Cooperation of Cancer Stem Cell Properties and Epithelial-Mesenchymal Transition in the Establishment of Breast Cancer Metastasis

Epithelial-mesenchymal transition (EMT) is a multistep process in which cells acquire molecular alterations such as loss of cell-cell junctions and restructuring of the cytoskeleton. There is an increasing understanding that this process may promote breast cancer progression through promotion of invasive and metastatic tumor growth. Recent observations imply that there may be a cross-talk between EMT and cancer stem cell properties, leading to enhanced tumorigenicity and the capacity to generate heterogeneous tumor cell populations. Here, we review the experimental and clinical evidence for the involvement of EMT in cancer stem cell theory, focusing on the common characteristics of this phenomenon

Reconstruction of Lateral Forefoot Using Reversed Medial Plantar Flap with Free Anterolateral Thigh Flap

Skin defects of the heel have frequently been reconstructed using the medial plantar flap however, forefoot coverage has remained a challenge, because the alternatives for flap coverage have been very limited. We describe a case of malignant melanoma on the lateral forefoot that was radically removed and reconstructed successfully with a distally based medial plantar flap, together with a free anterolateral thigh flap. The advantages of this flap include that it does not reduce the vascular supply to the foot owing to reconstruction of the medial plantar vascular systems, reduces the risk of flap congestion, minimizes donor site morbidity, and enables the transport of structurally similar tissues to the plantar forefoot. We believe this technique is a reasonable reconstructive option for large lateral plantar forefoot defects

An artifice in the insertion of the Hickman catheter in small children

Although the Hickman catheter is commonly used in pediatric patients, it is difficult to place this catheter safely in small children, especially infants. A multiple-step method, starting with a thinner catheter, makes the placement easier and safer.Keywords: central venous catheter, children, Hickman cathete

Platelet Serotonin (5-HT)2A Receptor Binding Sites in Affective Disorders: A Quantitative Receptor Autoradiographic Study with [ 125I ] Lysergic Acid Diethylamide

We used the quantitative receptor autoradiographic method with a radioligand of [ 125I ]lysergic acid diethylamide ([125I]LSD) to quantitate platelet serotonin (5-HT)2A receptors in affective disorders. Specific binding of [125I]LSD to human platelet pellet sections was saturable, and of high affinity and single. Both ketanserin and spiperone, 5-HT2A selective ligands, inhibited [125I]LSD binding to human platelet pellets with high potency (IC50 values of 0.15 and 0.19 nM, respectively), whereas 5-HT and paroxetine, selective 5- HT re-uptake inhibitors, inhibited binding with a very low potency. These data confirmed that binding sites of human platelet pellets specifically labelled by [125I] LSD were 5-HT2A receptors. The number of 5-HT2A receptors (Bmax of [ 125I] LSD binding) of human platelets obtained from drug-free depressed patients was significantly higher than those of healthy volunteers. There were no statistical differences in the number of 5-HT2A receptors between depressed patients with and without suicidal behaviors. The increased number in platelet 5-HT2A receptotrs may indicate a hyperfunction of the central 5-HT2A receptors. The method with human platelets pellet sections we used is simple and sensitive for investigating platelet 5-HT2A receptors, a diagnostic and therapeutic marker in depressive disorders, in the clinical research

Improvement in soft magnetic properties of thin bilayer ribbons using magnetoelastic effect

We have prepared Fe-Ni-system bilayer ribbons with different magnetostriction (compositions) and investigated the improvement of soft magnetic properties using the magnetoelastic effect. A toroidal core with D = 10 mm was made from the Fe6Ni94/Fe56Ni44 bilayer ribbon, and the B-H loop of the core was measured. The shape of the hysteresis loop dramatically changed depending on the inner layer (inner magnetic phase). This result indicates that the direction of the anisotropy induced by bending stress was changed depending on the inner layer. The slope of the B-H loop and coercivity reduced when the Fe56Ni44 layer was on the inner side. From the experimental results, we found that domain rotation was dominant for the magnetization process. Consequently, the increase in the coercivity over frequency could be suppressed by controlling the magnetization process. From these results, we found that a thin bilayer ribbon with positive and negative magnetostriction constant is an attractive material for reducing iron losses under high frequency

30-Item General Health Questionnaire Scores in Male and Female University Freshmen

The thirty-item General Health Questionnaire (GHQ30) was conducted on 1,432 university freshmen twice in June 1998 and in January 1999 to investigate their mental health conditions after matriculation. After classifying the results by the time of investigation and gender, logistic regression analysis was performed to extract question items correlated with high GHQ scores. As a result, male students investigated in June showed the correlations among high GHQ scores and the following 5 items:subjective health conditions (SC), satisfaction with matriculation (SM), enthusiasm for studies (ES), living with (family or alone) (LW), and the difference between whether they passed the entrance examination directly upon graduation or not (EE), otherwise, that in January correlated with SC and SM only. Female students investigated in June showed the correlations among high GHQ scores and the following 3 items: SC, SM, and ES, otherwise, that in January correlated with SC, ES, and LW. In addition, factor analysis was performed after classifying the replies to GHQ30 by the time of investigation and gender. As a result, uselessness was obtained as the first factor in all students, and the following factors were respectively obtained as the second factor: human relationship and low activity in male students investigated in June, low activity in male students investigated in January, intimacy and high-tension in female students investigated in June, and low-tension in female students investigated in January

Gluteal-fold adipofascial perforator flap transposition for rectourethral fistula reconstruction

If a rectourinary fistula does not close spontaneously, it requires surgical closure. We present our experience of rectourethral fistula reconstruction using a gluteal-fold perforator flap, resulting in a successful outcome. The patient was a 64-year-old man with prostate cancer who underwent radical prostatectomy. However, he developed rectourinary fistula, which required surgical closure. A dissection was undertaken to divide the fistula tract, and the rectal and urethral defect were closed. A 12.0×3.0 cm gluteal-fold adipofascial perforator flap was harvested and placed in the space between the rectum and urethra. The viability of lap was favourable, without infection or necrosis. The patient could walk the next day, and was discharged 2 weeks later without fecaluria or liquid stool. We conclude that the gluteal-fold adipofascial perforator flap offers excellent functional advantages in rectourethral fistula reconstruction with minimal morbidity at the donor site

Type A Behavior Pattern and Obesity in Japanese Workers: A Cross-Sectional Study

Obesity is associated with personality. The Type A behavior pattern (TABP), which is characterized by hostility and competitive behavior, is related to psychological stress. However, the relationship between obesity and the TABP has not been examined. This study aimed to examine the relationship between obesity and the Type A behavior pattern in 3,099 Japanese workers. The Type A behavior pattern was measured via the Maeda Type A Behavior Checklist. Data were analyzed using multivariate logistic regression adjusted for age, being current smokers, heavy drinker, lack of exercise, occupation, and rapid eating. The multivariate odds ratio (95% confidence interval) for obesity associated with TABP was 1.55 (1.13 to 2.13) in men. Regarding other variables, age, lack of exercise, and rapid eating were associated with obesity in men. The multivariate odds ratio (95% confidence interval) for obesity associated with TABP was 1.27 (0.81 to 2.02) in women. Regarding other variables, age andrapid eating were associated with obesity in women. The findings suggest that the Type A behavior pattern was associated with increased obesity prevalence in Japanese men. People with TABP tend to eat larger portions during mealtimes repeatedly by rapid eating; it is possible that eating large portions may lead to an increase weight in men with TABP

Effect of baseline self-efficacy on physical activity and psychological stress after a one-week pedometer intervention

Physical activity and psychological stress were hypothesized to improve more in participants with high self-efficacy than in those with low and medium self-efficacy, after a one-week intervention. 39 female university students participated. The intervention had two steps: a lecture on self-monitoring and goal setting (160 min.) and a one-week pedometer intervention. Analyses were conducted on tertile groups according to self-efficacy at baseline. Pedometer step counts were higher in the high self-efficacy group than in the low self-efficacy group after intervention. Helplessness decreased time dependently after intervention only in the high-self-efficacy group. Because physical activity improved more in the high self-efficacy group after a one-week intervention, one hypothesis was supported