Radiotherapy for carcinoma of the esophagus in aged patients

One hundred fifty-four patients with esophageal carcinoma were treated with either irradiation alone or irradiation combined with surgery at the University of Occupational and Environmental Health Hospital between January 1980 and February 1992. The number of patients 75 years old and older was 25. In patients 74 years old and younger, the overall five-year survival rate by Kaplan-Meier method was 24.5%. The survival rate was best in the patients who were treated by a combination of irradiation and surgery. In patients 75 years old and older, the one-year survival rate was 59%, and the three-year rate was 20%. Aged patients had a tendency to be worse in performance status, and there was no correlation between treatment modality and survival time. We conclude that radiotherapy is useful for treating esophageal cancer in aged patients particularly when maintenance of the quality of life is considered.     

Reconstitution of hepatic tissue architectures from fetal liver cells obtained from a three-dimensional culture with a rotating wall vessel bioreactor

Reconstitution of tissue architecture in vitro is important because it enables researchers to investigate the interactions and mutual relationships between cells and cellular signals involved in the three-dimensional (3D) construction of tissues. To date, in vitro methods for producing tissues with highly ordered structure and high levels of function have met with limited success although a variety of 3D culture systems have been investigated. In this study, we reconstituted functional hepatic tissue including mature hepatocyte and blood vessel-like structures accompanied with bile duct-like structures from E15.5 fetal liver cells, which contained more hepatic stem/progenitor cells comparing with neonatal liver cells. The culture was performed in a simulated microgravity environment produced by a rotating wall vessel (RWV) bioreactor. The hepatocytes in the reconstituted 3D tissue were found to be capable of producing albumin and storing glycogen. Additionally, bile canaliculi between hepatocytes, characteristics of adult hepatocyte in vivo were also formed. Apart from this, bile duct structure secreting mucin was shown to form complicated tubular branches. Furthermore, gene expression analysis by semi-quantitative RT-PCR revealed the elevated levels of mature hepatocyte markers as well as genes with the hepatic function. With RWV culture system, we could produce functionally reconstituted liver tissue and this might be useful in pharmaceutical industry including drug screening and testing and other applications such as an alternative approach to experimental animals.     

Crack growth characteristics of carbon nanotube-based polymer composites subjected to cyclic loading

This paper presents the characterization of crack growth in carbon nanotube (CNT)-based polymer composites under fatigue loading. Fatigue crack growth tests were performed on single-edge cracked plate specimens of CNT/polycarbonate composites at room temperature and liquid nitrogen temperature (77 K). An elastic–plastic finite element analysis was also conducted to determine the J-integral range. The crack growth rate data were expressed in terms of the J-integral range, and the effect of nanotube addition on the fatigue crack growth behavior was examined. In addition, possible mechanisms of the crack growth in the nanocomposites are discussed based on microscopic observations of the specimen fracture surfaces.     

Development of a variable quench pressure relief valve for superconducting magnet system

A new variable quench pressure relief valve (VQRV) for a superconducting magnet system has been developed at the High Energy Accelerator Research Organization (KEK). The VQRV is designed that the setting of the blowout pressure can be freely controlled and be maintenance-free for long-term operation.A prototype VQRV was tested under a high radiation environment up to 2.5 MGy. The heat load of 1.5 W at 4.2 K and a seat leakage rate of 4.5 × 10⁻⁷ kg/s at 4.2 K of the VQRV were confirmed. It has enough performances for the cryogenic system operation in the Japan Proton Accelerator Research Complex (J-PARC) neutrino beam line.The design and test results of the VQRV are described in this technical note.     

Survival and disability in stroke by stroke subtype based on computed tomographic findings in three rural Japanese communities

PURPOSE: We conducted an epidemiological study of survival and disability in stroke in three Japanese communities to seek community strategies for improvement in survival and disability. METHODS: A total of 297 first-ever strokes were identified between 1988 and 1992 in three rural communities (total population = 47,000) located in Akita and Ibaraki. We analyzed survival rates and activity of daily living by sex, age-group and stroke subtypes. Successful review of computed tomography (CT) for 84 percent of the strokes (249 out of 297) was possible and the data were used for subtype analyses. RESULTS: For all strokes (n = 297) survival rates were 85% for 30 day, 70% for one year, 62% for three year. The rates tended to be lower in women than in men. The rates were lowest in ages less than 60 at thirty day, and in ages 80 and older at the end of the first and third year. Intracerebral hemorrhage with ventricular rupture, subarachnoid hemorrhage and cortical cerebral infarction had lower survival rates than intracerebral hemorrhage without ventricular rupture and lacunar infarction. Based on Cox's proportional hazard model, risk ratio for death was 2.07 in ages 70-79, and 3.80 in ages 80 and older compared with ages 60-69. The risk ratio was 3.46 for intracerebral hemorrhage with ventricular rupture, 3.38 for subarachnoid hemorrhage and 2.46 for cortical cerebral infarction compared with lacunar infarction. The proportion of stroke survivors who need assistance from others in the first and third years tended to be higher in women than in men. The proportion was higher in older patients than in the younger, and higher for intracerebral hemorrhage with ventricular rupture and cortical cerebral infarction than in other subtypes of stroke. From logistic regression analysis, the odds ratio for disability in the first year was 6.55 for ages 80 and older compared with ages 60-69. The odds ratio was 5.61 for intracerebral hemorrhage with ventricular rupture, 4.53 for cortical cerebral infarction compared with lacunar infarction. In the third year the odds ratio was significant for ages 70-79, and decreased for intracerebral hemorrhage with ventricular rupture (odds ratio = 2.98), and increased for cortical cerebral infarction (odds ratio = 6.06). CONCLUSIONS: Survival and disability in stroke depended on age and stroke subtypes. Even after age adjustment, stroke subtypes with large cerebral involvement had worse prognosis than stroke subtypes. Community-based hypertension control programs are important to prevent any subtypes of stroke. Stroke subtypes as well as age should be taken into account to develop effective care and medical treatments for strokes.     

Synthesis and electrical properties of sodium bismuth niobate Na0.5Bi2.5Nb2O9

The crystal structure of Na_0.5Bi_2.5Nb₂O₉ was refined from its powder X-ray diffraction (XRD) data. Sodium bismuth niobate at 23 °C is orthorhombic, A2₁am, with a=5.4998(3) Å, b=5.4602(2) Å, c=24.952(1) Å, and Z=4. The piezoelectric properties were investigated using the dense bulk ceramics. The electromechanical coupling coefficients (k_ij) and electrical quality factors (Q_m) are k₃₁=3.2%, k_t=10.0%, and Q_m=3800. Single crystals were also grown from stoichiometric melts using a slow cooling technique. The dielectric and ferroelectric properties of the crystal indicates that a spontaneous polarization clearly occurs in the crystallographic a-b plane.