Aldosterone to Potassium Ratio after Adrenocorticotropin Stimulation in Unilateral Primary Aldosteronism Diagnosis

Article信州医学雑誌 68(3): 159-168(2020)journal articl

Novel prospective umbrella-type lung cancer registry study for clarifying clinical practice patterns: CS-Lung-003 study protocol

Introduction Conventional cancer registries are suitable for simple surveillance of cancer patients, including disease frequency and distribution, demographics, and prognosis; however, the collected data are inadequate to clarify comprehensively diverse clinical questions in daily practice. Methods We constructed an umbrella‐type lung cancer patient registry (CS‐Lung‐003) integrating multiple related prospective observational studies (linked studies) that reflect clinical questions about lung cancer treatment. The primary endpoint of this registry is to clarify daily clinical practice patterns in lung cancer treatment; a key inclusion criterion is pathologically diagnosed lung cancer. Under this registry, indispensable clinical items are detected in advance across all active linked studies and gathered prospectively and systematically to avoid excessive or insufficient data collection. Researchers are to input information mutually, irrespective of the relevance to each researcher's own study. Linked studies under the umbrella of the CS‐Lung‐003 registry will be updated annually with newly raised clinical questions; some linked studies will be newly created, while others will be deleted after the completion of the analysis. Enrollment began in July 2017. Discussion We successfully launched the umbrella‐type CS‐Lung‐003 registry. Under this single registry, researchers collaborate on patient registration and data provision for their own and other studies. Thus, the registry will produce results for multiple domains of study, providing answers to questions about lung cancer treatment raised by other researchers. Through such analysis of each linked study, this registry will contribute to the comprehensive elucidation of actual daily practice patterns in lung cancer treatment. Key points CS‐Lung‐003 registry directly integrates multiple linked studies created under the umbrella of this cancer registry to solve various clinical questions regarding daily practice patterns of lung cancer treatment

Wavelength-dependent magnetic transitions of self-organized iron-aluminum stripes induced by pulsed laser irradiation

We investigate the laser wavelength dependence of structural and magnetic transitions on the surface of an iron-aluminum (FeAl) alloy induced by nanosecond pulsed laser irradiation. The formation of self-organized FeAl stripes with a wavelength-dependent period is observed in a local area on the (111)-oriented plane. Focused magneto-optical Kerr effect measurements reveal that the coercivity reaches up to 1.2 kOe with increasing the magnetic field rotation angle, which is estimated from the stripe direction, in FeAl stripes irradiated at 355 nm, and its magnetization reversal can be explained by the domain-wall motion model. On the other hand, the magnetization reversal agrees with the Stoner-Wohlfarth model in FeAl stripes irradiated at 1064 nm. This magnetic transition originates from the B2-to-A2 phase transition in stripe structures and bulk regions. These results indicate that the magnetic transition from the incoherent to coherent mode as well as the structural transformation of stripe patterns can be controlled by the incident laser wavelength. (C) 2015 AIP Publishing LLC

Use-dependent increase in attention to the prosthetic foot in patients with lower limb amputation

Abstract Patients with lower limb amputation experience “embodiment” while using a prosthesis, perceiving it as part of their body. Humans control their biological body parts and receive appropriate information by directing attention toward them, which is called body-specific attention. This study investigated whether patients with lower limb amputation similarly direct attention to prosthetic limbs. The participants were 11 patients with lower limb amputation who started training to walk with a prosthesis. Attention to the prosthetic foot was measured longitudinally by a visual detection task. In the initial stage of walking rehabilitation, the index of attention to the prosthetic foot was lower than that to the healthy foot. In the final stage, however, there was no significant difference between the two indexes of attention. Correlation analysis revealed that the longer the duration of prosthetic foot use, the greater the attention directed toward it. These findings indicate that using a prosthesis focuses attention akin to that of an individual’s biological limb. Moreover, they expressed that the prosthesis felt like a part of their body when they could walk independently. These findings suggest that the use of prostheses causes integration of visual information and movement about the prosthesis, resulting in its subjective embodiment