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Introduction Chronic inflammation has been receiving considerable attention as an emerging risk factor for cardiovascular disease. In contrast, with the aging of the population, frailty has been also attracting a great deal of attention as the residual risk for cardiovascular disease. Although inflammation and frailty exacerbate each other and have an adverse effect on many diseases, the relationship between chronic inflammation and frailty and the impact of these combination on long-term prognosis in patients with acute coronary syndrome (ACS) are not elucidated. Purpose The aims of this study were to determine the association between chronic inflammation and frailty and its impact on long-term cardiovascular outcomes in patients with ACS. Methods A total of 482 consecutive ACS patients with obstructive coronary artery disease (age 66±12 years, male 81%) were enrolled in this observational study. We evaluated patients' gait speed as a measure of frailty before discharge. C-reactive protein (CRP) levels at 1 month after discharge were also evaluated as inflammation in the chronic phase. According to commonly used criteria of the residual inflammation (CRP>0.2 mg/dL) and the definition of the European Working Group for Sarcopenia (gait speed ≤0.8 m/sec), patients were stratified by 4 subgroups: low/high CRP with slow/normal gait speed. The primary endpoint was composite outcomes of cardiovascular death, myocardial infarction and ischemic stroke. Results While there was no significant association between CRP levels and gait speed in all patients, a significant negative association between two variables was observed in the high CRP group (Spearman's ρ = −0.31, p=0.001). During the median follow-up of 6 years, primary endpoints have occurred in 82 patients. Overall, event-free rates differed significantly among the 4 groups, demonstrating the lowest event-free rate in the patients with high CRP and slow gait speed (p Conclusion In the patients with ACS, CRP levels and gait speed were negatively associated in the high CRP group. Chronic inflammation and frailty were both associated with poor prognosis in ACS and in particular, the combination of these factors was strongly associated with poor prognosis. Funding Acknowledgement Type of funding sources: None. Figure 1

Background Although the prognostic value of non-invasive endothelial function test has been reported in several populations including heart failure patients and angina pectoris patients, it is unknown in patients with acute coronary syndrome (ACS). Furthermore, the role of endothelial dysfunction in increased risk for specific causes of death has not been investigated. Purpose To study the relation between endothelial dysfunction and the risk of death in ACS patients, both overall and with regard to the main causes of death. Method Six hundred and ninety-two patients who were hospitalized for ACS from 2010 to 2014 were enrolled. Reactive hyoeremia index (RHI) was measured to assess endothelial function non-invasively in all patients using the peripheral arterial tonometry. RHI values below 1.67 were interpreted as signs of endothelial dysfunction in accordance with the manufacturer. Patients were followed up for a median of 6.5 years. Result A mean age (standard deviation) was 66 (12) years, and 542 patients (78%) were male. The patients in this study consist of 377 ST-elevation myocardial infarction (54%), and 263 non ST-elevation myocardial infarction (38%), and 52 unstable angina (8%). Endothelial dysfunction was detected in 276 patients (40%). During the follow-up period, 84 patients (12%) died (48 from cardiovascular disease, 36 from other causes). Patients with endothelial dysfunction had an increased risk of death (hazard ratio (HR) 1.83, 95% confidence interval (95% CI): 1.19–2.83, p=0.006) compared with those without endothelial dysfunction. Analyses for specific causes of death showed that patients with endothelial dysfunction had a 2.4-fold higher increased risk of cardiovascular death (HR: 2.44, 95% CI: 1.35 ro 4.59, p=0.003) after multivariate adjustment. However there was no significant relation between endothelial dysfunction and non-cardiovascular mortality (HR: 0.69, 95% CI: 0.34 to 1.36, p=0.29). Conclusion Endothelial dysfunction is strongly associated with an increased risk of cardiovascular mortality in ACS patients. Figure 1 Funding Acknowledgement Type of funding source: None

Introduction Dyslipidemia, especially an increase in the low-density lipoprotein cholesterol (LDL-C) has been established as one of the most important risk factors for atherosclerotic cardiovascular diseases. In contrast, some recent studies have shown that the low LDL-C level was associated with short-term poor prognosis in patients with cardiovascular disease, and this is so-called “cholesterol paradox”. However, there is few data evaluating the effects on long-term outcome of “cholesterol paradox” in patients with acute coronary syndrome (ACS). Purpose The purpose of this study was to examine whether the low LDL-C level on admission affect long-term prognosis in patients with ACS. Methods A total of 434 ACS patients who survived to hospital discharge were enrolled in this study. All patients were statin-naïve on admission, and were received statin therapy after hospitalization. Patients were divided into the low LDL-C (≤114 mg/dl) and high LDL-C (>114 mg/dl) groups using the first tertile of the LDL-C level on admission. The primary endpoint was composite outcomes of all-cause death, myocardial infarction, ischemic stroke, hospitalization for congestive heart failure and unplanned revascularization. Results During a median follow-up period of 5.5 years, primary endpoint occurred in 117 patients. Overall, event-free rates differed significantly between the low and high LDL-C groups, demonstrating the lower event-free rate in patients with the low LDL-C group (38.9% in low LDL-C group versus 20.7% in high LDL-C group, p=0.0002; Figure). Even after adjustment for age, sex, body mass index, and various classical risk factors, the low LDL-C group was significantly at higher risk for primary composite outcomes compared to the high LDL-C group (adjusted hazard ratio 1.65, 95%-confidence interval 1.10–2.49, p=0.02). Conclusion In patients with ACS, the low LDL-C level on admission was significantly associated with long-term worse prognosis, regardless of statin therapy at discharge. In ACS patients with low LDL-C level, it might be necessary for elucidating the residual risk for secondary adverse event to improve their prognosis. Funding Acknowledgement Type of funding source: None

Background It has been reported that in the primary prevention settings, patients with cancer are exposed to an increased risk of cardiovascular disease through multiple mechanisms. However, among patients with established coronary artery disease, it is unknown whether cancer is an additional risk for endothelial dysfunction, mortality, and subsequent cardiovascular events. Purpose To determine endothelial function, mortality and cardiovascular events following acute coronary syndrome according to history/presence of cancer on (ACS). Methods Patients who were admitted to our university medical center for ACS were enrolled, and were divided according to the history/presence of cancer. We measured reactive hyperemia index before discharge in all patients to evaluate endothelial function. The logarithmic value of RHI (LnRHI) was used in the analyses. All patients were followed for cardiovascular death, non-cardiovascular death, myocardial infarction (MI), and stroke. Results Six-hundred and ninety patients with ACS were enrolled (mean age [SD] was 66 [12] years, male was 78%), and 73 patients (10.6%) had a history or presence of cancer. Endothelial function was not significantly different between ACS patients with and without the history/presence of cancer (LnRHI 0.64 (0.26) versus 0.59 (0.26), p=0.10). During the follow up period (the median 6.1 years), cardiovascular death occurred in 48 patients, non-cardiovascular death in 36, MI in 46, and Stroke in 31, respectively. The composite outcomes with all cause death, MI, and stroke occurred more frequently in the patients with the history/presence of cancer than those without (Figure A). However, the risk for cardiovascular death, MI, and stroke was similar between the two groups, and only non-cardiovascular mortality was significantly higher in the patients with the history/presence of cancer than those without (Figure B and C). Conclusion Among patients with ACS, the history/presence of cancer is associated with the risk of non-cardiovascular death, but not the risk for endothelial dysfunction and subsequent cardiovascular events. Figure 1 Funding Acknowledgement Type of funding source: None

BACKGROUND: Dynamic airway resistance from obstructive disease causes a concavity in the mid-expiratory portion of the spirometric flow-volume loop. We developed a simple model to measure the exponential decay in air flow during forced exhalation to quantify the extent of dynamic airway obstruction and facilitate the detection of obstructive airway diseases clinically. METHODS: We calculated flow decay as the slope of volume versus ln(1/flow) in mid-exhalation. We derived the normal range in a derivation group of healthy volunteers in whom spirometry had been performed repeatedly. We validated the derived upper limit of normal (mean + 2 × SD) by using it to distinguish a separate group of healthy subjects (n = 25) from subjects with independently diagnosed reversible airway obstruction (n = 31) and subjects with obstruction, hyperinflation, and air trapping (n = 62). RESULTS: In the derivation group (n = 7), the mean ± SD flow decay was 0.588 ± 0.107 L−1 (upper limit of normal = 0.802 L−1). Flow decay in 23 of 25 healthy subjects in the validation group was below the upper limit of normal. In contrast, it was above the upper limit of normal in 29 of 31 subjects with reversible airway obstruction (sensitivity 94%, 95% CI 79–99%; specificity 92%, 95% CI 74–99%) and in 59 of 62 of subjects with obstruction, hyperinflation, and air trapping (sensitivity 92%, 95% CI 74–99%; specificity 95%, 95% CI 86–99%). CONCLUSIONS: Flow decay distinguished subjects with obstructive lung defects from healthy subjects. It is a straightforward representation of spirometry data that provides a reproducible index to quantify dynamic airway obstruction.

When a tumor invades the muscularis mucosa and submucosal layer (T1a-MM and T1b in Japan), esophageal squamous cell cancer poses 10-50% risk of lymph node metastasis. By this stage of esophageal cancer, surgery, although very invasive, is the standard radical therapy for the patients. Endoscopic mucosal resection (EMR) is the absolutely curable treatment for cancer in the superficial mucosal layer. Because of its minimal invasiveness, the indications of EMR may be expanded to include the treatment of T1a-MM and T1b esophageal carcinoma. To date, the clinical outcomes of EMR for T1a-MM and T1b patients have not been fully elucidated. Here, the retrospective analysis of the clinical outcomes is reported. Between January 1994 and December 2007, 247 patients underwent EMR at Kanagawa Cancer Center. Of these individuals, 44 patients with 44 lesions fulfilled the following criteria: (i) extended EMR treatment for clinical T1a-MM and T1b tumor; (ii) diagnosis of clinical N0M0; and (iii) follow up for at least 1 year, and negative vertical margin. These patients were reviewed for their clinical features and outcomes. Statistical analyses were performed by the Kaplan-Meier methods, the Chi-square test, and the Cox proportional hazard model. P-value of

The authors have demonstrated an optical parametric chirped-pulse amplification (OPCPA)/Yb:YAG ceramic thin disk hybrid laser system having hundred mJ level pulse energy sub-picosecond pulse duration with high temporal contrast. At an input chirped-pulse energy of 3.8 mJ from an OPCPA preamplifier an output energy of 130 mJ has been generated from multipass diode-pumped Yb:YAG ceramic thin disk amplifier. A recompressed pulse duration of 450 fs with a contrast level of less than 7.2×10−9 at −150 ps before the main pulse has been obtained. The contrast level is the highest value achieved in Yb:YAG chirped-pulse amplification (CPA) laser system at 100 mJ level.

Summary Background While cumulative lifetime sun exposure is well recognized as having an important role in the progression of facial wrinkling, the role of facial expression has largely been overlooked, in part due to the lack of comprehensive longitudinal data on the change in both expression lines and persistent wrinkles with age. Objectives To track the detailed pattern of facial wrinkling in the same group of people over several years and to verify that expression lines evolve into persistent wrinkles. In addition, to identify factors predictive of a faster or slower rate of wrinkling. Methods Standardized images were captured at baseline and at 8 years of 122 women (ages 10–72 years, skin types I–VI) with and without a smiling expression. The wrinkle pattern with expression at baseline was compared with the pattern without expression at 8 years. Severity of facial wrinkling was quantified using computer-based image analysis. Skin colour, hydration, sebum and pH were measured at baseline. A structured questionnaire captured demographic and lifestyle data at baseline and at 8 years. Results Each subject’s unique pattern of persistent facial wrinkling observed without expression at year 8 was predicted by the pattern of lines observed with a smiling expression at baseline. Having a drier, more alkaline stratum corneum, a lighter complexion, being middle-aged (40s) or becoming menopausal were associated with faster persistent wrinkling. Conclusions Repeated skin flexure during facial expression causes persistent wrinkles. The pattern of expression lines predicts the pattern of future persistent wrinkles. Certain intrinsic and extrinsic factors are not causative, but influence the rate, of facial wrinkling.

We report the highest energy broadband laser pulses at a center wavelength of 1030 nm based on optical parametric chirped-pulse amplification (OPCPA). We have demonstrated amplification of 1030 nm femtosecond laser pulses from a broadband Yb oscillator to over 6.5 mJ with a total gain of greater than 107 achieved in a single pass through only 56 mm of gain material at a 10 Hz repetition rate. The amplified spectral bandwidth of 10.8 nm affords recompression to a 230 fs pulse duration following amplification. As an alternative to the regenerative amplifier (RA) this system is one of the more promising candidates for realizing compact, high intensity, direct diode-pumped, high repetition rate femtosecond Yb:YAG chirped-pulse amplification (CPA) in laser systems.

Superconducting fault current limiters (SCFCLs) are expected to improve the reliability and stability of power systems. The 3-phase FCL system, which consists of 3 superconducting fault current limiters of transformer type in parallel with a resistor in series with a ZnO device, was proposed and its small model was designed and made. In a power system the FCL system is expected to limit the peak of the fault current inductively and also to consume the acceleration energy of the generators by means resistive component. The power system characteristics of the proposed FCL system was experimentally investigated by use of the model FCL and a laboratory scale power system simulator. The FCL system switches its impedance from inductive type (L-type) to inductive+resistive type (L + R-type) in a cycle due to the ZnO device. The peak of the fault current was limited in the L-type time interval and the energy was consumed in L + R-type interval. The proposed FCL system limited the fault current at the simulated fault and successfully recovered the stand-by mode in the model power system. At the same time, the energy consumption in the resistor reduced the accelerating energy of the generator and then improves the power system transient stability.

This paper describes the design and development of a system for the selection and construction of vertical and horizontal machining center packages with a base machine and options format subject to budgetary constraints. Options are categorized and divided into groups depending on their utilization, and their selection is based on a priority setting. Options are categorized as those providing the capability for high speed, enhanced levels of productivity, high levels of machining complexity, high levels of machining accuracy, and potential for the inclusion of automation to facilitate and satisfy production requirements. A user‐friendly and object‐oriented computer0based decision support software system was developed incorporating real data from a machine tool sales organization.

The pressure-induced phase transformation of solid CF4 at room temperature was studied with x-ray and Raman scattering experiments. The space group of phase III was determined as P 21 /c. The pressure dependences of the intramolecular vibrational modes suggest phase transitions from phase III to IV at 8.9 GPa and from phase IV to V at 13.6 GPa.

X-ray powder diffraction and Raman scattering experiments for solid methane were carried out at pressures up to 37 GPa and room temperature. The diffraction pattern of phase B at 16.9 GPa is assigned to a cubic lattice with lattice constant of 7.914 A (B. At the transition from phase B to the HP phase, the pressure–volume curve shows an anomaly without the structural change.

To examine the formability of a magnesium-based alloy AZ31 sheet, the deep drawing and the Erichsen tests are carried out and they are simulated by the finite-element method. A recently proposed approach is applied to the prediction of forming limit of the AZ31 sheet, which latter breaks suddenly without any obvious necking phenomenon. From the histories of stress and strain calculated by the finite-element simulation, the fracture initiation is predicted by means of a criterion for ductile fracture. Comparison with experimental observations shows that the fracture initiation site and the critical punch stroke in forming processes of the AZ31 sheet are successfully predicted by the combination of the simulation with the ductile fracture criterion.

Transurethral vaporization of the prostate in saline (TURisV) is an innovative endoscopic surgical modality for the treatment of benign prostatic hyperplasia (BPH) that vaporizes prostate tissue using a uniquely designed mushroom electrode. TURisV promises instant hemostatic tissue ablation under saline irrigation and offers clinical advantages for endoscopic BPH operations. From July 2008 to February 2009, TURisV was performed in 17 cases with clinically significant BPH. Median operation time was 127.0 min and median volume of vaporized prostate tissue was 41.1 g. Median International Prostate Symptom Score improved from 20 to 4 after 12 months. Median maximum flow rate increased from 5.3 mL/s to 13.8 mL/s after 12 months. Postoperative median residual urine improved from 48.0 mL to 7.0 mL after 12 months. No changes in hemoglobin or electrolyte levels were seen postoperatively. Our results suggest that TURisV is a safe and efficacious treatment for BPH.

When a tumor invades the muscularis mucosa and submucosal layer (T1a-MM and T1b in Japan), esophageal squamous cell cancer poses 10-50% risk of lymph node metastasis. By this stage of esophageal cancer, surgery, although very invasive, is the standard radical therapy for the patients. Endoscopic mucosal resection (EMR) is the absolutely curable treatment for cancer in the superficial mucosal layer. Because of its minimal invasiveness, the indications of EMR may be expanded to include the treatment of T1a-MM and T1b esophageal carcinoma. To date, the clinical outcomes of EMR for T1a-MM and T1b patients have not been fully elucidated. Here, the retrospective analysis of the clinical outcomes is reported. Between January 1994 and December 2007, 247 patients underwent EMR at Kanagawa Cancer Center. Of these individuals, 44 patients with 44 lesions fulfilled the following criteria: (i) extended EMR treatment for clinical T1a-MM and T1b tumor; (ii) diagnosis of clinical N0M0; and (iii) follow up for at least 1 year, and negative vertical margin. These patients were reviewed for their clinical features and outcomes. Statistical analyses were performed by the Kaplan-Meier methods, the Chi-square test, and the Cox proportional hazard model. P-value of0.05 was considered statistically significant. The data were analyzed in February 2009. Based on the informed consent and their general health conditions, 44 patients decided the following treatments immediately after the EMR: 2 underwent surgery, 1 underwent adjuvant chemotherapy, and 41 selected follow up without any additional therapy. Of the 41 patients, 20 selected this course by choice, 12 because of severe concurrent diseases, 2 because of poor performance status, and 7 because of other multiple primary cancers. Twelve patients died; two were cause specific (4.5%), eight from multiple primary cancers, one from severe concurrent diseases, and one from unknown causes. No critical complications were noted. Median follow-up time was 51 months (12-126). Five patients ultimately developed lymph node metastasis. One patient with adjuvant chemotherapy required surgery, and another was treated with chemotherapy whose subsequent death was cause specific. The other three patients received chemoradiotherapy and have not shown cause-specific death. Overall and cause-specific survival rates at 5 years were 67.3% and 91.8%, respectively. Among 41 patients treated by EMR alone, only one died from primary esophageal cancer (2.4%), and overall and cause-specific survival rates at 5 years were 75.6% and 97.6%, respectively. Multivariate analysis revealed that severe concurrent diseases including multiple primary cancers and the administration of 5-fluorouracil-based chemotherapy for multiple primary cancers significantly influenced survival (P= 0.025, hazard ratio [HR] 13.1 [95% confidence interval 1.5-114]) and (P= 0.037, HR 0.213 [95% confidence interval 0.05-0.914]), respectively. Eight and six patients developed metachronous esophageal squamous cell cancer and local recurrence, respectively. With the exception of one patient, they could be retreated endoscopically. EMR is a reasonable option for the patients with T1a-MM and T1b esophageal carcinoma without clinical metastasis, especially for the individuals with severe concurrent diseases. The prognostic factors for the benefit of EMR in such cases should be further examined.

We have demonstrated an optical parametric chirped pulse amplification (OPCPA)/Yb:YAG ceramic thin disk hybrid laser system having hundred mJ level pulse energy sub-picosecond pulse duration with high temporal contrast. At an input chirped-pulse energy of 3.8 mJ from an OPCPA preamplifer an output energy of 130 mJ has been generated from multipass laser diode-pumped Yb:YAG ceramic thin disk amplifier. A recompressed pulse duration of 450 fs with a contrast level of less than 7.2×10−9 at −150 ps before the main pulse has been obtained. The contrast level is the highest value achieved in Yb:YAG chirped pulse amplification (CPA) laser system with hundred mJ level.

Yb:YAG CPA have a potential to develop a compact, high peak power at high repetition rates. For high energy pulses of short duration Yb:YAG regenerative amplifiers have mainly been studied for which significant prepulse and amplified spontaneous emission (ASE). In laser proton acceleration studies it is very important to suppress the prepulse and ASE levels, because a preplasma is generated before the peak of the laser pulse, therefore the maximum proton energy is limited. To overcome this problem, the OPCPA can efficiently provide high gain for the main pulse while suppressing prepulse amplification. Here we have first demonstrated a hundred mJ level, femtosecond of an OPCPA/Yb:YAG hybrid laser system with a contrast level of 10−9 at −150 ps.

Photoresponse in ionic conductivity has been realized in the solid polymer electrolytes, consisting of poly[(ω-hydroxy) oligo(oxyethylene) methacrylate] [P(MEO)OH] or poly[(MEO)OH-co-butyl methacrylate] (PBMA), spiropyran derivative (SP) and LiClO4. SP showed reversible isomerization upon photoirradiation in these films. The ionic conductivity in these films decreased upon ultraviolet light (UV) irradiation and subsequently increased upon visible light (Vis) irradiation. The interaction between photoisomerized merocyanine form (PMC form) and the hydroxyl group on the polymer side chain was confirmed by an IR shift assignable to OH stretching vibration. From DSC thermograms, the change of ionic conductivity was revealed to be considerably affected by this interaction and attributed to reversible photoisomerization of SP. Reversibility of ionic conductivity was improved in copolymer P[(MEO)OH-co-BMA] in comparison with that in P(MEO)OH.

While cumulative lifetime sun exposure is well recognized as having an important role in the progression of facial wrinkling, the role of facial expression has largely been overlooked, in part due to the lack of comprehensive longitudinal data on the change in both expression lines and persistent wrinkles with age.To track the detailed pattern of facial wrinkling in the same group of people over several years and to verify that expression lines evolve into persistent wrinkles. In addition, to identify factors predictive of a faster or slower rate of wrinkling.Standardized images were captured at baseline and at 8 years of 122 women (ages 10-72 years, skin types I-VI) with and without a smiling expression. The wrinkle pattern with expression at baseline was compared with the pattern without expression at 8 years. Severity of facial wrinkling was quantified using computer-based image analysis. Skin colour, hydration, sebum and pH were measured at baseline. A structured questionnaire captured demographic and lifestyle data at baseline and at 8 years.Each subject's unique pattern of persistent facial wrinkling observed without expression at year 8 was predicted by the pattern of lines observed with a smiling expression at baseline. Having a drier, more alkaline stratum corneum, a lighter complexion, being middle-aged (40s) or becoming menopausal were associated with faster persistent wrinkling.Repeated skin flexure during facial expression causes persistent wrinkles. The pattern of expression lines predicts the pattern of future persistent wrinkles. Certain intrinsic and extrinsic factors are not causative, but influence the rate, of facial wrinkling.

The broad absorption bandwidth of ytterbium (Yb) is well-suited to laser diode pumping at 940 nm. Because Yb is known for its low quantum defect, thermal loading is significantly reduced. Consequently, Yb doped crystals, especially Yb:YAG, show promise for developing compact, high peak power laser systems at high repetition rates. For high energy pulses of short duration Yb:YAG regenerative amplifiers have mainly been studied where the generation of significant prepulse and amplified spontaneous emission (ASE) is known. At higher intensities (for example ∼ 1018Wcm−2 and beyond) laser-matter interactions can require suppression of prepulse and ASE intensity in order to maintain or control the target state that a short or ultrashort main pulse would irradiate. In many cases it is therefore critical to avoid significant preplasma formation. To solve these problem, the optical parametric chirped pulse amplification (OPCPA) can efficiently provide high gain of the main pulse while suppressing prepulse amplification and reducing gain narrowing of the spectrum. We present in this conference the first Yb femtosecond oscillator based OPCPA demonstration at 1030 nm and with spectral bandwidth adequate for amplifying femtosecond pulses. Direct laser diode (LD) amplification of 1030 nm light makes this OPCPA a feasible preamplifier for a compact, high contrast, energetic, short pulse laser systems that can be considered for development of laser-driven proton accelerators.

E-beam recrystallization has been applied to the fabrication of a three-layer processor. The seed structure and the E-beam conditions were successfully optimized so that a large-area SOI as wide as 1 mm was recrystallized without void generation with no damage to underlying devices. The actual SOI area in the device, 850*1100 mu m, was recrystallized with one E-beam scan by aligning its position. The three-layer image processor was capable of visual image sensing with a feature outline extraction in a parallel processing manner. Normal operations of the fundamental functions have been confirmed, demonstrating the feasibility of E-beam recrystallization for three-dimensional IC application. >

An epidemic of acute haemorrhagic conjunctivities (AHC) caused by coxsackievirus A24 variant (CA24v) was reported in Accra, Ghana in May 1987. We studied 7 of the viral strains collected from May to November, 1987, by RNA genome fingerprinting. Pairwise comparisons of the oligonucleotide maps showed that genetic similarity among them ranged from between 60.0 to 84.7 %. Using base sequence variations deduced from genetic similarity among the isolates, isolation time of the strains and the rate of nucleotide substitution (estimated in a previous paper, Miyamura et al. , 1990), we calculated divergence times and constructed a phylogenetic tree. This tree indicated that all the 7 strains had diverged from each other from 11 to 26 months before the AHC epidemic in Accra. CA24v may have been introduced into the country or the neighbouring area, at least, more than two years earlier, i. e. in the early half of 1985.

(1991). Effect of residual stress on fatigue strength of non-load-carrying fillet welded joints. Welding International: Vol. 5, No. 12, pp. 936-943.

We are constructing the computing system, molecular orbital calculation engine (MOE), which realizes super high-performance and cost-down of molecular orbital calculations by developing the special purpose computer for high-performance molecular orbital calculations. This report describes the summary of the MOE.

An ocean radar with a VHF band is a useful tool for surveying coastal currents in a wide area. We have conducted a field observation of currents in Ariake Bay, the large inner sea located in the western part of Japan. Although the number of valid data acquired (hereafter, data acquisition) varies temporally and spatially, the mechanism of such variation is not yet well understood. Our aim in this study is to investigate the impact factor affecting data acquisition through field observations of current, salinity and wind in Ariake Bay. As a result, the data acquisition and the maximum measurement distance of the radar decreased owing to the decreases in salinity and wind speed. After receiving much rainfall, the data acquisition decreased rapidly in accordance with the decrease in surface salinity influenced by run-off from adjacent rivers and a flood control dike. Also, when wind speed became less than 2 m/s, the intensity of the signals received was not sufficient for the detection of current velocity. In conclusion, salinity and wind speed are important factors for steady-current observation using ocean radars., 2008 International Conference on Radar (Radar 2008) : Adelaide, 2008.09.2-2008.09.5, Proceedings of the 2008 International Conference on Radar, pp.682-687

A compact dispenser cathode has been developed for application to cathode ray tubes (CRTs). A cathode emitter, comprising BaO, CaO, and Al/sub 2/O/sub 3/ in a molar ratio of 4:1:1, was impregnated into a porous tungsten pellet. An intermetallic compound of tungsten and iridium was formed on the cathode pellet. Heater ratings were 6.3 V*0.2 A. Emission characteristics were measured by using color CRTs. As a result, a cathode peak loading of 15 A/cm/sup 2/ was ensured in the space-charge region. Furthermore, life tests with a peak loading of 7.5 A/cm/sup 2/ were conducted over 10000 h. The decrease in emission current after 10000 h was within only 10% of the initial value. Reliability of cathode performance was assured in terms of breakdown potential between the heater and the cathode, emission characteristics, life performance, grid emission, and the drift in cutoff potential. In addition, the effects of the coating thickness on the emission characteristics are discussed. >

The reaction scheme in W/TiN/TiSi2/Si(100) and W/TiN/Si(100) systems was studied by Rutherford backscattering spectroscopy. By using the TiN/TiSi2 and TiN diffusion barrier layers, the tungsten silicidation rate is reduced by 2 and 4.5 orders of magnitude, respectively, compared with the silicidation rate of the W/Si system. Considering the activation energy of the WSi2 formation, the reaction rate for the W/TiN/TiSi2/Si system is found to be controlled by the Si supply at the W/TiN interface. Si is supplied from the Si substrate through the TiN/TiSi2 layer to the W/TiN interface. The rate-limiting process is considered to be the Si bond breaking at the TiSi2/Si interface. TiN films with 10 nm thickness are thick enough to suppress reactions and maintain adhesion even after annealing at 950°C for 5 h.

This paper describes a 6.6-kV transformerless energy storage system based on a cascade PWM converter with star-configuration. The system is intended to make a power system reliable and efficient, and to improve power quality in power systems. The paper pays attention to active-power control and voltage-balancing control that are indispensable for proper operation of the energy storage system. A 200-V, 10-kW, 8.8-kJ down-scaled laboratory system is designed, constructed, and tested replacing EDLCs (electric double layer capacitors) with large-capacity electrolytic capacitors. Experimental results obtained from the laboratory system verify the viability and effectiveness of the 6.6-kV system.

Fungal endocarditis caused by Candida species is associated with high morbidity and mortality. A combination of surgical resection and antifungal drug therapy is the golden standard for treatment. We reported a case of fungal endocarditis due to Candida lusitaniae found at onset of lower limb acute aortic occlusion cured by emergency operation. This case suggests that Candida endocariditis can be managed medically with antifungal drug therapy in life time.

A compact Ir-coated dispenser cathode was developed for CRT (cathode ray tube) use. To study the emission life of the cathode, an accelerated life test was conducted, using 111% heater voltage. Oxide cathodes were also tested for comparison. The test indicated that the emission of the oxide cathodes decreased to 50% of normal after about 5000 hours. In comparison, after approximately 10000 hours, the emission of Ir-coated dispenser cathodes had decreased less than 5%. The 10000-hour-plus life expectancy of the Ir-coated dispenser cathode was modeled, with the results projecting a life expectancy of approximately 24000 hours at 111% heater voltage. It was estimated that, under normal conditions, the life expectancy of this Ir-coated dispenser cathode would be approximately 100000 hours. >

Pseudoankylosis of the mandible after intracranial surgical procedure has been widely reported, and is usually caused by fibrosis of the temporal muscle as a result of injury during the operation. We present an unusual case of mandibular pseudoankylosis as a result of methyl methacrylate-induced aseptic inflammatory cicatricial contracture of the temporal muscle after cranioplasty.

A clinical statistical analysis on 65 patients with 68 testicular germ cell tumors was performed. Thirty-six testes (53.7%) had seminomas and the remainder non-seminomatous germ cell testicular tumors (NSGCTTs). Of the seminomas, 31 (88.6%) were in stage I and the others showed distant metastases at presentation. Of the 32 NSGCTTs, 22 (68.8%) were in stage I. The average ages of the patients with seminomas and NSGCTTs were 40.4 and 29.9 years, respectively. Thirty-nine patients (60.0%) had tumors on the right side, 23 (35.4%) on the left and 3 (4.6%) in both testes. Five patients had a past history of cryptorchidism. Chief complaints in 49 patients (73.1%) were a painless scrotal mass. The interval from clinical onset to presentation was longer in seminoma patients than in NSGCTT patients (10.9 months on average versus 3.4 months). Immunosuppressive acidic protein (IAP) was a useful diagnostic tumor marker as well as alpha-feto protein (AFP), beta-human chorionic gonadotropin (beta-hCG) and lactic dehydrogenase (LDH). We adopted a surveillance policy in more than half of the stage I patients and obtained acceptable results. In the remaining cases, therapies including combination chemotherapy, radiation and salvage operation were performed after orchiectomy. The three-year survival rate was 98.0, 100.0 and 26.7%, for stage I, II and III patients respectively.

The value of apparent accommodation varies with methods of measurement. To discuss the details of apparent accommodation, it is appropriate to measure it with the smallest possible near vision optotype. In the present study, we used a 20/20 near vision optotype for the measurement of apparent accommodation.Forty-six eyes of thirty-eight patients (45-84 years old) who had undergone cataract surgery and intraocular lens implantation, and had at least 20/20 best corrected visual acuity at near and far distances, were used in this study. After the eyes were corrected by glasses to gain the best corrected long distance visual acuity, they were forced to watch a 20/20 near vision optotype. Then we gradually added plus lenses until they could recognize the optotype. The value of apparent accommodation was recorded by subtracting the value of plus lens by which the eye could first recognize the 20/20 near vision optotype from three diopters.The value of apparent accommodation was 0.00-3.00 D (medium 0.50 D). Two eyes had three diopters of apparent accommodation.In the present study with correction of astigmatism and small near vision optotype, most eyes showed smaller apparent accommodation than those in previous studies. Despite that, patients with three diopters of apparent accommodation do exist. To analyze high quality visual functions, we should use the smallest possible near vision optotype for the measurement of apparent accommodation.

Galectin-3 is a member of the beta-galactoside-binding mammalian lectin family with affinity to ABH group epitopes, cell surface and extracellular polylactosamine glycans. It has been shown to be involved in differentiation, morphogenesis, tumor progression, and metastasis. Here we questioned the possible involvement of galectin-3 in the neoplastic progression of the tongue epithelium and evaluated its prognostic value in tongue cancer patients. Galectin-3 expression was analyzed by the immunohistochemical method in 77 tongue specimens (54 squamous cell carcinomas and 23 specimens of distinct normal mucosa). Levels of nuclear expression of galectin-3 markedly decreased during the progression from normal to cancerous states (P0.0001), while cytoplasmic expression increased (P0.0001). Enhanced expression of galectin-3 in the cytoplasm was associated with a reduced disease-free survival of tongue cancer patients. Multivariate analysis identified enhanced expression of cytoplasmic galectin-3 as an independent predictor of disease recurrence (P = 0.0120). These results suggest that the observed translocation of galectin-3 from the nucleus to the cytoplasm during neoplastic progression may serve as a prognostic factor for tongue cancer patients.

The STR structure of the D8S580 locus was analyzed by the base sequencing technique. Alleles were collected separately by urea denaturing polyacrylamide gel electrophoresis of the PCR amplification product, followed by cutting of the target DNA band from the gel, and reamplification. As a result, this locus was shown to have a complex STR structure consisting of four types of repeat units, i.e. GGAA (II), GAAA (III), GAAAA (IV), and GCAA (V). Of 53 unrelated Japanese individuals, 51 were heterozygous, and the most frequent allele was type IV 8-II 7 III 6 III 3 (16%). Forty-four alleles with distinct structures appeared once the samples tested. As 57 different alleles were detected in this study, this region is considered to be one of the locus that have a high degree of repetitive structural polymorphism and therefore useful in forensic science.

Sensory nerve action potentials (SNAPs) obtained by conventional sensory nerve conduction studies are greatly influenced by the distance between exploring and reference electrodes. Changes in SNAPs were investigated in 12 healthy median nerves using the orthodromic and antidromic sensory nerve conduction studies with 1-cm, 2-cm, 3-cm, 4-cm, and 5-cm of interelectrode distances. Peak-to-peak (orthodromic) or baseline-to-peak (antidromic) amplitudes and durations between the positive peaks were measured and each value was expressed as a ratio to the recording of 1-cm of interelectrode distance. SNAPs with maximum amplitude were obtained by more than 3-cm of interelectrode distance. Duration of SNAP was increased by an increase of interelectrode distance. Change in amplitude along with the interelectrode distance was larger in the orthodromic method than in the antidromic method. Contrariwise, change in duration was larger in the antidromic method. SNAPs with long duration had a gently sloping configuration, and each peak tended to be indistinct. So, 3-cm of active and reference interelectrode separation should be recommended in performing sensory nerve conduction studies between wrist and finger, because maximum amplitude and clear visualization of peaks are available.