高齢非弁膜症性心房細動患者における脳卒中既往の臨床転帰に対する影響 : ANAFIEレジストリ

広島大学(Hiroshima University)博士(医学)Doctor of Philosophy in Medical Sciencedoctora

On the Dependence of the Limit Functions on the Random Parameters in Random Ergodic Theorems

We study the structure of the ergodic limit functions determined in random ergodic theorems. When the r random parameters are shifted by the -shift transformation with , the major finding is that the (random) ergodic limit functions determined in random ergodic theorems depend essentially only on the random parameters. Some of the results obtained here improve the earlier random ergodic theorems of Ryll-Nardzewski (1954), Gladysz (1956), Cairoli (1964), and Yoshimoto (1977) for positive linear contractions on and Woś (1982) for sub-Markovian operators. Moreover, applications of these results to nonlinear random ergodic theorems for affine operators are also included. Some examples are given for illustrating the relationship between the ergodic limit functions and the random parameters in random ergodic theorems

Data Fitting by a Spline

This paper presents an algorithm for the computation of data-fitting by a cubic spline. The normal equation derived from the algorithm is not ill-conditioned. If it is assumed that the data are subjected to some independently distributed error about their trend, the regression theory provides the desired estimate of variance, like the expression that is known when we use the orthogonal polynomials

Novel slow dynamics of phase transition in the partially ordered frustrated magnet DyRu2Si2

DyRu2Si2 is a frustrated magnet to exhibit multiple magnetic phase transition in zero and finite magnetic fields. We investigated and characterized the phase transition between the partially-ordered antiferromagnetic phases at zero field by ac susceptibility measurements. Detailed ac susceptibility measurements reveal the novel critical dynamics of the phase transition; extremely slow dynamics with the relaxation time in the order of 10-100 msec, speed-up of the dynamics on cooling indicating its non-thermally activated origin and growing of the ferromagnetic correlations towards the phase transition temperature. On the basis of these findings, we propose the novel phase transition process, namely, the spontaneous striped-arrangement of the precedently emergent "belt-like" ferromagnetic spin texture.Comment: Accepted by JPSJ URL:https://journals.jps.jp/doi/10.7566/JPSJ.92.09470

Comparison of postoperative pulmonary function and air leakage between pleural closure vs. mesh-cover for intersegmental plane in segmentectomy

<p>Abstract</p> <p>Background</p> <p>To prevent postoperative air leakage after lung segmentectomy, we used two methods for the intersegmental plane: closing it by suturing the pleural edge (pleural closure), or opening it with coverage using polyglycolic acid mesh and fibrin glue (mesh-cover). The preserved forced expiratory volume in one second (FEV₁) of each lobe and the postoperative air leakage were compared between the two groups.</p> <p>Methods</p> <p>For 61 patients who underwent pleural closure and 36 patients who underwent mesh-cover, FEV₁of the lobe before and after segmentectomy was measured using lung-perfusion single-photon-emission computed tomography and CT (SPECT/CT). The groups' results were compared, revealing differences of the preserved FEV₁of the lobe for several segmentectomy procedures and postoperative duration of chest tube drainage.</p> <p>Results</p> <p>Although left upper division segmentectomy showed higher preserved FEV₁of the lobe in the mesh-cover group than in the pleural closure one (<it>p </it>= 0.06), the other segmentectomy procedures showed no differences between the groups. The durations of postoperative chest drainage in the two groups (2.0 ± 2.5 vs. 2.3 ± 2.2 days) were not different.</p> <p>Conclusions</p> <p>Mesh-cover preserved the pulmonary function of remaining segments better than the pleural closure method in left upper division segmentectomy, although no superiority was found in the other segmentectomy procedures. However, the data include no results obtained using a stapler, which cuts the segment without recognizing even the intersegmental plane and the intersegmental vein. Mesh-cover prevented postoperative air leakage as well as the pleural closure method did.</p

Combined subsegmentectomy: postoperative pulmonary function compared to multiple segmental resection

<p>Abstract</p> <p>Background</p> <p>For small peripheral c-T1N0M0 non-small cell lung cancers involving multiple segments, we have conducted a resection of subsegments belonging to different segments, i.e. combined subsegmentectomy (CSS), to avoid resection of multiple segments or lobectomy. Tumor size, location of tumor, and forced expiratory volume in 1 second (FEV₁) of each preserved lobe were compared among the CSS, resection of single segment, and that of multiple segments.</p> <p>Methods</p> <p>FEV₁of each preserved lobe were examined in 17 patients who underwent CSS, 56 who underwent resection of single segment, and 41 who underwent resection of multiple segments, by measuring pulmonary function and lung-perfusion single-photon-emission computed tomography and computed tomography before and after surgery.</p> <p>Results</p> <p>Tumor size in the CSS was significantly smaller than that in the resection of multiple segments (1.4 ± 0.5 vs. 2.0 ± 0.8 cm, p = 0.002). Tumors in the CSS were located in the right upper lobe more frequently than those in the resection of multiple segments (53% vs. 5%, p < 0.001). Postoperative of FEV₁of each lobe after the CSS was higher than that after the resection of multiple segments (0.3 ± 0.2 vs. 0.2 ± 0.2 l, p = 0.07). Mean FEV₁of each preserved lobe per subsegment after CSS was significantly higher than that after resection of multiple segments (0.05 ± 0.03 vs. 0.03 ± 0.02 l, p = 0.02). There was no significant difference of these factors between the CSS and resection of single segment.</p> <p>Conclusions</p> <p>The CSS is effective for preserving pulmonary function of each lobe, especially for small sized lung cancer involving multiple segments in the right upper lobe, which has fewer segments than other lobes.</p