Coronary artery bypass grafting in cases with poor left ventricular function

From January 1987 through June 1992, 18 patients with poor left ventricular function (left ventricular ejection fraction [LVEF] less than 0.3) underwent elective isolated primary coronary artery bypass surgery. The mean age was 56.4 years (range, 46 to 72 years), and 15 were males and 3 were females. Mean pre-operative LVEF measured by ventriculography was 0.26 +/- 0.03 (range, 0.19 to 0.30). Sixteen patients (88.9%) had a prior myocardial infarction and 9 (50%) had a history of congestive heart failure. Complete revascularization was the goal for all patients, and the mean number of bypass grafts was 3.0 +/- 0.8 per patient. The left anterior descending coronary artery (LAD) was revascularized in all patients. There were no operative deaths. Post-operative LVEF improved significantly from 0.26 +/- 0.03 to 0.42 +/- 0.11 (p = 0.0002), and the regional left ventricular wall motion improved in the diaphragmatic and posterobasal regions (p < 0.01). The patency of the grafts was 93.9% in all, and 100% for LAD. The mean follow-up period was 77 months, and the overall actuarial survival rate was 88.9% at 10 years. During follow-up periods, two patients died of congestive heart failure (CHF), and two required three rehospitalizations because of CHF. The overall cardiac event free rate was 75.8% at 10 years. In patients with poor left ventricular function, surgical revascularization can be performed safely, but congestive heart failure sometimes occurs during follow-up periods and may be the cause of death. Therefore alternate forms of therapy such as cardiac transplantation and/or TMLR should be considered in selected patients.     

Radical resection of primary malignant melanoma of the gallbladder with multiple metastases: report of a case

We present herein an usual case of primary malignant melanoma of the gallbladder in a 51-year-old man in whom an exploratory laparotomy for melena revealed six malignant melanoma lesions located in the gallbladder, main pancreatic duct, stomach, duodenum, jejunum, and a mesenteric lymph node. Total pancreatectomy was performed and histologically, junctional activity was seen only in the gallbladder, suggesting that this was the primary site. No melanotic lesions were found on the skin or eyes. The metastases to the main pancreatic duct and gastrointestinal tract appeared likely to have occurred as a consequence of the mucosal dissemination of the tumor cells shed into the bile. The post-operative course was uneventful and combined chemotherapy was administered for 16 months. No new metastatic lesions were found until 21 months postoperatively, when metastases were detected in the brain and thoracic spinal cord. These metastatic tumors were removed surgically, but the patient died from cerebral disturbance 26 months after the initial operation. Thus, we consider that aggressive surgical therapy was effective for extending the survival time and improving the quality of life of this patient.     

Crystal structure of poly[bis(3,4-dimethylphenoxy)phosphazene]

The crystal structure and chain conformation of poly[bis(3,4-dimethylphenoxy)phosphazene] — PB (dMe) PP — have been studied by X-ray diffraction techniques. The unit cell of this polymer shows an orthorhombic form with the crystallographic parameters a=2.05, b=1.49, c (chain axis)=0.998 nm. Its space group is determined as Pbcn-D _2h ¹⁴ where the molecular chains are located at the centre and each corner of the unit cell, which contains eight monomeric units; these molecular chains possibly have a — (trans ₃ cis)₂-conformation. The R factor calculated from the final crystal structure was estimated as 16.9%. As with other types of polyorganophosphazenes, the thermotropic transformation in PB (dMe) PP takes place from the three-dimensionally ordered state to its two-dimensional psuedohexagonal form (a _h = 1.49 nm), accompanied by a latent heat change at 96 °C.     

Efficacy of granisetron in the prevention of emesis induced by conditioning chemotherapy for allogeneic bone marrow transplantation

We conducted this study to compare granisetron, 5-HT3 antagonist, with conventional antiemetics in the prophylaxis of emesis induced by conditioning chemotherapy for allogeneic bone marrow transplantation in 41 patients. The conditioning chemotherapy regimen included either cytosine arabinoside 2 g/m2 x 4 and cyclophosphamide 60 mg/kg x 2 (CA, CY), or busulfan 4 mg/kg x 4 and cyclophosphamide 60 mg/kg x 2 (BU, CY). In CA and CY regimen, the clinical effective rate with granisetron against emesis was 94.1% on the 1st day, compared with 7.6% in the control group. On day 2 and 3, the effective rate with granisetron was 58.8% and 23.5%, respectively, compared with 0% in the control group. In the BU and CY regimen, control of emesis with granisetron on day 5 and 6 was 66.7%, against 20.0% in the control group. Based on these data, we concluded granisetron is superior to conventional antiemetics in the prophylaxis of emesis induced by conditioning for allogeneic bone marrow transplantation.     

Novel method for producing amorphous rice flours by milling without adding water

The present study investigated a novel milling method for producing amorphous rice starch without adding water. A new type of milling machine was developed (termed the shear and heat milling machine (SHMM)), which is capable of applying mechanical shear and heat during the milling process. The SHMM consisted of a pair of rice mortars attached to a servomotor and a ring heater. The heater was installed on the upper mortar; the temperature of the upper mortar was monitored and controlled by a thermal controller. Wide‐angle X‐ray diffraction (WAXD) analysis was used to determine the crystallinities of starch in rice flour samples produced using the SHMM at different milling temperatures. The WAXD data for milled rice flour that had been heated exhibited no diffraction peaks. This experimental result demonstrates that the developed SHMM produces amorphous rice starch easily by milling with heating without the addition of water. The milling conditions such as the shear and heat applied can be used to control the crystallinity of starch in rice.     

Effects of Light‐Induced Regularity on the Physical Properties of Multiphase Polymers

A method that combines UV irradiation and pausing was developed to manipulate the regularity and the length scales of the morphology generated by phase separation in full‐interpenetrating polymer networks of polystyrene and poly(methyl methacrylate). Upon increasing the pause time of photopolymerization and photo‐crosslink processes, the morphology gradually changes from hexagonal‐like packing to random structures. The width of the loss tan δ obtained for these phase‐separated materials changes with the morphological regularity, suggesting a potential technique for fabrication of mechanical bandgap materials.

     

Epithelial Cell Transformation and Senescence as Indicators of Genome Aging: Current Advances and Unanswered Questions

The recent advances in deciphering the human genome allow us to understand and evaluate the mechanisms of human genome age-associated transformations, which are largely unclear. Genome sequencing techniques assure comprehensive mapping of human genetics; however, understanding of gene functional interactions, specifically of time/age-dependent modifications, remain challenging. The age of the genome is defined by the sum of individual (inherited) and acquired genomic traits, based on internal and external factors that impact ontogenesis from the moment of egg fertilization and embryonic development. The biological part of genomic age opens a new perspective for intervention. The discovery of single cell-based mechanisms for genetic change indicates the possibility of influencing aging and associated disease burden, as well as metabolism. Cell populations with transformed genetic background were shown to serve as the origin of common diseases during extended life expectancy (superaging). Consequently, age-related cell transformation leads to cancer and cell degeneration (senescence). This article aims to describe current advances in the genomic mechanisms of senescence and its role in the spatiotemporal spread of epithelial clones and cell evolution.     

First plasma experiment on spherical tokamak device UTST

The UTST (University of Tokyo Spherical Tokamak) device was constructed for the purpose of exploring the formation of ultrahigh‐beta ST (spherical tokamak) plasma using the double null plasma merging method. When two plasmas merge together to form a single plasma, magnetic field lines reconnect, and magnetic field energy is converted to plasma kinetic energy, increasing the plasma beta. Merging start‐up has been demonstrated in the TS‐3/4, START, and MAST devices using coils inside the vacuum vessel, and the TS‐3 plasma obtained a 50% beta. In order to demonstrate start‐up in a more reactor‐relevant situation, UTST has all poloidal field (PF) coils outside the vacuum vessel. The first plasma experiment on the UTST was begun in December 2007. In the results, the plasma obtained 10 kA by using only the outer PF coils and a single ST was generated in the lower area (z = –0.3 to –1.0 m) close to a washer gun. This result suggests that another washer gun on the top of the UTST can allow the generation of ST in the upper area and merging start‐up by using outer PF coils. © 2012 Wiley Periodicals, Inc. Electr Eng Jpn, 179(2): 20–26, 2012; Published online in Wiley Online Library ( wileyonlinelibrary.com ). DOI 10.1002/eej.21216     

Development of lateral displacement sensor for real‐time detection of structural damage

We have developed a novel sensor that enables us to measure the relative story displacement of a building structure in real time. This lateral displacement sensor (LDS) is composed of a light‐emitting diode (LED) array, which is fixed on the ceiling, and a position‐sensitive detector (PSD) unit, which is placed on the floor. We optimized the LDS to achieve high accuracy in lateral displacement measurement. The accuracy was evaluated to be 60 µm by conducting shaking table tests. Two LDSs were implemented in an actual building equipped with an active variable stiffness (AVS) system, and the building was vibrated with seismic waveforms by an exciter placed on the rooftop. The seismic displacement of the second floor relative to the first floor was measured using the LDS. Furthermore, the inclination angle of the second floor could be measured using the LDS during the seismic vibration. Using the AVS system, we realized the residual displacement of the second floor without inducing damage to the building, and succeeded in real‐time residual displacement measurement for the first time. These results indicate that the LDS is useful for the health diagnosis of a building structure. © 2011 Institute of Electrical Engineers of Japan. Published by John Wiley & Sons, Inc.     

Stochastic model predictive braking control for heavy-duty commercial vehicles during uncertain brake pressure and road profile conditions

When heavy-duty commercial vehicles (HDCVs) must engage in emergency braking, uncertain conditions such as the brake pressure and road profile variations will inevitably affect braking control. To minimize these uncertainties, we propose a combined longitudinal and lateral controller method based on stochastic model predictive control (SMPC) that is achieved via Chebyshev–Cantelli inequality. In our method, SMPC calculates braking control inputs based on a finite time prediction that is achieved by solving stochastic programming elements, including chance constraints. To accomplish this, SMPC explicitly describes the probabilistic uncertainties to be used when designing a robust control strategy. The main contribution of this paper is the proposal of a braking control formulation that is robust against probabilistic friction circle uncertainty effects. More specifically, the use of Chebyshev–Cantelli inequality suppresses road profile influences, which have characteristics that are different from the Gaussian distribution, thereby improving both braking robustness and control performance against statistical disturbances.Additionally, since theKalman filtering (KF) algorithm is used to obtain the expectation and covariance used for calculating deterministic transformed chance constraints, the SMPC is reformulated as a KF embedded deterministic MPC. Herein, the effectiveness of our proposed method is verified via a MATLAB/Simulink and TruckSim co-simulation.