Outcome of Endoscopy-Assisted Microscopic Extended Transsphenoidal Surgery for Suprasellar Adult Craniopharyngiomas

Craniopharyngiomas are difficult to treat. The extended transsphenoidal approach has recently been described in several small series. We describe the usefulness of microscopy-assisted angled endoscopy for visualizing vital structures such as tumor attachment or tumor invasion to the pituitary stalk to achieve confident radical tumor removal. Between 2006 and 2010, 15 patients underwent the microscopy-assisted extended transsphenoidal approach for resection of entirely suprasellar craniopharyngiomas. Fourteen patients had the transinfundibular type, and one had the transinfundibular type with extension to the third ventricle. We observed color change within the pituitary stalk by endoscopy. The pituitary stalk was cut intentionally in 10 patients because of suspected tumor invasion surrounding the stalk. Total removal was accomplished in nine patients. Pathological specimens from the pituitary stalk showed tumor invasion spreading over the surface of the pituitary stalk, shown by a discolored pituitary stalk, and this was essential for confident radical tumor removal. Even after stalk resection, postoperative diabetes insipidus was minimal when a bright signal on T1 in the posterior lobe was not observed with preoperative magnetic resonance imaging. Confident radical tumor removal is possible with the introduction of the endoscopy-assisted microscopic extended transsphenoidal approach

Histochemical and Ultrastructural Study of Clara Cell Granules in the Guinea Pig

Histochemical studies using light and electron microscopes were undertaken to see what chemical components make up the Clara cell granules in guinea pig lung. Light microscopically, it was suggested that they may contain a variable amount of proteins, carbohydrates, and phospholipids. On the other hand, electron microscopic examination with digestive treatment with pepsin as well as chloroform-methanol clearly demonstrated that the main component of the crystalline granules of the guinea pig Clara cells was the proteins. It was, therefore, concluded that Clara cell granules are complex compounds made up mainly of proteins with small amounts of carbohydrates and phospholipids

Protective Effect of Eicosapentaenoic Acid on Insulin Resistance in Hyperlipidemic Patients and on the Postoperative Course of Cardiac Surgery Patients: The Possible Involvement of Adiponectin

Accumulated studies have shown that ω-3 polyunsaturated fatty acids such as eicosapentaenoic acid (EPA) have protective roles against inflammatory responses such as hyperlipidemia, diabetes mellitus (DM) and cardiovascular diseases. Here we examined the effects of administering EPA to hyperlipidemic patients and other patients undergoing cardiac surgery to determine whether this treatment would increase plasma EPA levels and to clarify the association between EPA treatment and adiponectin production in hyperlipidemic patients. We also assessed the effect of preoperative EPA administration on postoperative adverse events such as postoperative atrial fibrillation (POAF) and postoperative infection in the cardiac surgery patients. The EPA administration significantly increased the serum EPA concentrations in both patient populations (p＜0.001). In the hyperlipidemic patients, the EPA administration significantly increased plasma adiponectin levels (p＜0.05), accompanied by a decrease in insulin resistance designated by the HOMA-IR (homeostasis model assessment of insulin resistance) score (p＜0.05) and Hs-CRP (high sensitivity C-reactive protein) value (p＜0.05). In the cardiac surgery patients, no significant effect of EPA on cardiac adverse events such as POAF was observed. However, our results clearly demonstrated that both the neutrophil-to-lymphocyte ratio and the 2nd-line antibiotic requirement in the EPA group were significantly decreased compared to the untreated control group (p＜0.05). We suggest that EPA administration may exert anti-inflammatory effects in patients with hyperlipidemia and in those undergoing cardiac surgery, possibly through an increase in plasma adiponectin levels

Contents of the Digital Natural History Museum of Hiroshima University, especially in the field of biology

広島大学デジタル自然史博物館は，広島大学の開学以来長年にわたって蓄積された教育・研究に関する知的資産を外部に公開し，生涯学習や学校教育のために活用することを目的として設置されている。デジタル自然史博物館には生物学や地学とそれに関係する資料が含まれる。特徴のあるコンテンツとしてはコケ植物や世界遺産宮島に関するものがあげられる。コンテンツの大部分は日本語であり，アクセス数は2015年度以降増加傾向にある。今後，現在進めているMediaWiki を使ったシステムへの移行を進めるとともに，コンテンツの充実やICT を使った学習への対応，運用母体の強化などを通じて，教育・研究のためだけでなく地域貢献のためのリソースとして発展させる計画である。The Digital Natural History Museum of Hiroshima University is a cluster of web sites for dissemination and practical use of educational and research resources for lifelong learning as well as school education in collaboration with laboratories and centers of Hiroshima University, Japan. The museum site includes contents on biological, environmental and earth sciences, mainly in Japanese with some English, especially bryophytes and the world heritage listed Itsukushima (Miyajima) Island, Hiroshima Prefecture, Japan. Online site access has increased since 2015. The museum site is now transferring the html based system to the MediaWiki system which is a free and open-source wiki software. For regional studies we plan to expand significantly the content of available resources to enable greater use and ease of access through information and communication technology (ICT)

Factors Predicting Bone Mineral Density (BMD) Changes in Young Women over A One-year Study:Changes in Body Weight and Bone Metabolic Markers during the Menstrual Cycle and Their Effects on BMD

Currently, 26% of Japanese women in their twenties are under weight, and therefore at risk of developing various metabolic abnormalities due to an inadequate nutrient intake, which in turn affects the acquisition of a peak bone mineral density (BMD). In this study, we aimed to clarify the effects of menstrual cycle-related changes in body weight and bone metabolic marker levels on the BMD changes. The subjects were 42 women (19.6±0.8 years). The levels of osteocalcin (OC), BAP, s-NTx, u-DPD, and E2 in the menstrual and ovulatory phases were measured. The associations between dependent variables (BMD changes/year in the lumbar spine, femur, femoral neck) and explanatory variables (body weight changes/year, the levels of OC, BAP, s-NTx, u-DPD) were evaluated using multiple regression analysis. Analysis of the correlations between the changes in bone metabolic markers and changes in BMD showed a correlation between the OC level in the menstrual phase and changes in the BMD of the entire femur, suggesting that a high OC level protects against BMD reduction, probably by promoting osteoblast activity, and that bone formation activity suppresses the decrease in BMD. These results suggest that, to predict BMD changes from bone metabolic markers in young women, it is necessary to measure OC levels in the menstrual phase