Case of familial amyloid polyneuropathy discovered at the development of hematemesis

In a retrospective study we analyzed clinical features and their prognostic significance in 72 patients with onset of multiple sclerosis by the age of 21 years. In juvenile multiple sclerosis disease progression does not depend on age of onset, severity of neurologic involvement, or polysymptomatic or monosymptomatic involvement at presentation.     

Unidirectional phase-Doppler method for particle-size measurements

We propose what we believe to be a novel unidirectional phase-Doppler method for sizing moving spherical particles on the basis of the phase difference of two polarized Doppler beat signals in a single scattering direction. Light scattered by a moving particle is divided into two rays, which are detected with different polarization angles to transmit dominantly reflected or refracted rays. The phase difference between two signals is linearly proportional to the particle diameter with a given particle refractive index and geometrical parameters of the optical system. To explore the optimum polarization condition, we numerically investigated the phase-diameter properties in relation to polarization angles by using the geometrical optics approximation and generalized Lorenz-Mie theory. We also performed experiments with polystyrene and glass particles to verify the usefulness of the proposed method.     

Novel mesoporous composites based on natural rubber and hexagonal mesoporous silica: Synthesis and characterization

The present study is the first report on the synthesis and characterization of mesoporous composites based on natural rubber (NR) and hexagonal mesoporous silica (HMS). A series of NR/HMS composites were prepared in tetrahydrofuran via an in situ sol–gel process using tetraethylorthosilicate as the silica precursor. The physicochemical properties of the composites were characterized by various techniques. The effects of the gel composition on the structural and textural properties of the NR/HMS composites were investigated. The Fourier-transform infrared spectroscopy (FTIR) and ²⁹Si magic angle spinning nuclear magnetic resonance (²⁹Si MAS NMR) results revealed that the surface silanol groups of NR/HMS composites were covered with NR molecules. The powder X-ray diffraction (XRD) and transmission electron microscopy (TEM) data indicated an expansion of the hexagonal unit cell and channel wall thickness due to the incorporation of NR molecules into the mesoporous structure. NR/HMS composites also possessed nanosized particles (∼79.4 nm) as confirmed by scanning electron microscopy (SEM) and particle size distribution analysis. From N₂ adsorption–desorption measurement, the NR/HMS composites possessed a high BET surface area, large pore volume and narrow pore size distribution. Further, they were enhanced hydrophobicity confirmed by H₂O adsorption–desorption measurement. In addition, the mechanistic pathway of the NR/HMS composite formation was proposed.     

Occurrence of autoantibody to protein disulfide isomerase in rats with xenobiotic-induced hepatitis

Until recently, direct measurements of coronary blood flow in fishes had not been made. This review presents and compares in vivo measurements of coronary flow recorded from the school shark, Galeorhinus australis, and the coho salmon, Oncorhynchus kisutch. In both species, the coronary blood flow was phasic and strongly influenced by the cardiac cycle. Coronary blood flow in the school shark was more severely compromised by the cardiac cycle with a short retrograde flow occurring during systole. In the coho salmon, there was an anterograde coronary blood flow throughout the cardiac cycle. Differences in coronary hemodynamics are discussed in relation to differences in the myoarchitecture of the school shark and coho salmon hearts. The regulation of coronary blood flow through changes in vascular resistance (vasoactivity of the coronary vessels) is also discussed.     

Initial experience with the Cordis stent: analysis of serial angiographic follow-up

Studies were carried out on 150 workers with mental disturbances, who had been involved in the clean-up of the Chernobyl atomic energy station accident. Visual and computer analyses of EEG traces from 43 workers were compared with traces from 17 healthy subjects, and the comparison revealed that the most common features in workers were disorganization of the alpha-rhythm and strengthening of beta-1-activity in the sensorimotor cortex. In neurosis-like syndromes (13 patients), there was a significant increase in the power of the alpha-rhythm in the anterior parts of the cortex; in psycho-organic states, power as significantly reduced (especially in the left hemisphere). Contributing to the greater proportion of flat EEG traces in patients with psycho-organic syndromes as compared with other groups of patients. Most patients among the clean-up workers had increased assimilation of flashing light rhythms and weakening of non-specific and skin galvanic responses to a light stimulus. It was concluded that systemic CNS changes occurred in patients from the clean-up worker groups, especially in those with psycho-organic syndrome.     

A case of fibromatosis needed reconstruction of the chest wall for postoperative local recurrence

The case was a sixty-four-year-old female with a history of fibrous tumor in the right supraclavicular and neck region thirty years ago. A fibrous tumor developed in the right pleural cavity and was surgically resected. Since local recurrence occurred, the chest wall was partially resected including the tumor followed by reconstruction with a composite graft. This graft was made of hydroxyapatite filler wrapped with two sheets of Dacron fabric. A diagnosis of fibromatosis was made according to the study of the resected specimen, which showed unclear borders, homogenisity, poor evidence of nuclear atypia and mitosis in histological examination as well as negative finding of CD 34 in immunohistochemical examination.     

Genetic alterations in primary and secondary hyperparathyroidism

OBJECTIVE: To evaluate treatment of patients with primary liver cancer. DESIGN: Prospective protocol including subsets of randomised studies. SETTING: University hospital, Sweden. SUBJECTS: 123 patients with primary liver cancer. INTERVENTIONS: 64 patients underwent hepatic resection, 25 were included in a trial of adjuvant chemotherapy. 24 further patients whose tumours were not resectable were included in a trial of intra-arterial infusion of doxorubicin. MAIN OUTCOME MEASURES: Survival and postoperative morbidity. RESULTS: The median survival time for patients who had had resections was 11 months (range 0-111). Twelve per cent survived more than 5 years. No prognostic factor had any significant effect on outcome. The postoperative mortality was 11% (7/64). The patients allocated to adjuvant chemotherapy survived a median of 10 months (range 1-47) and the controls 29 months (range 8-111) (p=0.04). Patients with unresectable liver cancer treated with intra-arterial doxorubicin lived no longer than untreated controls (median 8 months (range 1-56) compared with 7 months (range 1-28)). CONCLUSIONS: Treatment of patients with primary liver cancer is still an unsolved problem. Adjuvant chemotherapy with doxorubicin had no beneficial effect on survival.     

Newly developed diabetic retinopathy and its preceding changes in biological markers

To disclose the chronological changes prior to the manifestation of diabetic retinopathy (DR), we analyzed the time course of biological markers among apparently healthy diabetic subjects in a case-control study of 21,579 adults who had undergone comprehensive health examinations for > or = 10 years. We identified 54 cases who had newly developed DR, and selected 108 adults without fundus abnormalities, matching them for sex, age, and fasting plasma glucose (FPG) at the onset of the patient group's retinopathy as a referent group from the same population. In a multivariate analysis, a high average FPG (> 175 mg/dl) and a final-year FPG reduction (< -3%) were significantly associated with a 5.4 (95% CI, 1.8-15.7)- and 5.0 (95% CI, 1.0-24.7)-fold increased risk of DR, respectively. Thus, we surmised that sustained hyperglycemia and a subsequent drop in FPG might promote retinopathy in non-insulin dependent diabetes mellitus.