緑内障患者における Corvis ST と Reichert 7CR から得られた補正眼圧値の比較

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

Introducing Objective Structured Clinical Examinations for Undergraduate Orthoptic Education

Aim: Introducing the objective structured clinical examination (OSCE) to improve orthoptic education and clinical competence including the clinical attitude and skills of orthoptic students.Methods: Subjects were thirty-one fourth grade orthoptic students from our department. Six basic examinations were included in stations for trial use of OSCE. The OSCE were performed and compared before and after the eight weeks clinical training. Ten items of clinical attitude and six examinations were evaluated respectively. Six experienced orthoptists evaluated students\u27 clinical attitude and examination techniques while they were performing simulated patient (SPs) examinations according to the evaluation sheets we designed.Results: After clinical training, both students\u27 attitudes toward SPs and examination techniques including correction of refractive errors improved significantly (p<0.05). However, the refractive correction score did not reach sixty. Attitudes toward SPs improved in eight areas out of ten. Safety procedures during examination and signaling the end of examinations did not attain a score of sixty.Conclusion: We were able to evaluate objectively the effect of clinical training on the clinical competence (attitude toward patients and examination techniques) of students by OSCE. Improvements in the evaluation sheets and crossed-check system are still necessary

Precipitation of calcium compounds onto rock surfaces in water with cementitious material

In this study, the precipitation of minerals onto rock surfaces was investigated to consider whether sealing of pores and cracks in rock can be accelerated. Cylindrical specimens were prepared and then kept in purified water with powders of high-strength and ultra-low-permeability concrete (HSULPC), which will be used to confine transuranic wastes in Japan. Then, the rock specimens were weighed and the surfaces of rock specimens were inspected under a microscope. It was recognized that precipitation occurred on the surface of the rock specimens. It was also shown that precipitation did not occur on rock specimens kept in water without HSULPC. The weight of all specimens stored in HSULPC increased, and the observed weight change was larger for rocks with higher porosities. It is concluded that precipitation of minerals occurs on the rock surface when the rock is kept in water with HSULPC powders. From the results obtained in this study, it is suggested that the sealing of pores and cracks in rock can be accelerated by the precipitation of calcium compounds using HSULPC. It is concluded that HSULPC is useful for underground radioactive waste disposal

A Novel Extraction Method of Fetal Electrocardiogram From the Composite Abdominal Signal

科研費報告書収録論文(課題番号:18390306/研究代表者:木村芳孝/多電極母体腹壁誘導胎児心電図による全週数型胎児心筋虚血モニタリングの基礎研究

Farnesylation of Retinal Transducin Underlies Its Translocation during Light Adaptation

SummaryG proteins are posttranslationally modified by isoprenylation: either farnesylation or geranylgeranylation. The γ subunit of retinal transducin (Tα/Tβγ) is selectively farnesylated, and the farnesylation is required for light signaling mediated by transducin in rod cells. However, whether and how this selective isoprenylation regulates cellular functions remain poorly understood. Here we report that knockin mice expressing geranylgeranylated Tγ showed normal rod responses to dim flashes under dark-adapted conditions but exhibited impaired properties in light adaptation. Of note, geranylgeranylation of Tγ suppressed light-induced transition of Tβγ from membrane to cytosol, and also attenuated its light-dependent translocation from the outer segment to the inner region, an event contributing to retinal light adaptation. These results indicate that, while the farnesylation of transducin is interchangeable with the geranylgeranylation in terms of the light signaling, the selective farnesylation is important for visual sensitivity regulation by providing sufficient but not excessive membrane anchoring of Tβγ

Comparison of cough reflex sensitivity after an inhaled antigen challenge between actively and passively sensitized guinea pigs

BACKGROUND: Late asthmatic response is observed following antigen challenge in actively, but not passively, sensitized guinea pigs. Although cough reflex sensitivity is increased after antigen challenge in actively sensitized guinea pigs, it is unknown whether the antigen-induced increase in cough reflex sensitivity develops in passively sensitized animals. The aim of this study was to compare the cough reflex sensitivity to inhaled capsaicin after an inhaled antigen challenge between actively and passively sensitized guinea pigs. METHODS: Measurement of number of coughs elicited by increasing concentrations of capsaicin (10(-6 )and 10(-4 )M) and bronchial responsiveness to ascending concentrations of methacholine, and analysis of bronchoalveolar lavage fluid (BALF) were separately performed 24 h after an antigen challenge in actively and passively sensitized guinea pigs. RESULTS: Percentage of eosinophils in BALF and bronchial responsiveness to methacholine were increased 24 h after the antigen challenge in both actively and passively sensitized animals compared with saline-challenged actively and passively sensitized animals, respectively. Absolute number of eosinophils in BALF from actively sensitized and antigen-challenged guinea pigs was significantly greater than that from passively sensitized and antigen-challenged animals. Cough response to capsaicin and concentration of substance P in BALF were increased 24 h after the antigen challenge in actively sensitized guinea pigs, but not in passively sensitized guinea pigs. Bronchial responsiveness, cough reflex sensitivity and substance P concentration and total cells in BALF were increased in actively sensitized and saline challenged guinea pigs compared with passively sensitized and saline challenged animals. CONCLUSION: The results suggest that active sensitization per se increases cough reflex sensitivity accompanied by increased inflammatory cells and substance P level in BALF, and antigen challenge further increases them, while simple IgE- and/or IgG-mediated allergic reaction per se or the low intensity of eosinophil infiltration in the airway itself may not affect cough reflex sensitivity in guinea pigs

Identification of 45 New Neutron-Rich Isotopes Produced by In-Flight Fission of a 238U Beam at 345 MeV/nucleon

A search for new isotopes using in-flight fission of a 345 MeV/nucleon 238U beam has been carried out at the RI Beam Factory at the RIKEN Nishina Center. Fission fragments were analyzed and identified by using the superconducting in-flight separator BigRIPS. We observed 45 new neutron-rich isotopes: 71Mn, 73,74Fe, 76Co, 79Ni, 81,82Cu, 84,85Zn, 87Ga, 90Ge, 95Se, 98Br, 101Kr, 103Rb, 106,107Sr, 108,109Y, 111,112Zr, 114,115Nb, 115,116,117Mo, 119,120Tc, 121,122,123,124Ru, 123,124,125,126Rh, 127,128Pd, 133Cd, 138Sn, 140Sb, 143Te, 145I, 148Xe, and 152Ba

Clinical significance and origin of leukocytes that lack HLA-A allele expression in patients with acquired aplastic anemia

To gain insight into the origin and clinical significance of leukocytes that lack human leukocyte antigen A (HLA-A) allele expression caused by a copy-number-neutral loss of heterozygosity in the short arm of chromosome 6 in patients with acquired aplastic anemia (AA), we used a high-sensitivity flow cytometry assay to investigate the presence of HLA-A allele-lacking leukocytes (HLA-LLs) in 144 AA patients. HLA-LLs, accounting for 0.2–99.8% of each leukocyte population, were detected in 18 of 71 (25.4%) newly diagnosed patients and in 25 of 73 (34.2%) previously treated patients. The lineage combination patterns of the HLA-LLs in the 43 HLA-LL+ patients were granulocytes (Gs), monocytes (Ms), B cells (Bs), and T cells (Ts; GMBT) in 13 cases, GMB in 16 cases, GM in 11 cases, and B alone in three cases. The response rate to antithymocyte globulin plus cyclosporine therapy (100%) and the 2-year, failure-free survival rate (100%) in 8 newly diagnosed HLA-LL+ patients were significantly higher than in 23 HLA-LL− patients (52.2% for both). These data suggest that HLA-LLs are a useful marker of the presence of immune pathophysiology in AA and that T-cell attacks against hematopoietic progenitor cells, rather than against hematopoietic stem cells, can trigger bone marrow failure in AA patients. © 2016 ISEH - International Society for Experimental HematologyEmbargo Period 12 month

Huge splenic epidermoid cyst with elevation of serum CA19-9 level

A 30-year-old female was referred to our hospital for further examination of liver dysfunction. A huge, soft mass was noted in her left upper quadrant on physical examination. Abdominal ultrasonography and computed tomography revealed a huge cystic tumor of 20 cm in the hilus of the spleen. Serum CA19-9 was 491 U/ml, and splenectomy was performed under suspicion of a malignant cystic tumor. The inner surface of the cyst was lined by squamous epithelial cells that were immunohistochemically positive for CA19-9. Serum CA19-9 level was normalized after the surgery. Our case of a very rare, huge epidermoid cyst of the spleen suggests that measurement of the serum CA19-9 level is useful for evaluating therapeutic efficacy of a splenic epidermoid cyst