Coupled Breathing Oscillations of Two-Component Fermion Condensates in Deformed Traps

We investigate collective excitations coupled with monopole and quadrupole oscillations in two-component fermion condensates in deformed traps. The frequencies of monopole and dipole modes are calculated using Thomas-Fermi theory and the scaling approximation. When the trap is largely deformed, these collective motions are decoupled to the transverse and longitudinal breathing oscillation modes. As the trap approaches becoming spherical, however, they are coupled and show complicated behaviors.Comment: 18 pages and 8 figure

Phase Separation of Multi-Component Bose-Einstein Condensates of Trapped Atoms and Molecules with a Homonuclear Feshbach Resonance

We investigate phase separation of Bose-Einstein condensates (BECs) of two-component atoms and one-component molecules with a homonuclear Feshbach resonance. We develop a full model for dilute atomic and molecular gases including correlation of the Feshbach resonance and all kinds of interparticle interactions, and numerically calculate order parameters of the BECs in spherical harmonic oscillator traps at zero temperature with the Bogoliubov's classical field approximation. As a result, we find out that the Feshbach resonance can induce two types of phase separation. The actual phase structures and density profiles of the trapped gases are predicted in the whole parameter region, from the atom dominant regime to the molecule dominant regime. We focus on the role of the molecules in the phase separation. Especially in the atom dominant regime, the role of the molecules is described through effective interactions derived from our model. Furthermore we show that a perturbative and semi-classical limit of our model reproduces the conventional atomic BEC (single-channel) model.Comment: 11pages, 4 figure

尿閉を来たしたハイリスク患者に対する尿道ステント(アンジオメッドメモサーム)の使用経験

著者らは, 尿閉を来したハイリスク患者に対して, 尿道ステント(アンジオメッド・メモサーム)留置を試みて, 良好な結果が得られた.対象症例15例のうち, 2名は再度尿閉を来し, 1名はステントへの結石付着が原因でステントを抜去せざるをえなかったが, 残る12名はステント留置後から良好な排尿状態を保持することができた.また, BPHだけでなく, 原疾患がNGBと思われる症例に対しても効果を期待できることが確認できた.以上, 非侵襲的で簡便なこの手技は, 本来尿道カテーテルを留置されるべきハイリスク患者に自排尿を促せる, すなわちQOLを高めることのできる優れた手技であると示唆されたTransurethral resection of the prostate (TUR-P) has been established as the golden standard for the treatment of urinary retention in patients with benign prostatic hyperplasia (BPH). However, TUR-P is not performed on patients with certain high-risk complications. We have obtained favorable results using urethral stent (Angiomed-Memotherm) implantation to treat high-risk urinary retention patients. Here, we review the results obtained on 15 patients treated using this procedure. Two patients experienced recurrent urinary retention; in one patient, the stent had to be removed due to stone formation; in the remaining 12 patients, urination was favorable after stent implantation. Also, urethral stent implantation was found to be useful in 4 of the 7 patients with neurogenic bladder (rather than BPH) as the underlying disease. The present technique is convenient and noninvasive, and we strongly believe that it can improve the patient's quality of life (QOL) by facilitating urination in high-risk patients who would otherwise require urethral catheterization

ICBT survey for cervical cancer

To review the current status of, and labor expended for (in terms of time required), intracavitary brachytherapy (ICBT) in definitive radiotherapy/chemoradiotherapy for cervical cancer patients, two national surveys were performed. The first survey was conducted between July and August 2016 and consisted of a questionnaire of 12 items regarding ICBT procedures for cervical cancer, which was sent to 173 centers installed with high-dose-rate remote after-loading brachytherapy systems. Between November and December 2016, another survey was performed in 79 centers to evaluate labor required for ICBT procedures in terms of time spent and number of staff involved. In the first survey, the response rate was 77% of the 173 centers. ICBT was performed for cervical cancer in 118 (89%) centers. Imaging modalities used after applicator insertion were X-ray alone in 46 (40%), computed tomography in 69 (60%) and magnetic resonance imaging in 5 (4%) centers. Three-dimensional (3D) planning was performed in 55 centers (48%). Fifty-five (70%) centers responded to the second survey regarding ICBT-mandated labor. The median cumulative duration of the entire ICBT procedure was 330 min (the sum of the times spent by each staff member) and was longer in the 3D image–guided brachytherapy (3D-IGBT) (405 min) than in the X-ray group (230 min). This trend was significant for the specific processes of image acquisition and treatment planning, especially for radiation oncologists. In definitive radiotherapy/chemoradiotherapy for cervical cancer patients, 3D-IGBT use has been gradually spreading in Japan. The present survey revealed that ICBT, especially 3D-IGBT, requires substantial labor and time from staff

異所性抗利尿ホルモン産生を呈した前立腺癌の1例

88歳男, 尿閉を主訴とし, 前立腺特異抗原(PSA)値, 直腸診所見から前立腺生検を施行し, 低分化型腺癌と診断された.血液生化学検査の結果, 抗利尿ホルモン(ADH)分泌異常症候群診断基準を満たしていた.また血中及び前立腺癌組織中のADH値の上昇を認め, 免疫組織化学的検査において腫瘍細胞はPSAに陽性で, ADHに対しても軽度陽性であった.酢酸リュープロレリンとフルタミドによる抗アンドロゲン療法に反応し, 90日後には血液生化学所見も正常となったが, 治療開始6ヵ月後に胃潰瘍からの大量出血により死亡した.異所性ADH産生性前立腺癌症例は本症例を含め10例目の報告であるAn 88-year-old patient with a poorly differentiated adenocarcinoma of the prostate gland was found to have all cardinal findings of syndrome of inappropriate antidiuretic hormone secretion (SIADH). Elevated levels of antidiuretic hormone were found in the patient's serum and in the prostatic tumor and the cytoplasms of the tumor was positive for prostate specific antigen and was faintly positive for antidiuretic hormone (ADH). He responded well to combination therapy of androgen blockade with leuprorelin acetate and flutamide, and laboratory findings of SIADH and serum ADH level returned to normal. However, he died of sudden profuse bleeding caused by gastric ulcers 6 months after the therapy. Ten cases of SIADH caused by prostatic cancer have been reported including the present case

Complete response to preoperative chemoradiotherapy in highly advanced gastric adenocarcinoma

This report presents a case of highly advanced gastric cancer that achieved a histologically complete response (CR) to preoperative chemoradiotherapy with S-1 plus low-dose Cisplatin. A 60-year-old male patient underwent FDG positron emission tomography (PET) during a routine health examination. The patient was found to have swollen paraaortic lymph nodes. Shortly thereafter, he was diagnosed with gastric carcinoma with a type 2 tumor in the antrum with paraaortic lymph node metastases based on FDG-PET, endoscopic examination and abdominal computed tomography. After the completion of chemoradiation therapy (CRT), the tumor and the paraaortic lymph node metastases disappeared. The patient underwent surgery 5 wk after the completion of CRT, including a subtotal gastrectomy with Roux-en-Y reconstruction, D3 lymph node dissection and a left adrenalectomy. No cancer cells were detected in the resected specimen either in the primary lesion or lymph nodes, thus confirming a pathologically CR to CRT (CR grade 3). The patient has been stable and well without any evidence of recurrence for 48 mo after surgery. Such a preoperative CRT regimen might therefore be very effective for treatment of some advanced gastric cancers