Study on the Structural Behaviour of Integranl Bridge

[研究概要

Characteristics of the ice pellets observed in mid-winter in the Arctic region

In mid-winter ice pellets were observed at Inuvik, Canada and Kiruna, Sweden in the Arctic region. The size distribution, morphology and crystalline nature were examined from the photomicrographs. Moreover, meteorological conditions in which the ice pellets could form were examined from the sounding data at Inuvik. The following results were obtained. (1) The sizes of ice pellets in the Arctic regions were considerably smaller than those in temperate regions. (2) The ice pellets simultaneously fell with the snow crystals with frozen small raindrops. (3) The morphology of ice pellets with a bulge or a spike was qualitatively similar to the results of laboratory experiments. (4) The rate of shattering was smaller than the results of laboratory experiments. (5) Single crystalline ice pellets were abundant in the size < 200μm. (6) Ice pellets in the Arctic are formed through the freezing of supercooled drizzle drops, which are formed by condensation-coalescence process below the freezing temperature

腎盂尿管移行部狭窄症に逆行性エンドピエロトミーを行った小児の1例

右腎盂尿管移行部狭窄症の6歳女児に対し, アキュサイス尿管切開バルーン装置(軟性尿管カテーテル, 7Fr)を用いた逆行性エンドピエトロトミーを行いその実用性を検討した.全身麻酔下でアキュサイスカテーテルを膀胱鏡操作下に腎盂内にまで挿入し, 狭窄部を電気的に切開し更に同部位をバルーンで24Frまで拡張した.切開終了後にエンドピエトロトミー用尿管カテーテル(6/10Fr)を留置し, これを8週間後に抜去した.手術時間は45分間で, 患者は術後3日目に退院した.特に手術に関する合併症はなく, 術後8ヵ月目の経静脈性腎盂撮影と利尿レノグラムによる評価で, 水腎症の程度は改善していたTo determine the feasibility of retrograde endopyelotomy in the management of pediatric ureteropelvic junction (UPJ) obstruction, we treated one girl aged 6 years with the Acucise cutting balloon devise for symptomatic UPJ obstruction. The Acucise catheter (7 Fr, flexible) was placed by a cystoscope over a guide wire with fluoroscopic guidance under general anesthesia. After cutting the stenotic area electronically and dilation until 24 Fr for 10 seconds, a 6/10 Fr endopyelotomy ureteral catheter was left in situ for 8 weeks after the operation. Total operating time was 45 minutes and the child was discharged 3 days after the operation. There were no acute complications and short-term, follow-up 8 months after the operative results were satisfactory as determined by intravenous pyelography and diuretic renogram. UPJ obstruction in children may be treated by retrograde endopyelotomy with the Acucise catheter as well as adults. The principal potential advantage of this procedure is reduced morbidity as compared with antegrade endopyelotomy

Analysis of Annual Available Water Resources of a Representative Basin in Upper Loess Plateau

Source: ICHE Conference Archive - https://mdi-de.baw.de/icheArchiv

Great Role in Gynecological Cancer Prophylaxis of a Unique Health Check-Up Institute, Ningen Dock in Japan (Review)

In Japan, there are unique facilities (namely Ningen Dock) for health check-up that provide asymptomatic participants with a health examination, including cancer screening activities, at their own expense. The most advanced examination equipment and examinations do not only provide high accuracy, but they also reduce stress on the body of the client. Usage of the medical equipment and diagnostic techniques allows us for successful detection of many diseases in their early stages of development. This early detection leads to quicker response for the disease. On the other hand, gynecological cancer screening is a relatively simple, low cost, and noninvasive method. In this chapter, we introduce a major role of Ningen Dock in gynecological malignancy prophylaxis. Ningen Dock attendances are associated with extremely low positive gynecology cancer screening incidence (0.03%). The level of knowledge and attitude toward screening may be related to multiple factors such as ethnicity, place of residence, income, and social-economic status. Not paying attention to cancer screening may be the risk factors for non-attendance to health check-up. These findings are of importance for improving the gynecological cancer screening practices of the lower screening attendance in Japan

キュウシン コウヒショウ オ ケイキ ニ シンダンサレ フククウキョウカ ニ セツジョ サレタ ソウキ チョクチョウガン ノ 1レイ

An 82-year-old man had systemic rash and itching. He was treated with antihistamines and steroids, but did not improve. We continued treatment at our hospital, but there was no improvement.The deck-chair sign was observed during treatment, and we diagnosed papuloerythroderma. We considered the possibility of merged malignant tumors and carried out a detailed examination.The final diagnosis was clinical stage I rectal cancer. The patient underwent laparoscopic low anterior resection. The refractory systemic rash completely improved by the 23th postoperative day. At present, the rectal cancer has not relapsed for 4 years after the operation

A GPI processing phospholipase A2, PGAP6, modulates Nodal signaling in embryos by shedding CRIPTO

©2016 Gun-Hee Lee et al. Originally published in Journal of Cell Biology. https://doi.org/10.1083/jcb.20160512

Ictal direct current shifts contribute to defining the core ictal focus in epilepsy surgery

難治てんかん焦点の新しいバイオマーカー「発作時DC電位」 --国内5施設の共同研究での世界初の成果--. 京都大学プレスリリース. 2022-09-05.Identifying the minimal and optimal epileptogenic area to resect and cure is the goal of epilepsy surgery. To achieve this, EEG analysis is recognized as the most direct way to detect epileptogenic lesions from spatiotemporal perspectives. Although ictal direct-current shifts (icDCs; below 1 Hz) and ictal high-frequency oscillations (icHFOs; above 80 Hz) have received increasing attention as good indicators that can add more specific information to the conventionally defined seizure-onset zone, large cohort studies on postoperative outcomes are still lacking. This work aimed to clarify whether this additional information, particularly icDCs which is assumed to reflect extracellular potassium concentration, really improve postoperative outcomes. To assess the usefulness in epilepsy surgery, we collected unique EEG datasets recorded with a longer time constant of 10 sec using an alternate current amplifier. 61 patients [15 with mesial temporal lobe epilepsy and 46 with neocortical epilepsy] who had undergone invasive presurgical evaluation for medically refractory seizures at five institutes in Japan, were retrospectively enrolled in this study. Among intracranially implanted electrodes, the two core electrodes of both icDCs and icHFOs were independently identified by board-certified clinicians based on unified methods. The occurrence patterns, such as their onset time, duration, and amplitude (power) were evaluated to extract the features of both icDCs and icHFOs. Additionally, we examined whether the resection ratio of the core electrodes of icDCs and icHFOs independently correlated with favorable outcomes. A total of 53 patients with 327 seizures were analyzed for wide-band EEG analysis, and 49 patients were analyzed for outcome analysis. icDCs were detected in the seizure-onset zone more frequently than icHFOs among both patients (92% vs. 71%) and seizures (86% vs. 62%). Additionally, icDCs significantly preceded icHFOs in patients exhibiting both biomarkers, and icDCs occurred more frequently in neocortical epilepsy patients than in mesial temporal lobe epilepsy patients. Finally, although a low corresponding rate was observed for icDCs and icHFOs (39%) at the electrode level, complete resection of the core area of icDCs significantly correlated with favorable outcomes, similar to icHFO outcomes. Our results provide a proof of concept that the independent significance of icDCs from icHFOs should be considered as reliable biomarkers to achieve favorable outcomes in epilepsy surgery. Moreover, the different distribution of the core areas of icDCs and icHFOs may provide new insights into the underlying mechanisms of epilepsy, in which not only neurons but also glial cells may be actively involved via extracellular potassium levels