Lymphopenia at diagnosis predicts survival of patients with immunodeficiency-associated lymphoproliferative disorders

The number of patients who are administered immunosuppressive agents has been increasing. Accordingly, more patients face higher risks for developing immunodeficiency-associated lymphoproliferative disorders (LPD). Although immunodeficiency-associated LPD are distinct from other lymphoid neoplasms in terms of their immunocompromised backgrounds, little is known about the impact of lymphopenia at diagnosis on survival in patients with these LPD. Seventy-one immunodeficiency-associated LPD in Kyoto University Hospital (post-transplant LPD (PTLD), n = 26; other iatrogenic immunodeficiency-associated LPD, n = 45) were reviewed and analyzed. The median age at diagnosis was 63 years (range, 3–83). Diffuse large B cell lymphoma was the most common subtype (n = 33), followed by Hodgkin lymphoma (n = 12), B cell monomorphic LPD not specified (n = 11), and polymorphic LPD or early-phase diseases (n = 15). The median follow-up period for survivors was 2.5 years and overall survival (OS) and progression-free survival (PFS) at 2.5 years were 75% and 67%, respectively. Multivariate analysis showed that lymphopenia (≤ 800/μL) at diagnosis predicted inferior OS (HR, 3.72; P = 0.043) and PFS (HR, 3.82; P = 0.012). Serum albumin values also strongly affected OS (> 3.18 g/dL vs. ≤ 3.18 g/dL; HR, 0.21; P = 0.010) and PFS (HR, 0.26; P = 0.013). Lymphopenia at diagnosis is suggested to predict inferior OS and PFS in patients with immunodeficiency-associated LPDs. Immunocompromised status might affect disease progression in these distinct lymphoid neoplasms growing under immunocompromised backgrounds

基礎看護学実習で認知した臨床看護

１年次の看護学生におこなった基礎看護学実習において，今後の実習のあり方を検討するために，学生が臨床の看護をどのように認知したかについて，学生のレポートを分析した．学生の臨床の看護に関する認知は，ナイチンゲールやヘンダーソンがいう看護のメタパラダイムに焦点化して看護をとらえていることが明らかとなった．看護学概説の統合として位置づけられるこの実習から，学生は理論を通して看護の実践場面をみることができており，知識を統合する実習として有効であると判断できた．First-year nursing students practiced nursing in a clinical setting during their first clinical training experience. After the training experience, the students submitted a report on how they found clinical nursing. The author analyzed their reports to investigate how the students perceived nursing in a clinical setting, with the goal of improving methods of clinical training. The analysis revealed that the students tended to view nursing from a point of view similar to the meta-paradigm proposed by two theoreticians of nursing, Nightingale and Henderson. The students achieved the target of clinical training, i.e., the opportunity to make a link between clinical practice and the knowledge about nursing they had learned in the classroom. The current clinical training experience was thus judged to be valid

看護学生の看護の認識

看護学生は入学初期から学習する看護学や，日常生活の中で多様な体験や経験を積むことにより，看護に対する見方・考え方を変えながら，自らの看護観を形成していく．今回，看護学生が入学時と，１年間看護学やその関連科目，教養科目などを学習した１年終了時における看護の見方・考え方について学生の記述内容を分析した．その結果，看護学生は入学後１年間の学習や経験などが加味され，看護に関する認識を新たにしたり深めたりしていた．この認識の変化には，専門科目である看護学概論や看護理論の影響が大きいと考えられた．なぜならば看護学生は，１年間に学習した看護学概論や看護理論の科目の中で捉えた看護の考え方をベースに看護の認識を深めていた．Nursing students develop their own view of nursing through learning of nursing and accumulating diverse experiences during daily living after entering nursing school. The present study was undertaken to analyze the result of the descriptive survey designed to investigate changes in the students awareness of nursing during the first year of the nursing school (i.e., after one year of learning nursing, nursing-related subjects and subjects for general education). This survey revealed that the nursing students accumulated knowledge and experience and deepened thir awareness of nursing during the one year period. These changes in their awareness seem to be particularly related to education of nursing-specific subjects (introduction and theories of nursing). The students deepened their awareness of nursing on the basis of the views they learned from these nursing-specific subjects

Next‐generation sequencing in two cases of de novo acute basophilic leukaemia

Acute basophilic leukaemia (ABL) is a rare subtype of acute myeloid leukaemia (AML); therefore, few data are available about its biology. Herein, we analysed two ABL patients using flow cytometry and next-generation sequencing (NGS). Two cell populations were detected by flow cytometry in both patients. In Case no. 1, blasts (CD34⁺, CD203c⁻, CD117⁺, CD123dim⁺) and basophils (CD34⁻, CD203c⁺, CD117±, CD123⁺) were identified, both of which were found by NGS to harbour the 17p deletion and have loss of heterozygosity of TP53. In Case no. 2, blasts (CD33⁺, CD34⁺, CD123⁻) and basophils (CD33⁺, CD34⁺, CD123⁺) were identified. NGS detected NPM1 mutations in either blasts or basophils, and TET2 in both. These data suggest an overlap of the mutational landscape of ABL and AML, including TP53 and TET2 mutations. Moreover, additional mutations or epigenetic factors may contribute for the differentiation into basophilic blasts

新声門の超音波画像における低輝度領域への投票方式を用いた総頚動脈の領域自動抽出

2022年度卒業論文要旨, 情報科学部情報科学科othe

Self-assembling A6K peptide nanotubes as a mercaptoundecahydrododecaborate (BSH) delivery system for boron neutron capture t (BNCT)

Boron neutron capture therapy (BNCT) is a tumor selective therapy, the effectiveness of which depends on sufficient 10B delivery to and accumulation in tumors. In this study, we used self-assembling A6K peptide nanotubes as boron carriers and prepared new boron agents by simple mixing of A6K and BSH. BSH has been used to treat malignant glioma patients in clinical trials and its drug safety and availability have been confirmed; however, its contribution to BNCT efficacy is low. A6K nanotube delivery improved two major limitations of BSH, including absence of intracellular transduction and non-specific drug delivery to tumor tissue. Varying the A6K peptide and BSH mixture ratio produced materials with different morphologies—determined by electron microscopy—and intracellular transduction efficiencies. We investigated the A6K/BSH 1:10 mixture ratio and found high intracellular boron uptake with no toxicity. Microscopy observation showed intracellular localization of A6K/BSH in the perinuclear region and endosome in human glioma cells. The intracellular boron concentration using A6K/BSH was almost 10 times higher than that of BSH. The systematic administration of A6K/BSH via mouse tail vein showed tumor specific accumulation in a mouse brain tumor model with immunohistochemistry and pharmacokinetic study. Neutron irradiation of glioma cells treated with A6K/BSH showed the inhibition of cell proliferation in a colony formation assay. Boron delivery using A6K peptide provides a unique and simple strategy for next generation BNCT drugs

Lateral current injection GaInAsP/InP laser on semi-insulating substrate for membrane-based photonic circuits

金沢大学理工研究域電子情報学系A room-temperature pulsed operation was demonstrated using lateral current injection-type lasers composed of a 400-nm-thick GaInAsP core layer with compressively strained 5 quantum wells. A threshold current of 105 mA and corresponding density of 1.3 kA/cm2 (260 A/cm2 per well) were obtained with the stripe width of 5.4 μm and the cavity length of 1.47 mm. A fundamental transverse mode operation was obtained with the narrower stripe device of 2.0 μm and the cavity length of 805 μm, while the threshold current and corresponding density were 49 mA and 3.0 kA/cm 2, respectively. © 2009 Optical Society of America

Drug Repositioning for Cardiac Arrest

The survival rate of cardiac arrest patients is less than 10%; therefore, development of a therapeutic strategy that improves their prognosis is necessary. Herein, we searched data collected from medical facilities throughout Japan for drugs that improve the survival rate of cardiac arrest patients. Candidate drugs, which could improve the prognosis of cardiac arrest patients, were extracted using “TargetMine,” a drug discovery tool. We investigated whether the candidate drugs were among the drugs administered within 1 month after cardiac arrest in data of cardiac arrest cases obtained from the Japan Medical Data Center. Logistic regression analysis was performed, with the explanatory variables being the presence or absence of the administration of those candidate drugs that were administered to ≥10 patients and the objective variable being the “survival discharge.” Adjusted odds ratios for survival discharge were calculated using propensity scores for drugs that significantly improved the proportion of survival discharge; the influence of covariates, such as patient background, medical history, and treatment factors, was excluded by the inverse probability-of-treatment weighted method. Using the search strategy, we extracted 165 drugs with vasodilator activity as candidate drugs. Drugs not approved in Japan, oral medicines, and external medicines were excluded. Then, we investigated whether the candidate drugs were administered to the 2,227 cardiac arrest patients included in this study. The results of the logistic regression analysis showed that three (isosorbide dinitrate, nitroglycerin, and nicardipine) of seven drugs that were administered to ≥10 patients showed significant association with improvement in the proportion of survival discharge. Further analyses using propensity scores revealed that the adjusted odds ratios for survival discharge for patients administered isosorbide dinitrate, nitroglycerin, and nicardipine were 3.35, 5.44, and 4.58, respectively. Thus, it can be suggested that isosorbide dinitrate, nitroglycerin, and nicardipine could be novel therapeutic agents for improving the prognosis of cardiac arrest patients

ヨウジ ノ ウンドウ ハッタツ ト セイカツ カンキョウ ニ カンスル ケントウ

This is a pilot study on movement development of infants and their life conditions. The purpose of this paper is to consider how infants\u27 life conditions including their parent\u27s expectation are related to their movement development.Subjects were parents of children at T kindergarten and the investigation was done by a questionnaire on life conditions, movement capacity, and expectation from the parent of infants. The children were classified into three groups by the ability of their movement task which their parents estimated, and each group was analyzed based on the questionnaire. As a result, my future research topic on movement development of infants and their life conditions can be obtained