Endoscopic papillary balloon dilatation for common bile duct stones: efficacy of combination with extracorporeal shockwave lithotripsy for large stones

BACKGROUND: Endoscopic papillary balloon dilatation (EPBD) is generally considered a safe and effective technique for removal of common bile duct (CBD) stones. However, some reports have prompted concern about the risk of pancreatitis following the procedure, and it seems to be more difficult and to require adjunctive procedures more frequently in patients with large stones. AIMS: To analyse the factors influencing pancreatitis after the procedure, and to examine which is the more suitable adjunct for treating large stones, mechanical lithotripsy (ML) or extracorporeal shockwave lithotripsy (ESWL). PATIENTS AND METHODS: EPBD was performed in 92 patients, including 40 with large stones (> or = 12 mm). These 40 patients were randomly assigned to two groups receiving ML or ESWL to fragment stones (20 patients each). RESULTS: Complete ductal clearance was obtained in all 92 patients. Significant elevation of the serum amylase level compared with the prior value (> 300 IU/l) was observed in 26 (28%), and eight (8.7%) developed clinical pancreatitis. To assess the influence of various factors on the amylase level, multivariate analysis was used. The number of stones and the time required for treatment had a significant influence on the incidence of increased amylase level (P < 0.05), and ML also significantly increased it (P < 0.05). On the other hand, the amylase level remained low in the ESWL group. ML caused elevation of amylase level in 11 patients (55%), while three (15%) had elevation after ESWL. CONCLUSIONS: In patients with multiple stones, elevation of the amylase level is more frequent. This seems to be because repeated cannulation and much time is required for treatment. In patients with large stones, the rate was also high if ML was used, but was low when ESWL was used. ESWL may reduce the incidence of pancreatitis.     

Very high power line-selective CO2 laser with (line-selective) unstable resonator

By replacing the conventional (non line-selective) unstable resonator, we succeeded in developing the very high power line-selective (line-tunable) CO₂ laser as a pumping source for high power molecular gas (e.g.NH₃) lasers in the infrared and far-infrared regions. The experiments were performed by using the very high power CO₂ laser (4A unit of Lekko VIII) at The Institute of Laser Engineering, Osaka University. The output power of 9R(30)9.22µ m line from the developed CO₂ laser, for instance, exceeded 0.5GW/pulse (50J/pulse with pulse width of 100nsec).     

Determination of Polycyclic Aromatic Hydrocarbons in the fecal Materials of Mactra veneriformis and Excrement of Marphysa sanguinea

The concentration of polycyclic aromatic hydrocarbons (PAHs) was measured in the sediment, a bivalve (Mactra veneriformis), fecal materials (feces and pseudofeces) of M. veneriformis, and excrement (feces) of an annelid (Marphysa sanguinea), which were collected in the Yoro tidal flat in Chiba, Japan. The total PAH concentration was 350 μg/kg-dry in the fecal materials of M. veneriformis and 977 μg/kg-dry in the excrement of M. sanguinea; these values were about 8–23 times as large as that of the sediment. The concentration of the fecal materials stayed constant even after 24 h, whereas that of the excrement decreased to half in 2 h. The sediment and fecal materials of M. veneriformis showed a high level of PAHs with lower molecular weight such as phenanthrene, fluoranthene, and pyrene; on the other hand, the excrement of M. sanguinea showed a high level of PAHs with higher molecular weight such as chrysene, benzo[b]fluoranthene, benzo[a]pyrene, and perylene. The logarithm of the concentration factor, defined as the ratio of the concentration of individual PAHs in the fecal materials or excrement to that in the sediment, correlated with the logarithm of the n-octanol/water partition coefficient for the PAHs (R ² = 0.803). These findings indicate that the sources and characteristics of the fecal materials of M. veneriformis and the excrement of M. sanguinea are different.     

Catalytic Activity of Mesoporous Silica for Synthesis of Methyl N-Phenyl Carbamate from Dimethyl Carbonate and Aniline

Mesoporous silica MCM-41, especially an Al-containing one, showed high catalytic activity for synthesis of methyl N-phenyl carbamate from dimethyl carbonate and aniline at 363-383 K. It was easily separated from the product solution, and the catalyst was able to be used repeatedly.     

BaO-TiO2-WO3 Microwave Ceramics and Crystalline BaWO4

Microwave ceramic resonators composed of BaO-TiO₂-WO₃ were developed. The effect of WO₃ addition on the system of BaO·xTiO₂·(1+x)yWO₃ (x=4 and 4.5, y=0 to 0.04) was studied. The ceramics of this system are composed of crystallines including Ba₂Ti₉O₂₀, BaTi₄O₉, BaWO₄, and TiO₂. At y=0.02, the BaO·4TiO₂·0.1WO₃ ceramic was found to have excellent microwave properties such as ε=35, Q=8400 at 6 GHz, and nearly 0 ppm/°C of τ_f.     

基于液晶引流效应的微流体驱动方式开发

以开发全新微流体驱动与控制方式为目标,运用液晶弹性形变理论与Leslie-Ericksen理论,对两平行板内电场引起的液晶流动进行研究。理论计算中主要讨论了扭转角对流动剖面图的影响:扭转角对流动的空间特征量影响较大,对于时间特征量没有影响。实验中采用5 V低电压驱动,通过向液晶混入极少量微粒子观察流动的特性,结果与理论计算结果较吻合。