Diagnosis of Gastric Cancer in Early Stage — The Clinical Ob­servation of Operated Cases

1. An attempt has been made to find the diagnostic criteria for early gastric cancer. It is most important to detect the evidences or suspected features of the malignant growth in incipient stage in order to attain the radical cure by surgical operation. 2. Twelve patients with early gastric cancer (groups A and B) were selected out of 476 patients who had undergone gastrectomy during the past three years in the Okayama Saiseikai General Hospital. The other 6 patients in the &#34;precancerous group&#34; (group C) were also studied, who had abnormal epithelial proliferation in the resected stomach membrane during the same period. 3. The processes of discovery of early cancer have been described. Fairly precise diagnosis can be made in the mucosal carcinoma, but it is not in the ulcer-carcinoma. It was generally difficult to estimate the degree of the malignancy and the extension of the growth preoperatively. 4. The details of the diagnostic aids are as follows. i. Negative occult blood of stool does not always mean the definite diagnostic aid. ii. The malignant gastric change may occur even in non-anacidity. Further investigations should be followed up on gastric ulcer patients if malignant alteration is under the consideration. iii. Minor roentgenological findings, such as the absence or irregularity of mucosal folds, rigid and/or overlapped contour, localized absence or decrease of the peristaltic waves and absence or bow-shaped deformity of the angulus, are of important significance. Such changes should be minutely sought for by X-ray film examination. iv. On gastroscopy and gastrocamera photography, such changes as erosion or irregular granular thickening of the membrane with abnormal reddening and edematous appearance, irregularity of ulcer edge, uneven swelling on ulcer margin with reddening and unsharpness of the edge of adherent coat on ulcer floor, must be noted in the early gastric cancer. v. It is not safe to leave a patient having stomach ulceration under a mere conservative management because it is often quite difficult to dissolve the question of malignancy of the lesion with all sorts of examinations. vi. So far as clinical examinations have indicated malignancy, histological examination must be carried out immediately at the time of operation, even when malignant lesion is absent in inspection and palpation on the exposure of the stomach. vii. On the gross observation of the resected stomach, a particular attention must be paid to erosion, depression or atrophy, irregular granular thickening and abnormal reddening on the restricted areas of the mucosal surface.</p

Peripheral Blood as a Preferable Source of Stem Cells for Salvage Transplantation in Patients with Graft Failure after Cord Blood Transplantation: A Retrospective Analysis of the Registry Data of the Japanese Society for Hematopoietic Cell Transplantation

To compare the different stem cell sources used in salvage transplantation for graft failure (GF) after cord blood transplantation (CBT), we retrospectively analyzed data of 220 patients who developed GF after undergoing CBT between January 2001 and December 2007 and underwent a second hematopoietic stem cell transplantation (HSCT) within 3 months. The donor sources for salvage HSCT were cord blood (n = 180), peripheral blood stem cells (PBSCs; n = 24), and bone marrow (BM; n = 16). The cumulative incidence of neutrophil engraftment on day 30 after the second HSCT was 39% with CB, 71% with PBSCs, and 75% with BM. Multivariate analysis revealed that PBSC and BM grafts were associated with a significantly higher engraftment rate than CB (hazard ratio [HR], 7.77; P < .001 and HR, 2.81; P = .016, respectively). Although the incidence of grade II-IV acute graft-versus-host disease was significantly higher in the PBSC group than in the CB group (HR, 2.83; P = .011), the incidence of 1-year nonrelapse mortality was lower in the PBSC group than in the CB group (HR, 0.43; P = .019), and 1-year overall survival was superior in the PBSC group compared with the CB group (HR, 0.45; P = .036). Our results suggest that PBSC is the preferable source of stem cells in salvage HSCT for GF after CBT

Development Automobile Engine Hood Latch

V diplomové práci se zabývá konstrukčním návrhem automobilového zámku, který má hlavní komponenty v „plastovém“ provedení (rohatka, západka, tělesa). Tyto plastové díly jsem vhodně navrhl a optimalizoval na požadované zatížení. Zároveň srovnávám plastový zámek a ocelový zámek přední kapoty, srovnávám jak cenu zámků, tak hmotnost a zatížení zámků. V krátkosti porovnávám automobilové zámky přední kapoty v současném automobilovém průmyslu. Také se zabývám etapou výroby prototypového vzorku v současnosti.The diploma thesis deals with the design of the car lock, which main components such as claw, pawl and housing are made of plastic. My main goal was to optimized these plastic parts for a certain amount of power. The following part shows a comparison of plastic lock and the steel lock of front bonnet. The following part shows a comparison of the plastic lock and the steel lock of the front bonnet. The comparison is made in terms of the price, weight and load of the locks. The diploma thesis also briefly deals with the comparison of car locks of car locks of front bonnets in the current automotive industry and the stage of prototype sample production nowadays.340 - Katedra výrobních strojů a konstruovánívelmi dobř

Pathogenic mutations identified by a multimodality approach in 117 Japanese Fanconi anemia patients

Fanconi anemia is a rare recessive disease characterized by multiple congenital abnormalities, progressive bone marrow failure, and a predisposition to malignancies. It results from mutations in one of the 22 known FANC genes. The number of Japanese Fanconi anemia patients with a defined genetic diagnosis was relatively limited. In this study, we reveal the genetic subtyping and the characteristics of mutated FANC genes in Japan and clarify the genotype-phenotype correlations. We studied 117 Japanese patients and successfully subtyped 97% of the cases. FANCA and FANCG pathogenic variants accounted for the disease in 58% and 25% of Fanconi anemia patients, respectively. We identified one FANCA and two FANCG hot spot mutations, which are found at low percentages (0.04-0.1%) in the whole-genome reference panel of 3,554 Japanese individuals (Tohoku Medical Megabank). FANCB was the third most common complementation group and only one FANCC case was identified in our series. Based on the data from the Tohoku Medical Megabank, we estimate that approximately 2.6% of Japanese are carriers of disease-causing FANC gene variants, excluding missense mutations. This is the largest series of subtyped Japanese Fanconi anemia patients to date and the results will be useful for future clinical management

Cause of decade’s stagnation of plant communities through16-years successional trajectory toward fens at a created wetland in northern Japan

Hiraoka is the created wetland that was constructed in 2000 in an urban park in Sapporo City. We introduced fen and bog plants and monitored the hydrochemical conditions and species assemblage composition four times during the 16 years after construction (YAC). The species richness indices of total, exotics, and annuals resembled those of the target fens within 11 YAC, but the species assemblages did not match the target fens even after 16 YAC, showing that species richness is a less effective way to measure success. The 0.1 m high artificial hummocks enhanced species richness 1.3 to 1.4 times more than the surrounding hollows and increased variety within species assemblages (although these hummocks collapsed before16 YAC). Water level from ground surface (WL) were stable at around 0.00 to +0.05 m, except during several-days floods, when a maximum WL of +0.4 to +0.5 m. Hydrological conditions were, therefore, similar to those natural fens nearby. Mean pH values (min and max) decreased from 6.9 (5.5–9.3) in 1 YAC to 6.2 (5.7–6.9) in 16 YAC and approached those of natural fens. The mean electrical conductivity (166–196 μS cm^ ) and concentrations of major minerals (Ca^, Mg^, and K^+) were consistently higher than those of Japanese fens, but dissolved phosphorus (0.00–0.04 mg l^) and nitrogen (0.12–0.48 mg l^) were lower. The trajectory of species assemblages quickly approached the target fen at least 5 YAC, but then changed between 5 and 11 YAC, before stagnating. Since mineral content in Hiraoka was near the lower limit of calcareous rich-fens, abundant minerals would be less effective in changing the species assemblage compositions. Due to the dominance of eight initially introduced fen species, the trajectory turned in a different direction. Species assemblages stagnated between initial and target communities before 16 YAC, since the five fen dominants introduced at 8 to 9 YAC had not yet dominated. Accordingly, initial introductions, including species combinations of target fen, can shorten the time required to achieve natural fens. At 16 YAC, large emerged macrophytes did not dominate and did not competitively exclude fen species, probably because the water was oligotrophic and the wetland design did not include open water

Studies on the Influence of Buffer on the Bacterial Respiratiration

The preparation of resting cells is one of the most important and most fundamental procedures for the physiological studies on bacteria. In order to know how we should do to get the resting cells suitable to the purposes of experiments, the author studied the influence of washing and suspending on the respiratory activity of bacteria. The results are summarized as follows: 1) For the purpose to obtain the resting cells of high respiratory activity, washing with phosphate buffer is better than that with distilied water or physiological saline solution. 2) When the prepared resting cells are used in a short time after the preparation, the respiratory activity is the same regardless of the sorts of the suspending solutions, distilled water, saline solution and phosphate buffer. 3) Borate and phthalate buffers of high concentration somewhat inhibit the respiration. However, in order to make the shift of pH less, M/15 (final concentration) is good. Phosphate buffer, even of M/15, does not inhibit the respiration. 4) In borate or phthalate buffers, the fall of respiratory activity is diminished by the addition of small amount of phospate

Action of Various Inhibitors and Antibiotics on Glutamate-Respiration of Staphylococcus

The author studied the action of various inhibitors and antibiotics on the glutamaterespiration of staphylococci under the consideration of physiological structure of the cell. Staphylococcus citreus and aureus (Terashima) were used as the test organisms, and L-glutamic acid as the substrate. The results were as follows: 1) Thionine, sodium arsenite and 8-hydroxyquinoline inhibited the respiration of intact cells of staphylococci markedly, but did not inhibit that of cell-free extracts. The inhibitive action of these three sorts of inhibitors was stronger on Staph. aureus (Terashima) than on Staph. citreus. 2) In intact cells, the inhibition of respiration by potassium cyanide and sodium azide was not restored by addition of thionine. In cell-free extracts, however, the inhibition by these two sorts of inhibitors was well restored by thionine. 3) By addition of thionine, the inhibition of the respiration of cell-free extracts by octanole was not so well restored as that by cyanide or azide. 4) 2, 4-Dinitrophenol inhibited the glntamate-respiration of both of the intact cells and cell-free extracts. 5) Of all the antibiotics tested, aureomycin was the only one which noticeably inhibited the glutamate-respiration of staphylococci