Measurement of liver volume and hepatic functional reserve as a guide to decision-making in resectional surgery for hepatic tumors

The respective volumes of hepatic tumors and nontumorous parenchyma of 50 patients requiring hepatectomy of more than one segment of Healey for tumor removal were measured using computed tomography (Vol-CT). The volume estimated by Vol-CT was found to correlate with the real weight resected (P < .0001) with a mean absolute error of 64.9 mL. The ratio of the nontumorous parenchymal volume of the resected liver to that of the whole liver (R2) in 15 patients who underwent right or extended right hepatic lobectomy was 43% +/- 15%. Eight of 15 patients with R2s < 60% underwent the procedures without right portal vein embolization (PE). The other seven with R2s exceeding 60% or an indocyanine green retention rate after 15 minutes (ICG15) of 10% to 20% underwent PE: in six of seven, the nontumorous parenchyma of the right hepatic lobe became atrophic and in all seven, the volume of the remaining left hepatic lobe increased with a decrease in the mean R2 from 62% +/- 14% to 55% +/- 8% (P = .0006). In the remaining 35 who underwent other hepatectomy procedures, R2s also remained <60%. Overall, at surgery, in 27 with normal liver function (ICG15 < 10%), R2s exceeded 60% in one, remained at 50% to 60% in five, and <50% in 21, whereas 23 patients except for one with an ICG15 exceeding 10%, had R2s of <50%. The postoperative serum total bilirubin levels in 84% of the patients remained within the normal range and there was no surgery-related mortality. In conclusion, 1) Vol-CT can accurately assess the extent of liver resection, 2) individuals with normal liver function can undergo resection of up to 60% of the nontumorous parenchyma without the need for PE, and 3) PE can be used to reduce the size of the resected tissue and increase the volume of the remnant liver to approximate the target limits in individuals with large tumors or minimally abnormal liver function.     

Fabrication and characteristics of polyfluorene based organic photodetectors using fullerene derivatives

The characteristics of organic photodetectors (OPDs) by solution process using one of the polyfluorene derivatives poly(9,9-dioctylfluorene-co-bithiophene) (F8T2) and two fullerene derivatives [6-6]phenyl-C61-butyric acid methyl ester (PCBM) or N-Ts aziridinofullerene (TsAF) are investigated. F8T2:PCBM devices showed good rectifying characteristics in a dark state and photosensitive characteristics, and fast frequency responses. Weight ratio of 1:1 device showed larger photocurrent than 1:4 device and obtained over 50 MHz of cutoff frequency under reverse bias voltage of 10 V. This result suggests that F8T2:PCBM device can be applied to a photodetector for detecting several tens of megahertz optical signals under blue light irradiation. The polarity of J–V characteristics of F8T2:fullerene derivative device is strongly affected by charge injection and extraction between fullerene derivative and electrodes.     

Investigation of pathways of advanced glycation end-products accumulation in macrophages

Advanced glycation end-products (AGE) play a role in the pathogenesis of several diseases, including diabetic complications and atherosclerosis. In atherosclerotic lesions of human aortas, AGE are localized in the extracellular matrix and intracellularly in foam cells. Two interpretations are possible for AGE accumulation inside macrophages, one is endocytic uptake of extracellular AGE-proteins by scavenger receptors; the other is intracellular AGE formation inside the macrophages. In the present study, we determined the pathways involved in AGE accumulation inside macrophages. RAW 264.7 cells, a murine macrophage cell line, incubated with BSA and 1600 mM glucose for 40 weeks, recognized heavily modified AGE- BSA. In contrast, the cells showed no ligand activity for mildly modified AGE-BSA, prepared by incubating BSA with 50 mM glucose for 24 weeks. Nepsilon-(carboxymethyl)lysine (CML)-modified proteins of about 65 kDa were detected in human monocyte-derived macrophages incubated for 7 days with 30 mM glucose and phorbol myristate acetate. Furthermore, CML was generated when glycated protein was incubated with hypochloric acid. Taken together, our results indicate that AGE detected inside foam cells in atherosclerotic lesions are generated intracellularly rather than representing endocytic uptake of extracellular AGE-proteins by scavenger receptors.     

The development of MHD cold wall channels in the oil-fired condition

The durability of a cold wall MHD generator consisting of metal electrodes and alumina-coated peg insulators was experimentally examined in the oil-fired MHD condition with the additive of SO₂ corresponding to S = 0.54 wt%. The structure of the electrode wall and various anode and cathode materials were tested, with particular reference to developing long-life electrodes. It was clarified that Pt, SHOMAC (28.8 Cr−1.9 Mo) and SUS-304 as anodes and W---Cu (70 W−30 Cu) and WC---Ag (60 WC−40 Ag) alloys as cathodes were promising for durability and that the structure of an anode divided into two elements connected to each other with an SnO₂ resistor was very useful for uniformity of the anode corrosion pattern and the inter-anode voltages. It is reasonable to expect, from the test results, that the lifetime of a cold wall MHD generator in an oil-fired commercial plant will be over 4000 h, and therefore, a foundation for its commercial use has been established.     

Accumulation of triosephosphate isomerase, with sequence homology to Beta amyloid peptides, in vessel walls of the newborn piglet hippocampus

We investigated whether beta-amyloid (Abeta)-like immunoreactivity was seen in the brains of newborn piglets. The immunoreactivity for Abeta(1-42) and Abeta(1-40) proteins, but not Abeta precursor protein, was present in CD68-positive perivascular cells of the hippocampus and in parts of the meninges. It was colocalized with immunoreactivity for receptor for advanced glycation end product and tumor necrosis factor-alpha. The protein with a molecular mass of 27 kDa, which was recognized by the Abeta antibodies, was identified as triosephosphate isomerase (TPI) with sequence homology to Abeta peptides by N-terminal amino acid sequencing, mass fingerprint analysis using matrix-associated laser desorption/ionization mass spectrometry, and Western blotting. Western blotting assay also revealed that detectable expression of Abeta proteins were not seen in the piglet brains. These findings indicate that TPI with sequence homology to Abeta peptides accumulates in perivascular cells of the microglia/macrophage lineage located around arterial vessels of the newborn piglet hippocampus.     

Investigation of the voltage life of mica-alumina composite insulation at high temperatures

Experiments and investigations were carried out on the voltage life of a bar-coil model with a nickel-plated copper conductor covered with mica-alumina composite insulation at a temperature range of 550–850 °C. Diffusion of copper into the insulation layer was observed on the specimens aged for a long period. Insulation with mica paper gave faster diffusion speed and shorter voltage life than insulation with mica flake. The diffusion speed became higher with an increase in temperature. The ac current gradually increased with aging time and increased rapidly just before breakdown. There was the relationship I = aEⁿ (a, n: constants) between ac current I and applied stress E, and n was approximately equal to 1 in the region where thermal unbalance did not occur. Arrhenius's law held in the relationship between ac current and aging time. Therefore, the breakdown mechanism might be that the effective insulation thickness decreased due to copper diffusion into the insulation layer and the ac current increased gradually until thermal breakdown in the last stage. If copper diffuses into the insulation layer, even with no voltage application, the aging time required to decrease the breakdown voltage to a certain level (the voltage life) obeys Arrhenius's law. If the voltage life is dominated by diffusion into the insulation layer, the activation energy for voltage life in the aging test becomes twice that for diffusion, both with and without voltage application. © 1999 Scripta Technica, Electr Eng Jpn, 129(4): 24–31, 1999     

Fundamental Evaluation of Power Supply and Rectifiers for Wireless Power Transfer Using Magnetic Resonant Coupling

This paper provides a fundamental analysis of a power supply and rectifiers for wireless power transfer using magnetic resonant coupling (MRC). MRC enables efficient wireless power transfer over middle‐range transfer distances. MRC for wireless power transfer should operate at a high frequency in the industry science medical band, such as 13.56 MHz, because the size of the transfer device decreases at higher transfer frequencies. Therefore, the output frequency of the power supply on the transmitting side should be 13.56 MHz. In addition, the rectifier on the receiving side is operated at a high frequency. This paper focuses on the reflected power in the power supply and rectifiers. Thus, the parametric design method is clarified for the power supply, including a low‐pass filter to match the output, the impedance of the power supply with the characteristic impedance of the transmission line. In addition, the effects on the rectifiers of silicon carbide and gallium nitride diodes are confirmed by performing an experiment and a loss analysis.     

Differences in the extent of inflammation caused by intratracheal exposure to three ultrafine metals: role of free radicals

The Concorde trial compared immediate (Imm) with deferred (Def) AZT monotherapy in asymptomatic HIV-positive participants. Haematological and immunological markers and weight were measured throughout, and correlated with clinical endpoints. Markers associated with disease progression (CD4 lymphocyte count and percentage, platelets, p24 antigen and beta 2 microglobulin favoured Imm: those associated with toxicity (haemoglobin, neutrophils and white cell count) favoured Def. CD8 and total lymphocyte count did not differ significantly between groups. In multivariate analysis, the combination of baseline CD4, p24 antigen and beta 2m was the best baseline predictor of disease. Including change in CD4 and beta 2m at 12 weeks, or changes over follow-up in these markers significantly improved the fit. Markers were also incorporated into the definition of 'clinical' endpoints. Hazard ratio estimates from end-points that included CD4 < 50 and CD4 < 25 were closest to those for AIDS or death alone, but added very few extra events. Use of other landmark CD4 counts (100 or greater) or relative decreases in counts (25% or more) increased the number of events, but overestimated the effect of immediate AZT. Although AZT had a beneficial effect on the surrogate markers of efficacy evaluated, these changes did not predict clinical outcome, nor could the markers be usefully incorporated into an endpoint definition.