接着依存性細胞株ECV304におけるヘムオキシゲナーゼ-1過剰発現と酸化的細胞傷害の増強

取得学位 : 博士（医学）, 学位授与番号 : 医博乙第1602号, 学位授与年月日 : 平成16年12月1日, 学位授与大学 : 金沢大

Natural history of medium-sized atrial septal defect in pediatric cases

AbstractBackgroundThe indication for surgical repair of atrial septal defect (ASD) is pulmonary to systemic blood flow ratio (Qp/Qs)>2.0, and therapeutic strategy depends on the facility in cases of Qp/Qs 1.5–2.0. Defect size increases with age, but hemodynamic changes of medium-sized ASD (Qp/Qs 1.5–2.0) are unknown.Methods and resultsFrom April 1, 1985 to March 31, 2008, we experienced 125 cases of cardiac catheterization for ASD. Twelve cases were re-evaluated without surgical repair. The first and second catheterizations were performed at median ages of 7 years (range, 2–13 years) and 16 years (range, 5–19 years), respectively. The mean follow-up period was 7 years. Qp/Qs increased from 1.6 to 2.0 during follow-up (p<0.05). Of four cases with Qp/Qs<1.5 at initial presentation, three had Qp/Qs≥1.5 at second inspection. Right ventricle diastolic volume (RVEDV/LVEDV) also increased.ConclusionsQp/Qs and RVEDV/LVEDV of medium-sized ASD increase together in childhood. Re-evaluation before adulthood should be considered in patients with no indications of ASD closure in childhood

HIV感染症およびAIDS患者の臨床的特徴

【Introduction】The survival rate in patients with HIV infection and acquired immunodeficiency syndrome （AIDS） has been improved dramatically due to the advances in anti-HIV drug therapy, while aging-associated complications become a critical issue. The incidence of sudden occurrence of AIDS without prior detection of HIV infection, so called “Ikinari AIDS”, still remains high. 【Objective】We retrospectively analyzed the incidence and clinical characteristics of HIV/AIDS patients in both Tokushima University Hospital and Tokushima Prefectural Central Hospital. 【Results】Eighty four patients （74 males and 10 females） with a median age of 39 years old （range 16 - 85） were enrolled. Thirty-four patients （40.5％） were diagnosed with “Ikinari AIDS” from 2001 to 2020. All 4 patients were diagnosed with “Ikinari AIDS” after 2020. AIDS-defining illnesses were diagnosed as follows ; pneumocystis pneumonia in 21 cases, CMV infection in 8 cases and candidiasis in 6 cases. All patients over 60 years old were suffered from AIDS. Other complications included syphilis in 17 cases, hepatitis B infection in 12 and herpes zoster in 7. 【Discussion/Conclusion】In Tokushima, the incidence rate of “Ikinari AIDS” appeared to be higher than that of national average. COVID - 19 pandemic hampered the public health care services of awareness-raising activity for HIV infection and telephone consultations about HIV, which may become more lease asymptomatic HIV patients without diagnosis. For early diagnosis of HIV/AIDS, it is becoming more important to share information to make early screening of HIV infection among medical staffs, such as medical doctors, dentists, nurses, pharmacists and MSWs

Ultracompact Compton Camera for Innovative Gamma-ray Imaging

A multipixel photon counter (MPPC) features excellent photon-counting capability as a radiation detector. In particular, a two-plane Compton camera consisting of Ce:GAGG scintillators coupled with MPPC arrays has significant application potential owing to its compact size and low weight. For example, the camera can be easily mounted on a commercial drone to identify radiation hot spots from the sky. In Fukushima, we demonstrated that a Cs-137 distribution within a 100 m diameter can be mapped correctly within a couple of tens of minutes. The advanced use of the Compton camera is also anticipated in the field of proton therapy. We evaluated an image of 511 keV annihilation gamma-rays emitted from a PMMA phantom irradiated by 200 MeV protons to mimic an in-beam monitor for proton therapy. Finally, we developed an ultracompact Compton camera (weight = 580 g), for 3-D multicolor molecular imaging. In order to demonstrate the performance capabilities of the device, I-131 (365 keV) , Sr-85 (SrCl2, 514 keV), and Zn-65 (ZnCl2, 1116 keV) were injected into a living mouse and the data were taken from 12 angles with a total acquisition time of 2 h. We confirmed that all tracers had accumulated on the target organs of the thyroid, bone, and liver, and that the obtained 3-D image was quantitatively correct with an accuracy of ±20%