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Metastasis of a phyllodes tumor to the stomach is an extremely rare condition with important clinical implications. A 44-year-old woman was initially diagnosed with a phyllodes tumor in her right breast in 2008, and subsequently presented to an outpatient clinic with dizziness on December 16, 2013. We found that she had severe anemia (hemoglobin levels, 6.7 g/dL), and we quickly performed esophagogastroduodenoscopy to identify the cause. This procedure revealed large ulcerofungating masses with active bleeding in the stomach. Histopathological examination revealed that the masses were consistent with phyllodes tumor metastases. In patients with a metastatic phyllodes tumor presenting as anemia, gastric metastasis should be considered as one of the differential diagnoses because overlooking the possibility might have dire consequences if cytotoxic chemotherapy were administered.

Reinforced concrete (RC) structures require advanced analysis techniques for better estimation of their seismic responses, especially in the case of exhibiting complex three-dimensional coupling of torsional and flexural behaviors. This study focuses on validating a numerical approach for evaluating the seismic response of a three-dimensional unsymmetrical RC structure through the participation in the SMART 2013 international benchmark program. The benchmark program provides material properties, detailed drawings of the RC structure, and input ground motions for the seismic response evaluation. In this study, nonlinear constitutive models of concrete and rebar were formed and local tests were conducted to verify the constitutive models in finite element analysis. Elastic calibration of the finite element model of the SMART 2013 RC structure was performed by comparing numerical and experimental results in modal and linear time history analyses. Using the calibrated model, nonlinear earthquake analysis and seismic fragility analysis were performed to estimate the behavior and vulnerability of the RC structure with various ground motions.

This paper presents the seismic performance of a geometrically unsymmetrical reinforced concrete building considering torsional effect and material nonlinearity of concrete and steel. The reinforced concrete building is a structure for seismic performance evaluation in the SMART-2013 international benchmark program. Nonlinear constitutive models for concrete and steel were constructed, and their numerical performance was demonstrated by various local tests. Modal analysis showed that the first three natural frequencies and mode shapes were close to the experimental results from the SMART-2013 program. In the time history analysis for low-intensity seismic loadings, displacement and acceleration responses at sampling points were similar to the experimental results. In the end, nonlinear time history analysis was conducted for Northridge earthquake to predict the behavior of the reinforced concrete structure under high-intensity seismic loadings. Keywords :reinforced concrete structure, seismic response, time history analysis, SMART-2013 international benchmark program

Although T cells are known to be involved in the pathogenesis of coronary artery disease, it is unclear which subpopulation of T cells contributes to pathogenesis in acute myocardial infarction (MI). We studied the immunological characteristics and clinical impact of CD8(+)CD57(+) T cells in acute MI patients. The frequency of CD57(+) cells among CD8(+) T cells was examined in peripheral blood sampled the morning after acute MI events. Interestingly, the frequency of CD57(+) cells in the CD8(+) T-cell population correlated with cardiovascular mortality 6 months after acute MI. The immunological characteristics of CD8(+)CD57(+) T cells were elucidated by surface immunophenotyping, intracellular cytokine staining and flow cytometry. Immunophenotyping revealed that the CD8(+)CD57(+) T cells were activated, senescent T cells with pro-inflammatory and tissue homing properties. Because a high frequency of CD8(+)CD57(+) T cells is associated with short-term cardiovascular mortality in acute MI patients, this specific subset of CD8(+) T cells might contribute to acute coronary events via their pro-inflammatory and high cytotoxic capacities. Identification of a pathogenic CD8(+) T-cell subset expressing CD57 may offer opportunities for the evaluation and management of acute MI.