High accumulation of plasminogen and tissue plasminogen activator at the flow surface of mural fibrin in the human arterial system

AbstractPurpose: We assessed the fibrinolytic activity of the organized mural thrombus lining of aneurysms and prosthetic grafts. Methods: Between May 1995 and April 1998, the full-thickness mural thrombi of aneurysms and the pseudointima lining of vascular grafts were obtained from 12 patients, ranging from 55 to 78 years in age, who underwent elective surgery. These included five aortic arch aneurysms, four abdominal aortic aneurysms, and three patent synthetic vascular grafts. The specimens were subjected to sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE)/immunoblot and immunohistochemistry for human plasmin/plasminogen, tissue plasminogen activator (tPA), and fibrin degradation product (D-dimer). Results: In the SDS-PAGE/immunoblot, 25- and 27-kd bands appeared specifically in experimental fibrin plates after limited digestion by plasmin and were also recognized in the mural thrombi. The presence of bands at 25 and 27 kd, which were most prominent in sections near the flow surface layer, was consistent with the hypothesis that the mural fibrin was digested by the endogenous plasmin. Apparent immunoreactivity was found at the flow surface of the masses at a thickness of 10 to 400 μm, suggesting the presence of a plasminogen and tPA-rich layer, with D-dimer as a consequential product of fibrinolysis. Conclusion: The hypothesis that fibrin surfaces in the arterial system acquire fibrinolytic activity because of digestion by circulating endogenous plasmin was confirmed; this may contribute to the antithrombogenicity of these flow surfaces. (J Vasc Surg 2000;32:374-82.

Adenoid cystic carcinoma of the peripheral lung: a case report

Adenoid cystic carcinoma of the peripheral lung is a rare entity. We recently encountered a patient with adenoid cystic carcinoma. A 75-year-old woman showed a nodular lesion with 10 mm in diameter in the right upper lung field on chest radiography. The diagnosis was unclear, but lung cancer could not be ruled out. Thoracoscopic biopsy was performed, and intraoperative pathological diagnosis revealed the carcinoma of the lung. We enforced upper lobectomy and mediastinal lymph node dissection to the patient. Histopathological examination revealed adenoid cystic carcinoma with a characteristic cribriform structure. Immunohistochemical examination revealed that the tumor cells were positive for thyroid transcription factor 1 (TTF-1), this tumor was diagnosed primary ACC of the lung

A case of dermatomyositis complicated with pleural effusion and massive ascites

We report a patient with dermatomyositis (DM) complicated with progressive pleural effusion and ascites. A 40-year-old woman was hospitalized in our department because of severe myalgia and dysphagia, complicated with pleural effusion and massive ascites. Elevated muscle enzymes, Gottron's papules, and electromyography (EMG) confirmed the diagnosis of DM. Combined immunosuppressive treatment consisting of intravenous immunoglobulin (IV-IG), intravenous-cyclophosphamide (IV-CY) and tacrolimus resolved her myopathy and dysphagia as well as pleural effusion and massive ascites. Her clinical course and the absence of other factors that cause pleural effusion and ascites suggest that these symptoms were related to the pathophysiology of DM

A Consideration of Life Cycle Cost of a Ship

This chapter analyzes main items of fabrication cost and maintenance cost of a ship focusing on hull structure part, based on the actual data from shipyards and ship owners and the relations between these costs. Fabrication cost occupies more than 30%. Hull structural part occupies about 50% and outfitting part occupies about 15%, depending on the features of ships. Building cost is a part of life cycle cost and occupies a big amount. It is considered that building cost occupies about 2/3 of life cycle cost and maintenance cost occupies about 1/3. Material cost of a ship occupies a big amount and reaches to 50–60 % of the total building cost. Among material costs, steel cost is the biggest one and occupies 35%. By increasing the application ratio of higher tensile strength steel from 23% to 80% of hull structural steel, total steel weight is reduced by about 6% and building cost is reduced by about 1%. Maintenance costs are influenced by the management policies of ship owners. Inspections are generally made at periodical survey and intermediate survey in accordance with ship classification rules. In some ships, self inspections are made by ship owners and crews. By utilizing this information the scopes and costs of repairs are estimated. By applying heavy duty painting to very large crude oil carrier (VLCC) at the building stage the life cycle cost will be reduced by about 3% compared with an ordinarily painted one

Micro-cavity perfect blackbody composite with good heat transfer towards a flat-plate reference radiation source for thermal imagers

One of the key measures to secure reliable fever screening is to calibrate a thermal imager with an accurate flat-plate blackbody device in real time. We provide durable perfect blackbody plates with both high emissivity of >0.998 and good heat transfer, ideal for a high-precision reference radiation source. Reflectance measurements and heat transfer simulation demonstrate that a micro-cavity composite of a thin resin double layer or resin mixture with thermally conductive filler is an important solution for improving the emissivity and thermal performance of blackbody plates

High-precision flat-plate reference infrared radiator using perfect blackbody composite with a microcavity structure

Onsite reference infrared radiators are used to correct thermal imagers for noncontact fever screening in real time. We have developed a flat-plate reference radiator of the highest accuracy to enhance reliability of the fever screening. Our contact-durable blackbody composite with good heat transfer, which has a microcavity structured surface offering high emissivity (>0.999), was employed for the emissive surface of the reference radiator. Evaluation of the developed reference radiator regarding the spectral emissivity, in-plane uniformity, and temperature stability demonstrated an unprecedentedly small uncertainty of 0.10℃ for the radiance temperature (95% level of confidence)

Rapid immunohistochemistry based on alternating current electric field for intraoperative diagnosis of brain tumors

Rapid immunohistochemistry (R-IHC) can contribute to the intraoperative diagnosis of central nervous system (CNS) tumors. We have recently developed a new IHC method based on an alternating current electric field to facilitate the antigen-antibody reaction. To ensure the requirement of R-IHC for intraoperative diagnosis, 183 cases of CNS tumors were reviewed regarding the accuracy rate of diagnosis without R-IHC. The diagnostic accuracy was 90.7 % (168/183 cases) in which definitive diagnoses were not provided in 17 cases because of the failure of glioma grading and differential diagnosis of lymphoma and glioma. To establish the clinicopathological application, R-IHC for frozen specimens was compared with standard IHC for permanent specimens. 33 gliomas were analyzed, and the Ki-67/MIB-1 indices of frozen specimens by R-IHC were consistent with the grade and statistically correlated with those of permanent specimens. Thus, R-IHC provided supportive information to determine the grade of glioma. For discrimination between glioma and lymphoma, R-IHC was able to provide clear results of CD20 and Ki-67/MIB-1 in four frozen specimens of CNS lymphoma as well as standard IHC. We conclude that the R-IHC for frozen specimens can provide important information for intraoperative diagnosis of CNS tumors