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Takashi Motohashi,Akira Yabuno,Hiroshi Michimae,Tetsuro Ohishi,Miwa Nonaka,Masashi Takano,Shin Nishio,Hiroyuki Fujiwara,Keiichi Fujiwara,Eiji Kondo,Toru Sugiyama,Tsutomu Tabata 대한부인종양학회 2021 Journal of Gynecologic Oncology Vol.32 No.1
Objective: The standard dose for pegylated liposomal doxorubicin (PLD) is 50 mg/m2every 4weeks. While 40 mg/m2has recently been used in clinical practice, evidence supporting thisuse remains lacking. Methods: This phase III randomized, non-inferiority study compared progression free survival (PFS) for patients with platinum-resistant ovarian carcinoma between anexperimental arm (40 mg/m2PLD) and a standard arm (50 mg/m2PLD) until 10 courses,disease progression or unacceptable toxicity. Eligible patients had received ≤2 prior lines. Stratification was by performance status and PFS of prior chemotherapy (<3 months versus ≥3months). The primary endpoint was PFS and secondary endpoints were overall survival (OS),toxicity profile, clinical response and tolerability. The total number of patients was 470. Results: The trial was prematurely closed due to slow recruitment, with 272 patients randomizedto the experimental arm (n=137) and standard arm (n=135). Final analysis was performed with234 deaths and 269 events for PFS. In the experimental arm vs. standard arm, median PFS was4.0 months vs. 4.0 months (hazard ratio [HR]=1.065; 95% confidence interval [CI]=0.830–1.366)and median OS was 14.0 months vs. 14.0 months (HR=1.078; 95% CI=0.831–1.397). Hematologictoxicity and oral cavity mucositis (≥grade 2) were more frequent in the standard arm than in theexperimental arm, but no difference was seen in ≥grade 2 hand-foot skin reaction. Conclusion: Non-inferiority of 2 PLD dosing schedule was not confirmed because the trialwas closed prematurely. However, recommendation of dose reduction of PLD should bebased both on efficacy and safety. Trial Registration: UMIN Clinical Trials Registry Identifier: UMIN000003130
Hiroshi Nishimura,Hikari Shimadera,Akira Kondo,Kazuyo Akiyama,Yoshio Inoue 한국대기환경학회 2015 Asian Journal of Atmospheric Environment (AJAE) Vol.9 No.4
This study conducted analyses on biogenic volatile organic compounds (BVOC) emission sources contributing to urban ozone (O3) concentration in Osaka Prefecture, Japan in summer 2010 by using the Weather Research and Forecasting model (WRF) version 3.5.1 and the Community Multiscale Air Quality model (CMAQ) version 5.0.1. This prefecture is characterized by highly urbanized area with small forest area. The contributions of source regions surrounding Osaka were estimated by comparing the baseline case and zero-out cases for BVOC emissions from each source region. The zero-out emission runs showed that the BVOC emissions substantially contributed to urban O3 concentration in Osaka (10.3 ppb: 15.9% of mean daily maximum 1-h O3 concentration) with day-by-day variations of contributing source regions, which were qualitatively explained by backward trajectory analyses. Although O3 concentrations were especially high on 23 July and 2 August 2010, the contribution of BVOC on 23 July (35.4 ppb: 25.6% of daily maximum O3) was much larger than that on 2 August (20.9 ppb: 14.2% of daily maximum O3). To investigate this difference, additional zero-out cases for anthropogenic VOC (AVOC) emissions from Osaka and for VOC emissions on the target days were performed. On 23 July, the urban O3 concentration in Osaka was dominantly increased by the transport from the northwestern region outside Osaka with large contribution of O3 that was produced through BVOC reactions by the day before and was retained over the nocturnal boundary layer. On 2 August, the concentration was dominantly increased by the local photochemical production inside Osaka under weak wind condition with the particularly large contribution of AVOC emitted from Osaka on the day.
Review : EUS-Guided Biliary Drainage
( Kenji Yamao ),( Kazuo Hara ),( Nobumasa Mizuno ),( Akira Sawaki ),( Susumu Hijioka ),( Yasumasa Niwa ),( Masahiro Tajika ),( Hiroki Kawai ),( Shinya Kondo ),( Yasuhiro Shimizu ),( Vikram Bhatia ) The Editorial Office of Gut and Liver 2010 Gut and Liver Vol.4 No.s1
Endoscopic ultrasonography (EUS) combines endoscopy and intraluminal ultrasonography, and allows imaging with a high-frequency transducer over a short distance to generate high-resolution ultrasonographic images. EUS is now a widely accepted modality for diagnosing pancreatobiliary diseases. EUS-guided fineneedle aspiration (EUS-FNA) using a curved linear- array echoendoscope was initially described more than 20 years ago, and since then many researchers have expanded its indications to sample diverse lesions and have also used it for various therapeutic purposes. EUS-guided biliary drainage (EUS-BD) is one of the therapeutic procedures that has been developed using a curved linear-array echoendoscope. Technically, EUS-BD includes rendezvous techniques via transesophageal, transgastric, and transduodenal routes, EUS-guided choledochoduodenostomy (EUS-CDS), and EUS-guided hepaticogastrostomy (EUS-HGS). Published data have demonstrated a high success rate, albeit with a comparatively high rate of nonfatal complications for EUS-CDS and EUS-HGS, and a comparatively low success rate with a low complication rate for the rendezvous technique. At present, these procedures represent an alternative to surgery or percutaneous transhepatic biliary drainage (PTBD) for patients with obstructive jaundice when endoscopic biliary drainage (EBD) has failed. However, these procedures should be performed in centers with extensive experience in linear EUS and therapeutic biliary ERCP. Large prospective studies are needed in the near future to establish standardized EUS-BD procedures as well as to perform controlled comparative trials between EUS-BD and PTBD, between rendezvous techniques and direct-access techniques (EUS-CDS and EUS-HGS), and between EBD and EUS-BD. (Gut Liver 2010;4(Suppl. 1):S67-75)
Aiza Cortes,Hikari Shimadera,Tomohito Matsuo,Akira Kondo 한국대기환경학회 2016 Asian Journal of Atmospheric Environment (AJAE) Vol.10 No.4
Here we evaluated the effect of using water retentive pavement or WRP made from fly ash as material for main street in a real city block. We coupled computational fluid dynamics and pavement transport (CFD-PT) model to examine energy balance in the building canopies and ground surface. Two cases of 24 h unsteady analysis were simulated: case 1 where asphalt was used as the pavement material of all ground surfaces and case 2 where WRP was used as main street material. We aim to (1) predict diurnal variation in air temperature, wind speed, ground surface temperature and water content; and (2) compare ground surface energy fluxes. Using the coupled CFD-PT model it was proven that WRP as pavement material for main street can cause a decrease in ground surface temperature. The most significant decrease occurred at 1200 JST when solar radiation was most intense, surface temperature decreased by 13.8°C. This surface temperature decrease also led to cooling of air temperature at 1.5 m above street surface. During this time, air temperature in case 2 decreased by 0.28°C. As the radiation weakens from 1600 JST to 2000 JST, evaporative cooling had also been minimal. Shadow effect, higher albedo and lower thermal conductivity of WRP also contributed to surface temperature decrease. The cooling of ground surface eventually led to air temperature decrease. The degree of air temperature decrease was proportional to the surface temperature decrease. In terms of energy balance, WRP caused a maximum increase in latent heat flux by up to 255 W/m2 and a decrease in sensible heat flux by up to 465 W/m2.
The Numerical Prediction of the Micro Climate Change by a Residential Development Region
Oh, Eun-Joo,Lee, Hwa Woon,Kondo, Akira,Kaga, Akikazu,Yamaguchi, Katsuhito 한국환경과학회 2003 한국환경과학회지 Vol.12 No.5
We developed a numerical model that considered the influences on the thermal environment of vegetation, water surfaces and buildings to predict micro climatic changes in a few ㎢ scales; and applied this model to the Mino residential development region in Osaka Prefecture by using a nested technique. The calculated temperatures and winds in the residential development region reasonably agreed with the observed ones. We then investigated the influences on the thermal environment of the construction of a dam, the change of the green coverage rate. The results obtained from the numerical simulations were qualitatively reasonable.
Optical Technique to Measure Five-Degree-of-Freedom Error Motions for a High-Speed Microspindle
Hiroshi Murakami1,Norio Kawagoishi,Eiji Kondo,Akira Kodama 한국정밀공학회 2010 International Journal of Precision Engineering and Vol. No.
We present an optical technique to measure five-degree-of-freedom error motions of a high-speed microspindle. The measurement system consists of a rod lens, a ball lens, four divided laser beams, and multiple divided photodiodes. When the spindle rotates with its concomitant rotation errors, the rod and ball lenses, which are mounted to the chuck of the spindle, are displaced, and this displacement is measured using an optical technique. For this study, we decide the design parameters of the optical system using ray tracing, fabricate a prototype of the measurement system, and evaluate it experimentally. The results show that the measurement system has a resolution of 5 nm and can be used to evaluate high-speed microspindle rotation errors.
Yagi Kiyoshi,Suzuki Nobuyuki,Mizutani Jun,Kato Kenji,Kondo Akira,Waseda Yuya,Goto Yuta,Murakami Hideki 대한척추외과학회 2022 Asian Spine Journal Vol.16 No.1
Study Design: A cadaveric study.Purpose: To investigate the anatomical features of segmental arteries and veins in the anterior part of the spinal column to prevent segmental vessel injury.Overview of Literature: The lateral transpsoas approach to the lumbar intervertebral discs (IVD) is associated with the risk of segmental vessel injury. Previous studies have described the vascular anatomy on the lateral part of the vertebral body. However, there are no studies that describe the segmental vessels on its anterior aspect. Here, we report the important anatomical features of the segmental arteries and veins that can intersect the anterior part of the IVD. These vessels are considered at risk of vascular injury when placing the anterior retractors during lateral lumbar interbody fusion or cutting the anterior longitudinal ligament during anterior column realignment.Methods: Five formalin-embalmed human cadavers were used. We assessed the proportion of segmental arteries and veins that intersected the IVD in the L2–L5 range and their course on the anterior part of the spinal column.Results: The segmental arteries and veins commonly intersect the anterior part of the IVD (artery, 28.1%; vein, 42.1%). Seven of 10 (70%) segmental arteries at L2 intersected the IVD, but only one artery intersected the IVD at L3 and L4. The proportions of segmental veins that intersected the IVD were 60%, 50%, and 16.7% at L2, L3, and L4, respectively.Conclusions: The segmental arteries and veins frequently intersect the IVD in the anterior part of the spinal column. Therefore, it is necessary to consider these individual anatomical features to prevent vascular damage during lateral lumbar interbody fusion surgery.