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Surgical Science 2012年第10期3卷 463-468页

作者： Kiyosumi Shibata Hiroaki Kajiyama Mik Mizuno Eiko Yamamoto fumitaka kikkawa Department of Obstetrics and Gynecology Nagoya University Graduate School of Medicine Nagoya Japan

Objective: To identify prognostic factors in patients with locally advanced cervical cancer treated with concurrent chemoradiotherapy (CCRT). Methods and Materials: We analyzed 76 patients with FIGO stage IB2 - IVb cervical cancer treated with CCRT between 2001 and 2006 at the Nagoya University Hospital. Patients with an advanced cervical cancer treated with CCRT. Overall survival (OS) and Progression-free survival (PFS) rates were estimated using the Kaplan-Meier method. The log-rank test was used to test differences in survival. Fisher's exact test was employed for univariate analysis. The Cox proportional hazard model was used for multivariate analysis. Results: The median age was 52, and the median follow-up period was 36 months. The 5 - year OS and PFS rates of all patients were 88.2% and 72.4%, respectively. Twenty-one of the 76 patients were diagnosed with recurrence. A higher serum CEA before CCRT was an independent predictive factor for a poor prognosis on multivariate analysis. Conclusions: A high level of serum CEA was a predictive factor for a poor prognosis. New strategies should be considered to control disease in this group of patients.

关键词： Cervical Cancer Chemoradiotherapy Recurrence Prognostic Factor Carcinoembryonic Angtigen (CEA)

Human umbilical cord-derived mesenchymal stromal cells promote sensory recovery in a spinal cord injury rat model

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Stem Cell Discovery 2013年第3期3卷 155-163页

作者： Sachiko Takikawa Akihito Yamamoto Kiyoshi Sakai Ryutaro Shohara Akira Iwase fumitaka kikkawa Minoru Ueda Department of Oral and Maxillofacial Surgery Nagoya University Graduate School of Medicine Nagoya Japan

While paralysis is widely appreciated to impact the quality-of-life after spinal cord injuries (SCIs), neuropathic chronic pain may also occur in many cases. In this study, we investigated whether human umbilical cord-derived mesenchymal stromal cells (hUCMSCs) possess the therapeutic potential to reduce neuropathic pain following SCI in rats. Spinal cord hemitransection, which was used as a rat SCI pain model, induced tactile hypersensitivity in the hind paw and hyperexcitability of wild dynamic range neurons in response to natural cutaneous stimuli. Following hemitransection, we transplanted hUCMSCs into the spinal cord. Attenuation of neuronal hyperexcitability was observed in the hUCMSC-treated group compared with that observed in the vehicle-treated group. Immunohistochemistry showed that the transplanted hUCMSCs retained the expression of gammaamino butyric acid (GABA). The results suggest that transplanted hUCMSCs ameliorate GABAergic inhibition in the spinal cord. In summary, the production of GABA plays a critical role in the plasticity of neuropathic pain after implantation of hUCMSCs.

关键词： Human Umbilical Cord Mesenchymal Stromal Cell Mesenchymal Stem Cell GABA

Postrecurrence Clinical Outcome of Patients with Stage I Epithelial Ovarian Cancer Who Underwent Fertility-Sparing Surgery Compared to Those with Radical Surgery

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Surgical Science 2013年第1期4卷 118-124页

作者： Hiroaki Kajiyama Kiyosumi Shibata Mika Mizuno Eiko Yamamoto Michiyasu Kawai Tetsuro Nagasaka fumitaka kikkawa Department of Medical Laboratory Sciences School of Health Science Nagoya University Graduate School of Medicine Nagoya Japan Department of Obstetrics and Gynecology Nagoya University Graduate School of Medicine Nagoya Japan Department of Obstetrics and Gynecology Toyohashi Municipal Hospital Toyohashi Japan

Background: To examine the difference in the survival of patients with recurrent ovarian cancer who received fertility-sparing surgery (FSS) and those receiving radical surgery. Methods: Clinicopathologic data on a total of 90 patients with stage I recurrent ovarian cancer collected under the central pathological review system were subjected to survival analyses. Patients were divided into 2 groups: 1) FSS (N = 11), 2) Radical (N = 79). Results: Five-year overall survival rates of patients in the two groups were as follows: 40.8% (FSS)/44.2% (Radical), respectively. There was no significant difference in overall survival among the groups (P = 0.887). Additionally, three-year postrecurrence survival rates of patients in the two groups were 24.8% (FSS) and 25.3% (Radical) (P = 0.730). Furthermore, we accumulated 137 patients {FSS (N = 58), Radical group (N = 79)} with stage I recurrent ovarian cancer from the current study and six representative reports in the literature. Patients who experienced recurrence in the remaining ovary alone (FSS) showed a more favorable prognosis than those who had extra-ovarian site recurrence (overall survival: P = 0.021, postrecurrence survival: P = 0.069). Conclusions: Although our retrospective analysis was very preliminary, we could propose the hypothesis that patients with stage I recurrent ovarian cancer who undergo FSS may not show poorer survival rates than patients who receive radical surgery.

关键词： Recurrent Ovarian Cancer Fertility-Sparing Surgery Overall Survival Postrecurrence Survival

Patterns of Recurrence and Their Significance in Patients with Endometrial Carcinoma<br>—For Improved Follow-Up after Initial Treatment<br>

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Surgical Science 2013年第2期4卷 154-159页

作者： Fumi Utsumi Hiroaki Kajiyama Kiyosumi Shibata Hiroko Mitsui Ryuichiro Sekiya Mika Mizuno Shiro Suzuki Tomokazu Umezu Eiko Yamamoto fumitaka kikkawa Department of Obstetrics and Gynecology Nagoya University Graduate School of Medicine Nagoya Japan

Objectives: The aim of this study was to identify the patterns of recurrence and their significance in patients with endometrial carcinoma (EMCA). Patients and Methods: After a search of the medical records from single institutions, a total of 49 patients with relapsed endometrial carcinoma were retrospectively evaluated. Various clinical information was examined, including the site of recurrence, detection procedure, and presence or absence of any symptom at the time of recurrence. Furthermore, the postrecurrence survival analysis was based on the Kaplan-Meier method. Results: The median follow-up period of all patients was 39.4 months (5.8 - 293.1). In all, twenty-five (51.0%) patients experienced recurrence within 12 months after the final treatment. At the time of recurrence, 15 (30.6%) and 34 (69.4%) patients were symptomatic and asymptomatic, respectively. Among the 34 asymptomatic patients, recurrence was detected by CT scan in 14 (28.6%), tumor markers alone in 14 (28.6%), and pelvic examination/ultrasound scan in 5 (10.2%). There was no relapsed case detected by vaginal vault cytology alone. The 5-year postrecurrence survival rates in symptomatic and asymptomatic patients were 57.5 and 36.6 months, respectively (P = 0.2973). After recurrence, 12 patients underwent debulking surgery, and 37 received salvage chemotherapy or radiotherapy. The postrecurrence survival of patients receiving surgery did not differ from that of those with chemotherapy/radiotherapy (P = 0.9198). Conclusion: Although imaging studies and tumor marker measurement contributed to the early detection of recurrence, they did not necessarily improve the prognosis postrecurrence.

关键词： Endometrial Carcinoma Recurrence Site Postrecurrence Survival Symptomatic Vaginal Vault Cytology

Recycling of ironmaking and steelmaking slags in Japan and China

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International Journal of Minerals,Metallurgy and Materials 2022年第4期29卷 739-749页

作者： Hiroyuki Matsuura Xiao Yang Guangqiang Li Zhangfu Yuan fumitaka Tsukihashi Graduate School of Engineering The University of TokyoTokyo 113-8656Japan Key Laboratory of Coastal Environment and Resources of Zhejiang Province School of EngineeringWestlake UniversityHangzhou 310024China Institute of Advanced Technology Westlake Institute for Advanced StudyHangzhou 310024China Key Laboratory for Ferrous Metallurgy and Resources Utilization of Ministry of Education Wuhan University of Science and TechnologyWuhan 430081China Collaborative Innovation Center of Steel Technology University of Science and Technology BeijingBeijing 100083China The University of Tokyo Tokyo 113-8656Japan

The mass production of steel is inevitably accompanied by large quantities of *** treatment of ironmaking and steelmaking slags is a great challenge in the sustainable development of the steel *** and China are two major steel producing countries that have placed a large emphasis on developing new technologies to decrease slag emission or promote slag *** are almost completely reused or recycled in ***,due to stagnant infrastructural investments,future applications of slags in conventional sectors are expected to be *** new functions or applications of slags has become a research priority in *** example,the utilization of steelmaking slags in offshore seabeds to create marine forests is under *** is the top steel producer in the *** utilization ratios of ironmaking and steelmaking slags have risen steadily in recent years,driven largely by technological *** example,hot stage processing of slags for materials as well as heat recovery techniques has been widely applied in steel plants with good ***,increasing the utilization ratio of basic oxygen furnace slags remains a major *** innovations in slag recycling are crucial for the steel industries in Japan and ***,the current status and developing trends of utilization technologies of slags in both countries are reviewed.

关键词： ironmaking steelmaking slag recycling seawater stabilization

Large Eddy Simulation for Unsteady Turbulent Field in Thin Slab Continuous Casting Mold

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Journal of Iron and Steel Research(International) 2011年第S2期18卷 243-250页

作者： fumitaka Tsukihashi Department of Advanced Materials Science Graduate School of Frontier Science University of Tokyo Kashiwa 277-8561 Japan

The unsteady turbulent flow during the continuous casting of steel is important, because it influences critical phenomena that affect steel quality. Unsteady three-dimensional flow in the mold region of the liquid pool during continuous casting of steel slabs has been computed using realistic geometries starting from the submerged inlet nozzle to the mold. The cassette filter function was used to deal with unsteady Navier-Stokes equation, and then the turbulent flow in the thin slab CCM was simulated with the large eddy simulation method combined with the Smagorinsky sub-grid scale model in this paper. And the model was verified by the Particle Image Velocimetry (PIV) experimental results which was got from a relate scientific literature. In this thesis, by means of LES, the flow characteristics in the thin slab CCM were acquired, such as the vortex distribution, the formation of the large eddy coherent structures, development, shedding and fracture process. In the same time, the turbulent asymmetric distribution was revealed even the nozzle in the centre position. Interactions between the two halves cause large velocity fluctuations near the meniscus. And the vortex is located at the low velocity side adjacent to the SEN. Along with the unsteady time development, the unsteady turbulent large vortex structures of the liquid steel in the CCM presented periodic bias flow distribution, and the period is about 20 seconds.

关键词： continuous casting mold unsteady large eddy simulation vortex coherent structures

Study of Argon/Molten Steel Two-Phase Flow in Refining of High Clean Steel Using Two-Fluid Model

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Journal of Iron and Steel Research(International) 2011年第S2期18卷 176-181页

作者： TSUKIHASHI fumitaka Department of Advanced Materials Science Graduate School of Frontier Science University of Tokyo Kashiwa 277-8561 Japan

RH vacuum degasser is a very important secondary refining device in the production of high quality steels. The flow field of molten steel in RH system plays a significant role in determining productivity of the equipment. The homogeneous model and VOF method were often used to predict the flow field in RH system, but these kinds of models simplified the interaction between gas bubbles and molten steel. In the present work, a numerical model of a whole RH system, including vacuum degasser, immersed legs and ladle,was built based on gas-liquid two-fluid model, and it could be used to analyze the interaction between argon bubbles and molten steel, to understand the effect of the bubble size to the flow field.

关键词： RH vacuum degasser gas-liquid two-phase flow two-fluid model interaction

Phase Equilibrium for the CaO-SiO_2-FeO-P_2O_5 System at 1673K for Dephosphorization With Multi Phase Flux

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Journal of Iron and Steel Research(International) 2011年第S2期18卷 84-86页

作者： Hiroyuki MATSUURA fumitaka TSUKIHASHI Graduate School of Frontier Sciences The University of Tokyo Kashiwa Chiba 277-8561 Japan

Development of the efficient hot metal dephosphorization processes during steelmaking process is one of the most essential topics for the production of high grade clean steels. Since the formation of solid solution composed of tricalcium phosphate and dicalcium silicate could obtain a considerable mass transfer of phosphorus from liquid slag into solid phase during hot metal dephosphorization, itcould obviously sustain a high phosphatecapacityof theliquid slag without huge consumption of lime or addition of fluxes, such as fluorite. The above outlines are the main idea of multi phase flux dephosphorization. For the last few decades, many studies have been done towards the scientific principles and the commercial utilization of this technique. However, the reaction mechanism by using multi phase fluxes remains unclear even by now due tolack of evidence. Based on those previous works, providing a reliable and available phase diagram for the fundamental understanding of the reaction mechanism of multi phase flux dephosphorization has become the main purpose of present research. As well known, the CaO-SiO2-FeO-P2O5 slag is the main component of current steelmaking process. Hence the CaO-SiO2-FeO-P2O5 system at equilibrium has been studied at 1673K with low oxygen partial pressure. The solid phase coexisting with liquid flux is approved to be the solid solution composed of CaO, SiO2 and P2O5. Phosphorus distributes mainly in solid solution rather than liquid phase.

关键词： steelmaking dephosphorization multi phase flux thermodynamics phase diagram

The effect of basic fibroblast growth factor on regeneration in a surgical wound model of rat submandibular glands

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International Journal of Oral Science 2016年第1期8卷 16-23页

作者： fumitaka Kobayashi Kenichi Matsuzaka Takashi Inoue Department of Clinical Pathophysiology Tokyo Dental CollegeTokyoJapan

This study developed an animal model of surgically wounded submandibular glands （SMGs） and investigated the effects of collagen gel with basic fibroblast growth factor （bFGF） on tissue regeneration of surgically wounded SMGs in vivo. The animal model was produced by creating a surgical wound using a 3-mm diameter biopsy punch in SMGs. The wound was filled with collagen gel with bFGF （bFGF group） or without bFGF （control group）. In the animal model of surgically wounded SMGs, salivary glands without scar tissue around the wound area were observed with smaller areas of collagen gel. Small round and spindle-shape cells invaded the collagen gel in both groups after operation day （AOD） 5, and this invasion dramatically increased at AOD 7. Host tissue completely replaced the collagen gel at AOD 21. The invading immune cells in the group treated with collagen gel with bFGF were positive for vimentin, g-smooth muscle actin （αSMA）, CD49f, c-kit and AQP5 at AOD 7. Similarly, the mRNA expression of vimentin, αSMA, CD49f, keratin 19 and AQP5 was also increased. This study suggests that the use of collagen gels with bFGF improves salivary gland regeneration.

关键词： animal model basic fibroblast growth factor collagen immunohistochemistry salivary gland wound healing

Identifying potential field sites for production of cellulosic energy plants in Asia

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International Journal of Agricultural and Biological Engineering 2014年第3期7卷 59-67页

作者： Nobuhito Sekiya Taiichiro Hattori fumitaka Shiotsu Jun Abe Shigenori Morita Institute for Sustainable Agro-ecosystem Services Graduate School of Agricultural and Life SciencesThe University of TokyoTokyo 188-0002Japan NARO Kyushu Okinawa Agricultural Research Center Kagoshima 891-3102Japan College of Agriculture Ibaraki UniversityInashikiIbaraki 300-0393Japan Department of Plant Science School of AgricultureTokai UniversityKumamoto 869-1404Japan Faculty of Agriculture Tokyo University of AgricultureKanagawa 243-0034Japan

Cellulosic bioethanol produced from non-edible plants avoids food-fuel *** such plants on marginal non-arable lands also avoids the use of *** this study,attempts were made to identify potential field sites for cellulosic bioethanol production in *** this study,GIS databases containing information about requirements such as land use,landform,and climate were *** with terrestrial constraints were then removed from the candidate field sites using a terrain slope *** remaining lands were evaluated using a net primary production(NPP)*** these areas,southern and eastern India,northeastern Thailand,and southern Sumatra(Indonesia)had high *** the 2nd phase,local information regarding infrastructure,and agriculture were ***-establishment feasibility was high for eastern India and southern *** field sites were then located in satellite images of these two *** the 3rd phase,soils around potential sites were *** residents were interviewed to estimate the cost of producing plants for biomass *** selected using this simple method are suitable for biomass production.

关键词： bioethanol biomass cellulosic energy plants geographic information system unused land