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1.
Anal Chem ; 93(28): 9771-9777, 2021 07 20.
Artigo em Inglês | MEDLINE | ID: mdl-34240861

RESUMO

Considering the expanding demand for nuclear waste management of the spent nuclear fuel materials in near future, a nondestructive analytical scheme applicable to one of the most difficult-to-measure nuclides 107Pd, which emits no decay γ-rays and whose half-life is too long to be decayed out during a human lifetime, was designed. The scheme consists of a sophisticated instrument capable of the detection of γ-rays by Ge detectors coupled with time-of-flight measurement of neutrons and a high-intensity pulsed neutron beam and can simultaneously perform time-of-flight-coupled prompt γ-ray analysis (TOF-PGA) as well as PGA and neutron resonance capture analysis (NRCA). The analytical capability for simulated samples of the Tc-platinum group metals (Tc-PGMs) obtained by the group-partitioning process of spent nuclear fuels, which contain not only 107Pd but also 99Tc and other difficult-to-measure fission products, was evaluated. It was confirmed that although PGA and NRCA can accurately analyze both nuclides in individual, single substances, only TOF-PGA can analyze 107Pd as well as 99Tc in the Tc-PGM-simulated sample. The TOF-PGA measurement technique can be widely used for the nondestructive analysis of 107Pd and 99Tc in nuclear wastes.


Assuntos
Nêutrons , Resíduos Radioativos , Raios gama , Meia-Vida , Humanos , Radioisótopos
2.
Jpn J Clin Oncol ; 47(1): 47-53, 2017 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-27677662

RESUMO

BACKGROUND: Little is known about quality of life and functional status of patients with terminally ill head and neck cancers. METHODS: We conducted a multicenter, prospective, observational study to examine quality of life and functional status in terminally ill head and neck cancer patients. RESULTS: Of the 100 patients meeting inclusion criteria, 72 were observed until death. There was no significant difference in the quality of life score between baseline and Week 3. Forty patients (54.9%) could speak and 22 patients (30.5%) could have oral intake upon study entry. Fifty-three patients (74.6%) received enteral nutrition. Twenty-six patients (36.6%) required dressing changes for fungating tumors. The route of nutritional intake (nasogastric tube vs. percutaneous gastric tube) might be predictive for the duration of hospital stay (64 vs. 21 days, P = 0.0372). CONCLUSION: There was no significant relationship between quality of life and functional status seen in this study. Feeding tube type could have the most impact on quality of life.


Assuntos
Neoplasias de Cabeça e Pescoço/patologia , Qualidade de Vida , Adulto , Idoso , Nutrição Enteral , Feminino , Neoplasias de Cabeça e Pescoço/mortalidade , Nível de Saúde , Humanos , Intubação Gastrointestinal , Japão , Tempo de Internação , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Taxa de Sobrevida , Doente Terminal , Centros de Atenção Terciária
3.
Proc Natl Acad Sci U S A ; 109(47): 19134-9, 2012 Nov 20.
Artigo em Inglês | MEDLINE | ID: mdl-23129649

RESUMO

The 34-million-year (My) interval of the Late Triassic is marked by the formation of several large impact structures on Earth. Late Triassic impact events have been considered a factor in biotic extinction events in the Late Triassic (e.g., end-Triassic extinction event), but this scenario remains controversial because of a lack of stratigraphic records of ejecta deposits. Here, we report evidence for an impact event (platinum group elements anomaly with nickel-rich magnetite and microspherules) from the middle Norian (Upper Triassic) deep-sea sediment in Japan. This includes anomalously high abundances of iridium, up to 41.5 parts per billion (ppb), in the ejecta deposit, which suggests that the iridium-enriched ejecta layers of the Late Triassic may be found on a global scale. The ejecta deposit is constrained by microfossils that suggest correlation with the 215.5-Mya, 100-km-wide Manicouagan impact crater in Canada. Our analysis of radiolarians shows no evidence of a mass extinction event across the impact event horizon, and no contemporaneous faunal turnover is seen in other marine planktons. However, such an event has been reported among marine faunas and terrestrial tetrapods and floras in North America. We, therefore, suggest that the Manicouagan impact triggered the extinction of terrestrial and marine organisms near the impact site but not within the pelagic marine realm.


Assuntos
Extinção Biológica , Oceanos e Mares , Óxido Ferroso-Férrico/química , Geografia , Japão , Meteoroides , Níquel/química , Paleontologia , Platina/química , Fatores de Tempo
4.
Anal Chem ; 86(24): 12030-6, 2014 Dec 16.
Artigo em Inglês | MEDLINE | ID: mdl-25371049

RESUMO

We developed a new analytical technique that combines prompt gamma-ray analysis (PGA) and time-of-flight elemental analysis (TOF) by using an intense pulsed neutron beam at the Japan Proton Accelerator Research Complex. It allows us to obtain the results from both methods at the same time. Moreover, it can be used to quantify elemental concentrations in the sample, to which neither of these methods can be applied independently, if a new analytical spectrum (TOF-PGA) is used. To assess the effectiveness of the developed method, a mixed sample of Ag, Au, Cd, Co, and Ta, and the Gibeon meteorite were analyzed. The analytical capabilities were compared based on the gamma-ray peak selectivity and signal-to-noise ratios. TOF-PGA method showed high merits, although the capability may differ based on the target and coexisting elements.

5.
Anal Chem ; 85(13): 6336-41, 2013 Jul 02.
Artigo em Inglês | MEDLINE | ID: mdl-23710630

RESUMO

Trace amounts of three halogens (chlorine, bromine, and iodine) were determined using radiochemical neutron activation analysis (RNAA) for nine sedimentary rocks and three rhyolite samples. To obtain high-quality analytical data, the radiochemical procedure of RNAA was improved by lowering the background in gamma-ray spectrometry and completing the chemical procedure more rapidly than in conventional procedures. A comparison of the RNAA data of Br and I with corresponding inductively coupled plasma mass spectrometry (ICPMS) literature data revealed that the values obtained by ICPMS coupled with pyrohydrolysis preconcentration were systematically lower than the RNAA data for some reference samples, suggesting that the quantitative collection of Br and I cannot always be achieved by the pyrohydrolysis for some solid samples. The RNAA data of three halogens can classify sedimentary rock reference samples into two groups (the samples from inland water and those from seawater), implying the geochemical significance of halogen data.

6.
Jpn J Clin Oncol ; 43(1): 33-6, 2013 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-23225906

RESUMO

OBJECTIVE: Early-stage oral or oropharyngeal carcinomas are often treated with surgical resection. Resulting wounds that are too large for primary closure can be covered with skin grafts or patches made from various biomaterials. Recently, polyglycolic acid sheets have been used for this purpose. METHODS: We treated six patients with large wounds resulting from the resection of oral or oropharyngeal squamous cell carcinoma by grafting polyglycolic acid sheet patches. All patients were initially treated at the National Cancer Center East Hospital from March 2010 through July 2012. After mucosal resection, the wounds were covered with polyglycolic acid sheet patches attached with fibrin glue. Oral intake was started 4 days after surgery. RESULTS: Mucosal resection was the initial treatment in seven patients (five with oral squamous cell carcinoma and two with oropharyngeal squamous cell carcinoma). The polyglycolic acid sheet patches became detached in two patients (on the day of surgery and on postoperative day 6), who then required large doses of analgesics. A patient who underwent tooth extraction also required large doses of analgesics. The other four patients required only small doses of analgesics. One patient had bleeding at the surgical site. No adverse effects were caused by the polyglycolic acid sheet patch or by fibrin glue. CONCLUSIONS: Our study has shown that grafting of a polyglycolic acid sheet patch is effective and provides good pain control for patients with large, open wounds after mucosal resection of oral or oropharyngeal squamous cell carcinoma. We plan to evaluate tissue contraction and oral intake after polyglycolic acid patch grafting.


Assuntos
Carcinoma de Células Escamosas/cirurgia , Mucosa Bucal/cirurgia , Neoplasias Bucais/cirurgia , Neoplasias Orofaríngeas/cirurgia , Ácido Poliglicólico , Complicações Pós-Operatórias , Cicatrização , Idoso , Idoso de 80 Anos ou mais , Materiais Biocompatíveis , Feminino , Adesivo Tecidual de Fibrina , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Estadiamento de Neoplasias , Prognóstico , Retalhos Cirúrgicos , Técnicas de Fechamento de Ferimentos/instrumentação
7.
Jpn J Clin Oncol ; 43(5): 520-3, 2013 May.
Artigo em Inglês | MEDLINE | ID: mdl-23444113

RESUMO

OBJECTIVE: This study was conducted to assess local recurrence and clinical prognosis in patients diagnosed as having a positive margin in the epithelial layer after a partial glossectomy treated by close observation. METHODS: A total of 365 cases of squamous cell carcinoma of the tongue diagnosed as clinical Stage I or II, treated by partial glossectomy in the National Cancer Center Hospital East between 1992 and 2006, were studied retrospectively. RESULTS: Pathological findings showed that 13 cases had positive margins in the epithelial layer, 4 (30.8%) of whom showed up with local recurrence in 4.4 years (3.0-5.0) on average. Lymph node recurrence was not observed and the 5-year overall survival rate was 76.2% in those 13 cases. The treatment for the recurrent cases was an additional partial glossectomy without neck dissection, which resulted in no recurrence and a survival rate of 100% after an average follow-up of 6.7 years. CONCLUSIONS: We suggest careful observation as one option for cases diagnosed with epithelial positive margin.


Assuntos
Carcinoma de Células Escamosas/patologia , Carcinoma de Células Escamosas/cirurgia , Glossectomia/métodos , Recidiva Local de Neoplasia/prevenção & controle , Neoplasias da Língua/patologia , Neoplasias da Língua/cirurgia , Conduta Expectante , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Seguimentos , Humanos , Metástase Linfática , Masculino , Pessoa de Meia-Idade , Estadiamento de Neoplasias , Prognóstico , Reoperação , Estudos Retrospectivos , Análise de Sobrevida , Resultado do Tratamento
8.
Jpn J Clin Oncol ; 43(12): 1210-7, 2013 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-24031082

RESUMO

OBJECTIVE: The objective of this study was to evaluate the results of salvage surgery after definitive chemoradiation for hypopharyngeal squamous cell carcinoma. METHODS: This was a retrospective cohort study. Of the 79 patients with previously untreated hypopharyngeal squamous cell carcinoma who received definitive chemoradiation from January 2004 to January 2009, 24 who had recurrence and underwent salvage surgery at the National Cancer Center Hospital East, Chiba, Japan, were enrolled in this study. RESULTS: Of the 24 patients who underwent salvage surgery with curative intent, 13 had an isolated local failure, eight had an isolated neck failure and three had combined local and regional failure. Postoperative surgical complications were observed in eight (33.3%) patients. Of the 24 patients undergoing salvage surgery, 12 (50%) had recurrence. In 11 of these patients, death ensued from salvage failure, defined as the presence of any recurrence after salvage treatment. The causes of cancer-specific death ensuing from salvage failure were regional recurrence of the tumor (n = 6) (one of whom had concurrent distant metastases) and distant metastases alone (n = 5). No local recurrence after salvage surgery was observed in our group of patients. The disease-free and overall 24-month survival rates were 49.0 and 50.0%, respectively. Those patients who initially presented with unresectable disease had lower overall survival compared with those who initially presented with resectable disease (P = 0.0003). CONCLUSIONS: The oncologic outcomes were acceptable in those patients in whom salvage surgery was carried out. Those who initially presented with unresectable disease had a poor prognosis.


Assuntos
Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico , Carcinoma de Células Escamosas/diagnóstico , Carcinoma de Células Escamosas/terapia , Neoplasias Hipofaríngeas/diagnóstico , Neoplasias Hipofaríngeas/terapia , Recidiva Local de Neoplasia/diagnóstico , Recidiva Local de Neoplasia/terapia , Adulto , Idoso , Carcinoma de Células Escamosas/mortalidade , Quimiorradioterapia Adjuvante , Cisplatino/administração & dosagem , Intervalo Livre de Doença , Docetaxel , Fracionamento da Dose de Radiação , Feminino , Fluoruracila/administração & dosagem , Neoplasias de Cabeça e Pescoço/terapia , Humanos , Neoplasias Hipofaríngeas/mortalidade , Quimioterapia de Indução , Estimativa de Kaplan-Meier , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Recidiva Local de Neoplasia/mortalidade , Estadiamento de Neoplasias , Tomografia por Emissão de Pósitrons , Prognóstico , Estudos Retrospectivos , Terapia de Salvação/métodos , Carcinoma de Células Escamosas de Cabeça e Pescoço , Taxoides/administração & dosagem , Tomografia Computadorizada por Raios X , Falha de Tratamento , Resultado do Tratamento
9.
Nihon Jibiinkoka Gakkai Kaiho ; 116(10): 1100-5, 2013 Oct.
Artigo em Japonês | MEDLINE | ID: mdl-24313060

RESUMO

OBJECTIVES: To examine the frequency and distribution of cervical lymph node metastases in oropharyngeal squamous cell carcinoma (SCC) and the necessities of prophylactic treatment of the neck. METHODOLOGY: We conducted a retrospective study of 242 patients with SCC of the oropharynx treated by surgery as the initial therapy at the National Cancer Center East Hospital from 1994 to 2008, excluding 53 patients who had local recurrences and 9 patients who had previously undergone neck dissection for metastasis from an unknown primary. We defined "potential lymph node metastases" as cases pathologically positive for lymph node metastases and/or secondary lymph node metastases and analyzed the necessity of prophylactic neck dissection for cases clinically negative for cervical metastases. RESULTS: One hundred and eighty patients (148 males, 32 females) were included. The median age was 62 years (35 to 78). The clinical stages were Stage I in 20 patients, Stage II in 36 patients, Stage III in 39 patients, and Stage IV in 85 patients. In the ipsilateral neck of 70 patients at clinical stage N0, 15 patients (21.4%) were positive for potential lymph node metastases. There was no significant difference in the frequency of metastases by subsite. In terms of T classification, the positivity rates were 5.0% in patients at T1, 19.4% at T2, 44.4% at T3, and 60.0% at T4. In the contralateral neck of 70 patients at clinical stage N0, only 2 patients (2.9%) were positive for potential lymph node metastases. In the contralateral neck of 93 patients at clinical stage N1, N2a, or N2b (i.e., unilateral lymph node swelling), 16 patients (17.2%) were positive for potential lymph node metastases. The positivity rates by subsite were higher in patients with anterior, superior and posterior wall cancer than those with lateral wall cancer. CONCLUSIONS: In the ipsilateral neck of patients at clinical stage N0, prophylactic neck dissection is not necessary for patients at T1 but necessary for those at T3 or T4. In the contralateral neck of such patients, prophylactic neck dissection is not recommended. In the contralateral neck of patients with unilateral lymph node swelling, prophylactic neck dissection is recommended for patients with anterior, superior or posterior wall cancer.


Assuntos
Carcinoma de Células Escamosas/secundário , Linfonodos/patologia , Neoplasias Orofaríngeas/patologia , Adulto , Idoso , Carcinoma de Células Escamosas/epidemiologia , Carcinoma de Células Escamosas/cirurgia , Feminino , Humanos , Linfonodos/cirurgia , Metástase Linfática , Masculino , Pessoa de Meia-Idade , Esvaziamento Cervical/métodos , Recidiva Local de Neoplasia/patologia , Recidiva Local de Neoplasia/cirurgia , Neoplasias Orofaríngeas/epidemiologia , Neoplasias Orofaríngeas/cirurgia , Estudos Retrospectivos
10.
Science ; 379(6634): eabo0431, 2023 Feb 24.
Artigo em Inglês | MEDLINE | ID: mdl-36264828

RESUMO

The near-Earth carbonaceous asteroid (162173) Ryugu is expected to contain volatile chemical species that could provide information on the origin of Earth's volatiles. Samples of Ryugu were retrieved by the Hayabusa2 spacecraft. We measured noble gas and nitrogen isotopes in Ryugu samples and found that they are dominated by presolar and primordial components, incorporated during Solar System formation. Noble gas concentrations are higher than those in Ivuna-type carbonaceous (CI) chondrite meteorites. Several host phases of isotopically distinct nitrogen have different abundances among the samples. Our measurements support a close relationship between Ryugu and CI chondrites. Noble gases produced by galactic cosmic rays, indicating a ~5 million year exposure, and from implanted solar wind record the recent irradiation history of Ryugu after it migrated to its current orbit.

11.
J Environ Radioact ; 250: 106907, 2022 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-35660574

RESUMO

We have determined the hourly atmospheric concentrations of 129I in aerosols dispersed into the atmosphere by the nuclear accident at the Fukushima Daiichi Nuclear Power Plant (FD1NPP) on March 11, 2011. Data were obtained by measuring the quantity of 129I in suspended particulate matter (SPM) collected on filter tapes at 41 SPM monitoring stations in Fukushima and other prefectures in eastern Japan, including the metropolitan area of Tokyo and the surrounding area. After scrutiny, 500 out of 920 hourly SPM samples were determined to be reliable (i.e., devoid of cross-contamination), and these were subjected to further analysis and discussion. Based on the data from these samples, especially data from the four SPM sampling sites located close to the FD1NPP (Futaba, Naraha, Haramachi and Nihonmatsu), the time-series variations in the atmospheric concentration of 129I and the activity ratio of 129I/137Cs were reconstructed by using 137Cs concentration data in the literature. 129I and 137Cs were observed to be continuously and sometimes explosively dispersed into the atmosphere in aerosols transported by radioactive plumes from the FD1NPP. The highest activity concentrations of 129I and 137Cs were observed in the SPM sample at the Futaba SPM station (3.2 km west-northwest of the FD1NPP) at 14:00-15:00 on March 12 after the venting of Unit 1. Systematically high 129I/137Cs activity ratios were observed at the Futaba and Haramachi stations from March 12 to 14, suggesting that radioactive masses released from the FD1NPP during the first few days after the nuclear accident were relatively enriched in radioiodine. High activity ratios of 129I/137Cs were also measured starting on March 21 at Naraha (17.5 km south of FD1NPP) and from March 22-23 in the metropolitan area which must have been caused by a different type of emission event(s) on those days at the FD1NPP, as previously reported. The 129I data from this study are highly effective in the validation and elaboration of the modelling of the atmospheric dispersion of radioiodine. They further contribute to assessing the internal exposure due to inhalation of 131I estimated by means of such elaborate atmospheric diffusion models.


Assuntos
Acidente Nuclear de Fukushima , Monitoramento de Radiação , Aerossóis/análise , Radioisótopos de Césio/análise , Radioisótopos do Iodo/análise , Japão , Material Particulado/análise
12.
Data Brief ; 45: 108621, 2022 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-36426017

RESUMO

Data of the atmospheric activity concentrations (in Bq/m3) of 129I dispersed into the environment as aerosol immediately after the nuclear accident at Fukushima Daiichi Nuclear Power Plant in 2011 are presented. The radioactivity of 129I was determined in suspended particulate matter (SPM) collected on filter tapes at 41 SPM monitoring sites in Fukushima and other prefectures in eastern Japan including the metropolitan area. For quantitative determination of 129I in SPM samples by accelerator mass spectrometry (AMS), 129I was chemically separated. Prior to the 129I measurement, the 137Cs activity was determined for the same SPM sample by gamma-ray spectrometry using Ge-semiconductor detectors. Combining activity concentrations of the two nuclides, an activity ratio of 129I/137Cs (in Bq/Bq) was calculated for each SPM sample. In our research project, atmospheric activity concentrations of 129I and 137Cs, and their activity ratios were obtained for 920 SPM samples. Scientific discussion related to those data was described in the research article entitled "Time-series variations of atmospheric 129I concentrations and 129I/137Cs ratios in eastern Japan just after the 2011 nuclear accident in Fukushima, Japan" (Ebihara et al. 2022), where 363 data sets were presented. The remaining 557 data sets are presented in this article, so this data article makes up for the original research article (Ebihara et al. 2022). Blank values were obtained for whole analytical procedure. In addition, those for reagents and filters (both bland-new and used filters) were analyzed for assessing the contribution of the 129I activity from these samples. Those data also are presented in this article.

13.
Sci Adv ; 8(46): eabo7239, 2022 Nov 18.
Artigo em Inglês | MEDLINE | ID: mdl-36264781

RESUMO

The Hayabusa2 spacecraft returned to Earth from the asteroid 162173 Ryugu on 6 December 2020. One day after the recovery, the gas species retained in the sample container were extracted and measured on-site and stored in gas collection bottles. The container gas consists of helium and neon with an extraterrestrial 3He/4He and 20Ne/22Ne ratios, along with some contaminant terrestrial atmospheric gases. A mixture of solar and Earth's atmospheric gas is the best explanation for the container gas composition. Fragmentation of Ryugu grains within the sample container is discussed on the basis of the estimated amount of indigenous He and the size distribution of the recovered Ryugu grains. This is the first successful return of gas species from a near-Earth asteroid.

14.
Glycobiology ; 21(4): 503-11, 2011 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-21098515

RESUMO

A glycoside hydrolase (GH) gene from Photobacterium profundum SS9 (PBPRA0520) belonging to GH family 9 was expressed in Escherichia coli. The protein was expressed with the intact N-terminal sequence, suggesting that it is an intracellular enzyme. The recombinant protein showed hydrolytic activity toward chitobiose [(GlcN)(2)] and cellobiose (CG(2)) in various disaccharides. This protein also released 4-nitrophenol (PNP) from both 4-nitrophenyl-ß-D-glucosaminide (GlcN-PNP) and 4-nitrophenyl-ß-D-glucoside (Glc-PNP). The hydrolytic pattern observed in chitooligosaccharides and cellooligosaccharides suggested that the reaction proceeded from the nonreducing end in an exo-type manner. Time-dependent (1)H-nuclear magnetic resonance (NMR) analysis of the anomeric form of the enzymatic reaction products indicated that the protein is an inverting enzyme. k(cat)/K(m) of (GlcN)(2) hydrolysis was 14 times greater than that of CG(2) hydrolysis. These results suggested that the protein is an exo-ß-D-glucosaminidase (EC 3.2.1.165) rather than a glucan 1,4-ß-D-glucosidase (EC 3.2.1.74). Based on the results, we suggest that the function of conserved GH9 proteins in the chitin catabolic operon is to cleave a (GlcN)(2)-phosphate derivative by hydrolysis during intracellular chitooligosaccharide catabolism in Vibrionaceae.


Assuntos
Hexosaminidases/biossíntese , Photobacterium/enzimologia , Proteínas Recombinantes/biossíntese , Cromatografia Líquida de Alta Pressão , Cromatografia em Camada Fina , Dissacarídeos/metabolismo , Ensaios Enzimáticos , Estabilidade Enzimática , Hexosaminidases/química , Hexosaminidases/isolamento & purificação , Concentração de Íons de Hidrogênio , Hidrólise , Cinética , Espectroscopia de Ressonância Magnética , Peso Molecular , Proteínas Recombinantes/química , Proteínas Recombinantes/isolamento & purificação , Temperatura
15.
Anal Chem ; 83(19): 7486-91, 2011 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-21823645

RESUMO

Multiple prompt γ-ray analysis (MPGA) and conventional neutron-induced prompt γ-ray analysis (PGA) are nondestructive analytical methods for bulk chemical compositions, and their analytical capabilities were compared for elemental analyses of geological and cosmochemical samples. Detection sensitivities of PGA are often restricted by poor signal-to-noise ratios and interferences from different origins. MPGA can substantially reduce the background level, especially for hydrogenous samples, relative to PGA, which opens up a possibility to use lower energy prompt γ-rays of some trace elements. Although it is one of the major constituent elements of rock samples, Mg is hard to be determined by PGA. With MPGA, Mg contents could be determined with reasonable consistency with their corresponding recommended values in geological and cosmochemical samples by carefully selecting suitable coincident prompt γ-ray energy pairs without interference correction. MPGA was applied to a hydrogenous meteorite, Ivuna, which contains H at 2% mass level. MPGA detection limits for most of the elements studied can be reduced up to 1 order of magnitude when compared with PGA detection limits under the present experimental conditions.


Assuntos
Meio Ambiente Extraterreno/química , Raios gama , Sedimentos Geológicos/química , Magnésio/análise , Análise de Ativação de Nêutrons , Análise Espectral
16.
Jpn J Clin Oncol ; 41(6): 758-63, 2011 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-21467081

RESUMO

OBJECTIVE: Operative mortality is the most important index for assessing operative results, which has rarely been examined in reconstructive surgery. The aims of this study were to establish a representative index of operative mortality after head and neck reconstruction and to consider measures to improve operative results. METHODS: We reviewed cases of head and neck reconstruction by means of free tissue transfer performed from July 1992 through December 2005 at the National Cancer Center Hospital East, Chiba, Japan. The subjects were 1249 patients with a mean age of 62 years. Operative mortality was evaluated on the basis of the 30-day post-operative mortality rate and the in-hospital mortality rate. Statistical analysis was performed with the Cochran-Armitage test. RESULTS: The 30-day post-operative mortality rate was 0.88% (11 of 1249 patients), and the in-hospital mortality rate was 1.84% (23 of 1249 patients). The 30-day post-operative mortality was significantly correlated with age (P = 0.002), but the in-hospital mortality was not (P = 0.148). Among patients older than 80 years, the 30-day post-operative mortality rate was 8.57%. The most common cause of 30-day post-operative death was cerebral infarction. Of the 23 in-hospital deaths, 13 were due to cancer recurrence. CONCLUSIONS: These results indicate that head and neck reconstruction with free flaps is reliable. However, the high 30-day post-operative mortality rate among patients 80 years or older should be considered when deciding whether to operate. To decrease the operative mortality rate, careful perioperative management is needed to prevent complications and shorten the hospital stay.


Assuntos
Retalhos de Tecido Biológico , Neoplasias de Cabeça e Pescoço/cirurgia , Mortalidade Hospitalar , Tempo de Internação , Procedimentos de Cirurgia Plástica/efeitos adversos , Procedimentos de Cirurgia Plástica/mortalidade , Adulto , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Infarto Cerebral/etiologia , Infarto Cerebral/mortalidade , Feminino , Neoplasias de Cabeça e Pescoço/mortalidade , Humanos , Japão/epidemiologia , Tempo de Internação/estatística & dados numéricos , Masculino , Pessoa de Meia-Idade , Recidiva Local de Neoplasia/mortalidade
17.
Jpn J Clin Oncol ; 41(4): 508-13, 2011 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-21335338

RESUMO

OBJECTIVE: After complete resection of carcinomas of the head and neck, including carcinoma of the cervical esophagus, the pattern of first failure is more often locoregional than distant metastasis. We retrospectively evaluated the safety and efficacy of the combination of post-operative radiation and concurrent chemotherapy with low-dose cisplatin for high-risk squamous cell carcinoma of the cervical esophagus. METHODS: From 2005 through 2008, 34 patients with previously untreated squamous cell carcinoma of the cervical esophagus underwent cervical esophagectomy with or without laryngectomy. Of these 34 patients, 11 with disease-positive lymph nodes in the upper mediastinum (M1 lymph/Stage IV) confirmed by pathologic examination were enrolled. Patients received radiotherapy (66 Gy in 33 fractions) and concurrent low-dose cisplatin. RESULTS: Nine patients completed the planned radiotherapy and two or more courses of chemotherapy. Grade 3 toxicities during chemoradiotherapy were leukopenia (36% of patients), neutropenia (18%) and mucositis (9%). At a median follow-up time of 39.5 months, the overall 1- and 3-year survival rates were 91 and 71%, respectively. CONCLUSIONS: The combination of post-operative radiation and concurrent chemotherapy with low-dose cisplatin is well tolerated and has the potential to improve the rates of locoregional control and overall survival in patients with high-risk advanced squamous cell carcinoma of the esophagus.


Assuntos
Antineoplásicos/uso terapêutico , Carcinoma de Células Escamosas/tratamento farmacológico , Carcinoma de Células Escamosas/radioterapia , Cisplatino/uso terapêutico , Neoplasias Esofágicas/tratamento farmacológico , Neoplasias Esofágicas/radioterapia , Adulto , Idoso , Antineoplásicos/efeitos adversos , Carcinoma de Células Escamosas/patologia , Carcinoma de Células Escamosas/cirurgia , Quimioterapia Adjuvante/efeitos adversos , Cisplatino/efeitos adversos , Neoplasias Esofágicas/patologia , Neoplasias Esofágicas/cirurgia , Esofagectomia , Feminino , Humanos , Leucopenia/etiologia , Metástase Linfática , Masculino , Pessoa de Meia-Idade , Mucosite/etiologia , Pescoço , Estadiamento de Neoplasias , Neutropenia/etiologia , Projetos Piloto , Período Pós-Operatório , Radioterapia Adjuvante/efeitos adversos , Estudos Retrospectivos , Medição de Risco , Fatores de Risco , Análise de Sobrevida , Resultado do Tratamento
18.
Jpn J Clin Oncol ; 40(7): 639-44, 2010 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-20211919

RESUMO

OBJECTIVE: The purpose of this study was to determine the role of surgical treatment and to identify factors affecting the survival of patients undergoing pulmonary resection for tumors metastatic from head and neck carcinomas. METHODS: Thirty-three patients who had undergone resection of pulmonary tumors metastatic from head and neck carcinomas, other than thyroid cancers and sarcomas of the head and neck, were reviewed. RESULTS: The operative morbidity rate was only 6%, no patients died within 30 days after resection and complete resection was achieved in 94% of patients. The overall 1- and 3-year survival rates were 76% and 43%, respectively, and the median survival time was 21 months. The factors found on univariate analysis to significantly affect survival were a disease-free interval of < or =2 years, tongue carcinoma and squamous cell carcinoma. The factor found, on multivariate analysis, to most strongly affect survival was tongue carcinoma. The most frequent pattern of initial recurrence after pulmonary resection was distant metastasis (64%). CONCLUSIONS: The safety and effectiveness of surgical treatment for pulmonary tumors metastatic from head and neck carcinomas in adaptive criteria for resection are well demonstrated. The poor survival after surgical resection of pulmonary tumors metastatic from cancers of the tongue should be noted.


Assuntos
Carcinoma/secundário , Neoplasias de Cabeça e Pescoço/patologia , Neoplasias Pulmonares/secundário , Pulmão/cirurgia , Adulto , Idoso , Idoso de 80 Anos ou mais , Carcinoma/mortalidade , Carcinoma/cirurgia , Feminino , Neoplasias de Cabeça e Pescoço/mortalidade , Humanos , Neoplasias Pulmonares/mortalidade , Neoplasias Pulmonares/cirurgia , Masculino , Pessoa de Meia-Idade , Análise de Sobrevida , Adulto Jovem
19.
Int J Clin Oncol ; 15(1): 33-8, 2010 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-20101430

RESUMO

BACKGROUND: We performed a multicenter longitudinal study using our neck dissection questionnaire (NDQ) and arm abduction test (AAT) to assess the impact of rehabilitation and surgical modification on postoperative quality of life (QOL). METHODS: Patients who had undergone neck dissection for the treatment of head and neck cancer answered the NDQ and completed the AAT 1, 3, 6, and 12 months after surgery. All patients enrolled in this study underwent a rehabilitation program designed for neck dissection. The obtained data were statistically analyzed according to the types of neck dissection and compared with the data of patients who had undergone neck dissection but not rehabilitation. RESULTS: A total of 224 patients were enrolled in this study. Our findings revealed that resection of the sternocleidomastoid muscle (SCM) and spinal accessory nerve (SAN) resulted in shoulder drop. Lowering the dissection level and preservation of the SAN and SCM significantly reduced various sensory symptoms of the neck, such as stiffness, pain, numbness, and constriction, and improved shoulder function. Postoperative rehabilitation had a significant effect on arm abduction ability, particularly when the SCM and SAN were resected. CONCLUSIONS: The study demonstrated that rehabilitation, in addition to modifications to radical neck dissection, contributed to the improvement of postoperative QOL after neck dissection.


Assuntos
Neoplasias de Cabeça e Pescoço/cirurgia , Metástase Linfática , Esvaziamento Cervical/normas , Qualidade de Vida , Nervo Acessório/cirurgia , Adulto , Idoso , Idoso de 80 Anos ou mais , Neoplasias de Cabeça e Pescoço/patologia , Neoplasias de Cabeça e Pescoço/psicologia , Neoplasias de Cabeça e Pescoço/reabilitação , Humanos , Estudos Longitudinais , Pessoa de Meia-Idade , Músculos do Pescoço/patologia , Medição da Dor , Amplitude de Movimento Articular , Ombro/fisiopatologia , Inquéritos e Questionários
20.
Anal Chim Acta ; 1101: 81-89, 2020 Mar 08.
Artigo em Inglês | MEDLINE | ID: mdl-32029122

RESUMO

Combining isotope dilution mass spectrometry with a calibration method and choosing appropriate internal standard elements, 14 lanthanides (rare earth elements, REEs) were precisely and accurately determined for rock samples by using quadruple ICP-MS instruments. An enriched spike of 149Sm was used to determine Sm content by an isotope dilution method. Simultaneously, Sm content was determined by a calibration method and the ratio of the two Sm values was used for correcting the preparation loss of the other REEs, which were analyzed only by a calibration method. Indium and Tl were chosen for use as internal standard elements. Applying the procedure developed in this study to the homogenized Allende meteorite powder sample prepared by the Smithsonian Institution, Washington, D. C., US and several geological reference samples issued by the Geological Survey of Japan and the US geological Survey, precision and accuracy of the data obtained were evaluated and the accuracy was found to be equivalent to isotope dilution values obtained by thermal ionization mass spectrometry. Rare earth element concentrations in several meteorite samples were determined, and results indicate that our procedure is appropriate for a wide variety of whole rock compositions.

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