Continued-Maintenance Therapy for PCNSL

Background. PCNSL is mainly treated with HD-MTX-based chemotherapy with or without WBRT. However, As WBRT is associated with delayed neurotoxicity leading to dementia in the elderly, many institutes reported benefits of intensive chemotherapy or high-dose chemotherapy with ASCT. We investigated whether treatment with HD-MTX and rituximab, followed by continued-maintenance HD-MTX monotherapy (3.5g / m2), improves overall survival (OS). Methods. In this retrospective, single-center trial 52 immunocompetent patients with newly diagnosed PCNSL were included. All were treated between January 2005 and December 2017. The controls were 18 patients who, between 2005 and 2011, had received 3 cycles of HD-MTX and then adjuvant treatment with WBRT. In 2011 we started HD-MTX continued-maintenance therapy to treat 34 PCNSL patients. In the induction phase, these patients received HD-MTX every 14 days until a complete response (CR) was observed. When CR was obtained, maintenance therapy with HD-MTX (3.5g / m2) was delivered every three months. Results. In 3-year overall survival (OS) there was a statistically significant difference between the two groups [controls : 33.1% (95%, CI 12.4 - 55.7%) ; maintenance group : 74.9% (95%, CI 55.6 - 86.7%) (p < 0.02)]. Conclusion : The induction of HD-MTX based chemotherapy followed by continued-maintenance HD-MTX monotherapy improved OS compared with chemoradiotherapy consisting of HD-MTX followed by WBRT

Navigation-Guided fence-post catheter

Background : Navigation system devices have been developed to allow precise resection of brain tumor. The fence-post catheter techniques that use a navigation system have been used in many neurosurgery centers. However, an exclusive catheter for the fence-post catheter techniques have not been made, and substituted silicon tube of the cerebral ventricle drainage or a Nelaton catheter is widely used. Objective : In this brief technical note, we describe a new fence-post catheter with steel tip device that was designed for more precise tissue resection and is useful in tumor resection. Methods : The newly designed fence-post catheter helps to visually gauge the accurate depth from the tumor bottom during tumor resection. Furthermore, the catheter tip has moderate weight and is made of a non-magnetic material. Results : Using our fence-post catheter, which has a metal part at the tip of the tube (length, 13 mm), operators can clearly notice that they are getting closer to base of the tumor by checking the metal part during the resection of deep tumors. Conclusion : Our newly developed fence-post tube enables easy confirmation of the distance to deep-tissue regions and improves the degree of safety during tumor removal

Primary Colonic Signet Ring Cell Carcinoma Presenting Carcinocythemia: An Autopsy Case

Primary colorectal signet ring cell carcinoma (SRCC) is a rare but distinctive type of mucin-producing adenocarcinoma of the large intestine with still controversial clinicopathological features and prognosis. We encountered primary colonic SRCC in a 51-year-old Japanese man with extensive bone metastasis ultimately leading to carcinocythemia before the initiation of chemotherapy and surgical intervention. Three days before death, besides progressive disseminated intravascular coagulation that had been present on admission, hematological examination showed sudden leukocytosis with nonhematopoietic cells that subsequently turned out to be signet ring cells (SRCs). Carcinocythemia, the presence of circulating cancer cells in peripheral blood, is considered to be a rare but an ominous phenomenon occurring in the advanced stage of certain types of cancers, particularly mammary lobular carcinoma. It can be assumed that carcinoma cells lacking intercellular cohesiveness and polarized cell membrane organization, including SRCs as well as lobular carcinoma cells, can readily get access to the peripheral circulation; however, to our knowledge, this is the first report of primary colorectal SRCC that presented carcinocythemia. Extensive bone metastatic sites, in the present case, may have functioned as a reservoir of circulating SRCs

Galaxy Colours in the AKARI Deep SEP Survey

We investigate the segregation of the extragalactic population via colour criteria to produce an efficient and inexpensive methodology to select specific source populations as a function of far-infrared flux. Combining galaxy evolution scenarios and a detailed spectral library of galaxies, we produce simulated catalogues incorporating segregation of the extragalactic population into component types (Normal, star-forming, AGN) via color cuts. As a practical application we apply our criteria to the deepest survey to be undertaken in the far-infrared with the AKARI (formerly ASTRO-F) satellite. Using the far-infrared wavebands of the Far-Infrared Surveyor (FIS, one of the focal-plane instruments on AKARI) we successfully segregate the normal, starburst and ULIRG populations. We also show that with additional MIR imaging from AKARI's Infrared Camera (IRC), significant contamination and/or degeneracy can be further decreased and show a particular example of the separation of cool normal galaxies and cold ULIRG sources. We conclude that our criteria provide an efficient means of selecting source populations (including rare luminous objects) and produce colour-segregated source counts without the requirement of time intensive ground-based follow up to differentiate between the general galaxy population.Comment: Accepted for publication in Advances in Space Research. COSPAR, Beijing, 2006, E1.6 Advances in FIR and Submillimeter Astrophysics. (13 pages, 2 colour figures

AKARI Far-Infrared Source Counts in the Lockman Hole

We report initial results of far-infrared observations of the Lockman hole with Far-Infrared Surveyor (FIS) onboard the AKARI infrared satellite. On the basis of slow scan observations of a 0.6 deg x 1.2 deg contiguous area, we obtained source number counts at 65, 90 and 140 um down to 77, 26 and 194 mJy (3 sigma), respectively. The counts at 65 and 140 um show good agreement with the Spitzer results. However, our 90 um counts are clearly lower than the predicted counts by recent evolutionary models that fit the Spitzer counts in all the MIPS bands. Our 90 um counts above 26 mJy account for about 7% of the cosmic background. These results provide strong constraints on the evolutionary scenario and suggest that the current models may require modifications.Comment: 25 pages, 8 figures, Publications of the Astronomical Society of Japan, in pres

Lead exposure assessment among pregnant women, newborns, and children: case study from Karachi, Pakistan.

Lead (Pb) in petrol has been banned in developed countries. Despite the control of Pb in petrol since 2001, high levels were reported in the blood of pregnant women and children in Pakistan. However, the identification of sources of Pb has been elusive due to its pervasiveness. In this study, we assessed the lead intake of pregnant women and one- to three-year-old children from food, water, house dust, respirable dust, and soil. In addition, we completed the fingerprinting of the Pb isotopic ratios (LIR) of petrol and secondary sources (food, house-dust, respirable dust, soil, surma (eye cosmetics)) of exposure within the blood of pregnant women, newborns, and children. Eight families, with high (~50 μg/dL), medium (~20 μg/dL), and low blood levels (~10 μg/dL), were selected from 60 families. The main sources of exposure to lead for children were food and house-dust, and those for pregnant women were soil, respirable dust, and food. LIR was determined by inductively coupled plasma quadrupole mass spectrometry (ICP-QMS) with a two sigma uncertainty of ±0.03%. The LIR of mothers and newborns was similar. In contrast, surma, and to a larger extent petrol, exhibited a negligible contribution to both the child’s and mother’s blood Pb. Household wet-mopping could be effective in reducing Pb exposure. This intake assessment could be replicated for other developing countries to identify sources of lead and the burden of lead exposure in the population

Far infrared luminosity function of local galaxies in the AKARI Deep Field South

We present the first far-infrared luminosity function in the AKARI Deep Field South, a premier deep field of the AKARI Space Telescope, using spectroscopic redshifts obtained with AAOmega. To date, we have found spectroscopic redshifts for 389 galaxies in this field and have measured the local (z<0.25) 90 μm luminosity function using about one-third of these redshifts. The results are in reasonable agreement with recent theoretical predictions

Anomalous fluctuation relations

We study Fluctuation Relations (FRs) for dynamics that are anomalous, in the sense that the diffusive properties strongly deviate from the ones of standard Brownian motion. We first briefly review the concept of transient work FRs for stochastic dynamics modeled by the ordinary Langevin equation. We then introduce three generic types of dynamics generating anomalous diffusion: L\'evy flights, long-time correlated Gaussian stochastic processes and time-fractional kinetics. By combining Langevin and kinetic approaches we calculate the work probability distributions in the simple nonequilibrium situation of a particle subject to a constant force. This allows us to check the transient FR for anomalous dynamics. We find a new form of FRs, which is intimately related to the validity of fluctuation-dissipation relations. Analogous results are obtained for a particle in a harmonic potential dragged by a constant force. We argue that these findings are important for understanding fluctuations in experimentally accessible systems. As an example, we discuss the anomalous dynamics of biological cell migration both in equilibrium and in nonequilibrium under chemical gradients.Comment: book chapter; 25 pages, 10 figures. see http://www.maths.qmul.ac.uk/~klages/smallsys/smallsys_rk.htm