the destabilization of collective field dynamics in very high-dimensional state space.
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- 2022
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67. Sulfation of sialic acid is ubiquitous and essential for vertebrate development
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Nursah Ertunc, Thanyaluck Phitak, Di Wu, Hiroshi Fujita, Masaya Hane, Chihiro Sato, and Ken Kitajima
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Medicine ,Science - Abstract
Abstract Glycosylation of proteins and lipids occurs in vertebrates, usually terminating with sialylation, which regulates the physicochemical and biological properties of these glycoconjugates. Although less commonly known, sialic acid residues also undergo various modifications, such as acetylation, methylation, and sulfation. However, except for acetylation, the enzymes or functions of the other modification processes are unknown. To the best of our knowledge, this study is the first to demonstrate the ubiquitous occurrence of sulfated sialic acids and two genes encoding the sialate: O-sulfotransferases 1 and 2 in vertebrates. These two enzymes showed about 50% amino acid sequence identity, and appeared to be complementary to each other in acceptor substrate preferences. Gene targeting experiments showed that the deficiency of these genes was lethal for medaka fish during young fry development and accompanied by different phenotypes. Thus, the sulfation of sialic acids is essential for the vertebrate development.
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- 2022
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68. Lung cancer CT image generation from a free-form sketch using style-based pix2pix for data augmentation
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Ryo Toda, Atsushi Teramoto, Masashi Kondo, Kazuyoshi Imaizumi, Kuniaki Saito, and Hiroshi Fujita
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Medicine ,Science - Abstract
Abstract Artificial intelligence (AI) applications in medical imaging continue facing the difficulty in collecting and using large datasets. One method proposed for solving this problem is data augmentation using fictitious images generated by generative adversarial networks (GANs). However, applying a GAN as a data augmentation technique has not been explored, owing to the quality and diversity of the generated images. To promote such applications by generating diverse images, this study aims to generate free-form lesion images from tumor sketches using a pix2pix-based model, which is an image-to-image translation model derived from GAN. As pix2pix, which assumes one-to-one image generation, is unsuitable for data augmentation, we propose StylePix2pix, which is independently improved to allow one-to-many image generation. The proposed model introduces a mapping network and style blocks from StyleGAN. Image generation results based on 20 tumor sketches created by a physician demonstrated that the proposed method can reproduce tumors with complex shapes. Additionally, the one-to-many image generation of StylePix2pix suggests effectiveness in data-augmentation applications.
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- 2022
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69. A revision of proton machine quality assurance for wobbled-proton-beam therapy
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Shigeyuki Murayama, Masumi Numano, Hiroshi Fuji, Yuki Kase, and Haruo Yamashita
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Quality Control ,Task group ,medicine.medical_specialty ,Radiation ,Quality Assurance, Health Care ,business.industry ,Computer science ,Radiotherapy Planning, Computer-Assisted ,Physical Therapy, Sports Therapy and Rehabilitation ,General Medicine ,Radiotherapy, Computer-Assisted ,Proton (rocket family) ,Action levels ,Patient safety ,Proton Therapy ,medicine ,Humans ,Inspection - action ,Radiology, Nuclear Medicine and imaging ,Medical physics ,Radiometry ,business ,Quality assurance ,Proton therapy - Abstract
Periodic checks for proton machine quality assurance (QA) are significant for machine users safely and accurately to provide proton-beam treatment for cancer. Our aim in this study was to describe a revision to proton machine QA procedures for wobbled-proton-beam therapy at the Shizuoka Cancer Center (SCC) in Japan. The previous daily, monthly, and annual QA procedures were determined by reference to our past operational experience and to QA papers for medical accelerators. The revised QA procedures were initiated in May 2011 after preliminary measurements to decide baselines for the QA procedures. This paper presents the proton machine QA procedures and the results of representative QA measurements. Three action levels were decided on by reference to the American Association of Physicists in Medicine Task Group 142 report. Tolerances of inspection action were decided on based on the provisional operational results and actual fluctuations of the QA measurement for a year, and those of scheduled action and stop-treatment action were determined by reference to the machine QA papers and those of the inspection action. No deviation from the tolerance of the scheduled action has been observed so far. Although a few QA procedures exceeded the tolerance of the inspection action, these excesses were resolved by inspection and improvement of the respective measuring procedure within the designated QA time. Hereafter, the proton machine QA procedures proposed in this study will be performed continuously at the SCC to assure patient safety and accurate operation of proton therapy.
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- 2013
70. Mathematical model for promotion of wound closure with ATP release
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Kenta Odagiri, Hiroshi Fujisaki, Hiroya Takada, and Rei Ogawa
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collective cell migration ,cellular potts model ,reaction-diffusion equations ,contact inhibition ,mechanobiology ,Biology (General) ,QH301-705.5 ,Physiology ,QP1-981 ,Physics ,QC1-999 - Abstract
To computationally investigate the recent experimental finding such that extracellular ATP release caused by exogeneous mechanical forces promote wound closure, we introduce a mathematical model, the Cellular Potts Model (CPM), which is a popular discretized model on a lattice, where the movement of a “cell” is determined by a Monte Carlo procedure. In the experiment, it was observed that there is mechanosensitive ATP release from the leading cells facing the wound gap and the subsequent extracellular Ca2+ influx. To model these phenomena, the Reaction-Diffusion equations for extracellular ATP and intracellular Ca2+ concentrations are adopted and combined with CPM, where we also add a polarity term because the cell migration is enhanced in the case of ATP release. From the numerical simulations using this hybrid model, we discuss effects of the collective cell migration due to the ATP release and the Ca2+ influx caused by the mechanical forces and the consequent promotion of wound closure.
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- 2023
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- View/download PDF
71. Allelic haplotype combinations at the MS-P1 region, including P-class pentatricopeptide repeat family genes, influence wide phenotypic variation in pollen grain number through a cytoplasmic male sterility model in citrus
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Shingo Goto, Hiroshi Fujii, Hiroko Hamada, Satoshi Ohta, Tomoko Endo, Tokurou Shimizu, Keisuke Nonaka, and Takehiko Shimada
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CMS ,restorer-of-fertility ,diplotype ,QTL ,seedless ,marker-assisted selection ,Plant culture ,SB1-1110 - Abstract
In citrus breeding programs, male sterility is an important trait for developing seedless varieties. Sterility associated with the male sterile cytoplasm of Kishu mandarin (Kishu-cytoplasm) has been proposed to fit the cytoplasmic male sterility (CMS) model. However, it remains undetermined whether CMS in citrus is controlled by interactions between sterile cytoplasm and nuclear restorer-of-fertility (Rf) genes. Accordingly, mechanisms underlying the control of the wide phenotypic variation in pollen number for breeding germplasm should be elucidated. This study aimed to identify complete linkage DNA markers responsible for male sterility at the MS-P1 region based on fine mapping. Two P-class pentatricopeptide repeat (PPR) family genes were identified as candidates for Rf based on predicted mitochondrial localization and higher expression in a male fertile variety/selected strain than in a male sterile variety. Eleven haplotypes (HT1–HT11) at the MS-P1 region were defined based on genotyping of DNA markers. Association analysis of diplotypes at the MS-P1 region and the number of pollen grains per anther (NPG) in breeding germplasms harboring Kishu-cytoplasm revealed that the diplotypes in this region influenced NPG. Among these haplotypes, HT1 is a non-functional restorer-of-fertility (rf) haplotype; HT2, a less-functional Rf; HT3–HT5 are semi-functional Rfs; and HT6 and HT7 are functional Rfs. However, the rare haplotypes HT8–HT11 could not be characterized. Therefore, P-class PPR family genes in the MS-P1 region may constitute the nuclear Rf genes within the CMS model, and a combination of the seven haplotypes could contribute to phenotypic variation in the NPG of breeding germplasms. These findings reveal the genomic mechanisms of CMS in citrus and will contribute to seedless citrus breeding programs by selecting candidate seedless seedlings using the DNA markers at the MS-P1 region.
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- 2023
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72. Eye Washing Downregulated Angiotensin-Converting Enzyme 2 in Conjunctival Tissue Samples from Smokers
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Hiroshi Fujishima, Hiroyuki Yazu, Eisuke Shimizu, Naoko Okada, and Kazumi Fukagawa
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angiotensin-converting enzyme 2 (ACE2) ,transmembrane protease serine 2 (TMPRSS2) ,SARS-CoV-2 infection ,smoking ,eye rinsing ,Biology (General) ,QH301-705.5 ,Chemistry ,QD1-999 - Abstract
This study aimed to (1) determine whether the expression of angiotensin-converting enzyme 2 (ACE2) and transmembrane protease serine 2 is increased in tobacco smokers, which potentially increases their susceptibility to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, and (2) assess whether eye rinsing can reduce susceptibility. This prospective study included 20 eyes of 10 smokers and 18 eyes of nine healthy non-smokers (control) for reverse-transcription polymerase chain reaction. This study also included 28 eyes of 14 smokers and 16 eyes of eight healthy non-smokers (control) for enzyme-linked immunosorbent assay. Tear and impression cytology samples were collected from the right eye of each patient. The left eye was then rinsed for 30 s, and after 5 min, the tear and impression cytology samples were collected in the same manner. The expression of the ACE2 gene was significantly higher in the conjunctiva of smokers (n = 17; median 3.07 copies/ng of total RNA) than in those of non-smokers (n = 17; median 1.92 copies/ng of total RNA, p = 0.003). Further, mRNA expression and protein levels of ACE2 were weakly correlated in smokers (r = 0.49). ACE2 protein levels in Schirmer’s strip samples were significantly reduced from 5051 to 3202 pg/mL after eye washing (n = 10; p = 0.001). Ocular surface cells are susceptible to SARS-CoV-2 infection. Smoking may be a risk factor for SARS-CoV-2 infection, and eye rinsing may reduce the risk of infection.
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- 2023
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73. Reduced Relapse-Free Survival in Colorectal Cancer Patients with Elevated Soluble CD40 Ligand Levels Improved by Vitamin D Supplementation
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Hiroshi Fujimoto, Soichiro Fukuzato, Kazuki Kanno, Taisuke Akutsu, Hironori Ohdaira, Yutaka Suzuki, and Mitsuyoshi Urashima
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vitamin D ,supplement ,CD40 ligand ,CD40L ,soluble CD40 ligand ,sCD40L ,Nutrition. Foods and food supply ,TX341-641 - Abstract
Although elevated serum levels of soluble CD40 ligand (sCD40L) were reported in patients with cancer, the importance of high sCD40L levels in clinical oncology remains unknown. We conducted a post hoc analysis of the AMATERASU randomized clinical trial of vitamin D3 supplementation (2000 IU/day) in patients with digestive tract cancer to assess its significance. Serum sCD40L levels were measured by ELISA in 294 residual samples, and were divided into tertiles. In patients with colorectal cancer (CRC), 5-year relapse-free survival (RFS) rates in the middle and highest tertiles were 61.6% and 61.2%, respectively, which was significantly lower than 83.8% in the lowest tertile. A Cox proportional hazard analysis showed that the lowest tertile had a significantly lower risk of relapse or death than the highest tertile even with multivariate adjustment (hazard ratio (HR), 0.30; 95% confidence interval (CI), 0.11–0.80; p = 0.016). In the subgroup of CRC patients with the highest tertile of sCD40L, the 5-year RFS rate in the vitamin D group was 77.9%, which was significantly higher than 33.2% in the placebo group (HR, 0.30; 95% CI, 0.11–0.81; p = 0.018 [Pinteraction = 0.04]). In conclusion, elevated sCD40L might be a biomarker of poor prognosis in patients with CRC, but vitamin D supplementation might improve RFS in patients with high sCD40L.
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- 2023
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74. Advanced development of IBAD/PLD coated conductors at FUJIKURA
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Yasuhiro Iijima, M. Igarashi, R. Kikutake, R. Suzuki, Kazuomi Kakimoto, Hiroshi Fuji, Y. Sutoh, Masanori Daibo, M. Itoh, S. Hanyu, H. Kutami, and T. Saitoh
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Materials science ,RE123 coated conductor ,Rare earth ,cricical current ,in-field performance ,Development (differential geometry) ,Physics and Astronomy(all) ,Composite material ,Ic × L value ,Electrical conductor ,unifromity ,Longitudinal direction - Abstract
We have developed an ion-beam-assisted-deposition (IBAD) and a pulsed-laser-deposition (PLD) technique to produce REBa 2 Cu 3 O x (RE123, RE: rare earth) coated conductors with high performances. Distributions of critical currents ( I c ) in the longitudinal direction were improved in most wires routinely fabricated under optimized process. A typical wire showed I c of 460 A/cm at 77 K and self-field, about 200 A/cm at 65 K and 3 T and about 300 A/cm at 50 K and 5 T. In addition, further high I c values over 800 A/cm were also obtained in thick films. Finally, we succeeded in fabricating an 816.4 m long wire with end-to-end I c of 572 A/cm, corresponding to the new world record I c × L value of 466,981 Am/cm.
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- 2012
75. DIPG-31. CLINICO-PATHOLOGICAL REVIEW OF 26 CHILDREN WITH DIFFUSE INTRINSIC PONTINE GLIOMA
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Kenichi Usami, Hideki Ogiwara, Hiroshi Fuji, Kimikazu Matsumoto, Koichi Ichimura, Motohiro Kato, Yoko Shioda, Tomoo Osumi, Hideto Iwafuchi, Yoshiyuki Tsutsumi, Takako Yoshioka, Kaoru Yoshida, Daisuke Tomizawa, Yoshiko Nakano, Keita Terashima, and Chikako Kiyotani
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Cancer Research ,Pathology ,medicine.medical_specialty ,Temozolomide ,business.industry ,Signs and symptoms ,medicine.disease ,Pons ,Child health ,Abstracts ,Oncology ,medicine ,Clinico pathological ,Neurology (clinical) ,Symptom onset ,business ,medicine.drug ,Anaplastic astrocytoma ,Glioblastoma - Abstract
METHODS: Twenty-six patients with diffuse intrinsic pontine glioma (DIPG) were retrospectively analyzed at National Center for Child Health and Development, one of the largest pediatric brain tumor centers in Japan. The following information was collected from the electric medical record: clinical characteristics, surgery / pathology reports, treatments and outcomes. RESULTS: Between June, 2002 and April, 2016, 26 patients were diagnosed as DIPG and treated. Median age was 6 years (2–12). There were 19 boys and 7 girls. Common presenting symptoms included, cranial nerve palsies, ataxia, long-tract signs, vomiting, and altered consciousness. 20 patients (77%) were diagnosed within 40 days from symptom onset. 13 patients (50%) underwent biopsy. Patients who underwent biopsy tend to have atypical imaging and clinical features. Interval from diagnosis to radiation therapy was significantly longer in biopsy group than non-biopsy group (29 days and 8 days respectively, p=0.04). Histopathlogy diagnoses were: glioblastoma 4, anaplastic astrocytoma 5 and other glioma 4. H3 K27M mutations were detected in 5 patients among 8 patients tested (63%). CMV protein was not detected in all 4 patients tested. All but one patient underwent focal radiation therapy (RT) of 54Gy/30 fractions and one patient presented with dissemination underwent craniospinal RT. Fourteen patients (54%) did not receive any chemotherapy as an upfront treatment. Seven patients (27%) received temozolomide (TMZ)-based chemotherapy and the rest (19%) received other chemotherapy regimen. Mean overall survival (OS) of all 26 patients was 313 days. Mean progression-free survival (PFS) was 201 days. Biopsy, TMZ, any chemotherapy or H3 K27M mutation was not associated with survival outcomes. CONCLUSIONS: DIPG continues to be an incurable disease. Biopsy in DIPG is safe and feasible. H3 K27M mutation is a frequent event in DIPG. Chemotherapy is not a standard upfront treatment for DIPG.
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- 2017
76. Reclassification of Heart Failure with Preserved Ejection Fraction Following Cardiac Sympathetic Nervous System Activation: A New Cutoff Value of 58%
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Toshihiko Goto, Takafumi Nakayama, Junki Yamamoto, Kento Mori, Yasuhiro Shintani, Shohei Kikuchi, Hiroshi Fujita, Hidekatsu Fukuta, and Yoshihiro Seo
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cardiac sympathetic nervous system ,heart failure ,left ventricular ejection fraction ,metaiodobenzylguanidine ,mortality ,Computer applications to medicine. Medical informatics ,R858-859.7 - Abstract
Heart failure (HF) with preserved left ventricular ejection fraction (LVEF) is a heterogeneous syndrome. An LVEF of 50% is widely used to categorize patients with HF; however, this is controversial. Previously, we have reported that patients with an LVEF of ≥ 58% have good prognoses. Further, cardiac sympathetic nervous system (SNS) activation is a feature of HF. In this retrospective, observational study, the cardiac SNS activity of HF patients (n = 63, age: 78.4 ± 9.6 years; male 49.2%) with LVEF ≥ 58% (n = 15) and LVEF < 58% (n = 48) were compared using 123I-metaiodobenzylguanidine scintigraphy. During the follow-up period (median, 3.0 years), 18 all-cause deaths occurred. The delayed heart/mediastinum (H/M) ratio was significantly higher in the LVEF ≥ 58% group than in the LVEF < 58% group (2.1 ± 0.3 vs. 1.7 ± 0.4, p = 0.004), and all-cause mortality was significantly lower in patients in the former than those in the latter group (log-rank, p = 0.04). However, when these patients were divided into LVEF ≥ 50% (n = 22) and LVEF < 50% (n = 41) groups, no significant differences were found in the delayed H/M ratio, and the all-cause mortality did not differ between the groups (log-rank, p = 0.09). In conclusion, an LVEF of 58% is suitable for reclassifying patients with HF according to cardiac SNS activity.
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- 2022
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77. ATRT-32. PREPARATION OF GENETIC TESTING SYSTEM OF AT/RT FOR PEDIATRIC CANCER PREDISPOSITION PROGRAM
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Kimikazu Matsumoto, Takako Yoshioka, Chikako Kiyotani, Hiroshi Fuji, Rie Irie, Yoko Sioda, Tomoo Osumi, Yoshiyuki Tsutsumi, Motohiro Kato, Ryota Shirai, Hidekazu Aoki, Yui Kimura, Kenichi Usami, Hideki Ogiwara, Keita Terashima, and Daisuke Tomizawa
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Oncology ,Cancer Research ,medicine.medical_specialty ,medicine.diagnostic_test ,business.industry ,Pediatric cancer ,Abstracts ,Text mining ,Internal medicine ,medicine ,Neurology (clinical) ,business ,Genetic testing - Abstract
Atypical teratoid rhabdoid tumors (AT/RTs) are highly aggressive embryonal CNS tumors. Up to one-third of AT/RTs are reported to have germline mutation and/or deletion of SMARCB1/hSNF5. In accordance with the increased understanding for pediatric cancer predisposition syndrome, the needs for genetic counseling and testing is expanding. And next generation suquencing technique is inevitable for these genotyping. So we start to prepare genetic testing system of AT/RT for future pediatric cancer predisposition program. Proior to the genetic testing, pretest counseling is performed for each patient/family. Informed consent was obtained according to the institutional ethical review board. Genomic DNA was isolated from the patient’s periphera blood, and somatic DNA was extracted from frozen tissues or FFPE samples. Genetic analysis of the SMARCB1 coding sequence was performed by Sanger method. Deletion of SMARCB1 is examined by quantitative analysis of each exon with droplet digital PCR (ddPCR). SNP array analysis is also tried if frozen sample is available. Three AT/RT patients and one rhabdoid tumor patient received genetic testing. None of them had germline mutation. In an infant ATRT, Sanger sequence analysis revealed frameshift mutation (c649-650delAT). Also, ddPCR showed uniparenteral heterodisomy (UPD). In another AT/RTs, copy number decrease and UPD over whole region of SMARCB1, or exon 3 deletion are recognized respectively. Rhabdoid tumor case had nonsense mutation (c610C>T). Although most of AT/RT should have biallelic mutation, false negative could happen due to less tumor cells obtained in those samples. Enlightenment for sampling and accumulation for testing would be important.
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- 2018
78. DIPG-47. RE-IRRADIATION FOR RECURRENT DIFFUSE INTRINSIC PONTINE GLIOMA
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Rie Irie, Yui Kimura, Yoshiyuki Tsutsumi, Keita Terashima, Hidekazu Aoki, Hiroshi Fuji, Kimikazu Matsumoto, Motohiro Kato, Daisuke Tomizawa, Tomoo Osumi, Takako Yoshioka, Chikako Kiyotani, Yoko Shioda, Kenichi Usami, and Hideki Ogiwara
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Cancer Research ,Pathology ,medicine.medical_specialty ,business.industry ,medicine.medical_treatment ,medicine.disease ,Pons ,Radiation therapy ,Abstracts ,Oncology ,Glioma ,Ommaya reservoir ,Medicine ,Neurology (clinical) ,business - Abstract
The prognosis of diffuse intrinsic pontine glioma (DIPG) remains dismal. The only effective treatment is radiation therapy so far. Nevertheless, the therapeutic effect of radiation therapy doesn’t last for long and almost all the patients experience relapse after several months. Recently, re-irradiation for relapsed DIPG was attempted and showed some benefit for those patients. We retrospective reviewed the efficacy and safety of re-irradiation therapy for five DIPG cases from April 2013 to December 2017. Five patients include three boys and two girls, their mean age was 7.2 years old (4–12). One case only did biopsy for diagnosis, others diagnosed clinically. One case underwent ventricular Ommaya reservoir insertion due to hydrocephalus. Radiation doses were from 19.8Gy to 50.4Gy(1.8–3.0Gy/Fr). The median duration between diagnosis and recurrence was 7.5 months (4–10 months), and the mean survival after the re-irradiation was 6.3 months (two of them still surviving). All five patients completed the treatment without acute toxicity, and four out of five patients demonstrated some improvement of their symptoms which occurred at the recurrence. It has been suggested that re-irradiation might be an effective and safe treatment for selected patients with recurrent DIPG.
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- 2018
79. Analysis of dose–volume histogram parameters for radiation pneumonitis after definitive concurrent chemoradiotherapy for esophageal cancer
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Takayuki Hashimoto, Narikazu Boku, Hirofumi Asakura, Hideyuki Harada, Masashi Mizumoto, Shigeyuki Murayama, Kazuhisa Furutani, Hiroshi Fuji, Shuichi Hironaka, Sadamoto Zenda, Tetsuo Nishimura, and Koichi Hirakawa
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Male ,medicine.medical_specialty ,Dose-volume histogram ,Esophageal Neoplasms ,medicine.medical_treatment ,medicine ,Humans ,Radiology, Nuclear Medicine and imaging ,Lung volumes ,Radiation treatment planning ,Aged ,Univariate analysis ,business.industry ,Dose-Response Relationship, Radiation ,Hematology ,Middle Aged ,Esophageal cancer ,medicine.disease ,Combined Modality Therapy ,Surgery ,Radiation Pneumonitis ,Radiation therapy ,Oncology ,Concomitant ,Female ,Radiology ,Radiotherapy, Conformal ,business ,Chemoradiotherapy - Abstract
To evaluate dose-volume histogram (DVH) parameters as predictors of radiation pneumonitis (RP) in esophageal cancer patients treated with definitive concurrent chemoradiotherapy.Thirty-seven esophageal cancer patients treated with radiotherapy with concomitant chemotherapy consisting of 5-fluorouracil and cisplatin were reviewed. Radiotherapy was delivered at 2 Gy per fraction to a total of 60 Gy. For most of the patients, two weeks of interruption was scheduled after 30 Gy. The percentage of lung volume receiving more than 5-50 Gy in increments of 5 Gy (V5-V50, respectively), and the mean lung dose (MLD) were analyzed.Ten (27%) patients developed RP of grade 2; 2 (5%), grade 3; 0 (0%), grade 4; and 1 (3%), grade 5. By univariate analysis, all DVH parameters (i.e., V5-V50 and MLD) were significantly associated with grade 2 RP (p0.01). The incidences of grade 2 RP were 13%, 33%, and 78% in patients with V20s of 24%, 25-36%, and 37%, respectively. The optimal V20 threshold to predict symptomatic RP was 30.5% according to the receiver operating characteristics curve analysis.DVH parameters were predictors of symptomatic RP and should be considered in the evaluation of treatment planning for esophageal cancer.
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- 2010
80. Increase of production rate of RE-123 film by PLD system with the hot-wall type heating
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C. Tashita, T. Hayashida, Kazuomi Kakimoto, Hiroshi Fuji, Y. Hanada, Yasuhiro Iijima, M. Igarashi, S. Hanyu, T. Saitoh, and H. Kutami
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Materials science ,Ion plating ,Energy Engineering and Power Technology ,Texture (crystalline) ,Critical current ,Electrical and Electronic Engineering ,Composite material ,Condensed Matter Physics ,System structure ,Evaporation (deposition) ,Electronic, Optical and Magnetic Materials ,Pulsed laser deposition ,Production rate - Abstract
We have studied two types of heating systems to produce thick GdBa2Cu3O7−X (Gd123) films with high critical current (Ic) stably at a high speed by the PLD method. Material yields of both PLD systems reached about 50–60% by optimization of evaporation condition. Hot-wall heating type (type 2) could fabricate the thicker Gd123 film with the higher Ic compared to contact heating type (type 1) and maximum Ic reached 1040 A at about 6 μm thick. Furthermore, it was estimated that type 2 could fabricate Gd123 film with an Ic of about 700 A at about twice speed compared to type 1. Finally, it was considered that the hot-wall heating type was very advantageous to prepare thick Gd123 film with high Ic at a high speed from the system structure.
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- 2009
81. Progress in research and development on long length coated conductors in Fujikura
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Y. Hanada, H. Kutami, M. Igarashi, Yasuhiro Iijima, S. Hanyu, Kazuomi Kakimoto, T. Saitoh, C. Tashita, Hiroshi Fuji, and T. Hayashida
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Superconductivity ,Fabrication ,Materials science ,Ion plating ,Energy Engineering and Power Technology ,Condensed Matter Physics ,Electronic, Optical and Magnetic Materials ,Pulsed laser deposition ,Conductor ,Electrical and Electronic Engineering ,Composite material ,Ion beam-assisted deposition ,Layer (electronics) ,Electrical conductor - Abstract
This paper describes a process for the fabrication of coated conductor (CC) wires, which is developed by Fujikura, and discusses their properties. These wires are composed of a buffer layer, which is formed by the ion beam assisted deposition (IBAD) technique, and a superconducting layer, which is formed by the pulsed laser deposition (PLD) process. In order to increase the I c × L which means the product of critical current ( I c ) and the length ( L ) of the CC wires the I c value and I c distribution along the length of CC wires have been improved by using a new PLD pilot plant. The I c value increases approximately linearly with the thickness of the superconducting layer, and it continues to increase up to a thickness of approximately 4 μm or 5 μm. The I c × L value of our fabricated CC wire is 176,023 Am. The I c value of a short sample is 972 A/cm. The process rate of IBAD is enhanced up to 100 m/h and that of PLD is enhanced up to 20 m/h. A 40-m long CC tape, which has an average I c of 300 A, is fabricated by the improved IBAD and PLD techniques.
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- 2009
82. Changes in rectal volume and prostate localization due to placement of a rectum-emptying tube
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Masashi Niwakawa, Takashi Matsui, Shigeyuki Murayama, Hiroshi Fuji, Tetsuo Nishimura, Ken-ichi Tobisu, Ryou Yamashita, Haruo Yamashita, and Raizou Yamaguchi
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Adult ,Male ,medicine.medical_specialty ,medicine.medical_treatment ,Urology ,Rectum ,Immobilization ,Prostate cancer ,Prostate ,medicine ,Humans ,Volume reduction ,Radiology, Nuclear Medicine and imaging ,Tube (fluid conveyance) ,External beam radiotherapy ,business.industry ,Prostatic Neoplasms ,medicine.disease ,Radiation therapy ,medicine.anatomical_structure ,Volume (thermodynamics) ,Radiographic Image Interpretation, Computer-Assisted ,Radiology ,Tomography, X-Ray Computed ,business - Abstract
Rectal volume variation has a crucial effect on prostate localization during external beam radiotherapy for prostate cancer. This study investigated the effect of rectal volume reduction by a rectum-emptying tube (RET) on prostate immobilization.The study group comprised 21 patients who underwent proton beam treatment for prostate cancer. Sigmoid-shaped flexible plastic RETs were used to drain gases from the rectum. Computed tomography (CT) was performed before and after RET placement at the treatment planning stage and at the beginning of treatment. Prostate displacement and changes in rectal volume were measured on the CT images. The feasibility of RET placement was evaluated during and after the procedure.All 21 patients tolerated the procedure. The rectal volume was significantly lower with a RET than without a RET. The differences in rectal volume between the treatment planning stage and the beginning of treatment were significantly lower with a RET than without. RET placement significantly decreased prostate displacement in the anteroposterior and superoinferior directions but not in the left-right direction.RET placement reduced both rectal volume and variation in rectal volume. The procedure reduced displacement of the prostate. RET placement thus appears to be an effective technique for immobilizing the prostate.
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- 2009
83. Progress in Scale-Up of RE-123 Coated Conductors With $I_{c}$ of 300 A/cm by IBAD/PLD Process
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Kazuomi Kakimoto, C. Tashita, T. Hayashida, Hiroshi Fuji, Yasuhiro Iijima, Y. Hanada, T. Saitoh, H. Kutami, T Kato, M. Igarashi, T Hirayama, and S. Hanyu
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Materials science ,High-temperature superconductivity ,business.industry ,Condensed Matter Physics ,Ion source ,Electronic, Optical and Magnetic Materials ,Pulsed laser deposition ,law.invention ,Conductor ,law ,Physical vapor deposition ,Reel-to-reel audio tape recording ,Optoelectronics ,Electrical and Electronic Engineering ,business ,Ion beam-assisted deposition ,Electrical conductor - Abstract
By an IBAD/PLD method, a 500 m-length high-performance GdBa2Cu3Ox (GdBCO) coated conductor with BaZrO3 (BZO) was fabricated. End-to-end Ic of the 503.5 m tape was 349.6 A/cm at 77 K, corresponding Ic times L value of 176,023 Am. New approaches to decrease the thickness of IBAD buffer layers were developed by combination of IBAD-MgO(111) and IBAD-Gd2Zr2O7 (GZO). The maximum Jc of the GdBCO on the buffer layer was 550 A/cm. We also started to investigate IBAD-MgO(OOl) by using a large IBAD system with a 110 cm times 15 cm ion source. A 50 m-length IBAD-MgO tape with DeltaPhi of 13deg was fabricated at a 100 m/h-1 pass. Insulated REBCO wires with Cu or Ni-Cr lamination were developed using 5 mm-wide conductors sliced from 10 mm-wide IBAD/PLD tapes. Practical long insulated wires were supplied for several prototypes of motors, transformers and fault current limiters in fiscal 2007.
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- 2009
84. Long Gd-123 coated conductor by PLD method
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M. Igarashi, Yasuhiro Iijima, Y. Hanada, Kazuomi Kakimoto, Hiroshi Fuji, T. Saitoh, T. Miura, and S. Hanyu
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Materials science ,Instrumentation ,Analytical chemistry ,Energy Engineering and Power Technology ,Condensed Matter Physics ,Ion source ,Electronic, Optical and Magnetic Materials ,Pulsed laser deposition ,Magnetic field ,Conductor ,Nuclear magnetic resonance ,Perpendicular ,Electrical and Electronic Engineering ,Electrical conductor ,Deposition (law) - Abstract
We have developed long Gd-123 coated conductors by ion-beam-assisted deposition (IBAD) and pulsed-laser-deposition (PLD) method. Recently, large-scale reel-to-reel apparatus with the 110 cm × 15 cm assisting ion source was introduced to IBAD system. It was enable to produce 500 m-class IBAD–Gd 2 Zr 2 O 7 (GZO) tapes with Δ ϕ of below 15° and high throughputs of 3 m/h. Furthermore, apparatus with multi-lane and laser scanning was introduced to PLD system. As a result, end to end I c of 318 A were obtained for a 201.5 m long tape, and I c × L values were 64,077 Am. Furthermore, 500 m-class deposition was carried out by improving PLD conditions. As a result, I c × L values of 112,166 Am was obtained and it’s a world record on August 2007. In the short samples, I c of over 500 A was obtained with Gd-123 thickness of 2.0 μm and over 100 A was obtained in magnetic field of 3 T, perpendicular to c -axis.
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- 2008
85. Pinning Effect Induced by Underlayer in TbFeCo Magnetic Recording Media
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Yoshiteru Murakami, Sato Junichi, Akira Takahashi, Masahiko Yamamoto, Ryoichi Nakatani, Kunio Kojima, and Hiroshi Fuji
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Recording density ,Materials science ,Physics and Astronomy (miscellaneous) ,business.industry ,Recording layer ,General Engineering ,General Physics and Astronomy ,Optoelectronics ,Surface structure ,Recording media ,Coercivity ,business - Abstract
Pinning effect induced by a grainlike structure on top of a TbFeCo recording layer with an Al or Ag underlayer is investigated. We confirm that the pinning effect depends on the surface structure of the recording layer as well as the underlayer. The Al-underlayered TbFeCo medium shows higher recording density during thermally assisted magnetic recording and higher coercivity than those of the Ag-underlayered one. We can observe that only the Al-underlayered TbFeCo medium has the grainlike structure on top of the TbFeCo recording layer, which reflects well a grainlike structure on the Al underlayer's surface. It indicates that the surface profile of not only the underlayer but also the TbFeCo recording layer laminated onto the underlayer is necessary for inducing the strong pinning effect in the TbFeCo magnetic recording media.
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- 2008
86. Identification of risk factors for elevated serum IgG4 levels in subjects in a large-scale health checkup cohort study
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Yoshika Tsuji, Tomohiro Koga, Fumiaki Nonaka, Kenichi Nobusue, Shin-ya Kawashiri, Hirotomo Yamanashi, Takahiro Maeda, Kazuhiko Arima, Kiyoshi Aoyagi, Meiko Takahashi, Shuji Kawaguchi, Fumihiko Matsuda, Hiroshi Fujii, Mitsuhiro Kawano, Hiroyuki Nakamura, Atsushi Kawakami, and Mami Tamai
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IgG4-related disease ,health checkup ,IgG4 ,magnetic bead panel assay ,smoking ,Immunologic diseases. Allergy ,RC581-607 - Abstract
IntroductionTo allow the identification of IgG4-related disease (IgG4-RD) from a subclinical phase as it is important to understand the risk of elevated serum IgG4 levels. We planned to evaluate serum IgG4 levels in the participants of the Nagasaki Islands Study (NaIS), a large-scale health checkup cohort study.MethodsThis study included 3,240 individuals who participated in the NaIS between 2016 and 2018 and consented to participate in the study. Serum IgG4, IgG, and IgE levels and human leukocyte antigen (HLA) genotyping results of the NaIS subjects as well as lifestyle habits and peripheral blood test results were analyzed. The magnetic bead panel assay (MBA) and the standard nephelometry immunoassay (NIA) were used to measure serum IgG4 levels. The data were evaluated using multivariate analysis to identify lifestyle and genetic factors associated with elevated serum IgG4 levels.ResultsSerum IgG4 levels measured with the NIA and MBA showed a tight positive correlation between the two groups (correlation coefficient 0.942). The median age of the participants in the NaIS was 69 years [63–77]. The median serum IgG4 level was 30.2 mg/dL [IQR 12.5–59.8]. Overall, 1019 (32.1%) patients had a history of smoking. When the subjects were stratified into three groups based on the smoking intensity (pack-year), the serum IgG4 level was significantly higher among those with a higher smoking intensity. Accordingly, the multivariate analysis identified a significant relationship between smoking status and serum IgG4 elevation.ConclusionIn this study, smoking was identified as a lifestyle factor correlating positively with elevated serum IgG4 levels.
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- 2023
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87. Two oxytocin analogs, N-(p-fluorobenzyl) glycine and N-(3-hydroxypropyl) glycine, induce uterine contractions ex vivo in ways that differ from that of oxytocin.
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Stanislav M Cherepanov, Teruko Yuhi, Takashi Iizuka, Takashi Hosono, Masanori Ono, Hiroshi Fujiwara, Shigeru Yokoyama, Satoshi Shuto, and Haruhiro Higashida
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Medicine ,Science - Abstract
Contraction of the uterus is critical for parturient processes. Insufficient uterine tone, resulting in atony, can potentiate postpartum hemorrhage; thus, it is a major risk factor and is the main cause of maternity-related deaths worldwide. Oxytocin (OT) is recommended for use in combination with other uterotonics for cases of refractory uterine atony. However, as the effect of OT dose on uterine contraction and control of blood loss during cesarean delivery for labor arrest are highly associated with side effects, small amounts of uterotonics may be used to elicit rapid and superior uterine contraction. We have previously synthesized OT analogs 2 and 5, prolines at the 7th positions of which were replaced with N-(p-fluorobenzyl) glycine [thus, compound 2 is now called fluorobenzyl (FBOT)] or N-(3-hydroxypropyl) glycine [compound 5 is now called hydroxypropyl (HPOT)], which exhibited highly potent binding affinities for human OT receptors in vitro. In this study, we measured the ex vivo effects of FBOT and HPOT on contractions of uteri isolated from human cesarean delivery samples and virgin female mice. We evaluated the potency and efficacy of the analogs on uterine contraction, additivity with OT, and the ability to overcome the effects of atosiban, an OT antagonist. In human samples, the potency rank judged by the calculated EC50 (pM) was as follows: HPOT (189) > FBOT (556) > OT (5,340) > carbetocin (12,090). The calculated Emax was 86% for FBOT and 75% for HPOT (100%). Recovery from atosiban inhibition after HPOT treatment was as potent as that after OT treatment. HPOT showed additivity with OT. FBOT (56 pM) was found to be the strongest agonist in virgin mouse uterus. HPOT and FBOT demonstrated high potency and partial agonist efficacy in the human uterus. These results suggested that HPOT and FBOT are highly uterotonic for the human uterus and performed better than OT, indicating that they may prevent postpartum hemorrhage.
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- 2023
- Full Text
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88. Preparation of conduction-cooled HTS coils using Y-123 coated conductors by IBAD/PLD process
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T. Saitoh, Kazuomi Kakimoto, Hiroshi Fuji, S. Hanyu, and Yasuhiro Iijima
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Superconductivity ,Materials science ,High-temperature superconductivity ,business.industry ,Energy Engineering and Power Technology ,Solenoid ,Condensed Matter Physics ,Electronic, Optical and Magnetic Materials ,Magnetic field ,law.invention ,Nuclear magnetic resonance ,law ,Electromagnetic coil ,Magnet ,Water cooling ,Optoelectronics ,Electrical and Electronic Engineering ,business ,Electrical conductor - Abstract
We have developed a long Y-123 coated conductors by ion-beam-assisted deposition (IBAD) and pulsed-laser-deposition (PLD) method. Now, we can routinely obtained 100 m class Y-123 tapes with over 100 A at 77 K. For power applications using Y-123 conductors, coiling and cooling techniques are important elements. From 2004, we have developed and demonstrated a solenoid type coil that is the most suitable for practical application because it has advantage such as (1) uniformity of magnetic field (2) no joint. In this paper, we describe the development of conduction-cooled HTS test coil that has 14 turn × 22 layers using 100 m Y-123 conductors. In order to use the conduction cooling system, the Y-123 conductors were stabilized for 0.1 mm thick Cu tapes and spacers between the layers consisted of aluminum nitride in the coils. In the demonstration of this coil at 30 K, 40 K, 50 K, 60 K and 77 K by cryo-cooling system, the good cooling and superconducting performances were observed. The central magnetic fields of over 1 T were successfully obtained with operating currents of over 400 A and under 40 K. Furthermore, this coil was operated on additional magnetic fields of 3 T by combination of LTS magnets. The central magnetic fields of 0.5 T were generated from the cooled HTS coils with operating current of 190 A on additional magnetic fields of 3 T by LTS magnets at 30 K. Total magnetic fields were exceeded 3.5 T at 30 K.
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- 2007
89. Differential Recognition of Tumor Cell Variants by B and T Lymphocytes
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Hiroshi Fuji
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TCIRG1 ,B-1 cell ,Immune system ,Chemistry ,Cancer research ,Lymphokine ,Tumor cells ,Differential (mathematics) - Published
- 2015
90. [Complete response of locally recurrent anorectal cancer to proton beam therapy alone--a case report]
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Masafumi, Ie, Tomohiro, Yamaguchi, Yusuke, Kinugasa, Sumito, Sato, Yushi, Yamakawa, Hiroyasu, Kagawa, Hiroyuki, Tomioka, Akio, Shiomi, Hiroshi, Fuji, and Shigeyuki, Murayama
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Lung Neoplasms ,Rectal Neoplasms ,Recurrence ,Positron-Emission Tomography ,Proton Therapy ,Humans ,Female ,Tomography, X-Ray Computed ,Multimodal Imaging ,Aged - Abstract
We report a case of locally recurrent anorectal cancer treated with proton beam therapy (PBT) alone that led to a clinically complete response. A 70-year-old woman with paraparesis due to infantile paralysis underwent abdominoperineal resection (APR) and D3 lymphadenectomy for anorectal cancer (PERb, type 2, 50×40 mm, muc-tub1, M1a[lung], Stage IV a]. Three months after APR, right middle and right lower lobectomies were performed for synchronous lung metastases. Adjuvant chemotherapy was not administered. One year and 8 months after APR, computed tomography (CT) showed local recurrence of the tumor (29×28 mm), which contacted the right ischial spine. Pelvic exenteration combined with sacral resection was not performed because of the patient's poor performance status. PBT (70 Gy [RBE]/25 F/5 week) was administered for treatment of the recurred tumor. CT revealed that the tumor disappeared 1 year after PBT, which was defined as complete response. The patient is alive and has not experienced recurrence for 7 years.
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- 2015
91. Key factors for scale-up of YBCO coated conductors by the advanced TFA-MOD process
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Yuji Aoki, Ryo Teranishi, Koichi Nakaoka, Sukeharu Nomoto, Yutaka Kitoh, Junko Matuda, Teruo Izumi, Yuh Shiohara, Hiroshi Fuji, Seiki Miyata, Yutaka Yamada, Tomotaka Goto, and Akimasa Yajima
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Superconductivity ,Materials science ,Process (computing) ,Energy Engineering and Power Technology ,Condensed Matter Physics ,Electronic, Optical and Magnetic Materials ,Volumetric flow rate ,Key factors ,Mod ,SCALE-UP ,Reel-to-reel audio tape recording ,Electrical and Electronic Engineering ,Composite material ,Electrical conductor - Abstract
We have developed long tape processing for coated conductors by the advanced TFA-MOF method. In order to obtain uniform and high superconducting performance, a 25-m long tape with dummy tapes, which were connected at the both end of the 25-m long tape, was fabricated by the reel-to-reel (RTR) system with a relatively high gas flow rate. As a result, a uniform I c value over 100 A and a high end-to-end I c value of 100 A were obtained in the tape. It revealed the I c · L product of 2500 A m. For higher I c · L products in long tapes, the key process factors were investigated.
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- 2006
92. Microstructure and crystallization mechanism of YBa2Cu3O7−y films formed by advanced TFA-MOD process
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Toru Izumi, Y. Kitoh, Junko Matsuda, K. Nakaoka, Y. Shiohara, Ryo Teranishi, Yasuji Yamada, Y. Aoki, and Hiroshi Fuji
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Materials science ,Metal organic deposition ,Energy Engineering and Power Technology ,Condensed Matter Physics ,Microstructure ,Electronic, Optical and Magnetic Materials ,law.invention ,Slow heating ,Chemical engineering ,law ,Transmission electron microscopy ,Scientific method ,Mod ,Calcination ,Electrical and Electronic Engineering ,Crystallization - Abstract
We have investigated the effects of a heating rate in the calcination process on microstructures of YBa 2 Cu 3 O 7− y (YBCO) precursor and final films. As a result, it was found CuO segregation in the YBCO precursor film, when the precursor was prepared at a rapid heating rate in the calcination. In the case of heating this precursor film in the crystallization process, many large pores and misoriented YBCO crystals tend to remain in the YBCO final film and its I C value deteriorates compared with the case of crystallizing the precursor, which is prepared at the slow heating rate in the calcination. It is important to control the heating rate in the calcination, in order to attain higher J C of the YBCO final films.
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- 2006
93. R&D for long tapes with high Ic by advanced TFA-MOD process
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Teruo Izumi, Takashi Saitoh, Hiroshi Fuji, Akimasa Yajima, Koichi Nakaoka, Sukeharu Nomoto, Junko Matsuda, Yuh Shiohara, Y. Aoki, Ryo Teranishi, Yutaka Yamada, and Y. Kitoh
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Materials science ,Energy Engineering and Power Technology ,Partial pressure ,Substrate (electronics) ,Condensed Matter Physics ,Electronic, Optical and Magnetic Materials ,law.invention ,Volumetric flow rate ,Crystallinity ,law ,Calcination ,Texture (crystalline) ,Electrical and Electronic Engineering ,Total pressure ,Composite material ,Crystallization - Abstract
Recent progress in the research and development of the TFA-MOD processing for the coated conductors was reviewed. For the higher I c performance, crack generation in the thick films was a problem, which limits increasing I c values. It was found that both lower heating rate and low P H 2 O in the crystallization step are effective to improve the critical thickness for obtaining crack-free films. However, the high P H 2 O is preferable for a high production rate and high J c performance. Then, the new heat treatment profile, which could suppress crack formation even in thick films under the high P H 2 O , was developed. Consequently, the high I c value of 470 A at 77 K was realized in the film with 3 μm in thick. Concerning the long-tape processing, the key factors for high I c performance by TFA-MOD process were investigated. The highly textured substrate for high crystallinity of the YBCO layer, the thick film with maintaining reasonable high J c and full conversion reaction to form the YBCO layer are important to obtain high superconducting performance in long tapes. At present, a 25 m long tape with a reasonable high I c value of 100 A, and a high I c value of 250 A in a 4 m long tape were achieved. In order to realize a high production rate, the processes for both calcination and crystallization steps have to be developed. In the calcination step, the multi-turning continuous system was developed to maintain an effective travelling rate even in the multi-coating method. On the other hand, in the crystallization step, it was confirmed that optimization of the processing parameters such as a high water vapour partial pressure, a low total pressure, and a high gas flow rate could make the YBCO growth rate increase. The combination effect of these parameters is experimentally confirmed and the 5 times higher production rate was achieved in the crystallization step. Additionally, the equipment design of the multi-turning system with a new gas flow concept, which is a vertical gas flow system, was investigated by means of both numerically and experimentally, and the concept was confirmed at least. Consequently, a high production rate over 5 m/h could be expected by combining the above mentioned effects.
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- 2006
94. Non-destructive characterization of long coated conductors using a Hall sensor array
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Akira Ibi, Toru Izumi, Y. Aoki, Y. Shiohara, Masaya Konishi, Yasuji Yamada, K. Nakao, Hiroshi Fuji, T. Muroga, Takato Machi, Y. Kitoh, Seiki Miyata, and Tomonori Watanabe
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Superconductivity ,Materials science ,business.industry ,Energy Engineering and Power Technology ,Condensed Matter Physics ,Power law ,Electronic, Optical and Magnetic Materials ,Magnetic field ,Optics ,Nuclear magnetic resonance ,Measuring principle ,Calibration ,Hall effect sensor ,Electrical and Electronic Engineering ,Current (fluid) ,business ,Electrical conductor - Abstract
High quality YBa 2 Cu 3 O 7− δ coated conductors with a length of several hundred meters are available now. For practical applications of long tapes, non-destructive and efficient techniques for characterization are necessary. For that purpose, we installed a commercial machine. The measuring principle is that a tape is introduced into a space of an applied magnetic field and the induced current within the superconducting tape is evaluated by measuring the magnetic field distribution just above the tape surface using a Hall sensor array. The advantages of the technique are that the measurement speed is rather high, 15 mm/s at maximum, and tapes are absolutely safe from damages by excessive heating. On the other hand, the estimation of the critical current is not straightforward because the issue of the calibration is not trivial. A 2D computer simulation code was developed to calculate the distribution of the induced current within the tape. In the simulation, it was assumed that the current–voltage relation of the superconductor obeys a power law. It is shown that the critical current deduced from the measurement is strongly dependent on the n -value.
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- 2006
95. Influence of calcination conditions on superconducting properties of YBCO coated conductors by advanced TFA-MOD process
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K. Nakaoka, Toru Izumi, Junko Matsuda, Akimasa Yajima, Yoshiteru Yamada, Hiroshi Fuji, Tomotaka Goto, Ryo Teranishi, and Y. Shiohara
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Superconductivity ,Materials science ,Fabrication ,Energy Engineering and Power Technology ,Partial pressure ,Condensed Matter Physics ,Microstructure ,Epitaxy ,Electronic, Optical and Magnetic Materials ,law.invention ,law ,Calcination ,Cuprate ,Electrical and Electronic Engineering ,Composite material ,Type-II superconductor - Abstract
We have investigated influences of the H2O gas inlet temperature in the calcination process on both microstructures and superconducting properties of YBCO films fabricated by the advanced TFA-MOD process, from the viewpoint of the process control in the reel-to-reel system. Low Ic values were recognized in the films which were prepared by introducing the H2O gas from the lower temperature than 200 °C. XRD measurements and cross-sectional TEM observations suggest that the YBCO films calcined with the H2O inlet temperature below 200 °C revealed a random orientation without epitaxial growth. Consequently, it has been understood that control to keep low partial pressure of the H2O gas in a lower temperature region is important for fabrication of long-length YBCO tapes with high performance by the reel-to-reel system.
- Published
- 2006
96. Fabrication of Y1−xRExBa2Cu3Oy films on single crystalline substrates and IBAD buffered metallic tapes by advanced TFA-MOD process
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Y. Aoki, Akimasa Yajima, Toru Izumi, Kenji Suzuki, Junko Matsuda, Yoshiteru Yamada, Ryo Teranishi, Hiroshi Fuji, Y. Kitoh, K. Nakaoka, and Y. Shiohara
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Superconductivity ,Fabrication ,Materials science ,Condensed matter physics ,Analytical chemistry ,Energy Engineering and Power Technology ,Crystal growth ,Substrate (electronics) ,Condensed Matter Physics ,Electronic, Optical and Magnetic Materials ,Metal ,Transmission electron microscopy ,Mod ,visual_art ,visual_art.visual_art_medium ,Electrical and Electronic Engineering ,Spectroscopy - Abstract
We fabricated Y 1− x Sm x Ba 2 Cu 3 O y and YSm x Ba 2 Cu 3 O y (YSmBCO) films on SrTiO 3 (STO) single crystalline substrates and IBAD buffered metallic tapes (PLD-CeO 2 /IBAD-GZO/Hastelloy) by the advanced TFA-MOD process by mixing TFA salts of Y, Sm, Ba and Cu naphthenate, and tried to improve the superconductivity properties compared with those of the pure YBa 2 Cu 3 O 7− δ (YBCO). As a result, J c values of Y 1− x Sm x Ba 2 Cu 3 O y films with x = 0.05 or 0.3, which were fabricated on STO substrates, were improved under the high magnetic fields compared with those of the YBCO without substitution. However, Sm segregation was detected near the STO substrate which was obtained by the TEM–EDS (transmission electron microscopy–energy-dispersive X-ray spectroscopy) analysis. On the other hand, Y 1− x Sm x Ba 2 Cu 3 O y films with x = 0.05 and YSm x Ba 2 Cu 3 O y films with x = 0.3, which were fabricated on IBAD buffered metallic substrates, also improved I c value under the high magnetic fields compared with those of the YBCO without substitution. Moreover, from the TEM-EDS analysis, Y or Sm segregation was not found. The difference in the Sm segregation behavior between the film on STO and CeO 2 buffered substrates could be explained by the difference in the ratios of the misfit parameters between YBCO/substrate and SmBCO/substrate. Additionally, it was considered that the above phenomenon might be unique in the MOD system and could not be observed in the PLD system, because of the difference in the crystal growth mechanism. In the film of YSm 0.3 Ba 2 Cu 3 O y , we observed the grains of (Y, Sm) 2 O 3 and (Y, Sm) 2 Cu 2 O 5 by TEM observation. We will further investigate the origin of pinning centers.
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- 2006
97. High production rate of crystallization process in TFA-MOD method for YBCO coated conductors
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Koichi Nakaoka, Sukeharu Nomoto, Y. Aoki, Ryo Teranishi, Y. Kitoh, Junko Matsuda, Akimasa Yajima, Yuh Shiohara, Yutaka Yamada, Teruo Izumi, and Hiroshi Fuji
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Materials science ,Vapor pressure ,Energy Engineering and Power Technology ,Partial pressure ,Condensed Matter Physics ,Electronic, Optical and Magnetic Materials ,law.invention ,Volumetric flow rate ,law ,Growth rate ,Electrical and Electronic Engineering ,Crystallization ,Composite material ,Total pressure ,Diffusion (business) ,Water vapor - Abstract
To realize a higher production rate is one of the important issues in the development of the long-tape processing for the YBCO coated conductors by the TFA-MOD process using the reel-to-reel system. Not only scale-up of the furnace and decrease of YBCO thickness with the higher Jc value, but higher YBCO growth rates could be effective to achieve a higher traveling rate in this system. It was confirmed that optimization of the process parameters such as high water vapor partial pressure, high diffusion constants due to a low applied total pressure, and a high gas flow rate affect the YBCO growth rate. Consequently, these higher growth rate conditions were simultaneously applied to the reel-to-reel system. As a result, the traveling rate of 1.2 m/h was achieved for fabricating YBCO films in the reel-to-reel system, which is about five times as fast as the previous traveling rate with maintaining high Ic value of higher than 200 A/cm-width by controlling above conditions.
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- 2006
98. Progress in R&D for YBCO Coated Conductors by TFA-MOD Processing
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J Matsuda, Y. Kitoh, Y Yamada, K. Nakaoka, Sukeharu Nomoto, Kenji Suzuki, Y. Shiohara, Toru Izumi, Hiroshi Fuji, Y. Aoki, Akimasa Yajima, and Ryo Teranishi
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History ,Fabrication ,Materials science ,Vapour pressure of water ,Partial pressure ,Computer Science Applications ,Education ,law.invention ,Volumetric flow rate ,law ,Calcination ,Crystallization ,Composite material ,Total pressure ,Water vapor - Abstract
Recent progress in the research and development of the TFA-MOD processing for the coated conductors is reviewed. For the higher Ic performance, process conditions such as heating rate and water vapor inlet temperature in the calcination step and heating rate and water vapor pressure in the crystallization step have been optimized to obtain YBCO films with good crystallinity. Consequently, a high Ic value of 431A/cm-w was achieved by the combination of the above optimized conditions with the use of highly textured CeO2 cap layered substrates. Forwards the effort for long tape fabrication with high production rate, the multi-turn system for coating and calcination step was developed. Additionally, the reel-to-reel system for the crystallization step was developed for the longer tape, and a 25m long YBCO tape with a reasonable end-to-end Ic value of 100A, which corresponds to 2500Am as a product of IcxL, was obtained by the above continuous system. For the higher production rate in the crystallization step, it was confirmed that optimization of the processing parameters such as high water partial pressure, high diffusion constants due to low total pressure, and a high gas flow rate affects the YBCO growth rate.
- Published
- 2006
99. New Gas Flow System for Long-Tape Reaction Tube of TFA-MOD Process
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Sukeharu Nomoto, Toru Izumi, Y. Aoki, Ryo Teranishi, Hiroshi Fuji, A Sato, and Y. Shiohara
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History ,Materials science ,Computer simulation ,Flow (psychology) ,Process (computing) ,Computer Science Applications ,Education ,Conductor ,Mod ,Degradation (geology) ,Composite material ,Diffusion (business) ,Electrical conductor ,Simulation - Abstract
A multi-turning Reel-to-Reel tape conveyance system of the long YBCO coated conductors using TFA-MOD process is desired to be high production rate without large degradation between tape lines. The numerical simulation, which calculated the YBCO growth kinetics, gas element diffusion and gas flow, shown a possibility that the vertical gas flow onto the tape surface realized high production rate of YBCO conductor even on the wider tape. This possibility was also proved by experimental measurements.
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- 2006
100. Different pharmacoresistance of focal epileptic spasms, generalized epileptic spasms, and generalized epileptic spasms combined with focal seizures
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Yukitoshi Takahashi, Akiko Ota, Jun Tohyama, Tomoko Kirino, Yumi Fujiwara, Chizuru Ikeda, Shigeki Tanaka, Jyunya Takahashi, Toshihiko Shinoki, Hiroshi Shiraga, Takushi Inoue, Hiroshi Fujita, Motoki Bonno, Masayoshi Nagao, and Hideo Kaneko
- Subjects
combined generalized epileptic spasms ,focal epileptic spasms ,generalized epileptic spasms ,infantile spasms ,seizure outcome ,Neurology. Diseases of the nervous system ,RC346-429 - Abstract
Abstract Objective Among standard treatments for infantile spasms, adrenocorticotropic hormone (ACTH) is reported as the best treatment, but ACTH is ineffective in one‐half of the patients. To establish precision medicine, we examined pharmacoresistance of focal epileptic spasms (ES), generalized ES, and generalized ES combined with focal seizures, diagnosed based on the revised seizure classification of ILAE in 2017. Methods We conducted a retrospective nationwide study in Japan on the long‐term seizure outcome of ES. Long‐term seizure outcome was evaluated by seizure‐free rate, seizure‐free period, and Kaplan‐Meier curve. Seizure‐free was defined as seizure control for longer than 2 months. Results From the medical history of 501 patients, 325 patients had generalized ES only (GES group) at the start of the first treatment, 125 patients had generalized ES after focal seizure onset (FS‐GES group), seven patients had focal ES after focal seizure onset (FS‐FES group), and 24 patients had generalized ES combined with focal seizures after focal seizure onset (FS‐GES + FS group). Seizure‐free period of ES (generalized ES and focal ES) [mean (95% confidence interval)] was 2.7 (0.0‐5.4) months in GES group, 1.1 (0.1‐2.2) months in FS‐GES group, 1.0 (0.2‐1.9) months in FS‐GES + FS group, and 0.1 (−0.2‐0.5) months in FS‐FES group. Seizure‐free rate, seizure‐free period, and Kaplan‐Meier curve of generalized ES were almost the same in GES group and FS‐GES group, with characteristics of superior response to ACTH. Mean seizure‐free period of generalized ES combined with focal seizures was significantly shorter in FS‐GES + FS group than in GES group. Mean seizure‐free period of focal ES in FS‐FES group was extremely short with exceedingly early relapse. Significance Pharmacoresistance was different in generalized ES, focal ES, and generalized ES combined with focal seizures. ES with focal features or with focal seizures may have focal lesions, thus consider surgical options earlier in the course.
- Published
- 2022
- Full Text
- View/download PDF
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