Ophthalmologic survey of atomic bomb survivors in Japan, 1949. Atomic bomb radiation cataract case report with histopathologic study. Medical examination of Hiroshima patients with radiation cataracts

Energy Technology Data Exchange (ETDEWEB)

Cogan, D.G.; Martin, S.F.; Kimura, S.J.; Ikui, Hiroshi; Fillmore, P.G.

1959-01-01

This document contains 3 reports dealing with the delayed effects of radiation on the eyes of survivors of the atomic explosions in Hiroshima and Nagasaki. In the first study, 1000 persons who were listed as having been in the open and within two kilometers of the hypocenter at the time of the explosion were selected at random from the census files of the Atomic Bomb Casualty Commission for study. In addition, 231 others, comprising the total available number of surviving persons listed at present in the census files as having been within one kilometer of the hypocenter, were examined, as were several hundred others who were contacted through newspaper publicity, referrals from local ophthalmologists, or through hearsay. The survey resulted in bringing in persons having, or having had, a variety of ocular conditions. Those connected with the atomic bomb included the following diagnoses; multiple injuries of eyes and eyelids; keratoconjunctivitis from ultraviolet and ionizing radiations; thermal burn of the cornea and of the retina; retinitis proliferans; and radiation cataracts. The cataracts were the only delayed manifestations of ocular injury from the atomic bomb. The second paper is a case report of a histopathologic study of atomic bomb radiation cataract. The third paper presents the results of medical examinations of survivors having radiation induced cataracts. 32 references, 8 figures. (DMC)

Clinical studies of lung cancer of A-bomb survivors, 3

International Nuclear Information System (INIS)

Sasaki, Hideo; Fukuhara, Hirofumi; Ito, Chikako; Mitsuyama, Toyofumi; Mishima, Yasuhiro; Kamitsuna, Akimitsu; Nishimoto, Yukio; Katsuta, Shizutomo.

1984-01-01

One hundred and eighty-seven A-bomb survivors with lung cancer were observed between 1972 and 1982, 78 of whome (41.7 %) were 70 years or older. Clinical findings and prognosis of lung cancer were examined in these 78 A-bomb survivors. The ratio of men to women was extremely high. Older patients tended to have squamous cell carcinoma of the lung more frequently and small cell carcinoma of the lung less frequently than younger patients. Conservative therapy (23.1 %) was used a little more frequently than surgery (20.5 %) in the aged patients. Surgical prognosis in the aged patients was not so different as that in younger patients. The prognosis of non-surgical aged patients was unfavorable. Since surgery can be indicated in patients up to the age of 74 years, health screening for lung cancer should be undertaken in A-bomb survivors before the age of 74 years to discover lung cancer of which a good prognosis is expected. (Namekawa, K.)

Study on the plasma proteins of A-bomb survived patients including those suffered by the remained radioactivities. Report 2. Quantitative observation of the plasma protein fractions by electrophoretic test and to solve the problems for physiological clinical significance of its patterns

Energy Technology Data Exchange (ETDEWEB)

Makidono, J; Takanashi, S; Yoshimoto, T; Kai, T; Yoshimoto, K; Matsutani, M; Miura, M

1963-10-01

The plasma proteins of A-bombed survivors, healthy persons, long term x-ray equipment handling people (for instance the radiologists and x-ray technicians), cancer patients, and tumor irradiated cancer patients were examined by the electrophoretic test. It was found that the electrophoretic patterns of plasma proteins could be divided into normal (N-pattern) and abnormal (..beta.. and ..gamma.. patterns) patterns, when they were classified according to the accents of each fraction. The patterns of the healthy persons and the long term x-ray handling people showed normal (N) pattern, however, it showed 43% abnormal patterns in A-bombed survivors and 48% in cancer patients. Furthermore, the patterns could be changed by radiotherapy to cancer, ie., from N to ..beta.. or vice versa. As a result of the quantitative observation about individual pattern, the accents of ..beta..-globulins in ..beta..-patterns and ..gamma..-globulins in ..gamma..-patterns were found. The globulins increased in the A bomb survivors and the long term x-ray handling people, and this increase was also seen in the cases of cancer patients which showed 85% of them were effected with uclers (self disintegrated) by clinical examinations. A physiological clinical significance of these abnormal patterns (..beta.. and ..gamma..) in the plasma proteins indicates the disorders in its body and an important immunological meaning. Abnormal patterns in those who suffered by the remained radioactivities caused by the A-bomb showed 70%, whose average was much higher than those of direct A-bombed survivors. It is pointed out that, in recent days, there is a trend of more and gradual increase in the malignant neoplamsm than the disorders of direct A-bombed survivors.

Bomb blast injuries: an exploration of patient characteristics and outcome using Pakistan National Emergency Departments Surveillance (Pak-NEDS) data.

Science.gov (United States)

Khan, Irum; Khan, Nadeem; Naeem, Rubaba; Kerai, Salima; Allen, Kate; Zia, Nukhba; Shahbaz, Sana; Afridi, Shiraz; Siddiqui, Emaduddin; Khan, Uzma; Hyder, Adnan A; Razzak, Junaid A

2015-01-01

Bomb blast injuries result in premature deaths and burdening of healthcare systems. The objective of this study was to explore the characteristics and outcome of patients presenting to the emergency departments in Pakistan with bomb blast injuries. Active surveillance was conducted in seven major emergency departments of Pakistan from November 2010-March 2011. All the sites are tertiary care urban centers. All the patients who presented to the hospital's emergency department (ED) following a bomb blast injury as per self-report or the ambulance personnel were included in the study. Frequency of demographics, injury pattern, and outcomes were calculated. A total of 103 patients with bomb blast injuries presented to the selected emergency departments. The median age of patients was 30 years. Around three-fourth of the patients were males (n = 74, 74.7%). Most of the bomb blast patients were seen in Peshawar (n = 41, 39.8%) and Karachi city (n = 31, 30.1%) and the most common mode of arrival was non-ambulance transport (n = 71, 76.3%). Upper limb injuries (n = 12, 40%) were common in the under 18 age group and lower limb injuries (n = 31, 39.2%) in the 18 years and above group. There were a total of 8 (7.7%) deaths reported out of these 103 patients. Bomb blast injuries in Pakistan generally affect young males. Non-ambulance transport is the most common way to access emergency departments (ED). Overall ED mortality is high and capturing data during a disaster in an emergency department is challenging.

Hot spring therapy of the patients exposed to atomic bomb radiation, 15

Energy Technology Data Exchange (ETDEWEB)

Ouchi, Tamon [Genbaku Hibakusha Beppu Onsen Ryoyo Kenkyusho, Oita (Japan); Tsuji, Hideo

1983-03-01

The patients exposed to the atomic bomb radiation in Hiroshima area came to Beppu Spa to have hot spring therapy. During the fiscal year of 1982 (April, 1982, to March, 1983), 3972 persons came to the hot spring sanatorium, and 586 patients (14.8 %) received physical examination. Among them, 473 patients (80.7 %) were exposed to the atomic bomb radiation on August 6, 1945, or entered in the city of Hiroshima by August 20, 1945, according to the official notebook issued by the government. Physical examination was performed twice a week during their stay, and more than 53.5 % of the patients were older than 70, and the oldest was 93 years old. Blood pressure was measured when the patients came in and went out, and hypertensive patients were asked to observe the rule of treatment strictly. The complaints of the patients which brought them to the hot spring were mostly pain in bodies and lower extremities, and hypertension, common cold syndrome, diabetes and constipation. Patients took hot spring bath 2

Breast cancer among atomic bomb survivors

International Nuclear Information System (INIS)

Tokunaga, Masayoshi

1978-10-01

Three hundred and sixty cases of breast cancer were collected from among the 63,000 female members of the RERF extended Life Span Study sample which includes atomic bomb exposed women and controls of Hiroshima and Nagasaki. The relationship of these breast cancer cases to A-bomb radiation was sought, and in studying 5-year survival, the following conclusions were obtained concerning its relationship to histopathological findings: 1) The prognosis of the 50 + rad high dose group is the best, followed by the nonexposed group and the low dose group; 2) The apparently better survival may be due, at least in part, to the fact that this group is heavily weighted in favor of those who were younger at the time of the bomb; 3) There is no specificity of the histologic type of breast cancer in the survivors by dose; 4) Nor, is any significant difference observed in the distribution of tumor size and histological grade; 5) Cellular reaction is significantly marked at the stroma of carcinoma tissue in the high dose group; 6) Immune reaction is considered to be strong at the affected site of breast cancer in the high dose group and this can be regarded as a finding suggestive of good prognosis; 7) Further extended studies are therefore warranted. (author)

Epidemiology of a thermonuclear bomb-burst over Nashville, Tennessee: a theoretic study

International Nuclear Information System (INIS)

Quinn, R.W.

1983-01-01

A thermonuclear bomb explosion over any city in the world would have a devastating effect on the population and environment. For those who survive, with or without injuries, life would become primitive with little or no uncontaminated food or water, and with inadequate housing, fuel, and medical care, resulting in a breakdown of family and interpersonal relationships. This theoretic study of the potential outcome of a thermonuclear bomb-burst over Nashville, Tennessee, discusses epidemiologically the wide range of medical and psychologic effects from the direct trauma of blast and fire, widespread epidemics of otherwise controlled disease, long-term chronic illness, genetic damage, and catastrophic environmental havoc

Radiosensitivity of skin fibroblasts from atomic bomb survivors with and without breast cancer

International Nuclear Information System (INIS)

Ban, Sadayuki; Setlow, R.B.; Bender, M.A.

1990-11-01

Fibroblasts were established in vitro from skin biopsies obtained from 55 women and one man with or without breast cancer and with or without exposure to radiation from the atomic bomb explosion in Hiroshima. The radiosensitivity of these cells was evaluated by clonogenic assays after exposure to X rays or to fission neutrons from a 252 Cf source. Data were fitted to a multitarget model, S/S 0 = A[1-(1-e kD ) N ], for both X-ray and neutron dose-survival curves. A single-hit model, S/S 0 = Ae kD , fits the neutron dose-survival responses as well. These was no difference in the means or variances of radiosensitivity between exposed and nonexposed groups, or between patients with or without breast cancer. Hence, although the sample is not large, it provides no support for the hypothesis that A-bomb radiation preferentially induces breast cancer in women whose cells in vitro are sensitive to cell killing by radiation. (author)

Bomb CAD

International Nuclear Information System (INIS)

Massa, R.J.; Howard, J.W.

1989-01-01

This paper describes BombCAD a computer-aided analysis technique for assessing the damage to diverse structures which results from specific high explosive detonations within or near the structure. BombCAD analyzes the vulnerability of specific facilities to bomb attach, and evaluates siting, screening and hardening/softening aspects of comprehensive bomb defense programs. The paper describes BombCAD's architectural models of specific structures, computations of blastwave effects and the paradigms which relate blast wave effects to both structural damage and human injury. The use of BombCAD in bomb attack vulnerability assessment, facility design, bomb threat response planning and post-incident analyses is described and field examples are presented

Thyroid disorders in atomic bomb survivors

International Nuclear Information System (INIS)

Tanaka, Yoshikiyo; Inoue, Keisuke; Sugihara, Toru; Oshima, Tetuya; Matsueda, Kazuhiro

1984-01-01

There was no difference in blood levels of thyroid stimulating hormones among atomic bomb survivors having normal thyroid function, irrespective of the exposure distance from the explosion. Of 336 atomic bomb survivors admitted to the hospital for health examinations, hyperthyroidism was seen in one patient, hypothyroidism in four, malignant struma in three, and benign tumor in one. The incidence of struma associated with positive antithyroidglobulin antibody tended to be high in atomic bomb survivors living within 1.0 km from the explosion. The overall study in patients visiting the department of internal medicine, in addition to the 336 survivors, revealed that the incidence of thyroid disorders, especially hypothyroidism, was high in survivors directly exposed to atomic bomb. (Namekawa, K.)

Bomb Threats and Bomb Search Techniques.

Science.gov (United States)

Department of the Treasury, Washington, DC.

This pamphlet explains how to be prepared and plan for bomb threats and describes procedures to follow once a call has been received. The content covers (1) preparation for bomb threats, (2) evacuation procedures, (3) room search methods, (4) procedures to follow once a bomb has been located, and (5) typical problems that search teams will…

Hot spring therapy of atomic bomb exposed patients, (9)

Energy Technology Data Exchange (ETDEWEB)

Hatta, O [Balneogic Sanatorium for the Atomic Bomb Injured Beppu, Oita (Japan); Tsuji, H

1978-03-01

The following description shows the statistics and the results of medical examinatin concerning the patients utilized Beppu Atomic Bomb Center from April, 1977, to March, 1978. Number of persons utilized the center was 3904, and 20285 man-days in total. Number of case treated there was 268. Number of diseases amounted to 442 of 66 sorts, excluding temporary of acute diseases such as acute entergastritis and cold diseases, etc. According to the report by the Ministry of Health and Welfare, atomic bomb-exposed persons show twice as much rate of incidence as normal persons, and owing to aging, many of them have more than two kinds of diseases. Among the diseases, 60 cases were hypertension, 32 heart disease, 30 knee-arthritis, 26 diabetes, 25 hepatitis, 23 spondylosis deformans, etc. Among 268 cases treated by hot spring therapy, 6 were totally cured, and 252 showed alleviation, while 10 showed no change.

Comments on the exposure distance as a factor of severity of A-bomb cataracts

Energy Technology Data Exchange (ETDEWEB)

Sugimoto, S [Sugimoto Ophthalmological Clinic, Hiroshima (Japan)

1976-09-01

In the study of A-bomb disorders, it is important in decision of exposure dose to consider not only exposure distance from the hypocenter but also shelter factors, and 8 cases were reported as examples. Group 1 (4 cases) was exposed to A-bomb in the train 750 m east of the hypocenter, and group 2 (4 cases) was exposed in the concrete steel building 620 m east of the hypocenter. Age, exposure distance, exposure place, shelter condition, wounds, acute symptoms due to A-bomb exposure, radiation dose, condition of turbidity of the crystalline lens, effect of A-bomb on visual acuity of eight cases were listed in table. Group 1 was exposed to A-bomb at the place 130 m from the place where group 2 was exposed, but the exposed dose of group 1 was equivalent to twice that of group 2. Acute symptoms due to A-bomb exposure, turbidity of the crystalline lens, and effect of A-bomb on visual acuity were by far stronger in group 1 than in group 2. It was stressed that physical history and treatment course of the patients with A-bomb cataract were enough to be important materials on the study of A-bomb disorders.

Neuropsychiatric and psychologic effects of A-bomb radiation

International Nuclear Information System (INIS)

Yamada, Michiko; Sasaki, Hideo

1992-01-01

Few studies have assessed the influences of A-bombing from both psychiatric and psychologic points of view. This chapter deals with the knowledge of neuropsychiatric and psychologic influences of A-bombing. Many A-bomb survivors were exposed not only to radiation but also to rapid environmental alterations, such as death of family members and destruction of living. In addition, they suffered from sequelae and anxiety. Naturally, these were considered to cause psychological disturbance including autonomic imbalance and neurosis. Psychological survey, made immediately after A-bombing, is presented, with special attention to behavioral patterns in 54 A-bomb survivors by dividing them into 5 stimulation groups. Radiation syndrome occurring early after exposure and leukemia or cancer occurring later were referred to as 'Genbaku-sho' (A-bomb disease). A-bomb survivors' physically eventful conditions tended to induce mental anxiety or the contrary. Depression and phobia seemed to have correlated with physical conditions. In addition to 'A-bomb disease', mass media, dealing with 'A-bomb neurosis,' 'marriage in A-bomb survivors,' 'suicide in A-bomb survivors,' 'A-bomb survivors orphan,' and 'lonely old A-bomb survivors,' had a great impact on A-bomb survivors. For in uterus exposed and infantile A-bomb survivors, there was no significant difference between the exposed and non-exposed groups, although the incidence of eye tremor and sleeping disorder is found to be higher in the in uterus exposed group than the control group. (N.K.)

Leukemia in atomic bomb survivors. 1. General observations. Leukemia in survivors of atomic bombing. Cytologic and biochemical studies on the granulocytes in early leukemia among atomic bomb survivors. Leukemogenic effects of ionizing radiation on atomic bomb survivors in Hiroshima City

Energy Technology Data Exchange (ETDEWEB)

Lange, R D; Moloney, W C; Yamawaki, Tokuso; Kastenbaum, M A

1959-01-01

This document contains 4 separate reports on leukemia in survivals of the atomic explosions in Hiroshima and Nagasaki. In the first report, observations on seventy-five established cases of leukemia occurring in people exposed to atomic bomb radiation are presented. These data indicate a great increase in the incidence of leukemia among atomic bomb survivors due to a single massive exposure to ionizing radiation. The leukemogenic effects of radiation are manifested equally in both sexes and at all age levels represented in this series. The striking preponderance of chronic myelogenous leukemia compared to chronic lymphatic leukemia has been noted in exposed individuals but it is pointed out that chronic lymphatic leukemia is comparatively rare among the Japanese. Cases of leukemia are still appearing in atomic bomb survivors. However, since 1950 there has been a steady decline in the number of cases. The second report consists of a review of all cases of leukemia referred to the ABCC from 1948 to April 1952, a total of 75 cases. In the third report, hematological and biochemical findings in separated leukocytes of four cases of preclinical myelogenous leukemia developing in atomic bomb survivors are described. The incidence of leukemia among survivors in Hiroshima is the topic of the fourth report. 38 references, 8 figures, 10 tables.

Hot spring therapy of the patients exposed to atomic bomb radiation, 15

International Nuclear Information System (INIS)

Ouchi, Tamon; Tsuji, Hideo.

1983-01-01

The patients exposed to the atomic bomb radiation in Hiroshima area came to Beppu Spa to have hot spring therapy. During the fiscal year of 1982 (April, 1982, to March, 1983), 3972 persons came to the hot spring sanatorium, and 586 patients (14.8 %) received physical examination. Among them, 473 patients (80.7 %) were exposed to the atomic bomb radiation on August 6, 1945, or entered in the city of Hiroshima by August 20, 1945, according to the official notebook issued by the government. Physical examination was performed twice a week during their stay, and more than 53.5 % of the patients were older than 70, and the oldest was 93 years old. Blood pressure was measured when the patients came in and went out, and hypertensive patients were asked to observe the rule of treatment strictly. The complaints of the patients which brought them to the hot spring were mostly pain in bodies and lower extremities, and hypertension, common cold syndrome, diabetes and constipation. Patients took hot spring bath 2 - 3 times daily, and many patients had microwave and low frequency wave treatment. Soaking in a bath (containing 1.4 mg of cupric sulfate and 11.4 mg of zinc sulfate per liter) was practiced by diabetic patients. The therapeutic effects were difficult to judge because the period of stay of the most patients was about 10 days, but in most of them, subjective symptoms were relieved when they left the sanatorium. (Yamashita, S.)

The 'secureplan' bomb utility: A PC-based analytic tool for bomb defense

International Nuclear Information System (INIS)

Massa, R.J.

1987-01-01

This paper illustrates a recently developed, PC-based software system for simulating the effects of an infinite variety of hypothetical bomb blasts on structures and personnel in the immediate vicinity of such blasts. The system incorporates two basic rectangular geometries in which blast assessments can be made - an external configuration (highly vented) and an internal configuration (vented and unvented). A variety of explosives can be used - each is translated to an equivalent TNT weight. Provisions in the program account for bomb cases (person, satchel, case and vehicle), mixes of explosives and shrapnel aggregates and detonation altitudes. The software permits architects, engineers, security personnel and facility managers, without specific knowledge of explosives, to incorporate realistic construction hardening, screening programs, barriers and stand-off provisions in the design and/or operation of diverse facilities. System outputs - generally represented as peak incident or reflected overpressure or impulses - are both graphic and analytic and integrate damage threshold data for common construction materials including window glazing. The effects of bomb blasts on humans is estimated in terms of temporary and permanent hearing damage, lung damage (lethality) and whole body translation injury. The software system has been used in the field in providing bomb defense services to a number of commercial clients since July of 1986. In addition to the design of siting, screening and hardening components of bomb defense programs, the software has proven very useful in post-incident analysis and repair scenarios and as a teaching tool for bomb defense training

Bomb parameters

International Nuclear Information System (INIS)

Kerr, George D.; Young, Rebert W.; Cullings, Harry M.; Christry, Robert F.

2005-01-01

The reconstruction of neutron and gamma-ray doses at Hiroshima and Nagasaki begins with a determination of the parameters describing the explosion. The calculations of the air transported radiation fields and survivor doses from the Hiroshima and Nagasaki bombs require knowledge of a variety of parameters related to the explosions. These various parameters include the heading of the bomber when the bomb was released, the epicenters of the explosions, the bomb yields, and the tilt of the bombs at time of explosion. The epicenter of a bomb is the explosion point in air that is specified in terms of a burst height and a hypocenter (or the point on the ground directly below the epicenter of the explosion). The current reassessment refines the energy yield and burst height for the Hiroshima bomb, as well as the locations of the Hiroshima and Nagasaki hypocenters on the modern city maps used in the analysis of the activation data for neutrons and TLD data for gamma rays. (J.P.N.)

Chromosomal aberrations in peripheral lymphocytes from A-bomb survivors who entered the city early after A-bombing

International Nuclear Information System (INIS)

Koguma, Nobuo; Kamada, Nanao

1992-01-01

It has been thought that A-bomb survivors who entered the city early after A-bombing were exposed to residual A-bomb radiation both externally and internally (through inhalation, food, drink or skin). This paper summarizes the data on estimated radiation doses in A-bomb survivors who entered Hiroshima within 3 days after A-bombing based on the chromosome staining analysis of lymphocytes of peripheral blood taken from A-bomb survivors. The subjects were 40 A-bomb survivors; according to a stay period and a history of medical irradiation, they were divided into four: group A with a long stay, group B with a long stay + medical irradiation, group C with a short stay, and group D with a short stay + medical irradiation. A mean estimated radiation dose was 4.8 rad (one rad or less to 13.5 rad) in group A, 13.9 rad (one rad or less to 71.2 rad) in group B, one rad or less in group C, and 1.9 rad (one rad or less to 21.2 rad) in group D. The highest rate of chromosomal aberrations was 3.1% in group B, followed by 2.1% in group A, 0.83% in group D, and 0.73% in group C. The frequency of chromosomal aberrations was coincident with the duration of stay in the city. Furthermore, medical irradiation seemed to have contributed to the additional effects of A-bomb radiation. (N.K.)

Mortality of in-utero children exposed to the A-bomb and of offspring of A-bomb survivors

International Nuclear Information System (INIS)

Kato, H.

1978-01-01

A cohort-type follow-up study has been carried out by the Radiation Effects Research Foundation on the mortality of children exposed to A-bomb radiation while in utero. The mortality increased with tissue dose during the first year of life and did not increase during the following nine years, but an increase with dose was again suggested during 10-32 years of age. A detailed analysis of infant mortality revealed that the dose-associated excess in mortality among those under one year of age, especially within one month after birth, was attributable partly to the mechanical injury of the mother, but this does not provide the whole explanation. There was no increase of mortality from cancer including leukaemia with dose. As the number of cancer deaths is at present only five, further careful follow-up on this cohort is necessary to determine the state of radiation-induced cancer among this cohort. The continuing study on mortality rates among children born to A-bomb survivors has been updated to 1976. No clearly significant effect of parental exposure on survival of the offspring (average age 24 years) could be demonstrated either by a contingency chi 2 -type of analysis or regression analysis. (author)

Carcinoma of the stomach in atomic bomb survivors

International Nuclear Information System (INIS)

Suehiro, Shinichi; Ogawa, Yuichiro; Nagasue, Naofumi; Abe, Shunichi; Sasaki, Yukiharu.

1985-01-01

A retrospective study of 135 atomic bomb survivors (A-bomb group) and 377 non-atomic bomb survivors (control group) who had carcinoma of the stomach was made with respect to surgical and pathological findings of carcinoma. An average age was significantly older in the A-bomb group (65 years) than in the control group (57 years). The number of female patients was significantly larger in the A-bomb group than in the control group. Although there was no difference of incidence in liver and peritoneal metastases, lymph node metastases along the left gastric artery, common hepatic artery and splenic artery, around the celiac artery, and at the splenic hilus occurred less frequently in the A-bomb group than in the control group. When carcinoma of the stomach was histologically classified as differentiated and undifferentiated, the incidence of differentiated type was higher than that of undifferentiated type in the A-bomb group. Regarding postoperative complications and follow-up results, there was no significant difference between the groups, synchronous or heterochronous multiple cancer occurred more frequently in the A-bomb group than in the control group. (Namekawa, K.)

The story of an A-bomb by Oppenheimer

International Nuclear Information System (INIS)

Song, Eun Yeong

2005-06-01

This book concentrates on an A-bomb by Oppenheimer. It is divided into eleven class, which are exile of excellent scientists, uranium atomic fission, situation the U.S. and Germany I, situation the U.S. and Germany II, air strike in pearl Harbor, plan for development of an A-bomb, military action to blow up heavy water plant, select on spot to drop an A-bomb, surrender and drop for an A-bomb and science of an A-bomb. This book is written to explain an A-bomb with form of storytelling.

The story of an A-bomb by Oppenheimer

Energy Technology Data Exchange (ETDEWEB)

Song, Eun Yeong

2005-06-15

This book concentrates on an A-bomb by Oppenheimer. It is divided into eleven class, which are exile of excellent scientists, uranium atomic fission, situation the U.S. and Germany I, situation the U.S. and Germany II, air strike in pearl Harbor, plan for development of an A-bomb, military action to blow up heavy water plant, select on spot to drop an A-bomb, surrender and drop for an A-bomb and science of an A-bomb. This book is written to explain an A-bomb with form of storytelling.

Penetrating Cardiac and Hepatic Injury; Polytrauma of a Child After Bombing

Directory of Open Access Journals (Sweden)

Baris Akca

2013-10-01

Full Text Available After a bombing attack, patients were brought into hospital suffering from a combination of injuries caused by the blast, penetrating injuries and burns which as a case of polytrauma. In penetrating thoracoabdominal injuries due to bombing possibility of cardiac injury should be kept in mind. Penetrating cardiac injuries in children are rare but has a high mortality and morbidity. In some cases there may be difficulty in diagnosis of penetrating cardiac injury. In this case we want to share the diagnosis, treatment and follow-up processes of penetrating cardiac and hepatic injury with burns of a politrauma child due to bombing.

Effects of A-bomb radiation on immunological competence

International Nuclear Information System (INIS)

Akiyama, Mitoshi; Kusunoki, Yoichiro

1992-01-01

The purpose of this paper is to discuss the effects of A-bomb radiation on human immunological competence from the current immunological viewpoint. Early disturbance of immunological competence after A-bombing was characterized by (1) rapid decrease of lymphocytes (within one day), (2) decrease in humoral factors such as antibodies and complements (immediately), (3) decrease in neutrophils and monocytes (3-50 days later), and (4) delayed recovery of lymphocytes (more than 4 weeks). Long term effects of A-bombing on immunological competence are discussed in terms of immunocompetent cells. The peripheral lymphocyte response to PHA tended to be noticeable with aging among A-bomb survivors exposed to 2 Gy or more than the control persons. The peripheral lymphocyte response to MLC was decreased in a dose-dependent manner in A-bomb survivors aged 15 years or older at the time of A-bombing. The count of mature T lymphocytes was decreased in elderly A-bomb survivors, although neither functional nor numerical decrease in T lymphocytes was observed in younger A-bomb survivors. This could be explained by the hypothesis that the recovery of T lymphocytes is incomplete in elderly people due to thymus involution. An increased HPRT mutant cells in T lymphocytes correlated with A-bomb radiation doses. The count of B lymphocytes tended to be decreased in elderly A-bomb survivors. A functional and numerical increase in NK cells was associated with advancing age; however, this was not found to be correlated with A-bomb radiation. There was no evidence of correlation between A-bomb radiation and any of bone marrow cells, virus infection, autoimmunity, and tumor-specific immunity. (N.K.) 61 refs

Tuberculosis among atomic bomb survivors

International Nuclear Information System (INIS)

Hamada, Tadao; Matsushita, Hiroshi.

1980-01-01

Effects of atomic bomb on tuberculosis among atomic bomb survivors necropsied after 1956 when Atomic Bomb Hospital was opened were observed statistically and the following results were obtained. The morbidity of tuberculosis in the group exposed within 2 km from the hypocenter was higher than that of the control group, but there was not a significant difference between the both groups. The morbidity of all types of tuberculosis was significantly higher in the group exposed within 2 km from the hypocenter than in the control group. The morbidity of tuberculosis tended to decrease in both exposed and non-exposed groups with time. However, the morbidity of miliary or active tuberculosis has tended to rise in the exposed since 1975. The morbidity in young a-bomb survivors exposed within 2 km was higher than that in those of other groups, but there was not a difference in the morbidity among the aged. The higher the rate of complication of active tuberculosis with stomach cancer or acute myelocytic leukemia or liver cirrhosis, the nearer the places of exposure were to the hypocenter. Out of 26 patients with miliary tuberculosis, 6 were suspected to have leukemia while they were alive and were suggested to have leukemoid reaction by autopsy. They all were a-bomb survivors, and 4 of them were exposed within 2 km from the hypocenter. (Tsunoda, M.)

Social restoration process of the A-bomb disaster and social psychological recovering process of the A. bomb victims

International Nuclear Information System (INIS)

Watanabe, Shoji

1984-01-01

The stress before and after the A-bomb exposure, and changes in the cope mechanism and support system during the process of recovering from the disaster were investigated in three A-bomb victims based on the survey of the individual life history from the A-bomb exposure up to the restoration (which has been discussed by the Group of Disaster Aftermath Study). (Namekawa, K.)

Review of diagnosis and classification of leukemias that occurred in A-bomb survivors (preliminary report)

International Nuclear Information System (INIS)

Matsuo, Tatsuki; Tomonaga, Masao; Ichimaru, Michito; Kamata, Nanao; Kuramoto, Atsushi.

1984-01-01

According to the current knowledge of diagnosis and classification, a review of 157 patients who had developed leukemia before June 30, 1967 was made. The total number of acute leukemia slightly decreased among A-bomb survivors in Hiroshima; however, the number of acute lymphatic leukemia (ALL) increased. The number of chronic myeloid leukemia (CML) was unchanged. The frequency of CML implied that A-bombing damaged stem cells in a high incidence. Among A-bomb survivors in Nagasaki, although the number of acute non-lymphatic leukemia decreased, the number of ALL was unchanged. Adult T-cell leukemia (ATL) was diagnosed in 7 A-bomb survivors, confirming that Nagasaki is an endemic area for ATL. These preliminary results seem to be of importance in elucidating the mechanism of leukemia developiong among A-bomb survivors. (Namekawa, K.)

Review of diagnosis and classification of leukemias that occurred in A-bomb survivors (preliminary report)

Energy Technology Data Exchange (ETDEWEB)

Matsuo, T; Tomonaga, M; Ichimaru, M; Kamata, N; Kuramoto, A

1984-11-01

According to the current knowledge of diagnosis and classification, a review of 157 patients who had developed leukemia before June 30, 1967 was made. The incidence of acute leukemia decreased slightly among A-bomb survivors in Hiroshima; however, the incidence of acute lymphatic leukemia (ALL) increased. The number of chronic myeloid leukemia (CML) was unchanged. The frequency of CML implied that A-bombing damaged stem cells. Among A-bomb survivors in Nagasaki, although the number of acute non-lymphatic leukemia decreased, the number of ALL was unchanged. Adult T-cell leukemia (ATL) was diagnosed in 7 A-bomb survivors, confirming that Nagasaki is an endemic area for ATL. These preliminary results seem to be of importance in elucidating the mechanism of leukemia developing among A-bomb survivors. (Namekawa, K.).

Mental health for elder A-bomb survivors

International Nuclear Information System (INIS)

Mine, Mariko; Honda, Sumihisa; Hata, Tomoko

1994-01-01

A pilot study was made, based on an interview survey, to improve mental hygiene in A-bomb survivors. The study consisted of General Health Questionnaire (GHQ) 12 items, Composite International Diagnostic Interview (CIDI), Social Disabilities Schedule (SDS), and General Health Questionnaire (GHQ) 30 items. A majority of the subjects were those aged in their fifties, sixties, and seventies. Eighty A-bomb survivors answered GHQ 12 items, consisting of 7, 17, and 41 who were exposed at <2.0 km, 2.0-2.9 km, and ≥3.0 km from the hypocenter, respectively, and 15 who entered the city early after A-bombing. Thirty-three A-bomb survivors answered CIDI. According to the distance from the hypocenter, the corresponding figures were 2, 10, 15, and 6 A-bomb survivors. The survey for GHQ 12 items revealed that more A-bomb survivors exposed nearer the hypocenter suffered from mental problems. In the survey for CIDI, the most common complaints were found to be physical expression disorder (n=9) and chronic pain (n=8), followed by hypochondria (n=4), panic disorder (n=2), and anxiery (n=one). According to the SDS survey, 85% were judged as having no mental disorder, and the remaining 15% as having merely mild or moderate disorder. (N.K.)

Mental health for elder A-bomb survivors

Energy Technology Data Exchange (ETDEWEB)

Mine, Mariko; Honda, Sumihisa; Hata, Tomoko [Nagasaki Univ. (Japan). School of Medicine] [and others

1994-12-01

A pilot study was made, based on an interview survey, to improve mental hygiene in A-bomb survivors. The study consisted of General Health Questionnaire (GHQ) 12 items, Composite International Diagnostic Interview (CIDI), Social Disabilities Schedule (SDS), and General Health Questionnaire (GHQ) 30 items. A majority of the subjects were those aged in their fifties, sixties, and seventies. Eighty A-bomb survivors answered GHQ 12 items, consisting of 7, 17, and 41 who were exposed at <2.0 km, 2.0-2.9 km, and {>=}3.0 km from the hypocenter, respectively, and 15 who entered the city early after A-bombing. Thirty-three A-bomb survivors answered CIDI. According to the distance from the hypocenter, the corresponding figures were 2, 10, 15, and 6 A-bomb survivors. The survey for GHQ 12 items revealed that more A-bomb survivors exposed nearer the hypocenter suffered from mental problems. In the survey for CIDI, the most common complaints were found to be physical expression disorder (n=9) and chronic pain (n=8), followed by hypochondria (n=4), panic disorder (n=2), and anxiery (n=one). According to the SDS survey, 85% were judged as having no mental disorder, and the remaining 15% as having merely mild or moderate disorder. (N.K.).

Current trend of malignant neoplasms among atomic bomb survivors

International Nuclear Information System (INIS)

Hamada, Tadao

1984-01-01

A survey was made on 7,589 admitted patients and 1,965 autopsy cases. The overall incidence of malignant neoplasms tended to decrease in the group exposed to atomic bomb within 2 km in autopsy cases and to increase in admitted patients. The incidence of pulmonary cancer tended to increase in both autopsy cases and admitted patients. The incidence of gastric cancer tended to increase up to 1975, and thereafter tended to decrease. The incidence of liver cancer tended to increase in both autopsy cases and admitted patients, which was marked in males. The incidence of leukemia was high in the group exposed to atomic bomb within 2 km in autopsy cases, and in the group within 1 km and the group which entered the city after the explosion in admitted patients. The incidence of malignant lymphoma tended to decrease, and the incidence of carcinoma of the colon tended to gradually increase in both autopsy cases and admitted patients. The incidence of multiple carcinomas tended to increase in both atomic bomb exposed group and non-exposed group, being higher in atomic bomb group than in non-exposed group. The incidence of breast cancer became constant since 1970. The incidence of carcinoma of the thyroid gland tended to decrease, although it was high in the group exposed near the explosion. (Namekawa, K.)

Cancer in atomic bomb survivors

International Nuclear Information System (INIS)

Shigematsu, I.; Kagan, A.

1986-01-01

This book presents information on the following topics: sampling of atomic bomb survivors and method of cancer detection in Hiroshima and Nagasaki; atomic bomb dosimetry for epidemiological studies of survivors in Hiroshima and Nagasaki; tumor and tissue registries in Hiroshima and Nagasaki; the cancer registry in Nagasaki, with atomic bomb survivor data, 1973-1977; cancer mortality; methods for study of delayed health effects of a-bomb radiation; experimental radiation carcinogenesis in rodents; leukemia, multiple myeloma, and malignant lymphoma; cancer of the thyroid and salivary glands; malignant tumors in atomic bomb survivors with special reference to the pathology of stomach and lung cancer; colorectal cancer among atomic bomb survivors; breast cancer in atomic bomb survivors; and ovarian neoplasms in atomic bomb survirors

Investigation of lung cancer in atomic bomb survivors

International Nuclear Information System (INIS)

Sasaki, Hideo; Itoh, Chikako; Mitsuyama, Toyofumi; Katsuta, Shizutomo.

1976-01-01

Fourty two cases of lung cancer in A-bomb survivors experienced between 1971 and 1975 were compared to non-exposure cases with lung cancer, and discussed. The mean age of A-bomb survivors with lung cancer was 68.7 year old, and that of control cases was 60 year old. The incidence ratio of male to female in the group was 4 : 1, and that of control group was 5 : 1. Occupation was one of the predisposing causes, but patients who had engaged in the occupation which was considered to predispose lung cancer were three. Among 39 patients with lung cancer whose smoking histories were clarified, 20.5 per cent was nonsmoker, and 69.3 per cent was heavy smoker. Among 39 patients whose cancer histories were clarified, 28.2 per cent of the patients had family history of cancer. Subjective symptoms of this disease were cough, sputum, bloody sputum and chest pain, and some had no symptoms. Seventeen cases (40.5 per cent) were detected in the physical examination for the A-bomb survivors. For the early detection of lung cancer in A-bomb survivors, patients with high risk should be selected to have received clearly established diagnosis. Histologically, squamous cell carcinoma was seen in many cases, following adenoma, and undifferenciated large cell carcinoma and small cell carcinoma. Disturbances in pulmonary functions were obstructive ventilation, high rate of residual air, lowered diffusions ability. Therapy was operation in stage I, chemotherapy and radiation therapy in stage II and stage III. (Kanao, N.)

Genetic radiation effects of Hiroshima and Nagasaki atomic bombs

International Nuclear Information System (INIS)

Srsen, S.

1984-01-01

A group of researchers examined persons who had survived the Hiroshima and Nagasaki bombs and were irradiated and their progeny with the aim of getting an idea of the genetic effects of these explosions. Teratogenic effects are not discussed. In the lymphocytes of the peripheral blood of persons who had been exposed to high dose irradiation the researchers found a significant increase in chromosomal aberrations by conventional and more recent methods of chromosomal analysis. In parents who had survived the atomic holocaust there were no significant deviations as against the rest of the population in still births, neonatal defects, infant mortality, and mortality of first generation progeny, in neonate weight, the sex ratio, increased occurence of leukosis and chromosomal aberrations in their children. These negative findings in the first generation do not signify that there is no danger from atomic bomb blasts for human kind. They only indicate that the effects of radiation were to small to be found by routine methods or that the methods used were not suitable

Genetic radiation effects of Hiroshima and Nagasaki atomic bombs

Energy Technology Data Exchange (ETDEWEB)

Srsen, S. (Komenskeho Univ., Bratislava (Czechoslovakia). Lekarska Fakulta)

1984-05-01

A group of researchers examined persons who had survived the Hiroshima and Nagasaki bombs and were irradiated and their progeny with the aim of getting an idea of the genetic effects of these explosions. Teratogenic effects are not discussed. In the lymphocytes of the peripheral blood of persons who had been exposed to high dose irradiation the researchers found a significant increase in chromosomal aberrations by conventional and more recent methods of chromosomal analysis. In parents who had survived the atomic holocaust there were no significant deviations as against the rest of the population in still births, neonatal defects, infant mortality, and mortality of first generation progeny, in neonate weight, the sex ratio, increased occurence of leukosis and chromosomal aberrations in their children. These negative findings in the first generation do not signify that there is no danger from atomic bomb blasts for human kind. They only indicate that the effects of radiation were too small to be found by routine methods or that the methods used were not suitable.

A-bomb radiation and diseases

International Nuclear Information System (INIS)

Fujimura, Kingo; Ito, Chikako.

1994-01-01

Mass health screening was conducted in 65,483 A-bomb survivors (23,153 men and 42,336 women). Among them, 553 (0.84%) was found to have M proteinemia. The incidence of M proteinemia was higher in men (1.1%) than women (0.72%). M proteinemia was simply classified as benign monoclonal gammopathy (BMG) in 372 A-bomb survivors (67.3%), pre-myeloma (PreMM) in 81 (14.6%), myeloma (MM) in 77 (13.9%), and macroglobulinemia in 23 (4.2%). A higher incidence of M proteinemia was associated with aging; it was rapidly increased in the age-group of 70. Death was seen in 45 (8%) of all cases, frequently due to vascular disorder and cancer. Some of the BMG cases had a long process or developed either PreMM or MM. The incidence of BMG was significantly higher in the group of A-bomb survivors exposed to 100 rad or more than the control group. (N.K.)

Mental health status of A-bomb survivors in Nagasaki

International Nuclear Information System (INIS)

Nakane, Hideyuki

2012-01-01

The most survivors of disaster usually recover with few or no lasting effects on their mental health. However, in some portions of survivors, distress lasts long. The atomic bomb detonated to Nagasaki in August 1945 instantaneously destroyed almost all areas of the city, resulting in a total of ca. 73,884 deaths by the end of 1945 and about 74,909 injured people. Since the A-bomb survivors reached over 60 years of age, their mental health as well as physical health has become of great concern. Some studies on their mental health conditions have been carried out in Japan. I give an outline about a precedent study on mental health of the A-bomb survivors in this report. The mental health studies of the A-bomb survivors who paid attention to a being bombed experience, stigmatization, long-term outcome, recovery are necessary. The improvement of wide appropriate support system for the A-bomb survivors is expected in future. (author)

A synthetic medical and sociological study of A-bomb exposed twin, 7

International Nuclear Information System (INIS)

Watanabe, Shoji; Satow, Yukio; Kyo, Taiichi

1984-01-01

The status of A-bomb exposure and family or relative relationship were investigated in seven twin pairs exposed to A-bomb (14 survivors). The survivors ranged in age between 4 and 24 years when they were exposed to A-bomb. Twins' relationship was comparatively strong. Both of the twins who were exposed to A-bomb tended to be closely connected with each other because of the fearful experience of A-bomb exposure and the subsequent hard social life. Even though one of the pair was not exposed to A-bomb, he (she) was likely to continue to help the other for a long time to restore from the disaster. (Namekawa, K.)

A-bomb radiation effects digest

International Nuclear Information System (INIS)

Shigematsu, Itsuzo; Akiyama, Mitoshi; Sasaki, Hideo; Ito, Chikako; Kamada, Nanao.

1993-01-01

This publication is the digest of the book 'Genbaku Hoshasen no Jintai Eikyo (Effects of A-bomb Radiation on the Human Body)' (365p.), published in Japanese by Hiroshima International Council for Medical Care of the Radiation-Exposed. Following a brief description on the damage of the atomic bomb, the subjects of malignant tumors, endocrine and metabolic deseases, ocular lesions, dermatologic effects, prenatal exposure, chromosoal aberrations, mutations, sensitivity to radiation, immune function, genetic effects and other effects of radiation are summarized. (J.P.N.)

High incidence of meningioma among Hiroshima atomic bomb survivors

International Nuclear Information System (INIS)

Shintani, Takahiro; Hayakawa, Norihiko; Hoshi, Masaharu

1999-01-01

Since the atomic bomb explosions in Hiroshima and Nagasaki, high incidences of leukemia, thyroid cancer and other tumors have been reported as atomic bomb-induced tumors. We investigated the incidence of meningioma among Hiroshima atomic bomb survivors. Sixty-eight patients surgically treated for meningioma who had been within 2.0 km of the hypocenter of the explosion were identified. Six hundred and seven non-exposed patients with meningioma were also studied. Treatment dates were from 1975 to 1992. The incidences of meningioma among 68 subjects within 2.0 km and 607 non-exposed patients were 8.7 and 3.0 cases per 10 5 persons per year, respectively. The incidences of meningioma among the survivors of Hiroshima in 5-year intervals since 1975 were 5.3, 7.4, 10.1, and 14.9, respectively. The incidences of meningioma classified by distances from the hypocenter of 1.5-2.0 km, 1.0-1.5 km and less than 1.0 km were 6.3, 7.6 and 20.0, respectively. The incidences of meningioma classified by doses to the brain of 0-0.099 Sv, 0.1-0.99 Sv and more than 1.0 Sv were 7.7, 9.2 and 18.2, respectively. The incidence of meningioma among Hiroshima atomic bomb survivors has increased since 1975. There was a significant correlation between the incidence and the dose of radiation to the brain. The present findings strongly suggest that meningioma is one of the tumors induced by atomic bombing in Hiroshima. (author)

Cytogenetic studies on leukemia and preleukemic state in atomic bomb survivors

International Nuclear Information System (INIS)

Sadamori, Naoki; Tomonaga, Yu; Tagawa, Masuko; Kusano, Miyuki; Nishino, Kenji

1980-01-01

Chromosomal abberation of bone marrow cells in healthy persons and patients with various hematologic diseases both of the exposed and the non-exposed were discussed. One healthy a-bomb survivor exposed near the hypocenter and structural abnormality of chromosomes closely similar to that found out in a small number of patients with hematologic diseases, but clone formation was not recognized. Though it was clarified that there was chromosomal abberation peculiar to each hematologic disease, specific chromosomal abberation peculiar to a-bomb survivors with hematologic diseases was not recognized. There were many a-bomb survivors with hemopoietic dysplasia who had structural abnormality of chromosomes, and their frequency was significantly higher than that of the non-exposed. (Tsunoda, M.)

Carcinoma of the stomach in atomic bomb survivors. A comparison of clinicopathologic features to the general population

International Nuclear Information System (INIS)

Suehiro, S.; Nagasue, N.; Abe, S.; Ogawa, Y.; Sasaki, Y.

1986-01-01

The results of surgical treatment of gastric cancer were reviewed retrospectively for 135 atomic bomb survivors and 377 control patients. The mean age was significantly higher in the survivors than in the controls. Otherwise, both groups were quite comparative especially in terms of the stage of the disease. Histopathologically, the rates of poorly differentiated or undifferentiated types of carcinoma and secondary lymph node involvements were significantly lower in the survivors than in the controls. There were no significant difference between the two groups in postoperative morbidity and mortality rates and long-term survival rate. The incidence of second primary malignancies, however, was apparently higher in the survivors than in the controls

Lung cancer among atomic-bomb survivors

International Nuclear Information System (INIS)

Hamada, Tadao; Akamizu, Hiroshi

1984-01-01

Patho-statistical study of the relationship between lung cancer and the atomic-bomb (A-bomb) was made on 259 lung cancer cases autopsied in Hiroshima Atomic Bomb Hospital between 1956 and 1983. These autopsy cases were divided into 3 groups; those exposed at 2000 m from the hypocenter or those entering the city after the bombing (group B), and non-exposed group. The incidence of lung cancer was high irrespective of sex in the group A, being 1.8 times higher than in the non-exposed group. It tended to increase rapidly since 1975 in women of the group A, and the ratio of women to men was high, as compared with the other groups. In the group B and the non-exposed group, the incidence of lung cancer tended to increase year by year, particularly in men. Grip-sized adenocarcinoma was seen more frequently in the group A than in the other groups. Squamous cell carcinoma and undifferentiated cancer occurred more frequently than adenocarcinoma in older women of the exposed groups. This seemed to be due to the fact that older patients tended to have squamous cell carcinoma or undifferentiated cancer more frequently than adenocarcinoma. The incidence of lung cancer, particularly adenocarcinoma, tended to increase in the exposed groups. There was no great difference in the incidence of organ metastasis between the exposed groups and non-exposed group. Twenty-one of 24 cases of multiple cancer were A-bomb victims, although the incidence of complications was independent of exposure status. (Namekawa, K.)

Leukemia among a-bomb survivors living in Hiroshima city, 1971-1978

International Nuclear Information System (INIS)

Kawakami, Masahito; Takahashi, Hiroshi; Ohkita, Takeshi; Hayakawa, Norihiko

1980-01-01

The death from leukemia among Hiroshima citizens from 1971 to 1978 was investigated. The total number of dead citizens was 241, and 64 of them were a-bomb survivors. Thirty-seven of a-bomb survivors were exposed to a-bomb within 2 km from hypocenter. Seventy-seven of remaining 177 citizens were born after the explosion of a-bomb, but they were not children of a-bomb survivors exposed directly to a-bomb. The mortality of a-bomb survivors exposed near the hypocenter was 1.67 (within 2 km) - 2.51 (within 1.5 km) times that of those exposed far from the hypocenter. The mortality of a-bomb survivors exposed within 1.5 km was significantly high. The death risk from leukemia was significantly high in women. The estimated exposure dose was over 1 rad in 25 of abovementioned 37 a-bomb survivors, and it was over 10 rad in 21 and over 100 rad in 10 of 25. Seven of 10 a-bomb survivors exposed over 100 rad were women. The age at the exposure was under 10 years in 1, teens in 1, twenties in 2, and over thirty in 6. The type of leukemia was acute in 8 and chronic in 2. Both types were myelogenous leukemia. Five of these 10 a-bomb survivors died after 1976. (Tsunoda, M.)

Development of a Dirigible Bomb

Science.gov (United States)

1943-04-15

X - ¥ control for all future high-angle dirigible bombs in spite of the instrumental complications involved. /. two gyro system consisting of t...ts found thet the bomb wos in roll equilibrium £.t aero roll orientetion . Moreover, these roll equilibrium positions ire stt-ble ss indicated by...tirflow giving rise to voll torques in the seme direction fcs roll dis- placements from the «ero orientetion , the roll equilibrium found for equel pitch

Patient with pure red cell aplasia who was exposed to the atomic bomb near the site of blast

Energy Technology Data Exchange (ETDEWEB)

Toyoda, N; Matsukuma, G; Uchiyama, E; Tsunoo, S; Anpi, S [Nagasaki Atomic Bomb Hospital (Japan)

1976-03-01

This paper describes a female patient who had been exposed at the age of 26 to the atomic bomb at a distance of 1.3 km from the bombed area. She was pointed out to have anemia and the disturbance of the liver in 1961. In 1963, she had iron deficiency, hypoleucocytosis, and hyper-..gamma.. globulinemia, and showed a high value of serum colloids. In 1969, she had more frequently anemia together with hyper ..gamma..-globulinemia. The erythrocyte sedimentation rate and serum colloids were still high. The positive reaction to the LE cells began to appear. The liver biopsy findings showed proliferation of Kupper cells in the lobule, decidual degeneration of some liver cells, infiltration of many round cells in the Glisson's sheath. Therefore, she was diagnosed as having pure red cell aplasia and lupoid hepatitis. However, in 1970 she was suspected of having pulmonary valvular insufficiency caused by pulmonary hypertension in spite of the continuous steroid therapy. In 1974, she died of jundice, hyper-..gamma..-globulinemia which accompanied urea in the blood and the increased values of nitrogen and NH/sub 3/. This patient was considered to be interested on the assumption of the relationships between exposure to the atomic bomb and disturbance of immunity.

Diagnosis and treatment of leukemia recognized in atomic-bomb survivors

Energy Technology Data Exchange (ETDEWEB)

Ichimaru, M [Nagasaki Univ. (Japan). School of Medicine

1978-05-01

Out of atomic bomb survivors in Hiroshima and Nagasaki, 256 patients which were diagnosed as having leukemia by 1975 and of which exposure dose was estimated as over 1 rad were described. Chronic myelocytic leukemia (CGL) was plentiful in Hiroshima, and acute myelocytic leukemia (AGL) was comparatively plentiful in Nagasaki. Chronic lymphatic leukemia (CLL) was not recognized in the atomic bomb survivors exposed at places near the center of the explosion, but CLL was recognized plentifully in the atomic bomb survivors exposed to radiation of under 1 rad. The incidence of leukemia according to the total dose was higher in Hiroshima than in Nagasaki. When RBE of neutron on the occurrence of leukemia was considered to be five times that of gamma-ray, the occurrence curves in both cities were consistent well. As to a relationship between leukemia in the atomic bomb survivors and the age at the exposure time, CGL occurred early in the atomic bomb survivors exposed at an early age. A specific lesion of leukemia in the atomic bomb survivors was not recognized, but cases of which leukemia cells were negative to peroxidase and were very difficult to be identified were plentiful in the atomic bomb survivors exposed within 2 km from the explosion center. The treatment of leukemia in atomic bomb survivors does not differ from that of general leukemia, but a method of treatment, administration dosage, a method and a kind of supportive care must be discussed according to each case.

Exposure to an atomic bomb explosion is a risk factor for in-hospital death after esophagectomy to treat esophageal cancer.

Science.gov (United States)

Nakashima, Y; Takeishi, K; Guntani, A; Tsujita, E; Yoshinaga, K; Matsuyama, A; Hamatake, M; Maeda, T; Tsutsui, S; Matsuda, H; Ishida, T

2015-01-01

Esophagectomy, one of the most invasive of all gastrointestinal operations, is associated with a high frequency of postoperative complications and in-hospital mortality. The purpose of the present study was to determine whether exposure to the atomic bomb explosion at Hiroshima in 1945 might be a preoperative risk factor for in-hospital mortality after esophagectomy in esophageal cancer patients. We thus reviewed the outcomes of esophagectomy in 31 atomic bomb survivors with esophageal cancer and 96 controls (also with cancer but without atomic bomb exposure). We compared the incidences of postoperative complications and in-hospital mortality. Of the clinicopathological features studied, mean patient age was significantly higher in atomic bomb survivors than in controls. Of the postoperative complications noted, atomic bomb survivors experienced a longer mean period of endotracheal intubation and higher incidences of severe pulmonary complications, severe anastomotic leakage, and surgical site infection. The factors associated with in-hospital mortality were exposure to the atomic bomb explosion, pulmonary comorbidities, and electrocardiographic abnormalities. Multivariate analysis revealed that exposure to the atomic bomb explosion was an independent significant preoperative risk factor for in-hospital mortality. Exposure to the atomic bomb explosion is thus a preoperative risk factor for in-hospital death after esophagectomy to treat esophageal cancer. © 2013 Wiley Periodicals, Inc. and the International Society for Diseases of the Esophagus.

Atomic bomb cataracts

International Nuclear Information System (INIS)

Shiraeda, Kanji

1992-01-01

Eye disturbance caused by atomic bomb radiation can be divided into three groups: direct injury immediately after exposure, eye lesions associated with radiation syndrome, and delayed disturbance. The crystalline lens of the eye is the most radiosensitive. Atomic bomb cataract has been investigated in a number of studies. The first section of this chapter discusses radiation cataract in terms of the incidence and characteristics. The second section deals with atomic bomb cataract, which can be diagnosed based on the four criteria: (1) opacity of the crystalline lens, (2) a history of proximal exposure, (3) lack of eye disease complicating cataract, and (4) non-exposure to radiation other than atomic bombing. The prevalence of cataract and severity of opacity are found to correlate with exposure doses and age at the time of exposure. Furthermore, it is found to correlate with distance from the hypocenter, the condition of shielding, epilation, and the presence or absence or degree of radiation syndrome. (N.K.)

Atomic bomb and leukemia

Energy Technology Data Exchange (ETDEWEB)

Ichimaru, M; Tomonaga, M; Amenomori, T; Matsuo, T [Nagasaki Univ. (Japan). School of Medicine

1991-12-01

Characteristic features of the leukemia among atomic bomb survivors were studied. Dose estimates of atomic bomb radiation were based on T65D, but the new dosimetry system DS86 was used for some analyses. The ratio of a single leukemia type to all leukemias was highest for chronic myelogenous leukemia (CML) in Hiroshima, and the occurrence of CML was thought to be most characteristic to atomic bomb radiation induced leukemia. The threshold of CML occurrence in Hiroshima is likely to be between 0.5{approx}0.09 Gy. However, the threshold of acute leukemia appears to be nearly 1 Gy. In the distribution of acute myeloid leukemia (AML) subtypes by French-American-British classification, there was no M3 case in 1 Gy or more group, although several atypical AML cases of survivors were observed. Although aplastic anemia has not increased as a late effect of the atomic bomb radiation exposure, many atypical leukemia or other myeloproliferative diseases who had been diagnosed as aplastic anemia or its related diseases have been experienced among atomic bomb survivors. Chromosome study was conducted using colony forming cells induced by hemopoietic stem cells of peripheral blood of proximal survivors. Same chromosome aberrations were observed in colony forming cells and peripheral T-cells in several atomic bomb survivors. (author).

Atomic bomb and leukemia

International Nuclear Information System (INIS)

Ichimaru, M.; Tomonaga, M.; Amenomori, T.; Matsuo, T.

1991-01-01

Characteristic features of the leukemia among atomic bomb survivors were studied. Dose estimates of atomic bomb radiation were based on T65D, but the new dosimetry system DS86 was used for some analyses. The ratio of a single leukemia type to all leukemias was highest for chronic myelogenous leukemia (CML) in Hiroshima, and the occurrence of CML was thought to be most characteristic to atomic bomb radiation induced leukemia. The threshold of CML occurrence in Hiroshima is likely to be between 0.5∼0.09 Gy. However, the threshold of acute leukemia appears to be nearly 1 Gy. In the distribution of acute myeloid leukemia (AML) subtypes by French-American-British classification, there was no M3 case in 1 Gy or more group, although several atypical AML cases of survivors were observed. Although aplastic anemia has not increased as a late effect of the atomic bomb radiation exposure, many atypical leukemia or other myeloproliferative diseases who had been diagnosed as aplastic anemia or its related diseases have been experienced among atomic bomb survivors. Chromosome study was conducted using colony forming cells induced by hemopoietic stem cells of peripheral blood of proximal survivors. Same chromosome aberrations were observed in colony forming cells and peripheral T-cells in several atomic bomb survivors. (author)

Estimation of the Hiroshima bomb yield and weather conditions at the time of the bomb

International Nuclear Information System (INIS)

Tajima, Eizo

1984-01-01

The results of the survey made immediately after the bombings in Hiroshima and Nagasaki were compiled in Collection of Reports on the Investigation of the Atomic Bomb Casualties published in 1953. Much valuable information for the reassessment of dose are included in this document. One of the major problems to be solved for the dose reassessment is the yield of the Hiroshima bomb. Two articles with relatively detailed description were selected, and the estimation of the yield was attempted, based on them. The data on roof tile melting were used for the purpose. Assuming the yield of the Nagasaki bomb as 22 kt, the yield of the Hiroshima bomb was given as 12.4 kt. By the experiment using the charred state of cypress boards, the total radiant energy from the bomb was calculated as 4.6 x 10 12 cal, and the yield of the Hiroshima bomb was estimated as 14.2 kt and 13.2 kt. The true value is likely between 12 and 13 kt. The vapor pressure at the time of bombing significantly affected the neutron spectrum. On the day of bombing, Japan was covered by hot, humid maritime air mass, namely summer monsoon pattern. The air density and water vapor content in the atmosphere were determined by the Japan Weather Association, and compared with the data of Dr. Kerr et al. (Kako, I.)

Details of Nazis' A-Bomb program surface

CERN Multimedia

Glanz, J

2002-01-01

Werner Heisenberg, leader of the Nazi atomic bomb program, revealed the projects existence to Niels Bohr in a meeting in Copenhagen in 1941. But contrary to several historical accounts of the meeting, Heisenberg never expressed moral qualms about building a bomb for Hitler nor hinted that he might be willing to sabotage the project, according to secret documents cited in a London newspaper yesterday (2 pages).

Development of A-bomb survivor dosimetry

International Nuclear Information System (INIS)

Kerr, G.D.

1995-01-01

An all important datum in risk assessment is the radiation dose to individual survivors of the bombings in Hiroshima and Nagasaki. The first set of dose estimates for survivors was based on a dosimetry system developed in 1957 by the Oak Ridge National Laboratory (ORNL). These Tentative 1957 Doses (T57D) were later replaced by a more extensive and refined set of Tentative 1965 Doses (T65D). The T65D system of dose estimation for survivors was also developed at ORNL and served as a basis for risk assessment throughout the 1970s. In the late 1970s, it was suggested that there were serious inadequacies with the T65D system, and these inadequacies were the topic of discussion at two symposia held in 1981. In early 1983, joint US- Japan research programs were established to conduct a thorough review of all aspects of the radiation dosimetry for the Hiroshima and Nagasaki A-bomb survivors. A number of important contributions to this review were made by ORNL staff members. The review was completed in 1986 and a new Dosimetry System 1986 (DS86) was adopted for use. This paper discusses the development of the various systems of A-bomb survivor dosimetry, and the status of the current DS86 system as it is being applied in the medical follow-up studies of the A-bomb survivors and their offspring

Development of A-bomb survivor dosimetry

Energy Technology Data Exchange (ETDEWEB)

Kerr, G.D.

1995-12-31

An all important datum in risk assessment is the radiation dose to individual survivors of the bombings in Hiroshima and Nagasaki. The first set of dose estimates for survivors was based on a dosimetry system developed in 1957 by the Oak Ridge National Laboratory (ORNL). These Tentative 1957 Doses (T57D) were later replaced by a more extensive and refined set of Tentative 1965 Doses (T65D). The T65D system of dose estimation for survivors was also developed at ORNL and served as a basis for risk assessment throughout the 1970s. In the late 1970s, it was suggested that there were serious inadequacies with the T65D system, and these inadequacies were the topic of discussion at two symposia held in 1981. In early 1983, joint US- Japan research programs were established to conduct a thorough review of all aspects of the radiation dosimetry for the Hiroshima and Nagasaki A-bomb survivors. A number of important contributions to this review were made by ORNL staff members. The review was completed in 1986 and a new Dosimetry System 1986 (DS86) was adopted for use. This paper discusses the development of the various systems of A-bomb survivor dosimetry, and the status of the current DS86 system as it is being applied in the medical follow-up studies of the A-bomb survivors and their offspring.

Clinical studies on gastric cancer and breast cancer among A-bomb survivors

Energy Technology Data Exchange (ETDEWEB)

Yamagata, S; Ohya, M; Nagusa, Y; Harada, T; Tani, T [Hiroshima Univ. (Japan). Research Inst. for Nuclear Medicine and Biology

1977-04-01

Fifty-five cases of gastric cancer and 14 cases of breast cancer among A-Bomb survivors, which had been treated at Dept. of Surgery, Research Institute for Nuclear Medicine and Biology of Hiroshima Univ., were discussed. Both gastric cancer and breast cancer were recognized more in A-Bomb survivors of advanced age. Particularly, the number of gastric cancer in A-Bomb survivors of over 65-year old was about double the number of unexposed persons. Ratio of male to female in A-Bomb survivors with gastric cancer was 1.6:1, and the ratio of female was higher as compared to the ratio in unexposed persons (2.6:1). Gastric cancer of stage III and IV in A-Bomb survivors was 54.5%, and advanced cancer was comparatively few in A-Bomb survivors as compared to in unexposed persons (78.2%). Similarly, comparatively early stage breast cancer of stage I and II was recognized more in A-Bomb survivors. Particularly, T/sub 1/ and T/sub 2/ in which tumor was small in size showed very high percentage of 92.9% in A-Bomb survivors. In gastric cancer in A-Bomb survivors, poorly differentiated adenocarcinoma showed the highest percentage of 34.5%. However, there was no significant difference according to the exposure conditions. As to histological type of breast cancer, medullary tubular adenocarcinoma abounds mostly in both A-Bomb survivors (71.4%) and unexposed persons (75.9%). As the influence of operation, anemia was recognized before operation strongly in A-Bomb survivors with gastric cancer of over 65-year old. After the operation, transient rise of GOT and GPT was recognized in A-Bomb survivors of advanced age with gastric cancer. However, there was no difference in postoperative complications between A-Bomb survivors and unexposed persons.

A-bomb survivor dosimetry update

International Nuclear Information System (INIS)

Loewe, W.E.

1982-06-01

A-bomb survivor data have been generally accepted as applicable. Also, the initial radiations have tended to be accepted as the dominant radiation source for all survivors. There was general acceptance of the essential reliability of both the biological effects data and the causative radiation dose values. There are considerations casting doubt on these acceptances, but very little quantification of th implied uncertainties has been attempted. The exception was A-bomb survivor dosimetry, where free-field kerma values for initial radiations were thought to be accurate to about 30%, and doses to individual survivors were treated as effectively error-free. In 1980, a major challenge to the accepted A-bomb survivor dosimetry was announced, and was quickly followed by a succession of explanations and displays showing the soundness of that challenge. In fact, a complete replacement set of free-field kerma values was provided which was suitable for use in constructing an entire new dosimetry for Hiroshima and Nagasaki. The new values showed many changes greater than the accepted 30% uncertainty. An approximate new dosimetry was indeed constructed, and used to convert existing leukemia cause-and-effect data from the old to the new dose values, by way of assessing the impact

Increased pediatric functional neurological symptom disorders after the Boston marathon bombings: a case series.

Science.gov (United States)

Guerriero, Réjean M; Pier, Danielle B; de Gusmão, Claudio M; Bernson-Leung, Miya E; Maski, Kiran P; Urion, David K; Waugh, Jeff L

2014-11-01

Functional neurological symptom disorders are frequently the basis for acute neurological consultation. In children, they are often precipitated by high-frequency everyday stressors. The extent to which a severe traumatic experience may also precipitate functional neurological abnormalities is unknown. For the 2-week period after the Boston Marathon bombings, we prospectively collected data on patients whose presentation suggested a functional neurological symptom disorder. We assessed clinical and demographic variables, duration of symptoms, extent of educational impact, and degree of connection to the Marathon bombing. We contacted all patients at 6 months after presentation to determine the outcome and accuracy of the diagnosis. In a parallel study, we reported a baseline of 2.6 functional neurological presentations per week in our emergency room. In the week after the Marathon bombings, this frequency tripled. Ninety-one percent of presentations were delayed by 1 week, with onset around the first school day after a city-wide lockdown. Seventy-three percent had a history of a prior psychiatric diagnosis. At the 6 months follow-up, no functional neurological symptom disorder diagnoses were overturned and no new organic diagnosis was made. Pediatric functional neurological symptom disorder may be precipitated by both casual and high-intensity stressors. The 3.4-fold increase in incidence after the Boston Marathon bombings and city-wide lockdown demonstrates the marked effect that a community-wide tragedy can have on the mental health of children. Care providers must be aware of functional neurological symptom disorders after stressful community events in vulnerable patient populations, particularly those with prior psychiatric diagnoses. Copyright © 2014 Elsevier Inc. All rights reserved.

Re-evaluation of atomic bomb radiation

International Nuclear Information System (INIS)

Okajima, Shunzo

1984-01-01

The background and current status of the re-evaluation of atomic bomb (A-bomb) radiation doses are presented. Problems in re-evaluating radiation doses are discussed: spectra of gamma-rays and neutrons emitted in the air, A-bomb structures, and meterological elements should be taken into account. In Japan, in an attempt to estimate A-bomb radiation doses, radioactive residues contained in roof tiles, bricks, rocks, and teeth and shell button of clothes are being actually measured. (Namekawa, K.)

Survival rates and predictors of survival among colorectal cancer patients in a Malaysian tertiary hospital.

Science.gov (United States)

Magaji, Bello Arkilla; Moy, Foong Ming; Roslani, April Camilla; Law, Chee Wei

2017-05-18

Colorectal cancer is the third most commonly diagnosed malignancy and the fourth leading cause of cancer-related death globally. It is the second most common cancer among both males and females in Malaysia. The economic burden of colorectal cancer is likely to increase over time owing to its current trend and aging population. Cancer survival analysis is an essential indicator for early detection and improvement in cancer treatment. However, there was a scarcity of studies concerning survival of colorectal cancer patients as well as its predictors. Therefore, we aimed to determine the 1-, 3- and 5-year survival rates, compare survival rates among ethnic groups and determine the predictors of survival among colorectal cancer patients. This was an ambidirectional cohort study conducted at the University Malaya Medical Centre (UMMC) in Kuala Lumpur, Malaysia. All Malaysian citizens or permanent residents with histologically confirmed diagnosis of colorectal cancer seen at UMMC from 1 January 2001 to 31 December 2010 were included in the study. Demographic and clinical characteristics were extracted from the medical records. Patients were followed-up until death or censored at the end of the study (31st December 2010). Censored patients' vital status (whether alive or dead) were cross checked with the National Registration Department. Survival analyses at 1-, 3- and 5-year intervals were performed using the Kaplan-Meier method. Log-rank test was used to compare the survival rates, while Cox proportional hazard regression analysis was carried out to determine the predictors of 5-year colorectal cancer survival. Among 1212 patients, the median survival for colorectal, colon and rectal cancers were 42.0, 42.0 and 41.0 months respectively; while the 1-, 3-, and 5-year relative survival rates ranged from 73.8 to 76.0%, 52.1 to 53.7% and 40.4 to 45.4% respectively. The Chinese patients had the lowest 5-year survival compared to Malay and Indian patients. Based on the 814

Multiple primary malignant neoplasms in a fixed population of A-bomb survivors, 1

International Nuclear Information System (INIS)

Soda, Midori; Yokoyama, Naokata; Matsuo, Tatsuki; Takagi, Miwako; Kitano, Koei; Toyama, Kyoko; Fujikura, Toshio

1986-01-01

In a fixed population (7,564 A-bomb survivors) for Adult Health Study performed until December 1985, 28 A-bomb survivors (5 men and 23 women) were diagnosed as having thyroid cancer, and 79 (including one man) as breast cancer. There was an evident tendency among the group receiving 100 rad or more towards higher incidence of cancers of the thyroid and breast and synchronous or metachronous multiple primaries. The incidence of thyroid cancer tended to be higher in A-bomb survivors less than 20 years of age at the time of exposure; however, this tendency was not seen in the case of breast cancer. The incidence of thyroid cancer - in contrast to breast cancer - tended to decrease from year to year. Multiple primaries were associated with thyroid cancer in 5 A-bomb survivors and breast cancer in 9 A-bomb survivors. Three A-bomb survivors had both thyroid and breast cancers. Among the 11 A-bomb survivors with multiple primaries, nine had received 100 rad or more. (Namekawa, K.)

Neutron bomb and European defense

International Nuclear Information System (INIS)

Sweet, W.

1980-01-01

France's development of the controversial neutron bomb is in line with the US goal of flexible response to a Soviet threat in Europe. US neutron bomb production is on a standby basis pending agreement among the North Atlantic Treaty Organization (NATO) members for deployment. Controversy over the bomb centers on its anti-personnel nature, which many see as immoral in comparison with weapons that primarily damage property. Opponents also see it as lowering the nuclear threshold and increasing the chance of nuclear war. Supporters view the bomb as a tactical weapon to be used on a limited scale as a last resort. If Germany's Chancellor Schmidt fails to negotiate a limit to European nuclear arms deployment with the Soviet Union, neutron-bomb production in the US and France will most likely proceed. The prospects for including European nuclear weapons in the Strategic Arms Limitation Talks (SALT) III are jeopardized by the Soviet invasion of Afghanistan and the failure of an early SALT II ratification. 17 references

Clinico-pathological investigation of resectable gastric cancer in atomic bomb survivors

International Nuclear Information System (INIS)

Tanaka, Takashi; Saeki, Toshiaki; Hirai, Toshihiro; Toge, Tetuya; Niimoto, Minoru; Hattori, Takao; Ootaki, Megu; Munaka, Masaki

1989-01-01

This is a review of 1074 patients with resectable gastric cancer who have satisfied the following criteria: primary cancer, histological confirmation, the description of exposed or non-exposed patients, and certification of atomic bomb survivor's health handbook in exposed patients. There were 250 men and 162 women in the exposed group, and 460 men and 203 women in the non-exposed group. Gastric cancer was detected in 29.6% for the exposed group and 7.4% for the non-exposed group, although the patients had not complained of any symptoms. These figures tended to increase annually, probably benefiting from health examination. The difference between the exposed and non-exposed patients tended to be smaller when preoperative stages and the percentage of macroscopic early cancer were adjusted by age and the presence of complaints. The difference in histology between the groups also tended to be smaller. In the exposed group, however, men and women tended to have well differentiated cancer and poorly differentiated cancer, respectively. Since A-bomb survivors consist of radiation exposed population and are managed under intensive medical care, adjustment of some factors is necessary in comparing A-bomb survivors with general population. (Namekawa, K)

Cancer incidence and mortality rate in children of A-bomb survivors

International Nuclear Information System (INIS)

Yoshimoto, Yasuhiko

1992-01-01

The purpose of this paper is to summarize the previous findings of carcinogenesis and mortality rate in children born to A-bomb survivors. The Radiation Effects Research Foundation has collected 72,228 children born to A-bomb survivors from May 1946 through 1984. Of their parents, 31,159 parents had been exposed to significant doses (≥0.01 Sv), with a mean genital dose of 0.435 Sv. Among a hypothetic population of 100,000 children of A-bomb survivors exposed to an mean genital dose of 0.4 SV, radiation-induced diseases were considered to occur in only 250 children or less. An earlier large-scale survey during the period 1948-1956 has revealed an evidence of significant increase in stillborn, congenital malformation, and infantile death. In the 1946-1982 survey concerning carcinogenesis in 72,216 children of A-bomb survivors, cancer was found to be detected in 92 children, with no statistically significant increase in cancer risk with increasing radiation doses in their parents. The survey on mortality rate in 67,586 children of A-bomb survivors has revealed no evidence of significant increase in mortality rate from diseases, other than cancer, and in the incidence of lethal cancer. For A-bomb survivors, genetic doubling doses were considered to be 1 Sv or more. Further, when genetic doubling doses are calculated, the contribution rate of genital cell disturbance should be considered in the incidence of spontaneously induced disease. There is no supportive evidence of genetic effects of A-bomb radiation in children of A-bomb survivors; however, genetic effects of A-bomb radiation cannot be denied completely. Continuing survey is expected to be done for children of A-bomb survivors. (N.K.)

The current mortality rates of A-bomb survivors in Nagasaki-city

International Nuclear Information System (INIS)

Mine, Mariko; Nakamura, Tsuyoshi; Mori, Hiroyuki; Kondo, Hisayoshi; Okajima, Shunzo

1981-01-01

The purpose of the paper is to describe and investigate the death rate of about 110,000 A-Bomb survivors who have been registered in Nagasaki-city since 1957. There were 7,780 deaths among the A-Bomb survivors during 1970 -- 76 from which the age-specific death rates are calculated and compared with those of non-exposed controls in Nagasaki-city. The results are as follows: (1) The age-specific death rates by all causes of A-Bomb survivors are lower than those of the controls. (2) The age-specific death rates by the cerebrovascular disease (ICD 430 - 438) are also lower in A-Bomb survivors than in others. (3) The age-specific death rates by all malignant neoplasms are nearly the same between A-Bomb survivors and the controls. It is strongly suggested from these results that, although there may still exist a number of A-Bomb survivors having been suffered from the late effects of radiation, financial or medical aid supplied by the ministry and other organizations have done good work in advancing the health care of A-Bomb survivors. (author)

Radiation standards and A-bomb survivors

International Nuclear Information System (INIS)

Alvarez, R.

1984-01-01

For more than 33 years, the US government has supported the Life Span Study of Japanese survivors as a follow-up of the 1945 nuclear bombings of Hiroshima and Nagasaki. Since 1975, the study has been funded jointly by the United States and Japan under the auspices of the Radiation Effects Research Foundation. In the May issue of this bulletin radiation epidemiologists Dr. Alice Stewart and George Kneale raise perhaps the most fundamental question of all: Does the Japanese A-bomb survivor study have any value in deriving risk estimates for low-level radiation. On the basis of data published by the Radiation Effects Research Foundation in 1978, Stewart and Kneale suggest that Foundation analysts have confused long-term effects of tissue-destructive high doses with single-cell low-dose effects. If they are correct, the method of linear extrapolation from high-dose studies for low-level radiation risk estimates is invalid. The author feels the A-bomb survivors study should be opened up to an independent peer review process

Surveys right after the atomic bombing and a relief squad

Energy Technology Data Exchange (ETDEWEB)

Mine, Mariko [Nagasaki Univ. (Japan). School of Medicine

1998-12-01

An outline of four survey reports right after the atomic bombing in Nagasaki and Hiroshima is introduced. The report of Manhattan District Atomic Bomb Investigating Groups: The subjects of this survey were 900 inpatients in Nagasaki (for 16 days from September 20) and Hiroshima (for 5 days from October 3). Two hundreds and forty-nine patients (16%) died. In cases died without injury, the severe symptoms were alopecia, purpura, hemorrhage, oral cavity and pharynx lesion, vomiting, diarrhea and fever. The residual radioactivity measured at six weeks later was 6-25 roentgen in Hiroshima and 30-110 roentgen in Nagasaki (Nishiyama riverhead area). These values were lower than the predicted value from the clinical consequence. The report of Joint Commission for the Investigation of the Atomic Bomb: Following the above survey, about 6500 subjects were investigated both in Nagasaki and Hiroshima. Incidence of alopecia was investigated by shielded situation at a spot of 2.1 to 2.5 km from a blast center. It was 7.2% of outdoors (shielded: 7.3%, non-shielded: 17.4%) and 2.9% of indoors. The report of the Special Committee for Atomic Bomb Casualty Investigation and Research of the Scientific Research Council of Japan: General part of the report consists of medical part and physical part, and reports from each university were classified and listed in the supplement. Survey of Nagasaki Medical College (not in public): About 8000 subjects were investigated from October to December. Data were gathered up about lethality, time of death, injury and radiation sickness, etc. There was also autograph of a relief squad of the Nagasaki Medical College. (K.H.)

The incidence of skin cancer in Nagasaki atomic bomb survivors, 1955 - 1984

International Nuclear Information System (INIS)

Sadamori, Naoki; Mine, Mariko; Hori, Makoto; Yoshida, Hikotaro; Ichimaru, Michito; Honda, Takeo; Yoshida, Katsuro; Fujiwara, Naoko; Sadamori, Michiko.

1988-01-01

Of 20,348 persons included in the extended Life Span Study in Nagasaki, 59 persons were registered as having skin tumors during the years 1955 - 1984. Included in this study were 40 patients with histologically proven skin cancer. Thirty five patients were considered to be exposed to ≥ one cGy. There was statistically significant correlation between the incidence of skin cancer and exposure doses in both men and women (p < 0.01). Overall, the incidence of skin cancer was significantly correlated as well with the distance from the hypocenter; however, this was not significant when restricted to either men or women. Because the incidence of skin cancer has definitively increased since 1955 among A-bomb survivors, follow-up of A-bomb survivors is warranted with respect to atomic bomb-related skin cancer. (Namekawa, K.)

Food habits in atomic bomb survivors suffering from malignant neoplasms

International Nuclear Information System (INIS)

Morimoto, Kazue; Inoue, Hisako; Uchino, Chito

1984-01-01

Food habits were surveyed in patients admitted to 13 hospitals in Nagasaki prefecture and other prefectures to compare the incidence of malignant neoplasms according to the food intake between atomic bomb exposed group and non-exposed group. The incidence of malignant neoplasms was significantly higher in male patients having the low intake of milk and salted fish than in those having the high intake of them in atomic bomb exposed group, while it was significantly higher in male patients having the low intake of potatoes and milk and in female patients having the low intake of boiled fish paste than in those having the high intake of them in non-exposed group. (Namekawa, K.)

Tuberculosis among atomic bomb survivors. Study of autopsy cases

Energy Technology Data Exchange (ETDEWEB)

Hamada, T [H.ma Atomic Bomb Hospital (Japan); Matsushita, Hiroshi

1980-03-01

Effects of atomic bomb on tuberculosis among atomic bomb survivors necropsied after 1956 when Atomic Bomb Hospital was opened were observed statistically and the following results were obtained. The morbidity of tuberculosis in the group exposed within 2 km from the hypocenter was higher than that of the control group, but there was not a significant difference between the groups. The morbidity of all types of tuberculosis was significantly higher in the group exposed within 2 km from the hypocenter than in the control group. The morbidity of tuberculosis tended to decrease in both exposed and non-exposed groups with time. However, the morbidity of miliary or active tuberculosis has tended to rise in the exposed since 1975. The morbidity in young a-bomb survivors exposed within 2 km was higher than that in those of other groups, but there was not a difference in the morbidity among the aged. The higher the rate of complication of active tuberculosis with stomach cancer or acute myelocytic leukemia or liver cirrhosis, the nearer the places of exposure were to the hypocenter. Out of 26 patients with miliary tuberculosis, 6 were suspected to have leukemia while they were alive and were suggested to have leukemoid reaction by autopsy. They all were a-bomb survivors, and 4 of them were exposed within 2 km from the hypocenter.

Neutron bomb and European defense

Energy Technology Data Exchange (ETDEWEB)

Sweet, W.

1980-08-15

France's development of the controversial neutron bomb is in line with the US goal of flexible response to a Soviet threat in Europe. US neutron bomb production is on a standby basis pending agreement among the North Atlantic Treaty Organization (NATO) members for deployment. Controversy over the bomb centers on its anti-personnel nature, which many see as immoral in comparison with weapons that primarily damage property. Opponents also see it as lowering the nuclear threshold and increasing the chance of nuclear war. Supporters view the bomb as a tactical weapon to be used on a limited scale as a last resort. If Germany's Chancellor Schmidt fails to negotiate a limit to European nuclear arms deployment with the Soviet Union, neutron-bomb production in the US and France will most likely proceed. The prospects for including European nuclear weapons in the Strategic Arms Limitation Talks (SALT) III are jeopardized by the Soviet invasion of Afghanistan and the failure of an early SALT II ratification. 17 references. (DCK)

New approaches to evaluating the genetic effects of the atomic bombs

International Nuclear Information System (INIS)

Neel, J.V.

1995-01-01

In the aftermath of the atomic bombings of Hiroshima and Nagasaki fifty years ago, one of the compelling biomedical questions that arose concerned the genetic effects of this exposure. More recently, revelations of the extent of industrial or accidental exposures in the former Soviet Union and charges that employment in the Sellafield Nuclear Reprocessing Plant in West Cumbria, England has resulted in a gene-mediated increase in children of plant employees have served to keep in the public mind the issue of the genetic risks of exposure to ionizing radiation. The study of the genetic effects of the atomic bombs has moved from the gross morphological level of congenital malformations to the examination of DNA. However, were the need for such genetic studies to arise in the foreseeable future, despite this impressive progress in DNA-oriented systems, the documentation of congenital defect, genetic disease and child survival would still be an essential component of any future study. Whatever the geneticists may think, the phenotypic well-being and survival of children are still the primary indicators on which the public, who ultimately supports these studies, will base its judgement of risk. 28 refs

Multiple primary cancer in cases of atomic bomb survivors

International Nuclear Information System (INIS)

Tanaka, Tsuneo; Matsuda, Masahiro; Matsugu, Yasuhiro; Ishimoto, Tatsuro; Nakahara, Hideki; Kagawa, Naoki; Fukuda, Yasuhiko

2006-01-01

Multiple primary cancer was investigated in individual atomic bomb survivors more than 50 years after exposure. During the decade from 1995 to 2004, double cancer was detected in 275 individuals visiting our facility. These 275 patients with multiple primary cancer were divided into an atomic bomb-exposed group and a non-exposed group. In terms of age at the time of definite diagnosis of double cancer and age upon onset of the first cancer, there was no significant difference between the atomic bomb-exposed group and the non-exposed group. In both groups, the percentage of males was higher than that of females. However, the percentage of females was higher in the exposed group than in the non-exposed group. Synchronous double cancer (cases where a second cancer develops within one year after onset of the first cancer) was seen in 32 individuals from the exposed group. Triple cancer was seen in 3 cases. In the exposed group, the site affected by cancer was the stomach in 28% and the colon/rectum in 27% of cases. Thus, cancer affected the stomach or colon/rectum in the majority of cases. The most frequent combination of organs affected by double cancer was the stomach+colon/rectum (20 cases, 25%). In a study of multiple primary cancer patients, the percentage of females was higher in the atomic bomb exposed group compared to the non-exposed group. There was no other difference between the two groups. (author)

Thyroid Dysfunction and Autoimmune Thyroid Diseases Among Atomic Bomb Survivors Exposed in Childhood.

Science.gov (United States)

Imaizumi, Misa; Ohishi, Waka; Nakashima, Eiji; Sera, Nobuko; Neriishi, Kazuo; Yamada, Michiko; Tatsukawa, Yoshimi; Takahashi, Ikuno; Fujiwara, Saeko; Sugino, Keizo; Ando, Takao; Usa, Toshiro; Kawakami, Atsushi; Akahoshi, Masazumi; Hida, Ayumi

2017-07-01

The risk of thyroid cancer increases and persists for decades among individuals exposed to ionizing radiation in childhood, although the long-term effects of childhood exposure to medium to low doses of radiation on thyroid dysfunction and autoimmune thyroid diseases have remained unclear. To evaluate radiation dose responses for the prevalence of thyroid dysfunction and autoimmune thyroid disease among atomic bomb survivors exposed in childhood. Hiroshima and Nagasaki atomic bomb survivors who were younger than 10 years old at exposure underwent thyroid examinations at the Radiation Effects Research Foundation between 2007 and 2011, which was 62 to 66 years after the bombing. Data from 2668 participants (mean age, 68.2 years; 1455 women) with known atomic bomb thyroid radiation doses (mean dose, 0.182 Gy; dose range, 0 to 4.040 Gy) were analyzed. Dose-response relationships between atomic bomb radiation dose and the prevalence of hypothyroidism, hyperthyroidism (Graves' disease), and positive for antithyroid antibodies. Prevalences were determined for hypothyroidism (129 cases, 7.8%), hyperthyroidism (32 cases of Graves' disease, 1.2%), and positive for antithyroid antibodies (573 cases, 21.5%). None of these was associated with thyroid radiation dose. Neither thyroid antibody-positive nor -negative hypothyroidism was associated with thyroid radiation dose. Additional analyses using alternative definitions of hypothyroidism and hyperthyroidism found that radiation dose responses were not significant. Radiation effects on thyroid dysfunction and autoimmune thyroid diseases were not observed among atomic bomb survivors exposed in childhood, at 62 to 66 years earlier. The cross-sectional design and survival bias were limitations of this study. Copyright © 2017 Endocrine Society

Sociological and socio-psycho-historical problems of A-bomb exposed twin

International Nuclear Information System (INIS)

Watanabe, Shoji

1983-01-01

The atomic bombing of Hiroshima brought many casualities on human society, and collapsed human communities. The purpose of this study is to make mainly on pairs of monozygotic twins one of whom was exposed and the other was not, or both of whom were exposed, a general socio-psycho-historical investigations through a twin control study to find whether the bombing, which can be considered to cause major environmental changes, has had any psychological effects on the individuals. Due to the limited sample of atomic bomb exposed twins, in numbers available for study, it is necessary to have an understanding for their condions of the living and identity they have developed from the numerous mental stress they suffered, and rapid socio-cultural changes they experienced, including for changes in life from birth until the atomic bombing and aftermath of the disaster. As the result of this study, by depth interview, projective psychological research and research on socio-psycho-history of exposed twin and the nonexposed before the A-bomb and aftermath of disaster, the following were obtained: a) Although at the age of four and eight they exposed, they still keep it in clear memory of the damage and suffering in the minds. b) The damage and suffereng of the family who belonged were relatively small, the effects of their psychological sufferings continued even after these thirtyseven years. c) In the aftermath of the A-bomb disaster, the psychological bond showed strengthen through crises and following social distress. d) During the long period since the bombing, those who did not experienced A-bombing, have shown high degree of support and co-operation on their familial and social role to their counterpart. e) Even though their social or medical effects of A-bombing are relatively limited, if their spouse or close relative suffer psychological stress caused by A-bomb, they too suffer from their similar experiences. (J.P.N.)

Radiation therapy among A-bomb survivors, Hiroshima and Nagasaki

Energy Technology Data Exchange (ETDEWEB)

Russell, W J; Antoku, S

1971-01-01

The hospitals and clinics responsible for radiation therapy reported by ABCC-JNIH Adult Health Study subjects were surveyed to confirm treatment and estimate doses they received. Of 426 cases, 137 were documented by hospital records. Their ABCC medical records were also reviewed for pertinent clinical information. Excluding the cases not verified because of unavailability of records, confirmation rates were 0.46 in Hiroshima and 0.67 in Nagasaki. Radiation therapy doses according to date of treatment, diagnosis, body site, and source of exposure are included. These data are recorded routinely for future reference, along with doses from diagnostic roentgenology for evaluating overall ionizing radiation exposure of A-bomb survivors and their comparison subjects. Radiation therapy by source and by lesion treated is included. There were three cases with malignancies possibly related to their earlier radiation therapy. One was an A-bomb survivor with lung cancer previously reported as due to ionizing radiation from the A-bomb. Radiation therapy she received for breast cancer 11 years earlier was more likely the cause of the lung lesion than was her relatively small A-bomb dose. The importance of recording all diagnostic and therapeutic radiation, especially that received by those under continuing surveillance for late A-bomb effects, is stressed. (auth)

Dropping The Bomb? On Critical and Cinematic Reactions to Michael Ondaatje's The English Patient

OpenAIRE

Pesch, Josef

2018-01-01

This paper analyses Anthony Minghella's film adaptation of Michael Ondaatje’s The English Patient. It aims at establishing patterns of transformation and strategies of adaptation. Not only the nostalgie romanticisation, but also the de-politicisation of the novel is critically scrutinized. As dropping all reference to the atomic bomb from the film is the most blatant example of deviation from the novel, critical and political background is provided which may explain this act of self-censorshi...

Surgical resource utilization in urban terrorist bombing: a computer simulation.

Science.gov (United States)

Hirshberg, A; Stein, M; Walden, R

1999-09-01

The objective of this study was to analyze the utilization of surgical staff and facilities during an urban terrorist bombing incident. A discrete-event computer model of the emergency room and related hospital facilities was constructed and implemented, based on cumulated data from 12 urban terrorist bombing incidents in Israel. The simulation predicts that the admitting capacity of the hospital depends primarily on the number of available surgeons and defines an optimal staff profile for surgeons, residents, and trauma nurses. The major bottlenecks in the flow of critical casualties are the shock rooms and the computed tomographic scanner but not the operating rooms. The simulation also defines the number of reinforcement staff needed to treat noncritical casualties and shows that radiology is the major obstacle to the flow of these patients. Computer simulation is an important new tool for the optimization of surgical service elements for a multiple-casualty situation.

The concept and science process skills analysis in bomb calorimeter experiment as a foundation for the development of virtual laboratory of bomb calorimeter

Science.gov (United States)

Kurniati, D. R.; Rohman, I.

2018-05-01

This study aims to analyze the concepts and science process skills in bomb calorimeter experiment as a basis for developing the virtual laboratory of bomb calorimeter. This study employed research and development method (R&D) to gain the answer to the proposed problems. This paper discussed the concepts and process skills analysis. The essential concepts and process skills associated with bomb calorimeter are analyze by optimizing the bomb calorimeter experiment. The concepts analysis found seven fundamental concepts to be concerned in developing the virtual laboratory that are internal energy, burning heat, perfect combustion, incomplete combustion, calorimeter constant, bomb calorimeter, and Black principle. Since the concept of bomb calorimeter, perfect and incomplete combustion created to figure out the real situation and contain controllable variables, in virtual the concepts displayed in the form of simulation. Meanwhile, the last four concepts presented in the form of animation because no variable found to be controlled. The process skills analysis detect four notable skills to be developed that are ability to observe, design experiment, interpretation, and communication skills.

Age at exposure and attained age variations of cancer risk in the Japanese A-bomb and radiotherapy cohorts.

Science.gov (United States)

Schneider, Uwe; Walsh, Linda

2015-08-01

Phenomenological risk models for radiation-induced cancer are frequently applied to estimate the risk of radiation-induced cancers at radiotherapy doses. Such models often include the effect modification, of the main risk to radiation dose response, by age at exposure and attained age. The aim of this paper is to compare the patterns in risk effect modification by age, between models obtained from the Japanese atomic-bomb (A-bomb) survivor data and models for cancer risks previously reported for radiotherapy patients. Patterns in risk effect modification by age from the epidemiological studies of radiotherapy patients were also used to refine and extend the risk effect modification by age obtained from the A-bomb survivor data, so that more universal models can be presented here. Simple log-linear and power functions of age for the risk effect modification applied in models of the A-bomb survivor data are compared to risks from epidemiological studies of second cancers after radiotherapy. These functions of age were also refined and fitted to radiotherapy risks. The resulting age models provide a refined and extended functional dependence of risk with age at exposure and attained age especially beyond 40 and 65 yr, respectively, and provide a better representation than the currently available simple age functions. It was found that the A-bomb models predict risk similarly to the outcomes of testicular cancer survivors. The survivors of Hodgkin's disease show steeper variations of risk with both age at exposure and attained age. The extended models predict solid cancer risk increase as a function of age at exposure beyond 40 yr and the risk decrease as a function of attained age beyond 65 yr better than the simple models. The standard functions for risk effect modification by age, based on the A-bomb survivor data, predict second cancer risk in radiotherapy patients for ages at exposure prior to 40 yr and attained ages before 55 yr reasonably well. However, for

Pancreatic exocrine secretion in atomic bomb survivors

International Nuclear Information System (INIS)

Hiraoka, Masataka; Kawanishi, Masahiro; Ohtaki, Megu

1989-01-01

This study was designed to examine the effect of A-bombing on pancreatic exocrine secretion in 6 A-bomb survivors (an average age of 57 years) and the age- and sex-matched non-exposed 6 persons (an average age of 58 years). Six A-bomb survivors consisted of: three who had been directly exposed to A-bombing, one who had entered the city within 3 days after bombing, one who had worked in caring for A-bomb survivors, and one who had later entered the city. Caerulein-Secretin test revealed no significant difference in the total secretion of lipase, maximum bicarbonate, amylase output, or lipase output between the exposed and non-exposed groups. The concentration of lipase ten min after stimulation was significantly decreased in the exposed group than the control group. This suggests that radiation may be responsible for abnormality in the ability of pancreatic exocrine secretion. (N.K.)

Thermal analysis of pyrotechnic mixture-fireworks, atom-bomb

International Nuclear Information System (INIS)

Rajendran, Jeya; Thanulingam, T.L.

2008-01-01

Sound level produced from two varieties of sound producing fireworks of atom-bomb, cake bomb and thunder bomb were measured. The pyrotechnic mixture, KNO 3 /S/Al(H 3 BO 3 ) of compositions 57.5/19.9/22.1(0.5)% very much similar to commercial atom-bomb were taken and five cake bomb and seven thunder bomb with different net weight of chemicals were manufactured specifically for analysis. Cake bomb with 1g pyrotechnic mixture and thunder bomb with 2g pyrotechnic mixture produce -3 . Ignition temperature of the mixture is above the melting point of the metallic fuel, Al (660 deg C) and self propagating decomposition occurred at high temperature. The pyrotechnic mixture, KNO 3 /S/Al(H 3 BO 3 ) is a safe mixture from accidental factor, static electricity. DSC studies indicate slight formation of potassium nitrite with evolution of NO above 400 deg C. (author)

Axial length of atomic bomb survivors in Nagasaki

International Nuclear Information System (INIS)

Wakiyama, Harumi; Kishikawa, Yasuhiro; Imamura, Naoki; Amemiya, Tsugio

2002-01-01

We reviewed a series of 778 patients who had cataract surgery during the past 4 years at the Nagasaki Atomic Bomb Memorial Hospital. We evaluated the history of exposure to radiation by atomic bomb in 1945, axial length and state of refraction. All were born before 1945. The series comprised 263 males and 515 females. Their ages averaged 76.5±8.6 years. History of exposure to radiation was present in 356 patients. The remaining 422 patients served as control. There was no difference in the type of cataract between the two groups. High myopia was present in 11 irradiated patients (3.2%) and in 24 patients in the control group (6.0%). The difference was not significant (p=0.083). There was no high myopia among 24 patients who were aged 18 years or less at the time of radiation and who were within 2 km from the epicenter. No difference was present regarding the axial length between the two groups or between both sexes. The present result is not definitive because ''irradiated group'' would include those with little or no exposure and because precise data has not been available about the dosis of radiation. (author)

Proximally exposed A-bomb survivors. 2

International Nuclear Information System (INIS)

Kamada, Nanao

1992-01-01

Methods for observing chromosomes can be chronologically divided into the era of non-differential staining technique (1962-1975) and the era of differential staining method (since 1976). This paper reviews the literature of chromosomal aberrations in bone marrow cells found in the two eras. Findings during the era of 1962-1975 include the frequency of chromosomal aberrations in bone marrow cells, comparison of chromosomal aberrations in bone marrow cells and T lymphocytes, and annual variation of chromosomal aberrations. The frequency of chromosomal aberrations was high in proximally exposed A-bomb survivors (90.5% and 52.6% in A-bomb survivors exposed within 500 m and at 501-1,000 m, respectively); on the contrary, it was low in those exposed far from 1,000 m (6.2% or less). The frequency of chromosomal aberrations in bone marrow cells was lower than that in T lymphocytes (21.5% vs 27.1% in those exposed within 500 m and 14.1% vs 23% in those exposed at 501-1,000 m). Annual analysis for chromosomal aberrations has shown the somewhat dependence upon medullary hematopoiesis and virus infection. The advent of differential staining technique since 1976 has made it possible to clarify the type of chromosomal aberrations and site of breakage. Of 710 bone marrow cells taken from 13 A-bomb survivors exposed within 1,000 m, 121 cells (from 11 A-bomb survivors) exhibited chromosomal aberrations. In differential staining analysis, all 121 cells but one were found to be of stable type, such as translocation and inversion. Furthermore, the site of breakage was found to be non-randomly distributed. Analysis of chromosomal aberrations in bone marrow cells has advantages of reflecting dynamic condition of these cells and determining gradual progression into leukemia. (N.K.)

68Ga/177Lu-NeoBOMB1, a Novel Radiolabeled GRPR Antagonist for Theranostic Use in Oncology.

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Dalm, Simone U; Bakker, Ingrid L; de Blois, Erik; Doeswijk, Gabriela N; Konijnenberg, Mark W; Orlandi, Francesca; Barbato, Donato; Tedesco, Mattia; Maina, Theodosia; Nock, Berthold A; de Jong, Marion

2017-02-01

Because overexpression of the gastrin-releasing peptide receptor (GRPR) has been reported on various cancer types, for example, prostate cancer and breast cancer, targeting this receptor with radioligands might have a significant impact on staging and treatment of GRPR-expressing tumors. NeoBOMB1 is a novel DOTA-coupled GRPR antagonist with high affinity for GRPR and excellent in vivo stability. The purpose of this preclinical study was to further explore the use of NeoBOMB1 for theranostic application by determining the biodistribution of 68 Ga-NeoBOMB1 and 177 Lu-NeoBOMB1. PC-3 tumor-xenografted BALB/c nu/nu mice were injected with either approximately 13 MBq/250 pmol 68 Ga-NeoBOMB1 or a low (∼1 MBq/200 pmol) versus high (∼1 MBq/10 pmol) peptide amount of 177 Lu-NeoBOMB1, after which biodistribution and imaging studies were performed. At 6 time points (15, 30, 60, 120, 240, and 360 min for 68 Ga-NeoBOMB1 and 1, 4, 24, 48, 96, and 168 h for 177 Lu-NeoBOMB1) postinjection tumor and organ uptake was determined. To assess receptor specificity, additional groups of animals were coinjected with an excess of unlabeled NeoBOMB1. Results of the biodistribution studies were used to determine pharmacokinetics and dosimetry. Furthermore, PET/CT and SPECT/MRI were performed. Injection of approximately 250 pmol 68 Ga-NeoBOMB1 resulted in a tumor and pancreas uptake of 12.4 ± 2.3 and 22.7 ± 3.3 percentage injected dose per gram (%ID/g) of tissue, respectively, at 120 min after injection. 177 Lu-NeoBOMB1 biodistribution studies revealed a higher tumor uptake (17.9 ± 3.3 vs. 11.6 ± 1.3 %ID/g of tissue at 240 min after injection) and a lower pancreatic uptake (19.8 ± 6.9 vs. 105 ± 13 %ID/g of tissue at 240 min after injection) with the higher peptide amount injected, leading to a significant increase in the absorbed dose to the tumor versus the pancreas (200 pmol, 570 vs. 265 mGy/MBq; 10 pmol, 435 vs. 1393 mGy/MBq). Using these data to predict patient dosimetry, we found

Pathological study on breast lesions examined at Hiroshima Red Cross Hospital and Atomic Bomb Survivors Hospital, April 1985-March 1990

International Nuclear Information System (INIS)

Nambu, Shigeru; Fujihara, Megumu; Kuramoto, Kiyoshi

1990-01-01

An analysis of 312 breast biopsies of 303 patients, performed during a 5-year period from April 1985 through March 1990 in a survey of the effects of exposure to A-bomb radiation, yielded the following findings. Sixty four (20.5%) of the 312 biopsies were in patients who had been exposed to A-bomb radiation or who had entered the city after the A-bombing, 10 of which were in patients exposed at up to 2,000 m from the hypocenter. Of the 64 biopsies performed for breast lesions in the exposed group, 42 (65.6%) yielded breast cancer. This figure was higher when compared with 47.0% (64 biopsies) of 136 patients who had been born before the A-bombing in the non-exposed group. In the exposed group, age distribution at the time of A-bombing was 11.9% in the first decade, 35.7% in the second decade, 31.0% in the third decade, 16.7% in the fourth decade, and 4.8% in the fifth decade. There was no correlation between histology type and exposure history in breast cancer. Nor did correlation exist between the age at the time of A-bombing and histology type in the exposed group. (N.K.)

Effects of low doses of A-bomb radiation on human lifespan

International Nuclear Information System (INIS)

Okumura, Y.; Mine, M.

1997-01-01

Among about 100,000 A-bomb survivors registered at Nagasaki University School of Medicine, male subjects exposed to 31 - 40 cGy showed significantly lower mortality from non-cancerous diseases than age-matched unexposed males. And the death rate for exposed male and female was smaller than that for unexposed. It was presented that the low doses of A-bomb radiation increased lifespan of A-bomb survivors. (author)

Foreign bodies radiographically-demonstrated in atomic bomb survivors

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Tamura, S.; Onitsuka, H.; Lee, K.; Shimizu, Y.; Russell, W.J.

1978-08-25

The prevalence of roentgenologically-detected foreign bodies among atomic bomb (A-bomb) survivors was studied as an indicator of the A-bomb blast effects. Acupuncture was studied as an indicator of A-bomb-related abnormalities for which it was administered. All Adult Health Study subjects' roentgenograms demonstrating foreign bodies were reviewed. The frequency of glass and metal, and acupuncture needles were analyzed by distance from hypocenters, sex, age, body sites involved; and the subjects' shielding at the times of the A-bombs. The presence of glass fragments correlated closely with distance from hypocenter, heavy shielding from the A-bombs, and with adulthood, and they were more frequent in the chest than hand and wrist. Metal foreign bodies were more frequent in the hand and wrist than in the chest, and not associated with distance from hypocenter or heavy shielding. The prevalence of acupuncture needles increased with age, but did not correlate with A-bomb dose.

Foreign bodies radiographically-demonstrated in atomic bomb survivors

International Nuclear Information System (INIS)

Tamura, Shozo; Onitsuka, Hideo; Lee, K.; Shimizu, Yukiko; Russell, W.J.

1978-01-01

The prevalence of roentgenologically-detected foreign bodies among atomic bomb (A-bomb) survivors was studied as an indicator of the A-bomb blast effects. Acupuncture was studied as an indicator of A-bomb-related abnormalities for which it was administered. All Adult Health Study subjects' roentgenograms demonstrating foreign bodies were reviewed. The frequency of glass and metal, and acupuncture needles were analyzed by distance from hypocenters, sex, age, body sites involved; and the subjects' shielding at the times of the A-bombs. The presence of glass fragments correlated closely with distance from hypocenter, heavy shielding from the A-bombs, and with adulthood, and they were more frequent in the chest than hand and wrist. Metal foreign bodies were more frequent in the hand and wrist than in the chest, and not associated with distance from hypocenter or heavy shielding. The prevalence of acupuncture needles increased with age, but did not correlate with A-bomb dose. (author)

Radiologic features of injuries from the Boston Marathon bombing at three hospitals.

Science.gov (United States)

Singh, Ajay K; Goralnick, Eric; Velmahos, George; Biddinger, Paul D; Gates, Jonathan; Sodickson, Aaron

2014-08-01

The aim of this study is to describe the radiologic imaging findings of primary, secondary, tertiary, and quaternary blast injuries in patients injured in the Boston Marathon bombing on April 15, 2013. A total of 43 patients presenting to three acute care hospitals and undergoing radiologic investigation within 7 hours of the time of the bombing on April 15, 2013, were included in this study. The radiographic and CT features of these patients were evaluated for imaging findings consistent with primary, secondary, tertiary, and quaternary blast injury. There were no pulmonary or gastrointestinal manifestations of the primary blast wave on imaging. Secondary blast injuries identified on imaging included a total of 189 shrapnel fragments identified in 32 of the 43 patients. The shrapnel was identified most often in the soft tissues of the leg (36.5%), thigh (31.2%), and pelvis (13.2%). Imaging identified 125 ball bearings, 10 nails, one screw, 44 metal fragments, and nine other (gravel, glass, etc.) foreign bodies. Injuries from the Boston Marathon bombing were predominantly from the secondary blast wave and resulted in traumatic injuries predominantly of the lower extremities. The most common shrapnel found on radiologic evaluation was the ball bearing.

Cytogenetic and molecular genetic analysis of leukemias found in atomic bomb survivors

International Nuclear Information System (INIS)

Kamada, Nanao; Tanaka, Kimio; Eguchi, Mariko

1994-01-01

Seventy five radiation-related leukemia patients in Hiroshima including 16 patients exposed to more than one Gray were cytogenetically examined. Statistical analysis of data on the frequencies of chromosomal aberrations in the survivor groups according to bone marrow doses by DS86 estimation revealed that the heavily exposed group tended to have significantly higher aberration rates compared to the non-exposed group. Furthermore, the chromosomal aberrations in the survivors were observed to be of a more complex nature and had the characteristic findings of secondary leukemia. These observations therefore suggest that patients with a history of heavy exposure to atomic bomb radiation had leukemic cells originating from a stem cell which had been damaged by irradiation at the time of the bombing as well as cells involved in complex chromosome abnormalities. A higher incidence(p=0.06) of 11q23 abnormality was found in acute leukemia patients who had a history of exposure to A-bomb and developed from 1986 to 1993. However, we could not detect rearrangement of MLL gene in these patients. Break point region on 11q23 of radiation induced leukemias may be different from the common 8.5 kb region. Molecular biologic studies on RAS genes in acute and chronic leukemias and the BCR gene in chronic myelocytic leukemia were performed in exposed and non-exposed groups. So far, no distinctive differences have been observed in the frequency and sites of point mutations in N and K-RAS genes or in the rearrangement of the BCR gene. Further, retrospective analysis using DNA from leukemia patients who developed the disease in the early period from atomic bomb radiation exposure would be useful for elucidation of the mechanisms of radiation-induced leukemia. (author)

Systems, Shocks and Time Bombs

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Winder, Nick

The following sections are included: * Introduction * Modelling strategies * Are time-bomb phenomena important? * Heuristic approaches to time-bomb phenomena * Three rational approaches to TBP * Two irrational approaches * Conclusions * References

Leukemia among atomic bomb survivors during the 1980s

International Nuclear Information System (INIS)

Kusumi, Shizuyo; Matsuo, Tatsuki

1990-01-01

On the basis of the dosimetry system 1986, exposure doses were determined in a cohort of 86,502 subjects for the Life Span Study during the period 1950-1985. A total of 248 people were found to develop leukemia in Hiroshima and Nagasaki cities. This is an analysis of the 248 patients with leukemia in connection with exposure doses, years after A-bombing, age at the time of A-bombing, relative risk, and background. An average exposure dose was 0.20 Gy for Hiroshima and 0.22 Gy for Nagasaki. Relative risk for leukemia tended to show a linear increase in proportion to exposure doses. This was significant for acute myelocytic leukemia (AML), regardless of whether A-bomb survivors came from Hiroshima or Nagasaki. The younger the age at the time of A-bombing was, the higher excess relative risk for acute lymphocytic leukemia (ALL) and chronic myelocytic leukemia (CML) was. For AML, however, it was independent of the age at that time. These findings were similar in Hiroshima and Nagasaki A-bomb survivors, irrespective of age. As for non-exposed group, the incidence of CML was three times higher in Hiroshima citizen than Nagasaki citizen. Similarly, Hiroshima citizen had a 1.6 fold incidence of AML. There was no significant difference in the incidence of ALL between the cities. The incidences of both AML and ALL tended to increase more and more with aging, but the prevalences tended to increase in younger generation. An increased incidence of CML was associated with aging alone. (N.K.)

Mental health conditions in Korean atomic bomb survivors. A survey in Seoul

International Nuclear Information System (INIS)

Koshimoto, Rika; Nakane, Hideyuki; Kim, Hyen

2011-01-01

More than 60 years have elapsed since the atomic bombings to Hiroshima and Nagasaki, and since all of the atomic bomb survivors have become old, the importance of caring their mental health has become increasing in Japan. Although approximately 70% of overseas atomic bomb are living in Korea, there have been quite few studies on their mental health. The objectives of the present study were to elucidate whether the mental health conditions of atomic bomb survivor in Korea are similar to those in Japan. The subjects were 181 Korean atomic bomb survivors living in Korea (cases) and 209 outpatients of a hospital in Seoul who were not exposed to atomic bombs (controls). Interviewers administered them at the hospital a questionnaire with Impact of Event Scale-Revised, General Health Questionnaire 12 (GHQ-12), Korean version of short form Geriatric Depression Scale and the K scale of the Minnesota Multiphasic Personality Inventory. Excluding subjects with incomplete responses we analyzed 162 cases and 189 controls. The proportion of subjects with high score of GHQ-12 (≥4) was significantly higher in cases (78/162 or 48.1%) than in controls (42/189 or 22.2%) (p<0.0001, Fisher's exact test). The present results, though preliminary, indicate that atomic bomb survivors in Korea have also mental health problems similar to those observed in Japanese atomic bomb survivors, indicating the necessity of a larger study. (author)

Survey on the frequency of somatic mutations in A-bomb survivors

International Nuclear Information System (INIS)

Akiyama, Mitoshi

1992-01-01

Several methods have recently been established for quantitatively detecting somatic cell mutations on a specific locus using human blood cells. These methods have enabled the biological estimation of A-bomb radiation doses in surveys on somatic cell mutations. This paper outlines HPRT, GPA, and TCR assays used to measure somatic cell mutations, focusing on the outcome in A-bomb survivors. HPRT assay is based on colony formation with interleukin-2. The frequency of HPRT mutant cells was significantly increased with advancing age in A-bomb survivors and was positively correlated with the frequency of chromosomal aberrations in lymphocytes. There was also a significantly positive correlation between HPRT mutant cell frequencies and DS86 estimated doses, although the slope was slow. In GPA assay, flow cytometric measurements of fluorescence-labeled erythrocytes are used to detect somatic cell mutations. There was a positive correlation between GPA mutant cell frequencies and age in A-bomb survivors. The GPA mutant cell frequencies showed much more positive correlation with lymphocyte chromosomal aberration frequencies than the HPRT mutant cell frequencies. When anti-CD3 antibody and anti-CD4 antibody are labeled with different fluorescences and are analyzed by using flow cytometry, TCR mutant cells having CD3 - 4 + can be detected. When the frequency of TCR mutant cells was examined in 342 A-bomb survivors, it did not correlate with radiation doses. This implies that TCR assay may be unadequate for biological estimation of A-bomb radiation doses throughout a lifetime of A-bomb survivors, because TCR mutant cells seems to be unable to live for a long time due to national selection. (N.K.)

Age at exposure and attained age variations of cancer risk in the Japanese A-bomb and radiotherapy cohorts

Energy Technology Data Exchange (ETDEWEB)

Schneider, Uwe, E-mail: uwe.schneider@uzh.ch [Institute of Physics, Science Faculty, University of Zürich, Zürich 8057, Switzerland and Radiotherapy Hirslanden, Uwe Schneider Institute of Radiotherapy, Witellikerstr. 40, Zürich 8032 (Switzerland); Walsh, Linda [Institute of Physics, Science Faculty, University of Zürich, Zürich 8057, Switzerland and BfS - Federal Office for Radiation Protection, Radiation Protection and Health, Neuherberg 85764 (Germany)

2015-08-15

Purpose: Phenomenological risk models for radiation-induced cancer are frequently applied to estimate the risk of radiation-induced cancers at radiotherapy doses. Such models often include the effect modification, of the main risk to radiation dose response, by age at exposure and attained age. The aim of this paper is to compare the patterns in risk effect modification by age, between models obtained from the Japanese atomic-bomb (A-bomb) survivor data and models for cancer risks previously reported for radiotherapy patients. Patterns in risk effect modification by age from the epidemiological studies of radiotherapy patients were also used to refine and extend the risk effect modification by age obtained from the A-bomb survivor data, so that more universal models can be presented here. Methods: Simple log-linear and power functions of age for the risk effect modification applied in models of the A-bomb survivor data are compared to risks from epidemiological studies of second cancers after radiotherapy. These functions of age were also refined and fitted to radiotherapy risks. The resulting age models provide a refined and extended functional dependence of risk with age at exposure and attained age especially beyond 40 and 65 yr, respectively, and provide a better representation than the currently available simple age functions. Results: It was found that the A-bomb models predict risk similarly to the outcomes of testicular cancer survivors. The survivors of Hodgkin’s disease show steeper variations of risk with both age at exposure and attained age. The extended models predict solid cancer risk increase as a function of age at exposure beyond 40 yr and the risk decrease as a function of attained age beyond 65 yr better than the simple models. Conclusions: The standard functions for risk effect modification by age, based on the A-bomb survivor data, predict second cancer risk in radiotherapy patients for ages at exposure prior to 40 yr and attained ages

Dedifferentiated Liposarcoma in the Retroperitoneum in an Atomic Bomb Survivor: Report of a Case

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Yukio Nakamura

2008-09-01

Full Text Available A 76-year-old Japanese man was admitted to Kosei-Nenkin Hospital (Osaka, Japan in November 2006; his chief complaint was a 10-kg loss in body weight over 3 months prior to admission. Abdominal computed tomography (CT and dynamic magnetic resonance imaging (MRI showed three masses in the retroperitoneum. The patient subsequently underwent surgery. The final histopathological diagnosis of tumors 1 and 2 was malignant fibrous histiocytoma of the retroperitoneum, and tumor 3 was a well-differentiated liposarcoma. By the presence of the liposarcoma, tumor 1 and 2 were thought to be the dedifferentiated areas of liposarcomas. At the age of 16, the patient had been exposed to radiation from the atomic bomb at Hiroshima towards the end of the Second World War. We postulate that in this case, radiation from the atomic bomb may have played an important role in the development of the sarcomas.

Mortality of A-bomb survivors in Nagasaki and Hiroshima

International Nuclear Information System (INIS)

Mine, Mariko; Honda, Sumihisa; Okumura, Yutaka; Kondo, Hisayoshi; Yokota, Kenichi; Tomonaga, Masao

2000-01-01

A data base of A-bomb survivors in Nagasaki has been maintained at Division of Scientific Data Registry, Atomic Bomb Disease Institute at Nagasaki University School of Medicine. The data base include personal histories, records of health checks and cause of death. We have published the mortality of non-cancerous disease of A-bomb survivors using old dose estimation system, T65D, elsewhere. The mortality of non-cancerous disease was lower than controls for a dose range 50-99 cGy in male. We reanalyzed the mortality of non-cancerous disease using new dose estimation system, ABS93D. It's result was lower than controls for a dose range 31-40cGy in male. We compared the results of A-bomb survivors in our database with those or LSS's population, RERF. (1) Radiation dose for survivors in Nagasaki have been estimated by Atomic Bomb Survivor 1993 Dose (ABS93D). To study the mortality rates of A-bomb survivors for the period of 1971 through 1994, we selected 2,743 persons (dose estimate available) and age-matched 8,229 persons as control who were alive in 1971. (2) Another population is Life Span Study by Radiation Effect Research Foundation (RERF). RERF opened the data from 1950 to 1985. The data on deaths are stratified by city, sex, age radiation dose, the observed period and cause of death, yielding 3,640 strata. (1) The study resulted in that males exposed to 31-40cGy showed lower mortality from non-cancerous diseases than that of control. (2) Relative risk of mortality from all causes is lower than controls for a dose range 6-19cGy adjusted for sex, age, and period. Relative risk of mortality from non-cancerous disease is significantly lower than controls for a dose range 6-49cGy adjusted for sex, age, and period. But result of adjusted for city is no difference. (author)

Pathological review of lung cancer among A-bomb survivors at Hiroshima Atomic-bomb Hospital

International Nuclear Information System (INIS)

Nambu, Shigeru; Akamizu, Hiroshi; Kuramoto, Kiyoshi; Hamada, Tadao.

1989-01-01

Autopsy findings were reviewed in 161 A-bomb survivors with lung cancer during the period 1956-1987. The overall ratio of male to female was 2.1. In the group of A-bomb survivors exposed at ≤2,000 m from the hypocenter, the ratio of male to female in the incidence of lung cancer was 1.3. According to age groups, it was the highest in people in their seventies. Histology revealed that the incidence was 41.6% for adenocarcinoma, 29.2% for squamous cell carcinoma, 19.9% for small cell carcinoma, 6.8% for large cell carcinoma, and 2.5% for adenosquamous cell carcinoma. The incidence of small cell carcinoma was relatively high in the ≤2,000 m group. For females in the ≤2,000 m group, the incidence of adenocarcinoma was relatively low, and the incidences of squamous cell carcinoma and small cell carcinoma tended to be high. The incidence of histologic type of lung cancer varied with time: squamous cell carcinoma and small cell carcinoma were the most predominant during the period 1957-1967; since 1968, it has been gradually replacing by adenocarcinoma. In the ≤2,000 m group, however, small cell carcinoma has still been more predominant even since 1984. For 8 A-bomb survivors exposed at the age of 20 years or less, 7 had adenocarcinoma, showing a significantly higher incidence than those exposed at older ages. (Namekawa, K)

Survival of Sami cancer patients

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Leena Soininen

2012-07-01

Full Text Available Objectives. The incidence of cancer among the indigenous Sami people of Northern Finland is lower than among the Finnish general population. The survival of Sami cancer patients is not known, and therefore it is the object of this study. Study design. The cohort consisted of 2,091 Sami and 4,161 non-Sami who lived on 31 December 1978 in the two Sami municipalities of Inari and Utsjoki, which are located in Northern Finland and are 300–500 km away from the nearest central hospital. The survival experience of Sami and non-Sami cancer patients diagnosed in this cohort during 1979–2009 was compared with that of the Finnish patients outside the cohort. Methods. The Sami and non-Sami cancer patients were matched to other Finnish cancer patients for gender, age and year of diagnosis and for the site of cancer. An additional matching was done for the stage at diagnosis. Cancer-specific survival analyses were made using the Kaplan–Meier method and Cox regression modelling. Results. There were 204 Sami and 391 non-Sami cancer cases in the cohort, 20,181 matched controls without matching with stage, and 7,874 stage-matched controls. In the cancer-specific analysis without stage variable, the hazard ratio for Sami was 1.05 (95% confidence interval 0.85–1.30 and for non-Sami 1.02 (0.86–1.20, indicating no difference between the survival of those groups and other patients in Finland. Likewise, when the same was done by also matching the stage, there was no difference in cancer survival. Conclusion. Long distances to medical care or Sami ethnicity have no influence on the cancer patient survival in Northern Finland.

Head and neck injuries from the Boston Marathon bombing at four hospitals.

Science.gov (United States)

Singh, Ajay K; Buch, Karen; Sung, Edward; Abujudeh, Hani; Sakai, Osamu; Aaron, Sodickson; Lev, Michael

2015-10-01

The aim of this study was to evaluate the imaging findings of head and neck injuries in patients from the Boston Marathon bombing. A total of 115 patients from the Boston Marathon bombing presenting to four hospitals who underwent imaging to evaluate for head and neck injuries were included in the study. Twelve patients with positive findings on radiography or cross-sectional imaging were included in the final analysis. The radiographic, computed tomography (CT), and magnetic resonance (MR) imaging features of these patients were evaluated for the presence of shrapnel and morphological abnormality. Head and neck injuries were seen in 12 out of 115 patients presenting to the four hospitals. There were secondary blast injuries to the head and neck in eight patients, indicated by the presence of shrapnel on imaging. In the four patients without shrapnel, there were two with subgaleal hematomas, one with facial contusion and one with mastoid injury. There were two patients with subarachnoid hemorrhage, one with brain contusion, one with cerebral laceration, and one with globe rupture. There was frontal bone, nasal bone, and orbital wall fracture in one patient each. Imaging identified 26 shrapnel fragments, 21 of which were ball bearings. Injuries to the head and neck region identified on imaging from the Boston Marathon bombing were not common. The injuries seen were predominantly secondary blast injuries from shrapnel, and did not result in calvarial penetration of the shrapnel fragments.

Triggering soft bombs at the LHC

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Knapen, Simon; Griso, Simone Pagan; Papucci, Michele; Robinson, Dean J.

2017-08-01

Very high multiplicity, spherically-symmetric distributions of soft particles, with p T ˜ few×100 MeV, may be a signature of strongly-coupled hidden valleys that exhibit long, efficient showering windows. With traditional triggers, such `soft bomb' events closely resemble pile-up and are therefore only recorded with minimum bias triggers at a very low efficiency. We demonstrate a proof-of-concept for a high-level triggering strategy that efficiently separates soft bombs from pile-up by searching for a `belt of fire': a high density band of hits on the innermost layer of the tracker. Seeding our proposed high-level trigger with existing jet, missing transverse energy or lepton hardware-level triggers, we show that net trigger efficiencies of order 10% are possible for bombs of mass several × 100 GeV. We also consider the special case that soft bombs are the result of an exotic decay of the 125 GeV Higgs. The fiducial rate for `Higgs bombs' triggered in this manner is marginally higher than the rate achievable by triggering directly on a hard muon from associated Higgs production.

Dose survival of G0 lymphocytes irradiated in vitro: A test for a possible population bias in the cohort of atomic-bomb survivors exposed to high doses

International Nuclear Information System (INIS)

Nakamura, Nori; Sposto, R.; Akiyama, Mitoshi.

1993-04-01

An in-vitro colony assay was employed for X-ray dose-survival studies of peripheral-blood lymphocytes from 117 Adult Health Study participants with Dosimetry System 1986 doses 10 values (the X-ray dose required to kill 90% of cells) for these two groups were 3.40 Gy (7.5%) and 3.34 Gy (7.8%), respectively. No statistically significant differences in their distributions were detected. In addition, neither sex nor age affected the in-vitro radiosensitivity of lymphocytes for either group or for all subjects combined. Therefore it was concluded that, as far as the G 0 -lymphocyte colony assay is concerned, there is no evidence for preferential loss of individuals with higher cellular radiosensitivity among the high-dose atomic bomb survivors. However, it should be noted that the interindividual variations in cellular radiosensitivity were not large compared with the experimental variations. Consequently, the above-mentioned results should be considered due to the small heterogeneity of lymphocyte radiosensitivity among the survivors. (J.P.N.)

Pathological study on autopsy cases at Hiroshima Atomic Bomb Hospital, September 1956 - March 1988

International Nuclear Information System (INIS)

Nambu, Shigeru; Fujihara, Megumu; Kuramoto, Kiyoshi; Hamada, Tadao.

1990-01-01

A retrospective review was made of 2,659 autopsy patients obtained during the past 31 years and a half in Hiroshima Atomic Bomb Hospital. Of the patients, 1,328 (49.9%) were A-bomb survivors. Five hundred and six A-bomb survivors (38.1%) had been exposed at up to 2,000 m from the hypocenter. There was no correlation between the incidence of malignancy and the presence of exposure to A-bombing. The incidence of multiple malignancy was slightly higher in A-bomb survivors exposed at the place nearer the hypocenter. In the group of A-bomb survivors, cancer of the lung was the most common for men; and cancer of the stomach was the most common for women. The incidence of malignancy has been high in the exposed group during the early eras of examination; however, this figure has recently become high in the non-exposed group. Regarding the kinds of malignancy, there was no significant difference between the exposed and non-exposed groups. The incidence of leukemia was high during the early eras, and tentatively decreased in both the exposed and non-exposed groups. It has recently increased again. The incidence of hepatocellular carcinoma rapidly increased during the recent eras, regardless of sex, in both groups; this was marked in women in the exposed group. Thyroid and breast cancers tentatively increased in women in the exposed group. Benign diseases were seen in 35% for the exposed group and 33% for the non-exposed group; liver diseases were most frequent in both groups. In the exposed group, the incidence of cardiovascular diseases and central nervous diseases has recently increased. (N.K.)

Mental retardation occurring in embryo exposed in utero to the atomic bomb (Hiroshima)

International Nuclear Information System (INIS)

Ishikawa, Hiroya; Shimasaki, Akira; Fujiwara, Koichi; Harada, Masazumi; Minami, Ryuichi.

1978-01-01

This paper deals with a long term follow-up study on psychological symptoms in four patients with microscopically microcephaly induced by prenatal exposed to atomic bomb. They were exposed to atomic bomb at 8- and 12-week-embryos. The distance from the center of the explosion was 780 - 1180 m. All their mothers had acute radiation hazards. Their growths in the uterus were markedly damaged. Postnatal body weight ranged between 1,300 and 2,000 g. They were commonly characterized by microcephaly, physiological and mental retardation, stigmata of degeneracy, and skin symptoms, who were diagnosed as ''microcephaly induced by early prenatal exposure to atomic bomb'' by the research group for microcephaly in the Ministry of Health and Welfare. These common symptoms such as microcephaly, stigmata of degeneracy, and disturbed growth, but neurological symptoms such as motor aphasia were slighter in these patients than in those having congenital Minamata disease prenatal. These results suggested that the prognosis of these patients in whom 30 years have passed is unexpectedly serious. (Namekawa, K.)

Accident in science history. Hitler's atomic bomb

International Nuclear Information System (INIS)

Popp, Manfred

2016-01-01

Up to now the historical explanation for the fact that NS Germany did not develop an atomic bomb was that there was enough scientific and technical knowledge but not enough resources. Recent historical research showed that the German scientists in the ''Uranverein'' did not know the cross section of U-235 and had no possibility to measure these cross sections. There exist only very few documents dealing with the bomb. The bomb was treated as a special case of a reactor. Obviously the German scientists did not know he bomb technology. It seems that the project was not success-oriented because the scientists expected to be sent to the front in case of a project stop.

Medical and sociological study on the A-bombed twins, 3

International Nuclear Information System (INIS)

Satow, Yukio; Okamoto, Naomasa; Watanabe, Shoji; Ohkita, Takeshi; Kurihara, Minoru

1980-01-01

Three A-bomb exposed and nonexposed pairs of monoxygotic twins were investigated. In two pairs of them, environmental factors had no apparent influence, and genetic factors were dominant. In the other one pair, one of which was a A-bomb survivor exposed at 1.5 km from the explosion center, environmental factors and various effects on them. (Ueda, J.)

Medical examination of ''Minashi'' atomic bomb survivor in Hiroshima-city, 1

International Nuclear Information System (INIS)

Kumazawa, Toshihiko

1978-01-01

As it is about one year (three examination terms) since health examinations for ''Minashi'' a-bomb survivors has been carried out, conditions of these examinations are described. ''Minashi'' a-bomb survivors can receive an a-bomb survivor's health notebook when they suffer from 10 damages designated by the Ministry of Public Welfare, and the number of ''Minashi'' a-bomb survivors changes frequently. ''Minashi'' a-bomb survivors who received a certificate of a recipient of the examination were 2363 at the end of 1977, and by that time, 665 of them (28.1%) also received an a-bomb survivor's health notebook instead of the certificate. Accordingly, the number of persons recognized as ''Minashi'' a-bomb survivors at the end of the year was 1703 (688 men and 1015 women). ''Minashi'' a-bomb survivors underwent health examinations at the same time and under the same way as a-bomb survivors. There were no great differences in the undergoing rate of general health examinations, the necessity rate for detailed examinations, the undergoing rate of detailed examinations, the necessity rate for treatment, and kinds of diseases requiring treatment between ''Minashi'' a-bomb survivors and those in a-bomb survivors. The undergoing rate of general health examinations was 67.6%, (45.6% in a-bomb survivors), the necessity rate for detailed examinations, 43.1% (50.1%), the undergoing rate of detailed examinations, 91.3% (93.3%), and the necessity rate for treatment, 20.3% (29.0%). The undergoing rate of general health examinations in ''Minashi'' a-bomb survivors was higher than that in a-bomb survivors, but the necessity rate for detailed examinations, the undergoing rate of detailed examination, and the necessity rate for treatment in ''Minashi'' a-bomb survivors were lower than those in a-bomb survivors. (Tsunoda, M.)

A nomogram for predicting survival in patients with breast cancer brain metastasis.

Science.gov (United States)

Huang, Zhou; Sun, Bing; Wu, Shikai; Meng, Xiangying; Cong, Yang; Shen, Ge; Song, Santai

2018-05-01

Brain metastasis (BM) is common in patients with breast cancer. Predicting patient survival is critical for the clinical management of breast cancer brain metastasis (BCBM). The present study was designed to develop and evaluate a prognostic model for patients with newly diagnosed BCBM. Based on the clinical data of patients with BCBM treated in the Affiliated Hospital of Academy of Military Medical Sciences (Beijing, China) between 2002 and 2014, a nomogram was developed to predict survival using proportional hazards regression analysis. The model was validated internally by bootstrapping, and the concordance index (c-index) was calculated. A calibration curve and c-index were used to evaluate discriminatory and predictive ability, in order to compare the nomogram with widely used models, including recursive partitioning analysis (RPA), graded prognostic assessment (GPA) and breast-graded prognostic assessment (Breast-GPA). A total of 411 patients with BCBM were included in the development of this predictive model. The median overall survival time was 14.1 months. Statistically significant predictors for patient survival included biological subtype, Karnofsky performance score, leptomeningeal metastasis, extracranial metastasis, the number of brain metastases and disease-free survival. A nomogram for predicting 1- and 2-year overall survival rates was constructed, which exhibited good accuracy in predicting overall survival with a concordance index of 0.735. This model outperformed RPA, GPA and Breast-GPA, based on the comparisons of the c-indexes. The nomogram constructed based on a multiple factor analysis was able to more accurately predict the individual survival probability of patients with BCBM, compared with existing models.

Small Diameter Bomb Increment II (SDB II)

Science.gov (United States)

2015-12-01

Selected Acquisition Report (SAR) RCS: DD-A&T(Q&A)823-439 Small Diameter Bomb Increment II (SDB II) As of FY 2017 President’s Budget Defense... Bomb Increment II (SDB II) DoD Component Air Force Joint Participants Department of the Navy Responsible Office References SAR Baseline (Production...Mission and Description Small Diameter Bomb Increment II (SDB II) is a joint interest United States Air Force (USAF) and Department of the Navy

Bomb radiocarbon: imbalance in the budget

International Nuclear Information System (INIS)

Joos, Fortunat

1994-01-01

An improved understanding of the global carbon cycle is crucial to global climate change research. The uncertainties surrounding the level of oceanic carbon uptake are discussed. A revision downwards of 25% in the currently accepted figure is suggested by authors who base their estimates on a new analysis of the oceanic uptake of radiocarbon released in the atomic bomb tests of the late 1950s and early 1960s. The reduction in uptake level is required to take account of a global imbalance in the bomb-radiocarbon budget in the post test-ban period which emerges from recent carbon-cycle models. Large uncertainties exist in the estimate of the imbalance, however, and bomb-radiocarbon and anthropogenic CO 2 do not behave identically. Any revision of CO 2 uptake estimates may be substantially smaller than the 25% put forward for the bomb-radiocarbon inventory. (UK)

The birth of the atomic bomb

International Nuclear Information System (INIS)

Olivier, Louis

2016-01-01

In this article, the author proposes an overview of fifty years of researches and works which resulted in the fabrication and use of an atomic bomb. Thus, he evokes the discovery of radioactivity, experiments made by Rutherford, the discovery of nuclear fission induced uranium bombardment by slow neutrons, the discovery of a possibility of chain reaction with a very low critical mass, the first works on the development of a bomb in the USA and United-Kingdom, and finally the Manhattan project and the realisation of the first bombs, tests, and their use in Hiroshima and Nagasaki

Recent status and supplementary review of lenticular opacities in proximally exposed A-bomb survivors

Energy Technology Data Exchange (ETDEWEB)

Sugimoto, S [Sugimoto Ophthalmic Hospital, Hiroshima (Japan)

1978-04-01

A review was made on the progress of lenticular opacities in proximally exposed A-bomb survivors on the basis of three experimental cases. A-bomb cataract is the first late effect of A-bomb radiation which appeared in A-bomb survivors and is the only disorder which can still be visualized at the present time. We have therefore continued to use this as one major evidence that A-bomb injuries have not been cured in spite of our for a complete ban of nuclear weapons. According to the findings of lenticular opacities of typical A-bomb cataract observed in experimental cases, there was in some cases after a latent period progression of opacities from several years to more than 10 years followed by a gradual decrease in opacities, whereas in some cases there was after a latent period a remarkable progress in opacities for several years followed by a marked decrease in the lesions. At the present time there is no evidence of progression and it appears that the progression has ceased. Incipient senile cataract which developed concurrently has completely no transitional relationship to A-bomb cataract and appears to progress slowly but steadily.

Recent status and supplementary review of lenticular opacities in proximally exposed A-bomb survivors

International Nuclear Information System (INIS)

Sugimoto, Shigenori

1978-01-01

A review was made on the progress of lenticular opacities in proximally exposed A-bomb survivors on the basis of three experimental cases. A-bomb cataract is the first late effect of A-bomb radiation which appeared in A-bomb survivors and is the only disorder which can still be visualized at the present time. We have therefore continued to use this as one major evidence that A-bomb injuries have not been cured in spite of our for a complete ban of nuclear weapons. According to the findings of lenticular opacities of typical A-bomb cataract observed in experimental cases, there was in some cases after a latent period progression of opacities from several years to more than 10 years followed by a gradual decrease in opacities, whereas in some cases there was after a latent period a remarkable progress in opacities for several years followed by a marked decrease in the lesions. At the present time there is no evidence of progression and it appears that the progression has ceased. Incipient senile cataract which developed concurrently has completely no transitional relationship to A-bomb cataract and appears to progress slowly but steadily. (auth.)

Foreign bodies radiographically demonstrated in atomic bomb survivors

Energy Technology Data Exchange (ETDEWEB)

Tamura, S.; Onitsuka, H.; Lee, K.K.; Shimizu, Y.; Russell, W.J.

1978-02-01

The prevalence of roentgenologically-detected foregin bodies among atomic bomb survivors was studied as an indicator of the A-bomb blast effects. Acupuncture was studied as an indicator of possible A-bomb-related abnormalities for which it was administered. All available roentgenograms of Adult Health Study (AHS) subjects which demonstrated foreign bodies were reviewed. The frequency of glass and metal foreign bodies and of acupuncture needles was analyzed in detail. Analyses were made by distance from the hypocenter, sex, age, body sites involved, and shielding at the time of the A-bomb (ATB). The presence of glass fragments correlated closely with distance from the hypocenter, with heavy shielding from the A-bombs, and with adulthood, and they were more frequent in the chest than in the hand and wrist. On the contrary, metal foreign bodies were more frequent in the hand and wrist than in the chest, and were not associated with distance from hypocenter or heavy shielding. The prevalence of acupuncture needles increased with age, but did not correlate with A-bomb dose.

Multiple neoplasms, single primaries, and patient survival

International Nuclear Information System (INIS)

Amer, Magid H

2014-01-01

Multiple primary neoplasms in surviving cancer patients are relatively common, with an increasing incidence. Their impact on survival has not been clearly defined. This was a retrospective review of clinical data for all consecutive patients with histologically confirmed cancer, with emphasis on single versus multiple primary neoplasms. Second primaries discovered at the workup of the index (first) primary were termed simultaneous, if discovered within 6 months of the index primary were called synchronous, and if discovered after 6 months were termed metachronous. Between 2005 and 2012, of 1,873 cancer patients, 322 developed second malignancies; these included two primaries (n=284), and three or more primaries (n=38). Forty-seven patients had synchronous primaries and 275 had metachronous primaries. Patients with multiple primaries were predominantly of Caucasian ancestry (91.0%), with a tendency to develop thrombosis (20.2%), had a strong family history of similar cancer (22.3%), and usually presented with earlier stage 0 through stage II disease (78.9%). When compared with 1,551 patients with a single primary, these figures were 8.9%, 15.6%, 18.3%, and 50.9%, respectively (P≤0.001). Five-year survival rates were higher for metachronous cancers (95%) than for synchronous primaries (59%) and single primaries (59%). The worst survival rate was for simultaneous concomitant multiple primaries, being a median of 1.9 years. The best survival was for patients with three or more primaries (median 10.9 years) and was similar to the expected survival for the age-matched and sex-matched general population (P=0.06991). Patients with multiple primaries are usually of Caucasian ancestry, have less aggressive malignancies, present at earlier stages, frequently have a strong family history of similar cancer, and their cancers tend to have indolent clinical behavior with longer survival rates, possibly related to genetic predisposition

Lenticular opacities in proximally exposed A-bomb survivors and their lately significance

Energy Technology Data Exchange (ETDEWEB)

Sugimoto, S [Sugimoto Ophthalmological Clinic, Hiroshima (Japan)

1978-04-01

Five cases of lenticular opacities in proximally exposed A-bomb survivors (not published yet) were reported with some slides. From these experiment cases, following items were investigated. Significance of A-bomb radiation cataracts: Because cataract is the first manifistation of delayed hazard to a human body caused by A-bomb radiation and can be observed still now, cataract is regarded to be very important for recognizing A-bomb hazard. The manifestation of these findings of cataract is the reason for strong appeals that A-bomb hazard is still existing. Clinical findings of lenticular opacities was searched with reference to the literature. Several findings in experiment cases were described, and the importance of the study about changes of clinical findings was mentioned. It was pointed out that radiation cataract is closely related to the loss of hair in acute atomic radiation hazard. In case of radiation cataract, some difference between right and left eye was sometimes observed. Studies concerning this difference should be further developed in future. The importance of the factors of shielding was pointed out.

Chromosome survey for children of A-bomb survivors

International Nuclear Information System (INIS)

Awa, Akio

1992-01-01

To investigate chromosomes from children of A-bomb survivors, cytogenetic survey has been started in 1967 by the ABCC and completed in 1985 by the succeeding RERF. This paper is designed to overview the cytogenetic survey and to discuss the cytogenetic effects of A-bomb radiation. A cohort of 16,298 children of A-bomb survivors, which were collected from mortality survey population in 1974, was enrolled in this survey and was divided into two groups: the proximally exposed group (n=8,322, whose parents exposed to estimated doses of 0.01 Gy or more within 2,000 m from the hypocenter) and the distally exposed group (n=7,976, those exposed to 0.005 Gy or less far from 2,500 m or not in the city). Three chromosomal aberrations were identified: sex chromosome aberrations consisting mainly of XYY, XXY, and mosaic; structural abnormality of autosomes consisting mainly of translocation and inversion; and trisomy of autosomes. Overall, the incidence of chromosomal aberrations was higher in the distally exposed group (6.39%) than the proximally exposed group (5.17%). According to the type of chromosomal aberrations, the incidences of both sex chromosomes and structural abnormality of autosomes were slightly higher in the distally exposed group (0.30% and 0.34%) than the proximally exposed group (0.23% and 0.28%). Trisomy of autosomes was identified in only one child in the proximally exposed group. These findings failed to demonstrate the rationale for the cytogenetic effects of A-bomb radiation; however, cytogenetic risk of radiation has not been denied completely. (N.K.)

Immunological study in A-bomb survivors

International Nuclear Information System (INIS)

Imamura, Nobutaka

1994-01-01

This study examined peripheral T and B lymphocytes using monoclonal antibodies in twin A-bomb survivors and myelodysplastic syndrome (MDS) patients in the exposed and non-exposed groups. The subjects were 10 persons (9 exposed ones and 1 non-exposed one), collected from 6 pairs of twins (in the twin group); 8 MDS patients in the exposed group; and 4 MDS patients in the non-exposed group. In the twin group, an increase in CD4-positive helper/inducer T cells and a decrease in CD8-positive suppressor/cytotoxic T cells were definitely observed. This tended to be noticeable in persons exposed nearer the hypocenter. Furthermore, the twin group had a higher ratio of CD4 to CD8. Immunological findings reflecting B cell abnormalities were not found in this group. In all MDS patients in both the exposed and non-exposed groups, refractory anemia (Hb of 10.0 g/dl or less) were observed. Some of the patients in the exposed group had an increase of T4 (CD4) + T cells, a decrease of T8(CD8) + T cells, a decrease of B-1(CD20) + B cells, and an increase of TQ-1 + cells. Double-fluorescence staining revealed an increase in T4(CD4) + 2H4(CD45RA) + cells in patients with primary acquired refractory anemia. The ratio of CD4 to CD8 in all MDS patients, except for one patient, was normal or increased. Furthermore, neither RAS nor p53 oncogenes were observed in the MDS group. (N.K.)

Multiple neoplasms, single primaries, and patient survival

Directory of Open Access Journals (Sweden)

Amer MH

2014-03-01

Full Text Available Magid H Amer Department of Medicine, St Rita's Medical Center, Lima, OH, USA Background: Multiple primary neoplasms in surviving cancer patients are relatively common, with an increasing incidence. Their impact on survival has not been clearly defined. Methods: This was a retrospective review of clinical data for all consecutive patients with histologically confirmed cancer, with emphasis on single versus multiple primary neoplasms. Second primaries discovered at the workup of the index (first primary were termed simultaneous, if discovered within 6 months of the index primary were called synchronous, and if discovered after 6 months were termed metachronous. Results: Between 2005 and 2012, of 1,873 cancer patients, 322 developed second malignancies; these included two primaries (n=284, and three or more primaries (n=38. Forty-seven patients had synchronous primaries and 275 had metachronous primaries. Patients with multiple primaries were predominantly of Caucasian ancestry (91.0%, with a tendency to develop thrombosis (20.2%, had a strong family history of similar cancer (22.3%, and usually presented with earlier stage 0 through stage II disease (78.9%. When compared with 1,551 patients with a single primary, these figures were 8.9%, 15.6%, 18.3%, and 50.9%, respectively (P≤0.001. Five-year survival rates were higher for metachronous cancers (95% than for synchronous primaries (59% and single primaries (59%. The worst survival rate was for simultaneous concomitant multiple primaries, being a median of 1.9 years. The best survival was for patients with three or more primaries (median 10.9 years and was similar to the expected survival for the age-matched and sex-matched general population (P=0.06991. Conclusion: Patients with multiple primaries are usually of Caucasian ancestry, have less aggressive malignancies, present at earlier stages, frequently have a strong family history of similar cancer, and their cancers tend to have indolent

Marital Status and Survival in Patients with Carcinoid Tumors.

Science.gov (United States)

Greenleaf, Erin K; Cooper, Amanda B; Hollenbeak, Christopher S

2016-01-01

Marital status is a known prognostic factor in overall and disease-specific survival in several types of cancer. The impact of marital status on survival in patients with carcinoid tumors remains unknown. We hypothesized that married patients have higher rates of survival than similar unmarried patients with carcinoid tumors. Using the Surveillance, Epidemiology, and End Results database, we identified 23,126 people diagnosed with a carcinoid tumor between 2000 and 2011 and stratified them according to marital status. Univariate and multivariable analyses were performed to compare the characteristics and outcomes between patient cohorts. Overall and cancer-related survival were analyzed using the Kaplan-Meier method. Multivariable survival analyses were performed using Cox proportional hazards models (hazards ratio [HR]), controlling for demographics and tumor-related and treatment-related variables. Propensity score analysis was performed to determine surgical intervention distributions among married and unmarried (ie, single, separated, divorced, widowed) patients. Marital status was significantly related to both overall and cancer-related survival in patients with carcinoid tumors. Divorced and widowed patients had worse overall survival (HR, 1.33 [95% confidence interval {CI}, 1.08-1.33] and 1.34 [95% CI, 1.22-1.46], respectively) and cancer-related survival (HR, 1.15 [95% CI, 1.00-1.31] and 1.15 [95% CI, 1.03-1.29], respectively) than married patients over five years. Single and separated patients had worse overall survival (HR, 1.20 [95% CI, 1.08-1.33] and 1.62 [95% CI, 1.25-2.11], respectively) than married patients over five years, but not worse cancer-related survival. Unmarried patients were more likely than matched married patients to undergo definitive surgical intervention (62.67% vs 53.11%, respectively, P married patients have a survival advantage after diagnosis of any carcinoid tumor, potentially reflecting better social support and financial means

Restoration Survival: Revisiting Patients' Risk Factors Through a Systematic Literature Review.

Science.gov (United States)

van de Sande, F H; Collares, K; Correa, M B; Cenci, M S; Demarco, F F; Opdam, Njm

2016-09-01

A literature review was conducted to investigate the influence of patient-related factors on restoration survival in posterior permanent teeth as well as to report the methods used to collect these factors. The selection of articles on longitudinal clinical studies investigating the survival of posterior restorations (except full crowns and temporary fillings) and including patient-related factors was performed by applying predefined criteria. The review was organized into two parts, the first describing how patient factors were assessed in the studies (n=45) and the second presenting the statistical significance (n=27) and size of the effect (n=11) of these factors on restoration survival. Patient-related factors mentioned in the studies included age; gender; caries risk; caries activity/severity; decayed, missing, filled teeth; number of restorations; oral hygiene; and bruxism, among others. Sixteen studies included the patient age or age range in the analysis, which was found to be significant in 47% of the studies. Regarding gender, four of 17 reports found a significant effect on survival, showing more failures for men in three studies. The caries risk profile or related variables were included in the analysis of 15 studies, and a significant effect on survival was reported for high-caries-risk individuals (or related variables) in 67% of these studies. Bruxism was also found to influence restoration survival in three of six studies where this variable was investigated. Some issues were found regarding the reporting of methods used to classify patients according to risk and were thoroughly discussed. In view of the information gathered in this review, the assessment of patient factors along with other variables should become part of clinical studies investigating restoration survival, since several of these factors were shown to influence the failure of restorations, regardless of the material type.

Patients undergoing radical prostatectomy have a better survival than the background population

DEFF Research Database (Denmark)

Andreas Røder, Martin; Brasso, Klaus; Drimer Berg, Kasper

2013-01-01

underwent radical prostatectomy. Patients were followed prospectively per protocol. No patients were lost to follow-up. Overall and cause-specific survival were described using Kaplan-Meier plots. Standardized relative survival and mortality ratio were calculated based on expected survival in the age......INTRODUCTION: The objective of this study was to investigate standardised relative survival and mortality ratio for patients undergoing radical prostatectomy for localized prostate cancer at our institution. MATERIAL AND METHODS: Between 1995 and 2010, a total of 1,350 consecutive patients......-matched Danish population using the methods and macros described by Dickmann. The country-specific population mortality rates used for calculation of the expected survival were based on data from The Human Mortality Database. RESULTS: The median follow-up was 3.4 years (range: 0-14.3 years). A total of 59 (4...

Proceedings of the 43rd Research Society for the Late Effects of the A-Bomb

International Nuclear Information System (INIS)

Anon.

2002-01-01

This issue is the collection of study papers presented in the meeting in the title, which including the special review lecture concerning the subjects and prospects in studies on the late health effects of A-bomb radiation; symposia concerning the significance and summary of health effects study of the children of A-bomb survivors at Radiation Effects Research Foundation (RERF), the ethical issues on human genome and genetic analyses, and on materials of survivors and their biology in the archive, and the technology (genetic effects of radiation in human mini-satellite loci and microarray-based comparative genome hybridization as its efficient methodology); and 40 general presentations. The general presentations involve 19 clinical health examination studies of A-bomb survivors in Hiroshima and Nagasaki, related to cancer (4 presentations), immunology (4) and other general clinical observations; 7 clinical and basic studies on patients generated in the Tokai criticality accident (1), in Chernobyl (3), Belarus (1) and Nagasaki (2); 5 application studies of histological specimens; and 9 basic radiation biology studies related to carcinogenesis, p53, radio-sensitization or -sensitivity etc. (N.I.)

Yale and the Atomic Bomb Casualty Commission

International Nuclear Information System (INIS)

Bowers, J.Z.

1983-01-01

This is a description, based largely on personal discussions, of the contributions of men from the Yale University School of Medicine to the saga of the immediate and long-term studies on the medical effects of the atomic bombs at Hiroshima and Nagasaki. They played key roles in the immediate studies of bomb effects, in the creation of long-term studies of delayed effects, and in elevating the Atomic Bomb Casualty Commission after 1955 to a position of excellence in its studies and relations with the Japanese. The accumulation of the information presented in this paper derives from research for the preparation of the history of the Atomic Bomb Casualty Commission. In 1975, the commission was passed to Japanese leadership as the Radiation Effects Research Foundation

The Neutron Bomb - a new dread

International Nuclear Information System (INIS)

Broda, E.

1977-01-01

This text was written by Engelbert Broda, an Austrian chemist and physicist, in 1977. He is discussing the fundamental principles and the devastating effects of neutron bombs and the emitted fast neutrons. (nowak)

Survival analysis of heart failure patients: A case study.

Science.gov (United States)

Ahmad, Tanvir; Munir, Assia; Bhatti, Sajjad Haider; Aftab, Muhammad; Raza, Muhammad Ali

2017-01-01

This study was focused on survival analysis of heart failure patients who were admitted to Institute of Cardiology and Allied hospital Faisalabad-Pakistan during April-December (2015). All the patients were aged 40 years or above, having left ventricular systolic dysfunction, belonging to NYHA class III and IV. Cox regression was used to model mortality considering age, ejection fraction, serum creatinine, serum sodium, anemia, platelets, creatinine phosphokinase, blood pressure, gender, diabetes and smoking status as potentially contributing for mortality. Kaplan Meier plot was used to study the general pattern of survival which showed high intensity of mortality in the initial days and then a gradual increase up to the end of study. Martingale residuals were used to assess functional form of variables. Results were validated computing calibration slope and discrimination ability of model via bootstrapping. For graphical prediction of survival probability, a nomogram was constructed. Age, renal dysfunction, blood pressure, ejection fraction and anemia were found as significant risk factors for mortality among heart failure patients.

Effects of A-bomb radiation on the human body

International Nuclear Information System (INIS)

Shigematsu, Itsuzo; Akiyama, Mitoshi; Sasaki, Hideo; Ito, Chikato; Kamada, Nanao

1992-01-01

This publication consists of contributions by 39 authors in Hiroshima who are active in the forefront of research, diagnosis and treatment concerning atomic bomb survivors. Following a brief description on the damage of the atomic bomb, the subjects of malignant tumors, endocrine and metabolic diseases, ocular lesions, dermatologic effects, prenatal exposure, chromosomal aberrations, mutations, sensitivity to radiation, immune function, genetic effects and other effects of radiation are described. All of the 45 chapters are indexed individually. (J.P.N.)

A prime determinant in selecting dialysis modality: peritoneal dialysis patient survival

Directory of Open Access Journals (Sweden)

Hyunwook Kim

2017-03-01

Full Text Available The number of patients with end-stage renal disease (ESRD has rapidly increased, as has the cost of dialysis. Peritoneal dialysis (PD is an established treatment for ESRD patients worldwide; it has a variety of advantages, including autonomy and flexibility, as well as economic benefits in many countries compared to hemodialysis (HD. However, the long-term survival rate of PD remains poor. Although direct comparison of survival rate between the dialysis modalities by randomized controlled trials is difficult due to the ethical issues, it has always been a crucial point when deciding which dialysis modality should be recommended to patients. Recently, in many countries, including the United States, Brazil, Spain, Australia, and New Zealand, the survival rate in PD patients has significantly improved. PD patient survival in Korea has also improved, but Korean PD patients are known to have higher risk of mortality and major adverse cardiovascular, cerebrovascular events than HD patients. Herein, we further evaluate why Korean PD patients had worse outcomes; we suggest that special attention should be paid to patients with diabetes, coronary artery disease, or congestive heart failure when they choose PD as the first dialysis modality in order to reduce mortality risk.

Skin cancer of Nagasaki atomic bomb survivors, 4

International Nuclear Information System (INIS)

Sadamori, Naoki; Mine, Mariko; Hori, Makoto; Noda, Yoshinori; Fujiwara, Naoko; Takahara, Osamu; Sadamori, Michiko; Nishimoto, Katsutaro; Ota, Hisahiro.

1990-01-01

We previously reported that there was a high correlation between the exposure dose and the incidence of skin cancer in A-bomb survivors using the data of the Nagasaki Life Span Study of Radiation Effects Research Foundation and Nagasaki Tumor Registry. In Report 3 of this series, we clarified that the correlation between the exposure distance and the incidence of skin cancer was statistically significant in 140 cases of skin cancer collected from 31 hospitals in Nagasaki City and adjacent districts on the basis of the data of the total 66,276 A-bomb survivors recorded in the Scientific Data Center of Atomic Bomb Disaster, Nagasaki University School of Medicine, and that the correlation was the same even when the cases were divided by sex. In this report, we examined the chronological change of the incidence of skin cancer in Nagasaki A-bomb survivors, using the data of the Scientific Data Center of Atomic Bomb Disaster. It is likely that the incidence of skin cancer in Nagasaki A-bomb survivors has increased after 1962, especially after 1975 in those exposed within 2.5km from the hypocenter compared to those exposed at 3.0km or more. (author)

Prognostic Factors for Survival in Patients with Gastric Cancer using a Random Survival Forest

Science.gov (United States)

Adham, Davoud; Abbasgholizadeh, Nategh; Abazari, Malek

2017-01-01

Background: Gastric cancer is the fifth most common cancer and the third top cause of cancer related death with about 1 million new cases and 700,000 deaths in 2012. The aim of this investigation was to identify important factors for outcome using a random survival forest (RSF) approach. Materials and Methods: Data were collected from 128 gastric cancer patients through a historical cohort study in Hamedan-Iran from 2007 to 2013. The event under consideration was death due to gastric cancer. The random survival forest model in R software was applied to determine the key factors affecting survival. Four split criteria were used to determine importance of the variables in the model including log-rank, conversation?? of events, log-rank score, and randomization. Efficiency of the model was confirmed in terms of Harrell’s concordance index. Results: The mean age of diagnosis was 63 ±12.57 and mean and median survival times were 15.2 (95%CI: 13.3, 17.0) and 12.3 (95%CI: 11.0, 13.4) months, respectively. The one-year, two-year, and three-year rates for survival were 51%, 13%, and 5%, respectively. Each RSF approach showed a slightly different ranking order. Very important covariates in nearly all the 4 RSF approaches were metastatic status, age at diagnosis and tumor size. The performance of each RSF approach was in the range of 0.29-0.32 and the best error rate was obtained by the log-rank splitting rule; second, third, and fourth ranks were log-rank score, conservation of events, and the random splitting rule, respectively. Conclusion: Low survival rate of gastric cancer patients is an indication of absence of a screening program for early diagnosis of the disease. Timely diagnosis in early phases increases survival and decreases mortality. Creative Commons Attribution License

Marital Status and Survival in Patients with Carcinoid Tumors

Directory of Open Access Journals (Sweden)

Erin K. Greenleaf

2016-01-01

Full Text Available Background Marital status is a known prognostic factor in overall and disease-specific survival in several types of cancer. The impact of marital status on survival in patients with carcinoid tumors remains unknown. We hypothesized that married patients have higher rates of survival than similar unmarried patients with carcinoid tumors. Methods Using the Surveillance, Epidemiology, and End Results database, we identified 23,126 people diagnosed with a carcinoid tumor between 2000 and 2011 and stratified them according to marital status. Univariate and multivariable analyses were performed to compare the characteristics and outcomes between patient cohorts. Overall and cancer-related survival were analyzed using the Kaplan–Meier method. Multivariable survival analyses were performed using Cox proportional hazards models (hazards ratio [HR], controlling for demographics and tumor-related and treatment-related variables. Propensity score analysis was performed to determine surgical intervention distributions among married and unmarried (ie, single, separated, divorced, widowed patients. Results Marital status was significantly related to both overall and cancer-related survival in patients with carcinoid tumors. Divorced and widowed patients had worse overall survival (HR, 1.33 [95% confidence interval {CI}, 1.08–1.33] and 1.34 [95% CI, 1.22–1.46], respectively and cancer-related survival (HR, 1.15 [95% CI, 1.00–1.31] and 1.15 [95% CI, 1.03–1.29], respectively than married patients over five years. Single and separated patients had worse overall survival (HR, 1.20 [95% CI, 1.08–1.33] and 1.62 [95% CI, 1.25–2.11], respectively than married patients over five years, but not worse cancer-related survival. Unmarried patients were more likely than matched married patients to undergo definitive surgical intervention (62.67% vs 53.11%, respectively, P < 0.0001. Conclusions Even after controlling for other prognostic factors, married patients

AFSC/REFM: Bomb-produced age validation study

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — Fish age validation with bomb-produced radiocarbon (14C) requires a known-age Delta14C reference chronology spanning the era of a marine increase in bomb-produced...

Long-term graft and patient survival following renal transplantation in diabetic patients

DEFF Research Database (Denmark)

Rømming Sørensen, Vibeke; Schwartz Sørensen, Søren; Feldt-Rasmussen, Bo

2006-01-01

. The groups were similar with respect to age and sex. RESULTS: The patient survival rates (diabetic versus non-diabetic patients) were 88% vs 91% (p=NS) at 1 year, 68% vs 73% (p=NS) at 5 years and 31% vs 52% (pnon-diabetic patients) were 72% vs 72...... patients, 55% were smokers. Among the diabetic patients, graft and patient survival were independent of smoking habits, blood pressure, HbA1c and total cholesterol. CONCLUSIONS: Graft survival was similar in diabetic and non-diabetic patients. For the first 5 years following renal transplantation......OBJECTIVE: To study long-term graft and patient survival following renal transplantation in diabetic and non-diabetic patients. MATERIAL AND METHODS: Over the time period 1985-99, 498 transplantations in 399 non-diabetic patients and 68 transplantations in 62 diabetic patients were performed...

Dirty Bomb Risk and Impact

Energy Technology Data Exchange (ETDEWEB)

Connell, Leonard W. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

2017-08-01

We examined the relative risk and impact of a dirty bomb employing Co-60 and Cs-137, the two most common high activity source materials. We found that the risk of an area denial dirty bomb attack is greater for Cs-137 due to the form and chemistry of CsCl, the soft, powdery salt form currently in use for high activity Cs-137 sources, found in blood and research irradiators.

The present state of the medical record data base for the A-bomb survivors in Nagasaki University

International Nuclear Information System (INIS)

Mori, Hiroyuki; Mine, Mariko; Kondo, Hisayoshi; Okumura, Yutaka

1992-01-01

It has been 13 years since the operation of medical record data base for A-bomb survivors was started in the Scientific Data Center for Atomic Bomb Disaster at the Nagasaki University. This paper presents the basic data in handling the data base. The present data base consists of the following 6 items: (1) 'fundamental data' for approximately 120,000 A-bomb survivors having an A-bomb survivors' handbook who have been living in Nagasaki City; (2) 'Nagasaki Atomic Bomb Hospital's data', covering admission medical records in the ward of internal medicine; (3) 'pathological data', covering autopsy records in Nagasaki City; (4) 'household data reconstructed by the survey data'; (5) 'second generation A-bomb survivors data', including the results of mass screening since 1979, and (6) 'address data'. Based on the data, the number of A-bomb survivors, diagnosis records at the time of death, the number of A-bomb survivors' participants in health examination, tumor registration, records of admission to the internal ward in Nagasaki Atomic Bomb Hospital, autopsy records, and household records are tabulated in relation to annual changes, age at the time of A-bombing, distance from the hypocenter, or sex. (N.K.)

Bomb Threats Taking Financial Toll

Science.gov (United States)

Bowman, Darcia Harris

2004-01-01

Despite all its efforts to crack down on the bomb scares that disrupted classes again and again in 2003, North Carolina's Orange County district fell victim to yet another false alarm this school year, 2004. For some schools, bomb threats have become more routine than fire drills, with each incident ringing up multi-thousand-dollar tabs for…

Study of gastric cancer in atomic bomb survivors

International Nuclear Information System (INIS)

Takayama, Sadamatsu; Tadehara, Futoshi; Okusaki, Ken; Ito, Yoshiko; Ogawa, Junichiro; Kato, Masafumi; Ito, Chikako; Oyama, Hiroko; Mito, Kazuyo.

1990-01-01

Ten gastric cancer A-bomb survivors who had been false negative in mass screening for gastric cancer one year before the diagnosis were entered in a study determining an adequate interval of gastric mass screening for A-bomb survivors. Doubling time of cancer was determined on X-ray films. Of the 10 A-bomb survivors, 8 had entered the city after the bombing and the other two had been exposed at 1,700 m and 2,500 m, respectively, from the hypocenter. Six had early gastric cancer and the other 4 had advanced cancer. Doubling time averaged 19.1 months for early cancer and 7.6 months for advanced cancer. Three measurements of tumor diameter available for 4 A-bomb survivors revealed a very rapid increase in doubling time during the progression period from early to advanced cancer. An interval of one year seems to be adequate in mass screening to detect early cancer. (N.K.)

A German catastrophe? German historians and the Allied bombings, 1945-2010

NARCIS (Netherlands)

von Benda-Beckmann, B.R.

2010-01-01

As one of the major symbols of German suffering, the Allied bombing war left a strong imprint on German society. To a much wider extent than is often claimed, the Allied bombings became part of German debates on the Second World War. In both the GDR as well as the Federal Republic before and after

Outline on populations of Nagasaki A-bomb survivors and sex ratio in their children

International Nuclear Information System (INIS)

Yoshikawa, Isao; Inoue, Akira; Shiomi, Toshio

1978-01-01

On the basis of file delivered together with A-bomb surrivor's health Cards in Nagasaki, statistical management was performed on a mass of A-bomb survivors. The number of A-bomb survivors in a mass was 97,032. A family investigation by census registration was performed on 2,547 of A-bomb survivor group (the distance from the center of explosion recorded on cards was within 1.5 km) and 2,791 of its control group. As to 2,547 of A-bomb survivor group, each exposure place was determined, the distance from the center of explosion was measured again, and exposure dose was presumed. The mean exposure dose of A-bomb survivor group was 577 rad in male, and 681 rad in female. By adding A-bomb survivor group to the control group, 4,452 pairs of marriage were confirmed by census registration, and the number of their children was 10,073. With respect to changes of sex ratio, in case of exposed mother, it was expected theoretically that the number of male would decrease together with an decrease of dose, but an opposite change was recognized in a result of the investigation. A result in case of exposed father showed an increase of the male number although not significantly and a change towards the expected direction. (Tsunoda, M.)

Long survival in a patient with metastatic colorrectal carcinoma: reality or utopia?

Science.gov (United States)

Illán, Andrea; Aires, Jonathan; Quintana, Laura

2017-09-01

We report the case of a 42-year-old male patient with mucinous-type metastatic colorectal carcinoma of eight years of evolution. He has received multiple lines of cytostatic treatment with acceptable tolerance and without significant impairment in his quality of life. At present, it is estimated that the overall survival of metastatic colon cancer in cytostatic treatment is around 24 months. However, a small subset of patients may present prolonged survivals of 5 to 10 years after diagnosis, revealing heterogeneity of tumor behavior and response to treatment. Our clinical case represents a long survivor patient despite the advanced stage of his oncological mucinous-colorrectal disease, endorsed in the scientific literature as having worse rates of objective response and less survival. There are different therapeutic approaches that can achieve a significant overall survival. It is essential in clinical practice to use all drugs available to achieve increase of progression-free survival and overall survival, with maintenance of an adequate quality of life.

Theranostic Perspectives in Prostate Cancer with the Gastrin-Releasing Peptide Receptor Antagonist NeoBOMB1: Preclinical and First Clinical Results.

Science.gov (United States)

Nock, Berthold A; Kaloudi, Aikaterini; Lymperis, Emmanouil; Giarika, Athina; Kulkarni, Harshad R; Klette, Ingo; Singh, Aviral; Krenning, Eric P; de Jong, Marion; Maina, Theodosia; Baum, Richard P

2017-01-01

We recently introduced the potent gastrin-releasing peptide receptor (GRPR) antagonist 68 Ga-SB3 ( 68 Ga-DOTA-p-aminomethylaniline-diglycolic acid-DPhe-Gln-Trp-Ala-Val-Gly-His-Leu-NHEt), showing excellent tumor localizing efficacy in animal models and in patients. By replacement of the C-terminal Leu 13 -Met 14 -NH 2 dipeptide of SB3 by Sta 13 -Leu 14 -NH 2 , the novel GRPR antagonist NeoBOMB1 was generated and labeled with different radiometals for theranostic use. We herein report on the biologic profile of resulting 67/68 Ga-, 111 In-, and 177 Lu-NeoBOMB1 radioligands in GRPR-expressing cells and mouse models. The first evidence of prostate cancer lesion visualization in men using 68 Ga-NeoBOMB1 and PET/CT is also presented. NeoBOMB1 was radiolabeled with 67/68 Ga, 111 In, and 177 Lu according to published protocols. The respective metalated species nat Ga-, nat In-, and nat Lu-NeoBOMB1 were also synthesized and used in competition binding experiments against [ 125 I-Tyr 4 ]BBN in GRPR-positive PC-3 cell membranes. Internalization of 67 Ga-, 111 In-, and 177 Lu-NeoBOMB1 radioligands was studied in PC-3 cells at 37°C, and their metabolic stability in peripheral mouse blood was determined by high-performance liquid chromatography analysis of blood samples. Biodistribution was performed by injecting a 67 Ga-, 111 In-, or 177 Lu-NeoBOMB1 bolus (74, 74, or 370 kBq, respectively, 100 μL, 10 pmol total peptide ± 40 nmol Tyr 4 -BBN: for in vivo GRPR blockade) in severe combined immunodeficiency mice bearing PC-3 xenografts. PET/CT images with 68 Ga-NeoBOMB1 were acquired in prostate cancer patients. NeoBOMB1 and nat Ga-, nat In-, and nat Lu-NeoBOMB1 bound to GRPR with high affinity (half maximal inhibitory concentration, 1-2 nM). 67 Ga-, 111 In-, and 177 Lu-NeoBOMB1 specifically and strongly bound on the cell membrane of PC-3 cells displaying low internalization, as expected for receptor antagonists. They showed excellent metabolic stability in peripheral mouse blood

Survival analysis of heart failure patients: A case study.

Directory of Open Access Journals (Sweden)

Tanvir Ahmad

Full Text Available This study was focused on survival analysis of heart failure patients who were admitted to Institute of Cardiology and Allied hospital Faisalabad-Pakistan during April-December (2015. All the patients were aged 40 years or above, having left ventricular systolic dysfunction, belonging to NYHA class III and IV. Cox regression was used to model mortality considering age, ejection fraction, serum creatinine, serum sodium, anemia, platelets, creatinine phosphokinase, blood pressure, gender, diabetes and smoking status as potentially contributing for mortality. Kaplan Meier plot was used to study the general pattern of survival which showed high intensity of mortality in the initial days and then a gradual increase up to the end of study. Martingale residuals were used to assess functional form of variables. Results were validated computing calibration slope and discrimination ability of model via bootstrapping. For graphical prediction of survival probability, a nomogram was constructed. Age, renal dysfunction, blood pressure, ejection fraction and anemia were found as significant risk factors for mortality among heart failure patients.

Immunogenetical study of the atomic-bombed patients of neoplastic diseases

International Nuclear Information System (INIS)

Hirota, Masaki; Miyazaki, Takashige; Tomonaga, Akimitsu; Hara, Kohei; Hirose, Takeshi

1978-01-01

The immunogenetical backgrounds of 30 patients with neoplastic diseases (group I) and 30 with non-neoplastic diseases (group II) who were exposed to the A-bomb within 30 km of the center of explosion were studied using human leucocyte antigen (HLA), whose gene combines with Ir-gene, as an index. Eighty-four healthy, non-exposed persons (group III) were selected as controls. Regarding phenotype and genotype frequency, type A9 showed Aw24 and type A10 showed A26 in all cases. Except for Bw40, there was no significant difference among the groups (frequency of A9, I>II; that of A10, II< III). Bw40 was frequently observed in group I although it had racial specificity. There were 16 cases of Bw40 in group I (53.3%), 10 cases in group II (33.3%), and 23 cases in group III (27.3%). Further analysis of Bw40 revealed that Bw40.1 and Bw40.2 were more frequent in group I than in the control group. Bw40.3 was not observed in any of the groups. (Tsunoda, M.)

Thermal dynamics of bomb calorimeters.

Science.gov (United States)

Lyon, Richard E

2015-12-01

The thermal dynamics of bomb calorimeters are modeled using a lumped heat transfer analysis in which heat is released in a pressure vessel/bomb immersed in a stirred water bath that is surrounded by a static air space bounded by an insulated (static) jacket, a constant/controlled temperature jacket (isoperibol), or a changing temperature (adiabatic) jacket. The temperature history of the water bath for each of these boundary conditions (methods) is well described by the two-term solution for the calorimeter response to a heat impulse (combustion), allowing the heat transfer coefficients and thermal capacities of the bomb and water bath to be determined parametrically. The validated heat transfer model provides an expression for direct calculation of the heat released in an arbitrary process inside a bomb calorimeter using the temperature history of the water bath for each of the boundary conditions (methods). This result makes possible the direct calculation of the heat of combustion of a sample in an isoperibol calorimeter from the recorded temperature history without the need for semi-empirical temperature corrections to account for non-adiabatic behavior. Another useful result is that the maximum temperature rise of the water bath in the static jacket method is proportional to the total heat generated, and the empirical proportionality constant, which is determined by calibration, accounts for all of the heat losses and thermal lags of the calorimeter.

Clinical survey of blood dyscrasias among Hiroshima a-bomb survivors by the periodical health examination, 5

International Nuclear Information System (INIS)

Taketomi, Yoshinori; Abe, Tsutomu; Okita, Hajime; Kamada, Nanao; Kuramoto, Atsushi

1980-01-01

Certain blood examinations were performed on a-bomb survivors having anemia more than moderate stage (the hemoglobin value under 9.0 g/dl), who were found out by the periodical health examination performed in Hiroshima-A-bomb Survivors Health Control Clinic during the latter period of the fiscal year 1975. The total number of a-bomb survivors who received the periodical health examination was 50,973, and the number of survivors whose hemoglobin value was under 9.0 g/dl was 201 (0.39%). The incidence of such anemia was high in women. There was not a relationship between this anemia and the exposure distance from the hypocenter. The incidence of this anemia was high in young a-bomb survivors, and more than 50% of a-bomb survivors having this anemia was under the age of 50. Iron-deficiency anemia was found in 88% of a-bomb survivors, and the course of their anemia ran in many years in many a-bomb survivors. (Tsunoda, M.)

49 CFR 1544.303 - Bomb or air piracy threats.

Science.gov (United States)

2010-10-01

... 49 Transportation 9 2010-10-01 2010-10-01 false Bomb or air piracy threats. 1544.303 Section 1544... AND COMMERCIAL OPERATORS Threat and Threat Response § 1544.303 Bomb or air piracy threats. (a) Flight.... (d) Notification. Upon receipt of any bomb threat against the security of a flight or facility, or...

Atomic bomb injury: radiation

Energy Technology Data Exchange (ETDEWEB)

Dunham, C L; Cronkite, E P; Le Roy, G V; Warren, S

1959-01-01

This document contains 3 reports. In the first report, the clinical diagnosis and treatment of radiation syndrome in survivors of the atomic explosions in Hiroshima and Nagasaki are described. The syndrome of acute radiation injury is applied to the symptom complex, or diseased state, which results from exposure of the whole body to the initial nuclear radiation of an atomic bomb. It is applied to injuries of the skin and subcutaneous tissues resulting from x-radiation or from contact with radioactive material. Internal radiation injury may result from the selective deposition, such as in bone or thyroid, of radioactive material that has been inhaled or absorbed through the gastrointestinal tract or wounds. Radiation syndrome is classified as very severe, severe, and mild. In the second report, a brief discussion is presented on the question of genetic effects in atomic bomb survivors in Hiroshima and Nagasaki. In the third report, a study was carried out on 205 4-1/2 year old children who had been exposed to the atomic bomb blast during the first half of intra-uterine life. Correlation between head size and mental development of the child with distance from the hypocenter, symptoms of radiation effect and type of shielding of the mother is discussed. The conclusion drawn from the present study is that central nervous system defects can be produced in the fetus by atomic bomb radiation, provided that exposure occurs within approximately 1200 meters of the hypocenter and that no effective shielding, such as concrete, protects the fetus from direct irradiation.

SURVIVAL RATES IN ORAL CANCER PATIENTS – A 10-YEAR RETROSPECTIVE STUDY

Directory of Open Access Journals (Sweden)

Konstantin Tonchev

2016-12-01

Full Text Available Oral cancer is the eighth most common cancer worldwide and presents a serious health problem in countries with higher alcohol consumption and smoking. The aim of the present study was to analyze the survival rates of patients with oral cancer diagnosed at a single center in Bulgaria. The clinical records of patients with oral cancer admitted to the Clinic of Maxillofacial surgery, University Hospital “St. George”, Plovdiv, Bulgaria, from 2004 till 2013 were reviewed. Additional information about follow-up was obtained from the Regional Complex Oncological Centre (RCOC. Data about patient and tumor characteristics – age, sex, site of cancer, stage, degree of differentiation and survival rates were analyzed. The overall 5-year survival rate was 36% while the disease-specific survival rate was 45%. The highest chance for survival was for upper lip (66% while the lowest was for retromolar trigone (0%. Overall survival rate depended also on the stage and grade of differentiation of the tumor. The study confirmed that oral cancer remains serious problem in terms of risk factors, delayed diagnosis, and overall survival rates.

Conditional survival is greater than overall survival at diagnosis in patients with osteosarcoma and Ewing's sarcoma.

Science.gov (United States)

Miller, Benjamin J; Lynch, Charles F; Buckwalter, Joseph A

2013-11-01

Conditional survival is a measure of the risk of mortality given that a patient has survived a defined period of time. These estimates are clinically helpful, but have not been reported previously for osteosarcoma or Ewing's sarcoma. We determined the conditional survival of patients with osteosarcoma and Ewing's sarcoma given survival of 1 or more years. We used the Surveillance, Epidemiology, and End Results (SEER) Program database to investigate cases of osteosarcoma and Ewing's sarcoma in patients younger than 40 years from 1973 to 2009. The SEER Program is managed by the National Cancer Institute and provides survival data gathered from population-based cancer registries. We used an actuarial life table analysis to determine any cancer cause-specific 5-year survival estimates conditional on 1 to 5 years of survival after diagnosis. We performed a similar analysis to determine 20-year survival from the time of diagnosis. The estimated 5-year survival improved each year after diagnosis. For local/regional osteosarcoma, the 5-year survival improved from 74.8% at baseline to 91.4% at 5 years-meaning that if a patient with localized osteosarcoma lives for 5 years, the chance of living for another 5 years is 91.4%. Similarly, the 5-year survivals for local/regional Ewing's sarcoma improved from 72.9% at baseline to 92.5% at 5 years, for metastatic osteosarcoma 35.5% at baseline to 85.4% at 5 years, and for metastatic Ewing's sarcoma 31.7% at baseline to 83.6% at 5 years. The likelihood of 20-year cause-specific survival from the time of diagnosis in osteosarcoma and Ewing's sarcoma was almost 90% or greater after 10 years of survival, suggesting that while most patients will remain disease-free indefinitely, some experience cancer-related complications years after presumed eradication. The 5-year survival estimates of osteosarcoma and Ewing's sarcoma improve with each additional year of patient survival. Knowledge of a changing risk profile is useful in counseling

Chromosomal instability in acute myelocytic leukemia and myelodysplastic syndrome patients among atomic bomb survivors

International Nuclear Information System (INIS)

Nakanishi, Mitsue; Tanaka, Kimio; Shintani, Takahiro; Takahashi, Tomoko; Kamada, Nanao

1999-01-01

To clarify the mechanism of leukemogenesis in atomic bomb survivors, leukemic cells were investigated using fluorescence in situ hybridization (FISH) analysis on the basis of conventional G-banding in patients with a history of radiation exposure and also in de novo patients. Conventional G-banding showed higher incidences (p<0.005) of structural and numerical abnormalities without any specific types of chromosome aberrations in the group exposed to a dose of more than one Gy, compared to the non-exposed group. FISH analysis revealed significantly higher incidences (P<0.05) of subclones with monosomy 7 and deletion of the 20q13.2 region, which were not found in conventional cytogenetic analysis in the exposed group (more than one Gy) compared to the non-exposed controls. Furthermore, segmental jumping translocation (SJT) of the c-MYC gene region was observed only in the exposed group. These chromosomal instability suggested that the leukemic cells from the heavily exposed patients contained persistent cellular genetic instability which may strongly influence the development of leukemia in people exposed to radiation. (author)

Impact on the Japanese atomic bomb survivors of radiation received from the bombs.

Science.gov (United States)

Cullings, Harry M

2014-02-01

The Radiation Effects Research Foundation (RERF) studies various cohorts of Japanese atomic bomb survivors, the largest being the Life Span Study (LSS), which includes 93,741 persons who were in Hiroshima or Nagasaki at the times of the bombings; there are also cohorts of persons who were exposed in utero and survivors' children. This presentation attempts to summarize the total impact of the radiation from the bombs on the survivors from both an individual perspective (both age-specific and integrated lifetime risk, along with a measure of life expectancy that describes how the risk affects the individual given age at exposure) and a group perspective (estimated numbers of excess occurrences in the cohort), including both early and late effects. As survivors' doses ranged well into the acutely lethal range at closer distances, some of them experienced acute signs and symptoms of radiation exposure in addition to being at risk of late effects. Although cancer has always been a primary concern among late effects, estimated numbers of excess cancers and hematopoietic malignancies in the LSS are a small fraction of the total due to the highly skewed dose distribution, with most survivors receiving small doses. For example, in the latest report on cancer incidence, 853 of 17,448 incident solid cancers were estimated to be attributable to radiation from the bombs. RERF research indicates that risk of radiation-associated cancer varies among sites and that some benign tumors such as uterine myoma are also associated with radiation. Noncancer late effects appear to be in excess in proportion to radiation dose but with an excess relative risk about one-third that of solid cancer and a correspondingly small overall fraction of cases attributable to radiation. Specific risks were found for some subcategories, particularly circulatory disease, including stroke and precedent conditions such as hypertension. Radiation-related cataract in the atomic bomb survivors is well known

Game of thrown bombs in 3D: using high speed cameras and photogrammetry techniques to reconstruct bomb trajectories at Stromboli (Italy)

Science.gov (United States)

Gaudin, D.; Taddeucci, J.; Scarlato, P.; Del Bello, E.; Houghton, B. F.; Orr, T. R.; Andronico, D.; Kueppers, U.

2015-12-01

Large juvenile bombs and lithic clasts, produced and ejected during explosive volcanic eruptions, follow ballistic trajectories. Of particular interest are: 1) the determination of ejection velocity and launch angle, which give insights into shallow conduit conditions and geometry; 2) particle trajectories, with an eye on trajectory evolution caused by collisions between bombs, as well as the interaction between bombs and ash/gas plumes; and 3) the computation of the final emplacement of bomb-sized clasts, which is important for hazard assessment and risk management. Ground-based imagery from a single camera only allows the reconstruction of bomb trajectories in a plan perpendicular to the line of sight, which may lead to underestimation of bomb velocities and does not allow the directionality of the ejections to be studied. To overcome this limitation, we adapted photogrammetry techniques to reconstruct 3D bomb trajectories from two or three synchronized high-speed video cameras. In particular, we modified existing algorithms to consider the errors that may arise from the very high velocity of the particles and the impossibility of measuring tie points close to the scene. Our method was tested during two field campaigns at Stromboli. In 2014, two high-speed cameras with a 500 Hz frame rate and a ~2 cm resolution were set up ~350m from the crater, 10° apart and synchronized. The experiment was repeated with similar parameters in 2015, but using three high-speed cameras in order to significantly reduce uncertainties and allow their estimation. Trajectory analyses for tens of bombs at various times allowed for the identification of shifts in the mean directivity and dispersal angle of the jets during the explosions. These time evolutions are also visible on the permanent video-camera monitoring system, demonstrating the applicability of our method to all kinds of explosive volcanoes.

Why the USA dropped atomic bombs on Japanese cities

International Nuclear Information System (INIS)

Bernstein, B.

1997-01-01

Why did the USA use atomic bombs on Japanese cities? Because, by summer 1945, the earlier morality that said you should not kill non-combatants had been chipped away, then eroded, and ultimately destroyed by World War II. After Hitler's viciousness, after the Japanese rape of Nanjing, after the killings in Manila, after the savagery through Asia, after Dresden, after Hamburg, after Tokyo, Osaka, Kobe, Nagoya - over sixty Japanese cities had been bombed before Hiroshima, Hiroshima was inevitable, easy, comfortable, virtually automatic. The transformation was not the use of bomb, but the bombing of non-combatants - massively, intentionally. There was probably a desire to revenge, as well. In addition, there was an expectation that the bombs used on japan would also intimidate the Soviet Union but that was not crucial. Any nation that had the capacity would have used the bomb in righteousness and comfort, self-conceived dignity, amid popular applause from its electorate people

Chromosome abnormalities in atomic bomb survivors

Energy Technology Data Exchange (ETDEWEB)

Tomonaga, Y [Nagasaki Univ. (Japan). School of Medicine

1976-09-01

Chromosome abnormalities in bone marrow cells were recognized in 6 cases which consisted of one case of chronic myelogenous leukemia, two cases of acute myelogenous leukemia, one case of sideroblastic anemia, and two cases of myelodysplasis. Frequency of stable type chromosome abnormalities in bone marrow cells was investigated in 45 atomic bomb survivors without hematologic disorders and 15 controls. It was 1.4% (15 cases) in the group exposed to atomic bomb within 1 km from the hypocenter, which was significantly higher as compared with 0.1% (15 cases) in the group exposed to atomic bomb over 2.5 km from the hypocenter and 0.2% in normal controls. Examination of chromosome was also made on 2 of 3 cases which were the seconds born of female with high chromosome abnormality, who was exposed to within 1 km from the hypocenter, and healthy male exposed 3 km from the hypocenter. These two cases showed chromosome of normal male type, and balanced translocation was not recognized. There was not a significant difference in chromosome abnormalities between the seconds of atomic bomb survivors and controls.

Convictions Beyond the Bomb: Interplays Between Violence, Religion and Development in Sri Lanka (abstract

Directory of Open Access Journals (Sweden)

Indika Bulankulame

2013-02-01

Full Text Available Prior to the conclusion of 30 years of civil war, many ordinary Sri Lankans were caught in bombings intended to disrupt daily life. This occurred not only in the war zone, but also in urban areas, primarily the capital of Colombo. While many lost their lives, others survived – scarred, disabled and traumatised. This chapter explores the meaning of ‘survival’ as experienced in newly-formed role of ‘bomb victim’. In doing so, this chapter questions the capacity of survivors to be productive as breadwinners and/or deal with the severe economic dislocations resulting from the drastic changes in their lives’ trajectories. Overall, the chapter finds that the loss of income and inability to fully participate in the market economy isolating the survivors from the main discourses of development, and purported opportunities offered therein. The end of hostilities has marked a clear drive to develop Sri Lanka, and in this important post-war stage, it is important to note the various ways in which religion is used to address survival needs. This chapter thus highlights the dynamic interplay between religion, political violence and development. In doing so, the chapter examines religious responses to (neo liberal, market-driven globalisation, the experience of terror and violence, and the interaction thereof.

Radiation effect on non-cancer diseases among a-bomb survivors

Energy Technology Data Exchange (ETDEWEB)

Suzuki, G.; Akahoshi, M.; Fujiwara, S.; Neriishi, K.; Yamada, M.; Hakoda, M. [Radiation Effect Research Foundation, Hiroshima (Japan)

2002-07-01

It has been well documented in the literature that radiation induces DNA damages and increases cancer risk. Besides cancer risk, the Life Span Study (LSS) on A-bomb survivors in Hiroshima and Nagasaki that has been conducted since 1950 by RERF demonstrated an increase in non-cancer death by cardiovascular diseases and chronic liver diseases (1). Since LSS analysis depends on death certificate, a physiological mechanism has not been elucidated how radiation increases the incidence of non-cancer diseases. In order to elucidate radiation effect on non-fatal disorders, RERF has conducted the Adult Health Study (AHS) since 1958 where 23,000 A-bomb survivors have been examined every other year. This study suggested that radiation exposure about 55 years before reduced the immune response to pathogens such as HB virus and Chlamydia pneumoniae, increased the levels of serum inflammatory markers, the prevalence of chronic hepatitis/liver cirrhosis and senile cataract, and the incidence of cardiovascular diseases. Our colleagues reported a dose-dependent decrease in the CD4 T cell number among A-bomb survivors (2,3). Since chronic inflammation and oxidative stress are causative of atherogenic cardiovascular diseases or cataract, we speculate a decrease in the immune response to pathogens, at least in part, is one of the mechanisms that A-bomb exposure increased non-cancer diseases. When the levels of inflammatory marker, C-reactive protein (CRP), were analyzed among subjects with evidence of Chlamydia pneumoniae infection, significantly higher levels of CRP were associated with antibodies to Chlamydia pneumoniae in those subjects receiving >1Gy than those receiving <5mGy. It is well known that high CRP is one of the risk factors of arteriosclerosis (4,5). Thus, A-bomb exposure seems to augment inflammatory response to pathogens, though of which mechanisms are not clear now.

Aerodynamic Simulation Analysis of Unmanned Airborne Electronic Bomb

Science.gov (United States)

Yang, Jiaoying; Guo, Yachao

2017-10-01

For microelectronic bombs for UAVs, on the basis of the use of rotors to lift the insurance on the basis of ammunition, increased tail to increase stability. The aerodynamic simulation of the outer structure of the ammunition was carried out by FLUENT software. The resistance coefficient, the lift coefficient and the pitch moment coefficient under different angle of attack and Mach number were obtained, and the aerodynamic characteristics of the electronic bomb were studied. The pressure line diagram and the velocity line diagram of the flow around the bomb are further analyzed, and the rationality of the external structure is verified, which provides a reference for the subsequent design of the electronic bomb.

Penetrating injury of the lungs and multiple injuries of lower extremities caused by aircraft bombs splinters

Directory of Open Access Journals (Sweden)

Golubović Zoran

2010-01-01

Full Text Available Introduction. Injuries caused by aircraft bombs cause severe damages to the human body. They are characterized by massive destruction of injured tissues and organs, primary contamination by polymorph bacterial flora and modified reactivity of the body. Upon being wounded by aircraft bombs projectiles a victim simultaneously sustains severe damages of many organs and organ systems due to the fact that a large number of projectiles at the same time injure the chest, stomach, head and extremities. Case report. We presented a patient, 41 years of age, injured by aircraft bomb with hemo-pneumothorax and destruction of the bone and soft tissue structures of the foot, as well as the treatment result of such heavy injuries. After receiving thoracocentesis and short reanimation, the patient underwent surgical procedure. The team performed thoracotomy, primary treatment of the wound and atypical resection of the left lung. Thoracic drains were placed. The wounds on the lower leg and feet were treated primarily. Due to massive destruction of bone tissue of the right foot by cluster bomb splinters, and impossibility of reconstruction of the foot, guillotine amputation of the right lower leg was performed. Twelve days after the wounding caused by cluster bomb splinters, soft tissue of the left lower leg was covered by Tirsch free transplantant and the defect in the area of the left foot was covered by dorsalis pedis flap. The transplant and flap were accepted and the donor sites were epithelized. Twenty-six days following the wounding reamputation was performed and amputation stump of the right lower leg was closed. The patient was given a lower leg prosthesis with which he could move. Conclusion. Upon being wounded by aircraft bomb splinters, the injured person sustains severe wounds of multiple organs and organ systems due to simultaneous injuries caused by a large number of projectiles. It is necessary to take care of the vital organs first because they

Deconstructing The Bomb: Confessions of a Nuclear Archeologist

Science.gov (United States)

Coster-Mullen, John

2017-01-01

I am the author of the groundbreaking book Atom Bombs: The Top Secret Inside Story of Little Boy and Fat Man. I will be sharing some of my quarter century of research and methodology that has allowed me to be the first researcher ever to unravel with an unprecedented level of accuracy, the most closely-guarded secrets of the first two Atomic Bombs (``Little Boy'' and ``Fat Man'') created by the Manhattan Project that were used to end WWII. I refer to this methodology as ``Nuclear Archeology'' and will demonstrate that this was done using entirely ``Open Sources'' of information.

Significance of lenticular opacity from the view point of the exposure dose of A-bomb radiation

Energy Technology Data Exchange (ETDEWEB)

Sugimoto, S [Sugimoto Hospital, Hiroshima (Japan)

1975-04-01

Two cases of lenticular opacity were discussed from the view point of exposure dose of A-bomb radiation. Case 1: female, 22 year and 5 months old when she was exposured to A-bomb radiation. The presumed exposure dose was 482.0 rad. Cataract due to A-bomb radiation. Case 2: female, 21 years and 6 months old when she was exposured to A-bomb radiation. The presumed exposure dose was more than 1,000 rad. Cataract due to A-bomb radiation and incipient cataract senilis. It was reported here that there was a marked difference in opacity findings of cataract due to A-bomb radiation in accordance with difference in exposure dose of radiation. It was also presumed from the findings of incipient cataract senilis that with increasing exposure dose, the aging phenomenon was promoted.

Survival of Patients with Oral Cavity Cancer in Germany

Science.gov (United States)

Listl, Stefan; Jansen, Lina; Stenzinger, Albrecht; Freier, Kolja; Emrich, Katharina; Holleczek, Bernd; Katalinic, Alexander; Gondos, Adam; Brenner, Hermann

2013-01-01

The purpose of the present study was to describe the survival of patients diagnosed with oral cavity cancer in Germany. The analyses relied on data from eleven population-based cancer registries in Germany covering a population of 33 million inhabitants. Patients with a diagnosis of oral cavity cancer (ICD-10: C00-06) between 1997 and 2006 are included. Period analysis for 2002–2006 was applied to estimate five-year age-standardized relative survival, taking into account patients' sex as well as grade and tumor stage. Overall five-year relative survival for oral cavity cancer patients was 54.6%. According to tumor localization, five-year survival was 86.5% for lip cancer, 48.1% for tongue cancer and 51.7% for other regions of the oral cavity. Differences in survival were identified with respect to age, sex, tumor grade and stage. The present study is the first to provide a comprehensive overview on survival of oral cavity cancer patients in Germany. PMID:23349710

Awful face of the war-impacted smoke bomb capsule in the face and systemic toxicity: reports from the conflict in Syria.

Science.gov (United States)

Yilmaz, Bahar; Yeşiloğlu, Nebil; Firincioğullari, Remzi; Gökkaya, Ali; Özbey, Rafet; Özgür, Mustafa

2015-01-01

In this study, a rare kind of injury due to smoke bomb capsule impaction to midface and under the cranial base is presented, and maneuvers to reduce mortality are discussed. Three male patients were presented with impacted smoke bomb capsules into the midface and under the cranial base structures. Midface structures, anterior cranial base, and, in 2 patients, unilateral eye were severely damaged. Two patients died after the initial emergency operations because their lung disease progressed to acute respiratory distress syndrome. One of the patients lived, and soft tissue reconstruction was achieved by using temporal transposition and cheek advancement skin flaps with split-thickness skin graft from donor site. However, craniofacial destruction is important in these patients; a multidisciplinary approach is needed for the treatment of direct smoke bomb injuries because the patients experienced chemical burn and acute trauma. The timing of maxillofacial reconstruction is also a question in these specific patients.

Progress in reassessment of atomic bomb radiation dosimetry

International Nuclear Information System (INIS)

Kerr, G.D.

1985-01-01

Studies for reassessment of A-bomb radiation dosimetry in Hiroshima and Nagasaki are underway in both Japan and the US. The progress made in various reassessment studies has been reported at several US-Japan joint workshops. The medical follow-up studies by the RERF provide data on dose-related parameters such as the location of the survivors and their shielding by surrounding structures at the times of the bombings. To make accurate estimates of the radiation dose for individual survivors in the two cities, they need reliable information concerning (a) the hypocenters and burst heights of the bombs, (b) the energy yields of the bombs and the source terms for the initial radiations from the bombs, (c) the atmospheric radiation transport to determine the initial radiation fields at the location of the survivors, (d) the attenuation factors for shielding afforded by structures and terrain, and (e) the shielding of specific organs by overlying tissues of the body. A computer code combining the above elements has been installed at the RERF and used in a preliminary reassessment of radiation doses to survivors who were indoors, shielded by houses at the times of the bombings. These results will be presented and discussed. The discussions will be focused, however, on specific areas where binational agreement has been reached and on specific areas where additional work is needed before the reassessment can be considered final

49 CFR 1546.301 - Bomb or air piracy threats.

Science.gov (United States)

2010-10-01

... 49 Transportation 9 2010-10-01 2010-10-01 false Bomb or air piracy threats. 1546.301 Section 1546... Threat Response § 1546.301 Bomb or air piracy threats. No foreign air carrier may land or take off an airplane in the United States after receiving a bomb or air piracy threat against that airplane, unless the...

Conditional survival of patients with diffuse large B-cell lymphoma

DEFF Research Database (Denmark)

Møller, Michael Boe; Pedersen, Niels Tinggaard; Christensen, Bjarne E

2006-01-01

BACKGROUND: Prognosis of lymphoma patients is usually estimated at the time of diagnosis and the estimates are guided by the International Prognostic Index (IPI). However, conditional survival estimates are more informative clinically, as they consider those patients only who have already survive...... survival probability provides more accurate prognostic information than the conventional survival rate estimated from the time of diagnosis.......BACKGROUND: Prognosis of lymphoma patients is usually estimated at the time of diagnosis and the estimates are guided by the International Prognostic Index (IPI). However, conditional survival estimates are more informative clinically, as they consider those patients only who have already survived...... a period of time after treatment. Conditional survival data have not been reported for lymphoma patients. METHODS: Conditional survival was estimated for 1209 patients with diffuse large B-cell lymphoma (DLBCL) from the population-based LYFO registry of the Danish Lymphoma Group. The Kaplan-Meier method...

Mesothelioma: treatment and survival of a patient population and review of the literature.

Science.gov (United States)

Stathopoulos, John; Antoniou, Dimosthenis; Stathopoulos, George P; Rigatos, Sotiris K; Dimitroulis, John; Koutandos, John; Michalopoulou, Pinelopi; Athanasiades, Athanasios; Veslemes, Marinos

2005-01-01

Our purpose was to evaluate the survival of patients with pleural and intraperitoneal malignant mesothelioma and, particularly, to estimate the efficacy of chemotherapy as well as radiotherapy and surgery. A review of the literature with respect to these parameters is included. Thirty-five patients with malignant mesothelioma (28 with pleural and 7 with intraperitoneal) were enrolled. Twenty-eight patients underwent chemotherapy, 7/35 radiation and 9/35 surgery (2 with pleural and 7 with abdominal disease). Combination chemotherapy included cisplatin-gemcitabine, cisplatin (or carboplatin) with premetrexed and doxorubicin-cyclophosphamide. In 2/28 patients with pleural mesothelioma the tumor was excised and in 7 with intraperitoneal disease, surgical therapy was palliative and there was survival prolongation. Radiotherapy was only palliative. Chemotherapy produced a very low response: 2/28 (7.14%) patients achieved a partial response. The median survival was 17 months, 4-year survival, 24.4% and 5-year survival, 12.12%. No serious toxicity was observed. Malignant mesothelioma of the pleura and intraperitoneum is a slow-growing disease which is indicated by the long survival, despite the failure of chemotherapy, radiation therapy and surgery.

Study on liver function tests in A-bomb survivors, 2

International Nuclear Information System (INIS)

Mori, Iwao; Mine, Yutaka; Ito, Naomi

1989-01-01

The incidence of liver function abnormality was examined in the health screening for A-bomb survivors performed at Nagasaki in l986. Parameters were as follows: GOT, GPT, ALP, ZTT, gamma-GTP, LAP, and LDH. A-bomb survivors were divided into Group A - those exposed within 2,000 m from the hypocenter, Group B - those exposed between 2,000 and l0,000 m, and Group C - those who entered the city within 2 weeks after A-bombing. The incidence of abnormality in GOT, GPT, gamma-GTP, and LAP was higher in men than women in every age group. Women aged 50 years or older had a higher incidence of abnormality in ALP and LDH, in contrast to men aged 60 years or older having a higher incidence for ZTT. There was no definitive tendency among groups for the incidence of abnormal findings, except for GOT showing a higher value among women in Group A. (Namekawa, K)

Concurrent Chemoradiotherapy Improves Survival in Patients With Hypopharyngeal Cancer

Energy Technology Data Exchange (ETDEWEB)

Paximadis, Peter, E-mail: ppaximad@med.wayne.edu [Department of Radiation Oncology, Wayne State University, Detroit, MI (United States); Yoo, George; Lin, Ho-Sheng; Jacobs, John [Department of Otolaryngology, Barbara Ann Karmanos Cancer Institute, Detroit, MI (United States); Sukari, Ammar [Department of Medical Oncology, Barbara Ann Karmanos Cancer Institute, Detroit, MI (United States); Dyson, Greg [Department of Oncology, Barbara Ann Karmanos Cancer Institute, Detroit, MI (United States); Christensen, Michael; Kim, Harold [Department of Radiation Oncology, Wayne State University, Detroit, MI (United States)

2012-03-15

Purpose: To retrospectively review our institutional experience with hypopharyngeal carcinoma with respect to treatment modality. Methods and Materials: A total of 70 patients with hypopharyngeal cancer treated between 1999 and 2009 were analyzed for functional and survival outcomes. The treatments included surgery alone (n = 5), surgery followed by radiotherapy (RT) (n = 3), surgery followed by chemoradiotherapy (CRT) (n = 13), RT alone (n = 2), CRT alone (n = 22), induction chemotherapy followed by RT (n = 3), and induction chemotherapy followed by CRT (n = 22). Results: The median follow-up was 18 months. The median overall survival and disease-free survival for all patients was 28.3 and 17.6 months, respectively. The 1- and 2-year local control rate for all patients was 87.1% and 80%. CRT, given either as primary therapy or in the adjuvant setting, improved overall survival and disease-free survival compared with patients not receiving CRT. The median overall survival and disease-free survival for patients treated with CRT was 36.7 and 17.6 months vs. 14.0 and 8.0 months, respectively (p < .01). Of the patients initially treated with an organ-preserving approach, 4 (8.2%) required salvage laryngectomy for local recurrence or persistent disease; 8 (16.3%) and 12 (24.5%) patients were dependent on a percutaneous gastrostomy and tracheostomy tube, respectively. The 2-year laryngoesophageal dysfunction-free survival rate for patients treated with an organ-preserving approach was estimated at 31.7%. Conclusions: Concurrent CRT improves survival in patients with hypopharyngeal cancer. CRT given with conventional radiation techniques yields poor functional outcomes, and future efforts should be directed at determining the feasibility of pharyngeal-sparing intensity-modulated radiotherapy in patients with hypopharyngeal tumors.

Health risks of atomic bomb survivors

International Nuclear Information System (INIS)

Yoshimoto, Y.; Soda, M.; Mabuchi, K.

1992-01-01

At the Atomic Bomb Casualty Commission and its successor organization, the Radiation Effects Research Foundation, mortality and morbidity surveys have been continually carried out on about 1,800 persons exposed in utero to the atomic bombings of Hiroshima and Nagasaki. Although the effect of radiation exposure was marked enough to permit observation of a dose-response relationship in the 30 known cases of severe mental retardation among the in utero-exposed, the association between in utero exposure and cancer risk is still uncertain. Based on data for all cancers from 1950 through 1984 for the in utero-exposed, the excess risk per 10,000 person-year-Gy was 6.57 and the relative risk at 1 Gy was 3.77. For the recent years 1985-89, there was no evident excess of cancer risk. During the remaining lifetime, it seems unlikely that any great excess of leukemia will appear. As for the risk of solid tumors, further follow up is in progress. The 1950-89 findings for cancer risk among the in utero-exposed will be compared with cancer risk among A-bomb survivors who were less than 10 years old at the time of the bombings. (author)

Survival period after tube feeding in bedridden older patients.

Science.gov (United States)

Kosaka, Yoichi; Nakagawa-Satoh, Takuma; Ohrui, Takashi; Fujii, Masahiko; Arai, Hiroyuki; Sasaki, Hidetada

2012-04-01

We prospectively studied survival periods after tube feeding. Participants were 163 bedridden older patients suffering from dysphagia. A wide range of survival periods after tube feeding were observed within half a year without tube feeding after being bedridden. After this initial period, survival periods after tube feeding were limited to approximately half a year. Survival periods after tube feeding were positively proportional to the length of time patients were free from pneumonia after tube feeding. After tube feeding, patients died from pneumonia within half a year, and the frequency of pneumonia was 3.1 ± 2.7 times (mean ± SD) before death. Survival periods after tube feeding for less than 1 year were primarily determined by being bedridden for more than half a year without tube feeding and once pneumonia occurred; patients who were tube fed did not survive for more than half a year. © 2012 Japan Geriatrics Society.

Dental implant survival rate in well-controlled diabetic patients. A systematic review.

Directory of Open Access Journals (Sweden)

Heber Arbildo

2015-12-01

Full Text Available Background: Dental implants have now become one of the most popular options for replacing a missing tooth. On the other hand, diabetes mellitus is a systemic disease that affects a large part of the population and is generally considered an absolute or relative contraindication to implant therapy. Aim: To determine the survival rate of dental implants in controlled diabetic patients through a systematic review. Material and methods: A systematic search in Pubmed, SciELO and RedALyC databases was performed. The selection criteria were: studies published in the last 10 years, with at least 20 controlled diabetic patients, reporting survival rate and number of implants placed, with follow-up periods equal to or longer than 1 year, including a control group of healthy patients. Methodological quality was analyzed with the follwing scales: Jadad and Downs & Black’s CMQ. Results: Three articles with a follow-up period between 1 and 12 years were analyzed. The overall survival rate of dental implants in diabetic controlled patients was 97.43%. Conclusion: The reviewed literature suggests that survival rate of dental implants in well-controlled diabetic patients is similar to non-diabetic patients.

The secret of the Soviet hydrogen bomb

Science.gov (United States)

Wellerstein, Alex; Geist, Edward

2017-11-01

Was the first Soviet thermonuclear device really a step in the wrong direction? No bomb design has been as much maligned or otherwise disparaged as the first Soviet thermonuclear weapon. Detonated in August 1953, the bomb, officially tested under the name RDS-6s but usually known as Sloika or "layer cake" (the name Andrei Sakharov coined for it), was nothing to sneeze at. Shown in Figure 1 and able to be dropped from aircraft, it released the explosive equivalent, or yield, of almost half a megaton of TNT. The result was a blazing fireball with 20 times the power of the bomb that leveled Nagasaki, Japan.

An autopsy case related to a terrorist attack using a ball-bearing bomb.

Science.gov (United States)

Takamiya, Masataka; Biwasaka, Hitoshi; Niitsu, Hisae; Saigusa, Kiyoshi; Aoki, Yasuhiro

2009-03-01

We encountered an autopsy case related to a terrorist attack using a ball-bearing bomb. The decedent was a 51-year-old male without significant medical histories. During dinner in a restaurant, the perpetrator suddenly exploded a ball-bearing bomb, the blast from which blew the victim off his chair. The victim was found to be unresponsive, and pronounced dead. X-ray photographs taken before autopsy revealed six spherical shadows. Three penetrating wounds in the head, one in the neck and chest, and two in the left upper arm were observed in vivo. Six projectiles recovered from the body were identified as ball-bearings, one of which traveled through the midbrain, diencephalon, and left temporal lobe. Although blast injuries and penetrating wounds are often combined in bomb attack victims, penetrating brain injury would be the cause of death in this case. Lethal injuries to major organs can thus occur even though the destructive force of a ball-bearing bomb is weak. X-ray films were informative for detecting the ball-bearings in this case, suggesting that autopsy imaging is essential in cases of terrorism victims.

Predictive model for survival in patients with gastric cancer.

Science.gov (United States)

Goshayeshi, Ladan; Hoseini, Benyamin; Yousefli, Zahra; Khooie, Alireza; Etminani, Kobra; Esmaeilzadeh, Abbas; Golabpour, Amin

2017-12-01

Gastric cancer is one of the most prevalent cancers in the world. Characterized by poor prognosis, it is a frequent cause of cancer in Iran. The aim of the study was to design a predictive model of survival time for patients suffering from gastric cancer. This was a historical cohort conducted between 2011 and 2016. Study population were 277 patients suffering from gastric cancer. Data were gathered from the Iranian Cancer Registry and the laboratory of Emam Reza Hospital in Mashhad, Iran. Patients or their relatives underwent interviews where it was needed. Missing values were imputed by data mining techniques. Fifteen factors were analyzed. Survival was addressed as a dependent variable. Then, the predictive model was designed by combining both genetic algorithm and logistic regression. Matlab 2014 software was used to combine them. Of the 277 patients, only survival of 80 patients was available whose data were used for designing the predictive model. Mean ?SD of missing values for each patient was 4.43?.41 combined predictive model achieved 72.57% accuracy. Sex, birth year, age at diagnosis time, age at diagnosis time of patients' family, family history of gastric cancer, and family history of other gastrointestinal cancers were six parameters associated with patient survival. The study revealed that imputing missing values by data mining techniques have a good accuracy. And it also revealed six parameters extracted by genetic algorithm effect on the survival of patients with gastric cancer. Our combined predictive model, with a good accuracy, is appropriate to forecast the survival of patients suffering from Gastric cancer. So, we suggest policy makers and specialists to apply it for prediction of patients' survival.

A statistical study of autopsy cases in Hiroshima Atomic Bomb Hospital 1956-1975

International Nuclear Information System (INIS)

Hamada, Tadao; Ishida, Sadamu; Matsushita, Hiroshi.

1976-01-01

In order to study the differences in the incidence of a variety of disease (excluding tumors), between the cases exposed to the atomic bomb and those who were unexposed, main lesions were studied statistically by autopsy. The subjects were 1230 cases autopsied at the Hiroshima Atomic Bomb Hospital or the Hiroshima Red-Cross Hospital. They were divided into 318 cases exposed at a short distance from the bombed area (within 2 km), and 420 cases exposed at a long distance from that area (more than 2 km), including those who had come to Hiroshima later. Four hundred twenty nine unexposed cases were selected as controls. The incidence of tumor, disturbance of circulation, disturbance of the blood vessels in the brain, blood disease, and respiratory disease was higher in the exposed cases than in the unexposed cases. The incidence of cirrhosis of the liver was higher in females than in males, and was lower in cases farther from the bombed area. Cardiac infarction, valvular disease, and endocarditis were more often seen in the cases exposed near the bombed area. The incidence of the blood vessels in the brain was highest in the exposed cases near the bombed area. The incidence of disturbance of circulation, and disturbance of the blood vessels in the brain had a tendency to be higher in the exposed cases than in the unexposed cases. This is considered to be due to the advanced age in the exposed cases. (Serizawa, K.)

The current mortality rates of a-bomb survivors in Nagasaki-city

International Nuclear Information System (INIS)

Okajima, Shunzo; Mine, Mariko; Nakamura, Tsuyoshi; Mori, Hiroyuki; Kondo, Hisayoshi

1980-01-01

The causes of death for 9814 a-bomb survivors in Nagasaki-city from '70 to '76 were investigated. The mortality rates of the survivors in the aged group were slightly lower than those of both unexposed citizens in Nagasaki and the national average. No difference of the mortality ratios with respect to sex and the distance from a-bomb at exposure was observed. For the cause of death, the cerebrovascular diseases came next to malignant neoplasms in the a-bomb survivors, which order was reverse in the non-exposed population. The mortality rate of the cerebrovascular diseases in the survivors was lower than the expected value. The mortality rate of survivors due to neoplasms was slightly higher than the national average, although almost the same as that of unexposed citizens in Nagasaki. (Nakanishi, T.)

Destroying of chemical and oil industry, bombing of energy sources and use of depleted uranium ammunition during NATO bombing in FR Yugoslavia

International Nuclear Information System (INIS)

Antic, D. P.

2002-01-01

During the NATO bombing of the FR Yugoslavia from March 24 to June 10, 1999, according to NATO's data, there were 34 250 takeoffs of the 1200 aircrafts; 367 000 tonnes of kerosine were consumed; there were 400 Tomahawk cruise missiles and 130 air-to-ground missiles. It is estimated that 22 000-79 000 tonnes of explosives were dropped; in addition to 20 000 smart bombs and 5000 conventional bombs of various weight and purposes. The bombing had the characteristics of an ecological war, among other things. During the air strikes A-10 aircrafts fired shells with depleted uranium from 30 mm guns. According to NATO estimates, around 31 000 projectiles were fired (298 g of depleted uranium for each bullet, and more than 10 tonnes of uranium-238 as a contaminating agent), and according to the Yugoslav Army estimated, around 50 000 were fired. Some radiological, chemical and ethical consequences of NATO bombing in FR Yugoslavia are reviewed. (author)

Profiles of referrals to a psychiatric service: a descriptive study of survivors of the Nairobi US Embassy terrorist bomb blast.

Science.gov (United States)

Ndetei, D M; Omar, A; Mutiso, V N; Ongecha, F A; Kokonya, D A

2009-11-01

To document the socio-demographic characteristics and psychiatric profiles of the survivors of the Nairobi United States Embassy terrorist bomb blast referred to a psychiatric and psychotherapy (counselling) service. This was a descriptive cross-sectional study. Clinical interviews and structured questionnaires for post-traumatic stress disorder (PTSD) and stress were administered. Survivors of the bomb blast referred to a psychiatric and psychotherapy service one year or more after the bombing were included in the study. These survivors had been treated using psychopharmacotherapy and individualised (not group) therapy/counselling. Eighty-three consecutive referrals to a psychiatric service participated in this study. There were more males and the sample was generally well educated. The referrals made contact with the referring agency for a number of reasons including seeking psychological, financial and medical assistance. All the patients reported varying degrees of psychiatric symptoms and functional impairment on various aspects of social occupational functioning. High scores for PTSD and other related stress were recorded one or more years after the bombing. Although the survivors indicated that initial counselling following the blast had helped them, they still scored high on PTSD suggesting that clinically, the initial counselling had little, if any impact on the development of PTSD. There is need for a holistic approach to the management of psychotrauma in individuals.

Atomic bomb dosimetry for epidemiological studies of survivors in Hiroshima and Nagasaki

International Nuclear Information System (INIS)

Maruyama, Takashi

1986-01-01

Better atomic bomb (A-bomb) radiation dose estimates with a higher accuracy are required for the epidemiological studies in Hiroshima and Nagasaki. Several scientists have tried to evaluate the free-in-air gamma ray and neutron dose and some weighting factors such as house shielding and body shielding. Since 1965, the tentative 1965 dose (T65D) has been widely used as the basic data for the dose determination of A-bomb survivors in epidemiological studies. In 1976, however, the reevaluation of the T65D dose was proposed by an American scientist who calculated the A-bomb doses on the basis of declassified data on the radiation spectra of the A-bomb. The development of computer technology made it possible to perform complicated dosecalculations for the Hiroshima and Nagasaki bombs. This paper describes the history of A-bomb dosimetry, reviews some issues in the determination of T65D, and discusses the necessity of reassessment of A-bomb dose and the expected values for survivors. (author)

Atomic bomb dosimetry for epidemiological studies of survivors in Hiroshima and Nagasaki

International Nuclear Information System (INIS)

Maruyama, T.

1986-01-01

Better atomic bomb (A-bomb) radiation dose estimates with a higher accuracy are required for the epidemiological studies in Hiroshima and Nagasaki. Several scientists have tried to evaluate the free-in-air gamma ray and neutron dose and some weighting factors such as house shielding and body shielding. Since 1965, the tentative 1965 dose (T65D) had been widely used as the basic data for the dose determination of A-bomb survivors in epidemiological studies. In 1976, however, the reevaluation of the T65D dose was proposed by an American scientist who calculated the A-bomb doses on the basis of declassified data on the radiation spectra of the A-bomb. The development of computer technology made it possible to perform complicated dosecalculations for the Hiroshima and Nagasaki bombs. This paper describes the history of A-bomb dosimetry, reviews some issues in the determination of T65D, and discusses the necessity of reassessment of A-bomb dose and the expected values for survivors

Chromosome abnormalities in atomic bomb survivors

International Nuclear Information System (INIS)

Tomonaga, Yu

1976-01-01

Chromosome abnormalities in bone marrow cells were recognized in 6 cases which consisted of one case of chronic myelogenous leukemia, two cases of acute myelogenous leukemia, one case of sideroblastic anemia, and two cases of myelodysplasis. Frequency of stable type chromosome abnormalities in bone marrow cells was investigated in 45 atomic bomb survivors without hematologic disorders and 15 controls. It was 1.4% (15 cases) in the group exposed to atomic bomb within 1 km from the hypocenter, which was significantly higher as compared with 0.1% (15 cases) in the group exposed to atomic bomb over 2.5 km from the hypocenter and 0.2% in normal controls. Examination of chromosome was also made on 2 of 3 cases which were the seconds born of female with high chromosome abnormality, who was exposed to within 1 km from the hypocenter, and healthy male exposed 3 km from the hypocenter. These two cases showed chromosome of normal male type, and balanced translocation was not recognized. There was not a significant difference in chromosome abnormalities between the seconds of atomic bomb survivors and controls. (Kanao, N.)

Association of collagen architecture with glioblastoma patient survival.

Science.gov (United States)

Pointer, Kelli B; Clark, Paul A; Schroeder, Alexandra B; Salamat, M Shahriar; Eliceiri, Kevin W; Kuo, John S

2017-06-01

OBJECTIVE Glioblastoma (GBM) is the most malignant primary brain tumor. Collagen is present in low amounts in normal brain, but in GBMs, collagen gene expression is reportedly upregulated. However, to the authors' knowledge, direct visualization of collagen architecture has not been reported. The authors sought to perform the first direct visualization of GBM collagen architecture, identify clinically relevant collagen signatures, and link them to differential patient survival. METHODS Second-harmonic generation microscopy was used to detect collagen in a GBM patient tissue microarray. Focal and invasive GBM mouse xenografts were stained with Picrosirius red. Quantitation of collagen fibers was performed using custom software. Multivariate survival analysis was done to determine if collagen is a survival marker for patients. RESULTS In focal xenografts, collagen was observed at tumor brain boundaries. For invasive xenografts, collagen was intercalated with tumor cells. Quantitative analysis showed significant differences in collagen fibers for focal and invasive xenografts. The authors also found that GBM patients with more organized collagen had a longer median survival than those with less organized collagen. CONCLUSIONS Collagen architecture can be directly visualized and is different in focal versus invasive GBMs. The authors also demonstrate that collagen signature is associated with patient survival. These findings suggest that there are collagen differences in focal versus invasive GBMs and that collagen is a survival marker for GBM.

Is the excess risk of childhood leukemia at Sellafield consistent with the experiences of A-bomb survivors in Hiroshima and Nagasaki ?

International Nuclear Information System (INIS)

Yoshimoto, Yasuhiko

1991-01-01

The purpose of this communication is to summarize briefly selected studies relevant to the difference between the apparent pre-conception radiation-associated leukemia risks in the offspring born in the area near the Sellafield plant and to the atomic bomb survivors. Although no doubt exists about the hypothesis that radiation damages the genetic material in reproductive cells, it is important to recognize how small the effect in the first generation would be based on the various genetic endpoints. Generally only a small fraction of leukemia cases are inherited -- the proportion among all spontaneous cases does not exceed 10 %. Because there is still uncertainty and controversy about the genetic effects of radiation, the possible complex confounding factors are also briefly mentioned. It is clear that the studies of the atomic bomb survivors are pertinent to the possible genetic effect due to radiation-induced mutations in the spermatogonia and oocytes while the observations in Sellafield are, as suggested by Gardner et al. pertinent to the in post-meiotic stages of spermatogenesis. No significant effect of atomic bomb radiation can be shown on the risk of leukemia as well as other genetic effect endpoints, such as the frequency of mutations associated with specific proteins, cytogenetic abnormalities, survival, and so on. (author)

Influence on social life of atomic bomb, chapter 3

International Nuclear Information System (INIS)

Anon.

1979-01-01

Atomic bombs, for the first time in human history, were dropped on Hiroshima in August 6, and on Nagasaki on August 9, 1945. Though the powers of these bombs were far small as compared with those of present day nuclear weapons, the atomic bombs claimed many lives instantaneously, damaged human bodies, and destroyed all objects, annihilating the urban areas. Even today, the dreadful consequences of the bombings still remain in both body and mind of the victims. Meanwhile, the experiences of atomic bomb disasters are fading constantly. In order to maintain the vivid information, in Part 3 ''Influence on social life'', the following matters are described: relations of the atomic bombings to society; destroyed societies such as disruption of regional societies and loss of wealth; life of the sufferers such as occupation, marriage, hardships of life, orphans, livelihood variation, and suffering of foreigners; and mental process of the sufferers. (J.P.N.)

Research on Semi-automatic Bomb Fetching for an EOD Robot

Directory of Open Access Journals (Sweden)

Qian Jun

2008-11-01

Full Text Available An EOD robot system, SUPER-PLUS, which has a novel semi-automatic bomb fetching function is presented in this paper. With limited support of human, SUPER-PLUS scans the cluttered environment with a wrist-mounted laser distance sensor and plans the manipulator a collision free path to fetch the bomb. The model construction of manipulator, bomb and environment, C-space map, path planning and the operation procedure are introduced in detail. The semi-automatic bomb fetching function has greatly improved the operation performance of EOD robot.

Research on Semi-Automatic Bomb Fetching for an EOD Robot

Directory of Open Access Journals (Sweden)

Zeng Jian-Jun

2007-06-01

Full Text Available An EOD robot system, SUPER-PLUS, which has a novel semi-automatic bomb fetching function is presented in this paper. With limited support of human, SUPER-PLUS scans the cluttered environment with a wrist-mounted laser distance sensor and plans the manipulator a collision free path to fetch the bomb. The model construction of manipulator, bomb and environment, C-space map, path planning and the operation procedure are introduced in detail. The semi-automatic bomb fetching function has greatly improved the operation performance of EOD robot.

Survival of Alzheimer's disease patients in Korea.

Science.gov (United States)

Go, Seok Min; Lee, Kang Soo; Seo, Sang Won; Chin, Juhee; Kang, Sue J; Moon, So Young; Na, Duk L; Cheong, Hae-Kwan

2013-01-01

The natural history of Alzheimer's disease (AD) has rarely been studied in the Korean population. Our study on survival analyses in Korean AD patients potentially provides a basis for cross-cultural comparisons. We studied 724 consecutive patients from a memory disorder clinic in a tertiary hospital in Seoul, who were diagnosed as having AD between April 1995 and December 2005. Deaths were identified by the Statistics Korea database. The Kaplan-Meier method was used for survival analysis, and a Cox proportional hazard model was used to assess factors related to patient survival. The overall median survival from the onset of first symptoms and from the time of diagnosis was 12.6 years (95% confidence interval 11.7-13.4) and 9.3 years (95% confidence interval 8.7-9.9), respectively. The age of onset, male gender, history of diabetes mellitus, lower Mini-Mental State Examination score, and higher Clinical Dementia Rating score were negatively associated with survival. There was a reversal of risk of AD between early-onset and later-onset AD, 9.1 years after onset. The results of our study show a different pattern of survival compared to those studies carried out with western AD populations. Mortality risk of early-onset AD varied depending on the duration of follow-up. Copyright © 2013 S. Karger AG, Basel.

Observation of a cytoplasmic inclusion in peripheral blood of a-bomb survivors

International Nuclear Information System (INIS)

Neriishi, Shotaro; Ohgushi, Yasutaka; Sadamori, Naoki.

1978-01-01

Whether cytoplasmic inclusion (CI) is useful as an index for the effects of atomic bomb radiation was discussed. Subjects of this study were 16 healthy people with chromosomal aberration due to atomic bomb radiation (8 males and 8 females) (Group 1) and 31 people with a history of malignant tumors (10 males and 21 females) (Group 2) who were living in Nagasaki City. For the purpose of observing chromosome and CI, blood was collected together in the period from 1970 to 1972. In Group 1, a total number of cells obseved was 14,513 and no Cl was found in them. In Group 2, a total number of cells observed was 31,289, and CI was found in 2 of them. CI which is a reaction of a living body in an acute stage following accidental irradiation seemed to have already disappeared. Therefore, usefulness of CI as an indicator for the effect of atomic bomb radiation was denied. (Ueda, J.)

Conditional survival of cancer patients: an Australian perspective

Directory of Open Access Journals (Sweden)

Yu Xue

2012-10-01

Full Text Available Abstract Background Estimated conditional survival for cancer patients diagnosed at different ages and disease stage provides important information for cancer patients and clinicians in planning follow-up, surveillance and ongoing management. Methods Using population-based cancer registry data for New South Wales Australia, we estimated conditional 5-year relative survival for 11 major cancers diagnosed 1972–2006 by time since diagnosis and age and stage at diagnosis. Results 193,182 cases were included, with the most common cancers being prostate (39,851, female breast (36,585 and colorectal (35,455. Five-year relative survival tended to increase with increasing years already survived and improvement was greatest for cancers with poor prognosis at diagnosis (lung or pancreas and for those with advanced stage or older age at diagnosis. After surviving 10 years, conditional 5-year survival was over 95% for 6 localised, 6 regional, 3 distant and 3 unknown stage cancers. For the remaining patient groups, conditional 5-year survival ranged from 74% (for distant stage bladder cancer to 94% (for 4 cancers at different stages, indicating that they continue to have excess mortality 10–15 years after diagnosis. Conclusion These data provide important information for cancer patients, based on age and stage at diagnosis, as they continue on their cancer journey. This information may also be used by clinicians as a tool to make more evidence-based decisions regarding follow-up, surveillance, or ongoing management according to patients' changing survival expectations over time.

Survival in dialysis patients is not different between patients with diabetes as primary renal disease and patients with diabetes as a co-morbid condition

NARCIS (Netherlands)

Schroijen, Marielle A.; Dekkers, Olaf M.; Grootendorst, Diana C.; Noordzij, Marlies; Romijn, Johannes A.; Krediet, Raymond T.; Boeschoten, Elisabeth W.; Dekker, Friedo W.; Apperloo, A. J.; Bijlsma, J. A.; Boekhout, M.; Boer, W. H.; van der Boog, P. J. M.; Büller, H. R.; van Buren, M.; de Charro, F. Th; Doorenbos, C. J.; van den Dorpel, M. A.; van Es, A.; Fagel, W. J.; Feith, G. W.; de Fijter, C. W. H.; Frenken, L. A. M.; van Geelen, J. A. C. A.; Gerlag, P. G. G.; Gorgels, J. P. M. C.; Grave, W.; Huisman, R. M.; Jager, K. J.; Jie, K.; Koning-Mulder, W. A. H.; Koolen, M. I.; Kremer Hovinga, T. K.; Lavrijssen, A. T. J.; Luik, A. J.; van der Meulen, J.; Parlevliet, K. J.; Raasveld, M. H. M.; van der Sande, F. M.; Schonck, M. J. M.; Schuurmans, M. M. J.; Siegert, C. E. H.; Stegeman, C. A.; Stevens, P.; Thijssen, J. G. P.; Valentijn, R. M.; Vastenburg, G. H.; Verburgh, C. A.; Vincent, H. H.; Vos, P. F.

2011-01-01

On dialysis, survival among patients with diabetes mellitus is inferior to survival of non-diabetic patients. We hypothesized that patients with diabetes as primary renal disease have worse survival compared to patients with diabetes as a co-morbid condition and aimed to compare all-cause mortality

Radiation injuries in atomic bomb survivors, chapter 2

International Nuclear Information System (INIS)

Anon.

1979-01-01

Atomic bombs, for the first time in human history, were dropped on Hiroshima in August 6, and on Nagasaki on August 9, 1945. Though the powers of these bombs were small as compared with those of present day nuclear weapons, the atomic bombs claimed many lives instantaneously, damaged human bodies, and destroyed all objects, annihilating the urban areas. Even today, the dreadful consequences of the bombings still remain in both body and mind of the victims. Meanwhile, the experiences of atomic bomb disasters are fading constantly. In order to maintain the vivid information, in Part 2 ''Bodily injuries'', the following matters are described: early bodily injuries such as burns, (blast) external wounds, radiation injuries, and pathology in bodily injuries; later bodily injuries such as keloids, injuries to blood and eyes, injuries in exposed women, injuries in growth, aging and life, injuries in mental/nervous system, malignant tumors, and changes in chromosomes; and genetic effects. (J.P.N.)

INDONESIAN SALAFISM ON JIHAD AND SUICIDE BOMBINGS

Directory of Open Access Journals (Sweden)

Rusli Rusli

2014-06-01

Full Text Available This paper deals with jihad and suicide bombings from the perspective of Indonesian salafism. It is argued that there are two different points of view related to this issue. The first is those who are affiliated with Wahhabi salafists such as those involved in Salafi-based foundations like As-Sunnah, Ihyaut Turats, al-Sofwah, Lajnah al-Khairiyah, Lajnah al-Istiqamah, and Wahdah Islamiyyah. They do not agree with suicide bombing directed to Western targets—mainly America—and its symbols. Suicide bombings are equivalent to killing oneself, and this is extremely forbidden in Islam. The second is Salafi-jihadists who have justified suicide bombing attacks to infidel targets and the symbols of tagut (false god. The reason is blowing oneself is not the same as committing suicide, for suicide is a sin. However, he is believed as carrying out “martyrdom operations”, sacrificing himself for the sake of the superior goal of defending his religion and community, while suicide is a hopeless deed performed by a person who kills himself for his own selfish reason.

Serum albumin predicts survival in patients with hilar cholangiocarcinoma.

Science.gov (United States)

Waghray, Abhijeet; Sobotka, Anastasia; Marrero, Carlos Romero; Estfan, Bassam; Aucejo, Federico; Narayanan Menon, K V

2017-02-01

Hilar cholangiocarcinoma is a devastating malignancy with incidence varying by geography and other risk factors. Rapid progression of disease and delays in diagnosis restrict the number of patients eligible for curative therapy. The objective of this study was to determine prognostic factors of overall survival in all patients presenting with hilar cholangiocarcinoma. All adult patients with histologically confirmed hilar cholangiocarcinoma from 2003 to 2013 were evaluated for predictors of survival using demographic factors, laboratory data, symptoms and radiological characteristics at presentation. A total of 116 patients were identified to have pathological diagnosis of hilar cholangiocarcinoma and were included in the analysis. Patients with a serum albumin level >3.0 g/dL (P 3.0 g/dL was identified as an independent predictor of overall survival (hazard ratio 0.31; 95% confidence interval 0.14-0.70) with a survival benefit of 44 weeks. This study was the largest analysis to date of prognostic factors in patients with hilar cholangiocarcinoma. A serum albumin level >3.0 g/dL conferred an independent survival advantage with a significantly greater length of survival. © The Author(s) 2016. Published by Oxford University Press and Sixth Affiliated Hospital of Sun Yat-Sen University.

[Diary of a hospital evacuation. Discovery of a 5 hundredweight bomb from World War II].

Science.gov (United States)

Katter, I; Kunitz, O; Deller, A

2008-07-01

The discovery of an aircraft bomb from World War II made the complete evacuation of a tertiary care hospital with 629 beds and 17 specialist departments including a neonatal intensive care unit necessary. Some months before an alarm plan had been issued and a fire practice had been carried out which made it obvious to all concerned how important such measures are. Nevertheless, more room for improvement could be learned from the evacuation, in particular the rapid classification of the patients into categories and the fact that 20-30% of the patients needed stretcher-based transport for evacuation.

Statistical studies on cause of death among a-bomb survivors from 1970 to 1976 in Nagasaki City

International Nuclear Information System (INIS)

Mine, Mariko; Nakamura, Tsuyoshi; Mori, Hiroyuki; Kondo, Hisayoshi; Fukahori, Miyako

1980-01-01

The death rate from malignant neoplasms in a-bomb survivors was higher than that in Japan through the whole period from 1970 to 1976. The death rate from malignant neoplasms was also high in a-bomb survivors in their thirties and fortieth exposed to a-bomb near the hypocenter. Seven thousand, five hundred and twenty-eight a-bomb survivors investigated this time were quivalent to 90% of all 8,334 a-bomb survivors who died during the period from 1970 to 1976. Therefore, the result obtained from this investigation seemed to indicate the cause of death correctly. Remaining 10% are now under investigation. (Tsunoda, M.)

Imaging of abdominal and pelvic injuries from the Boston Marathon bombing.

Science.gov (United States)

Singh, Ajay K; Sodickson, Aaron; Abujudeh, Hani

2016-02-01

The aim of this study is to describe the imaging findings of abdominal and pelvic injuries in victims of the Boston Marathon bombing. A retrospective review of 87 patients following the Boston Marathon bombing was performed to evaluate for abdominal and pelvic injuries on plain radiography or CT scans of the abdomen and pelvis. Imaging exams were evaluated for shrapnel, soft tissue injury, visceral damage, vascular disruption, and fractures. The injuries were classified as primary, secondary, tertiary, and quaternary blast injuries. Eleven of the 87 patients had positive findings in the abdomen or pelvis (M:F = 7:4, average age 34.6 years). There were 22 ball bearings, two nails, one screw, and two irregular metal fragments in the 11 patients with secondary blast (shrapnel) injuries. There was no peritoneal penetration or visceral injury seen in any of the patients. One patient had multiple transverse process fractures, representing tertiary blast injury. All but one patient had superficial penetrating abdominal or pelvic injuries secondary to shrapnel. There were no cases of bowel or solid visceral organ injuries due to the lack of peritoneal violation from the relatively low-powered explosions. Absence of peritoneal penetration by shrapnel indicates no need for laparotomy following low-powered explosions.

Skin cancer of Nagasaki atomic bomb survivors, 5

International Nuclear Information System (INIS)

Sadamori, Naoki; Mine, Mariko; Hori, Makoto; Noda, Yoshinori; Fujiwara, Naoko; Takahara, Osamu; Sadamori, Michiko; Nishimoto, Katsutaro; Ota, Hisahiro.

1990-01-01

We already reported that there was a high correlation between the exposure dose and the incidence of skin cancer in A-bomb survivors using the data of the Nagasaki Life Span Study of Radiation Effects Research Foundation and Nagasaki Tumor Registry. In Report 3 of this series, we confirmed that the correlation between the exposure distance and the incidence of skin cancer was statistically significant. In Report 4, we clarified that the incidence of skin cancer in proximally exposed Nagasaki A-bomb survivors when compared to distally exposed victims appears to be increasing since 1975. In this final report of the series, we examined the characteristics of skin cancer in Nagasaki A-bomb survivors using 140 skin cancer cases collected from 31 hospitals in Nagasaki City and adjacent districts on the basis of the data of a total of 66,276 A-bomb survivors recorded in the Scientific Data Center of Atomic Bomb Disaster, Nagasaki University School of Medicine. Among the various items examined, the only item that showed a statistical significance was the age at exposure in the cases of squamous cell carcinoma, i.e., those exposed within 2.5 km from the hypocenter were significantly younger than those exposed at 3.0 km or more. (author)

Health status of atomic bomb survivors in South Korea, 2

International Nuclear Information System (INIS)

Ishida, Sadamu; Kawamura, Torataro; Kurihara, Minoru; Watanabe, Masaharu; Cheong, Chang-Saeng.

1980-01-01

Investigation was made on 405 A-bomb survivors in Hap Cheon Gun who received health examinations from December 1973 to December 1977. Excepting 16 exposed in Nagasaki, they were exposed in Hiroshima. The distribution of their age at the time of exposure showed its peak at the age between 25 and 29 years, and it decreased before and after that age. The percentage of A-bomb survivors exposed directly was 93.3%, and that of A-bomb survivors exposed within 2 km from the center of explosion was 51.8%. Seventeen A-bomb survivors were exposed within 1 km. Acute disturbances such as loss of hair (over one second loss), tiredness, fever, vomiting on the day of exposure, and diarrhea were found with high incidence, but incidences of lesions in the oral cavity and the pharynx were low. Incidences of burn and bruise were high, but those of wound and injuries were low. Loss of hair, vomiting, hemorrhage, tiredness, and dairrhea appeared with high incidence in A-bomb survivors whose age advanced at the time of exposure. Most of A-bomb survivors who were young at the time of exposure had not these acute disturbances. These acute symptoms appeared frequently in a short-distance group, and burn, wound and injuries, and bruise also appeared frequently in A-bomb survivors exposed within 2 km. (Tsunoda, M.)

Atom bombs and genetic damage

International Nuclear Information System (INIS)

Berry, R.J.

1982-01-01

Comments are made on a 1981 review on genetic damage in the off-spring of the atom bomb survivors in Hiroshima and Nagasaki. The main criticisms of the review concerned, 1) the 'minimal' doubling dose value for radiation-induced mutation in man, 2) the gametic doubling dose value for sex chromosome aneuploidy and 3) the validity of trebling an observed acute doubling dose to measure the effect of chronic irradiation. The firmest conclusion which may be deduced from the studies on A-bomb survivors is that humans are fairly resistant to genetic damage from radiation. (U.K.)

Survival after a psychoeducational intervention for patients with cutaneous malignant melanoma: a replication study

DEFF Research Database (Denmark)

Boesen, Ellen H; Boesen, Sidsel H; Frederiksen, Kirsten

2007-01-01

The results of a randomized, intervention study done in 1993 of psychoeducation for patients with early-stage malignant melanoma showed a beneficial effect on recurrence and survival 6 years after the intervention. In the present study, we replicated the study with 258 Danish patients with malign...... with malignant melanoma. We also compared recurrence and survival among the participants in the randomized study with 137 patients who refused to participate....

Study of apoprotein among atomic bomb survivors

International Nuclear Information System (INIS)

Takayama, Sadamatsu; Tokunaga, Yutaka; Ishibashi, Shinzo; Mito, Kazuyo; Ito, Chikako; Kato, Masafumi.

1988-01-01

In an effort to examine the relationship between A-bomb exposure and arteriosclerosis, the serum concentrations of apoproteins (Apo) were measured in a total of 192 A-bomb survivors, consisting of 28 A-bomb survivors exposed at ≤2,000 m from the hypocenter (the exposed group) and 110 A-bomb survivors exposed at ≥3,000 m and entering the city 9 days or later after A-bombing (the control group). No definitive difference in average serum concentrations of Apo A-I and A-II was found between the exposed and control groups; nor did average serum concentrations of Apo B and B/A-I differ between the groups. According to the age group, Apo A-I was significantly higher in men over the age of 70 in the exposed group than the control group. Apo B tended to be higher in men over the age of 50 in the exposed group than the control group. As for men in the control group, there was a significant negative correlation between age group and both Apo A-I and A-II; however, this tendency was not seen in the exposed group. For women, no correlation between Apo and age group was found in either the exposed or control group. There was a tendency among men towards a higher incidence of hypoapoproteinemia A-I in the exposed group than the control group. The incidence of hyperapoproteinemia B was significantly higher as well for men in the exposed group than the control group. (Namekawa, K.)

40 years of terrorist bombings - A meta-analysis of the casualty and injury profile.

Science.gov (United States)

Edwards, D S; McMenemy, L; Stapley, S A; Patel, H D L; Clasper, J C

2016-03-01

Terrorists have used the explosive device successfully globally, with their effects extending beyond the resulting injuries. Suicide bombings, in particular, are being increasingly deployed due to the devastating effect of a combination of high lethality and target accuracy. The aim of this study was to identify trends and analyse the demographics and casualty figures of terrorist bombings worldwide. Analysis of the Global Terrorism Database (GTD) and a PubMed/Embase literature search (keywords "terrorist", and/or "suicide", and/or "bombing") from 1970 to 2014 was performed. 58,095 terrorist explosions worldwide were identified in the GTD. 5.08% were suicide bombings. Incidents per year are increasing (Pprofile of survivors to guide the immediate response by the medical services and the workload in the coming days. Copyright © 2016 Elsevier Ltd. All rights reserved.

Bomb Blast and Its Consequences: Successful Intensive Care Management of Massive Pulmonary Embolsim.

Science.gov (United States)

Shamim, Faisal; Rizwan, Muhammad; Aziz, Adil

2016-06-01

A suicide bomb blast in 2013 at a distant city of Pakistan killed 84 and wounded more than 150 people. Some patients were transferred to our tertiary care hospital because of extreme load on medical services there. This patient arrived at the Aga Khan Hospital, 2 days after the bomb blast injury and underwent an orthopedic procedure. Next day, he developed sudden tachypnea, desaturation, and circulatory collapse. After initial cardiopulmonary resuscitation, he was immediately transferred to surgical intensive care unit. Based on history, echocardiography findings and patient parameters, a clinical diagnosis of massive pulmonary embolism was made and immediate thrombolytic therapy with alteplase was started. The immediate improvement in hemodynamic status was evident following 2 hours of alteplase infusion. This case also highlights the aggressiveness of resuscitation, decision making in initiating thrombolytic therapy on clinical grounds, importance of deep venous thrombosis prophylaxis, and exhaustion of health resources due to blast related mass destruction.

Epidemiological studies among the offspring (F1) of atomic bomb survivors

International Nuclear Information System (INIS)

Yoshimoto, Yasuhiko

1992-01-01

On the basis of results of surveys for the frequency of malignant tumors during the period 1946-1982 and mortality during the period 1946-1985 among the offspring of A-bomb survivors, genetic effects of A-bombing were retrospectively investigated. Among 67,574 children born to parents whose gonad doses could be estimated, 83 in the age group of 20 years or younger were found to develop cancer. Of these, only 18 were considered to have genetic cancers, such as retinoblastoma, Wilms tumor, neuroblastoma, osteosarcoma, and embryonal carcinoma. The other 31 and 34 patients had leukemia and other cancers, respectively. No significantly increased incidence of cancer was associated with radiation doses received in their parents. Genetic effects of A-bombing were considered responsible for 3% to 5% of spontaneously induced malignant tumors. Among 67,586 children born to parents whose gonad doses could be estimated, 3852 (5.7%) were dead during the period 1946-1985. Of these, 76% had died before the age of 4. Survey for mortality has also showed that there is no significant correlation between gonad doses in parents and cancer risk for their offspring. (N.K.)

Endocrine and gonadial tumors among A-bomb survivors

International Nuclear Information System (INIS)

Takeichi, Nobuo; Dohi, Kiyohiko; Fujikura, Toshio

1986-01-01

A review of 4,136 consecutive autopsies between 1961 and 1977 and surgical cases from A-bomb survivors seen in Hiroshima University School of Medicine was made in terms of pituitary tumors, parathyroid tumors, thyroid cancer, carcinoid, tumors of the adrenal cortex, ovarian tumors, testicular tumors, and multiple endocrine gonadial tumors (MEGT). The occurrence of thyroid cancer, parathyroid tumors, and MEGT may be correlated with atomic radiation. Mortality from endocrine and gonadial tumors tended to be higher with increasing T65 doses. As for MEGT, the combination of thyroid cancer and ovarian tumors occurred frequently among A-bomb survivors. The combination of medullary carcinoma of the thyroid gland and pheochromacytoma of the adrenal gland was unlikely to be related to atomic radiation. Further study may be needed in elucidating possible effects of atomic radiation on endocrine hormones. (Namekawa, K.)

A Survival Analysis of Patients with Malignant Biliary Strictures Treated by Percutaneous Metallic Stenting

International Nuclear Information System (INIS)

Brountzos, Elias N.; Ptochis, Nikolaos; Panagiotou, Irene; Malagari, Katerina; Tzavara, Chara; Kelekis, Dimitrios

2007-01-01

Background. Percutaneous metal stenting is an accepted palliative treatment for malignant biliary obstruction. Nevertheless, factors predicting survival are not known. Methods. Seventy-six patients with inoperable malignant biliary obstruction were treated with percutaneous placement of metallic stents. Twenty patients had non-hilar lesions. Fifty-six patients had hilar lesions classified as Bismuth type I (n = 15 patients), type II (n = 26), type III (n = 12), or type IV (n = 3 patients). Technical and clinical success rates, complications, and long-term outcome were recorded. Clinical success rates, patency, and survival rates were compared in patients treated with complete (n = 41) versus partial (n = 35) liver parenchyma drainage. Survival was calculated and analyzed for potential predictors such as the tumor type, the extent of the disease, the level of obstruction, and the post-intervention bilirubin levels. Results. Stenting was technically successful in all patients (unilateral drainage in 70 patients, bilateral drainage in 6 patients) with an overall significant reduction of the post-intervention bilirubin levels (p < 0.001), resulting in a clinical success rate of 97.3%. Clinical success rates were similar in patients treated with whole-liver drainage versus partial liver drainage. Minor and major complications occurred in 8% and 15% of patients, respectively. Mean overall primary stent patency was 120 days, while the restenosis rate was 12%. Mean overall secondary stent patency was 242.2 days. Patency rates were similar in patients with complete versus partial liver drainage. Mean overall survival was 142.3 days. Survival was similar in the complete and partial drainage groups. The post-intervention serum bilirubin level was an independent predictor of survival (p < 0.001). A cut-off point in post-stenting bilirubin levels of 4 mg/dl dichotomized patients with good versus poor prognosis. Patient age and Bismuth IV lesions were also independent predictors

Restoration Survival: Revisiting Patients' Risk Factors Through a Systematic Literature Review

NARCIS (Netherlands)

Sande, F.H. van de; Collares, K.; Correa, M.B.; Cenci, M.S.; Demarco, F.F.; Opdam, N.J.M.

2016-01-01

A literature review was conducted to investigate the influence of patient-related factors on restoration survival in posterior permanent teeth as well as to report the methods used to collect these factors. The selection of articles on longitudinal clinical studies investigating the survival of

Clinical survey of blood dyscrasias among Hiroshima A-bomb survivors by periodical health examination, (6). Serum ferritin determination of anemic patients

Energy Technology Data Exchange (ETDEWEB)

Abe, T.; Dohy, H.; Okita, H. (Hiroshima Univ. (Japan). Research Inst. for Nuclear Medicine and Biology)

1980-11-01

Serum ferritin was determined in A-bomb survivors, and its significance was evaluated. A low-ferritin group included many of the females under the age of 50, who mostly had iron deficient anemia. A high-ferritin group included many older-aged A-bomb survivors who had secondary anemia due to hemochromatosis, paroxismal nocturnal hemoglobinuria (PNH), and multiple myeloma. Secondary anemia due to hemochromatosis, PNH, leukemia, and sideroblastic anemia was detected in those who were old and had underlying moderate or severe anemia with a high ferritin level. As the results of this investigation, blood examination combined with serum ferritin determination is valuable for diagnosis of anemia and detection of underlying diseases.

On the anti-neutron bomb movement in the Netherlands

International Nuclear Information System (INIS)

Hoek, T. van.

1978-01-01

The author reports on activities of the Dutch activists group Stop the neutron bomb in his country: Collection of signatures, statements made by about a hundred well-known theologians, two-thirds majority in parliament against the production and emplacement of the neutron bomb, International Forum 1978 in Amsterdam with mass demonstrations. President Carter is said to have been forced to delay the production of the neutron bomb temporarily by means of this international pressure. (HSCH) [de

Investigation on circular asymmetry of geographical distribution in cancer mortality of Hiroshima atomic bomb survivors based on risk maps: analysis of spatial survival data

Energy Technology Data Exchange (ETDEWEB)

Tonda, Tetsuji; Satoh, Kenichi; Otani, Keiko; Ohtaki, Megu [Hiroshima University, Department of Environmetrics and Biometrics, Research Institute for Radiation Biology and Medicine (Japan); Sato, Yuya [Hiroshima University, Division of Radiation Information Registry, Research Institute for Radiation Biology and Medicine (Japan); Maruyama, Hirofumi; Kawakami, Hideshi [Hiroshima University, Department of Epidemiology, Research Institute for Radiation Biology and Medicine (Japan); Tashiro, Satoshi [Hiroshima University, Division of Radiation Information Registry, Research Institute for Radiation Biology and Medicine (Japan); Hiroshima University, Department of Cellular Biology, Research Institute for Radiation Biology and Medicine (Japan); Hoshi, Masaharu [Hiroshima University, Department of Radiation Biophysics, Research Institute for Radiation Biology and Medicine (Japan)

2012-05-15

While there is a considerable number of studies on the relationship between the risk of disease or death and direct exposure from the atomic bomb in Hiroshima, the risk for indirect exposure caused by residual radioactivity has not yet been fully evaluated. One of the reasons is that risk assessments have utilized estimated radiation doses, but that it is difficult to estimate indirect exposure. To evaluate risks for other causes, including indirect radiation exposure, as well as direct exposure, a statistical method is described here that evaluates risk with respect to individual location at the time of atomic bomb exposure instead of radiation dose. In addition, it is also considered to split the risks into separate risks due to direct exposure and other causes using radiation dose. The proposed method is applied to a cohort study of Hiroshima atomic bomb survivors. The resultant contour map suggests that the region west to the hypocenter has a higher risk compared to other areas. This in turn suggests that there exists an impact on risk that cannot be explained by direct exposure. (orig.)

Investigation on circular asymmetry of geographical distribution in cancer mortality of Hiroshima atomic bomb survivors based on risk maps: analysis of spatial survival data

International Nuclear Information System (INIS)

Tonda, Tetsuji; Satoh, Kenichi; Otani, Keiko; Ohtaki, Megu; Sato, Yuya; Maruyama, Hirofumi; Kawakami, Hideshi; Tashiro, Satoshi; Hoshi, Masaharu

2012-01-01

While there is a considerable number of studies on the relationship between the risk of disease or death and direct exposure from the atomic bomb in Hiroshima, the risk for indirect exposure caused by residual radioactivity has not yet been fully evaluated. One of the reasons is that risk assessments have utilized estimated radiation doses, but that it is difficult to estimate indirect exposure. To evaluate risks for other causes, including indirect radiation exposure, as well as direct exposure, a statistical method is described here that evaluates risk with respect to individual location at the time of atomic bomb exposure instead of radiation dose. In addition, it is also considered to split the risks into separate risks due to direct exposure and other causes using radiation dose. The proposed method is applied to a cohort study of Hiroshima atomic bomb survivors. The resultant contour map suggests that the region west to the hypocenter has a higher risk compared to other areas. This in turn suggests that there exists an impact on risk that cannot be explained by direct exposure. (orig.)

Cardiovascular disease among atomic bomb survivors.

Science.gov (United States)

Ozasa, Kotaro; Takahashi, Ikuno; Grant, Eric J; Kodama, Kazunori

2017-10-01

The profile of cardiovascular disease in Japan has been different from that in Western countries. Hypertension was the major cause not only for hemorrhagic stroke but also for ischemic stroke and heart disease in the past, and the influence of hypertension has decreased with calendar years because of reduced salt intake and westernization of lifestyle, and also improved medical care. The health status of atomic bomb survivors has reflected this profile as well as radiation effects. It is also likely that this cohort has been affected by the difficult conditions experienced in the aftermath of the war and atomic bombings. In this article, we tried to make a consistent interpretation of epidemiological findings of atomic bomb radiation effects on cardiovascular disease. Among the atomic bomb survivors, radiation exposure was associated with some cardiovascular diseases that are often associated with hypertension, and dose response appeared to be primarily non-linear among those who were exposed at younger ages. These effects are thought to reflect the nature of whole body irradiation. But, some findings remain inconsistent, possibly because of possible misclassification in death certificate diagnoses in the Life Span Study as well as selected information from the Adult Health Study which was limited to participants, focused on specific outcomes, and gathered in selected periods of follow-up. Therefore, a comprehensive and balanced interpretation of the results from both groups is necessary.

[Survival pronostic factors in Mexican patients with multiforme glioblastoma].

Science.gov (United States)

Hernández-Reyna, Ricardo; Medellín-Sánchez, Roberto; Cerda-Flores, Ricardo M; Calderón-Garcidueñas, Ana Laura

2010-01-01

To study the pre- and transoperative factors that influence patients' survival with GM. Clinical and pathological records of all confirmed cases of GM diagnosed between 2000 and 2006 were included. Postoperative survival was divided in less or more than 8 months. χ2 test was used. One hundred and twenty patients (45 women and 75 men) were studied. Age range was from 7 to 85 years, 3.3% were 16 years old or younger and 12.5% were 70 years old or older. Headache was the most frequent complain, 40 patients developed hemiparesia and 6 had parestesias. Predominance of white matter hemispheric lesions was observed: right hemispheric tumors 65 (54%), left lesions 30 (25%) and bilateral tumors 7%. Histologically, 1.6% of GM had a sarcomatous component; 35% of patients survived less than 8 months. A difference between patients survival was the preoperative Karnofsky Performance Scale Score and the degree of cerebral edema during the surgical procedure. Pre-operative Karnofsky evaluation and edema during the surgical procedure were significant prognostic factors for survival.

JNIH-ABCC life span study of children born to atomic bomb survivors. Report II. Mortality in children of atomic bomb survivors and controls

Energy Technology Data Exchange (ETDEWEB)

Neel, J V; Kato, H; Schull, W J; Jablon, S

1972-01-01

The study was updated so that the average interval between birth and verification of death or survival is now 17 years. The mortality experience is based on 18,946 children liveborn to parents proximally exposed (dose 117 rem); 16,516 children born to distally exposed parents (essentially no dose); and 17,263 children born to parents not in Hiroshima or Nagasaki at the time of the bombs. No clearly significant effect of parental exposure on child's survival can be demonstrated by contingency chi/sup 2/ or regression analysis. Based on regression, the minimal gametic doubling dose for mutations resulting in death during the first 17 years for liveborn infants conceived 0--13 years after parental exposure is 46 rem for fathers and 125 rem for mothers. Since the regression coefficients do not differ significantly from zero, it is preferable, in a situation where men and women are irradiated in equal numbers, to employ the average of the two estimates, namely 85 rem. The gametic doubling dose for chronic, low-level radiation is expected to be 3 to 4 times this value. (DLC)

Long-term survival among Hodgkin's lymphoma patients with gastrointestinal cancer: a population-based study

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Youn, P.; Li, H.; Milano, M. T.; Stovall, M.; Constine, L. S.; Travis, L. B.

2013-01-01

Background The increased risk of gastrointestinal (GI) cancers after Hodgkin's lymphoma (HL) is well established. However, no large population-based study has described the actuarial survival after subsequent GI cancers in HL survivors (HL-GI). Patients and methods For 209 patients with HL-GI cancers (105 colon, 35 stomach, 30 pancreas, 21 rectum, and 18 esophagus) and 484 165 patients with first primary GI cancers (GI-1), actuarial survival was compared, accounting for age, gender, race, GI cancer stage, radiation for HL, and other variables. Results Though survival of HL patients who developed localized stage colon cancer was similar to that of the GI-1 group, overall survival (OS) of HL patients with regional or distant stage colon cancer was reduced [hazard ratio, (HR) = 1.46, P = 0.01]. The HL survivors with regional or distant stage colon cancer in the transverse segment had an especially high risk of mortality (HR: 2.7, P = 0.001 for OS). For localized stomach cancer, OS was inferior among HL survivors (HR = 3.46, P = 0.006). Conclusions The HL patients who develop GI cancer experience significantly reduced survival compared with patients with a first primary GI cancer. Further research is needed to explain the inferior survival of HL patients and to define selection criteria for cancer screening in HL survivors. PMID:22855552

Significance of genomic instability in breast cancer in atomic bomb survivors: analysis of microarray-comparative genomic hybridization

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Oikawa Masahiro

2011-12-01

Full Text Available Abstract Background It has been postulated that ionizing radiation induces breast cancers among atomic bomb (A-bomb survivors. We have reported a higher incidence of HER2 and C-MYC oncogene amplification in breast cancers from A-bomb survivors. The purpose of this study was to clarify the effect of A-bomb radiation exposure on genomic instability (GIN, which is an important hallmark of carcinogenesis, in archival formalin-fixed paraffin-embedded (FFPE tissues of breast cancer by using microarray-comparative genomic hybridization (aCGH. Methods Tumor DNA was extracted from FFPE tissues of invasive ductal cancers from 15 survivors who were exposed at 1.5 km or less from the hypocenter and 13 calendar year-matched non-exposed patients followed by aCGH analysis using a high-density oligonucleotide microarray. The total length of copy number aberrations (CNA was used as an indicator of GIN, and correlation with clinicopathological factors were statistically tested. Results The mean of the derivative log ratio spread (DLRSpread, which estimates the noise by calculating the spread of log ratio differences between consecutive probes for all chromosomes, was 0.54 (range, 0.26 to 1.05. The concordance of results between aCGH and fluorescence in situ hybridization (FISH for HER2 gene amplification was 88%. The incidence of HER2 amplification and histological grade was significantly higher in the A-bomb survivors than control group (P = 0.04, respectively. The total length of CNA tended to be larger in the A-bomb survivors (P = 0.15. Correlation analysis of CNA and clinicopathological factors revealed that DLRSpread was negatively correlated with that significantly (P = 0.034, r = -0.40. Multivariate analysis with covariance revealed that the exposure to A-bomb was a significant (P = 0.005 independent factor which was associated with larger total length of CNA of breast cancers. Conclusions Thus, archival FFPE tissues from A-bomb survivors are useful for

Significance of genomic instability in breast cancer in atomic bomb survivors: analysis of microarray-comparative genomic hybridization

International Nuclear Information System (INIS)

Oikawa, Masahiro; Yoshiura, Koh-ichiro; Kondo, Hisayoshi; Miura, Shiro; Nagayasu, Takeshi; Nakashima, Masahiro

2011-01-01

It has been postulated that ionizing radiation induces breast cancers among atomic bomb (A-bomb) survivors. We have reported a higher incidence of HER2 and C-MYC oncogene amplification in breast cancers from A-bomb survivors. The purpose of this study was to clarify the effect of A-bomb radiation exposure on genomic instability (GIN), which is an important hallmark of carcinogenesis, in archival formalin-fixed paraffin-embedded (FFPE) tissues of breast cancer by using microarray-comparative genomic hybridization (aCGH). Tumor DNA was extracted from FFPE tissues of invasive ductal cancers from 15 survivors who were exposed at 1.5 km or less from the hypocenter and 13 calendar year-matched non-exposed patients followed by aCGH analysis using a high-density oligonucleotide microarray. The total length of copy number aberrations (CNA) was used as an indicator of GIN, and correlation with clinicopathological factors were statistically tested. The mean of the derivative log ratio spread (DLRSpread), which estimates the noise by calculating the spread of log ratio differences between consecutive probes for all chromosomes, was 0.54 (range, 0.26 to 1.05). The concordance of results between aCGH and fluorescence in situ hybridization (FISH) for HER2 gene amplification was 88%. The incidence of HER2 amplification and histological grade was significantly higher in the A-bomb survivors than control group (P = 0.04, respectively). The total length of CNA tended to be larger in the A-bomb survivors (P = 0.15). Correlation analysis of CNA and clinicopathological factors revealed that DLRSpread was negatively correlated with that significantly (P = 0.034, r = -0.40). Multivariate analysis with covariance revealed that the exposure to A-bomb was a significant (P = 0.005) independent factor which was associated with larger total length of CNA of breast cancers. Thus, archival FFPE tissues from A-bomb survivors are useful for genome-wide aCGH analysis. Our results suggested that A-bomb

Significance of genomic instability in breast cancer in atomic bomb survivors: analysis of microarray-comparative genomic hybridization.

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Oikawa, Masahiro; Yoshiura, Koh-ichiro; Kondo, Hisayoshi; Miura, Shiro; Nagayasu, Takeshi; Nakashima, Masahiro

2011-12-07

It has been postulated that ionizing radiation induces breast cancers among atomic bomb (A-bomb) survivors. We have reported a higher incidence of HER2 and C-MYC oncogene amplification in breast cancers from A-bomb survivors. The purpose of this study was to clarify the effect of A-bomb radiation exposure on genomic instability (GIN), which is an important hallmark of carcinogenesis, in archival formalin-fixed paraffin-embedded (FFPE) tissues of breast cancer by using microarray-comparative genomic hybridization (aCGH). Tumor DNA was extracted from FFPE tissues of invasive ductal cancers from 15 survivors who were exposed at 1.5 km or less from the hypocenter and 13 calendar year-matched non-exposed patients followed by aCGH analysis using a high-density oligonucleotide microarray. The total length of copy number aberrations (CNA) was used as an indicator of GIN, and correlation with clinicopathological factors were statistically tested. The mean of the derivative log ratio spread (DLRSpread), which estimates the noise by calculating the spread of log ratio differences between consecutive probes for all chromosomes, was 0.54 (range, 0.26 to 1.05). The concordance of results between aCGH and fluorescence in situ hybridization (FISH) for HER2 gene amplification was 88%. The incidence of HER2 amplification and histological grade was significantly higher in the A-bomb survivors than control group (P = 0.04, respectively). The total length of CNA tended to be larger in the A-bomb survivors (P = 0.15). Correlation analysis of CNA and clinicopathological factors revealed that DLRSpread was negatively correlated with that significantly (P = 0.034, r = -0.40). Multivariate analysis with covariance revealed that the exposure to A-bomb was a significant (P = 0.005) independent factor which was associated with larger total length of CNA of breast cancers. Thus, archival FFPE tissues from A-bomb survivors are useful for genome-wide aCGH analysis. Our results suggested that A-bomb

Imaginary Savior: the image of the nuclear bomb in Korea, 1945-1960.

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Kim, Dong-Won

2009-01-01

Two atomic bombs dropped on Hiroshima and Nagasaki in August 1945 brought the unexpected liberation of Korea from the 35-year Japanese occupation. Koreans therefore had a very favorable and positive image of the nuclear bomb and nuclear energy from the beginning. The image of the nuclear bomb as "savior" was strengthened during the Korean War when the United States openly mentioned the possible use of the nuclear bomb against North Korean and Chinese military. After the end of the Korean War in July 1953 South Koreans strongly supported the development of the nuclear bomb in order to deter another North Korean invasion. When the US government provided South Korea with a research nuclear reactor in the late 1950s, most South Koreans hailed it as the first step to developing their own nuclear bomb. This paper will analyze how and why the savior image of the nuclear bomb originated and spread in Korea during the 1950s.

Tendency of socio-psychological aftereffects on aged survivors in Hiroshima A-bomb survivors home

International Nuclear Information System (INIS)

Shimizu, Kiyoshi; Mishima, Tetsuo; Watanabe, Michiko

1984-01-01

Psychosomatic status at the time of A-bomb explosion, behavior and impression immediately after the explosion, aftereffects on life, and mental changes were sought through interview for 80 aged survivors in Hiroshima A-bomb survivor home by psychiatric social workers. (Namekawa, K.)

Transthoracic versus transhiatal esophagectomy – influence on patient survival

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Mariusz Łochowski

2016-12-01

Full Text Available Aim: To evaluate the survival of patients after surgery of the esophagus/cardia using the transthoracic and transhiatal methods. Material and methods : In the years 2007–2011, 102 patients were radically treated for cancer of the esophagus/cardia: 24 women and 78 men at the average age of 59.5. There were 38 transthoracic procedures and 64 transhiatal procedures. All patients had a conduit made from the stomach, led through lodges in the esophagus and combined with the stump of the esophagus in the neck following the Collard method. Two-pole lymphadenectomies were performed in all patients. Results: Patients after transthoracic procedures had statistically more (p < 0.05 lymph nodes removed than patients after transhiatal procedures. The 5-year survival rates in transhiatal and transthoracic procedures did not statistically differ, being 8% and 0% respectively. The length of patient survival was influenced by metastases in the nearby lymph nodes (p < 0.0001 and the presence of adenocarcinoma. Conclusions : Surgical access (transhiatal and transthoracic surgery does not affect the 5-year survival rates. Transhiatal surgery allows a greater number of lymph nodes to be removed. The main factor influencing the 5-year survival rate is the presence of metastases in the nearby lymph nodes.

The Freezing Bomb

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Mills, Allan

2010-01-01

The extreme pressures that are generated when water freezes were traditionally demonstrated by sealing a small volume in a massive cast iron "bomb" and then surrounding it with a freezing mixture of ice and salt. This vessel would dramatically fail by brittle fracture, but no quantitative measurement of bursting pressure was available. Calculation…

Illness perceptions predict survival in haemodialysis patients.

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Chilcot, Joseph; Wellsted, David; Farrington, Ken

2011-01-01

Illness perceptions have been shown to be important determinants of functional and psychosocial outcomes, including quality of life and treatment adherence in end-stage renal disease patients. The aim of this prospective study was to determine whether haemodialysis patients' illness perceptions impact upon survival. Haemodialysis patients from a UK renal service completed the Revised Illness Perception Questionnaire. Over the study period (May 2007 to December 2010), all-cause mortality was recorded as the endpoint. 223 patients were followed up for a median of 15.9 months (min. 10 days, max. 42.7 months). The median dialysis vintage was 17.6 months (min. 4 days, max. 391.3 months). Treatment control perceptions demonstrated a significant association with mortality (HR = 0.91, 95% CI: 0.83-0.99, p = 0.03). After controlling for covariates, including age, albumin, extra renal comorbidity and depression scores, perception of treatment control remained a significant predictor of mortality (HR = 0.89, 95% CI: 0.80-0.99, p = 0.03). Patients' perceptions of treatment control (dialysis therapy) predict survival independently of survival risk factors, including comorbidity. Studies are required to test whether psychological interventions designed to modify maladaptive illness perceptions influence clinical outcomes in this patient setting. Copyright © 2011 S. Karger AG, Basel.

Predictors of survival in surgically treated patients of spinal metastasis

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Pravin Padalkar

2011-01-01

Full Text Available Background: The spinal metastasis occurs in up to 40% of cancer patient. We compared the Tokuhashi and Tomita scoring systems, two commonly used scoring systems for prognosis in spinal metastases. We also assessed the different variables separately with respect to their value in predicting postsurgical life expectancy. Finally, we suggest criteria for selecting patients for surgery based on the postoperative survival pattern. Materials and Methods: We retrospectively analyzed 102 patients who had been operated for metastatic disease of the spine. Predictive scoring was done according to the scoring systems proposed by Tokuhashi and Tomita. Overall survival was assessed using Kaplan-Meier survival analysis. Using the log rank test and Cox regression model we assessed the value of the individual components of each scoring system for predicting survival in these patients. Result: The factors that were most significantly associated with survival were the general condition score (Karnofsky Performance Scale (P=.000, log rank test, metastasis to internal organs (P=.0002 log rank test, and number of extraspinal bone metastases (P=.0058. Type of primary tumor was not found to be significantly associated with survival according to the revised Tokuhashi scoring system (P=.9131, log rank test. Stepwise logistic regression revealed that the Tomita score correlated more closely with survival than the Tokuhashi score. Conclusion: The patient′s performance status, extent of visceral metastasis, and extent of bone metastases are significant predictors of survival in patients with metastatic disease. Both revised Tokuhashi and Tomita scores were significantly correlated with survival. A revised Tokuhashi score of 7 or more and a Tomita score of 6 or less indicated >50% chance of surviving 6 months postoperatively. We recommend that the Tomita score be used for prognostication in patients who are contemplating surgery, as it is simpler to score and has a higher

Immune phenotypes predict survival in patients with glioblastoma multiforme

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Haouraa Mostafa

2016-09-01

Full Text Available Abstract Background Glioblastoma multiforme (GBM, a common primary malignant brain tumor, rarely disseminates beyond the central nervous system and has a very bad prognosis. The current study aimed at the analysis of immunological control in individual patients with GBM. Methods Immune phenotypes and plasma biomarkers of GBM patients were determined at the time of diagnosis using flow cytometry and ELISA, respectively. Results Using descriptive statistics, we found that immune anomalies were distinct in individual patients. Defined marker profiles proved highly relevant for survival. A remarkable relation between activated NK cells and improved survival in GBM patients was in contrast to increased CD39 and IL-10 in patients with a detrimental course and very short survival. Recursive partitioning analysis (RPA and Cox proportional hazards models substantiated the relevance of absolute numbers of CD8 cells and low numbers of CD39 cells for better survival. Conclusions Defined alterations of the immune system may guide the course of disease in patients with GBM and may be prognostically valuable for longitudinal studies or can be applied for immune intervention.

Potential influence of new doses of A-bomb after re-evaluation of epidemiological research

International Nuclear Information System (INIS)

Maruyama, T.

1983-01-01

Since the peaceful use of atomic energy appears essential for future human existence, we must provide risk estimates from low-dose exposures to human beings. The largest body of human data has been derived from the studies of atomic bomb survivors in Hiroshima and Nagasaki. Recently, it was proposed by an Oak Ridge National Laboratory group that the current free-in-air doses of atomic bombs are significantly different from the doses recalculated on the basis of the new output spectra of neutrons and gamma rays from the atomic bombs which were declassified by the US Department of Energy in 1976. A joint commission on dose re-evaluation of the United States of America and Japan was established in 1981 to pursue the dose reassessment programme between US and Japanese research groups and to decide an agreed best estimate of organ or tissue doses in survivors as soon as possible. The paper reviews the physical concepts of the re-evaluation of atomic bomb doses and discusses the potential influence of new dosimetric parameters on the epidemiological studies of the atomic bomb survivors in future, although the re-assessment programme is still in progress. (author)

Two cases of acute leukemia in heavily exposed a-bomb survivors following radiotherapy for breast cancer

International Nuclear Information System (INIS)

Mikami, Motoko; Kuramoto, Atsushi; Kamada, Nanao; Ohkita, Takeshi; Sawada, Hisao.

1980-03-01

Two cases of acute leukemia in heavily exposed atomic bomb survivors following postoperative 60 Co radiotherapy for breast cancer are presented. Case 1, a female who received an estimated dose of 364 rad from the A-bomb at the age of 22, was diagnosed as having left breast cancer 17 years later. At the age of 48, about 8 years after undergoing postoperative 60 Co radiotherapy, she developed acute monocytic leukemia. Case 2, a female who received an estimated dose of 594 rad from the A-bomb at the age of 37, was diagnosed as having right breast cancer 22 years later. At the age of 63, 4 years after postoperative 60 Co radiotherapy, she was found to have acute erythroleukemia. Both cases had been exposed to the A-bomb in Hiroshima and to therapeutic radiation after developing breast cancer presumably induced by A-bomb exposure. Thus it is proposed that acute leukemia was induced by exposure to large doses of radiation from two sources. (author)

Incidence of skin cancer among Nagasaki atomic bomb survivors

International Nuclear Information System (INIS)

Sadamori, Naoki; Mine, Mariko; Hori, Makoto

1990-01-01

Among a total of 65,268 Nagasaki atomic bomb survivors recorded in the Scientific Data Center of Atomic Bomb Disaster, Nagasaki University School of Medicine, 140 cases with skin cancer were collected from 31 hospitals in Nagasaki City from 1961 through 1987. Subsequently, these cases of skin cancer in Nagasaki atomic bomb survivors were statistically analyzed in relation to the estimated distance from the hypocenter by age, sex, histology and latent period. The results were as follows: (1) A high correlation was observed between the incidence of skin cancer and the distance from the hypocenter. (2) The incidence of skin cancer in Nagasaki atomic bomb survivors now appears to be increasing in relation to exposure distance. (3) Among 140 cases, basal cell epithelioma was observed in 67 cases (47.9%) and squamous cell carcinoma in 43 cases (30.7%). (author)

Malignant Lymphoma in an Atomic-bomb Survivor

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Cheng-Chia Lee

2009-07-01

Full Text Available Atomic bomb survivors outside of Japan are few and often hard to follow-up. Spinal malignant lymphoma among these survivors is rare in established studies from Japan or the United States. Here, we report an 81-year-old woman, who experienced the atomic bomb explosion in Nagasaki when she was 19 years old, who presented with papillary thyroid carcinoma when she was 70 years old. Both follicular lymphoma over the right elbow region and vertebral malignant lymphoma were found when she turned 81 years old. Bone scan did not show any increased uptake of isotope. However, thoracolumbar spine magnetic resonance imaging showed multiple infiltrative soft tissue masses involving vertebral bodies at the T10–11 level. Computed tomography-guided biopsy further showed lymphocyte infiltration. Fortunately, the neurological deficit was improved after chemotherapy. The diagnosis of malignant lymphoma in atomic bomb survivors should be more careful and aggressive, even when their bone scan results show negative findings. In addition, the authors suggest that atomic bomb survivors should be followed-up carefully throughout their entire life.

Environmental Composites for Bomb Cyclones of the Western North Atlantic in Reanalysis, 1948-2016.

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Adams, R.; Sheridan, S. C.

2017-12-01

"Bomb" cyclones represent a small subset of mid-latitude cyclones characterized by rapid intensification and frequently are associated with extreme weather conditions along the eastern coast of North America. Like other extreme phenomena, bomb cyclone predictions are prone to error leading to inadequate or untimely hazard warnings. The rare nature of bomb cyclones and the uniqueness of their evolutions has made it difficult for researchers to make meaningful generalizations on bomb cyclone events. This paper describes bomb cyclone climatology for the western North Atlantic, using data from the NCEP-NCAR Reanalysis for 1948-2016, and uses a synoptic climatological analysis to relate these bombs to their associated atmospheric environments. A self-organizing map (SOM) of 300-hPa geopotential height tendency is created to partition the regional atmospheric environment. Thermodynamic fields are contrasted by each 300-hPa geopotential height tendency pattern for both bomb and non-bomb events in composite difference maps. The SOM patterns most significantly associated with western North Atlantic bomb cyclogenesis are characterized by both strongly and weakly negative height tendencies along the eastern United States. In both cases, these patterns exhibit strong meridional flow, a distinction marked by the weakening and breaking down of the polar vortex in the boreal Winter. The composite maps for each pattern show the mean differences in low-mid level ascent and near surface thermodynamics for bomb environments contrasted with non-bomb environments, resulting in diverse spatiotemporal distributions of bombs in the western North Atlantic.

A toy model for the yield of a tamped fission bomb

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Reed, B. Cameron

2018-02-01

A simple expression is developed for estimating the yield of a tamped fission bomb, that is, a basic nuclear weapon comprising a fissile core jacketed by a surrounding neutron-reflecting tamper. This expression is based on modeling the nuclear chain reaction as a geometric progression in combination with a previously published expression for the threshold-criticality condition for such a core. The derivation is especially straightforward, as it requires no knowledge of diffusion theory and should be accessible to students of both physics and policy. The calculation can be set up as a single page spreadsheet. Application to the Little Boy and Fat Man bombs of World War II gives results in reasonable accord with published yield estimates for these weapons.

The threat of a dirty bomb and possible verification measures

International Nuclear Information System (INIS)

Meer, Klaas van der; Hardeman, Frank; Meier, Oliver

2003-01-01

The paper discusses technical aspects of the dirty (radiological dispersion) bomb and the threat that this type of bomb poses to societies and international security. Based on the technology and materials needed to construct a dirty bomb, the relevance of the safeguards system for nuclear material accountancy and chemical and biological control systems is discussed. A dirty bomb consists of a conventional explosive charge combined with radioactive material. Its purpose is to contaminate a large area with radioactive material. The main consequences would be loss of life through direct impact and contamination. In comparison with use of nuclear fission devices, the number of direct casualties due to the impact of the explosion are likely to be small. In the long run, there may be casualties due to radioactive contamination, however, probably fewer than is mentioned in public discussions. Other consequences of the use of a radiological device include widespread panic, fear and uncertainty among the public, high decontamination costs, loss of real estate value and disruption of economic activity in the area concerned. If a terrorist is intent on causing maximum havoc and disruption, the radioactive material of choice should have a reasonably long half life. Access should be easy and such material should be available in sufficient quantities. The most obvious candidates from this perspective are 60 Co and 137 Cs and to a lesser extent 90 Sr. Also some more 'exotic' radionuclides or mixtures cannot absolutely be excluded. 60 Co and 137 Cs are frequently used in medical and industrial equipment. There is currently no international material accountancy system for these materials and thousands of sources have been produced in many countries. One or several of these sources contain sufficient material for the construction of an effective 'dirty bomb'. Approximative dispersion calculations will be performed to determine the spread of radioactive material. Dependent on the

Colorectal cancer among atomic bomb survivors in Hiroshima and Nagasaki, 1950-80

International Nuclear Information System (INIS)

Nakatsuka, Hirofumi; Yamamoto, Tsutomu; Shimizu, Yukiko

1984-01-01

Of 108,739 atomic-bomb (A-bomb) victims enrolled in the population of life span survey by Radiation Effects Research Foundation, 730 victims from October 1950 to December 1980 were selected as subjects of colorectal cancer based on death certificates, autopsy and operative findings, and clinicopathological reconfirmation of colorectal cancer. Tentative dose decided in 1965 (T65D) was used to estimate radiation doses of A-bomb victims. Although the incidence of colon cancer was found to be related to radiation, the relation of the incidence of rectal cancer to radiation was not confirmed. Radiation effects were dependent on the age of A-bomb victims at the time of the bombing, which was noted in A-bomb victims aged less than twenty years at that time. Dose-response relationship was found in cases of cancer of the sigmoid colon. Histological types of cancer were independent of radiation doses. (Namekawa, K.)

The bomb 14C transient in the Pacific Ocean

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Rodgers, Keith B.; Schrag, Daniel P.; Cane, Mark A.; Naik, Naomi H.

2000-04-01

A modeling study of the bomb 14C transient is presented for the Pacific Ocean. A primitive equation ocean circulation model has been configured for a high-resolution domain that accounts for the Indonesian Throughflow (ITF). Four separate runs were performed: (1) seasonal forcing with 20 Sv of ITF transport, (2) seasonal forcing with 10 Sv of ITF transport, (3) seasonal forcing with no ITF transport, and (4) interannual forcing with 15 Sv of ITF transport. This study has two main objectives. First, it is intended to describe the time evolution of the bomb 14C transient. This serves as a tool with which one can identify the physical processes controlling the evolving bomb 14C distribution in the Pacific thermocline and thus provides an interpretive framework for the database of Δ14C measurements in the Pacific. Second, transient tracers are applied to the physical oceanographic problem of intergyre exchange. This is of importance in furthering our understanding of the potential role of the upper Pacific Ocean in climate variability. We use bomb 14C as a dye tracer of intergyre exchange between the subtropical gyres and the equatorial upwelling regions of the equatorial Pacific. Observations show that while the atmospheric Δ14C signal peaked in the early to mid-1960s, the Δ14C levels in the surface water waters of the subtropical gyres peaked near 1970, and the Δ14C of surface waters in the equatorial Pacific continued to rise through the 1980s. It is shown that the model exhibits skill in representing the large-scale observed features observed for the bomb 14C transient in the Pacific Ocean. The model successfully captures the basin-scale inventories of bomb 14C in the tropics as well as in the extratropics of the North Pacific. For the equatorial Pacific this is attributed to the model's high meridional resolution. The discrepancies in the three-dimensional distribution of bomb 14C between the model and data are discussed within the context of the dynamical

Obesity adversely affects survival in pancreatic cancer patients.

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McWilliams, Robert R; Matsumoto, Martha E; Burch, Patrick A; Kim, George P; Halfdanarson, Thorvardur R; de Andrade, Mariza; Reid-Lombardo, Kaye; Bamlet, William R

2010-11-01

Higher body-mass index (BMI) has been implicated as a risk factor for developing pancreatic cancer, but its effect on survival has not been thoroughly investigated. The authors assessed the association of BMI with survival in a sample of pancreatic cancer patients and used epidemiologic and clinical information to understand the contribution of diabetes and hyperglycemia. A survival analysis using Cox proportional hazards by usual adult BMI was performed on 1861 unselected patients with pancreatic adenocarcinoma; analyses were adjusted for covariates that included clinical stage, age, and sex. Secondary analyses incorporated self-reported diabetes and fasting blood glucose in the survival model. BMI as a continuous variable was inversely associated with survival from pancreatic adenocarcinoma (hazard ratio [HR], 1.019 for each increased unit of BMI [kg/m2], PFasting blood glucose and diabetes did not affect the results. Higher BMI is associated with decreased survival in pancreatic cancer. Although the mechanism of this association remains undetermined, diabetes and hyperglycemia do not appear to account for the observed association. Copyright © 2010 American Cancer Society.

Chromosome break points in T-lymphocytes from atomic bomb survivors

International Nuclear Information System (INIS)

Tanaka, Kimio; Kamada, Nanao; Ohkita, Takeshi; Kuramoto, Atsushi

1982-01-01

In 22 healthy A-bomb survivors who passed more than 30 years since receiving radiation, distribution of 592 chromosome break points found in T-lymphocytes of the peripheral blood was not proportional to the length, the arm length of chromosomes, nor the length of regions, but it was non-random on the chromosomes. High distribution of chromosome break points occurred in 11 regions: 22q1, 14q3, 5q3, 21q2, 6q2, 18p1, 13q3. The regions, 22q1, 14q3, 21q2, and 6q2, contained the chromosome break points which were frequently found in leukemic chromosomes. Some of the changes in nuclear-type observed in leukemic cells of A-bomb survivors were similar to those found in leukemic cells of non-exposed leukemic patients. In abnormal chromosomes of T-lymphocytes of healthy A-bomb survivors, no cells with abnormal nuclear types such as t(4;11), t(8;21), t(9;22), and t(15;17) which are seen in various types of leukemia were not found. However, cells with chromosome aberrations, 22q-, 14q+, and 6q-, were found to be 0.99%, 0.55%, and 0.25% respectively. On the basis of these results, implication of chromosome aberrations in developing cancer was discussed. (Ueda, J.)

A community study of the psychological effects of the Omagh car bomb on adults.

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Michael Duffy

Full Text Available The main aims of the study were to assess psychological morbidity among adults nine months after a car bomb explosion in the town of Omagh, Northern Ireland and to identify predictors of chronic posttraumatic stress disorder symptoms.A questionnaire was sent to all adults in households in The Omagh District Council area. The questionnaire comprised established predictors of PTSD (such as pre-trauma personal characteristics, type of exposure, initial emotional response and long-term adverse physical or financial problems, predictors derived from the Ehlers and Clark (2000 cognitive model, a measure of PTSD symptoms and the General Health Questionnaire.Among respondents (n = 3131 the highest rates of PTSD symptoms and probable casesness (58.5% were observed among people who were present in the street when the bomb exploded but elevated rates were also observed in people who subsequently attended the scene (21.8% probable caseness and among people for whom someone close died (11.9%. People with a near miss (left the scene before the explosion did not show elevated rates. Exposure to the bombing increased PTSD symptoms to a greater extent than general psychiatric symptoms. Previously established predictors accounted for 42% of the variance in PTSD symptoms among people directly exposed to the bombing. Predictors derived from the cognitive model accounted for 63%.High rates of chronic PTSD were observed in individuals exposed to the bombing. Psychological variables that are in principle amenable to treatment were the best predictors of PTSD symptoms. Teams planning treatment interventions for victims of future bombings and other traumas may wish to take these results into account.

A bridging stent to surgery in patients with esophageal and gastroesophageal junction cancer has a dramatic negative impact on patient survival

DEFF Research Database (Denmark)

Kjaer, D W; Nassar, M; Jensen, L S

2017-01-01

/female ratio was 2.64 (198/75) with a median age in the stent group (SG) of 65.1 versus 64.3 in the no stent group (NSG). Patients were comparable with respect to gender, age, smoking, TNM-classification, oncological treatment, hospital stay, tumor location, and histology. The median survival in the SG was 11...... curves were constructed for R0 resected patients. Data were compared between the stent and no-stent group by nonparametric tests. Two hundred seventy three consecutive R0 resected patients with esophageal or GEJ cancer were identified. Of these patients, 63 had a stent as a bridge to surgery. The male.......6 months compared with 21.3 months for patients treated without a bridging stent (P groups, but NSG patients exhibited a significantly better two-year survival (P = 0.017). The median recurrence-free survival...

Epidemiological study of recent death risk of Nagasaki A-bomb survivors exposed at close range

International Nuclear Information System (INIS)

Ishii, Keiichiro; Mine, Mariko; Okumura, Yutaka.

1992-01-01

To elucidate the hormetic effect on health of human exposed with very low-dose ionizing radiation, we preliminary investigate the epidemiological study of Nagasaki A-bomb survivors. The major results are as follows; (1) Nagasaki A-bomb survivors exposed with 2-18 cGy are investigated, and the epidemiological data-base of Nagasaki A-bomb survivors are updated by these new data. (2) An applicability of the expanded new data-base to epidemiological analysis is investigated. Based on this investigation, the theme of epidemiological study to elucidate the hormetic effect on human health are discussed. (3) Effects of A-bomb dose on risk of total death cause, cancer death and non-cancer death are analysed by epidemiological method. The relative frequency of non-cancer death cause on male survivors exposed with 50-99 cGy is decreased relative to unexposed controls. (author)

Terror, tortur og den tikkende bombe

DEFF Research Database (Denmark)

Dige, Morten

2012-01-01

The so-called "war on terror" has renewed the interest in torture in practice as well as in theory. The philosophical debate about possible justifications for torture has to a large extent revolved about the ticking bomb scenario: would it be justified to torture a terrorist in order to prevent...... a catastrophe? I criticize arguments based on ticking bomb scenarios in two steps. First, I show that exceptional resort to torture will not be possible in the situations where it is most needed. Second, I state several pragmatic as well as principled objections against a state sanctioned or tolerated practice...

Rising threat of terrorist bomb blasts in Karachi--a 5-year study.

Science.gov (United States)

Mirza, Farhat Hussain; Parhyar, Hamid Ali; Tirmizi, Syed Zubair Ahmed

2013-08-01

This study aims to determine the frequency of injuries and fatalities associated with terrorist bomb explosions in the city of Karachi from 1 January 2007 to 31 December 2011. Moreover, this study is aimed to determine age and sex vulnerability among the victims of blast explosion. A descriptive cross-sectional study was conducted. The study was carried out at mortuaries and medicolegal sections at Jinnah Postgraduate Medical Center, Civil Hospital and Abbasi-Shaheed Hospital Karachi, the three main hospitals, which cater to all these cases of Karachi. The study included all bomb blast victims examined and autopsied from January 2007 to December 2011 at Jinnah Postgraduate Medical Center, Civil Hospital and Abbassi Shaheed Hospital Karachi. Details of 1142 cases were collected for those medicolegal deaths and injured persons, identified to be the victims of bomb blasts from January 2007 to December 2011. Data were collected on a preformed proforma from the mortuaries and medicolegal sections of these three public sector hospitals. The variables investigated include age, gender, year-wise distribution of the injured and the dead along with the cause of death and body parts injured in survivors. Out of the total 11,109 autopsies during the study period, 249 (2.24%) were carried out on deaths due to bomb blasts. Similarly, 135,065 injury cases were reported during the study period out of which 893 (0.66%) cases were due to bomb blasts. An initial peak in the year 2007, followed by a decline in 2008 and since then a steady rise of bomb blast incidences with casualties and fatalities, has been observed. The highest numbers of injured victims were reported in the year 2010 and fatalities in 2007. Among 1142 cases, 95.18% were male and 4.82% female with a male to female ratio of 19.76:1. Persons of ages between 15 and 45 years were chiefly involved. Shock due to multiple injuries was the leading cause of death, followed by head injury with or without haemorrhage. The

Lack of strategic insight: the "dirty bomb" effort.

Science.gov (United States)

Goffman, Tom

2009-01-01

Multiple countries including the United States and France are investing heavily in countermeasures to the threat of a "dirty bomb." All of the machinery simply involves a variation on a Geiger counter that picks up excess photon irradiation. Classically, a "dirty bomb" is defined as a dangerous radioactive material mixed in a variety of ways with high explosive, so when detonated, radioactive material is dispersed. Solid radioactive material such as Cesium or Cobalt sends off very penetrating ('hard') photons from which one cannot simply be protected by sheet lead or a heavy door. For official occasions with dignitaries of State, such a bomb could prove a modest distraction, but simple radiation physics suggests such a bomb would be limited in the damage it could cause, would largely be a mess to be cleaned up by an appropriately trained crew, would involve a very confined area, and thoroughly fails to comprehend the mentality of al-Queda 'central' that wishes to follow 9/11 with an equal or greater show of terrorist force. The author would argue this sort of mind-think occurs when you have too few people in the hard sciences in your intelligence sections.

Clinical outcomes and survival in AA amyloidosis patients

Directory of Open Access Journals (Sweden)

Yavuz Ayar

Full Text Available Abstract Aim Amyloid A amyloidosis is a rare complication of chronic inflammatory conditions. Most patients with amyloid A amyloidosis present with nephropathy and it leads to renal failure and death. We studied clinical characteristics and survival in patients with amyloid A amyloidosis. Methods: A total of 81 patients (51 males, 30 females with renal biopsy proven amyloid A amyloidosis were analyzed retrospectively. The patients were divided into good and poor outcomes groups according to survival results. Results: Most of the patients (55.6% had nephrotic range proteinuria at diagnosis. Most frequent underlying disorders were familial Mediterranean fever (21.2% and rheumatoid arthritis (10.6% in the good outcome group and malignancy (20% in the poor outcome group. Only diastolic blood pressure in the good outcome group and phosphorus level in the poor outcome group was higher. Serum creatinine levels increased after treatment in both groups, while proteinuria in the good outcome group decreased. Increase in serum creatinine and decrease in estimated glomerular filtration rate of the poor outcome group were more significant in the good outcome group. At the time of diagnosis 18.5% and 27.2% of all patients had advanced chronic kidney disease (stage 4 and 5, respectively. Median duration of renal survival was 65 ± 3.54 months. Among all patients, 27.1% were started dialysis treatment during the follow-up period and 7.4% of all patients underwent kidney transplantation. Higher levels of systolic blood pressure [hazard ratios 1.03, 95% confidence interval: 1-1.06, p = 0.036], serum creatinine (hazard ratios 1.25, 95% confidence interval: 1.07-1.46, p = 0.006 and urinary protein excretion (hazard ratios 1.08, 95% confidence interval: 1.01-1.16, p = 0.027 were predictors of end-stage renal disease. Median survival of patients with organ involvement was 50.3 ± 16 months. Conclusion Our study indicated that familial Mediterranean fever constituted

UV spectra, bombs, and the solar atmosphere

OpenAIRE

Judge, Philip G.

2015-01-01

A recent analysis of UV data from the Interface Region Imaging Spectrograph {\\em IRIS} reports plasma "bombs" with temperatures near \\hot{} within the solar photosphere. This is a curious result, firstly because most bomb plasma pressures $p$ (the largest reported case exceeds $10^3$ dyn~cm$^{-2}$) fall well below photospheric pressures ($> 7\\times10^3$), and secondly, UV radiation cannot easily escape from the photosphere. In the present paper the {\\em IRIS} data is independently analyzed. I...

Love Bomb

OpenAIRE

Caruana, Natasha

2015-01-01

Love Bomb charts evidence of love and hate through a series of still lives constructed and informed by sourcery, chemistry and psychotherapy. The photographic work is a response to the breakup of relationship and metaphorical investigation of the links between the two emotions on wider scale. Restlessly the artist documents her attempts to stay in love, searching for love potions on the internet then making and photographing them in her studio. Interspersed amongst these attempts is the docum...

Survival Analysis of Patients with End Stage Renal Disease

Science.gov (United States)

Urrutia, J. D.; Gayo, W. S.; Bautista, L. A.; Baccay, E. B.

2015-06-01

This paper provides a survival analysis of End Stage Renal Disease (ESRD) under Kaplan-Meier Estimates and Weibull Distribution. The data were obtained from the records of V. L. MakabaliMemorial Hospital with respect to time t (patient's age), covariates such as developed secondary disease (Pulmonary Congestion and Cardiovascular Disease), gender, and the event of interest: the death of ESRD patients. Survival and hazard rates were estimated using NCSS for Weibull Distribution and SPSS for Kaplan-Meier Estimates. These lead to the same conclusion that hazard rate increases and survival rate decreases of ESRD patient diagnosed with Pulmonary Congestion, Cardiovascular Disease and both diseases with respect to time. It also shows that female patients have a greater risk of death compared to males. The probability risk was given the equation R = 1 — e-H(t) where e-H(t) is the survival function, H(t) the cumulative hazard function which was created using Cox-Regression.

Psychological problems of atomic bomb survivors from the medical social worker's standpoint

International Nuclear Information System (INIS)

Tomoike, Toshio

1994-01-01

Mental data from 80 A-bomb survivors were available during a 20-year period 1973-1992. Types of A-bomb survivors were classified into (1) directly exposed A-bomb survivors, (2) A-bomb survivors living in the United States, (3) those living in prefectures other than Nagasaki, (4) ex-soldiers, (5) A-bomb survivors having family problems and others, (6) the demented elderly, (7) the alcoholic, and (8) others. Mental problems were judged as psychogenic, endogenous, and exogenous. Mental problems were most frequently associated with Type 1 (34.9%), followed by Type 8 (21.0%), Type 2 (18.6%), and Type 3 (7.0%). Noticeable finding was that Type 1 A-bomb survivors suffered from psychogenic and exogenous mental problems in an extremely high incidence, as compared with the non-exposed group (66.3% vs 24%). The incidence of both exogenous and endogenous problems was higher in the non-exposed group (32.6% and 24.5%) than the exposed group (23.2% and 10.5%). There was no significant gender difference in the development of mental problems. According to types of A-bomb survivors, both psychogenic and exogenous mental problems were most common for Type 1. The incidence of psychogenic problems was 2.85 times higher than that of exogenous problems. (N.K.)

Proceedings of the 46th Research Society for the Late Effects of A-Bomb

International Nuclear Information System (INIS)

Ito, Chikako; Shimizu, Yukiko; Tomonaga, Masao

2006-01-01

This issue is the collection of study papers presented in the meeting in the title (in Hiroshima City, June 5, 2005), which containing following documents: the special lecture concerning The 60-year history after A-bomb by a doctor who has pursued the medical works for the survivors for about 40 years; 4 symposia on the view in coming decade of researches for the late effects of A-Bomb concerning Solid cancer risks, Blood disease risks (leukemia, myelodysplastic syndrome/MDS and multiple myeloma), Mechanism of radiation carcinogenesis, and Health problems in the second generations of survivors; and 30 general presentations. The general presentations involve 10 clinical and social examination-related studies of Hiroshima and Nagasaki A-bomb survivors, a study on the internal exposure dose evaluation in residents around Chernobyl, 5 clinical and basic studies on thyroid, 2 studies on MDS, 3 basic or epidemiological studies on A-bomb radiation effects, 9 basic radiation biology studies related to gene analysis, DNA, apoptosis, 40 K and p53 in the survivors and/or in experimental cells/animals. (T.I.)

A review of 40 years studies of Hiroshima and Nagasaki atomic bomb survivors

International Nuclear Information System (INIS)

Itsuzo Shigematsu

1993-01-01

The late health effects of ionizing radiation have been studied by the Atomic Bomb Casualty Commission (ABCC) and its successor, the Radiation Effects Research Foundation (RERF) based on a fixed population of atomic bomb survivors in Hiroshima and Nagasaki which had been established in 1950. The results thus far obtained up to the present can be classified into the following three categories: (1) The effects for which a strong association with atomic bomb radiation has been found include malignant neoplasms, cataracts, chromosomal aberrations, small head size and mental retardation among the in utero exposed. (2) A weak association has been found in the several sites of cancers, some non-cancer mortalities and immunological abnormalities. (3) No association has been observed in some types of leukemia, osteosarcoma, accelerated aging, sterility and hereditary effects

Mental retardation occurring in embryo exposed in utero to the atomic bomb (Hiroshima). After 30 years follow-up study

Energy Technology Data Exchange (ETDEWEB)

Ishikawa, H; Shimasaki, A; Fujiwara, K [Saijo Mental Hospital, Hiroshima (Japan); Harada, M; Minami, R

1978-11-01

This paper deals with a long term follow-up study on psychological symptoms in four patients with microscopically microcephaly induced by prenatal exposed to atomic bomb. They were exposed to atomic bomb at 8- and 12-week-embryos. The distance from the center of the explosion was 780 - 1180 m. All their mothers had acute radiation hazards. Their growths in the uterus were markedly damaged. Postnatal body weight ranged between 1,300 and 2,000 g. They were commonly characterized by microcephaly, physiological and mental retardation, stigmata of degeneracy, and skin symptoms, who were diagnosed as ''microcephaly induced by early prenatal exposure to atomic bomb'' by the research group for microcephaly in the Ministry of Health and Welfare. These common symptoms such as microcephaly, stigmata of degeneracy, and disturbed growth, but neurological symptoms such as motor aphasia were slighter in these patients than in those having congenital Minamata disease prenatal. These results suggested that the prognosis of these patients in whom 30 years have passed is unexpectedly serious.

Increased relative risk of myelodysplastic syndrome in atomic bomb survivors

International Nuclear Information System (INIS)

Oda, Kenji; Kimura, Akiro; Matsuo, Tatsuki; Tomonaga, Masao; Kodama, Kazunori; Mabuchi, Kiyohiko

1998-01-01

It was investigated what blood disorders except leukemia increased the relative risk with dose dependency in atomic bomb survivors. Subjects were 217 patients of atomic bomb survivors in Hiroshima and Nagasaki, who had blood disorders except leukemia and died between 1950 and 1990. Their medical records were analyzed and their diagnoses were reevaluated. Sixteen cases were diagnosed as the aplastic anemia and 12 as the myelodysplastic syndrome (MDS). In the aplastic anemia, there was no correlation between the exposure dose and the mortality. In MDS, the excess relative risk (ERR)/bone marrow exposure dose of 1 Sv was very high (13.0). These results supports the hypothesis that MDS would be broken out by the clonal abnormality of the hematopoietic stem cell and radiation exposure could cause the appearance of the abnormal stem cell clone. (K.H.)

Increased relative risk of myelodysplastic syndrome in atomic bomb survivors

Energy Technology Data Exchange (ETDEWEB)

Oda, Kenji [Hiroshima City Hospital (Japan); Kimura, Akiro; Matsuo, Tatsuki; Tomonaga, Masao; Kodama, Kazunori; Mabuchi, Kiyohiko

1998-12-01

It was investigated what blood disorders except leukemia increased the relative risk with dose dependency in atomic bomb survivors. Subjects were 217 patients of atomic bomb survivors in Hiroshima and Nagasaki, who had blood disorders except leukemia and died between 1950 and 1990. Their medical records were analyzed and their diagnoses were reevaluated. Sixteen cases were diagnosed as the aplastic anemia and 12 as the myelodysplastic syndrome (MDS). In the aplastic anemia, there was no correlation between the exposure dose and the mortality. In MDS, the excess relative risk (ERR)/bone marrow exposure dose of 1 Sv was very high (13.0). These results supports the hypothesis that MDS would be broken out by the clonal abnormality of the hematopoietic stem cell and radiation exposure could cause the appearance of the abnormal stem cell clone. (K.H.)

Detection at a distance of atomic bomb tests

Energy Technology Data Exchange (ETDEWEB)

Nahmias, M E

1954-01-01

Nahmias describes the radioassay of air, rain, and snowfall as the basis for detecting atomic bomb tests. Tables and graphs give time vs. Ra equivalents, distance vs Roentgens/h of radiation, and distribution of radioelements which can be expected.

Health survey of atomic bomb survivors in South Korea

Energy Technology Data Exchange (ETDEWEB)

Arita, Ken-ichi; Iwamori, Hiroshi; Kishi, Akihiro; Koutoku, Michiya

1988-05-01

Health survey was undertaken among Korea survivors exposed to atomic bomb in Japan who now reside in South Korea. Of 232 A-bomb survivors on whom raditation exposure information was available, all were exposed to atomic bomb in Hiroshima. According to the distance from the hypocenter, one (0.4 %) A-bomb survior was exposed at < 1,000 m, 60 (25.9 %) at 1,000 - 2,000 m, 124 (53.4 %) at > 2,000 - 3,000 m, and 43 (18.5 %) at < 3,000 m. In the four remaining, it was unknown. According to age, 14.7 % were in their forties, 33.6 % in their fifties, 32.6 % in their sixties, 16.0 % in their severties, and 3.1 % in their eighties, indicating the tendency for the aging of older persons. Common subjective symptoms were lumbar pain and joint pain, which seemed atributable to osteoarthritis. Other diseases included hypertension, chronic obstructive pulmonary disease, sequelae of cerebral stroke, eczema, and mycosis. (Namekawa, K.).

Survival of patients with Ewing's sarcoma in Yazd-Iran.

Science.gov (United States)

Akhavan, Ali; Binesh, Fariba; Shamshiri, Hadi; Ghanadi, Fazllolah

2014-01-01

The Ewing's sarcoma family is a group of small round cell tumors which accounts for 10-15% of all primary bone neoplasms. The aim of this study was to evaluate the survival of Ewing's sarcoma patients in our province and to determine of influencing factors. All patients with documented Ewing's sarcoma/ primitive neuroectodermal tumor(PNET) family pathology were enrolled in this study during a period of eight years. For all of them local and systemic therapy were carried out. Overall and event free survival and prognostic factors were evaluated. Thirty two patients were enrolled in the study. The median age was 17.5 years. Twenty (65.2%) were male and 9 (28.1%) were aged 14 years or less. Mean disease free survival was 26.8 (95%CI; 13.8-39.9) months and five year disease free survival was 26%. Mean overall survival was 38.7 months (95%CI; 25.9-50.6) and median overall survival was 24 months. Five year overall survival was 25%. From the variables evaluated , only presence of metastatic disease at presentation (p value=0. 028) and complete response (p value =0. 006) had significant relations to overall survival. Survival of Ewing's sarcoma in our province is disappointing. It seems to be mostly due to less effective treatment. Administration of adequate chemotherapy dosage, resection of tumor with negative margins and precise assessment of irradiation volume may prove helpful.

A-BOMB SURVIVOR SITE-SPECIFIC RADIOGENIC CANCER RISKS ESTIMATES

Science.gov (United States)

A draft manuscript is being prepared that describes ways to improve estimates of risk from radiation that have been derived from A-bomb survivors. The work has been published in the journal Radiation Research volume 169, pages 87-98.

The mental health state of atomic bomb survivors

International Nuclear Information System (INIS)

Nakane, Yoshibumi; Imamura, Yoshihiro; Yoshitake, Kazuyasu; Honda, Sumihisa; Mine, Mariko; Hatada, Keiko; Tomonaga, Masao; Tagawa, Masuko

1997-01-01

Our department of Neuropsychiatry has clarified the clinical features of several mental disorders and surveyed the causes of those disorders from the psychosocial aspect using the methodology of epidemiological psychiatric approach. Using this previous research experience, we began a long-planned study to examine the mental health state of atomic bomb survivors. Fifty-one years have passed since the atomic bombing, and the survivors must have suffered various psychosocial stresses, other than any direct effect on the central nervous system from exposure to radiation, and it is assumed that victims' mental state has been affected in various ways as a result. The subjects of the survey were 7,670 people who had regular health examinations for atomic bomb survivors during the study period of three years and who consented to participate in the study. Of the total, 226 subjects were selected for a second phase according to the results of the General Health Questionnaire 12-item Version which was used in the first phase of the survey. The results were as follows: 1. The distance from the hypocenter was related to the degree of ill health, and the percentage of people with a high score was greater among those exposed to the atomic bomb in proximity to the hypocenter. 2. 14.6% of the subjects were diagnosed as having some kind of mental disorders according to clinical interviews by trained psychiatrists. These results had not expected prior to the study. On the based of the study, we will try to establish a mental health support system for atomic bomb survivors. (author)

The mental health state of atomic bomb survivors

Energy Technology Data Exchange (ETDEWEB)

Nakane, Yoshibumi; Imamura, Yoshihiro; Yoshitake, Kazuyasu; Honda, Sumihisa; Mine, Mariko; Hatada, Keiko; Tomonaga, Masao [Nagasaki Univ. (Japan). School of Medicine; Tagawa, Masuko

1997-03-01

Our department of Neuropsychiatry has clarified the clinical features of several mental disorders and surveyed the causes of those disorders from the psychosocial aspect using the methodology of epidemiological psychiatric approach. Using this previous research experience, we began a long-planned study to examine the mental health state of atomic bomb survivors. Fifty-one years have passed since the atomic bombing, and the survivors must have suffered various psychosocial stresses, other than any direct effect on the central nervous system from exposure to radiation, and it is assumed that victims` mental state has been affected in various ways as a result. The subjects of the survey were 7,670 people who had regular health examinations for atomic bomb survivors during the study period of three years and who consented to participate in the study. Of the total, 226 subjects were selected for a second phase according to the results of the General Health Questionnaire 12-item Version which was used in the first phase of the survey. The results were as follows: 1. The distance from the hypocenter was related to the degree of ill health, and the percentage of people with a high score was greater among those exposed to the atomic bomb in proximity to the hypocenter. 2. 14.6% of the subjects were diagnosed as having some kind of mental disorders according to clinical interviews by trained psychiatrists. These results had not expected prior to the study. On the based of the study, we will try to establish a mental health support system for atomic bomb survivors. (author)

Study of thyroid tumors in atomic bomb survivors in Nagasaki

International Nuclear Information System (INIS)

Sekine, Ichiro; Shichijo, Kazuko; Ito, Masahiro; Kishikawa, Masao; Mine, Mariko; Ikeda, Takayoshi; Ooya, Seiichi.

1992-01-01

Thyroid tumors, which were registered during 16 years from 1973 through 1988 in the Nagasaki tumor tissue registration committee, were examined with the purpose of searching for the relationship between thyroid tumors and A-bombing. One hundred and three A-bomb survivors having an A-bomb survivors 'handbook and 89 non-exposed persons born before August 9, 1945 in Nagasaki City were enrolled in the present study. The A-bomb survivors were divided into three groups: people exposed at >2,000 m from the hypocenter (n=20), those exposed at ≤2,000 m (n=68), and those entered the city early after A-bombing (n=15). Thyroid tumors examined were: thyroid carcinoma, nodular goiter, thyroid adenoma and malignant lymphoma. Crude incidence rate and relative risk of thyroid cancer were higher in all exposed groups, except for the ≤2,000 m group of males, than the non-exposed group. In particular, the >2,000 m group had significantly higher incidence of thyroid cancer, irrespective of sex. These findings confirmed the previous data for the higher incidence of thyroid cancer in A-bomb survivors exposed to higher doses of radiation. According to age, thyroid cancer was the most common in their sixth decade of life in the exposed group and in their fifth decade of life in the non-exposed group. Histologically, follicular carcinoma occupied higher incidence in the exposed group (19.2%) than the non-exposed group (8.7%). (N.K.)

3D reconstructions of a controlled bus bombing

DEFF Research Database (Denmark)

Villa, Chiara; Hansen, Nikolaj Friis; Hansen, Kamilla Maria

2018-01-01

Objectives: to demonstrate the usefulness of 3D reconstructions to better understand the dynamic of a controlled bus bombing. Materials and methods: 3D models of the victims (pigs) were created from post-mortem CT scanning using Mimic software; 3D models of the crime scene (bus) were generated by...

Satisfaction in life of elder A-bomb survivors

International Nuclear Information System (INIS)

Mine, Mariko; Okumura, Yutaka; Kondo, Hisayoshi; Yokota, Kenichi

1992-01-01

1500 A-bomb survivor aged more than 65 are sampled and the questionnaire was performed by mailing. 1329 (88.6 %) responded and 937 from the age less than 80 were statistically anylized. Fairly good satisfaction was felt on their daily life, including dwelling, income, work, health and family. (J.P.N.)

Trastuzumab and survival of patients with metastatic breast cancer.

Science.gov (United States)

Kast, Karin; Schoffer, Olaf; Link, Theresa; Forberger, Almuth; Petzold, Andrea; Niedostatek, Antje; Werner, Carmen; Klug, Stefanie J; Werner, Andreas; Gatzweiler, Axel; Richter, Barbara; Baretton, Gustavo; Wimberger, Pauline

2017-08-01

Prognosis of Her2-positive breast cancer has changed since the introduction of trastuzumab for treatment in metastatic and early breast cancer. It was described to be even better compared to prognosis of Her2-negative metastatic breast cancer. The purpose of this study was to evaluate the effect of trastuzumab in our cohort. Besides the effect of adjuvant pretreatment with trastuzumab on survival of patients with metastatic Her2-positive breast cancer was analyzed. All patients with primary breast cancer of the Regional Breast Cancer Center Dresden diagnosed during the years 2001-2013 were analyzed for treatment with or without trastuzumab in the adjuvant and in the metastatic treatment setting using Kaplan-Meier survival estimation and Cox regression. Age and tumor stage at time of first diagnosis of breast cancer as well as hormone receptor status, grading, time, and site of metastasis at first diagnosis of distant metastatic disease were analyzed. Of 4.481 female patients with primary breast cancer, 643 presented with metastatic disease. Her2-positive status was documented in 465 patients, including 116 patients with primary or secondary metastases. Median survival of patients with Her2-positive primary metastatic disease was 3.0 years (95% CI 2.3-4.0). After adjustment for other factors, survival was better in patients with Her2-positive breast cancer with trastuzumab therapy compared to Her2-negative metastatic disease (HR 2.10; 95% CI 1.58-2.79). Analysis of influence of adjuvant therapy with and without trastuzumab by Kaplan-Meier showed a trend for better survival in not pretreated patients. Median survival was highest in hormone receptor-positive Her2-positive (triple-positive) primary metastatic breast cancer patients with 3.3 years (95% CI 2.3-4.6). Prognosis of patients with Her2-positive metastatic breast cancer after trastuzumab treatment is more favorable than for Her2-negative breast cancer. The role of adjuvant chemotherapy with or without

Truck bomb and insider threats to nuclear facilities

International Nuclear Information System (INIS)

Hirsch, D.

1987-01-01

In the nuclear field, two the these weak links in the security chain are the truck bomb threat and the insider threat. The risks associated with terrorist use of vehicular bombs against nuclear targets surfaced (actually, resurfaced) followed the terrorist attacks on the US Embassy annex and the Marine compound in Leb Concern was expressed that similar attacks against nuclear facilities could result in substantial damage and release of radioactivity. Since the current regulations of the NRC require licensees to protect only against attacks on foot (and even then, only against very small attacking forces), shortly after the Lebanon bombings, that agency commenced an urgent rulemaking to require its licensees to protect against truck bombs. Inexplicably, that rulemaking was called off after research results indicated that the truck bomb threat to nuclear facilities was even more serious than previously thought. Even were nuclear facilities adequately protected against external attack, be the aim theft or sabotage, the greatest security risk to these sites - the threat of action by insiders - would remain. The traditional methods of protecting against the insider threat - such as the two-person rule, strict compartmentalization of vital areas, and design features that make damage to two or more redundant systems by one individual difficult - are generally expensive and have encountered substantial resistance from the nuclear industry, which has restrained the NRC from requiring them

Effects of percutaneous endoscopic gastrostomy on survival of patients in a persistent vegetative state after stroke.

Science.gov (United States)

Wu, Kunpeng; Chen, Ying; Yan, Caihong; Huang, Zhijia; Wang, Deming; Gui, Peigen; Bao, Juan

2017-10-01

To assess the effect of percutaneous endoscopic gastrostomy on short- and long-term survival of patients in a persistent vegetative state after stroke and determine the relevant prognostic factors. Stroke may lead to a persistent vegetative state, and the effect of percutaneous endoscopic gastrostomy on survival of stroke patients in a persistent vegetative state remains unclear. Prospective study. A total of 97 stroke patients in a persistent vegetative state hospitalised from January 2009 to December 2011 at the Second Hospital, University of South China, were assessed in this study. Percutaneous endoscopic gastrostomy was performed in 55 patients, and mean follow-up time was 18 months. Survival rate and risk factors were analysed. Median survival in the 55 percutaneous endoscopic gastrostomy-treated patients was 17·6 months, higher compared with 8·2 months obtained for the remaining 42 patients without percutaneous endoscopic gastrostomy treatment. Univariate analyses revealed that age, hospitalisation time, percutaneous endoscopic gastrostomy treatment status, family financial situation, family care, pulmonary infection and nutrition were significantly associated with survival. Multivariate analysis indicated that older age, no gastrostomy, poor family care, pulmonary infection and poor nutritional status were independent risk factors affecting survival. Indeed, percutaneous endoscopic gastrostomy significantly improved the nutritional status and decreased pulmonary infection rate in patients with persistent vegetative state after stroke. Interestingly, median survival time was 20·3 months in patients with no or one independent risk factors of poor prognosis (n = 38), longer compared with 8·7 months found for patients with two or more independent risk factors (n = 59). Percutaneous endoscopic gastrostomy significantly improves long-term survival of stroke patients in a persistent vegetative state and is associated with improved nutritional status

Skin cancer of Nagasaki atomic bomb survivors, 3

International Nuclear Information System (INIS)

Sadamori, Naoki; Mine, Mariko; Hori, Makoto; Noda, Yoshinori; Fujiwara, Naoko; Takahara, Osamu; Sadamori, Michiko; Nishimoto, Katsutaro; Ota, Hisahiro.

1990-01-01

In Report 1 of this series, we suspected that the incidence of skin cancer in Nagasaki A-bomb survivors might have increased based on evidence of chromosomal aberrations and clonal formations in cultured skin cells. In Report 2, we described the results of a preliminary study using 110 cases of skin cancer collected from the three major hospitals in Nagasaki City (Nagasaki University Hospital, A-bomb Hospital and Citizens Hospital). In that study a high correlation was observed between the incidence of skin cancer and exposure distance in the analysis of all 110 cases and of the 50 male cases (p<0.01), but no such correlation was noted in a separate analysis of the 60 female cases. In this report, 140 cases of skin cancer collected from 31 hospitals in Nagasaki City and adjacent districts were statistically analyzed in respect to the estimated distance from the hypocenter, using the data of a total of 66,276 A-bomb survivors recorded in the Scientific Data Center of the Atomic Bomb Disaster, Nagasaki University School of Medicine. The results disclosed a high correlation between the incidence of skin cancer and the exposure distance (p<0.01). In addition, this correlation was the same even when the cases were analyzed separately according to sex. (author)

Red China’s Capitalist Bomb: Inside the Chinese Neutron Bomb Program

Science.gov (United States)

2015-01-01

Moscow demanded, “What is the stand of the Peking leaders toward the neutron bomb and all nuclear weapons? Why have Chinese newspapers, magazines , and...for civilian and military use. Programs for laser technology, space, biotechnology , information technology, automation and manufacturing technology

Self-rated health as a predictor of survival among patients with advanced cancer.

Science.gov (United States)

Shadbolt, Bruce; Barresi, Jane; Craft, Paul

2002-05-15

Evidence is emerging about the strong predictive relationship between self-rated health (SRH) and survival, although there is little evidence on palliative populations where an accurate prediction of survival is valuable. Thus, the relative importance of SRH in predicting the survival of ambulatory patients with advanced cancer was examined. SRH was compared to clinical assessments of performance status, as well as to quality-of-life measures. By use of a prospective cohort design, 181 patients (76% response rate) with advanced cancer were recruited into the study, resurveyed at 18 weeks, and observed to record deaths. The average age of patients was 62 years (SD = 12). The median survival time was 10 months. SRH was the strongest predictor of survival from baseline. Also, a Cox regression comparing changes in SRH over time yielded hazard ratios suggesting the relative risk (RR) of dying was greater for fair ratings at 18 weeks (approximately 3 times) compared with consistent good or better ratings; the RR was even greater (4.2 and 6.2 times) for poor ratings, especially when ratings were poor at baseline and 18 weeks (31 times). Improvement in SRH over time yielded the lowest RR. SRH is valid, reliable, and responsive to change as a predictor of survival of advanced cancer. These qualities suggest that SRH should be considered as an additional tool by oncologists to assess patients. Similarly, health managers could use SRH as an indicator of disease severity in palliative care case mix. Finally, SRH could provide a key to help us understand the human side of disease and its relationship with medicine.

Extension lectures: the effects of radiation from atomic bombing

International Nuclear Information System (INIS)

Okumura, Yutaka; Mine, Mariko

1999-01-01

About 56,000 A-bomb survivors are living in Nagasaki city even today. Nagasaki citizens, whether they are A-bomb survivors or not, can not live without concerns on the existence of radiation effects. They have fears of any amount of radiation and are afraid that it may harm their life. As results of studies in the university on radiation effects are not familiar to the citizens, we have started extension lectures on 'the effects of radiation from A-bombing' to them since 1990. We discuss the problems as well as significance of the extension lectures by reporting the details of the extension lectures which we have managed in the past. (author)

Evaluation of medical examination of A-bomb survivors in cardiovascular disease

International Nuclear Information System (INIS)

Hayakawa, Norihiko; Matsuura, Masaaki; Kurihara, Minoru; Itoh, Chikako; Ishibashi, Shinzou; Sugimoto, Sumio.

1989-01-01

This is an analysis of 1311 death cases from cardiovascular disease (CVD) in A-bomb survivors aged 50-69 (665 men and 646 women), with the purpose of evaluating the significance of medical examination for A-bomb survivors. Control subjects consisted of 1311 A-bomb survivors dying of diseases other than CVD who were matched for sex and date of death. The commonest cause of death was cerebrovascular disease (56%), followed by ischemic heart disease (22%). An average number of participation in medical examination was 11.9 in the CVD group and 12.0 in the control group. The CVD group tended to have received detailed examinations, including serum total cholesterol, beta-lipoprotein, neutral fat, ECG, cardiothoracic radio, and glucose, as opposed to the control group receiving general examinations, such as urinary protein, urinary glucose and blood pressure. The following items showed significantly higher relative risks between the CVD and control groups: blood pressure (3.3), urinary protein (3.1), ECG (2.6), beta-lipoprotein (1.8), cardiothoracic ratio (1.9), serum total cholesterol (1.7), urinary glucose (1.6), and subjective symptoms (1.5). (N.K.)

A new score predicting the survival of patients with spinal cord compression from myeloma

International Nuclear Information System (INIS)

Douglas, Sarah; Schild, Steven E; Rades, Dirk

2012-01-01

This study was performed to create and validate a scoring system for the survival of patients with malignant spinal cord compression (SCC) from myeloma. Of the entire cohort (N = 216), 108 patients were assigned to a test group and 108 patients to a validation group. In the test group, nine pre-treatment factors including age, gender, Eastern Cooperative Oncology Group performance status (ECOG-PS), number of involved vertebrae, ambulatory status prior to radiotherapy, other bone lesions, extraosseous lesions, interval from first diagnosis of myeloma to radiotherapy of SCC, and the time developing motor deficits were retrospectively analyzed. On univariate analysis, improved survival was associated with ECOG-PS 1–2 (p = 0.006), being ambulatory (p = 0.005), and absence of other bone lesions (p = 0.019). On multivariate analysis, ECOG-PS (p = 0.036) and ambulatory status (p = 0.037) were significant; other bone lesions showed a strong trend (p = 0.06). These factors were included in the score. The score for each factor was determined by dividing the 12-month survival rate (in%) by 10. The total risk score was the sum of the three factor scores and ranged from 19 to 24 points. Three prognostic groups were designed with the following 12-month survival rates: 49% for 19–20 points, 74% for 21–23 points, and 93% for 24 points (p = 0.002). In the validation group, the 12-month survival rates were 51%, 80%, and 90%, respectively (p < 0.001). This score appears reproducible, because the 12-month survival rates of both the test and the validation group were very similar. This new survival score can help personalize the treatment of patients with SCC from myeloma and can be of benefit when counseling patients

Self injury of extremities leading to amputation while handling local bomb.

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Bhadani, Umesh Kumar

2013-05-01

Self injury while making material which has a tendency to blast is dangerous- whether it is fire cracker or local bomb. Some villagers living nearby forest make bomb to scare wild animals to protect their pet animals. A 22-year old girl while making this kind of local bomb, got injured badly. The injury was sustained while making bomb in a sitting position with face down as it is evident form type of injury. There was lacerated injury of both hands leading to amputation of both hands above wrists. Lacerated injury was present on medial sides of both thighs and gun powder marks on face. Copyright © 2012 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved.

Clinical survey of blood dyscrasias among Hiroshima A-bomb survivors by the periodical health examination, (3)

Energy Technology Data Exchange (ETDEWEB)

Taketomi, Y; Abe, T; Kamada, N; Kuramoto, A; Takahashi, H [Hiroshima Univ. (Japan). Research Inst. for Nuclear Medicine and Biology

1978-04-01

The actual condition of polycythemia in atomic bomb survivors was evaluated laying stress on the results of general clinical examinations in Hiroshima A-bomb Survivors Health Control Clinic in 1973. Of 40,410 subjects examined in 1973 (male 15,390; female 25,020), 218 males and 220 females, 438 in total, excluding the patients with cardiopulmonary diseases, satisfied the criteria for polycythemia that males show higher values over 17.1 g/dl of Hb and 51.5% of Ht and females over 15.2 g/dl of Hb and 46.0% of Ht. The incidence of this disease was higher in younger males but it increased with age in females. However, there was no correlationship between the incidence of this disease and the distance from the epicenter. Further, 10 males and 8 females, 18 in total, of these patients satisfied the Komiya's criteria for polycythemia (RBC 6,000,000, Ht 50% in males, and RBC 5,500,000, Ht>50% in females) in 1973 or before, and one of them was diagnosed as polycythemia vera by the present examination (1977). This survey was made on 40,410 subjects, one of which was diagnosed as polycythemia vera. Because of a lower incidence of polycythemia than that of leukemia, it was difficult to give an accurate diagnosis and it was also hard to evaluate the incidence of this disease in atomic bomb survivors comparing with that in healthy people. It is therefore required to pile up the data year after year. In various blood diseases such as chronic myelogenic leukemia and acute leukemia, the foregoing state of myeloid proliferation was sometimes observed preceding the onset of these blood diseases. Therefore, the 18 cases at least which satisfied the Komiya's criteria should be followed up carefully.

Clinical survey of blood dyscrasias among Hiroshima A-bomb survivors by the periodical health examination, (3)

International Nuclear Information System (INIS)

Taketomi, Yoshinori; Abe, Tsutomu; Kamada, Nanao; Kuramoto, Atsushi; Takahashi, Hiroshi

1978-01-01

The actual condition of polycythemia in atomic bomb survivors was evaluated laying stress on the results of general clinical examinations in Hiroshima A-bomb Survivors Health Control Clinic in 1973. Of 40,410 subjects examined in 1973 (male 15,390; female 25,020), 218 males and 220 females, 438 in total, excluding the patients with cardiopulmonary diseases, satisfied the criteria for polycythemia that males show higher values over 17.1 g/dl of Hb and 51.5% of Ht and females over 15.2 g/dl of Hb and 46.0% of Ht. The incidence of this disease was higher in younger males but it increased with age in females. However, there was no correlationship between the incidence of this disease and the distance from the epicenter. Further, 10 males and 8 females, 18 in total, of these patients satisfied the Komiya's criteria for polycythemia (RBC 6,000,000, Ht 50% in males, and RBC 5,500,000, Ht>50% in females) in 1973 or before, and one of them was diagnosed as polycythemia vera by the present examination (1977). This survey was made on 40,410 subjects, one of which was diagnosed as polycythemia vera. Because of a lower incidence of polycythemia than that of leukemia, it was difficult to give an accurate diagnosis and it was also hard to evaluate the incidence of this disease in atomic bomb survivors comparing with that in healthy people. It is therefore required to pile up the data year after year. In various blood diseases such as chronic myelogenic leukemia and acute leukemia, the foregoing state of myeloid proliferation was sometimes observed preceding the onset of these blood diseases. Therefore, the 18 cases at least which satisfied the Komiya's criteria should be followed up carefully. (Ueda, J.)

BOMB STABILIZING STRUCTURE

Science.gov (United States)

Kelley, J.L.; Runyan, C.E.

1963-12-10

A stabilizinig structure capable of minimizing deviations of a falling body such as a bomb from desired trajectory is described. The structure comprises a fin or shroud arrangement of double-wedge configuration, the feeding portion being of narrow wedge shape and the after portion being of a wider wedge shape. The structure provides a force component for keeping the body on essentially desired trajectory throughout its fall. (AEC)

Comparison of survival of patients with metastases from known versus unknown primaries: survival in metastatic cancer

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Riihimäki Matias

2013-01-01

Full Text Available Abstract Background Cancer of unknown primary site (CUP is considered an aggressive metastatic disease but whether the prognosis differs from metastatic cancers of known primary site is not known. Such data may give insight into the biology of CUP and the metastatic process in general. Methods 6,745 cancer patients, with primary metastatic cancer at diagnosis, were identified from the Swedish Cancer Registry, and were compared with 2,881 patients with CUP. Patients were diagnosed and died between 2002 and 2008. The influence of the primary site, known or unknown, on survival in patients with metastases at specific locations was investigated. Hazard ratios (HRs of death were estimated for several sites of metastasis, where patients with known primary sites were compared with CUP patients. Results Overall, patients with metastatic cancers with known primary sites had decreased hazards of death compared to CUP patients (HR = 0.69 [95% CI = 0.66–0.72]. The exceptions were cancer of the pancreas (1.71 [1.54–1.90], liver (1.58 [1.36–1.85], and stomach (1.16 [1.02–1.31]. For individual metastatic sites, patients with liver or bone metastases of known origin had better survival than those with CUP of the liver and bone. Patients with liver metastases of pancreatic origin had an increased risk of death compared with patients with CUP of the liver (1.25 [1.06–1.46]. The median survival time of CUP patients was three months. Conclusions Patients with CUP have poorer survival than patients with known primaries, except those with brain and respiratory system metastases. Of CUP sites, liver metastases had the worst prognosis. Survival in CUP was comparable to that in metastatic lung cancer. The aggressive behavior of CUP may be due to initial immunosuppression and immunoediting which may allow accumulation of mutations. Upon escape from the suppressed state an unstoppable tumor spread ensues. These novel data on the epidemiology of the

Prognostic classification index in Iranian colorectal cancer patients: Survival tree analysis

Directory of Open Access Journals (Sweden)

Amal Saki Malehi

2016-01-01

Full Text Available Aims: The aim of this study was to determine the prognostic index for separating homogenous subgroups in colorectal cancer (CRC patients based on clinicopathological characteristics using survival tree analysis. Methods: The current study was conducted at the Research Center of Gastroenterology and Liver Disease, Shahid Beheshti Medical University in Tehran, between January 2004 and January 2009. A total of 739 patients who already have been diagnosed with CRC based on pathologic report were enrolled. The data included demographic and clinical-pathological characteristic of patients. Tree-structured survival analysis based on a recursive partitioning algorithm was implemented to evaluate prognostic factors. The probability curves were calculated according to the Kaplan-Meier method, and the hazard ratio was estimated as an interest effect size. Result: There were 526 males (71.2% of these patients. The mean survival time (from diagnosis time was 42.46± (3.4. Survival tree identified three variables as main prognostic factors and based on their four prognostic subgroups was constructed. The log-rank test showed good separation of survival curves. Patients with Stage I-IIIA and treated with surgery as the first treatment showed low risk (median = 34 months whereas patients with stage IIIB, IV, and more than 68 years have the worse survival outcome (median = 9.5 months. Conclusion: Constructing the prognostic classification index via survival tree can aid the researchers to assess interaction between clinical variables and determining the cumulative effect of these variables on survival outcome.

A new scoring system for predicting survival in patients with non-small cell lung cancer

International Nuclear Information System (INIS)

Schild, Steven E; Tan, Angelina D; Wampfler, Jason A; Ross, Helen J; Yang, Ping; Sloan, Jeff A

2015-01-01

This analysis was performed to create a scoring system to estimate the survival of patients with non-small cell lung cancer (NSCLC). Data from 1274 NSCLC patients were analyzed to create and validate a scoring system. Univariate (UV) and multivariate (MV) Cox models were used to evaluate the prognostic importance of each baseline factor. Prognostic factors that were significant on both UV and MV analyses were used to develop the score. These included quality of life, age, performance status, primary tumor diameter, nodal status, distant metastases, and smoking cessation. The score for each factor was determined by dividing the 5-year survival rate (%) by 10 and summing these scores to form a total score. MV models and the score were validated using bootstrapping with 1000 iterations from the original samples. The score for each prognostic factor ranged from 1 to 7 points with higher scores reflective of better survival. Total scores (sum of the scores from each independent prognostic factor) of 32–37 correlated with a 5-year survival of 8.3% (95% CI = 0–17.1%), 38–43 correlated with a 5-year survival of 20% (95% CI = 13–27%), 44–47 correlated with a 5-year survival of 48.3% (95% CI = 41.5–55.2%), 48–49 correlated to a 5-year survival of 72.1% (95% CI = 65.6–78.6%), and 50–52 correlated to a 5-year survival of 84.7% (95% CI = 79.6–89.8%). The bootstrap method confirmed the reliability of the score. Prognostic factors significantly associated with survival on both UV and MV analyses were used to construct a valid scoring system that can be used to predict survival of NSCLC patients. Optimally, this score could be used when counseling patients, and designing future trials

Sulfur activation at the Little Boy-Comet Critical Assembly: a replica of the Hiroshima bomb

International Nuclear Information System (INIS)

Kerr, G.D.; Emery, J.F.; Pace, J.V. III.

1985-04-01

Studies have been completed on the activation of sulfur by fast neutrons from the Little Boy-Comet Critical Assembly which replicates the general features of the Hiroshima bomb. The complex effects of the bomb's design and construction on leakage of sulfur-activation neutrons were investigated both experimentally and theoretically. Our sulfur activation studies were performed as part of a larger program to provide benchmark data for testing of methods used in recent source-term calculations for the Hiroshima bomb. Source neutrons capable of activating sulfur play an important role in determining neutron doses in Hiroshima at a kilometer or more from the point of explosion. 37 refs., 5 figs., 6 tabs

Experimental patients of drug treatment for cataracta in the persons exposed to an atomic bomb near the explosion

Energy Technology Data Exchange (ETDEWEB)

Sugimoto, Shigenori [Hiroshima City (Japan)

1976-03-01

This paper describes the clinical process of 4 persons exposed to an atomic bomb near the explosion in Nagasaki who have received chemotherapy because of incipient senile cataracta associated by cataracta due to an atomic bomb. The dropping of Catalin and Tathion in the eyes, oral administration of Thiola, and injection of Glutathione were done. Dramatic results were not obtained. However, when the administration was done at the time of slight corneal opacity, it did not developed. Therefore, it can't be denied now that the chemotherapy is effective.

Experimental patients of drug treatment for cataracta in the persons exposed to an atomic bomb near the explosion

International Nuclear Information System (INIS)

Sugimoto, Shigenori

1976-01-01

This paper describes the clinical process of 4 persons exposed to an atomic bomb near the explosion in Nagasaki who have received chemotherapy because of incipient senile cataracta associated by cataracta due to an atomic bomb. The dropping of Catalin and Tathion in the eyes, oral administration of Thiola, and injection of Glutathione were done. Dramatic results were not obtained. However, when the administration was done at the time of slight corneal opacity, it did not developed. Therefore, it can't be denied now that the chemotherapy is effective. (Kanao, N.)

Psychological problems of atomic bomb survivors from the medical social worker`s standpoint

Energy Technology Data Exchange (ETDEWEB)

Tomoike, Toshio [Japanese Red Cross Nagasaki Atomic Bomb Hospital (Japan)

1994-12-01

Mental data from 80 A-bomb survivors were available during a 20-year period 1973-1992. Types of A-bomb survivors were classified into (1) directly exposed A-bomb survivors, (2) A-bomb survivors living in the United States, (3) those living in prefectures other than Nagasaki, (4) ex-soldiers, (5) A-bomb survivors having family problems and others, (6) the demented elderly, (7) the alcoholic, and (8) others. Mental problems were judged as psychogenic, endogenous, and exogenous. Mental problems were most frequently associated with Type 1 (34.9%), followed by Type 8 (21.0%), Type 2 (18.6%), and Type 3 (7.0%). Noticeable finding was that Type 1 A-bomb survivors suffered from psychogenic and exogenous mental problems in an extremely high incidence, as compared with the non-exposed group (66.3% vs 24%). The incidence of both exogenous and endogenous problems was higher in the non-exposed group (32.6% and 24.5%) than the exposed group (23.2% and 10.5%). There was no significant gender difference in the development of mental problems. According to types of A-bomb survivors, both psychogenic and exogenous mental problems were most common for Type 1. The incidence of psychogenic problems was 2.85 times higher than that of exogenous problems. (N.K.).

Aging studies in atomic bomb survivors

International Nuclear Information System (INIS)

Belsky, J.L.; Moriyama, I.M.; Fujita, Seiichiro; Kawamoto, Sadahisa.

1980-01-01

Though acceleration of aging induced by radiation could not be demonstrated in many investigations on delayed effects of ionizing radiation on a-bomb survivors, studies on acceleration of aging after the exposure to ionizing radiation in human and animals have been carried out. To investigate whether physiological function was related to the exposure to ionizing radiation, a series of examinations concerning age was carried out at the time of general health examinations at ABCC. Simple examinations concerning aging were carried out on 11,351 a-bomb survivors, but the result was essentially negative. If biological or physiological age was defined clearly, the results of functional test would be used as criterion of aging. (Tsunoda, M.)

Chemotherapy increases long-term survival in patients with adult medulloblastoma--a literature-based meta-analysis.

Science.gov (United States)

Kocakaya, Selin; Beier, Christoph Patrick; Beier, Dagmar

2016-03-01

Adult medulloblastoma is a potentially curable malignant entity with an incidence of 0.5-1 per million. Valid data on prognosis, treatment, and demographics are lacking, as most current knowledge stems from retrospective studies. Surgical resection followed by radiotherapy are accepted parts of treatment regimes; however, established prognostic factors and data clarifying the role of chemotherapy are missing. We investigated 227 publications from 1969-2013, with 907 identifiable, individual patients being available for meta-analysis. Demographic data, risk stratification, and treatment of these patients were similar to previous cohorts. The median overall survival (mOS) was 65 months (95% CI: 54.6-75.3) , the 5-year overall survival was 50.9% with 16% of the patients dying more than 5 years after diagnosis. Incomplete resection, clinical and radiological signs for brainstem infiltration, and abstinence from radiotherapy were predictive of worse outcome. Metastatic disease at tumor recurrence was identified as a new prognostic factor, while neither metastasis at initial diagnosis nor desmoplastic/classic histology was correlated with survival. Patients receiving chemotherapy first-line survived significantly longer (mOS: 108 mo, 95% CI: 68.6-148.4) than patients treated with radiation alone (mOS: 57 mo, 95% CI: 39.6-74.4) or patients who received chemotherapy at tumor recurrence. This effect was not biased by tumor stage or decade of treatment. Importantly, (neo)adjuvant chemotherapy also significantly increased the chance for long-term survival (>5 y) compared with radiotherapy alone or chemotherapy at tumor recurrence. This meta-analysis clarifies relevant prognostic factors and suggests that chemotherapy as part of first-line therapy improves overall survival and increases the proportion of patients with long-term survival. © The Author(s) 2015. Published by Oxford University Press on behalf of the Society for Neuro-Oncology. All rights reserved. For permissions

High-risk human papilloma virus (HPV) and survival in patients with esophageal carcinoma: a pilot study

International Nuclear Information System (INIS)

Dreilich, Martin; Bergqvist, Michael; Moberg, Martin; Brattström, Daniel; Gustavsson, Inger; Bergström, Stefan; Wanders, Alkwin; Hesselius, Patrik; Wagenius, Gunnar; Gyllensten, Ulf

2006-01-01

Human papilloma virus (HPV) in patients with esophageal carcinoma has previously been studied with an average detection rate of 15%, but the role of HPV in relation to survival is less clear. In cervical cancer, lung cancer and tonsil cancer HPV viral load is a predictive factor for survival and outcome of treatment. The primary aim was to study the spectrum of high-risk HPV types in esophageal tumors. Secondary, as a pilot study we investigated the association between HPV status and the survival rates. We compared both the presence and the viral load of high-risk HPV types 16, 18, 31, 33, 39, 45, 52, 58, and 67 in relation to clinical data from patients with esophageal carcinoma. Survival data and tumor samples were retrieved from 100 patients receiving treatment at the Department of Oncology, Uppsala Hospital, Uppsala, Sweden. The tumor samples were investigated for HPV viral load using real-time PCR. HPV 16 was detected in 16% of the patients; no other HPV type was detected. HPV 16 infection had no significant effect on survival (p = 0.72). Also, HPV 16 did not improve survival after treatment (radiotherapy or chemotherapy). Only HPV 16 was detected among the patients. HPV 16 in esophageal carcinoma patients did not influence survival or improve therapy response. However, given the size of the study there is a need to examine a larger cohort in order to understand in more detail the effect of high risk HPV types in esophageal carcinoma

Bomb Threat Becomes Real News.

Science.gov (United States)

Gastaldo, Evann

1999-01-01

Discusses how the staff of the newspaper at Camarillo High School (California) covered a bomb threat at their school. Describes how they, overnight, conducted interviews, took and developed photographs, produced the layout, and published the newspaper. (RS)

Marital status, treatment, and survival in patients with glioblastoma multiforme: a population based study.

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Chang, Susan M; Barker, Fred G

2005-11-01

Social factors influence cancer treatment choices, potentially affecting patient survival. In the current study, the authors studied the interrelations between marital status, treatment received, and survival in patients with glioblastoma multiforme (GM), using population-based data. The data source was the Surveillance, Epidemiology, and End Results (SEER) Public Use Database, 1988-2001, 2004 release, all registries. Multivariate logistic, ordinal, and Cox regression analyses adjusted for demographic and clinical variables were used. Of 10,987 patients with GM, 67% were married, 31% were unmarried, and 2% were of unknown marital status. Tumors were slightly larger at the time of diagnosis in unmarried patients (49% of unmarried patients had tumors larger than 45 mm vs. 45% of married patients; P = 0.004, multivariate analysis). Unmarried patients were less likely to undergo surgical resection (vs. biopsy; 75% of unmarried patients vs. 78% of married patients) and were less likely to receive postoperative radiation therapy (RT) (70% of unmarried patients vs. 79% of married patients). On multivariate analysis, the odds ratio (OR) for resection (vs. biopsy) in unmarried patients was 0.88 (95% confidence interval [95% CI], 0.79-0.98; P = 0.02), and the OR for RT in unmarried patients was 0.69 (95% CI, 0.62-0.77; P Unmarried patients more often refused both surgical resection and RT. Unmarried patients who underwent surgical resection and RT were found to have a shorter survival than similarly treated married patients (hazard ratio for unmarried patients, 1.10; P = 0.003). Unmarried patients with GM presented with larger tumors, were less likely to undergo both surgical resection and postoperative RT, and had a shorter survival after diagnosis when compared with married patients, even after adjustment for treatment and other prognostic factors. (c) 2005 American Cancer Society.

Post-relapse survival in patients with Ewing sarcoma.

Science.gov (United States)

Ferrari, Stefano; Luksch, Roberto; Hall, Kirsten Sundby; Fagioli, Franca; Prete, Arcangelo; Tamburini, Angela; Tienghi, Amelia; DiGirolamo, Stefania; Paioli, Anna; Abate, Massimo Eraldo; Podda, Marta; Cammelli, Silvia; Eriksson, Mikael; Brach del Prever, Adalberto

2015-06-01

Post-relapse survival (PRS) was evaluated in patients with Ewing sarcoma (EWS) enrolled in chemotherapy protocols based on the use of high-dose chemotherapy with busulfan and melfalan (HDT) as a first-line consolidation treatment in high-risk patients. EWS patients enrolled in ISG/SSG III and IV trials who relapsed after complete remission were included in the analysis. At recurrence, chemotherapy based on high-dose ifosfamide was foreseen, and patients who responded but had not received HDT underwent consolidation therapy with HDT. Data from 107 EWS patients were included in the analysis. Median time to recurrence (RFI) was 18 months, and 45 (42%) patients had multiple sites of recurrence. Patients who had previously been treated with HDT had a significantly (P = 0.02) shorter RFI and were less likely to achieve a second complete remission (CR2). CR2 status was achieved by 42 (39%) patients. Fifty patients received high-dose IFO (20 went to consolidation HDT). The 5-year PRS was 19% (95% CI 11 to 27%). With CR2, the 5-year PRS was 48% (95% CI 31 to 64%). Without CR2, median time to death was six months (range 1-45 months). According to the multivariate analysis, patients younger than 15 years, recurrence to the lung only, and RFI longer than 24 months significantly influenced the probability of PRS. Age, pattern of recurrence, RFI, and response to second-line chemotherapy influence post-relapse survival in patients with recurrent Ewing sarcoma. No survival advantage was observed from chemotherapy consolidation with HDT. © 2015 Wiley Periodicals, Inc.

Long-term patient survival in ANCA-associated vasculitis

DEFF Research Database (Denmark)

Flossmann, Oliver; Berden, Annelies; de Groot, Kirsten

2011-01-01

Wegener's granulomatosis and microscopic polyangiitis are antineutrophil cytoplasm antibodies (ANCA)-associated vasculitides with significant morbidity and mortality. The long-term survival of patients with ANCA associated vasculitis treated with current regimens is uncertain.......Wegener's granulomatosis and microscopic polyangiitis are antineutrophil cytoplasm antibodies (ANCA)-associated vasculitides with significant morbidity and mortality. The long-term survival of patients with ANCA associated vasculitis treated with current regimens is uncertain....

Factors affecting 30-month survival in lung cancer patients.

Science.gov (United States)

Mahesh, P A; Archana, S; Jayaraj, B S; Patil, Shekar; Chaya, S K; Shashidhar, H P; Sunitha, B S; Prabhakar, A K

2012-10-01

Age adjusted incidence rate of lung cancer in India ranges from 7.4 to 13.1 per 100,000 among males and 3.9 to 5.8 per 100,000 among females. The factors affecting survival in lung cancer patients in India are not fully understood. The current study was undertaken to evaluate the factors affecting survival in patients diagnosed with lung cancer attending a tertiary care cancer institute in Bangalore, Karnataka, India. Consecutive patients with primary lung cancer attending Bangalore Institute of Oncology, a tertiary care centre at Bangalore, between 2006 and 2009 were included. Demographic, clinical, radiological data were collected retrospectively from the medical records. A total of 170 consecutive subjects (128 males, 42 females) diagnosed to have lung cancer; 151 non-small cell lung cancer (NSCLC) and 19 small cell lung cancer (SCLC) were included. A higher proportion of never-smokers (54.1%) were observed, mostly presenting below the age of 60 yr. Most subjects were in stage IV and III at the time of diagnosis. More than 50 per cent of patients presented with late stage lung cancer even though the duration of symptoms is less than 2 months. The 30-month overall survival rates for smokers and never-smokers were 32 and 49 per cent, respectively. No significant differences were observed in 30 month survival based on age at presentation, gender and type of lung cancer. Cox proportional hazards model identified never-smokers and duration of symptoms less than 1 month as factors adversely affecting survival. Our results showed that lung cancer in Indians involved younger subjects and associated with poorer survival as compared to other ethnic population. Studies on large sample need to be done to evaluate risk factors in lung cancer patients.

Will Incremental Hemodialysis Preserve Residual Function and Improve Patient Survival?

Science.gov (United States)

Davenport, Andrew

2015-01-01

The progressive loss of residual renal function in peritoneal dialysis patients is associated with increased mortality. It has been suggested that incremental dialysis may help preserve residual renal function and improve patient survival. Residual renal function depends upon both patient related and dialysis associated factors. Maintaining patients in an over-hydrated state may be associated with better preservation of residual renal function but any benefit comes with a significant risk of cardiovascular consequences. Notably, it is only observational studies that have reported an association between dialysis patient survival and residual renal function; causality has not been established for dialysis patient survival. The tenuous connections between residual renal function and outcomes and between incremental hemodialysis and residual renal function should temper our enthusiasm for interventions in this area. PMID:25385441

Socioeconomic Status, Not Race, Is Associated With Reduced Survival in Esophagectomy Patients.

Science.gov (United States)

Erhunmwunsee, Loretta; Gulack, Brian C; Rushing, Christel; Niedzwiecki, Donna; Berry, Mark F; Hartwig, Matthew G

2017-07-01

Black patients with esophageal cancer have worse survival than white patients. This study examines this racial disparity in conjunction with socioeconomic status (SES) and explores whether race-based outcome differences exist using a national database. The associations between race and SES with overall survival of patients treated with esophagectomy for stages I to III esophageal cancer between 2003 and 2011 in the National Cancer Data Base were investigated using the Kaplan-Meier method and proportional hazards analyses. Median income by zip code and proportion of the zip code residents without a high school diploma were grouped into income and education quartiles, respectively and used as surrogates for SES. The association between race and overall survival stratified by SES is explored. Of 11,599 esophagectomy patients who met study criteria, 3,503 (30.2%) were in the highest income quartile, 2,847 (24.5%) were in the highest education quartile, and 610 patients (5%) were black. Before adjustment for SES, black patients had worse overall survival than white patients (median survival 23.0 versus 34.7 months, log rank p race was not. Prior studies have suggested that survival of esophageal cancer patients after esophagectomy is associated with race. Our study suggests that race is not significantly related to overall survival when adjusted for other prognostic variables. Socioeconomic status, however, remains significantly related to overall survival in our model. Copyright © 2017 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

Studies on immune responses to Epstein-Barr virus among A-bomb survivors

International Nuclear Information System (INIS)

Kusunoki, Y.; Kyoizumi, S.; Ozaki, K.; Cologne, J.B.; Akiyama, M.

1992-01-01

Previous studies revealed that reactivity of T-lymphocytes to phytohemag-glutinin and allo-antigens as well as the number of mature CD5 + T cells are decreased among atomic bomb survivors. Possible radiation effects were suggested for impairment of antibody production to certain type A influenza viruses and for an increased prevalence rate of hepatitis B virus surface antigen in sera among survivors. These findings lead to research of effects of A-bomb radiation on immune responses to certain ubiquitous viruses such as Epstein-Barr Virus. Reactivation of EBV induced by depression of immune competence might be reflected by changes in serum titers of these antibodies. Significant increases in titers of antiviral capsed antigen IgC or anti-early antigen (EA) IgC and frequent absence o.r low levels of anti- EBV-associated nuclear antigen antibodies were observed in immunologically compromised individuals. Without regard to diseases, occurrence of significant titers of anti-EA IgC in healthy sero-positive individuals has been ascribed to reactivation of the viral carrier stage. This study examines serum titers of these anti-EBV antibodies to investigate whether any alteration of immune competence to the virus was detectable in relation to the previous A-bomb radiation exposure. Also, an attempt was made to evaluated T-cell responses to EBV in A-bomb survivors for the purpose of understanding involvement of T-cell function in reactivation of the virus, using the precursor frequency analysis of cytotoxic lymphocytes against autologous B cell transformed in vitro with EBV. (author). 13 refs., 2 figs., 1 tab

Follow-up studies on A-bomb survivors: implications for radiological protection

International Nuclear Information System (INIS)

Jablon, S.

1983-01-01

A-bomb survivor data are the principal basis for risk estimates for late somatic and genetic effects of radiation on man. The data concern radiation delivered at high dose rate and the risk estimates are dominated by persons with doses (kerma) of more than 100 rads. The estimates, therefore, may not be applicable to low doses received at low dose rates, where some advocate use of a dose-rate reduction factor of at least two for carcinogenesis. In contrast with dose-rate factors, little attention has been given to individual factors such as age. Even after more than 35 years, the experience of only the oldest A-bomb survivors (aged over 50 in 1945) is essentially complete. It appears, however, that the risk of carcinogenesis may depend upon age at exposure and that relative risk may be a more appropriate measure than absolute risk. Limits for occupational or population exposures were not developed on the basis of risk estimates; such estimates can, however, be used to calculate the possible consequences of exposure standards. In contrast to carcinogenesis, which has been shown clearly in the data on A-bomb survivors, and despite the appearance of chromosome aberrations, no evidence of radiation-induced mutations in the children of survivors has yet been detected

Pre-therapeutic factors for predicting survival after radioembolization: a single-center experience in 389 patients

International Nuclear Information System (INIS)

Paprottka, K.J.; Schoeppe, F.; Ingrisch, M.; Ruebenthaler, J.; Sommer, N.N.; Paprottka, P.M.; Toni, E. de; Ilhan, H.; Zacherl, M.; Todica, A.

2017-01-01

To determine pre-therapeutic predictive factors for overall survival (OS) after yttrium (Y)-90 radioembolization (RE). We retrospectively analyzed the pre-therapeutic characteristics (sex, age, tumor entity, hepatic tumor burden, extrahepatic disease [EHD] and liver function [with focus on bilirubin and cholinesterase level]) of 389 consecutive patients with various refractory liver-dominant tumors (hepatocellular carcinoma [HCC], cholangiocarcinoma [CCC], neuroendocrine tumor [NET], colorectal cancer [CRC] and metastatic breast cancer [MBC]), who received Y-90 radioembolization for predicting survival. Predictive factors were selected by univariate Cox regression analysis and subsequently tested by multivariate analysis for predicting patient survival. The median OS was 356 days (95% CI 285-427 days). Stable disease was observed in 132 patients, an objective response in 71 (one of which was complete remission) and progressive disease in 122. The best survival rate was observed in patients with NET, and the worst in patients with MBC. In the univariate analyses, extrahepatic disease (P < 0.001), large tumor burden (P = 0.001), high bilirubin levels (>1.9 mg/dL, P < 0.001) and low cholinesterase levels (CHE <4.62 U/I, P < 0.001) at baseline were significantly associated with poor survival. Tumor entity, tumor burden, extrahepatic disease and CHE were confirmed in the multivariate analysis as independent predictors of survival. Sex, applied RE dose and age had no significant influence on OS. Pre-therapeutic baseline bilirubin and CHE levels, extrahepatic disease and hepatic tumor burden are associated with patient survival after RE. Such parameters may be used to improve patient selection for RE of primary or metastatic liver tumors. (orig.)

Pre-therapeutic factors for predicting survival after radioembolization: a single-center experience in 389 patients

Energy Technology Data Exchange (ETDEWEB)

Paprottka, K.J.; Schoeppe, F.; Ingrisch, M.; Ruebenthaler, J.; Sommer, N.N.; Paprottka, P.M. [LMU - University of Munich, Department of Clinical Radiology, Munich (Germany); Toni, E. de [LMU - University of Munich, Department of Hepatology, Munich (Germany); Ilhan, H.; Zacherl, M.; Todica, A. [LMU - University of Munich, Department of Nuclear Medicine, Munich (Germany)

2017-07-15

To determine pre-therapeutic predictive factors for overall survival (OS) after yttrium (Y)-90 radioembolization (RE). We retrospectively analyzed the pre-therapeutic characteristics (sex, age, tumor entity, hepatic tumor burden, extrahepatic disease [EHD] and liver function [with focus on bilirubin and cholinesterase level]) of 389 consecutive patients with various refractory liver-dominant tumors (hepatocellular carcinoma [HCC], cholangiocarcinoma [CCC], neuroendocrine tumor [NET], colorectal cancer [CRC] and metastatic breast cancer [MBC]), who received Y-90 radioembolization for predicting survival. Predictive factors were selected by univariate Cox regression analysis and subsequently tested by multivariate analysis for predicting patient survival. The median OS was 356 days (95% CI 285-427 days). Stable disease was observed in 132 patients, an objective response in 71 (one of which was complete remission) and progressive disease in 122. The best survival rate was observed in patients with NET, and the worst in patients with MBC. In the univariate analyses, extrahepatic disease (P < 0.001), large tumor burden (P = 0.001), high bilirubin levels (>1.9 mg/dL, P < 0.001) and low cholinesterase levels (CHE <4.62 U/I, P < 0.001) at baseline were significantly associated with poor survival. Tumor entity, tumor burden, extrahepatic disease and CHE were confirmed in the multivariate analysis as independent predictors of survival. Sex, applied RE dose and age had no significant influence on OS. Pre-therapeutic baseline bilirubin and CHE levels, extrahepatic disease and hepatic tumor burden are associated with patient survival after RE. Such parameters may be used to improve patient selection for RE of primary or metastatic liver tumors. (orig.)

Prognostic and survival analysis of 837 Chinese colorectal cancer patients.

Science.gov (United States)

Yuan, Ying; Li, Mo-Dan; Hu, Han-Guang; Dong, Cai-Xia; Chen, Jia-Qi; Li, Xiao-Fen; Li, Jing-Jing; Shen, Hong

2013-05-07

To develop a prognostic model to predict survival of patients with colorectal cancer (CRC). Survival data of 837 CRC patients undergoing surgery between 1996 and 2006 were collected and analyzed by univariate analysis and Cox proportional hazard regression model to reveal the prognostic factors for CRC. All data were recorded using a standard data form and analyzed using SPSS version 18.0 (SPSS, Chicago, IL, United States). Survival curves were calculated by the Kaplan-Meier method. The log rank test was used to assess differences in survival. Univariate hazard ratios and significant and independent predictors of disease-specific survival and were identified by Cox proportional hazard analysis. The stepwise procedure was set to a threshold of 0.05. Statistical significance was defined as P analysis suggested age, preoperative obstruction, serum carcinoembryonic antigen level at diagnosis, status of resection, tumor size, histological grade, pathological type, lymphovascular invasion, invasion of adjacent organs, and tumor node metastasis (TNM) staging were positive prognostic factors (P analysis showed a significant statistical difference in 3-year survival among these groups: LNR1, 73%; LNR2, 55%; and LNR3, 42% (P analysis results showed that histological grade, depth of bowel wall invasion, and number of metastatic lymph nodes were the most important prognostic factors for CRC if we did not consider the interaction of the TNM staging system (P < 0.05). When the TNM staging was taken into account, histological grade lost its statistical significance, while the specific TNM staging system showed a statistically significant difference (P < 0.0001). The overall survival of CRC patients has improved between 1996 and 2006. LNR is a powerful factor for estimating the survival of stage III CRC patients.

Marital status and survival in patients with rectal cancer: A population-based STROBE cohort study.

Science.gov (United States)

Li, Zhuyue; Wang, Kang; Zhang, Xuemei; Wen, Jin

2018-05-01

To examine the impact of marital status on overall survival (OS) and rectal cancer-specific survival (RCSS) for aged patients.We used the Surveillance, Epidemiology and End Results database to identify aged patients (>65 years) with early stage rectal cancer (RC) (T1-T4, N0, M0) in the United States from 2004 to 2010. Propensity score matching was conducted to avoid potential confounding factors with ratio at 1:1. We used Kaplan-Meier to compare OS and RCSS between the married patients and the unmarried, respectively. We used cox proportion hazard regressions to obtain hazard rates for OS, and proportional subdistribution hazard model was performed to calculate hazard rates for RCSS.Totally, 5196 patients were included. The married (2598 [50%]) aged patients had better crude 5-year overall survival rate (64.2% vs 57.3%, P vs 75.9%, P unmarried (2598 (50%)), respectively. In multivariate analyses, married patients had significantly lower overall death than unmarried patients (HR = 0.77, 95% CI = 0.71-0.83, P married patients had no cancer-specific survival benefit versus the unmarried aged patients (HR = 0.92, 95% CI = 0.81-1.04, P = .17).Among old population, married patients with early stage RC had better OS than the unmarried, while current evidence showed that marital status might have no protective effect on cancer-specific survival.

Forensic applications of 14C bomb-pulse dating

International Nuclear Information System (INIS)

Zoppi, U.; Skopec, Z.; Skopec, J.; Jones, G.; Fink, D.; Hua, Q.; Jacobsen, G.; Tuniz, C.; Williams, A.

2004-01-01

After a brief review of the basics of 14 C bomb-pulse dating, this paper presents two unique forensic applications. Particular attention is dedicated to the use of the 14 C bomb-pulse to establish the time of harvest of illicit drugs such as heroin and opium. Preliminary measurements of 14 C concentrations in milligram samples taken from seized drugs are presented. 14 C bomb-pulse dating can determine whether drug distribution originates from stockpiles or recent manufacture, and support the action of law enforcement authorities against criminal organisations involved in drug trafficking. In addition, we describe the dating of wine vintages for a number of authenticated single label vintage red wines from the Barossa Valley - South Australia. Our results show that radiocarbon dating can be used to accurately determine wine vintages and therefore reveal the addition of unrelated materials of natural and synthetic origin

Forensic applications of 14C bomb-pulse dating

Science.gov (United States)

Zoppi, U.; Skopec, Z.; Skopec, J.; Jones, G.; Fink, D.; Hua, Q.; Jacobsen, G.; Tuniz, C.; Williams, A.

2004-08-01

After a brief review of the basics of 14C bomb-pulse dating, this paper presents two unique forensic applications. Particular attention is dedicated to the use of the 14C bomb-pulse to establish the time of harvest of illicit drugs such as heroin and opium. Preliminary measurements of 14C concentrations in milligram samples taken from seized drugs are presented. 14C bomb-pulse dating can determine whether drug distribution originates from stockpiles or recent manufacture, and support the action of law enforcement authorities against criminal organisations involved in drug trafficking. In addition, we describe the dating of wine vintages for a number of authenticated single label vintage red wines from the Barossa Valley - South Australia. Our results show that radiocarbon dating can be used to accurately determine wine vintages and therefore reveal the addition of unrelated materials of natural and synthetic origin.

Effects of radiation on the incidence of prostate cancer among Nagasaki atomic bomb survivors.

Science.gov (United States)

Kondo, Hisayoshi; Soda, Midori; Mine, Mariko; Yokota, Kenichi

2013-10-01

Atomic bomb survivors have been reported to have an increased risk of some cancers, especially leukemia. However, the risk of prostate cancer in atomic bomb survivors is not known to have been examined previously. This study examined the association between atomic bomb radiation and the incidence of prostate cancer among male Nagasaki atomic bomb survivors. The subjects were classified by distance from the hypocenter into a proximal group (bomb survivors who were alive in 1996. The Cox proportional hazard model was used to estimate the risk of prostate cancer development, with adjustment for age at atomic bomb explosion, attained age, smoking status, and alcohol consumption. Compared with the distal group, the proximal group had significant increased risks of total, localized, and high-grade prostate cancer (relative risk and 95% confidence interval: 1.51 [1.21-1.89]; 1.80 [1.26-2.57]; and 1.88 [1.20-2.94], respectively). This report is the first known to reveal a significant relationship between atomic bomb radiation and prostate cancer. © 2013 Japanese Cancer Association.

Aplastic anemia and related disorders in atomic bomb survivors

International Nuclear Information System (INIS)

Ichimaru, Michito; Tomonaga, Yu; Matsunaga, Masako; Sadamori, Naoki; Ishimaru, Toranosuke.

1978-01-01

Whether the incidence of aplastic anemia significantly increases due to the later effect of atomic-bomb radiation was studied. After the data of aplastic anemia which occurred within 1950 - 1973 were evaluated and the diagnoses of the cases were certified, the incidence of aplastic anemia per 109,000 inhabitants of the cities of Hiroshima and Nagasaki was calculated and compared according to the dose of atomic-bomb radiation. There was no increase in the incidence according to an increase in radiation dose, and there was no fact that aplastic anemia increased in a certain period either. Most of the atomic-bomb survivors who were close to the epicenter and were clinically diagnosed as aplastic anemia had leukemia lesion or myeloid proliferating lesion, and it is likely to be that pathological changes resembling aplastic anemia may appear in a certain phase of myeloid proliferation or as a phenotype of myeloid proliferation. An evaluation was made on cases of aplastic anemia of other groups, but the doses of atomic-bomb radiation which they received were not so much to give effect on the bone marrow except only two cases. (Ueda, J.)

Risk factors affecting survival in heart transplant patients.

Science.gov (United States)

Almenar, L; Cardo, M L; Martínez-Dolz, L; García-Palomar, C; Rueda, J; Zorio, E; Arnau, M A; Osa, A; Palencia, M

2005-11-01

Certain cardiovascular risk factors have been linked to morbidity and mortality in heart transplant (HT) patients. The sum of various risk factors may have a large cumulative negative effect, leading to a substantially worse prognosis and the need to consider whether HT is contraindicated. The objective of this study was to determine whether the risk factors usually available prior to HT result in an excess mortality in our setting that contraindicates transplantation. Consecutive patients who underwent heart transplantation from November 1987 to January 2004 were included. Heart-lung transplants, retransplants, and pediatric transplants were excluded. Of the 384 patients, 89% were men. Mean age was 52 years (range, 12 to 67). Underlying disease included ischemic heart disease (52%), idiopathic dilated cardiomyopathy (36%), valvular disease (8%), and other (4%). Variables considered risk factors were obesity (BMI >25), dyslipidemia, hypertension, prior thoracic surgery, diabetes, and history of ischemic heart disease. Survival curves by number of risk factors using Kaplan-Meier and log-rank for comparison of curves. Overall patient survival at 1, 5, 10, and 13 years was 76%, 68%, 54%, and 47%, respectively. Survival at 10 years, if fewer than two risk factors were present, was 69%; 59% if two or three factors were present; and 37% if more than three associated risk factors were present (P = .04). The presence of certain risk factors in patients undergoing HT resulted in lower survival rates. The combination of various risk factors clearly worsened outcomes. However, we do not believe this should be an absolute contraindication for transplantation.

A Validated Prediction Model for Overall Survival From Stage III Non-Small Cell Lung Cancer: Toward Survival Prediction for Individual Patients

Energy Technology Data Exchange (ETDEWEB)

Oberije, Cary, E-mail: cary.oberije@maastro.nl [Radiation Oncology, Research Institute GROW of Oncology, Maastricht University Medical Center, Maastricht (Netherlands); De Ruysscher, Dirk [Radiation Oncology, Research Institute GROW of Oncology, Maastricht University Medical Center, Maastricht (Netherlands); Universitaire Ziekenhuizen Leuven, KU Leuven (Belgium); Houben, Ruud [Radiation Oncology, Research Institute GROW of Oncology, Maastricht University Medical Center, Maastricht (Netherlands); Heuvel, Michel van de; Uyterlinde, Wilma [Department of Thoracic Oncology, Netherlands Cancer Institute, Amsterdam (Netherlands); Deasy, Joseph O. [Memorial Sloan Kettering Cancer Center, New York (United States); Belderbos, Jose [Department of Radiation Oncology, Netherlands Cancer Institute, Amsterdam (Netherlands); Dingemans, Anne-Marie C. [Department of Pulmonology, University Hospital Maastricht, Research Institute GROW of Oncology, Maastricht (Netherlands); Rimner, Andreas; Din, Shaun [Memorial Sloan Kettering Cancer Center, New York (United States); Lambin, Philippe [Radiation Oncology, Research Institute GROW of Oncology, Maastricht University Medical Center, Maastricht (Netherlands)

2015-07-15

Purpose: Although patients with stage III non-small cell lung cancer (NSCLC) are homogeneous according to the TNM staging system, they form a heterogeneous group, which is reflected in the survival outcome. The increasing amount of information for an individual patient and the growing number of treatment options facilitate personalized treatment, but they also complicate treatment decision making. Decision support systems (DSS), which provide individualized prognostic information, can overcome this but are currently lacking. A DSS for stage III NSCLC requires the development and integration of multiple models. The current study takes the first step in this process by developing and validating a model that can provide physicians with a survival probability for an individual NSCLC patient. Methods and Materials: Data from 548 patients with stage III NSCLC were available to enable the development of a prediction model, using stratified Cox regression. Variables were selected by using a bootstrap procedure. Performance of the model was expressed as the c statistic, assessed internally and on 2 external data sets (n=174 and n=130). Results: The final multivariate model, stratified for treatment, consisted of age, gender, World Health Organization performance status, overall treatment time, equivalent radiation dose, number of positive lymph node stations, and gross tumor volume. The bootstrapped c statistic was 0.62. The model could identify risk groups in external data sets. Nomograms were constructed to predict an individual patient's survival probability ( (www.predictcancer.org)). The data set can be downloaded at (https://www.cancerdata.org/10.1016/j.ijrobp.2015.02.048). Conclusions: The prediction model for overall survival of patients with stage III NSCLC highlights the importance of combining patient, clinical, and treatment variables. Nomograms were developed and validated. This tool could be used as a first building block for a decision support system.

The association between chronic kidney disease and cardiovascular disease risk factors in atomic bomb survivors.

Science.gov (United States)

Sera, Nobuko; Hida, Ayumi; Imaizumi, Misa; Nakashima, Eiji; Akahoshi, Masazumi

2013-01-01

Atomic bomb (A-bomb) radiation is associated with cardiovascular disease (CVD) and metabolic CVD risk factors. Chronic kidney disease (CKD) is also known to be a risk factor for CVD and little is known whether CKD is associated with A-bomb radiation. To examine whether CKD is associated with CVD risk factors or with A-bomb radiation in A-bomb survivors, we classified renal dysfunction in 1,040 A-bomb survivors who were examined in 2004-2007 as normal [n = 121; estimated glomerular filtration rate (eGFR) ≥ 90 ml/min/1.73 m(2)]; mild (n = 686; eGFR 60-89 ml/min/1.73 m(2)); moderate (n = 217; eGFR 30-59 ml/min/1.73 m(2)); or severe (n = 16; eGFR bomb radiation. Hypertension [odds ratio (OR), 1.57; 95% confidence interval (CI), 1.12-2.20, P = 0.009]; DM (OR, 1.79; 95% CI, 1.23-2.61, P = 0.002); hyperlipidemia (OR, 1.55; 95% CI, 1.12-2.14, P = 0.008); and MetS (OR, 1.86; 95% CI, 1.32-2.63, P bomb survivors.

The articles on atomic bomb of the newspaper in the past 15 years

International Nuclear Information System (INIS)

Ubuki, Satoru; Hayakawa, Norihiko; Matsuura, Masaaki; Hatano, Hiroko

1990-01-01

A-bomb hazards are given publicity by journalism every year from the end of the 1960s, especially in July and August, in Japan. This is generally termed 'the publication of A-bomb articles'. This paper outlines 'the publication of A-bomb articles' and introduces the actual conditions of A-bomb hazard problems. Articles were selected from three major national newspapers and two domestic newspapers (Hiroshima and Nagasaki) during the past 15 years from 1975 through 1989. Contents of the articles were divided into 20 categories and subdivided into 92 categories. According to newspaper, the Hiroshima domestic newspaper published the articles in the largest number (approximately 30% of all the articles). Overall, approximately 21% of the articles were published in August. The most common article content was A-bomb survivors' experiences, accounting for 47% before 1981 and 60% since 1982. (N.K.)

Epidemiologic study of skin cancer in Nagasaki atomic bomb survivors

International Nuclear Information System (INIS)

Sadamori, Naoki; Mine, Mariko

1989-01-01

Data from 140 A-bomb survivors with skin cancer were analyzed with the purpose of elucidating the relationship between atomic bombing and skin cancer. The incidence of skin cancer was significantly correlated with the distance from the hypocenter (p<0.01), regardless of sex. Basal cell epithelioma was the most predominant, followed by squamous cell carcinoma. Histology of skin cancer seemed independent of the distance. Since 1965, the incidence of skin cancer has been increased with aging in A-bomb survivors exposed at ≤2500 m from the hypocenter. It has been significantly higher since 1975 in the ≤2500 m group than in the ≥3000 m group. (N.K.)

Epidemiologic study of skin cancer in Nagasaki atomic bomb survivors

Energy Technology Data Exchange (ETDEWEB)

Sadamori, Naoki; Mine, Mariko (Nagasaki Univ. (Japan). School of Medicine)

1989-01-01

Data from 140 A-bomb survivors with skin cancer were analyzed with the purpose of elucidating the relationship between atomic bombing and skin cancer. The incidence of skin cancer was significantly correlated with the distance from the hypocenter (p<0.01), regardless of sex. Basal cell epithelioma was the most predominant, followed by squamous cell carcinoma. Histology of skin cancer seemed independent of the distance. Since 1965, the incidence of skin cancer has been increased with aging in A-bomb survivors exposed at le2500 m from the hypocenter. It has been significantly higher since 1975 in the le2500 m group than in the ge3000 m group. (N.K.).

Validation of a Predictive Model for Survival in Metastatic Cancer Patients Attending an Outpatient Palliative Radiotherapy Clinic

International Nuclear Information System (INIS)

Chow, Edward; Abdolell, Mohamed; Panzarella, Tony; Harris, Kristin; Bezjak, Andrea; Warde, Padraig; Tannock, Ian

2009-01-01

Purpose: To validate a predictive model for survival of patients attending a palliative radiotherapy clinic. Methods and Materials: We described previously a model that had good predictive value for survival of patients referred during 1999 (1). The six prognostic factors (primary cancer site, site of metastases, Karnofsky performance score, and the fatigue, appetite and shortness-of-breath items from the Edmonton Symptom Assessment Scale) identified in this training set were extracted from the prospective database for the year 2000. We generated a partial score whereby each prognostic factor was assigned a value proportional to its prognostic weight. The sum of the partial scores for each patient was used to construct a survival prediction score (SPS). Patients were also grouped according to the number of these risk factors (NRF) that they possessed. The probability of survival at 3, 6, and 12 months was generated. The models were evaluated for their ability to predict survival in this validation set with appropriate statistical tests. Results: The median survival and survival probabilities of the training and validation sets were similar when separated into three groups using both SPS and NRF methods. There was no statistical difference in the performance of the SPS and NRF methods in survival prediction. Conclusion: Both the SPS and NRF models for predicting survival in patients referred for palliative radiotherapy have been validated. The NRF model is preferred because it is simpler and avoids the need to remember the weightings among the prognostic factors

Epidemiological research on radiation-induced cancer in atomic bomb survivors

International Nuclear Information System (INIS)

Ozasa, Kotaro

2016-01-01

The late effects of exposure to atomic bomb radiation on cancer occurrence have been evaluated by epidemiological studies on three cohorts: a cohort of atomic bomb survivors (Life Span Study; LSS), survivors exposed in utero, and children of atomic bomb survivors (F 1 ). The risk of leukemia among the survivors increased remarkably in the early period after the bombings, especially among children. Increased risks of solid cancers have been evident since around 10 years after the bombings and are still present today. The LSS has clarified the dose–response relationships of radiation exposure and risk of various cancers, taking into account important risk modifiers such as sex, age at exposure, and attained age. Confounding by conventional risk factors including lifestyle differences is not considered substantial because people were non-selectively exposed to the atomic bomb radiation. Uncertainty in risk estimates at low-dose levels is thought to be derived from various sources, including different estimates of risk at background levels, uncertainty in dose estimates, residual confounding and interaction, strong risk factors, and exposure to residual radiation and/or medical radiation. The risk of cancer in subjects exposed in utero is similar to that in LSS subjects who were exposed in childhood. Regarding hereditary effects of radiation exposure, no increased risk of cancers associated with parental exposure to radiation have been observed in the F 1 cohort to date. In addition to biological and pathogenetic interpretations of the present results, epidemiological investigations using advanced technology should be used to further analyze these cohorts

Treatment of open tibial shaft fracture with soft tissue and bone defect caused by aircraft bomb--case report.

Science.gov (United States)

Golubović, Zoran; Vidić, Goran; Trenkić, Srbobran; Vukasinović, Zoran; Lesić, Aleksandar; Stojiljković, Predrag; Stevanović, Goran; Golubović, Ivan; Visnjić, Aleksandar; Najman, Stevo

2010-01-01

Aircraft bombs can cause severe orthopaedic injuries. Tibia shaft fractures caused by aircraft bombs are mostly comminuted and followed by bone defects, which makes the healing process extremely difficult and prone to numerous complications. The goal of this paper is to present the method of treatment and the end results of treatment of a serious open tibial fracture with soft and bone tissue defects resulting from aircraft bomb shrapnel wounds. A 26-year-old patient presented with a tibial fracture as the result of a cluster bomb shrapnel wound. He was treated applying the method of external bone fixation done two days after wounding, as well as of early coverage of the lower leg soft tissue defects done on the tenth day after the external fixation of the fracture. The external fixator was removed after five months, whereas the treatment was continued by means of functional plaster cast for another two months. The final functional result was good. Radical wound debridement, external bone fixation of the fracture, and early reconstruction of any soft tissue and bone defects are the main elements of the treatment of serious fractures.

Indonesian Salafism on Jihad and Suicide Bombings

OpenAIRE

Rusli, Rusli

2014-01-01

This paper deals with jihad and suicide bombings from the perspective of Indonesian salafism. It is argued that there are two different points of view related to this issue. The first is those who are affiliated with Wahhabi salafists such as those involved in Salafi-based foundations like As-Sunnah, Ihyaut Turats, al-Sofwah, Lajnah al-Khairiyah, Lajnah al-Istiqamah, and Wahdah Islamiyyah. They do not agree with suicide bombing directed to Western targets—mainly America—and its symbols. Suici...

Conventional chemotherapy and long-term survival in multiple myeloma patients

International Nuclear Information System (INIS)

Kraj, M; Poglod, R.; Sokolowska, U.; Kruk, B.; Maj, S.

2010-01-01

treated, 7 patients remain without treatment. The longest follow up of a still-living patient surviving multiple myeloma is 31 years since the detection of monoclonal protein and 25 years since the beginning of antitumor treatment. The longest follow-up of a still-living patient with initially isolated bone involvement is 23 years since the detection of the first bone lesion and 19 years since the generalization of the process. In 6 cases acute myeloid leukaemia and in 5 cases solid tumors were the causes of death. In 2 patients with myeloid leukemia no plasma cell infiltrates were found at autopsy; this confirms multiple myeloma cure. Conclusions. Long-term multiple myeloma survivors are a subset of patients with the following characteristics at diagnosis: median age 55 years, small tumor burden and normal cytogenetics, normal serum calcium, creatinine and beta2M concentration, IgG M-protein iso type. In one-third of patients prolonged survival occurred despite achieving only disease stabilization on conventional treatment. Continuation of anti-tumor treatment for several years is a prerequisite for long term survival. (authors)

Heisenberg's war. The secret history of the German bomb

International Nuclear Information System (INIS)

Powers, T.

1993-01-01

The history of Second World War Germany's 'Uranium Project', which often is referred to as the 'myth of the German atomic bomb', has been attracting the mind's of secret service men, futurologists, historians and journalists since after the end of the war it has become possible to lift the veil of secrecy. Powers book adds another one to the many investigations published since them. His approach to the piece of history starts with Heisenberg's visit to the U.S.A. in summer 1939, describes the plans of the German Heereswaffenamt pursued with the Uranium Project, and their counterpart on the side of the Allied Forces where German scientists, as immigrants in England and in the U.S.A., were doing their best to launch research for the development of an atomic bomb. The end of this 'competition' is marked by the internment of the ten German scientists and bomb specialists in Fall Hall. The leading story of the book centers on the small group of scientists around Heisenberg, who cleverly 'torpedoed' the development of the German atomic bomb in the years from 1939 until 1944. (HP) [de

Associations between advanced cancer patients' survival and family caregiver presence and burden.

Science.gov (United States)

Dionne-Odom, J Nicholas; Hull, Jay G; Martin, Michelle Y; Lyons, Kathleen Doyle; Prescott, Anna T; Tosteson, Tor; Li, Zhongze; Akyar, Imatullah; Raju, Dheeraj; Bakitas, Marie A

2016-05-01

We conducted a randomized controlled trial (RCT) of an early palliative care intervention (ENABLE: Educate, Nurture, Advise, Before Life Ends) for persons with advanced cancer and their family caregivers. Not all patient participants had a caregiver coparticipant; hence, we explored whether there were relationships between patient survival, having an enrolled caregiver, and caregiver outcomes prior to death. One hundred and twenty-three patient-caregiver dyads and 84 patients without a caregiver coparticipant participated in the ENABLE early versus delayed (12 weeks later) RCT. We collected caregiver quality-of-life (QOL), depression, and burden (objective, stress, and demand) measures every 6 weeks for 24 weeks and every 3 months thereafter until the patient's death or study completion. We conducted survival analyses using log-rank and Cox proportional hazards models. Patients with a caregiver coparticipant had significantly shorter survival (Wald = 4.31, HR = 1.52, CI: 1.02-2.25, P = 0.04). After including caregiver status, marital status (married/unmarried), their interaction, and relevant covariates, caregiver status (Wald = 6.25, HR = 2.62, CI: 1.23-5.59, P = 0.01), being married (Wald = 8.79, HR = 2.92, CI: 1.44-5.91, P = 0.003), and their interaction (Wald = 5.18, HR = 0.35, CI: 0.14-0.87, P = 0.02) were significant predictors of lower patient survival. Lower survival in patients with a caregiver was significantly related to higher caregiver demand burden (Wald = 4.87, CI: 1.01-1.20, P = 0.03) but not caregiver QOL, depression, and objective and stress burden. Advanced cancer patients with caregivers enrolled in a clinical trial had lower survival than patients without caregivers; however, this mortality risk was mostly attributable to higher survival by unmarried patients without caregivers. Higher caregiver demand burden was also associated with decreased patient survival. © 2016 The Authors. Cancer Medicine published by

Overall survival and disease-free survival in endometrial cancer: prognostic factors in 276 patients

Directory of Open Access Journals (Sweden)

Tejerizo-García A

2013-09-01

Full Text Available Álvaro Tejerizo-García,1 Jesús S Jiménez-López,1 José L Muñoz-González,1 Sara Bartolomé-Sotillos,1 Laura Marqueta-Marqués,1 Gregorio López-González,1 José F Pérez-Regadera Gómez21Service of Obstetrics and Gynecology, 2Radiation Oncology Service, Hospital Universitario 12 de Octubre, Madrid, SpainObjective: The aim of the study reported here was to assess the disease-free survival and overall survival of patients with endometrial cancer and to determine independent factors affecting the prognosis.Materials and methods: This was a retrospective study of a single-center clinical series of 276 patients (mean age 64 years with histologically confirmed cancer of the corpus uteri. The standard treatments were extrafascial total hysterectomy and bilateral salpingo-oophorectomy with selective pelvic/para-aortic node dissection, according to risk for recurrence. Actuarial overall survival and disease-free survival were estimated according to the Kaplan–Meier method. Univariate and multivariate Cox proportional hazards analyses were used to assess the prognostic significance of the different variables.Results: The estimated median follow-up, determined using the inverse Kaplan–Meier method, was 45 months (95% confidence interval [CI] 41.2–48.8 for disease-free survival and 46 months (95% CI 43.0–49.0 for overall survival. The statistically significant variables affecting disease-free survival and overall survival were age, serous-papillary and clear-cell histological types, outer-half myometrial invasion, advanced International Federation of Gynecology and Obstetrics (FIGO stage, tumor grades G2 and G3, incomplete surgical resection, positive lymph nodes, lymphovascular space invasion, tumor remnants of >1 cm after surgery, and high-risk group. In the multivariate Cox regression model, predictors of tumor recurrence included advanced FIGO stage (hazard ratio [HR] 4.90, 95% CI 2.57–9.36, P < 0.001 and tumor grades G2 (HR 4.79, 95

Ten-Year Survival in Patients with Idiopathic Pulmonary Fibrosis After Lung Transplantation.

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ten Klooster, Liesbeth; Nossent, George D; Kwakkel-van Erp, Johanna M; van Kessel, Diana A; Oudijk, Erik J; van de Graaf, Ed A; Luijk, Bart; Hoek, Rogier A; van den Blink, Bernt; van Hal, Peter Th; Verschuuren, Erik A; van der Bij, Wim; van Moorsel, Coline H; Grutters, Jan C

2015-12-01

Idiopathic pulmonary fibrosis (IPF) is a progressive and lethal fibrosing lung disease with a median survival of approximately 3 years after diagnosis. The only medical option to improve survival in IPF is lung transplantation (LTX). The purpose of this study was to evaluate trajectory data of IPF patients listed for LTX and to investigate the survival after LTX. Data were retrospectively collected from September 1989 until July 2011 of all IPF patients registered for LTX in the Netherlands. Patients were included after revision of the diagnosis based on the criteria set by the ATS/ERS/JRS/ALAT. Trajectory data, clinical data at time of screening, and donor data were collected. In total, 98 IPF patients were listed for LTX. During the waiting list period, 30 % of the patients died. Mean pulmonary artery pressure, 6-min walking distance, and the use of supplemental oxygen were significant predictors of mortality on the waiting list. Fifty-two patients received LTX with a median overall survival after transplantation of 10 years. This study demonstrated a 10-year survival time after LTX in IPF. Furthermore, our study demonstrated a significantly better survival after bilateral LTX in IPF compared to single LTX although bilateral LTX patients were significantly younger.

Autopsy studies of Hashimoto's thyroiditis in Hiroshima and Nagasaki (1954-1974): relation to atomic bomb radiation

Energy Technology Data Exchange (ETDEWEB)

Asano, M. (Radiation Effects Research Foundation, Hiroshima, Japan); Norman, J.E. Jr.; Kato, H.; Yagawa, K.

1978-01-01

The authors examined 155 autopsy cases of Hashimoto's thyroiditis in the Life Span Study sample including both A-bomb survivors and controls in Hiroshima and Nagasaki (1954 to 1974). Hashimoto's thyroiditis was classified into lymphoid, diffuse and fibrous types and the following results were obtained. No difference existed in the effects of A-bomb radiation in the incidence and ATB. The ratio of males to females did not reveal statistical significance, even though reversed ratio was noted in the high dose group. The variation of thyroid gland weight in T65 dose or by variant showed no significant pattern, even though the smallest average weight was found in the highest radiation exposure group. The complications in the patients with Hashimoto's thyroiditis were noted to have high prevalance of ovarian cancer and low prevalence of stomach cancer and total cancer. Only two patients with Hashimoto's thyroiditis were found to be complicated with thyroid carcinoma. Among collagen diseases, the prevalence of rheumatic fever and rheumatoid arthritis was high as complication. And the prevalence of combined diseases suggested that no late effect of A-bomb radiation existed.

Incidence of skin cancer among Nagasaki atomic bomb survivors; Preliminary report

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Sadamori, Naoki; Mine, Mariko; Hori, Makoto (Nagasaki Univ. (Japan). School of Medicine) (and others)

1990-09-01

Among a total of 65,268 Nagasaki atomic bomb survivors recorded in the Scientific Data Center of Atomic Bomb Disaster, Nagasaki University School of Medicine, 140 cases with skin cancer were collected from 31 hospitals in Nagasaki City from 1961 through 1987. Subsequently, these cases of skin cancer in Nagasaki atomic bomb survivors were statistically analyzed in relation to the estimated distance from the hypocenter by age, sex, histology and latent period. The results were as follows: (1) A high correlation was observed between the incidence of skin cancer and the distance from the hypocenter. (2) The incidence of skin cancer in Nagasaki atomic bomb survivors now appears to be increasing in relation to exposure distance. (3) Among 140 cases, basal cell epithelioma was observed in 67 cases (47.9%) and squamous cell carcinoma in 43 cases (30.7%). (author).

Partitioning of excess mortality in population-based cancer patient survival studies using flexible parametric survival models

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Eloranta Sandra

2012-06-01

Full Text Available Abstract Background Relative survival is commonly used for studying survival of cancer patients as it captures both the direct and indirect contribution of a cancer diagnosis on mortality by comparing the observed survival of the patients to the expected survival in a comparable cancer-free population. However, existing methods do not allow estimation of the impact of isolated conditions (e.g., excess cardiovascular mortality on the total excess mortality. For this purpose we extend flexible parametric survival models for relative survival, which use restricted cubic splines for the baseline cumulative excess hazard and for any time-dependent effects. Methods In the extended model we partition the excess mortality associated with a diagnosis of cancer through estimating a separate baseline excess hazard function for the outcomes under investigation. This is done by incorporating mutually exclusive background mortality rates, stratified by the underlying causes of death reported in the Swedish population, and by introducing cause of death as a time-dependent effect in the extended model. This approach thereby enables modeling of temporal trends in e.g., excess cardiovascular mortality and remaining cancer excess mortality simultaneously. Furthermore, we illustrate how the results from the proposed model can be used to derive crude probabilities of death due to the component parts, i.e., probabilities estimated in the presence of competing causes of death. Results The method is illustrated with examples where the total excess mortality experienced by patients diagnosed with breast cancer is partitioned into excess cardiovascular mortality and remaining cancer excess mortality. Conclusions The proposed method can be used to simultaneously study disease patterns and temporal trends for various causes of cancer-consequent deaths. Such information should be of interest for patients and clinicians as one way of improving prognosis after cancer is

Contributing factors to long-term psychological consequences in Hiroshima A-bomb survivors

International Nuclear Information System (INIS)

Asukai, Nozomu; Sugiyama, Hiromi; Kato, Hiroshi; Nakajima, Midori; Saeki, Toshinari

2012-01-01

The atomic bombing in Hiroshima on August 6, 1945, caused an estimated casualty of 140,000 by the end of that year. Survivors faced hideous scenes and many lost family members. Later, in the early 1960s, increased rates of leukemia and other types of cancer were observed among the survivors. These long-term health effects caused serious apprehension to linger. However, only a few studies on psychological consequences among the survivors have been conducted. In 2008, Hiroshima City commissioned our study team to perform a large-scale survey on long-term health effects among the survivors. We delivered a questionnaire by mail to all subjects who were living in Hiroshima City and adjacent towns prior to the release of the A-bomb until the study was implemented. The number of potential subjects was 31,598 and the response rate was 75%. We analyzed a subsample of subjects (n=14,373) whose age at the event was 8 or above. In the multiple regression analysis, hibakusha (A-bomb victims) and those who were exposed to the Black Rain (fall-out) showed poor mental health compared to the comparison group on SF-8, K6 and IES-R scores even after adjusting socio-demographic variables. Although traumatic experiences at the event still affected mental health, anxiety for health effects and social stigma showed greater impact. Our findings suggest that even 63 years after the event, apprehension of health effects and social stigma harm mental health in A-bomb survivors. Our findings may also suggest that long-term risk communication will be vital to mitigate mental health effects among survivors of the Fukushima nuclear disaster. (author)

Contributing factors to long-term psychological consequences in Hiroshima A-bomb survivors

Energy Technology Data Exchange (ETDEWEB)

Asukai, Nozomu [Tokyo Metropolitan Inst. of Medical Science, Tokyo (Japan); Sugiyama, Hiromi [Radiation Effects Research Foundation, Hiroshima, Hiroshima (Japan); Kato, Hiroshi [Hyogo Inst. for Traumatic Stress, Kobe, Hyogo (Japan); Nakajima, Midori [Hiroshima International Univ., Faculty of Psychological Science, Higashi-Hiroshima, Hiroshima (Japan); Saeki, Toshinari [Hiroshima Univ., Faculty of Medicine, Hiroshima, Hiroshima (Japan)

2012-05-15

The atomic bombing in Hiroshima on August 6, 1945, caused an estimated casualty of 140,000 by the end of that year. Survivors faced hideous scenes and many lost family members. Later, in the early 1960s, increased rates of leukemia and other types of cancer were observed among the survivors. These long-term health effects caused serious apprehension to linger. However, only a few studies on psychological consequences among the survivors have been conducted. In 2008, Hiroshima City commissioned our study team to perform a large-scale survey on long-term health effects among the survivors. We delivered a questionnaire by mail to all subjects who were living in Hiroshima City and adjacent towns prior to the release of the A-bomb until the study was implemented. The number of potential subjects was 31,598 and the response rate was 75%. We analyzed a subsample of subjects (n=14,373) whose age at the event was 8 or above. In the multiple regression analysis, hibakusha (A-bomb victims) and those who were exposed to the Black Rain (fall-out) showed poor mental health compared to the comparison group on SF-8, K6 and IES-R scores even after adjusting socio-demographic variables. Although traumatic experiences at the event still affected mental health, anxiety for health effects and social stigma showed greater impact. Our findings suggest that even 63 years after the event, apprehension of health effects and social stigma harm mental health in A-bomb survivors. Our findings may also suggest that long-term risk communication will be vital to mitigate mental health effects among survivors of the Fukushima nuclear disaster. (author)

Flow cytometric analysis of lymphocyte subset in patients with neutropenia among atomic bomb survivors

Energy Technology Data Exchange (ETDEWEB)

Imamura, Nobutaka; Kimura, Akiro [Hiroshima Univ. (Japan). Research Inst. for Radiation Biology and Medicine

1998-12-01

In 51 patients (atomic bomb survivors 50, unexposed persons 1) who have had neutropenia for two years or more under indistinct cause, cell surface antigen was analyzed by flow cytometry. Twenty-nine cases of survivors were diagnosed as NK cell leukemia or NK cell cytosis because analysis data showed CD3(-), CD56(+) and CD57(+/-). Six cases were diagnosed as NK like T cell hypercytosis because analysis data showed CD3(+), CD56(+/-) and CD57(+). As for 15 cases, CD56(+) cell number was in range of 15.96{+-}5.35 of a normal person, and no relation with NK cell was recognized. But, CD4/CD8 ratio was higher than 2.1, and gain of T helper cell was recognized. One unexposed persons was diagnosed as chronic NK cell leukemia because analysis data showed CD3(-), CD56(+) and CD57(+). Anti-neutrophil antibody wasn't recognized. Cytotoxic activity for K562 and Raji cell line showed high value compared with that of a normal person. Epstein Barr virus wasn't detected. (K.H.)

The media and dirty bombs

International Nuclear Information System (INIS)

Hanley, C.J.

2003-01-01

During the recent Jose Padilla 'dirty bomb' scare, an indignant US citizen wrote to his local newspaper in Florida complaining that the news media were giving terrorists a recipe for making dirty bombs. 'Unless the media eases up on scaring us, he wrote, the public won't feel safe even leaving their homes. Or perhaps that is what they want, he said, 'us staying inside our homes watching the news on how terrorists can destroy us all.' It seems our real motivations have finally been uncovered we in the media want to scare them so much they won't leave their TV screens. Based on the previous event an analysis of the role of media and journalists is discussed. Leaders of the news media would, first of all, universally advise full and rapid and authoritative disclosure of what is known. If it isn't coming quickly from the highest levels, then the news will soon deteriorate to what's being heard on the streets, from police officers and fire fighters and other emergency personnel, and from passers-by. Journalists are the first to acknowledge their ignorance.That is why they ask questions. However, they seem to learn fast. It was found that that the term dirty bomb never appeared on Associated Press news wires before the 11 September 2001 attacks. Now it appears every day, and increasingly we are getting the facts right and helping to prepare our audience of millions for this dangerous new world

Numerical evaluation of acoustic characteristics and their damping of a thrust chamber using a constant-volume bomb model

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Jianxiu QIN

2018-03-01

Full Text Available In order to numerically evaluate the acoustic characteristics of liquid rocket engine thrust chambers by means of a computational fluid dynamics method, a mathematical model of an artificial constant-volume bomb is proposed in this paper. A localized pressure pulse with a very high amplitude can be imposed on specified regions in a combustion chamber, the numerical procedure of which is described. Pressure oscillations actuated by the released constant-volume bomb can then be analyzed via Fast Fourier Transformation (FFT, and their modes can be identified according to the theoretical acoustic eigenfrequencies of the thrust chamber. The damping performances of the corresponding acoustic modes are evaluated by the half-power bandwidth method. The predicted acoustic characteristics and their damping for a special engine combustor agree well with the experimental data, validating the mathematical model and its numerical procedures. A small-thrust liquid rocket engine chamber is then analyzed by the present model. The First Longitudinal (1L acoustic mode can be excited easily and is hard to be damped. The axial position of the central constant-volume bomb has little influence on the amplitude and damping capacity of the First Radial (1R and 1L acoustic modes. Tangential acoustic modes can only be triggered by an off-centered constant-volume bomb, among which the First Tangential (1T mode is the strongest and regarded as the most harmful one. The amplitude of the 1L acoustic mode is smaller, but its damping factor is larger, as a constant-volume bomb is imposed approaching the injector face. These results are contributed to evaluate the acoustic characteristics and their damping of the combustion chamber. Keywords: Acoustic mode, Constant-volume bomb, Damping characteristics, Damping factor, Half-power bandwidth, Pressure oscillation

Brain metastases in lung cancer. Impact of prognostic factors on patient survival

International Nuclear Information System (INIS)

Smrdel, U.; Zwitter, M.; Kovac, V.

2003-01-01

Background. Brain metastases are common patterns of dissemination in lung cancer patients. In this paper we would like to assess the pattern of brain metastases in lung cancer patients and the impact of prognostic factors on the survival of lung cancer patients with brain metastases. Patients and methods. In the year 1998 there were 974 registered patients with lung cancer in Slovenia, six hundred and fifteen of them were treated at the Institute of Oncology Ljubljana and we analyzed them. Among 615 patients 137 (22.3 %) of them have had brain metastases during a natural course of disease. Results. For 12 patients presenting with solitary brain metastases (most of them were undertaken metastasectomy) median survival was 7.6 months, while in patients with multiple brain metastases the median survival was 2.8 months (p 0.0018). Of the 137 patients 45 (32.8 %) were small cell lung cancer patients, 43 (31.4 %) were adenocarcinoma patients and 19 (13.9 %) were squamous cell carcinoma patients. Patients with performance status (WHO scale) less than 2 had the median survival time 3.7 months while patients with performance status 2 or more had median survival time 2.7 moths (p=0.0448). Conclusions. Patients with solitary brain metastases had better survival comparing with those who had multiple metastases. It is surprisingly that the portion of brain metastases patients with adenocarcinoma is almost equal to those with small-call lung cancer therefore, the prophylactic cranial radiation becomes actual for both groups of patients. The performance status of patients with brain metastases remains very important prognostic factor. (author)

Survival Rate of Dental Implants in Patients with History of Periodontal Disease: A Retrospective Cohort Study.

Science.gov (United States)

Correia, Francisco; Gouveia, Sónia; Felino, António Campos; Costa, Ana Lemos; Almeida, Ricardo Faria

To evaluate the differences between the survival rates of implants placed in patients with no history of periodontal disease (NP) and in patients with a history of chronic periodontal disease (CP). A retrospective cohort study was conducted in which all consenting patients treated with dental implants in a private clinic in Oporto, Portugal, from November 2, 2002 through February 11, 2011 were included. All patients were treated consecutively by the same experimental operator. This study aimed to analyze how the primary outcomes (presence of disease, time of placement, and time of loading) and the secondary outcomes (severity-generalized periodontitis, brand, implant length, prosthesis type, prosthesis metal-ceramic extension) influence the survival rate of dental implants. The survival analysis was performed through the Kaplan-Meier method, and the equality of survival distributions for all groups was tested with the log-rank test with a significance level of .05 for all comparisons. The sample consisted of 202 patients (47% NP and 53% CP) and 689 implants (31% NP and 69% CP). The survival rate in the NP and CP groups showed no statistically significant differences (95.8% versus 93.1%; P ≥ .05). Implants were lost before loading in 54.9% of the cases. The majority of the implants were lost in the first year and stabilized after the second year. Survival rates in the NP and CP patients showed no statistically significant differences when comparing the following factors: subclassification of the disease, implant brands, implant length (short/standard), type of prosthesis, extension of the prosthesis metal-ceramic, and time of placement and loading (P ≥ .05). This work disclosed no statistically significant differences in terms of survival rates when compared with the control group. Placing implants in patients with a history of periodontal disease appears to be viable and safe.

Cancer incidence of A-bomb survivors in Nagasaki City, 1973 - 1982

International Nuclear Information System (INIS)

Ikeda, Takayoshi; Shimokawa, Isao; Iwasaki, Keisuke; Matsuo, Takeshi; Mori, Hiroyuki; Mine, Mariko

1988-01-01

Subjects were residents older than 30 years ascertained through the population-based cancer registry in Nagasaki City during a ten-year period from 1973 to 1982. The total number of cancer patients was 6,243 (3,456 men and 2,787 women), 2,626 of whom were A-bomb survivors. Stomach cancer was the most common, irrespective of sex, in both exposed and non-exposed groups. Crude incidence of cancer of any organ was higher in the exposed group, especially the group of people entering the city early after the bombing, than the non-exposed group. In the groups exposed at <2,000 m and at 2,000 - 10,000 m from the hypocenter, the incidence of stomach, lung, and thyroid cancers and malignant lymphoma; and the incidence of stomach, breast, and thyroid cancers were radiation-dose dependent in men and women, respectively. Age-adjusted relative risks of breast and thyroid cancers were significantly higher in the exposed group of women than the non-exposed group. Comparing cancer incidence during the first and latter five years, the incidence of thyroid cancer and malignant lymphoma tended to decrease or remain unchanged in both men and women. The incidence of colorectal cancer showed a tendency to increase. An increased incidence of stomach and lung cancers was restricted to the exposed group of women. As for breast cancer, the exposed group of women had a tendency for decrease, as opposed to the non-exposed group with the increased incidence. There was no significant difference in histologic types between the exposed and non-exposed groups. (Namekawa, K.)

Association of Acute Radiation Syndrome and Rain after the Bombings in Atomic Bomb Survivors.

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Ozasa, K; Sakata, R; Cullings, H M; Grant, E J

2016-06-01

Acute radiation-induced symptoms reported in survivors after the atomic bombings in Hiroshima and Nagasaki have been suspected to be associated with rain that fell after the explosions, but this association has not been evaluated in an epidemiological study that considers the effects of the direct dose from the atomic bombs and other factors. The aim of this study was to evaluate this association using information from a fixed cohort, comprised of 93,741 members of the Life Span Study who were in the city at the time of the bombing. Information on acute symptoms and exposure to rain was collected in surveys conducted by interviewers, primarily in the 1950s. The proportion of survivors developing severe epilation was around 60% at levels of direct radiation doses of 3 Gy or higher and less than 0.2% at levels <0.005 Gy regardless of reported rain exposure status. The low prevalence of acute symptoms at low direct doses indicates that the reported fallout rain was not homogeneously radioactive at a level sufficient to cause a substantial probability of acute symptoms. We observed that the proportion of reported acute symptoms was slightly higher among those who reported rain exposure in some subgroups, however, suggestions that rain was the cause of these reported symptoms are not supported by analyses specific to the known areas of radioactive fallout. Misclassification of exposure and outcome, including symptoms due to other causes and recall bias, appears to be a more plausible explanation. However, the insufficient and retrospective nature of the available data limited our ability to quantify the attribution to those possible causes.

Effect of smoking on survival of patients with hepatocellular carcinoma.

Science.gov (United States)

Kolly, Philippe; Knöpfli, Marina; Dufour, Jean-François

2017-11-01

Lifestyle factors such as smoking, obesity and physical activity have gained interest in the field of hepatocellular carcinoma. These factors play a significant role in the development of hepatocellular carcinoma. Several studies revealed the impact of tobacco consumption on the development of hepatocellular carcinoma and its synergistic effects with viral etiologies (hepatitis B and C). The effects of smoking on survival in patients with a diagnosed hepatocellular carcinoma have not yet been investigated in a Western cohort where hepatitis C infection is a major risk factor. Using data from a prospective cohort of patients with hepatocellular carcinoma who were followed at the University Hospital of Bern, Switzerland, survival was compared by Kaplan-Meier analysis in smokers and nonsmokers, and multivariate Cox regression was applied to control for confounding variables. Of 238 eligible hepatocellular carcinoma patients, 64 were smokers at the time of inclusion and 174 were nonsmokers. Smokers had a significant worse overall survival than nonsmokers (hazard ratio 1.77, 95% confidence interval: 1.22-2.58, P=.003). Analysis of patients according to their underlying liver disease, revealed that smoking, and not nonsmoking, affected survival of hepatitis B virus and C virus-infected patients only. In this subgroup, smoking was an independent predictor for survival (hazard ratio 2.99, 95% confidence interval: 1.7-5.23, Phepatocellular carcinoma. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Self-rated health supersedes patient satisfaction with service quality as a predictor of survival in prostate cancer.

Science.gov (United States)

Gupta, Digant; Patel, Kamal; Lis, Christopher G

2015-09-04

We have previously reported that higher patient satisfaction (PS) with service quality is associated with favorable survival outcomes in a variety of cancers. However, we argued that patients with greater satisfaction might be the ones with better self-rated health (SRH), a recognized predictor of cancer survival. We therefore investigated whether SRH can supersede patient satisfaction as a predictor of survival in prostate cancer. Nine hundred seventeen prostate cancer treated at four Cancer Treatment Centers of America(®) hospitals between July 2011 and March 2013. PS was measured on a 7-point scale ranging from "completely dissatisfied" to "completely satisfied". SRH was measured on a 7-point scale ranging from "very poor" to "excellent". Both were dichotomized into two categories: top box response (7) versus all others (1-6). Patient survival was the primary end point. Cox regression was used to evaluate the association between PS and survival controlling for covariates. The response rate for this study was 72%. Majority of patients (n = 517) had stage II disease. Seven hundred eighty-seven (85.8%) patients were "completely satisfied". Three hundred nineteen (34.8%) patients had "excellent" SRH. There was a weak but significant correlation between satisfaction and SRH (Kendall's tau b = 0.18; p < 0.001). On univariate analysis, "completely satisfied" patients had a significantly lower risk of mortality (HR = 0.46; 95% CI: 0.25-0.85; p = 0.01). Similarly, patients with "excellent" SRH had a significantly lower risk of mortality (HR = 0.25; 95% CI: 0.11-0.58; p = 0.001). On multivariate analysis, SRH was found to be a significant predictor of survival (HR = 0.31; 95% CI: 0.12-0.79; p = 0.01) while patient satisfaction was not (HR = 0.76; 95% CI: 0.40-1.5; p = 0.40). SRH supersedes patient satisfaction with service quality as a predictor of survival in prostate cancer. SRH should be used as a control variable in analyses involving patient satisfaction as a

Outline of developing projects of atomic bomb in Japan and USA

International Nuclear Information System (INIS)

Fukui, Shuji

2007-01-01

The content of the title connecting with the World War II is described hoping that younger researchers of nuclear physics could know some of the facts that scientists and the military of Japan and USA, respectively, had have developing projects of atomic bomb by fission reaction, although there are no official documents of those in Japan, even if there are some unofficial documents that are uncertain partly in Japan. Described are a chronological table, the content of research and development of atomic bombs, Japan's experiments by Kikuchi Laboratory of Osaka Imperial University and Nishina Laboratory of RIKEN, as well as the USA's action such as production of fissile nuclide, Pu-239 and U-235, selection of the site to fabricate atomic bomb, investigation the state of research and development of atomic bombs in Germany, Italy and Japan. (S.Y.)

Effect of therapy on five- and ten-year survival of malignant melanoma patients

International Nuclear Information System (INIS)

Siffnerova; Bustova; Zikmund

1989-01-01

The results are reported of five-year and ten-year survival of malignant melanoma patients treated postoperatively by actinotherapy. In patients where lymph flow was not apparent, 2.5 Gy of daily doses of electron irradiation from a 6-8 MeV betatron were used centred on the scar. The total dose was 60 Gy. Where the lymph flow could be identified, cobalt or cesium sources were used to deliver a total dose of 50 Gy in 2.5 Gy daily. Both five-year and ten-year survival was significantly better than in patients treated with surgery only, without irradiation. 55% of the patients on combined management survived for more than 5 years, 86% of them without relapses. 41% patients survived for 10 years, of which 92% without relapse. In contrast, the corresponding figures for the patients treated with surgery only were 42% and 71% respectively for the five-year survival, and 26% and 70% respectively for the ten-year survival. (L.O.). 3 figs., 2 tabs

The Neutrino Bomb: A New Weapon of Mass Destruction

International Nuclear Information System (INIS)

Broda, E.

1978-01-01

This text was written by E. Broda in a “Supplementary” paper for Pugwash in the year 1978. It is about the neutrino and a general principle of its use as a potential weapon of mass destruction. It ends with a suggestion to convene a Pugwash workshop for dealing with the threat of the neutrino bomb. (zarka)

Risk of cancer among atomic bomb survivors

International Nuclear Information System (INIS)

Shimizu, Yukiko; Kato, Hiroo; Schull, W.J.

1991-01-01

This report describes the risk of cancer and in particular cancers other than leukemia among the survivors of the atomic bombing of Hiroshima and Nagasaki. Attention focuses primarily on the risk of death from cancer among individuals in the Life Span Study sample of the Radiation Effect Research Foundation in the period 1950-1985 based on the recently revised dosimetry, termed the DS86 doses. Mortality from malignant tumors is increased among A-bomb survivors as a late effect of A-bomb radiation. Basides the well-known increase of leukemia, there also has been demonstrated increase of cancer of the lung, breast, esophagus, stomach, colon, ovary, urinary bladder, thyroid, and of multiple myeloma, but no increase has yet been observed in mortality from cancer of the rectum, gallbladder, pancreases, prostate and uterus, and of malignant lymphoma. The pattern of appearance over time of radiation-induced cancer other than leukemia differs from that of leukemia. In general, radiation-induced solid cancer begins to appear after attaining the age at which the cancer is normally prone to develop (so-called cancer age), and countinues to increase proportionally with the increase in mortality of the control group as it ages. Sensitivity to radiation, in terms of cancer induction, is higher for persons who were young at the time of the bomb (ATB) in general than for those who were older ATB. Furthermore, susceptibility to radiation-induced cancer tends to be higher in pre- than in post-natally exposed survivors (at least those exposed as adults). Other radiation effect modifiers and the shape of the dose response curve will also be discussed. (author)

[Effect of nutritional support on survival in patients with amyotrophic lateral sclerosis].

Science.gov (United States)

López Gómez, J J; Ballesteros Pomar, Ma D; Vázquez Sánchez, F; Vidal Casariego, A; Calleja Fernández, A; Cano Rodríguez, I

2011-01-01

Malnutrition affects morbidity and mortality of patients with ALS. The nutrition unit should evaluate these patients early and regularly providing the necessary steps in the evolution of the disease. A retrospective cohort study in which we analyzed 46 patients diagnosed with ALS, 21 of them received nutritional therapy. We studied age, mode of onset, date of entry into a nutritional protocol, placement of PEG and survival. We performed a test of Breslow comparing patients who were at nutritional protocol with those not receiving nutritional support, and those who received early nutritional therapy with those with delayed nutrition. There was an increase in median survival for patients in nutritional therapy in bulbar ALS (452 vs 55 days) and in spinal ALS (1,798 vs 357 days) (p = 0.002). The median delay in the initiation of nutritional therapy in spinal ALS was 557 days while in bulbar ALS was 230 days. The survival in the spinal ALS of those who entered into nutritional protocol before the median survival was 325 days to 181 days (p = 0.09) while in bulbar ALS those who entered before had a median survival of 435 days to 177 days (p = 0.38). The entry of patients with ALS in a nutritional protocol increases survival. There is an advantage in the evolution of patients with early nutritional treatment.

Risk of death among children of atomic bomb survivors after 62 years of follow-up: a cohort study.

Science.gov (United States)

Grant, Eric J; Furukawa, Kyoji; Sakata, Ritsu; Sugiyama, Hiromi; Sadakane, Atsuko; Takahashi, Ikuno; Utada, Mai; Shimizu, Yukiko; Ozasa, Kotaro

2015-10-01

No clear epidemiological hereditary effects of radiation exposure in human beings have been reported. However, no previous studies have investigated mortality into middle age in a population whose parents were exposed to substantial amounts of radiation before conception. We assessed mortality in children of the atomic bomb survivors after 62 years of follow-up. In this prospective cohort study, we assessed 75 327 singleton children of atomic bomb survivors in Hiroshima and Nagasaki and unexposed controls, born between 1946 and 1984, and followed up to Dec 31, 2009. Parental gonadal doses of radiation from the atomic bombings were the primary exposures. The primary endpoint was death due to cancer or non-cancer disease, based on death certificates. Median follow-up was 54·3 years (IQR 45·4-59·3). 5183 participants died from disease. The mean age of the 68 689 surviving children at the end of follow-up was 53·1 years (SD 7·9) with 15 623 (23%) older than age 60 years. For parents who were exposed to a non-zero gonadal dose of radiation, the mean dose was 264 mGy (SD 463). We detected no association between maternal gonadal radiation exposure and risk of death caused by cancer (hazard ratio [HR] for 1 Gy change in exposure 0·891 [95% CI 0·693-1·145]; p=0·36) or risk of death caused by non-cancer diseases (0·973 [0·849-1·115]; p=0·69). Likewise, paternal exposure had no effect on deaths caused by cancer (0·815 [0·614-1·083]; p=0·14) or deaths caused by non-cancer disease (1·103 [0·979-1·241]; p=0·12). Age or time between parental exposure and delivery had no effect on risk of death. Late effects of ionising radiation exposure include increased mortality risks, and models of the transgenerational effects of radiation exposure predict more genetic disease in the children of people exposed to radiation. However, children of people exposed to the atomic bombs in Hiroshima and Nagasaki had no indications of deleterious health effects after 62

Smoking habits among atomic-bomb survivors

International Nuclear Information System (INIS)

Akiba, Suminori; Kimura, Masafumi

1992-01-01

The Radiation Effects Research Foundation made a research through mailing, the smoking habits among the A-bomb survivors in 1978-79. Statistic analysis was made on the smoking habits and radiation doses. (J.P.N.)

Late effects of atomic bomb radiation on human immune responses, (10)

International Nuclear Information System (INIS)

Kusunoki, Yoichiro; Kyoizumi, Seishi; Ozaki, Kyoko; Saito, Mayumi; Cologne, J.B.; Akiyama, Mitoshi

1992-01-01

Anti-Epstein-Barr (EV) virus antibody titers were measured in age- and sex-matched three groups of each 124 A-bomb survivors who had exposed to 1 Gy. These serum samples showed positive antibodies against viral capsid antigens (VCA). Antibody titers to anti-VCA-IgM or anti-EA-IgG were significantly higher in the groups of 0.01-1 Gy and >1 Gy than in the group of <0.01 Gy, reflecting decreased immune response ability for EV virus. When precursor frequency of cytotoxic cells against autologous EB virus LCL was determined in 68 other A-bomb survivors, no definitive influence of A-bombing was observed. However, serological study revealed that there was inverse correlation between precursor frequency and anti-EA-IgG antibody titer. These findings suggest that the immune response ability for EB virus may have been damaged and that biological reactivity of EB virus may occur frequently in A-bomb survivors. (N.K.)

Survival of Patients with Stomach Cancer and its Determinants in Kurdistan.

Science.gov (United States)

Moradi, Ghobad; Karimi, Kohsar; Esmailnasab, Nader; Roshani, Daem

2016-01-01

Stomach cancer is the fourth most common cancer and the second leading cause of death from cancer in the world. In Iran, this type of cancer has high rates of incidence and mortality. This study aimed to assess the survival rate of patients with stomach cancer and its determinants in Kurdistan, a province with one of the highest incidence rates of stomach cancer in the country. We studied a total of 202 patients with stomach cancer who were admitted to Tohid Hospital in Sanandaj from 2009 to 2013. Using KaplanMeier nonparametric methods the survival rate of patients was calculated in terms of different levels of age at diagnosis, gender, education, residential area, occupation, underweight, and clinical variables including tumor histology, site of tumor, disease stage, and type of treatment. In addition, we compared the survival rates using the logrank test. Finally, Cox proportional hazards regression was applied using Stata 12 and R 3.1.0 software. The significance level was set at 0.05. The mean age at diagnosis was 64.7 ± 12.0 years. The survival rate of patients with stomach cancer was 43.9% and 7% at the first and the fifth year after diagnosis, respectively. The results of logrank test showed significant relationships between survival and age at diagnosis, education, disease stage, type of treatment, and degree of being underweight (P<0.05). Moreover, according to the results of Cox proportional hazards regression model, the variables of education, disease stage, and type of treatment were associated with patient survival (P<0.05). The survival rate of patients with stomach cancer is low and the prognosis is very poor. Given the poor prognosis of the patients, it is critical to find ways for early diagnosis and facilitating timely access to effective treatment methods.

Aggressive Treatment of Patients with Metastatic Colorectal Cancer Increases Survival: A Scandinavian Single-Center Experience

Directory of Open Access Journals (Sweden)

Kristoffer Watten Brudvik

2013-01-01

Full Text Available Background. We examined overall and disease-free survivals in a cohort of patients subjected to resection of liver metastasis from colorectal cancer (CRLM in a 10-year period when new treatment strategies were implemented. Methods. Data from 239 consecutive patients selected for liver resection of CRLM during the period from 2002 to 2011 at a single center were used to estimate overall and disease-free survival. The results were assessed against new treatment strategies and established risk factors. Results. The 5-year cumulative overall and disease-free survivals were 46 and 24%. The overall survival was the same after reresection, independently of the number of prior resections and irrespectively of the location of the recurrent disease. The time intervals between each recurrence were similar (11 ± 1 months. Patients with high tumor load given neoadjuvant chemotherapy had comparable survival to those with less extensive disease without neoadjuvant chemotherapy. Positive resection margin or resectable extrahepatic disease did not affect overall survival. Conclusion. Our data support that one still, and perhaps to an even greater extent, should seek an aggressive therapeutic strategy to achieve resectable status for recurrent hepatic and extrahepatic metastases. The data should be viewed in the context of recent advances in the understanding of cancer biology and the metastatic process.