95 research outputs found
Comparison of prognosis between patients of pancreatic head cancer with and without obstructive jaundice at diagnosis
AbstractPurposeThe aim of this study was to elicit possible differences in prognoses and clinicopathological factors in pancreatic head cancer with and without obstructive jaundice at diagnosis.MethodsThe data from 169 patients with pancreatic head cancer were retrospectively analyzed.ResultsPatients were divided into two groups according to serum total bilirubin at diagnosis: âĽ3 mg/dL for icteric group and <3 mg/dL for non-icteric group. In all cases, icteric group (n = 104) had a significantly worse prognosis than non-icteric group (n = 65) (median survival time (MST), 7.5 months (M) vs. 13.5 M, respectively; P = 0.049). In 84 resectable cases, icteric group had a significantly worse prognosis than non-icteric group (MST, 14.2 M vs. 20.9 M, respectively; P = 0.049) after almost equivalent treatment intensities. Icteric group had significantly larger T- and N-factors according to the UICC Classification compared to non-icteric group. The total number of lymph node metastases in icteric group was significantly larger than in non-icteric group (P = 0.008). The intrapancreatic nerve invasion in icteric group was significantly stronger than in non-icteric group (P = 0.016). There were no significant differences in the mortality and morbidity between icteric and non-icteric groups. In 85 unresectable cases, there was no significant difference between the survival periods of icteric and non-icteric groups (MST, 5.2 M vs. 5.3 M, respectively).ConclusionsThe presence of obstructive jaundice at diagnosis in patients with pancreatic head cancer may predict an unfavorable survival compared to such patients without obstructive jaundice
Characteristics of physical activity during beginner-level group tennis lessons and the effect daily activity
Kawakami R., Yamakawa S., Konda S., et al. Characteristics of physical activity during beginner-level group tennis lessons and the effect daily activity. Scientific Reports 14, 249 (2024); https://doi.org/10.1038/s41598-023-46843-0.Tennis is a popular leisure sport, and studies have indicated that playing tennis regularly provides many health benefits. We aimed to clarify the characteristics of physical activity during beginner-level group tennis lessons and daily physical activity of the participants. Physical activity was measured using an accelerometer sensor device for four weeks, including the 80-min duration tennis lessons held twice a week. Valid data were categorized for tennis and non-tennis days. The mean physical activity intensity during the tennis lesson was 3.37 METs. The mean ratio of short-bout rest periods to the tennis lesson time in 90 and 120Â s was 7% and 4%, respectively. The mean physical activity intensity was significantly higher (p < 0.0001) and the duration of vigorous-intensity physical activity (VPA) was increased in 76% of participants on days with tennis lessons compared to without tennis lessons. Beginner-level tennis lesson has characteristics of less short-bout rest physical activity than previously reported competitive tennis match and increased the duration of VPA in daily activity compared to without tennis lessons, suggesting that beginner-level tennis lessons contribute physical activity of health benefits
Characterization of isotope effect on ion internal transport barrier and its parameter dependence in the Large Helical Device
In this paper, the background physics of the isotope effects in the ion internal transport barrier (ITB) are discussed in detail. An heuristic criterion for the ITB strength is defined based on the nonlinear dependence of the ion thermal diffusivity on the local ion temperature in the L-mode phase. Comparing deuterium plasmas and hydrogen plasmas, two isotope effects on the ion ITB are clarified: stronger ITBs formed in the deuterium plasmas and an ITB concomitant edge confinement degradation in the hydrogen plasmas. Principal component analysis reveals that the ion ITB becomes strong when a high input power normalized by the line averaged electron density is applied and electron density profile is peaked. A gyrokinetic simulation suggests that the ITB profile is determined by the ion temperature gradient driven turbulence, while the way the profile saturates in L-mode plasmas is unknown. In the electron density turbulence behavior, a branch transition is observed, where the increasing trend in turbulence amplitude against the ITB strength is flipped to a decreasing trend across the ITB formation. The radial electric field structure is measured by the charge exchange recombination spectroscopy system. It is found that the radial electric field shear plays a minor role in determining the ITB strength
Time-resolved triton burnup measurement using the scintillating fiber detector in the Large Helical Device
Time-resolved measurement of triton burnup is performed with a scintillating fiber detector system in the deuterium operation of the large helical device. The scintillating fiber detector system is composed of the detector head consisting of 109 scintillating fibers having a diameter of 1âmm and a length of 100âmm embedded in the aluminum substrate, the magnetic registrant photomultiplier tube, and the data acquisition system equipped with 1 GHz sampling rate analogies to digital converter and the field programmable gate array. The discrimination level of 150 mV was set to extract the pulse signal induced by 14 MeV neutrons according to the pulse height spectra obtained in the experiment. The decay time of 14 MeV neutron emission rate after neutral beam is turned off measured by the scintillating fiber detector. The decay time is consistent with the decay time of total neutron emission rate corresponding to the 14 MeV neutrons measured by the neutron flux monitor as expected. Evaluation of the diffusion coefficient is conducted using a simple classical slowing-down model FBURN code. It is found that the diffusion coefficient of triton is evaluated to be less than 0.2 m2 sâ1
Magnetized Fast Isochoric Laser Heating for Efficient Creation of Ultra-High-Energy-Density States
The quest for the inertial confinement fusion (ICF) ignition is a grand
challenge, as exemplified by extraordinary large laser facilities. Fast
isochoric heating of a pre-compressed plasma core with a high-intensity
short-pulse laser is an attractive and alternative approach to create
ultra-high-energy-density states like those found in ICF ignition sparks. This
avoids the ignition quench caused by the hot spark mixing with the surrounding
cold fuel, which is the crucial problem of the currently pursued ignition
scheme. High-intensity lasers efficiently produce relativistic electron beams
(REB). A part of the REB kinetic energy is deposited in the core, and then the
heated region becomes the hot spark to trigger the ignition. However, only a
small portion of the REB collides with the core because of its large
divergence. Here we have demonstrated enhanced laser-to-core energy coupling
with the magnetized fast isochoric heating. The method employs a
kilo-tesla-level magnetic field that is applied to the transport region from
the REB generation point to the core which results in guiding the REB along the
magnetic field lines to the core. 7.7 1.3 % of the maximum coupling was
achieved even with a relatively small radial area density core (
0.1 g/cm). The guided REB transport was clearly visualized in a
pre-compressed core by using Cu- imaging technique. A simplified
model coupled with the comprehensive diagnostics yields 6.2\% of the coupling
that agrees fairly with the measured coupling. This model also reveals that an
ignition-scale areal density core ( 0.4 g/cm) leads to much
higher laser-to-core coupling ( 15%), this is much higher than that achieved
by the current scheme
Plasma pharmacokinetics after combined therapy of gemcitabine and oral S-1 for unresectable pancreatic cancer
<p>Abstract</p> <p>Background</p> <p>The combination of gemcitabine (GEM) and S-1, an oral 5-fluorouracil (5-FU) derivative, has been shown to be a promising regimen for patients with unresectable pancreatic cancer.</p> <p>Methods</p> <p>Six patients with advanced pancreatic cancer were enrolled in this pharmacokinetics (PK) study. These patients were treated by oral administration of S-1 30 mg/m<sup>2 </sup>twice daily for 28 consecutive days, followed by a 14-day rest period and intravenous administration of GEM 800 mg/m<sup>2 </sup>on days 1, 15 and 29 of each course. The PK parameters of GEM and/or 5-FU after GEM single-administration, S-1 single-administration, and co-administration of GEM with pre-administration of S-1 at 2-h intervals were analyzed.</p> <p>Results</p> <p>The maximum concentration (Cmax), the area under the curve from the drug administration to the infinite time (AUCinf), and the elimination half-life (T1/2) of GEM were not significantly different between GEM administration with and without S-1. The Cmax, AUCinf, T1/2, and the time required to reach Cmax (Tmax) were not significantly different between S-1 administration with and without GEM.</p> <p>Conclusion</p> <p>There were no interactions between GEM and S-1 regarding plasma PK of GEM and 5-FU.</p
Time dependent neutron emission rate analysis for neutral-beam-heated deuterium plasmas in a helical system and tokamaks
A neutron emission rate analysis code called FBURN, based on the classical energetic ion confinement assumption with radial diffusion, is developed for the time-dependent analysis of the total neutron emission rate (Sn) in neutral beam (NB) heated deuterium plasmas. The time trend of Sn evaluated by FBURN shows good agreement with the Sn measured by the neutron flux monitor on the deuterium operation of the Large Helical Device. The dependence of Sn on line-averaged electron density (ne_avg) has a peak at ne_avg of around 2.5 Ă 1019 mâ3 in both experiment and calculation. Here, the absolute value of Sn evaluated by calculation agrees with that obtained in experiments within a factor of two. A time trend analysis of Sn in an electron cyclotron heated plasma with a short pulse NB injection is performed. The analysis shows that the diffusion coefficient of co-going transit beam ions is 0.2 to 0.3 m2 sâ1. In addition, the diffusion coefficient of helically trapped beam ions decreases from 5 to 3 m2 sâ1 with the inward shift of the magnetic axis position. Time-resolved analysis of the triton burnup experiment shows that the diffusion coefficient of tritons is around 0.15 m2 sâ1. It is found that the diffusion coefficients of the beam and tritons are of a similar value as obtained in JT-60U. The trend of the triton burnup ratio on the ne_avg calculated by the FBURN agrees with the experiments. The results suggest that the decrease of the triton burnup ratio with the increase of ne_avg is due to the shorter slowing down time of tritons by the decrease of the electron temperature, and the increase of the triton burnup ratio with the increase of ne_avg is due to the diffusion of tritons. Time trend analysis of Sn in the Korea Superconducting Tokamak Advanced Research and the Experimental Advanced Superconducting Tokamak plasmas with a short pulse NB injection is performed. The time trend of Sn is successfully reproduced by FBURN
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