Characterization of sulfate mineral deposits in central Thailand

In this paper we present petrographic and geochemical data of sulfate mineral deposits in northeast Nakhon Sawan, central Thailand, and provide new constraints on their age. The deposits are made up mainly of strongly deformed nodular and massive gypsum in the upper part, and less deformed layered anhydrite in the lower part. They are intruded by andesitic dikes that contain Middle Triassic zircons (ca 240 Ma). These dikes are probably part of the regional magmatic activity of the Sukhothai Arc during the Early to Middle Triassic. Sulfur (δ34S) and strontium (87Sr/86Sr) isotopic compositions of the sulfates range from 15.86‰ to 16.26‰ and from 0.70810 to 0.70817, respectively. Comparisons with the Phanerozoic seawater isotopic evolution curve indicate that those values are best explained by precipitation of the sulfates from Carboniferous seawater, in particular seawater of late Mississippian age (ca 326 Ma), and this would be consistent with previous studies of calcareous fossils in the limestones that crop out around this site. Our interpretation is that evaporitic gypsum was originally precipitated from hypersaline seawater on a shallow lagoon or shelf on the Khao Khwang Platform during the Serpukhovian, and that this gypsum changed to anhydrite during early burial. The anhydrite was then cut by andesitic dikes during the Middle Triassic, and more recently the upper part of which was rehydrated during exhumation to form secondary gypsum near the surface

Development of Bilayered Bone Marrow-derived Cell-Gelatin Grafts for Augmentation Cystoplasty and Reconstruction of Bladder Tissues in Rats

Background : This study attempted to produce a novel graft composed of bone marrow-derived mesenchymal cell (BMC) layer-gelatin sheets for bladder augmentation cystoplasty. Then, we determined if the grafts could reconstruct bladder tissues. Methods : BMCs harvested from the femurs of green fluorescence protein (GFP)-transfected Sprague-Dawley (SD) rats were adherent and proliferating cells on collagen dishes. The cells were then cultured on temperatureresponsive culture dishes. Following this, the BMCs maintaining cell-cell contacts within the monolayer itself were applied to a gelatin sheet. Two BMC layer-gelatin sheets were overlaid together with the cell sides juxtaposed with one another (bilayered BMC-gelatin graft). Bladder top of SD rats were incised and transplanted with the bilayered BMC-gelatin grafts. Similarly, urinary bladders irradiated with 2 Gy once a week for 5 weeks were also conducted. As control, bilayered acellular-gelatin grafts were used. At 4 weeks after transplantation, the bladders were histologically investigated. Results : At 4 weeks after transplantation into either normal or radiation-injured urinary bladders, incised regions closed. The closed regions of bladder top had reconstructed tissues that were formed with urothelium, and smooth muscle layers. Within the reconstructed tissues, the thickness of the smooth muscle layers in the bilayered BMC-gelatin graft-transplanted bladders were larger compared to controls. The GFP-positive transplanted BMCs were detected. Some of the cells were simultaneously positive for smooth muscle or nerve cell markers. Conclusion : This study showed that the bilayered BMC-gelatin grafts that were experimentally produced could reconstruct bladder tissues. The grafts would be developed as grafts for bladder augmentation cystoplasty.Article信州医学雑誌 71(3) : 167-177, (2023)journal articl

Predictive underestimation of difficult direct laryngoscopy in a patient with rheumatoid arthritis-associated immobilized craniocervical junction

Abstract Background The upper cervical spine is a major focus of damage by rheumatoid arthritis (RA). Specific screening for mobility of the upper cervical spine, which is essential for direct laryngoscopy, is lacking. Herein, we present a case of RA with Cormack-Lehane grade IV, which was not predicted by preoperative examination. Case presentation A 66-year-old woman with RA was scheduled for a right total knee arthroplasty and right elbow synovectomy. She had a long history of RA without symptoms related to the cervical spine or spinal cord. Although physical examination suggested moderate risk of difficult intubation with preserved cervical retroflexion, her Cormack-Lehane classification was grade IV under muscle relaxation. Bony integration of the occiput to axis was considered to be the main cause of difficult direct laryngoscopy, and restricted neck rotation was found postoperatively. Conclusions RA patients may have limited upper cervical spine motion despite normal cervical retroflexion

A Pilot Prospective Randomized Trial with Cancer Fatigue Scale and Juzentaihoto for Cancer-related Fatigue during Cisplatin-based Chemotherapy for Advanced Urothelial Carcinoma

Article信州医学雑誌 70(5) : 275-284(2022)departmental bulletin pape