PurposeTo evaluate the status of number 3b lymph node (LN) station in patients with adenocarcinoma of the esophagogastric junction (AEG) and to investigate the optimal indications for radical proximal gastrectomy (PG) for AEG.Materials and MethodsData of 51 patients with clinically advanced Siewert types II and III AEG who underwent total gastrectomy (TG) between April 2010 and July 2017 were reviewed. The proportion of metastatic LNs at each LN station was examined. Number 3 LN station was separately classified into number 3a and number 3b. The risk factors for number 3b LN metastasis and the clinicopathological features of number 3b-positive AEG patients were investigated.ResultsThe incidences of LN metastasis were the highest in number 1 (47.1%), followed by number 2 (23.5%), number 3a (39.2%), and number 7 (23.5%) LN stations. LN metastasis in number 3b LN station was detected in 4 patients (7.8%). A gastric invasion length of more than 40 mm was a significant risk factor for number 3b LN metastasis. All 4 patients with number 3b-positive AEG had advanced cancer with a gastric invasion length of more than 40 mm. The 5-year survival rate of patients with a gastric invasion length of more than 40 mm was 50.0%.ConclusionsRadical PG may be indicated for patients with AEG with gastric invasion length of less than 40 mm.
Carrier-injection-based efficient polarization controller with a strained InGaAsP multiple-quantum-well (MQW) layer is demonstrated on a regrowth-free InP platform. We employ a straight-line device configuration by cascading an asymmetric polarization rotator (PR) to provide a fixed polarization conversion and a polarization-dependent phase shifter (PD-PS) to enable tunable polarization rotation. Based on a novel design concept, both the PR and PD-PS sections are integrated monolithically without active-passive integration. Using the fabricated device, we experimentally demonstrate efficient polarization conversion over the entire Poincaré sphere with a total current of less than 40 mA. With the capability of monolithically integrating other InP-based active components, the demonstrated scheme should be attractive for various applications, such-as low-cost coherent communication, microwave photonics, and quantum key distribution.
This study obtained highly uniform and efficient GaN-based vertical-cavity surface-emitting lasers (VCSELs) with curved mirror from a single wafer. The average threshold current (Ith) and the optical output power (Pmax) of 14 nominally identical chips measured up to 7 mA were 0.64 mA and 4.5 mW, respectively. The standard deviations of Ith and Pmax were 0.043 mA and 0.23 mW, respectively. Additionally, the best chip shows maximum values of wall plug efficiency and output power of 13.4% and 7.6 mW, respectively, at 5.2 mA and 12.8 mA operating currents.
Effects of phytochemicals on human health are suggested from various animal experiments, but human studies remain insufficient. We have constructed a database of various phytochemicals (polyphenols, carotenoids, and sulphur compounds) (http://www.life-science.jp/fff/) and estimated the amount of intake among Japanese population. The subjects were volunteers (16 males and 63 females, averagely aged 71 and 61, respectively) in Iwate city. Average BMI was 23 in both sexes. Intake of 36 phytochemicals was calculated from one-day dietary records of all intake, by multiplying concentrations of each phytochemical in foods. Phytochemicals with average intake of at least 10 micromole per day were catechin, isoflavones, isothiocyanate, ferulic acid, quercetin, cinnamic acid and chlorogenic acid. Chief component analysis yielded 12 factors (80%).
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