Ankle-Brachial Index as a Prognostic Indicator in Patients with Atrial Fibrillation -A Subanalysis of the IMPACT-ABI Study

Article信州医学雑誌 67(3): 197-204(2019)journal articl

A MULTIMEDIA MODEL FOR THE EVALUATION OF ENVIRONMENTAL BEHAVIOR OF DIOXINS

Joint Research on Environmental Science and Technology for the Eart

Inhibitory neurons exhibit high controlling ability in the cortical microconnectome

脳が安定して活動を続けられるメカニズムの一端を解明 --新皮質で、抑制性細胞は他細胞を制御しやすいトポロジカルな位置取りをする--. 京都大学プレスリリース. 2021-04-09.The brain is a network system in which excitatory and inhibitory neurons keep activity balanced in the highly non-random connectivity pattern of the microconnectome. It is well known that the relative percentage of inhibitory neurons is much smaller than excitatory neurons in the cortex. So, in general, how inhibitory neurons can keep the balance with the surrounding excitatory neurons is an important question. There is much accumulated knowledge about this fundamental question. This study quantitatively evaluated the relatively higher functional contribution of inhibitory neurons in terms of not only properties of individual neurons, such as firing rate, but also in terms of topological mechanisms and controlling ability on other excitatory neurons. We combined simultaneous electrical recording (~2.5 hours) of ~1000 neurons in vitro, and quantitative evaluation of neuronal interactions including excitatory-inhibitory categorization. This study accurately defined recording brain anatomical targets, such as brain regions and cortical layers, by inter-referring MRI and immunostaining recordings. The interaction networks enabled us to quantify topological influence of individual neurons, in terms of controlling ability to other neurons. Especially, the result indicated that highly influential inhibitory neurons show higher controlling ability of other neurons than excitatory neurons, and are relatively often distributed in deeper layers of the cortex. Furthermore, the neurons having high controlling ability are more effectively limited in number than central nodes of k-cores, and these neurons also participate in more clustered motifs. In summary, this study suggested that the high controlling ability of inhibitory neurons is a key mechanism to keep balance with a large number of other excitatory neurons beyond simple higher firing rate. Application of the selection method of limited important neurons would be also applicable for the ability to effectively and selectively stimulate E/I imbalanced disease states

Prognostic Impact of Cardio-renal-anemia Syndrome in Patients at Risk for Heart Failure from the IMPACT-ABI study

Article信州医学雑誌 68(3): 139-147(2020)journal articl

EGFR Mutations in NSCLC treated with Afatinib

Epidermal growth factor receptor (EGFR)-tyrosine kinase inhibitors such as afatinib are used for non-small cell lung cancer (NSCLC) and show varying efficacy depending on EGFR gene mutation. Few studies have examined the relationship between EGFR gene mutations and the adverse events of afatinib in NSCLC. This retrospective study included 32 Japanese patients with NSCLC with EGFR gene mutation who were treated with afatinib between May 2014 and August 2018 at Kagawa University Hospital. Among the 32 Japanese patients with NSCLC treated with afatinib, 19 patients were positive for exon 19 deletion mutation (Del 19) and 13 patients were negative for Del 19. The incidence of grade ≥ 2 skin rash was slightly higher in patients positive for Del 19 (42.1% vs. 7.7%, P = 0.050). No significant differences were detected in other adverse events between the two patient groups. Patients positive for Del 19 also showed significantly longer median progression-free survival (288 vs. 84 days, P = 0.049). Our study indicates a higher incidence of skin rash associated with afatinib treatment in Japanese patients with NSCLC positive for Del 19 compared with patients without Del 19. The Del 19 positive patient group also showed better progression-free survival

The Traditional Japanese Medicine (Kampo) Boiogito has a Dual Benefit in Cardiorenal Syndrome: A Pilot Observational Study

Article信州医学雑誌 62(2):89-97(2014)journal articl

Characteristics of plasma parameters and turbulence in the isotope-mixing and the non-mixing states in hydrogen–deuterium mixture plasmas in the large helical device

Characteristics of plasma parameters and turbulence in the isotope-mixing and the non-mixing states in hydrogen-deuterium mixture plasmas in the large helical device are discussed. The isotope mixing state is characterized by the uniform isotope ratio profile regardless of the location of the particle source of each species in the isotope mixture plasma. The isotope non-mixing state is identified by the non-uniform isotope ratio profile measured with bulk charge exchange spectroscopy when the beam fueling isotope species differs from the recycling isotope species. The effect of collisionality, $T_e/T_i$ ratio, sign of density gradient on transition between isotope mixing and non-mixing is discussed. The plasma parameters preferable for the non-mixing state are found to be lower collisionality, higher $T_e/T_i$, and negative or zero density gradient (peaked or flat density profile). The time scale of transition from non-mixing to mixing is evaluated by the hydrogen and deuterium pellet injection near the plasma edge and is found to be less than 5 ms, which is much shorter than the particle confinement time. The strong correlation between isotope mixing and turbulence characteristics is observed. This strong correlation suggests the change in turbulence is a strong candidate for the mechanism causing the transition between uniform and non-uniform isotope density ratio profiles