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A novel bladder preservation therapy, the OMC (Osaka Medical College) regimen, which combines radiation therapy with balloon-occluded arterial infusion of anticancer agents, is a treatment option for patients with muscle-invasive bladder cancer (MIBC). We retrospectively analysed the effects of changes in radiation dose and irradiation field on treatment efficacy and adverse events.The purpose of this study is to use the results of this study to help determine a course of radiation therapy for bladder preservation therapy of cT2N0M0 MIBC.We examined 352 patients with clinical stage T2N0M0 (cT2N0M0) MIBC classified into the following groups based on the irradiation method: group A, the whole pelvis (50 Gy/25 fractions) + local bladder (10 Gy/5 fractions); group B, the small pelvis (50 Gy/25 fractions) + local bladder (10 Gy/5 fractions); group C, the whole pelvis (40 Gy/20 fractions) + local bladder (10 Gy/5 fractions).The complete response rate, 3-year overall survival and progression-free survival rates in group A were 92.9%, 94.9% and 82.1%, respectively; in group B were 87.2%, 86.7% and 76.7%, respectively; and in group C were 95.2%, 92.6% and 71.1%, respectively. No significant differences between the groups were noted. The incidence of ≥grade 3 urinary tract and gastrointestinal toxicities were not significantly different among the groups (group A: 7.8%, 1.7%; B, 11.1%, 0%; C, 7.1%, 1.8%, respectively). The 3-year progression-free rates of the common iliac lymph node (CILN) region in patients who received whole-pelvis and small-pelvis irradiation were 99.0 and 89.0% (P0.01), respectively, with the latter group having significantly high lymph node recurrence in the CILN region.Our findings showed that the optimal radiation therapy for patients with cT2N0M0 MIBC undergoing the OMC regimen is whole-pelvis irradiation including the CILN region, with a total dose of 50 Gy/25 fractions.

The objective of this retrospective study was to describe the clinical and histopathological findings associated with intranasal tumours in degus.Medical records of degus diagnosed with intranasal neoplasms on histopathological examination between the years 2007 and 2020 at one hospital were included in the study.Twenty degus (10 males and 10 females) were eligible for inclusion. Initial clinical signs included sneezing, abnormal nasal sounds, and nasal discharge, followed by anorexia and frequent nose rubbing. On radiography, 15 out of 20 animals showed space-occupying lesions in the nasal cavity. CT was performed in 16 animals and revealed various degrees of changes, including abnormal radiopacity within the nasal cavity and damaged nasal septum. Rhinostomy and excisional biopsy was performed in all 20 animals. Six out of 20 patients died during the perioperative period. Six and seven degus survived for 3 months and 1 year, respectively. One animal was lost to follow-up. In 16 cases the histological diagnosis was consistent with fibromas, while in 4 cases with osteomas.Intranasal neoplasms in degus are mostly benign mesenchymal tumours with various degrees of bone formation, which is unique to this animal species. This occurrence should be considered as an important differential diagnosis for upper respiratory tract disease in degus.

The language and cultural priorities in Australian Indigenous education have been priority areas since the inaugural national Indigenous education policy was launched in 1989. For over thirty years, these priorities have sat awkwardly in the largely non-Indigenous teaching profession and classroom teachers continue to struggle with how to embed these priorities into the education process, despite the efforts of Australian Curriculum, Assessment and Reporting Authority and their elaborations for application at curriculum and practice levels. In this article, I suggest that these language and cultural priorities are at cross-purposes with education priorities, and neither have helped to curb the demise of our Indigenous languages nor improved Indigenous students’ educational outcomes.

We have used the local-δf gyrokinetic code GS2 to perform studies of the effect of flux-surface shaping on two highly-shaped, low- and high-β JT-60SA-relevant equilibria, including a successful benchmark with the GKV code. We find that for a high-performance plasma, i.e. one with high plasma beta and steep pressure gradients, the turbulent outwards radial fluxes may be reduced by minimizing the elongation. We explain the results as a competition between the local magnetic shear and finite-Larmor-radius (FLR) stabilization. Electromagnetic studies indicate that kinetic ballooning modes are stabilized by increased shaping due to an increased sensitivity to FLR effects, relative to the ion-temperature-gradient instability. Nevertheless, at high enough β, increased elongation degrades the local magnetic shear stabilization that enables access to the region of ballooning second-stability.

Early division of the dorsal pancreatic artery (DPA) or its branches to the uncinate process during pancreaticoduodenectomy (PD) in addition to early division of the gastroduodenal artery and inferior pancreaticoduodenal artery should be performed to reduce blood loss by completely avoiding venous congestion. However, the significance of early division of DPA or its branches to the uncinate process has not been reported. The aim of this study was to investigate the anatomy of DPA and its branches to the uncinate process using the currently available high-resolution dynamic computed tomography (CT) as the first step to investigate the significance of DPA in the artery-first approach during PD. Preoperative dynamic thin-slice CT data of 160 consecutive patients who underwent hepato–pancreato–biliary surgery were examined focusing on the anatomy of DPA and its branches to the uncinate process. DPA was recognized in 103 patients (64%); it originated from the celiac axis or its branches in 70 patients and from the superior mesenteric artery or its branches in 34 patients. The branches to the uncinate process were visualized in 82 patients (80% of those with DPA), with diameters of 0.5–1.5 mm in approximately 80% of the 82 patients irrespective of DPA origin. DPA branches to the uncinate process were recognized using high-resolution CT in approximately half of the patients.

Alarge superconducting machine, JT-60SA has been constructed to provide major contributions to the ITER program and DEMO design. For the success of the ITER project and fusion reactor, understanding and development of plasma controllability in ITER and DEMO relevant higher beta regimes are essential. JT-60SA has focused the program on the plasma controllability for scenario development and risk mitigation in ITER as well as on investigating DEMO relevant regimes. This paper summarizes the high research priorities and strategy for the JT-60SA project. Recent works on simulation studies to prepare the plasma physics and control experiments are presented, such as plasma breakdown and equilibrium controls, hybrid and steady-state scenario development, and risk mitigation techniques. Contributions of JT-60SA to ITER and DEMOhave been clarified through those studies. Peer Reviewed Article escrit per 127 autors/autores: M Yoshida, G Giruzzi, N Aiba, J F Artaud, J Ayllon-Guerola, L Balbinot, OBeeke, E Belonohy, P Bettini, W Bin, A Bierwage, T Bolzonella, M Bonotto, CBoulbe, J Buermans, M Chernyshova, S Coda, R Coelho, S Davis, C Day, GDeTommasi, M Dibon, A Ejiri, G Falchetto, A Fassina, B Faugeras, L Figini, M Fukumoto, S Futatani, K Galazka, J Garcia, M Garcia-Muñoz, L Garzotti, L Giacomelli, L Giudicotti, S Hall, N Hayashi, C Hoa, M Honda, K Hoshino, M Iafrati, A Iantchenko, S Ide, S Iio, R Imazawa, S Inoue, A Isayama, E Joffrin, K Kamiya, Y Ko, M Kobayashi, T Kobayashi, G Kocsis, A Kovacsik, T Kurki-Suonio, B Lacroix, P Lang, Ph Lauber, A Louzguiti, E de la Luna, G Marchiori, M Mattei, A Matsuyama, S Mazzi, A Mele, F Michel, Y Miyata, J Morales, P Moreau, A Moro, T Nakano, M Nakata, E Narita, R Neu, S Nicollet, M Nocente, S Nowak, F P Orsitto, V Ostuni, Y Ohtani, N Oyama, R Pasqualotto, B Pégourié, E Perelli, L Pigatto, C Piccinni, A Pironti, P Platania, B Ploeckl, D Ricci, P Roussel, G Rubino, R Sano, K Särkimäki, K Shinohara, S Soare, C Sozzi, S Sumida, T Suzuki, Y Suzuki, T Szabolics, T Szepesi, Y Takase, M Takech, N Tamura, K Tanaka, H Tanaka, M Tardocchi, A Terakado, H Tojo, T Tokuzawa, A Torre, N Tsujii, H Tsutsui, Y Ueda, H Urano, M Valisa, M Vallar, J Vega, F Villone, T Wakatsuki, T Wauters, M Wischmeier, S Yamoto, L Zani

A novel scheme to predict the turbulent transport of ion heat of magnetic confined plasmas is developed by combining mathematical optimization techniques employed in data analysis approaches and first-principle gyrokinetic simulations. Gyrokinetic simulation, as a first-principle approach, is a reliable way to predict turbulent transport. However, in terms of the flux-matching [Candy et al., Phys. Plasmas 16, 060704 (2009)], quantitative transport estimates by gyrokinetic simulations incur extremely heavy computational costs. In order to reduce the costs of quantitative transport prediction based on the gyrokinetic simulations, we develop a scheme with the aid of a reduced transport model. In the scheme, optimization techniques are applied to find relevant input parameters for nonlinear gyrokinetic simulations, which should be performed to obtain relevant transport fluxes and to optimize the reduced transport model for a target plasma. The developed scheme can reduce the numbers of the gyrokinetic simulations to perform the quantitative estimate of the turbulent transport levels and plasma profiles. Utilizing the scheme, the predictions for the turbulent transport can be realized by performing the first-principle simulations once for each radial position.

Study question Does postponement of intracytoplasmic sperm injection (ICSI) timing after spindle visualization for Metaphase I (MI) oocytes improve developmental outcomes of embryos? Summary answer Postponement of ICSI timing after spindle visualization for MI oocytes improves blastocyst utility rates. What is known already Immature oocytes are generally considered poor developmental outcomes. Meanwhile, the timing of ICSI adjusted by using spindle visualization can improve clinically utilized embryos and live birth rates, but these outcomes remain inferior to those of mature oocytes. In in vitro maturation culture, nuclear maturation is thought to occur before the completion of cytoplasmic maturation, and in immature oocytes, synchronization of nuclear and cytoplasmic maturation may be insufficient for ICSI immediately after spindle visualization. Study design, size, duration Data for this retrospective cohort study were obtained 672 oocytes retrieved under mild stimulation cycles using letrozole, in patients aged younger than 39 years between April 2017 and October 2020.Written informed consent was obtained from all patients. This study was approved by the institutional review board. Participants/materials, setting, methods As a control group, 464 MetaphaseIIoocytes that underwent ICSI immediately after visualization of the spindle were used. In group A, 103 MI oocytes underwent ICSI immediately after the first polar body release and spindle visualization, and in group B, 105 oocytes underwent ICSI 2–3 hours after spindle visualization. The primary outcomes were fertilization rates, degeneration, cleavage, embryo blastocyst formation, and utility rates. Outcomes were compared among the three groups. Main results and the role of chance The baseline fertilization rates of each group (control, A, B) were 82.3% (382/464), 73.8% (76/103), and 83.8% (88/105), respectively. The rate was significantly lower in group A than in the control group (P Limitations, reasons for caution The optimal timing of ICSI for MI oocyte cannot be determined by the presence or absence of spindles. In addition, the postponement duration we set was based on reports which reported on final oocyte maturation, and further investigation is needed to establish the optimal ICSI timing for MI oocytes. Wider implications of the findings: In MI oocytes, postponement of ICSI timing after spindle visualization is essential for synchronization of the nucleus and cytoplasmic maturation. Trial registration number none

Study question Are one live birth rates (LBRs) similar in minimal stimulation cycle IVF with letrozole only and natural cycle IVF for the first ART cycle? Summary answer LBRs after first ART cycle in minimal stimulation cycle IVF with letrozole only are superior to natural cycle IVF. What is known already The addition of letrozole to gonadotropins in ovarian stimulation (OS) may reduce the risk of OHSS, but there is no significant difference were reported in ongoing pregnancy rate or number of oocytes retrieved in the letrozole + FSH group compared to the FSH only. No differences were also reported in clinical pregnancy rates or number of mature oocytes in the additional of letrozole in an GnRH antagonist protocol group compared to the GnRH antagonist group. There are no previous study comparing LBRs after first ART cycle in minimal stimulation cycle IVF with letrozole and natural cycle IVF. Study design, size, duration Data for this retrospective cohort study were obtained 643 women, 30–39 years of age started their first ART cycle at one private fertility clinic between January 2016- December 2019. Participants/materials, setting, methods A total of 643 women were scheduled their first oocyte retrieval cycle. 118 women started with letrozole (LE) and 525 women started natural cycle (NC). The main strategy for OS in our center is minimal stimulation and natural cycle IVF. Patients consulted with gynecologists to determine their treatment plan based on patients’ preference or their menstrual cycle. All pregnancies generated from oocyte retrieval during the first IVF cycle including fresh and frozen-thaw cycles were registered. Main results and the role of chance The number of retrieved oocytes and the normal fertilization rates were significantly higher in the LE than NC (4.4 vs 3.4, 77.6% vs 71.1%), p Limitations, reasons for caution The strength of the present study was the use of a large cohort of women who underwent minimal stimulation IVF with letrozole only. Although our results are promising, limited by retrospective cohort study. These interpretations prompted the need for a perspective cohort study to evaluate the efficacy of letrozole. Wider implications of the findings: When comparing minimal stimulation IVF with letrozole only and natural cycle IVF, we found significantly higher LBRs per OR in minimal stimulation IVF with letrozole only, despite similar CPRs per ET. Trial registration number none

A novel nonlinear functional relation of turbulence potential intensity, zonal flow potential intensity, and ion thermal diffusivity that accurately reproduces nonlinear gyrokinetic simulations of toroidal ion temperature gradient (ITG) driven turbulence is proposed. Applying mathematical optimization techniques to find extremal solutions in high-dimensional parameter space, the optimal regression parameters in the functional form are determined to be valid for both near- and far-marginal regime of the ITG stability including the Dimits-shift. Then, the regression error of ∼5% is accomplished. In addition, it is clarified that the intensity ratio of the zonal flow and turbulence potential intensity is a crucial factor to determine the reproduction accuracy.

Microinstabilities such as ion temperature gradient (ITG) mode and trapped electron mode (TEM) in quasi-axisymmetric (QA) stellarator are investigated by using gyrokinetic Vlasov simulations, where the QA configuration of Chinese first quasi-axisymmetric stellarator is utilized. Extensive parameter scans with respect to the density and temperature gradients for the zero beta cases identify the microinstability maps that indicate the transition boundary among ITG and TEM. It is found that, in particular for the modes with the ion-gyroradius scale, a relatively more stabilized regime appears along the transition boundary of ITG–TEM. Such a valley-like stability structure is not observed in the other cases with the sub-ion-gyroradius-scale. A stabilization effect attributed to the hollow density profile is also demonstrated.

We assess the magnetic field configuration in modern fusion devices by comparing experiments with the same heating power, between a stellarator and a heliotron. The key role of turbulence is evident in the optimized stellarator, while neoclassical processes largely determine the transport in the heliotron device. Gyrokinetic simulations elucidate the underlying mechanisms promoting stronger ion scale turbulence in the stellarator. Similar plasma performances in these experiments suggests that neoclassical and turbulent transport should both be optimized in next step reactor designs.

Hepatocellular carcinoma (HCC) is the third most deadly cancer in the US, with a meager 5-year survival rate of less than 20%. Such unfavorable numbers are closely related to the heterogeneity of the disease and the unsatisfactory therapies currently used to manage patients with invasive HCC. Outside of the clinic, gene therapy research is evolving to overcome the poor responses and toxicity associated with standard treatments. The inadequacy of gene delivery vectors, including poor intracellular delivery and cell specificity, are major barriers in the gene therapy field. Herein, we described a non-viral strategy for effective and cancer-specific DNA delivery to human HCC using biodegradable Poly(Beta-Amino Ester) (PBAE) nanoparticles (NPs). Varied PBAE NP formulations were evaluated for transfection efficacy and cytotoxicity to a range of human HCC cells as well as healthy human hepatocytes. To address HCC heterogeneity, nine different sources of human HCC cells were utilized. The polymeric NPs composed of 2-((3-aminopropyl)amino)ethanol end-modified poly(1,5-pentanediol diacrylate-co-3-amino-1-propanol) (‘536’) at a 25 polymer-to-DNA weight-to-weight ratio led to high transfection efficacy to all of the liver cancer lines, but not to hepatocytes. Each individual HCC line had a significantly higher percentage of exogenous gene expression than the healthy liver cells (P < 0.01). Notably, this biodegradable end-modified PBAE gene delivery vector was not cytotoxic and maintained the viability of hepatocytes above 80%. In a HCC/hepatocyte co-culture model, in which cancerous and healthy cells share the same micro-environment, 536 25 w/w NPs specifically transfected cancer cells. PBAE NP administration to a subcutaneous HCC mouse model, established with one of the human lines tested in vitro, confirmed effective DNA transfection in vivo. PBAE-based NPs enabled high and preferential DNA delivery to HCC cells, sparing healthy hepatocytes. These biodegradable and liver cancer-selective NPs are a promising technology to deliver therapeutic genes to liver cancer.

1,3-Dithianes are widely used as carbonyl protecting groups as they are stable under both acidic and basic conditions. They are intermediates in desulfurization reactions and they also enable carbonyl umpolung by metalation. This chapter discusses advances in 1,3-dithiane synthesis published since 2007, including solid-supported thioacetalization reactions.

a b s t r a c t In this letter, we report a detailed study of the influence of the synthesis and the optical properties of Sr-doped MgTO3 powders synthesized via a polymeric precursor method. Our findings explain the shift in PL behavior from blue to near-infrared (NIR) emission, which is caused by different concentrations of deep and shallow defects in the samples and thus enables the design of differently colored materials. Additionally, the present results provide useful insights into designing a new series of NIR-emitting materials that have potential applications in emerging technologies ranging from optoelectronics to the biomedical field.

The ratio of mitral peak early diastolic filling to early diastolic mitral annular velocity (E/e') reflects diastolic cardiac function in adults. Dual-gate Doppler (DD) enables measurements of E/e' in the same heart beat. This study was designed to assess the utility of the DD method for measurement of fetal E/e' and determine reference ranges for normal fetuses.This prospective study comprised normal singleton pregnancies undergoing fetal echocardiography between 16 and 36 weeks of gestation. According to the DD method, E-wave velocity on pulsed-wave Doppler and e'-wave on tissue Doppler imaging were measured simultaneously on an apical or basal four-chamber view, and fetal E/e' was calculated. Spearman's correlation coefficient was used to assess the relationship between gestational age (GA) and E-wave and e'-wave velocities and E/e'.A total of 133 pregnancies were included in this study and all E/e' measurements were successful. Significant correlation was observed between GA and both left ventricular (LV) E/e' (rBilateral E/e' of normal fetuses, measured using the DD method, decreased with GA, which is considered to be related to myocardial maturity. DD is a useful and convenient method for evaluating fetal E/e' in order to assess diastolic function in the prenatal period. Copyright © 2017 ISUOG. Published by John WileySons Ltd.

Background and Objective Currently, cells for transplantation in regenerative medicine are derived from either autologous or allogeneic tissue. The former has the drawbacks that the quality of donor cells may depend on the condition of the patient, while the quantity of the cells may also be limited. To solve these problems, we investigated the potential of allogeneic cardiac mesenchymal progenitors (CMPs) derived from postmortem hearts, which may be immunologically privileged similar to bone marrow–derived mesenchymal progenitors. Materials and Methods We examined whether viable CMPs could be isolated from C57/B6 murine cardiac tissues harvested at 24 hours postmortem. After 2- to 3-week propagation with a high dose of basic fibroblast growth factor, we performed cellular characteristics analyses, which included proliferation and differentiation property flow cytometry and microarray analyses. Results Postmortem CMPs had a longer lag phase after seeding than CMPs obtained from living tissues, but otherwise had similar characteristics in all the analyses. In addition, global gene expression analysis by microarray showed that cells derived from postmortem and living tissues had similar characteristics. Conclusion These results indicate that allogeneic postmortem CMPs have potential for cell transplantation because they circumvent the issue of both the quality and quantity of donor cells.

This study proposes the development of thermal and energy consumption maps to generate useful planning information. A residential neighbourhood in a medium-sized city was selected as the study area. In this area, 40 points were taken as urban reference points where air temperatures at the pedestrian level were collected. At the same time, rural temperatures made available by the city meteorological station were registered. Data of electrical energy consumption of the building units (houses and apartments) were collected through a household survey that was also designed to identify the users’ income levels. Then, maps were developed so that the configuration of urban heat islands and electrical energy consumption could be visualised, compared and analysed. The results showed that the income level was the most important variable influencing electrical energy consumption. However, a strong relationship of the consumption with the thermal environment was also observed.

When a potential is applied to a liquid silicate slag, bubbles of oxygen can be produced. Under certain conditions, these bubbles can be observed to redissolve in the liquid slag. This occurs under isothermal conditions when the potential is eliminated and under a thermal gradient during the application of a potential. There are two potential reasons for this observation: molecular solubility or the depolymerization of chains of silicate ions. Both hypotheses are discussed with the suggestion that depolymerization of chains of silicate ions may be responsible for the observed bubble dissolution behavior.