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1.
Phys Rev Lett ; 132(22): 226301, 2024 May 31.
Article in English | MEDLINE | ID: mdl-38877917

ABSTRACT

We demonstrate that the mode number of Andreev bound states in bilayer graphene Josephson junctions can be modulated by controlling the superconducting coherence length in situ. By exploiting the quadratic band dispersion of bilayer graphene, we control the Fermi velocity and thus the coherence length via the application of electrostatic gating. Tunneling spectroscopy of the Andreev bound states reveals a crossover from short to long Josephson junction regimes as we approach the charge neutral point of the bilayer graphene. Furthermore, analysis of different mode numbers of the Andreev energy spectrum allows us to estimate the phase-dependent Josephson current quantitatively. Our Letter provides a new way for studying multimode Andreev levels by tuning the Fermi velocity.

2.
Angew Chem Int Ed Engl ; 63(12): e202319707, 2024 Mar 18.
Article in English | MEDLINE | ID: mdl-38294268

ABSTRACT

Fast charging technology for electric vehicles (EVs), offering rapid charging times similar to conventional vehicle refueling, holds promise but faces obstacles owing to kinetic issues within lithium-ion batteries (LIBs). Specifically, the significance of cathode materials in fast charging has grown because Ni-rich cathodes are employed to enhance the energy density of LIBs. Herein, the mechanism behind the loss of fast charging capability of Ni-rich cathodes during extended cycling is investigated through a comparative analysis of Ni-rich cathodes with different microstructures. The results revealed that microcracks and the resultant cathode deterioration significantly compromised the fast charging capability over extended cycling. When thick rocksalt impurity phases form throughout the particles owing to electrolyte infiltration via microcracks, the limited kinetics of Li+ ions create electrochemically unreactive areas under high-current conditions, resulting in the loss of fast charging capability. Hence, preventing microcrack formation by tailoring microstructures is essential to ensure stability in fast charging capability. Understanding the relationship between microcracks and the loss of fast charging capability is essential for developing Ni-rich cathodes that facilitate stable fast charging upon extended cycling, thereby promoting widespread EV adoption.

3.
Angew Chem Int Ed Engl ; 62(52): e202314480, 2023 Dec 21.
Article in English | MEDLINE | ID: mdl-37955417

ABSTRACT

Deploying Ni-enriched (Ni≥95 %) layered cathodes for high energy-density lithium-ion batteries (LIBs) requires resolving a series of technical challenges. Among them, the structural weaknesses of the cathode, vigorous reactivity of the labile Ni4+ ion species, gas evolution and associated cell swelling, and thermal instability issues are critical obstacles that must be solved. Herein, we propose an intuitive strategy that can effectively ameliorate the degradation of an extremely high-Ni-layered cathode, the construction of ultrafine-scale microstructure and subsequent intergranular shielding of grains. The formation of ultrafine grains in the Ni-enriched Li[Ni0.96 Co0.04 ]O2 (NC96) cathode, achieved by impeding particle coarsening during cathode calcination, noticeably improved the mechanical durability and electrochemical performance of the cathode. However, the buildup of the strain-resistant microstructure in Mo-doped NC96 concurrently increased the cathode-electrolyte contact area at the secondary particle surface, which adversely accelerated parasitic reactions with the electrolyte. The intergranular protection of the refined microstructure resolved the remaining chemical instability of the Mo-doped NC96 cathode by forming an F-induced coating layer, effectively alleviating structural degradation and gas generation, thereby extending the battery's lifespan. The proposed strategies synergistically improved the structural and chemical durability of the NC96 cathode, satisfying the energy density, life cycle performance, and safety requirements for next-generation LIBs.

4.
Nanotechnology ; 33(24)2022 Mar 25.
Article in English | MEDLINE | ID: mdl-35259734

ABSTRACT

Carbon nanotubes (CNTs) are one-dimensional materials that have been proposed to replace silicon semiconductors and have been actively studied due to their high carrier mobility, high current density, and high mechanical flexibility. Specifically, highly purified, pre-separated, and solution-processed semiconducting CNTs are suitable for mass production. These CNTs have advantages, such as room-temperature processing compatibility, while enabling a fast and straightforward manufacturing process. In this paper, CNT network transistors were fabricated on a total of five 8 inch wafers by reusing a highly purified and pre-separated 99% semiconductor-enriched CNT solution. The results confirmed that the density of semiconducting CNTs deposited on the five selected wafers was notably uniform, even though the CNT solution was reused up to four times after the initial CNT deposition. Moreover, there was no significant degradation in the key CNT network transistor metrics. Therefore, we believe that our findings regarding this CNT reuse method may provide additional guidance in the field of wafer-scale CNT electronics and may contribute strongly to the development of practical device applications at an ultralow cost.

5.
Microbiol Immunol ; 65(12): 566-574, 2021 Dec.
Article in English | MEDLINE | ID: mdl-34516008

ABSTRACT

The performance of the ASTA MicroIDSys system (ASTA), a new matrix-assisted laser desorption ionization time-of-flight mass spectrometry (MALDI-TOF MS) system, was evaluated for the identification of viridans group streptococci (VGS) and compared with the results obtained with the Bruker Biotyper system (Bruker Daltonics). A total of 106 Streptococcus reference strains belonging to 24 species from the bacterial strain bank was analyzed using the two MALDI-TOF MS systems. Of the 106 reference strains tested, ASTA MicroIDSys and Bruker Biotyper correctly identified 84.9% and 81.1% at the species level, 100% and 97.2% at the group level and 100% and 98.1% at the genus level, respectively. The difference between the two systems was not statistically significant (P = 0.289). Out of 24 species, 13 species were accurately identified to the species level with 100% accurate identification rates with both systems. The accurate identification rates at the species level of ASTA MicroIDSys and Bruker Biotyper were 100% and 87.5% for the S. anginosus group; 78.4% and 73.5% for the S. mitis group; 91.7% and 91.7% for the S. mutans group; and 100% and 100% for the S. salivarius group, respectively. The ASTA MicroIDSys showed an identification performance equivalent to that of the Bruker Biotyper for VGS. Therefore, it would be useful for the identification of VGS strains in clinical microbiology laboratories.


Subject(s)
Bacteria , Viridans Streptococci , Lasers , Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization
6.
Nanotechnology ; 31(46): 465303, 2020 Nov 13.
Article in English | MEDLINE | ID: mdl-32750684

ABSTRACT

Highly purified, preseparated semiconducting carbon nanotubes (CNTs) hold great potential for high-performance CNT network transistors due to their high electrical conductivity, high mechanical strength, and room-temperature processing compatibility. In this paper, we report our recent progress on CNT network transistors integrated on an 8-inch wafer. We observe that the key device performance parameters of CNT network transistors at various locations on an 8-inch wafer are highly uniform and that the device yield is impressive. Therefore, this work validates a promising path toward mass production and will make a significant contribution to the future field of wafer-scale CNT electronics.

7.
Nano Lett ; 19(12): 9002-9007, 2019 12 11.
Article in English | MEDLINE | ID: mdl-31738553

ABSTRACT

Crossed Andreev reflection (CAR) is a nonlocal process that converts an incoming electron (hole) from one normal electrode to an out-going hole (electron) in another normal electrode through a superconductor (SC). CAR corresponds to the inverse process of Cooper pair splitting, which generates a quantum-entangled electron pair with spatial separation. Here, we fabricated vertically stacked double bilayer graphene (BLG) connected via a superconducting electrode and achieved a spacing between BLG sheets of ∼14 nm, which is far shorter than the superconducting coherence length. We confirm the highly efficient CAR effect by observing strong negative differential resistance in a nonlocal configuration and demonstrate that the competing processes against the CAR can be effectively suppressed by separately tuning the chemical potential of each BLG. The dependence of nonlocal signals on bias voltage, temperature, and chemical potential is consistent with the predicted CAR process. Our results provide a new pathway to a novel SC-based quantum entangler with the in situ tunability of the correlated-pair-splitting efficiency.

8.
Knee Surg Sports Traumatol Arthrosc ; 27(1): 230-238, 2019 Jan.
Article in English | MEDLINE | ID: mdl-30600340

ABSTRACT

PURPOSE: To evaluate knee strength, ligament stability, and functional outcomes in patients older than 50 years who underwent anterior cruciate ligament (ACL) reconstruction, and to compare these results with those obtained from a younger patient group (< 40 years). METHODS: Forty patients older than 50 years and 50 patients younger than 40 years who underwent ACL reconstruction were retrospectively studied. Isokinetic extensor and flexor muscle strength were evaluated. The peak torque was determined at speeds of 60°/s and 180°/s. The highest peak torque at each velocity was compared with that on the uninjured side. Patients were also evaluated for knee anteroposterior (AP) laxity and functional outcomes, which were measured by the Lysholm and International Knee Documentation Committee (IKDC) scores. All tests were evaluated at baseline and 1 year postoperatively. RESULTS: The groups were comparable at the baseline. Both groups had significant improvements in all parameters, including isokinetic muscle strength, AP laxity, and functional scores, at 1 year postoperatively (all p < 0.05). Compared with younger patients, older patients had similar results for extensor and flexor strength, AP laxity, and Lysholm score (n.s.). However, younger patients had better IKDC scores than did older patients [median 81.1; 95% confidence interval (CI) 95% CI 78.9-88.7 vs. median 75.6; 95% CI 70.1-79.3, p = 0.007]. CONCLUSIONS: Though with lower IKDC scores, older patients with ACL reconstruction had comparable results of knee strength and ligament laxity to younger patients. ACL reconstruction is recommended for treating patients older than 50 years with ACL insufficiency, especially for those with high functional demand. LEVEL OF EVIDENCE: Retrospective cohort study, III.


Subject(s)
Anterior Cruciate Ligament Injuries/rehabilitation , Anterior Cruciate Ligament Reconstruction/rehabilitation , Joint Instability , Knee Joint/physiology , Muscle Strength , Adult , Age Factors , Aging/physiology , Anterior Cruciate Ligament , Humans , Knee , Knee Injuries , Lysholm Knee Score , Male , Middle Aged , Muscle, Skeletal , Recovery of Function , Retrospective Studies , Torque , Treatment Outcome
9.
Nano Lett ; 18(9): 5961-5966, 2018 09 12.
Article in English | MEDLINE | ID: mdl-30110547

ABSTRACT

We investigated the quantization of the conductance of quasi-one-dimensional (quasi-1D) constrictions in high-mobility bilayer graphene (BLG) with different geometrical aspect ratios. Ultrashort (a few tens of nanometers long) constrictions were fabricated by applying an under-cut etching technique. Conductance was quantized in steps of ∼4 e2/ h (∼2 e2/ h) in devices with aspect ratios smaller (larger) than 1. We argue that scattering at the edges of a quasi-1D BLG constriction limits the intervalley scattering length, which causes valley-preserved (valley-broken) quantum transport in devices with aspect ratios smaller (larger) than 1. The subband energy levels, analyzed in terms of the bias-voltage and temperature dependences of the quantized conductance, indicated that they corresponded well to the effective channel width of a physically defined conducting channel with a hard-wall confining potential. Our study in ultrashort high-mobility BLG nano constrictions with physically tailored edges clearly confirms that physical edges are the major source of intervalley scattering in graphene in the ballistic limit.

10.
Small ; 14(45): e1803179, 2018 Nov.
Article in English | MEDLINE | ID: mdl-30216673

ABSTRACT

Because electric vehicles (EVs) are used intermittently with long resting periods in the fully charged state before driving, calendar aging behavior is an important criterion for the application of Li-ion batteries used in EVs. In this work, Ni-rich Li[Nix Coy Mn1 -x-y ]O2 (x = 0.8 and 0.9) cathode materials with high energy densities, but low cycling stabilities are investigated to characterize their microstructural degradation during accelerated calendar aging. Although the particles seem to maintain their crystal structures and morphologies, the microcracks which develop during calendar aging remain even in the fully discharged state. An NiO-like phase rock-salt structure of tens of nanometers in thickness accumulates on the surfaces of the primary particles through parasitic reactions with the electrolyte. In addition, the passive layer of this rock-salt structure near the microcracks is gradually exfoliated from the primary particles, exposing fresh surfaces containing Ni4+ to the electrolyte. Interestingly, the interior primary particles near the microcracks have deteriorated more severely than the outer particles. The microstructural degradation is worsened with increasing Ni contents in the cathode materials, directly affecting electrochemical performances such as the reversible capacities and voltage profiles.

11.
Cytotherapy ; 20(9): 1191-1201, 2018 09.
Article in English | MEDLINE | ID: mdl-30078654

ABSTRACT

To confirm the anti-tumor effect of engineered neural stem cells (NSCs) expressing cytosine deaminase (CD) and interferon-ß (IFN-ß) with prodrug 5-fluorocytosine (FC), K562 chronic myeloid leukemia (CML) cells were co-cultured with the neural stem cell lines HB1.F3.CD and HB1.F3.CD.IFN-ß in 5-FC containing media. A significant decrease in the viability of K562 cells was observed by the treatment of the NSC lines, HB1.F3.CD and HB1.F3.CD.IFN-ß, compared with the control. A modified trans-well assay showed that engineered human NSCs significantly migrated toward K562 CML cells more than human normal lung cells. In addition, the important chemoattractant factors involved in the specific migration ability of stem cells were found to be expressed in K562 CML cells. In a xenograft mouse model, NSC treatments via subcutaneous and intravenous injections resulted in significant inhibitions of tumor mass growth and extended survival dates of the mice. Taken together, these results suggest that gene therapy using genetically engineered stem cells expressing CD and IFN-ß may be effective for treating CML in these mouse models.


Subject(s)
Neural Stem Cells/transplantation , Animals , Coculture Techniques , Cytosine Deaminase/genetics , Cytosine Deaminase/metabolism , Female , Flucytosine/pharmacology , Genetic Engineering , Genetic Therapy/methods , Humans , Interferon-beta/genetics , Interferon-beta/metabolism , K562 Cells , Leukemia/therapy , Mice, Nude , Neural Stem Cells/cytology , Neural Stem Cells/metabolism , Prodrugs , Xenograft Model Antitumor Assays
12.
BMC Geriatr ; 18(1): 245, 2018 10 17.
Article in English | MEDLINE | ID: mdl-30332992

ABSTRACT

BACKGROUND: Patients with knee osteoarthritis (OA) were reported to have quadriceps weakness, and impaired proprioception, both related to pain and swelling. It is unclear whether pain alone a causal factor to above findings over the knee joint. The purpose of this study was to assess the effects of knee pain alone on the quadriceps strength, proprioception and dynamic balance in subjects with bilateral knee OA without joint swelling. METHODS: Fourty females with mean age of 68.3 years were involved in this cross-sectional study. The inclusion criteria were bilateral knee OA without joint swelling, with a visual analogue pain scale difference (> 1) between each knee. Patients all underwent assessment of the isokinetic strength of knee muscles, knee proprioceptive acuity, and dynamic balance. RESULTS: Patients' more painful knee had weaker isokinetic quadriceps strength than less painful knee at both 60 °/s and 180 °/s (p = 0.01, p = 0.01, respectively). There were no differences in proprioceptive acuity between both knees in all three knee positions. Meanwhile, there was a significant difference in the dynamic balance index measurement between both knees (more painful versus less painful: 3.88 ± 1.15 vs. 3.30 ± 1.00, p = 0.01). Quadriceps strength was associated with dynamic balance stability (60 °/s, r = - 0.578, p <  0.01; 180 °/s, r = - 0.439, p <  0.01). CONCLUSIONS: For patients with knee OA, the more painful knee was associated with weaker quadriceps and poor balance ability. To improve lower limb function and balance stability of the older persons having knee OA, physicians should take the optimal pain management strategy.


Subject(s)
Muscle Strength/physiology , Osteoarthritis, Knee/diagnostic imaging , Pain/diagnostic imaging , Postural Balance/physiology , Proprioception/physiology , Quadriceps Muscle/diagnostic imaging , Aged , Cross-Sectional Studies , Female , Humans , Osteoarthritis, Knee/epidemiology , Osteoarthritis, Knee/physiopathology , Pain/epidemiology , Pain/physiopathology , Pain Management/methods , Pain Measurement/methods , Quadriceps Muscle/physiopathology , Range of Motion, Articular/physiology
13.
J Clin Lab Anal ; 32(4): e22330, 2018 May.
Article in English | MEDLINE | ID: mdl-28926139

ABSTRACT

BACKGROUND: D antigen is one of the most clinically significant blood group antigens. Variation of the RHD gene can cause weak D or partial D phenotypes. While most variations are missense substitutions with amino acid changes, those without are called "silent" or "synonymous" substitutions. Synonymous substitutions often have little effect on the protein, not altering the phenotype. However, effect on splicing can affect end-product protein. We report a new synonymous variation, RHD 1056C>G, that resulted in weak D phenotype, and predicted its effect with various in silico methods. METHODS: Serologic testing of the D antigen with full sequencing of the RHD gene was done. Human Splice Finder was used to predict the effect of this variation, and validation of this method was done with all known RHD variations reported in the literature. RESULTS: RHD 1056C>G was predicted to cause the formation of an exonic splicing silencer (ESS) site. The creation of new ESS site potentially inhibits the splicing event, resulting alteration of splicing. This is similar to remodeling of splice acceptor or donor site, as this kind of deep exonic variation could affect the D antigen's quality or quantity. This is in concordance with serologic results, which showed only delayed weak agglutination to anti-D reagents. CONCLUSIONS: The analytic methods we applied showed good correlation with the actual phenotype, along with concordant results when analyzing other known variants reported in the literature. We conclude that RHD 1056C>G results in serologic weak D phenotype.


Subject(s)
Computational Biology/methods , Protein Isoforms/genetics , RNA, Messenger/genetics , Rh-Hr Blood-Group System/genetics , Silent Mutation/genetics , Genotype , Humans , Male
14.
Nano Lett ; 17(10): 6125-6130, 2017 10 11.
Article in English | MEDLINE | ID: mdl-28952735

ABSTRACT

A layered two-dimensional superconducting material 2H-NbSe2 is used to build a van der Waals heterostructure, where a proximity-coupled superconducting order can be induced in the interfacing materials. Vertically stacked NbSe2-graphene-NbSe2 is fabricated using van der Waals interlayer coupling, producing defect-free contacts with a high interfacial transparency. The atomically thin graphene layer allows the formation of a highly coherent proximity Josephson coupling between the two NbSe2 flakes. The temperature dependence of the junction critical current (Ic) reveals short and ballistic Josephson coupling characteristics that agree with theoretical prediction. The strong Josephson coupling is confirmed by a large junction critical current density of 1.6 × 104 A/cm2, multiple Andreev reflections in the subgap structure of the differential conductance, and a magnetic-field modulation of Ic. This is the first demonstration of strongly proximity-coupled Josephson junctions with extremely clean interfaces in a dry-transfer-stacked van der Waals heterostructure.

15.
Biochem Biophys Res Commun ; 478(1): 110-115, 2016 09 09.
Article in English | MEDLINE | ID: mdl-27449610

ABSTRACT

Osterix (Osx) has been shown to be an osteoblast-specific transcription factor for bone formation. Recently, it has been reported that Osx is significantly expressed in the mouse olfactory bulb, proving that Osx may play a role in olfactory bulb development, as well as bone development. Here, we studied morphological differences and neuronal cell alterations in the olfactory bulb using an Osx gene-modified mouse model. Although Osx expression was reduced, morphological differences were not observed in the olfactory bulb of Osx heterozygous mice compared with that of wild-type mice. Immunofluorescence using the neuronal marker genes DCX, MAP2, NeuN, and GFAP showed neuronal cell alterations caused by Osx deficiency in the mitral cell layer (MCL) and granule cell layer (GCL) of the olfactory bulb at postnatal stage. The number, morphology, and expression patterns of immature neurons, mature neurons, and astrocytes were identical in both wild-type and Osx heterozygous mice. At the post-embryonic stage, the expression of neuronal markers DCX, Nestin, MAP2, and NeuN were examined in the MCL and GCL of the olfactory bulb in wild-type, Osx heterozygous, and Osx knockout embryos. Both DCX- and Nestin-positive immature neurons, and MAP2- and NeuN-positive mature neurons, revealed a similar expression pattern in all mouse types. These results indicated that olfactory bulb development was not significantly impaired in the absence of Osx. Further study may be necessary to explain the functional properties of the olfactory bulb caused by Osx deficiency.


Subject(s)
Gene Expression Regulation, Developmental , Olfactory Bulb/growth & development , Transcription Factors/genetics , Animals , Doublecortin Protein , Down-Regulation , Female , Gene Deletion , Male , Mice , Olfactory Bulb/cytology , Olfactory Bulb/metabolism , Olfactory Bulb/ultrastructure , Sp7 Transcription Factor , Transcription Factors/analysis , Transcription Factors/metabolism
16.
Microbiol Immunol ; 59(5): 285-98, 2015 May.
Article in English | MEDLINE | ID: mdl-25786669

ABSTRACT

The four methods for assigning bacterial species are the Clinical and Laboratory Standards Institute (CLSI), modified CLSI (mCLSI), phylogenetic analysis (PA) and closest match (CM) methods, these are used to identify the genus and species using 16S rRNA gene sequence results. In this study, the results of identification by these four methods of 37 aerobic reference strains, 30 anaerobic reference strains, 15 Acinetobacter reference strains and 167 Acinetobacter clinical strains were compared. The rates of accurate identification to the species level using the CLSI, mCLSI, PA and CM methods were as follows: 24.3, 86.5, 86.5 and 89.2%, respectively, for the 37 aerobic reference strains; 73.3%, 96.7%, 90.0% and 93.3%, respectively, for the 30 anaerobic reference strains; 40.0%, 93.3%, 100% and 93.3%, respectively, for the 15 Acinetobacter reference strains; and 53.9%, 90.4%, 95.8% and 90.4%, respectively, for the 167 Acinetobacter clinical strains. The rates of accurate identification to the genus level using the CLSI, mCLSI, PA, and CM methods were as follows: 91.9%, 91.9%, 94.6% and 91.9%, respectively, for the 37 aerobic reference strains; 100%, 100%, 100% and 100%, respectively, for all of the 30 anaerobic reference strains, 15 Acinetobacter reference strains and the 167 Acinetobacter clinical strains. The mCLSI is the most practical and pragmatic method for identification of species based on 16S rRNA sequences for hospital, research or industry laboratories because it performs well and involves a simple procedure.


Subject(s)
Bacteria/isolation & purification , Bacterial Infections/diagnosis , Bacteriological Techniques/methods , DNA, Ribosomal/genetics , Molecular Diagnostic Techniques/methods , RNA, Ribosomal, 16S/genetics , Sequence Analysis, DNA , Bacteria/classification , Bacteria/genetics , DNA, Bacterial/chemistry , DNA, Bacterial/genetics , DNA, Ribosomal/chemistry , Genes, rRNA , Humans
17.
Acta Haematol ; 133(1): 101-5, 2015.
Article in English | MEDLINE | ID: mdl-25227135

ABSTRACT

8p11 myeloproliferative syndrome (EMS) is a rare disease characterized by myeloproliferative neoplasm (MPN) associated with eosinophilia and T or B lymphoblastic lymphoma/leukemia. EMS is defined by molecular disruption of the FGFR1 gene at the 8p11-12 chromosome locus, and various partner genes are associated with FGFR1 gene translocation or insertion. The different partner-FGFR1 fusion genes are associated with slightly different disease phenotypes. The present patient showed T lymphoblastic lymphoma in a cervical lymph node, involvement of malignant lymphoma in the skin, and MPN bone marrow morphology with peripheral monocytosis. Chromosome analysis of the patient showed t(1;8)(q25;p11.2). To our knowledge, only 2 cases of EMS with translocation of t(1;8)(q25;p11.2) have been previously reported. Including this case, all 3 cases with EMS with t(1;8)(q25;p11.2) showed MPN bone marrow morphology and peripheral monocytosis. These findings support that t(1;8)(q25;p11.2) is associated with peripheral monocytosis in EMS patients. Of the 2 cases of EMS with t(1;8)(q25;p11.2) which were previously reported, FGFR1 rearrangement was not confirmed in 1 case. Similarly, FGFR1 rearrangement in the present case was not detected by fluorescence in situ hybridization or reverse transcription-polymerase chain reaction. Further study is needed to identify other techniques that could be used to demonstrate FGFR1 rearrangement.


Subject(s)
Chromosomes, Human, Pair 1 , Chromosomes, Human, Pair 8 , Myeloproliferative Disorders/genetics , Translocation, Genetic , Antineoplastic Combined Chemotherapy Protocols/therapeutic use , Bone Marrow/pathology , Chromosome Banding , Humans , In Situ Hybridization, Fluorescence , Lymph Nodes/pathology , Male , Middle Aged , Myeloproliferative Disorders/diagnosis , Myeloproliferative Disorders/drug therapy , Skin/pathology , Tomography, X-Ray Computed , Treatment Outcome
18.
World J Surg Oncol ; 13: 324, 2015 Nov 26.
Article in English | MEDLINE | ID: mdl-26612470

ABSTRACT

BACKGROUND: Primary mucinous adenocarcinoma of the renal pelvis is extremely rare, with only ~100 cases reported till now. Its presumed pathogenesis includes glandular metaplasia of the urothelium of the calyces and the pelvis and malignant transformation of the metaplasia. Unfortunately, it has no characteristic symptoms or radiological features. We report a case of primary mucinous adenocarcinoma of the renal pelvis misdiagnosed as ureteropelvic junction stenosis with a renal pelvis stone. CASE PRESENTATION: A 50-year-old man presented with discomfort in his right flank after a fall. A physical examination was normal except mild costovertebral angle tenderness on the right side. The results of most laboratory tests were within normal limits. Plain radiography of the kidneys, ureter, and urinary bladder showed a large radio-opaque mass in the right kidney. Abdominal computed tomography showed a hyperdense mass with 2.62 × 5.70 cm size in the right renal pelvis and severe hydronephrosis and cortical thinning. Diuretic-enhanced 99mTc DTPA renal scanning showed that the relative function of the right versus the left kidney was 20 versus 80 %. On the basis of the imaging findings, kidney dysfunction due to ureteropelvic junction stenosis with a large stone was initially diagnosed. However, the drained urine volume was almost zero, and gelatinous material was aspirated when percutaneous nephrostomy was performed for decompression of hydronephrosis. Although the cytopathology of gelatinous material was negative for malignancy, we could not rule out other disease, such as hidden malignancies of the kidney. We therefore performed radical nephrectomy, and pathological examination of the kidney uncovered a mucinous cystadenocarcinoma in the renal pelvis. A bone scan and positron emission tomography showed no evidence of other malignancies, metastasis, or remnant cancer. The patient has been well, without evidence of tumour recurrence or metastasis, for 20 months after surgery. CONCLUSIONS: Primary mucinous adenocarcinomas of the renal pelvis are extremely rare, and most are diagnosed via post-operative analysis of resected specimens. Although preoperative diagnosis is difficult, urologists should consider the possibility of primary mucinous adenocarcinoma in patients with severe hydronephrosis accompanied by renal stones and chronic inflammation.


Subject(s)
Cystadenocarcinoma, Mucinous/diagnosis , Kidney Calculi/pathology , Kidney Neoplasms/diagnosis , Kidney Pelvis/pathology , Ureteral Diseases/diagnosis , Cystadenocarcinoma, Mucinous/surgery , Diagnostic Errors , Humans , Kidney Calculi/surgery , Kidney Neoplasms/surgery , Kidney Pelvis/surgery , Male , Middle Aged , Prognosis , Tomography, X-Ray Computed , Ureteral Diseases/surgery
19.
Platelets ; 25(5): 322-7, 2014.
Article in English | MEDLINE | ID: mdl-23909871

ABSTRACT

The aim of this study was to determine the associations of the mean platelet volume (MPV) with the development of adverse outcomes after percutaneous coronary intervention (PCI) and platelet reactivity. MPV and platelet function testing were analysed in 208 patients who underwent PCI. The primary endpoint was cardiac death. The secondary endpoint analysed was cardiovascular events (CVE): the composite of myocardial infarction (MI), target vessel revascularization (TVR), and stent thrombosis (ST). The median MPV level, aspirin reaction unit (ARU), P2Y12 reaction units (PRU) and P2Y12% inhibition (PI%) of clopidogrel were 8.55 (IQR 8.00-9.18) fl, 401.0 (IQR 389.3-442.0) ARU, 222.0 (IQR 169.0-272.3) PRU and 22 (IQR 9-38) %, respectively. We observed that high values of MPV were associated with elevated ARU (r = 0.165, p = 0.017) and decreased PI% (r = -0.167, p = 0.016). There were 10 events of cardiac death, 3 MI (including 1 event of ST), and 8 TVR during a mean of 7.6 months of follow-up. The Kaplan-Meier analysis revealed that the higher MPV group (≥8.55 fl, median) had a significantly higher cardiac death rate compared to the lower MPV group (<8.55 fl) (7.7% vs. 1.9%, log-rank: p = 0.035). However, aspirin or clopidogrel resistance (>550 ARU, <40 PI%, respectively) did not predict cardiac death. When the MPV cut-off level was set to 8.55 fl using the receiver operating characteristic curve, the sensitivity was 80% and the specificity was 51.5% for differentiating between the group with cardiac death and the group without cardiac death. This value was more useful in patients with clinical diagnosis of acute coronary syndrome (ACS). Furthermore, ACS patients with an MPV over 8.55 fl had high cardiac death and CVE risk without atorvastatin loading before PCI (Log-Rank = 0.0031, 0.0023, respectively). The results of this study show that MPV was a predictive marker for cardiac death after PCI; its predictive power for cardiac death was more useful in patients with ACS.


Subject(s)
Acute Coronary Syndrome/blood , Mean Platelet Volume/methods , Platelet Function Tests/methods , Acute Coronary Syndrome/metabolism , Aged , Cohort Studies , Disease-Free Survival , Female , Humans , Korea , Male , Percutaneous Coronary Intervention , Retrospective Studies
20.
Ann Clin Lab Sci ; 54(1): 101-105, 2024 Jan.
Article in English | MEDLINE | ID: mdl-38514059

ABSTRACT

OBJECTIVE: Carbonic anhydrase inhibitors (CAIs) are intraocular pressure-reducing medications used in ophthalmology. Human leukocyte antigen-B*59:01 (HLA-B*59:01) is strongly associated with CAI-induced severe cutaneous adverse reactions (SCARs). This study aimed to develop and validate a rapid and economical screening method for HLA-B*59:01 to prevent carbonic anhydrase inhibitor-induced SCARs. METHODS: Duplex allele-specific polymerase chain reaction (PCR) with an internal control was performed for HLA-B*59:01 genotyping. The accuracy of duplex allele-specific PCR for HLA-B*59:01 genotyping was evaluated in 200 blood samples, using sequence-based typing (SBT) as the reference method. RESULTS: In total, 50 HLA-B*59:01-positive and 150 HLA-B*59:01-negative results obtained using duplex allele-specific PCR were in complete agreement with the SBT results. CONCLUSION: Duplex allele-specific PCR is a rapid, reliable, and economical assay for screening the HLA-B*59:01 allele.


Subject(s)
Carbonic Anhydrase Inhibitors , HLA-B Antigens , Humans , Alleles , Carbonic Anhydrase Inhibitors/adverse effects , Genotype , HLA-B Antigens/genetics
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