Purpose: Metastatic head and neck squamous cell carcinoma (HNSCC) is relatively poor; however, depending on the selected cases, pulmonary metastasectomy can be a practical therapeutic option. This ...study aimed to identify the outcomes of complete metastasectomy based on each primary site and to investigate unfavorable prognostic factors. Patients and Methods: We used the database from the Metastatic Lung Tumour Study Group of Japan. Between November 1980 and April 2017, 231 patients were deemed eligible. According to anatomy and the current epidemiology of HNSCC, the patients were divided into three groups: nasopharynx, oropharynx, and salivary gland (n = 40, Group 1), oral cavity, tongue, and paranasal sinuses (n = 69, Group 2), and larynx and hypopharynx (n = 122, Group 3). Results: The 5-year overall survival after complete pulmonary metastasectomy was 58.5%, 25.0%, and 46.9% in G1, 2, and 3, respectively (p < 0.01). Multivariate analyses revealed unfavourable prognostic factors to be G2, and pathological maximum diameter was >20 mm. Therefore, on dividing group 1 and 3 with or without diameter, the 5-year overall survival was significantly worse in HNSCC with a diameter >20 mm (n = 74) than that in the remnant (n = 88; 61.9% vs 35.5%; p < 0.01). Conclusion: According to the multi-institutional Japanese data, pulmonary metastasectomy from HNSCC indicates a potential survival benefit. Oral cavity, tongue, and paranasal sinuses cancer, and tumour size (>20 mm) were poor prognostic factors for pulmonary metastasectomy from head and neck cancer. Keywords: pulmonary metastasectomy, head and neck squamous cell carcinoma, pulmonary metastasis, survival outcomes
The X-ray Astronomy Recovery Mission (XARM) is a recovery mission of ASTRO-H/
Hitomi
, which is expected to be launched in Japanese Fiscal Year of 2020 at the earliest. The
Resolve
instrument on XARM ...consists of an array of 6 × 6 silicon-thermistor microcalorimeters cooled down to 50 mK and a high-throughput X-ray mirror assembly with the focal length of 5.6 m.
Hitomi
was launched into orbit in February 2016 and observed several celestial objects, although the operation of
Hitomi
was terminated in April 2016. The soft X-ray spectrometer (SXS) on Hitomi demonstrated high-resolution X-ray spectroscopy of ~ 5 eV FWHM in orbit for most of the pixels. The
Resolve
instrument is planned to mostly be a copy of the Hitomi SXS and soft X-ray telescope designs, though several changes are planned based on the lessons learned from
Hitomi
. We report a brief summary of the SXS performance and the status of the Resolve instrument.
We report on the very long baseline interferometry (VLBI) follow-up observations using the Japanese VLBI Network array at 22 GHz for the largest X-ray flare of TeV blazar Mrk 421 that occurred in ...2010 mid-February. The total of five epochs of observations were performed at intervals of about 20 days between 2010 March 7 and May 31. No newborn component associated with the flare was seen directly in the total intensity images obtained by our multi-epoch VLBI observations. However, one jet component located at ~1 mas northwest from the core was able to be identified, and its proper motion can be measured as -1.66 + or - 0.46 mas yr super(-1), which corresponds to an apparent velocity of -3.48 + or - 0.97c. Here, this negative velocity indicates that the jet component was apparently moving toward the core. As the most plausible explanation, we discuss that the apparent negative velocity was possibly caused by the ejection of a new component, which could not be resolved with our observations. In this case, the obtained Doppler factor of the new component is around 10-20, which is consistent with the ones typically estimated by model fittings of spectral energy distribution for this source.
Evolutionary conflict between parents and offspring over parental resource investment is a significant selective force on the traits of both parents and offspring. Empirical studies have shown that ...for some species, the amount of parental investment is controlled by the parents, whereas in other species, it is controlled by the offspring. The main difference between these two strategies is the residual reproductive value of the parents or opportunities for future reproduction. Therefore, this could explain the patterns of control of parental investment at the species level. However, the residual reproductive value of the parents will change during their lifetime; therefore, parental influence on the amount of investment can be expected to change plastically. Here, we investigated control of parental investment when parents were young and had a high residual reproductive value, compared to when they were old and had a low residual reproductive value using a cross‐fostering experiment in the burying beetle Nicrophorus quadripunctatus. We found that parents exert greater control over parental investment when they are young, but parental control is weakened as the parents age. Our results demonstrate that control of parental investment is not fixed, but changes plastically during the parent's lifetime.
11-12Cr oxide dispersion strengthened (ODS) tempered martensitic steels underwent manufacturing tests and their ferritic–martensitic duplex structures were quantitatively evaluated by three methods: ...high-temperature X-ray diffraction (XRD), electron probe microanalyzer (EPMA), and metallography. It was demonstrated that excessive formation of residual-α ferrite, due to increasing Cr content, could be suppressed by appropriately controlling the concentration of the ferrite-forming and austenite-forming elements on the basis of the parameter “chemical driving force of α to γ reverse transformation. 11Cr-ODS steel containing a small portion of residual-α ferrite was successfully manufactured. In the as-received condition, this 11Cr-ODS steel was shown to have satisfactory creep strength and ductility, both as high as those of the 9Cr-ODS steel, while its 0.2% proof strength at 973K was lower than in the 9Cr-ODS steel.
OBJECTIVES
We aimed to determine the key factors associated with successful early and late outcomes after thoracic endovascular aortic repair (TEVAR) for non-acute Stanford type B aortic dissection ...at our institution.
METHODS
Inpatient and outpatient records were retrospectively reviewed. Patients operated on within 14 days after the onset of acute aortic dissection and those with rupture or malperfusion were excluded.
RESULTS
Forty-five patients (mean age, 55.5 ± 13.1 years; 23–79 years) underwent 53 TEVAR operations for non-acute Stanford type B aortic dissection between 1998 and 2012. Thirty-four patients had a patent false lumen and 19 had an ulcer-like projection (ULP). No early mortality was observed. At late follow-up (7.5 ± 3.9 years) of the 45 patients, survival after the initial TEVAR was 100, 86 and 63%; freedom from aortic reintervention was 87, 73 and 59%; and freedom from open aortic surgery was 89, 84 and 73%, at 1, 5 and 10 years, respectively. Of 15 late deaths, 2 were due to aortic rupture and 2 were operative deaths associated with aortic surgery. Of the 34 patients with patent false lumens before TEVAR, 25 had their descending false lumens thrombosed; of these 25, 16 had remodelling of the descending aorta; and of these 16, 4 had complete obliteration of the false lumen of the entire aorta. By bivariate analysis, the site of the primary entry and age were significantly associated with thrombosis of the descending false lumen, maximum aortic diameter was associated with remodelling of the descending aorta, and absence of abdominal branches arising from the false lumen was associated with complete obliteration of the false lumen of the entire aorta.
CONCLUSIONS
The early results of TEVAR for non-acute Stanford type B aortic dissection were favourable. However, for cases with patent false lumens, complete obliteration of the false lumen of the entire aorta was difficult to achieve. Absence of the primary entry at the outer curvature of the distal aortic arch, younger age, small aortic diameter and absence of the abdominal aortic branches arising from the false lumen were the key success factors.
We have evaluated the biological responses to four different types of carbon nanotubes (CNTs), by measuring CD4
+ and CD8
+ T-cells in peripheral blood, and by the histopathological study on tissues ...surrounding subcutaneously implanted CNTs for up to 3 months. All mice survived, and no large changes in their weights were observed within our experimental period. After 1 week, only single-walled carbon nanotubes (SWNTs) activated major histocompatibility complex (MHC) class I pathway of antigen–antibody response system (higher CD4
+/CD8
+ value), resulting in the appearance of an edematous aspect. After 2 weeks, significantly high values in CD4
+ and CD4
+/CD8
+ without change in CD8
+ signified an activated MHC class II for all samples. It is worth noting that the toxicological response of CNTs was absolutely lower than that of asbestos. As a result, we envisaged that our result (relatively low toxicity of CNTs) will spur the mass-production, as well widespread application of CNTs in the near future.
Behavioral and neuroimaging studies have provided evidence that reading is strongly left lateralized, and the degree of this pattern of functional lateralization can be indicative of reading ...competence. However, it remains unclear whether functional lateralization differs between the first (L1) and second (L2) languages in bilingual L2 readers. This question is particularly important when the particular script, or orthography, learned by the L2 readers is markedly different from their L1 script. In this study, we quantified functional lateralization in brain regions involved in visual word recognition for participants' L1 and L2 scripts, with a particular focus on the effects of L1-L2 script differences in the visual complexity and orthographic depth of the script. Two different groups of late L2 learners participated in an fMRI experiment using a visual one-back matching task: L1 readers of Japanese who learnt to read alphabetic English and L1 readers of English who learnt to read both Japanese syllabic Kana and logographic Kanji. The results showed weaker leftward lateralization in the posterior lateral occipital complex (pLOC) for logographic Kanji compared with syllabic and alphabetic scripts in both L1 and L2 readers of Kanji. When both L1 and L2 scripts were non-logographic, where symbols are mapped onto sounds, functional lateralization did not significantly differ between L1 and L2 scripts in any region, in any group. Our findings indicate that weaker leftward lateralization for logographic reading reflects greater requirement of the right hemisphere for processing visually complex logographic Kanji symbols, irrespective of whether Kanji is the readers' L1 or L2, rather than characterizing additional cognitive efforts of L2 readers. Finally, brain-behavior analysis revealed that functional lateralization for L2 visual word processing predicted L2 reading competency.
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