WorldWideScience

Sample records for kameyama ryo ochitani

  1. Comparison between the mainstream smoke of eleven RYO tobacco brands and the reference tobacco 3R4F

    Directory of Open Access Journals (Sweden)

    A. Marcilla

    2014-01-01

    Full Text Available In this study 11 commercial roll-your-own (RYO tobacco brands sold in Spain and the reference tobacco 3R4F have been smoked and several components of the mainstream tobacco smoke have been analyzed. Cigarettes were prepared using commercial tubes, and were smoked under smoking conditions based on the ISO 3308. The gaseous and condensed fractions of the smoke from RYO brands and 3R4F have been analyzed and compared. RYO tobaccos, as opposed to 3R4F, present lower amounts of condensed products in the traps than in the filters. In general, RYO tobaccos also provide lower yields of most of the compounds detected in the gas fraction. The yield of CO is between 15.4 and 20.4 mg/cigarette. In most of the cases studied, RYO tobaccos deliver higher amounts of nicotine than the 3R4F tobacco. On average, the yield of the different chemical families of compounds appearing in the particulate matter retained in the cigarette filters tends to be around three times higher than those obtained from 3R4F, whereas similar values have been obtained in the particulate matter retained in the traps located after the filters. It can be concluded that RYO tobaccos are not less hazardous than the reference tobacco, which may be contrary to popular belief.

  2. Smoking patterns in Great Britain: the rise of cheap cigarette brands and roll your own (RYO) tobacco.

    Science.gov (United States)

    Gilmore, Anna B; Tavakoly, Behrooz; Hiscock, Rosemary; Taylor, Gordon

    2015-03-01

    In Britain, the tobacco industry segments cigarettes into four price categories-premium, mid-price, economy and ultra-low-price (ULP). Our previous work shows that tobacco companies have kept ULP prices stable in real terms. Roll your own (RYO) tobacco remains cheaper still. Analysis of 2001-08 General Household Survey data to examine trends in use of these cheap products and, using logistic regression, the profile of users of these products. Among smokers, the proportion using cheap products (economy, ULP and RYO combined) increased significantly in almost all age groups and geographic areas. Increases were most marked in under 24 year olds, 76% of whom smoked cheap cigarettes by 2008. All cheap products were more commonly used in lower socio-economic groups. Men and younger smokers were more likely to smoke RYO while women smoked economy brands. Smokers outside London and the South East of England were more likely to smoke some form of cheap tobacco even once socio-economic differences were accounted for. This paper demonstrates that cheap tobacco use is increasing among young and disadvantaged smokers compromising declines in population smoking prevalence. Thus, tobacco industry pricing appears to play a key role in explaining smoking patterns and inequalities in smoking. © The Author 2014. Published by Oxford University Press on behalf of Faculty of Public Health.

  3. Do conceito de Bun Bu Ryo Do à atividade esportiva: a racionalidade moderna nas lutas marciais tradicionais

    OpenAIRE

    SOUSA, Marcel Farias de

    2010-01-01

    Este trabalho analisa o desenvolvimento sócio-cultural e histórico das lutas marciais japonesas, a partir de sua configuração social, religiosa e política no Japão feudal e investiga como estas práticas se reconfiguram no modelo de racionalidade do mundo ocidental. A pesquisa, de caráter qualitativo, tem como procedimento metodológico, o método de análise de imagens paradas com a decomposição de vídeos de lutas, optando pelo seguinte processo comparativo de movimento: 1) Comparação de movimen...

  4. Sistema reprodutivo e polinização de Lepidagathis sessilifolia (Pohl Kameyama ex Wassh. & J.R.I. Wood (Acanthaceae, em remanescente florestal da região sudoeste de Mato Grosso, Brasil Breeding system and pollination of Lepidagathis sessilifolia (Pohl Kameyama Wassh ex. & J.R.I.Wood (Acanthaceae in remnant forest in the southwest region of Mato Grosso, Brazil

    Directory of Open Access Journals (Sweden)

    Celice Alexandre Silva

    2012-09-01

    Full Text Available O gênero Lepidagathis apresenta distribuição pantropical com cerca de 100 espécies. No Brasil ocorrem 16 espécies, a maioria nas regiões Centro - Oeste e Sudeste. O estudo foi realizado em sub - bosque de remanescente florestal do município de Tangará da Serra - MT e teve como objetivo analisar a fenologia de floração, descrever a morfologia e biologia floral, verificar os visitantes florais e avaliar o sistema e o sucesso reprodutivo por meio de polinizações manuais. Lepidagathis sessilifolia apresenta inflorescências espiciformes, terminais, com cálice de cor rósea vistosa e corola de coloração branco-rósea. A floração ficou restrita aos meses de março a abril, durante a estação chuvosa. A senescência floral ocorreu após 24 ou 48 horas. A viabilidade dos grãos de pólen foi elevada (92,5%. O único polinizador observado visitando as flores de L. sessilifolia foi a abelha Partamona nhambiquara (Apidae - Meliponini. O sistema reprodutivo misto da espécie é caracterizado pela formação de frutos por meio de agamospermia, autopolinização e polinização cruzada. Esse sistema reprodutivo flexível é vantajoso, pois, garante a manutenção da espécie na área de estudo mesmo na ausência de polinizadores.The genus Lepidagathis has pantropical distribution and about 100 species, 16 occurring in Brazil, mostly in the Midwest and Southeast regions. The research was carried out to evaluate in the understory of a forest remnant in Tangará da Serra County - MT to examine the flowering phenology, describe the floral morphology and biology and verify the floral visitors to evaluate the system and reproductive success through hand pollination tests. Lepidagathis sessilifolia shows spiciform and terminal inflorescence with calyx of pink color and corolla whitish-pink. Flowering was restricted from March to April, during the rainy season. Floral senescence occurred after 24 or 48 hours. The viability of pollen grains was high (92.5%. The effective pollinator of L. sessilifolia was Partamona nhambiquara (Apidae - Meliponini. The mixed mating system of the species is characterized by the formation of fruits by agamospermy, self and cross-pollination, spontaneous self-pollination, agamospermy and outcrossing. This flexible reproductive system is advantageous because it ensures the maintenance of species in the study area even in the absence of pollinators.

  5. Translation into Portuguese of: "Changes to publication requirements made at the XVIII International Botanical Congress in Melbourne - what does e-publication mean for you?". Translated by Jefferson Prado, Regina Y. Hirai, and Cíntia Kameyama

    Directory of Open Access Journals (Sweden)

    Sandra Knapp

    2011-09-01

    Full Text Available Changes to the International Code of Botanical Nomenclature are decided on every 6 years at Nomenclature Sections associated with International Botanical Congresses (IBC. The XVIII IBC was held in Melbourne, Australia; the Nomenclature Section met on 18-22 July 2011 and its decisions were accepted by the Congress at its plenary session on 30 July. Several important changes were made to the Code as a result of this meeting that will affect publication of new names. Two of these changes will come into effect on 1 January 2012, some months before the Melbourne Code is published. Electronic material published online in Portable Document Format (PDF with an International Standard Serial Number (ISSN or an International Standard Book Number (ISBN will constitute effective publication, and the requirement for a Latin description or diagnosis for names of new taxa will be changed to a requirement for a description or diagnosis in either Latin or English. In addition, effective from 1 January 2013, new names of organisms treated as fungi must, in order to be validly published, include in the protologue (everything associated with a name at its valid publication the citation of an identifier issued by a recognized repository (such as MycoBank. Draft text of the new articles dealing with electronic publication is provided and best practice is outlined.To encourage dissemination of the changes made to the International Code of Nomenclature for algae, fungi, and plants, this article will be published in BMC Evolutionary Biology, Botanical Journal of the Linnean Society, Brittonia, Cladistics, MycoKeys, Mycotaxon, New Phytologist, North American Fungi, Novon, Opuscula Philolichenum, PhytoKeys, Phytoneuron, Phytotaxa, Plant Diversity and Resources, Systematic Botany and Taxon.

  6. Fundamental study on monitoring of mutagenicity in river sediments. Optimum amounts of S9 for the Ames mutagenicity assay; Kasen sokoshitsu no hen`i gensei wo monitaringu suru tameno kisoteki kento. Shiteki S9 ryo no kento

    Energy Technology Data Exchange (ETDEWEB)

    Abe, A. [Kanagawa Environmental Research Center, Kanagawa (Japan); Urano, K. [Yokohama National Univ. (Japan). Faculty of Engineering

    1995-01-10

    Basic study was carried out in order to determine the optimum conditions required for applying Ames test to river sediments with complex environmental mixtures with metabolic activity. Relation of amounts of S9 and experimental results was studied using model coexisting substances and sediment extract. As a result, existence of o-phenylphenol (o-PP) shifted the S9 amounts and results of mutagenicity test also changed greatly, however, coexistence of di-2-ethylhexyl phthalate (DEHP) did not effect significantly as o-PP. When amount of added S9 was less than 20{mu}1, o-PP and sediment extracts provide disinfection effect and number of living bacteria decreased. It was suggested that the influence was greatly associated with the reaction between S9 and medium polar substances of sediment extracts. Therefore, it is necessary to pay attention to the relation between medium polar substances and amount of added S9 when mutagenicity test of classified sediment extracts is carried out. 26 refs., 7 figs., 1 tab.

  7. Effect of graphite nodule count and Mn content on successive austempering process of austempered ductile iron; ADI no chikuji austemper ho ni oyobosu kokuen tsubusu to Mn ryo no eikyo

    Energy Technology Data Exchange (ETDEWEB)

    Oide, T.; Ahmadabadi, M.; Saito, M. [Tohoku University, Sendai (Japan). Faculty of Engineering

    1995-02-25

    Shock test was executed for a test piece where the combination of a wide range of austempering conditions was selected and the effective graphite nodule count in the successive austempering process method, the range of Mn amount, etc. were discussed. The low and high graphite nodule counts of sample were 82 - 114 and 229 - 364 piece/mm{sup 2}, respectively. The low and high Mn were 0.26 - 0.65 % and 0.96 - 1.05 %, respectively. The heat treatment cycle was retained to be 1173K, 648K, and 588K in argon gas atmosphere. The Sharpy shock test and organization observation were performed for each test piece, thus revealing that a higher toughness value than that obtained by normal treatment could be obtained by the HLAT method; the better the graphite nodulation count was, the higher the toughness was; it was effective that the Mn was approximately 0.6 %; the influence given to the shock energy value was extremely larger by residual austenite volume than the untransformed austenite module. 7 refs., 12 figs., 2 tabs.

  8. Effects of silicon content and austempering condition on the impact characteristics of austempered ductile cast iron. Kyojin kyujo kokuen chutetsu no jinsei ni oyobosu osutenpa shori joken to Si ryo no eikyo

    Energy Technology Data Exchange (ETDEWEB)

    Aoyama, M. (Daido Inst. of Technology, Nagoya (Japan)); Kobayashi, T. (Toyohashi Univ. of Technology, Aichi (Japan)); Matsuo, K. (Kurimoto Iron Works, Ltd., Osaka (Japan))

    1990-07-25

    Austempered spherical graphite cast iron (ADI) is extensively expeted as a mechanical structural material because of high tenacity and resilience as well as fatigue strength and wear resistance. These excellent properties are attributed to the abundantly remaining austenite because the formation of carbides is restricted by the action of the silicon element. It is, therefore, important for obtaining the strong cast iron material to control the amount of the retained austenite. In this study, the impact characteristics was investigated for acquiring the basic materials concerning the influence of the temperature, time of austempering and the amount of silicon. The added amount of silicon is most suitably 2.1%. Samples without Mn and Ni showed an impact value of about 2 times of the amount added. At 400 {degree} C, however, the impact value reduced to half by the growth of coarse ferrite and bentonite. Time of austempering was 1 hour and showed a stable impact value and load of breaking. Transition temperature shifted tolow side by the increase of amount of silicon. 14 refs., 10 figs., 1 tab.

  9. Trends in Roll-Your-Own Smoking: Findings from the ITC Four-Country Survey (2002–2008

    Directory of Open Access Journals (Sweden)

    David Young

    2012-01-01

    Methods. Participants were 19,456 cigarette smokers interviewed during the longitudinal International Tobacco Control (ITC Four-Country Survey in Canada, USA, UK, and Australia. Results. “Predominant” RYO use (i.e., >50% of cigarettes smoked increased significantly in the UK and USA as a proportion of all cigarette use (both P<.001 and in all countries as a proportion of any RYO use (all P<.010. Younger, financially stressed smokers are disproportionately contributing to “some” use (i.e., ≤50% of cigarettes smoked. Relative cost was the major reason given for using RYO, and predominant RYO use is consistently and significantly associated with low income. Conclusions. RYO market trends reflect the price advantages accruing to RYO (a product of favourable taxation regimes in some jurisdictions reinforced by the enhanced control over the amount of tobacco used, especially following the impact of the Global Financial Crisis; the availability of competing low-cost alternatives to RYO; accessibility of duty-free RYO tobacco; and tobacco industry niche marketing strategies. If policy makers want to ensure that the RYO option does not inhibit the fight to end the tobacco epidemic, especially amongst the disadvantaged, they need to reduce the price advantage, target additional health messages at (young RYO users, and challenge niche marketing of RYO by the industry.

  10. Roll-your-own cigarettes in Europe: use, weight and implications for fiscal policies.

    Science.gov (United States)

    Gallus, Silvano; Lugo, Alessandra; Ghislandi, Simone; La Vecchia, Carlo; Gilmore, Anna B

    2014-05-01

    Excise duties on roll-your-own (RYO) tobacco, which are generally based on RYO cigarettes containing 1 g of tobacco, are lower than duties on factory-made (FM) cigarettes. This provides a price incentive for smokers to switch to RYO, the use of which is increasing across Europe. To effectively approximate duties on the two types of products, accurate data on the weight of RYO cigarettes are required. We provide updated information on RYO use and RYO cigarette weight across Europe. From a representative face-to-face survey conducted in 2010 in 18 European countries (Albania, Austria, Bulgaria, Czech Republic, Croatia, England, Finland, France, Greece, Hungary, Ireland, Italy, Latvia, Poland, Portugal, Romania, Spain and Sweden), we considered data from 5158 current smokers aged 15 years or above, with available information on daily consumption of FM and RYO cigarettes separately. In Europe, 10.4% of current smokers (12.9% of men and 7.5% of women) were 'predominant' RYO users (i.e. >50% of cigarettes smoked). This proportion was highest in England (27.3%), France (16.5%) and Finland (13.6%). The median weight of one RYO cigarette is 0.75 g (based on 192 smokers consuming exclusively RYO cigarettes). The proportion of RYO smokers is substantial in several European countries. Our finding on the weight of RYO cigarettes is consistent with the scientific literature and industry documents showing that the weight of RYO cigarettes is substantially lower than that of FM ones. Basing excise duties on RYO on an average cigarette weight of 0.75 g rather than 1 g would help increase the excise levels to those on FM cigarettes.

  11. Roll-your-own tobacco use among Canadian youth: is it a bigger problem than we think?

    Directory of Open Access Journals (Sweden)

    Leatherdale Scott T

    2012-07-01

    Full Text Available Abstract Background Despite the apparent decline in the popularity of roll-your-own (RYO cigarettes over the past few decades, RYO tobacco products are widely available and used by a substantial number of adult smokers. Considering research has yet to examine the prevalence of RYO tobacco use among youth populations, this manuscript examines the prevalence of RYO tobacco use and factors associated with RYO use in a nationally representative sample of youth smokers from Canada. Methods This study used data collected from 3,630 current smokers in grades 9 to 12 as part of the 2008-09 Canadian Youth Smoking Survey (YSS. Descriptive analyses of the sample demographic characteristics, smoking status, cigarettes per day, weekly spending money, and frequency of marijuana use were examined by RYO tobacco ever use and RYO tobacco current use. Two logistic regression models were used to examine factors associated with RYO tobacco ever use and RYO tobacco current use. Results We identified that 51.2% of current smokers were RYO ever users and 24.2% were RYO current users. The prevalence of RYO current users was highest in Atlantic Canada (40.1% and lowest in Quebec (12.3%. RYO current users were more likely to be male (OR 1.27, to be daily smokers (OR 1.75, to use marijuana once a month or more (OR 2.74, and to smoke 11 or more cigarettes per day (OR 6.52. RYO current users were less likely to be in grade 11 (OR 0.65 or grade 12 (OR 0.40 and less likely to have between $20 to $100 (OR 0.44 or more than $100 (OR 0.45 of disposable income. Conclusions Developing a better understanding of RYO tobacco use among youth is important for advancing population-level tobacco control prevention strategies and cessation programs. We identified that RYO tobacco use is not a negligible problem among Canadian youth. Ongoing research is needed to continue monitoring the prevalence of RYO use among youth and the factors associated with its use, but to also monitor if this

  12. Do consumers of manufactured cigarettes respond differently to price changes compared with their Roll-Your-Own counterparts? Evidence from New Zealand.

    Science.gov (United States)

    Tait, Peter; Rutherford, Paul; Saunders, Caroline

    2015-05-01

    Price-based mechanisms are an important tobacco cessation policy tool in New Zealand (NZ) and so measurement of smokers' reaction to price changes is crucial in determining efficacy of this approach. Although approximately two-thirds of NZ tobacco demand is for manufactured cigarettes (MC) and one-third is for Roll-Your-Own (RYO) tobacco, previous price elasticity estimates have ignored differences between RYO tobacco and MC consumers. We employ a seemingly unrelated regression econometric approach applied to quarterly data over the period 1991-2011 to estimate price elasticities of demand separately for MC and RYO tobacco. Estimate of price elasticity of demand for MC is -1.033, and -0.441 for RYO tobacco. RYO tobacco is an inferior good; a 1% increase in average weekly income is associated with a 0.8% reduction in demand. RYO tobacco is a substitute for MC; a 1% increase in the price of MC is associated with a 0.867% increase in demand for RYO tobacco. There is significantly different price responsiveness across the two tobacco product types. MC smokers react far more strongly to price increases compared with RYO tobacco smokers. These findings suggest that pricing mechanisms may be more effective for reducing MC demand than for RYO tobacco. However, substitution between products means that this pricing effect is muted by the uptake of RYO tobacco use. Cessation policy specific to RYO use should be designed to target this growing group. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  13. Trends and socioeconomic differences in roll-your-own tobacco use: findings from the ITC Europe Surveys

    NARCIS (Netherlands)

    Brown, A.K.; Nagelhout, G.E.; van den Putte, B.; Willemsen, M.C.; Mons, U.; Guignard, R.; Thompson, M.E.

    2015-01-01

    Objectives To examine if exclusive Roll-Your-Own (RYO) tobacco use relative to factory-made (FM) cigarette use has been rising over time, to determine the extent to which economic motives and perceptions that RYO cigarettes are less harmful act as primary motivations for use, and to examine the asso

  14. Trends and socioeconomic differences in roll-your-own tobacco use: findings from the ITC Europe Surveys

    NARCIS (Netherlands)

    Brown, A.K.; Nagelhout, G.E.; van den Putte, B.; Willemsen, M.C.; Mons, U.; Guignard, R.; Thompson, M.E.

    2015-01-01

    Objectives To examine if exclusive Roll-Your-Own (RYO) tobacco use relative to factory-made (FM) cigarette use has been rising over time, to determine the extent to which economic motives and perceptions that RYO cigarettes are less harmful act as primary motivations for use, and to examine the asso

  15. Fiscal and policy implications of selling pipe tobacco for roll-your-own cigarettes in the United States.

    Science.gov (United States)

    Morris, Daniel S; Tynan, Michael A

    2012-01-01

    The Federal excise tax was increased for tobacco products on April 1, 2009. While excise tax rates prior to the increase were the same for roll-your-own (RYO) and pipe tobacco, the tax on pipe tobacco was $21.95 per pound less than the tax on RYO tobacco after the increase. Subsequently, tobacco manufacturers began labeling loose tobacco as pipe tobacco and marketing these products to RYO consumers at a lower price. Retailers refer to these products as "dual purpose" or "dual use" pipe tobacco. Data on tobacco tax collections comes from the Alcohol and Tobacco Tax and Trade Bureau. Joinpoint software was used to identify changes in sales trends. Estimates were generated for the amount of pipe tobacco sold for RYO use and for Federal and state tax revenue lost through August 2011. Approximately 45 million pounds of pipe tobacco has been sold for RYO use from April 2009 to August 2011, lowering state and Federal revenue by over $1.3 billion. Marketing pipe tobacco as "dual purpose" and selling it for RYO use provides an opportunity to avoid paying higher cigarette prices. This blunts the public health impact excise tax increases would otherwise have on reducing tobacco use through higher prices. Selling pipe tobacco for RYO use decreases state and Federal revenue and also avoids regulations on flavored tobacco, banned descriptors, prohibitions on shipping, and reporting requirements.

  16. Fiscal and policy implications of selling pipe tobacco for roll-your-own cigarettes in the United States.

    Directory of Open Access Journals (Sweden)

    Daniel S Morris

    Full Text Available BACKGROUND: The Federal excise tax was increased for tobacco products on April 1, 2009. While excise tax rates prior to the increase were the same for roll-your-own (RYO and pipe tobacco, the tax on pipe tobacco was $21.95 per pound less than the tax on RYO tobacco after the increase. Subsequently, tobacco manufacturers began labeling loose tobacco as pipe tobacco and marketing these products to RYO consumers at a lower price. Retailers refer to these products as "dual purpose" or "dual use" pipe tobacco. METHODS: Data on tobacco tax collections comes from the Alcohol and Tobacco Tax and Trade Bureau. Joinpoint software was used to identify changes in sales trends. Estimates were generated for the amount of pipe tobacco sold for RYO use and for Federal and state tax revenue lost through August 2011. RESULTS: Approximately 45 million pounds of pipe tobacco has been sold for RYO use from April 2009 to August 2011, lowering state and Federal revenue by over $1.3 billion. CONCLUSIONS: Marketing pipe tobacco as "dual purpose" and selling it for RYO use provides an opportunity to avoid paying higher cigarette prices. This blunts the public health impact excise tax increases would otherwise have on reducing tobacco use through higher prices. Selling pipe tobacco for RYO use decreases state and Federal revenue and also avoids regulations on flavored tobacco, banned descriptors, prohibitions on shipping, and reporting requirements.

  17. Sample Set (SE): SE60 [Metabolonote[Archive

    Lifescience Database Archive (English)

    Full Text Available cies produces more diverse phytochemicals than previously expected, and plants still contain many useful compounds for human applicat...ions. Fumio Matsuda, Ryo Nakabayashi, Zhigang Yang, Yozo

  18. The Use of Legal, Illegal, and Roll-you-own Cigarettes to Increasing Tobacco Excise Taxes and Comprehensive Tobacco Control Policies-Findings from the ITC Uruguay Survey

    Science.gov (United States)

    Curti, Dardo; Shang, Ce; Ridgeway, William; Chaloupka, Frank J.; Fong, Geoffrey T

    2015-01-01

    Background Little research has been done to examine whether smokers switch to illegal or roll-your-own (RYO) cigarettes in response to a change in their relative price. Objective This paper explores how relative prices between three cigarette forms (manufactured legal, manufactured illegal, and RYO cigarettes) are associated with the choice of one form over another after controlling for covariates, including sociodemographic characteristics, smokers’ exposure to anti-smoking messaging, health warning labels, and tobacco marketing. Methods Generalized estimating equations (GEE) were employed to analyse the association between the price ratio of two different cigarette forms and the usage of one form over the other. Findings A 10% increase in the relative price ratio of legal to RYO cigarettes is associated with 4.6% increase in the probability of consuming RYO over manufactured legal cigarettes (P≤0.05). In addition, more exposure to anti-smoking messaging is associated with lower odds of choosing RYO over manufactured legal cigarettes (P≤0.05). Non-significant associations exist between the manufactured illegal to legal cigarette price ratios and choosing manufactured illegal cigarettes, suggesting that smokers do not switch to manufactured illegal cigarettes as prices of legal ones increase. However, these non-significant findings may be due to lack of variation in the price ratio measures. In order to improve the effectiveness of increased taxes and prices in reducing smoking, policy makers need to narrow price variability in the tobacco market. Moreover, increasing anti-smoking messaging reduces tax avoidance in the form of switching to cheaper RYO cigarettes in Uruguay. PMID:25740084

  19. Dicty_cDB: Contig-U04881-1 [Dicty_cDB

    Lifescience Database Archive (English)

    Full Text Available 464) RecName: Full=Lipoma-preferred partner homolog; &AJ851... 51 1e-05 A79997_1( A79997 |pid:none) Sequence...ryo spinal... 51 2e-05 (Q5XI07) RecName: Full=Lipoma-preferred partner homolog; &BC083... 51 2e-05 BC045922_

  20. Butt lengths differ by area deprivation level: a field study to explore intensive smoking.

    Science.gov (United States)

    Thomson, George; Wilson, Nick; Bushell, Lisa; Al Matar, Waseem; Ball, Bridget; Chiu, Jessie; Culliford, Nicola; Gately, Callum; Gibson, Kirsty; Hudson, Jennifer; Hunt, Paul; Rangamuwa, Kanishka; Tapp, Dylan; Wickramaratne, Hasith; Young, Vanessa

    2008-05-01

    We collected cigarette butts in a range of residential areas, to assess differences in the length of unburnt tobacco in the butts, and in proportions of roll-your-own (RYO) cigarettes. Two high, two medium, and two low deprivation areas, as classified by deciles of the New Zealand Deprivation Index, were selected for the Wellington region. Collected butts were systematically classified and measured. A mixed model of analysis, treating location clusters nested within deprivation level areas as a random effect, was used to assess differences in mean length of unburnt tobacco in the butts. A total of 6,262 cigarette butts and separate filters were collected, of which 3,509 (56.0%) were measurable manufactured cigarette butts, 1,069 were unmeasurable manufactured butts, 1,450 were RYO butts, and 236 were RYO filters. The RYO butts were not measured because of the extent of their degradation. The unburnt tobacco lengths in manufactured cigarette butts were significantly shorter in the most deprived areas, relative to the least deprived areas (p = .035). Deformed manufactured cigarette butts (i.e., that potentially were stubbed out) showed the same pattern (p = .011 between the most and least deprived areas). We found no significant difference between deprivation areas in the proportion of RYO material found. The shorter mean unburnt tobacco length in the most deprived areas is consistent with more intensive smoking among smokers in those areas. This finding is consistent with other evidence of increased price sensitivity among poorer smokers, and with basic economic theory. Further evidence on observed smoking behavior in the field is necessary to better interpret these preliminary findings.

  1. Hansen's disease recoverers as agents of change: a case study in Japan.

    Science.gov (United States)

    Hosoda, Miwako

    2010-03-01

    This manuscript addresses the role and contribution of people affected by Hansen's disease (leprosy), especially through the efforts of Zen-Ryo-Kyo, the National Hansen's Disease Sanatoria Residents' Association, in changing laws and attitudes in Japan since the 1950's. Health social movements are discussed in the Japanese context and more broadly. An important contribution of this manuscript is the explanatory description of the activities of Zen-Ryo-Kyo in achieving change through addressing issues related to social stigma and discrimination. The argument is made for expanding the scope of social movements to include all stigmatised illnesses and disabilities. Another significant point discussed is the need to move beyond defining Hansen's disease in medical and legal terms, and to redefine it as a public health and social issue to be solved.

  2. Cigarette smokers' classification of tobacco products.

    Science.gov (United States)

    Casseus, M; Garmon, J; Hrywna, M; Delnevo, C D

    2016-11-01

    Cigarette consumption has declined in the USA. However, cigar consumption has increased. This may be due in part to some cigarette smokers switching to filtered cigars as a less expensive substitute for cigarettes. Additionally, some cigarette smokers may perceive and consume little filtered cigars as cigarettes. The purpose of this study was to determine how cigarette smokers classify tobacco products when presented with photographs of those products. An online survey was conducted with a sample of 344 self-identified cigarette smokers. Respondents were presented with pictures of various types of tobacco products, both with and without packaging, and then asked to categorise them as either a cigarette, little cigar, cigarillo, cigar or machine-injected roll-your-own cigarette (RYO). Respondents were also asked about their tobacco use and purchasing behaviour. Overall, respondents had difficulty distinguishing between cigarettes, little cigars, cigarillos and RYO. When presented with images of the products without packaging, 93% of respondents identified RYO as a cigarette, while 42% identified a little cigar as a cigarette. Additionally, respondents stated that they would consider purchasing little cigars as substitutes for cigarettes because of the price advantage. The results of this survey suggest that when presented with photographs of tobacco products, large proportions of current smokers were unable to differentiate between cigarettes, little cigars, cigarillos, RYO and cigars. Findings have implications for existing public health efforts targeting cigarette smokers, and underscore the need to review current definitions of tobacco products and federal excise taxes on such products. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

  3. COPD and osteoporosis: links, risks, and treatment challenges

    OpenAIRE

    Inoue D; Watanabe R; Okazaki R

    2016-01-01

    Daisuke Inoue, Reiko Watanabe, Ryo Okazaki Division of Endocrinology and Metabolism, Third Department of Medicine, Teikyo University Chiba Medical Center, Ichihara, Chiba, Japan Abstract: Chronic obstructive pulmonary disease (COPD) is a chronic inflammatory airway disease associated with various systemic comorbidities including osteoporosis. Osteoporosis and its related fractures are common and have significant impacts on quality of life and even respiratory function in patients with COPD....

  4. Cigarette price and other factors associated with brand choice and brand loyalty in Zambia: findings from the ITC Zambia Survey.

    Science.gov (United States)

    Salloum, Ramzi G; Goma, Fastone; Chelwa, Grieve; Cheng, Xi; Zulu, Richard; Kaai, Susan C; Quah, Anne C K; Thrasher, James F; Fong, Geoffrey T

    2015-07-01

    Little is known about cigarette pricing and brand loyalty in sub-Saharan Africa. This study examines these issues in Zambia, analysing data from the International Tobacco Control (ITC) Zambia Survey. Data from Wave 1 of the ITC Zambia Survey (2012) were analysed for current smokers of factory-made (FM) cigarettes compared with those who smoked both FM and roll-your-own (RYO) cigarettes, using multivariate logistic regression models to identify the predictors of brand loyalty and reasons for brand choice. 75% of FM-only smokers and 64% of FM+RYO smokers reported having a regular brand. Compared with FM-only smokers, FM+RYO smokers were, on average, older (28% vs 20% ≥40 years), low income (64% vs 43%) and had lower education (76% vs 44% 1 year) if they were aged 15-17 years (vs 40-54 years) and if they had moderate (vs low) income. Brand choice was predicted mostly by friends, taste and brand popularity. Price was more likely to be a reason for brand loyalty among FM+RYO smokers, among ≥55-year-old smokers and among those who reported being more addicted to cigarettes. These results in Zambia document the high levels of brand loyalty in a market where price variation is fairly small across cigarette brands. Future research is needed on longitudinal trends to evaluate the effect of tobacco control policies in Zambia. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  5. Integrating Gricean and Attentional Constraints

    CERN Document Server

    Passonneau, R J

    1995-01-01

    This paper concerns how to generate and understand discourse anaphoric noun phrases. I present the results of an analysis of all discourse anaphoric noun phrases (N=1,233) in a corpus of ten narrative monologues, where the choice between a definite pronoun or phrasal NP conforms largely to Gricean constraints on informativeness. I discuss Dale and Reiter's [To appear] recent model and show how it can be augmented for understanding as well as generating the range of data presented here. I argue that integrating centering [Grosz et al., 1983] [Kameyama, 1985] with this model can be applied uniformly to discourse anaphoric pronouns and phrasal NPs. I conclude with a hypothesis for addressing the interaction between local and global discourse processing.

  6. Tobacco particulate matter self-administration in rats: differential effects of tobacco type.

    Science.gov (United States)

    Brennan, Katharine A; Crowther, Alex; Putt, Fraser; Roper, Vicky; Waterhouse, Uta; Truman, Penelope

    2015-03-01

    Nicotine self-administration in rats is the most widely used animal model of tobacco dependence. There is increasing evidence, however, that non-nicotinic constituents in smoke contribute to addiction and that different tobacco products contain varying levels of these constituents. The present study firstly sought to compare self-administration of pure nicotine to tobacco particulate matter (TPM) to determine if there were differences in reward-efficacy attributable to the non-nicotine constituents. Secondly, cigarette and roll-your-own (RYO) TPM groups were included and compared to determine whether different formulations of non-nicotinic constituents could impact reward. Briefly, male Sprague Dawley rats were implanted with indwelling jugular catheters for self-administration (n = 76). The reinforcing efficacy of infusions of nicotine (0.0 or 30.0 μg/kg/infusion) versus cigarette/RYO TPM (with matched nicotine content) was determined using spontaneous acquisition of self-administration on a fixed ratio schedule. The progressive ratio schedule was then employed to determine the motivation to receive each drug and within-subject dose-response curves were also produced (7.5, 15.0, 30.0 and 60.0 μg/kg/infusion nicotine). The main finding was that the RYO TPM was more reinforcing and produced a different profile of reward-related behaviour compared with both the nicotine and the cigarette TPM groups. The conclusions were that non-nicotinic components have a role in tobacco dependence and that some tobacco products could have higher abuse liability, irrespective of nicotine levels.

  7. Analysis list: BEAF-32 [Chip-atlas[Archive

    Lifescience Database Archive (English)

    Full Text Available BEAF-32 Cell line,Embryo,Larvae + dm3 http://dbarchive.biosciencedbc.jp/kyushu-u/dm...3/target/BEAF-32.1.tsv http://dbarchive.biosciencedbc.jp/kyushu-u/dm3/target/BEAF-32.5.tsv http://dbarchive.bioscience...dbc.jp/kyushu-u/dm3/target/BEAF-32.10.tsv http://dbarchive.biosciencedbc.jp/kyushu-u/dm3/colo/BEAF...-32.Cell_line.tsv,http://dbarchive.biosciencedbc.jp/kyushu-u/dm3/colo/BEAF-32.Emb...ryo.tsv,http://dbarchive.biosciencedbc.jp/kyushu-u/dm3/colo/BEAF-32.Larvae.tsv http://dbarchive.biosciencedb

  8. Smokers’ Strategic Responses to Sin Taxes: Evidence from Panel Data in Thailand

    Science.gov (United States)

    White, Justin S.; Ross, Hana

    2014-01-01

    In addition to quitting and cutting consumption, smokers faced with higher cigarette prices may compensate in several ways that mute the health impact of cigarette taxes. This study examines three price avoidance strategies among adult male smokers in Thailand: trading down to a lower-priced brand, buying individual sticks of cigarettes instead of packs, and substituting roll-your-own (RYO) tobacco for factory-manufactured cigarettes. Using two panels of microlevel data from the International Tobacco Control Southeast Asia Study, collected in 2005 and 2006, we estimate the effects of a substantial excise tax increase implemented throughout Thailand in December 2005. We present estimates of the marginal effects and price elasticities for each of five consumer behaviors. We find that, controlling for baseline smoking characteristics, socio-demographics, and policy variables, quitting is highly sensitive to changes in cigarette prices, but so are brand choice, stick-buying, and use of RYO tobacco. Neglecting such strategic responses leads to over-estimates of a sin tax’s health impact, and neglecting product substitution distorts estimates of the price elasticity of cigarette demand. We discuss the implications for consumer welfare and several policies that mitigate the adverse impact of consumer responses. PMID:24677731

  9. Monte Carlo and deterministic computational methods for the calculation of the effective delayed neutron fraction

    Science.gov (United States)

    Zhong, Zhaopeng; Talamo, Alberto; Gohar, Yousry

    2013-07-01

    The effective delayed neutron fraction β plays an important role in kinetics and static analysis of the reactor physics experiments. It is used as reactivity unit referred to as "dollar". Usually, it is obtained by computer simulation due to the difficulty in measuring it experimentally. In 1965, Keepin proposed a method, widely used in the literature, for the calculation of the effective delayed neutron fraction β. This method requires calculation of the adjoint neutron flux as a weighting function of the phase space inner products and is easy to implement by deterministic codes. With Monte Carlo codes, the solution of the adjoint neutron transport equation is much more difficult because of the continuous-energy treatment of nuclear data. Consequently, alternative methods, which do not require the explicit calculation of the adjoint neutron flux, have been proposed. In 1997, Bretscher introduced the k-ratio method for calculating the effective delayed neutron fraction; this method is based on calculating the multiplication factor of a nuclear reactor core with and without the contribution of delayed neutrons. The multiplication factor set by the delayed neutrons (the delayed multiplication factor) is obtained as the difference between the total and the prompt multiplication factors. Using Monte Carlo calculation Bretscher evaluated the β as the ratio between the delayed and total multiplication factors (therefore the method is often referred to as the k-ratio method). In the present work, the k-ratio method is applied by Monte Carlo (MCNPX) and deterministic (PARTISN) codes. In the latter case, the ENDF/B nuclear data library of the fuel isotopes (235U and 238U) has been processed by the NJOY code with and without the delayed neutron data to prepare multi-group WIMSD neutron libraries for the lattice physics code DRAGON, which was used to generate the PARTISN macroscopic cross sections. In recent years Meulekamp and van der Marck in 2006 and Nauchi and Kameyama

  10. Socio-Economic Variation in Price Minimizing Behaviors: Findings from the International Tobacco Control (ITC Four Country Survey

    Directory of Open Access Journals (Sweden)

    Nigar Nargis

    2011-01-01

    Full Text Available This paper examines how socio-economic status (SES modifies how smokers adjust to changes in the price of tobacco products through utilization of multiple price minimizing techniques. Data come from the International Tobacco Control Policy Evaluation (ITC Four Country Survey, nationally representative samples of adult smokers and includes respondents from Canada, the United States, the United Kingdom and Australia. Cross-sectional analyses were completed among 8,243 respondents (7,038 current smokers from the survey wave conducted between October 2006 and February 2007. Analyses examined predictors of purchasing from low/untaxed sources, using discount cigarettes or roll-your-own (RYO tobacco, purchasing cigarettes in cartons, and engaging in high levels of price and tax avoidance at last purchase. All analyses tested for interactions with SES and were weighted to account for changing and under-represented demographics. Relatively high levels of price and tax avoidance behaviors were present; 8% reported buying from low or untaxed source; 36% used discount or generic brands, 13.5% used RYO tobacco, 29% reported purchasing cartons, and 63% reported using at least one of these high price avoidance behaviors. Respondents categorized as having low SES were approximately 26% less likely to report using low or untaxed sources and 43% less likely to purchase tobacco by the carton. However, respondents with low SES were 85% more likely to report using discount brands/RYO compared to participants with higher SES. Overall, lower SES smokers were 25% more likely to engage in at least one or more tax avoidance behaviors compared to their higher SES counterparts. Price and tax avoidance behaviors are relatively common among smokers of all SES strata, but strategies differed with higher SES groups more likely to report traveling to a low-tax location to avoid paying higher prices, purchase duty free tobacco, and purchase by cartons instead of packs all of

  11. Availability and use of cheap tobacco in the UK 2002 - 2014: Findings from the International Tobacco Control Project.

    Science.gov (United States)

    Partos, Timea R; Gilmore, Anna B; Hitchman, Sara C; Hiscock, Rosemary; Branston, J Robert; McNeill, Ann

    2017-05-19

    Raising tobacco prices is the most effective population-level intervention for reducing smoking, but this is undermined by the availability of cheap tobacco. This study monitors trends in cheap tobacco use among adult smokers in the UK between 2002-2014 via changes in product type, purchase source, and prices paid. Weighted data from 10 waves of the International Tobacco Control policy evaluation study were used. This is a longitudinal cohort study of adult smokers with replenishment; 6169 participants provided 15812 responses. Analyses contrasted 1) product type: roll-your-own (RYO) tobacco, factory made packs (FM-P), and cartons (FM-C); 2) purchase source: UK store-based sources (e.g. supermarkets, convenience stores) with non-UK/ non-store sources representing tax avoidance/ evasion (e.g. outside the UK, duty free, informal sellers); and 3) prices paid (inflation-adjusted to 2014 values). Generalised Estimating Equations tested linear changes over time. 1) RYO use increased significantly over time as FM decreased. 2) UK store-based sources constituted approximately 80% of purchases over time, with no significant increases in tax avoidance/ evasion. 3) Median RYO prices were less than half that of FM, with FM-C cheaper than FM-P. Non-UK/ non-store sources were cheapest. Price increases of all three product types from UK store-based sources from 2002 - 2014 were statistically significant, but not substantial. Wide (and increasing for FM-P) price ranges meant each product type could be purchased in 2014 at prices below their 2002 medians from UK store-based sources. Options exist driving UK smokers to minimise their tobacco expenditure; smokers do so largely by purchasing cheap tobacco products from UK stores. The effectiveness of price increases as a deterrent to smoking is being undermined by the availability of cheap tobacco such as roll-your-own tobacco and cartons of packs of factory-made cigarettes. Wide price ranges allowed smokers in 2014 to easily obtain

  12. Successful resection of large mediastinal mature cystic teratoma immediately after evacuation of fluid content

    Directory of Open Access Journals (Sweden)

    Ryo Miyahara

    2010-11-01

    Full Text Available Ryo Miyahara, Shinjiro Nagai, Toshihiko Sato, Chen Fengshi, Toru Bando, Kenichi Okubo, Hiroshi DateDepartment of Thoracic Surgery, Kyoto University, Kyoto, JapanAbstract: In this report, we presented a case of urgent resection of mature giant mediastinal teratoma. Its characteristic radiologic findings allowed us to plan evacuation of intratumoral fluid in order to make the surgical procedure safe and less invasive. In addition, a hybrid thoracoscopic-open approach also provided safety and allowed a somewhat less invasive tumor resection than otherwise would have been required. The patient recovered well without recurrence at nine months’ follow-up, with full expansion of the right middle and lower lobes. Here we discuss the diagnosis and surgical procedure with reference to the literature.Keywords: mediastinal mature teratoma, rupture, acute pleuritis

  13. Development of cooling technologies for SMES

    Science.gov (United States)

    Hirano, Naoki; Watanabe, Tomonori; Nagaya, Shigeo

    2016-12-01

    A Superconducting Magnetic Energy Storage (SMES) system has good characteristics as energy storage equipment in electric power systems such as high efficiency, quick response and no deterioration in repetition operation. Since 1991, the Agency for National Resources and Energy Japan has carried out a national project to develop an SMES for power control in power systems. Moreover, SMES has been developed to bridge for instantaneous voltage dips since 2003. A field test of 5 MVA SMES for bridging instantaneous voltage dips was carried out on an advanced large liquid crystal TV plant in Kameyama from July 2003. Before that, a 10 MVA SMES system was working there. After the field test, the commercial SMES for instantaneous voltage dips is working there. In 2015, three commercial SMES units for bridging instantaneous voltage dips are operating in Japan. These SMESs are all equipped with metal superconducting coils. When considering cost-reduction, size-reduction, and maintenance of the SMES in the future, it is necessary to develop a SMES with a high-temperature superconductor and improve the efficiency of its cooling system. We have also developed and conducted operation tests of SMES with a Bi2212 oxide superconductor and high performance cryocooler which enable energy conservation operation by inverter control. In this paper, developed results on cooling systems and cryocooler for SMES are presented.

  14. Selegiline remarkably improved stage 5 treatment-resistant major depressive disorder: a case report

    Directory of Open Access Journals (Sweden)

    Kitaichi Y

    2013-10-01

    Full Text Available Yuji Kitaichi,1 Takeshi Inoue,1 Nobuyuki Mitsui,1 Shin Nakagawa,1 Rie Kameyama,1 Yoshiyuki Hayashishita,1 Tohru Shiga,2 Ichiro Kusumi,1 Tsukasa Koyama1 1Department of Psychiatry, Graduate School of Medicine, Hokkaido University, Sapporo, Japan; 2Department of Nuclear Medicine, Graduate School of Medicine, Hokkaido University, Sapporo, Japan Abstract: We report a case in which selegiline, an irreversible monoamine oxidase B (MAO-B inhibitor, greatly improved depressive symptoms in an adult with stage 5 treatment-resistant major depressive disorder. Four antidepressants and four augmentation therapies had previously been ineffective or intolerable, and electroconvulsive therapy had only a temporary effect. After 20 weeks of treatment with selegiline (10 mg/day, the patient's score on the 17-item Hamilton Depression Rating Scale (HDRS had decreased from 19 to 4 points. [18F]-Fluorodeoxyglucose positron emission tomography (FDG-PET showed increased glucose metabolism in the bilateral basal ganglia after initiating selegiline treatment; blood dopamine levels were also increased after selegiline treatment. These results raise the possibility that selegiline enhances dopaminergic neural transmission in treatment-resistant depression, thus leading to an improvement in depressive symptoms. Keywords: treatment-resistant depression, FDG-PET, glucose metabolism, basal ganglia

  15. Development of Stokes flow solver against a large contrast in viscosity: toward plate-mantle simulation with free surface

    Science.gov (United States)

    Furuichi, M.

    2009-12-01

    We are interested in solving a large-scale plate-mantle simulation enables capture of the large and complex deformation of a subducting plate. In our earlier study (Furuichi, et al 2008), we developed a numerical method toward plate-mantle simulation especially for the highly parallel vector supercomputer system (e.g. Earth Simulator). Our scheme is based on the finite volume method combines (i) the multigrid technique together with ACuTE smoother algorithm (Kameyama et al., 2005), and (ii) the low diffusive CIP-CSLR advection. The validity test of our simulation code by using a fluid rope coiling event (Furuichi, et al 2009) showed that our method enable us to reproduce large non-linear deformation problems of a rigid plate surrounded by soft material without serious quantitative errors. Then as a next step, I am trying to create a Stokes flow solver scalable against a large jump in a viscosity profile, for moving surface (geometrically free boundary) problems. It is for solving the Stokes flow motion under the same condition as real earth. In this presentation, I propose to apply BFBt preconditioner and AMG techniques for the problems of large viscosity contrast and moving free surface boundary condition respectively. I would like to show some numerical experiments for a self-gravitating motion of the layered Stokes flow.

  16. The peptidyl-prolyl isomerase Pin1 up-regulation and proapoptotic function in dopaminergic neurons: relevance to the pathogenesis of Parkinson disease.

    Science.gov (United States)

    Ghosh, Anamitra; Saminathan, Hariharan; Kanthasamy, Arthi; Anantharam, Vellareddy; Jin, Huajun; Sondarva, Gautam; Harischandra, Dilshan S; Qian, Ziqing; Rana, Ajay; Kanthasamy, Anumantha G

    2013-07-26

    Parkinson disease (PD) is a chronic neurodegenerative disease characterized by a slow and progressive degeneration of dopaminergic neurons in substantia nigra. The pathophysiological mechanisms underlying PD remain unclear. Pin1, a major peptidyl-prolyl isomerase, has recently been associated with certain diseases. Notably, Ryo et al. (Ryo, A., Togo, T., Nakai, T., Hirai, A., Nishi, M., Yamaguchi, A., Suzuki, K., Hirayasu, Y., Kobayashi, H., Perrem, K., Liou, Y. C., and Aoki, I. (2006) J. Biol. Chem. 281, 4117-4125) implicated Pin1 in PD pathology. Therefore, we sought to systematically characterize the role of Pin1 in PD using cell culture and animal models. To our surprise we observed a dramatic up-regulation of Pin1 mRNA and protein levels in dopaminergic MN9D neuronal cells treated with the parkinsonian toxicant 1-methyl-4-phenylpyridinium (MPP(+)) as well as in the substantia nigra of the 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP)-induced PD mouse model. Notably, a marked expression of Pin1 was also observed in the substantia nigra of human PD brains along with a high co-localization of Pin1 within dopaminergic neurons. In functional studies, siRNA-mediated knockdown of Pin1 almost completely prevented MPP(+)-induced caspase-3 activation and DNA fragmentation, indicating that Pin1 plays a proapoptotic role. Interestingly, multiple pharmacological Pin1 inhibitors, including juglone, attenuated MPP(+)-induced Pin1 up-regulation, α-synuclein aggregation, caspase-3 activation, and cell death. Furthermore, juglone treatment in the MPTP mouse model of PD suppressed Pin1 levels and improved locomotor deficits, dopamine depletion, and nigral dopaminergic neuronal loss. Collectively, our findings demonstrate for the first time that Pin1 is up-regulated in PD and has a pathophysiological role in the nigrostriatal dopaminergic system and suggest that modulation of Pin1 levels may be a useful translational therapeutic strategy in PD.

  17. Adult Smokers’ Reactions to Pictorial Health Warning Labels on Cigarette Packs in Thailand and Moderating Effects of Type of Cigarette Smoked: Findings From the International Tobacco Control Southeast Asia Survey

    Science.gov (United States)

    2013-01-01

    Introduction: In this study, we aimed to examine, in Thailand, the impact on smokers’ reported awareness of and their cognitive and behavioral reactions following the change from text-only to pictorial warnings printed on cigarette packs. We also sought to explore differences by type of cigarette smoked (roll-your-own [RYO] vs. factory-made [FM] cigarettes). Methods: Data came from the International Tobacco Control Southeast Asia Survey, conducted in Thailand and Malaysia, where a representative sample of 2,000 adult smokers from each country were recruited and followed up. We analyzed data from one wave before (Wave 1) and two waves after the implementation of the new pictorial warnings (two sets introduced at Waves 2 and 3, respectively) in Thailand, with Malaysia, having text-only warnings, serving as a control. Results: Following the warning label change in Thailand, smokers’ reported awareness and their cognitive and behavioral reactions increased markedly, with the cognitive and behavioral effects sustained at the next follow-up. By contrast, no significant change was observed in Malaysia over the same period. Compared to smokers who smoke any FM cigarettes, smokers of only RYO cigarettes reported a lower salience but greater cognitive reactions to the new pictorial warnings. Conclusions: The new Thai pictorial health warning labels have led to a greater impact than the text-only warning labels, and refreshing the pictorial images may have helped sustain effects. This finding provides strong support for introducing pictorial warning labels in low- and middle-income countries, where the benefits may be even greater, given the lower literacy rates and generally lower levels of readily available health information on the risks of smoking. PMID:23291637

  18. Evaluation of anthropogenic emissions of carbon monoxide in East Asia derived from the observations of atmospheric radon-222 over the western North Pacific

    Directory of Open Access Journals (Sweden)

    A. Wada

    2012-12-01

    Full Text Available We used the observed CO/222Rn ratio in the Asian outflows at Minamitorishima (MNM, Yonagunijima (YON, and Ryori (RYO in the western North Pacific from 2007 to 2011, together with a three-dimensional chemical transport model (STAG, in order to estimate anthropogenic emissions of CO in East Asia. The measurements captured high-frequency synoptic variations of enhanced 222Rn (ERN events associated with the long-range transport of continental air masses. 222Rn and CO showed high correlation during the ERN events observed at MNM and YON in the winter and spring, but not at RYO. The STAG transport model reproduced well the concentrations of observed 222Rn when forced with a constant and uniform flux density of 1.0 atom cm−2 s−1, but underestimated the associated enhancement of synoptically variable CO caused by the underestimated flux values in the EDGAR ver. 4.1 emission database used in the model for East Asia. Better estimates for the East Asian emission were derived using a radon tracer method based on the difference in the enhancement ratio of CO/222Rn between the observation and the model. The anthropogenic emissions of CO for China, Japan, and Korea were estimated to be 203 Tg CO yr−1, 91% of which originated in China. When compared with other estimated emissions of CO, our estimated result showed consistency with those of the inverse method, whereas the emission database of EDGAR was about 45% smaller than our anthropogenic estimation for China.

  19. Evaluation of anthropogenic emissions of carbon monoxide in East Asia derived from observations of atmospheric radon-222 over the Western North Pacific

    Directory of Open Access Journals (Sweden)

    A. Wada

    2012-06-01

    Full Text Available We used the observed CO/222Rn ratio in Asian outflows at Minamitorishima (MNM, Yonagunijima (YON, and Ryori (RYO over the Western North Pacific from 2007 to 2011, together with a three-dimensional chemical transport model (STAG, in order to estimate anthropogenic emissions of CO in East Asia. The measurements captured high-frequency synoptic variations of enhanced 222Rn (ERN events associated with long-range transport of continental air masses. 222Rn and CO showed high correlation during the ERN events observed at MNM and YON in the winter and spring, but not at RYO. The STAG transport model reproduced well the concentration of observed 222Rn when forced with constant and uniform flux density of 1.0 atom cm−2 s−1, but underestimated the associated enhancement of synoptically variable CO caused by the underestimated flux values in the EDGAR ver. 4.1 emission database used in the model for East Asia. Better estimates for the East Asian emission were derived using a radon tracer method based on the difference in the enhancement ratio of CO/222Rn between observation and model. The anthropogenic emission of CO for China, Japan, and Korea was estimated to be 203 Tg CO yr−1, 93% of which originated in China. When compared with other estimated emissions of CO, our estimated result showed consistency with those of the inverse method, whereas the emission database of EDGAR was about 45% smaller than our anthropogenic estimation for China.

  20. Serum anticyclic citrullinated protein antibody titers are correlated with the response to biological agents in patients with rheumatoid arthritis

    Directory of Open Access Journals (Sweden)

    Takahashi R

    2014-05-01

    Full Text Available Ryo Takahashi, Sakiko Isojima, Masayu Umemura, Yoko Miura, Nao Oguro, Syo Ishii, Shinya Seki, Takahiro Tokunaga, Hiroyuki Tsukamoto, Hidekazu Furuya, Ryo Yanai, Tsuyoshi KasamaDivision of Rheumatology, Department of Medicine, Showa University School of Medicine,Tokyo, Japan Abstract: Anticyclic citrullinated protein antibody (ACPA is known as an important indicator for diagnosis of rheumatoid arthritis (RA. Our aim was to examine the relationship between the serum ACPA titer at baseline and responsiveness to biological agents (antagonists of either tumor necrosis factor or interleukin 6 in patients with RA. ACPA was measured using second-generation chemiluminescent enzyme immunoassay. Disease activity was assessed using disease activity scores 28. Fifty-seven RA patients with biological agents were enrolled, and the median ACPA titer at baseline was 110.0 U/mL. The median ACPA titer was 23.3 U/mL and 183.0 U/mL in the good and moderate response groups, respectively, which were significantly lower than in the no response group (404.0 U/mL. In addition, 69.2% and 26.9% of patients with low (<100 U/mL and moderate (100–499 U/mL basal ACPA titers showed a moderate to good response. Of the patients with higher (≥500 U/mL basal ACPA titers, only 14.0% and 42.5% showed a good or moderate response, respectively. The remission rate was 77.8% in the ACPA-negative, which was significantly higher than the rate of 25% in the ACPA-positive patients. The results suggest that the ACPA titers are correlated with the efficacy of the biological agents used in patients with RA.Keywords: biological agents, remission

  1. Confirmation of the factorial structure of the Japanese short version of the TEMPS-A in psychiatric patients and general adults

    Directory of Open Access Journals (Sweden)

    Nakato Y

    2016-08-01

    Full Text Available Yasuya Nakato,1 Takeshi Inoue,1,2 Shin Nakagawa,1 Yuji Kitaichi,1 Rie Kameyama,1 Yumi Wakatsuki,1 Kan Kitagawa,1 Yuki Omiya,1 Ichiro Kusumi1 1Department of Psychiatry, Hokkaido University Graduate School of Medicine, Sapporo, 2Department of Psychiatry, Tokyo Medical University, Tokyo, Japan Background: The Temperament Evaluation of the Memphis, Pisa, Paris, and San Diego Auto-questionnaire (TEMPS-A is a 110-item questionnaire that assesses five affective temperaments. However, a valid shortened version is desired for large-scale investigations to enhance the compliance of respondents. Methods: A confirmatory factor analysis was conducted among 320 psychiatric patients and 61 general adults. The participants completed the Japanese 39-item short version of the TEMPS-A, and a portion of the participants completed the 110-item version. An exploratory factor analysis with the principal factor method and varimax rotation was conducted to identify a more suitable model of the short version of the TEMPS-A. Results: The confirmatory factor analysis revealed that the 39-item version exhibited a poor model fit. However, we found that the 18-item version exhibited a firm five-factor structure based on the exploratory factor analysis, and this model exhibited an acceptable model fit. It had good or acceptable internal consistency (Cronbach’s αs: 0.672–0.819. Limitations: The majority of the subjects in the present study were patients, and the temperament data may have been affected by psychiatric symptoms. Conclusion: A firm five-factor structure was not found in the 39-item short version of the Japanese TEMPS-A. Therefore, an 18-item version was proposed. This new 18-item version of the TEMPS-A might be useful for clinical applications and large-scale investigations. Keywords: TEMPS-A, affective temperament, depression, validation, confirmatory factor analysis

  2. [Detection of auditory impairment in the offsprings caused by drug treatment of the dams].

    Science.gov (United States)

    Kameyama, T; Nabeshima, T; Itoh, J

    1982-12-01

    To study the auditory impairment induced by prenatal administration of aminoglycosides in the offspring, the shuttle box method to measure the auditory threshold of rats (Kameyama et al., Folia pharmacol. japon. 77, 15, 1981) was employed. Four groups of pregnant rats were administered 200 mg/kg kanamycin sulfate (KM), 200 mg/kg dihydrostreptomycin sulfate (DHSM), 100 mg/kg neomycin sulfate (NM), or 1 ml/kg saline intramuscularly from the 10th to the 19th day of pregnancy. The auditory threshold of the offspring could be measured by the shuttle box method in about 90% of the live born rats at the age of 100 days. The auditory thresholds of the groups were as follows (mean +/- S.E.): saline group, 53.8 +/- 0.6 dB (N = 36); KM group, 63.8 +/- 1.1 dB (N = 34); DHSM group, 60.0 +/- 1.2 dB (N = 29); NM group, 62.4 +/- 1.2 dB (N = 24). Auditory thresholds of drug-treated groups were significantly higher than that of the saline group. However, no increase in the auditory threshold of the mother rat was detected after treatment with aminoglycosides. In addition, the experimental procedure of the shuttle box method is very easy, and the auditory threshold of a large number of rats could be measured in a short period. These findings suggest that this method is a very useful one for screening for auditory impairment induced by prenatal drug treatment in rat offspring.

  3. Misperceptions of "light" cigarettes abound: National survey data

    Directory of Open Access Journals (Sweden)

    Thomson George

    2009-05-01

    Full Text Available Abstract Background Many smokers believe that "light" cigarettes are less harmful than regular cigarettes, which is at variance with the scientific evidence. The Framework Convention on Tobacco Control (FCTC aims to address this problem in Article 11 which deals with misleading labelling of tobacco products. In this study we aimed to determine smokers' use and beliefs concerning "light" and "mild" cigarettes ("lights", including in relation to ethnicity, deprivation and other socio-demographic characteristics. Methods The New Zealand (NZ arm of the International Tobacco Control Policy Evaluation Survey (ITC Project uses as its sampling frame the NZ Health Survey. This is a national sample with boosted sampling of Maori, Pacific peoples and Asians. From this sample we surveyed adult smokers (n = 1376 about use and beliefs relating to "light" cigarettes. We assessed the associations with smoking "lights" after adjusting for socio-demographic variables, and smoking-related behaviours and beliefs. Results Many smokers of "lights" believed that smoking "lights" made it easier to quit smoking (25%, that "lights" are less harmful (42%, and that smokers of "lights" take in less tar (43%. Overall most "lights" smokers (60% had at least one of these three beliefs, a proportion significantly higher than for smokers of "regular" cigarettes at 45% (adjusted odds ratio (aOR = 1.96, 95% CI = 1.29 – 2.96. While "lights" smokers had significantly lower tobacco consumption and were more aware of smoking harms, they were no more likely to be intending to quit or have made a previous quit attempt. By ethnicity, both Maori and Pacific people were less likely to smoke "lights" than Europeans (aOR = 0.53, 95% CI = 0.35 – 0.80 and aOR = 0.14, 95% CI = 0.05 – 0.40 respectively. In contrast there was no significant difference by level of deprivation. Roll-your-own (RYO tobacco smokers were less likely to smoke "light" forms of RYO tobacco while both older and women

  4. Effect of TNF antagonists on the productivity of daily work of patients with rheumatoid arthritis

    Directory of Open Access Journals (Sweden)

    Furuya H

    2013-01-01

    Full Text Available Hidekazu Furuya,1 Tsuyoshi Kasama,1 Takeo Isozaki,1,2 Masayu Umemura,1 Kumiko Otsuka,1 Sakiko Isojima,1 Hiroyuki Tsukamoto,1 TakehiroTokunaga,1 Ryo Yanai,1 Ryo Takahashi11Division of Rheumatology, Department of Medicine, Showa University School of Medicine, Tokyo, Japan; 2Department of Rheumatology,University of Michigan Medical School, Ann Arbor, MI, USAAbstract: Rheumatoid arthritis (RA is a significant cause of work disability and job loss. The resulting economic burden experienced by patients has received considerable research attention. This research assesses the effect of tumor necrosis factor (TNF antagonists (infliximab, etanercept on the ability of RA patients living in Japan to work and participate in society. A total of 42 patients with active RA were enrolled and given biological therapy for 12 months (mo. Of these patients, 14 were employed full-time, 6 were employed part-time, and 22 were not employed. Twenty-six patients were given infliximab, and sixteen were given etanercept. The amount of domestic labor performed before the biologics served as a baseline and was assigned a value of 0%. After treatment with biologics, the productivity was evaluated using the visual analog scale (VAS; −100 to +100 mm. The administration of TNF antagonists to RA patients who exhibited an insufficient response to medical treatment significantly improved the Disease Activity Score 28 (DAS 28 after both 6 mo and 12 mo (P < 0.0001. A significant correlation was found between the improvement in their DAS 28 and improvements in their work situation (Productivity VAS (P < 0.05. Of particular interest is the significant correlation between the values of baseline mHAQ and the percent changes of Productivity VAS that was observed after 6 mo and 12 mo (P < 0.05. Our findings indicate that medical treatment of RA with TNF antagonists improves the patients' ability to perform their jobs and housekeeping. Because loss of productivity is an important

  5. COMPARISON OF CYTOCHROMES IN MYCOBACTERIA GROWN IN VITRO AND IN VIVO

    Science.gov (United States)

    Kusaka, Takashi; Sato, Ryo; Shoji, Ko

    1964-01-01

    Kusaka, Takashi (National Institute for Leprosy Research, Tokyo, Japan), Ryo Sato, and Ko Shoji. Comparison of cytochromes in mycobacteria grown in vitro and in vivo. J. Bacteriol. 87:1383–1388. 1964.—Spectrophotometric investigations were made on cell suspensions or particulate fractions of four species of mycobacteria which had been cultivated in vitro. The results obtained indicated the presence in Mycobacterium smegmatis of cytochromes of the a, b1, and c types, as well as a CO-binding pigment similar to cytochrome o; in BCG and M. avium, cytochromes of the a, b, and c types were present; and, in M. paratuberculosis, cytochromes of the a, b1, and c types were present. Although no clear interrelations were evident between the cytochrome patterns of these organisms and the ease with which they can be cultivated in vitro, it was found that the total reduced nicotinamide adenine dinucleotide oxidase activity of the particulate fraction was remarkably low in M. paratuberculosis, which can be grown in vitro only with great difficulty. The cells of BCG grown in vivo and those of M. lepraemurium isolated from leprous nodules of mice were found to be completely deficient in cytochrome pigments. PMID:14188717

  6. Effect of DNA damage caused by cryopreservation of spermatozoa using a modified Single cell gell electrophoresis in the freshwater catfish Pangasianodon hypophthalmus (Fowler, 1936)

    Institute of Scientific and Technical Information of China (English)

    Kuppusamy Umaa Rani; Natesan Munuswamy

    2014-01-01

    Objective: To detect the integrity of sperm DNA in the catfish Pangasianodon hypophthalmus scirnygolper-ecseelrlv egedl weliethc tHroapnhkosr ebsaisl ainnc oerdd esra ltto stoelsutt ihoonw, 5s%pe-r3m0% c rdyiomperethseyrlv aactieotna mafifdeec t(eDdM nAu) culseianrg D tNhAe stability. Methods: Electrophoresis was conducted for 60 min at 130 mA and 15 V. The comet images awnedre p aenrcaelynzteadge u DsiNnAg isno ftthwea rtaei lC womereet Socbotraein 1e.d5,. aTnhde np tahrea mceotmerest rsautceh a ansd cdoammeatg lee ncgotehf,f ictaieiln lte wngetrhe calculated. Results: There were no significant differences in motility, comet rate and damage coefficient sbpeetwrmee cnr yforepsrhe sseprveermd wainthd 2c5r%yo apnreds 3e0r%ve dD MsAp ehramd sltoowreerd mino t5il%it,y 1, 0h%ig, h1e5r% c oamnde t2 l0e%n gDthM Aa,n dw hdialme athgee coefficients than those of fresh sperm. Conclusions: There was a positive correlation between comet rate of cryopreserved sperm and the concentration of DMA.The toxicity of cryoprotectant is the main factor for DNA damage in cryopreserved sperm.

  7. Effectiveness of the cyclic administration of dienogest in a case of pathological disappearance of intestinal endometriosis

    Directory of Open Access Journals (Sweden)

    Tamura R

    2013-07-01

    Full Text Available Ryo Tamura, Ikunosuke Tsuneki, Toru Yanase Department of Obstetrics and Gynecology, Niigata City General Hospital, Niigata, Japan Abstract: We have reported good control of atypical genital bleeding when using a cyclic administration of dienogest (repeated 4-week cycles, each consisting of the administration of 2 mg/day of dienogest for 3 weeks, followed by 1 week of drug withdrawal in patients with endometriosis. Herein, we report the effectiveness of the long-term cyclic administration (22 months of dienogest in a case of pathological disappearance of intestinal endometriosis diagnosed by endoscopy and histology of the lower gastrointestinal tract. There is no recurrent sign after 16 months of the treatment being stopped. Atypical genital bleeding during treatment was 3–5 days a month in each cycle. Compliance was good, so we could continue the therapy. The long-term cyclic administration of dienogest in patients with intestinal endometriosis may have significant merit. Keyword: atypical genital bleeding, dysmenorrhea, drug compliance, endoscopy, histology

  8. Guided bone augmentation using ceramic space-maintaining devices: the impact of chemistry

    Directory of Open Access Journals (Sweden)

    Anderud J

    2015-03-01

    Full Text Available Jonas Anderud,1,2 Peter Abrahamsson,2 Ryo Jimbo,1 Sten Isaksson,2 Erik Adolfsson,3 Johan Malmström,2 Yoshihito Naito,4 Ann Wennerberg1 1Department of Prosthodontics, Faculty of Odontology, Malmö University, Malmö, Sweden; 2Maxillofacial Unit Halmstad, Region Halland, Halmstad, Sweden; 3Swedish Ceramic Institute, IVF, Mölndal, Sweden; 4Department of Oral and Maxillofacial Prosthodontics and Oral Implantology, Institute of Health Biosciences, University of Tokushima Graduate School, Tokushima, Japan Abstract: The purpose of the study was to evaluate histologically, whether vertical bone augmentation can be achieved using a hollow ceramic space maintaining device in a rabbit calvaria model. Furthermore, the chemistry of microporous hydroxyapatite and zirconia were tested to determine which of these two ceramics are most suitable for guided bone generation. 24 hollow domes in two different ceramic materials were placed subperiosteal on rabbit skull bone. The rabbits were sacrificed after 12 weeks and the histology results were analyzed regarding bone-to-material contact and volume of newly formed bone. The results suggest that the effect of the microporous structure of hydroxyapatite seems to facilitate for the bone cells to adhere to the material and that zirconia enhance a slightly larger volume of newly formed bone. In conclusion, the results of the current study demonstrated that ceramic space maintaining devices permits new bone formation and osteoconduction within the dome. Keywords: hydroxyapatite, zirconia, guided bone regeneration, GBR, histology, membrane

  9. Tobacco Diversity in Indonesia

    Directory of Open Access Journals (Sweden)

    Djajadi Djajadi

    2015-09-01

    Full Text Available Tobacco variants in Indonesia are very diverse which can be identified from their morphology or their characteristics. This is related to tobacco long adaptation in different agro ecology of plantation areas which spread out at 15 provinces, from dry to irrigated land and from low land to high land areas. Tobacco has been introduced in Indonesia for more than four centuries and mostly used as cigarette. This commodity and its products are still economically important for government and farmer income. It contributes in government income which reached up to 114 trillion rupiahs and farmer income up to 70% in 2014. Tobacco diversity in Indonesia can be grouped according to their growing season and their usage in cigarette blending. Tobaccos which grown at the end of wet season and harvested in dry season are called Voor Oogst tobaccos, otherwise tobaccos which grown at dry season and harvested in wet season are called Na Oogst tobaccos. Based on their usage, tobaccos are categorized as main ingredients for kretek cigarette, Rolled Your Own (RYO cigarette, and cigar industries.

  10. The effects of continuous application of sunscreen on photoaged skin in Japanese elderly people – the relationship with the usage

    Directory of Open Access Journals (Sweden)

    Mizuno M

    2016-04-01

    Full Text Available Makoto Mizuno,1,2 Kayo Kunimoto,1 Eiji Naru,2 Koichi Kameyama,2 Fukumi Furukawa,1 Yuki Yamamoto1,3 1Department of Dermatology, Wakayama Medical University, Wakayama, Japan; 2Fundamental Research Laboratories, KOSÉ Corporation, Tokyo, Japan; 3Department of Cosmetic Dermatology and Photomedicine, Wakayama Medical University, Wakayama, Japan Abstract: Since photoaging of skin is caused by chronic sun exposure, it is well-recognized that regular sunscreen use can help prevent photoaging of skin in fair-skinned people. Therefore, application of sunscreen is recommended for the prevention of photoaging in many countries. However, the relationship between UV exposure and photoaging has rarely been investigated in clinical studies in Japan. In addition, there have been almost no long-term interventional studies in Japanese people. We have previously conducted a study where Japanese actinic keratosis patients were instructed to continuously apply sunscreen. The results indicated that long-term application of sunscreen is effective in suppressing actinic keratosis progression and generation. In the present study, we investigated the effects of sunscreen on photoaged skin in 14 elderly Japanese people. Skin conditions such as water content, transepidermal water loss, the number of spots, wrinkles, and skin color tone uniformity were measured and compared before and after the study. A statistically significant difference was observed only in skin surface hydration. There were large inter-individual differences in amount of sunscreen used throughout the study. The changes in the number of spots and skin color tone uniformity during the 18 months showed good correlation with amount of sunscreen being used. These results suggest an increase in the number of spots and deterioration in skin color tone uniformity in the 18-month non-sunscreen application period, and that such skin conditions improved with increasing use of sunscreen. In this study, we suggested

  11. Wnt/beta-catenin signaling down-regulates N-acetylglucosaminyltransferase III expression: the implications of two mutually exclusive pathways for regulation.

    Science.gov (United States)

    Xu, Qingsong; Akama, Ryota; Isaji, Tomoya; Lu, Yingying; Hashimoto, Hirokazu; Kariya, Yoshinobu; Fukuda, Tomohiko; Du, Yuguang; Gu, Jianguo

    2011-02-11

    In previous studies, we reported that N-acetylglucosaminyltransferase III (GnT-III) activity and the enzyme product, bisected N-glycans, both were induced in cells cultured under dense conditions in an E-cadherin-dependent manner (Iijima, J., Zhao, Y., Isaji, T., Kameyama, A., Nakaya, S., Wang, X., Ihara, H., Cheng, X., Nakagawa, T., Miyoshi, E., Kondo, A., Narimatsu, H., Taniguchi, N., and Gu, J. (2006) J. Biol. Chem. 281, 13038-13046). Furthermore, we found that α-catenin, a component of the E-cadherin-catenin complex, was also required for this induction (Akama, R., Sato, Y., Kariya, Y., Isaji, T., Fukuda, T., Lu, L., Taniguchi, N., Ozawa, M., and Gu, J. (2008) Proteomics 8, 3221-3228). To further explore the molecular mechanism of this regulation, the roles of β-catenin, an essential molecule in both cadherin-mediated cell adhesion and canonical Wnt signaling, were investigated. Unexpectedly, shRNA knockdown of β-catenin resulted in a dramatic increase in GnT-III expression and its product, the bisected N-glycans, which was confirmed by RT-PCR and GnT-III activity and by E4-PHA lectin blot analysis. The induction of GnT-III expression increased bisecting GlcNAc residues on β1 integrin, which led to down-regulation of integrin-mediated cell adhesion and cell migration. Immunostaining showed that nuclear localization of β-catenin was greatly suppressed; intriguingly, the knockdown of β-catenin in the nuclei was more effective than that in cell-cell contacts in the knockdown cells, which was also confirmed by Western blot analysis. Stimulation of the Wnt signaling pathway by the addition of exogenous Wnt3a or BIO, a GSK-3β inhibitor, consistently and significantly inhibited GnT-III expression and its products. Conversely, the inhibition of β-catenin translocation into the nuclei increased GnT-III activation. Taken together, the results of the present study are the first to clearly demonstrate that GnT-III expression may be precisely regulated by the

  12. Influence of handpiece maintenance sprays on resin bonding to dentin

    Directory of Open Access Journals (Sweden)

    Toyotarou Sugawara

    2010-03-01

    Full Text Available Toyotarou Sugawara1, Atsushi Kameyama2, Akiko Haruyama3, Takumi Oishi4, Nobuyuki Kukidome2, Yasuaki Takase2, Masatake Tsunoda21Undergraduate Student, Tokyo Dental College, Chiba, Japan; 2Division of General Dentistry, Tokyo Dental College Chiba Hospital, Chiba, Japan; 3Department of Dental Materials Science, Tokyo Dental College, Chiba, Japan; 4Department of Dentistry and Oral Surgery, Keio University School of Medicine, Tokyo, JapanObjective: To investigate the influence of maintenance spray on resin bonding to dentin.Materials and methods: The crown of extracted, caries-free human molars was transversally sectioned with a model trimmer to prepare the dentin surfaces from mid-coronal sound dentin, and then uniformly abraded with #600 silicon carbide paper. The dentin surfaces were randomly divided into three groups: oil-free spray group where maintenance cleaner for air bearing handpieces was sprayed onto the dentin surface for 1 s and rinsed with water spray for 30 s; oil-containing spray group where maintenance cleaner for micro motor handpieces was sprayed onto the dentin surface for 1 s and rinsed with water spray for 30 s; and control group where the surface was rinsed with water spray for 30 s and then air-dried. These surfaces were then bonded with Clearfil SE Bond (Kuraray Medical, and resin composite (Clearfil AP-X, Kuraray Medical build-up crowns were incrementally constructed on the bonded surfaces. After storage for 24 h in 37°C water, the bonded teeth were sectioned into hour-glass shaped slices (0.7-mm thick perpendicular to the bonded surfaces. The specimens were then subjected to microtensile bond strength (μTBS testing at a crosshead speed of 1.0 mm/min. Data were analyzed with one-way ANOVA and the Tukey-Kramer test.Results: Maintenance spray-contaminated specimens (oil-free and oil-containing spray groups showed significantly lower μTBS than control specimens (P < 0.05. However, there was no significant difference between

  13. Update on the diagnosis and management of Behçet’s disease

    Directory of Open Access Journals (Sweden)

    Rokutanda R

    2014-12-01

    Full Text Available Ryo Rokutanda, Mitsumasa Kishimoto, Masato Okada Immuno-Rheumatology Center, St Luke’s International Hospital, Tokyo, Japan Abstract: Behçet’s disease is a multi-organ disorder that is more common in countries around the Silk Road, and manifests as mucosal ulcers and skin lesions, and with ocular involvement. As a systemic disease, it can also involve gastrointestinal organs and the central nervous or cardiovascular systems. Although the etiology of Behçet's disease is not clearly identified, the pathogenesis of the disease is most commonly hypothesized as a profound inflammatory response triggered by an infectious agent in a genetically susceptible host. As there are no single specific manifestations or specific diagnostic tests, various diagnostic criteria have been proposed around the world, and, among them, the International Study Group criteria have been most commonly used. As the clinical expression of Behçet's disease is heterogeneous, the treatment should be individualized based on involved organs, severity of the disease, and patient's background. The choice of therapeutic agents is limited by lack of clinical trials and is based largely on case reports, case series, and several open-label clinical trials. Corticosteroids, colchicine, and traditional immunosuppressive agents, including azathioprine and cyclosporine, have been used for the treatment of Behçet’s disease. Recently, tumor necrosis factor (TNF inhibitors have become available for several rheumatic diseases, and considerable published data suggest that TNF inhibitors represent an important therapeutic advance for patients with severe and resistant disease, as well as for those with contraindications or intolerance to these treatments. Keywords: Behçet’s disease, therapeutic agents, etiology, diagnosis

  14. Retail price and point of sale display of tobacco in the UK: a descriptive study of small retailers.

    Directory of Open Access Journals (Sweden)

    Dionysis Spanopoulos

    Full Text Available BACKGROUND: Since the implementation of the 2002 Tobacco Advertising and Promotion Act, point-of-sale (PoS tobacco displays are one of few remaining means of communication between the tobacco industry and customers in the UK. This study aimed to explore the characteristics of tobacco displays in a UK city, and particularly to assess the tobacco prices and promotional offers, types and pack sizes on display. METHODS: Digital pictures of PoS displays were taken in 117 small retail shops in Nottingham in mid 2010. Data were analysed using Windows Photo Gallery software and SPSS version 16. RESULTS: Just over half (52% of cigarette packs on display were packs of 20, and 43% packs of 10. Cigarette prices differed substantially between brands, ranging from £4.19 to £6.85 for 20-packs, and from £2.12 to £3.59 for 10-packs. Forty four percent of cigarette packs and 40% of RYO (Roll-Your-Own tobacco pouches, almost exclusively lower priced brands, were displayed with a pricemark, implying a promotional price offer. Eighty percent of 20-pack cigarette brand or brand variants on sale were priced below the EU-defined Most Popular Price Category (MPPC for the UK in 2010; 45% were priced below the Weighted Average Price (WAP, which replaced the MPPC in 2011. CONCLUSION: PoS displays communicate value by displaying a high proportion of lower cost brands, and smaller and hence lower-cost packs, and by displaying price discounts on packs. The MPPC substantially overestimated the prices at which most 20-cigarette packs were available. Removal of PoS displays will prevent this means of price marketing but our study also suggests that minimum pricing of 20-pack cigarettes, prohibition of sale of cigarettes in packs less than 20, and plain packaging to prevent pricemarking are necessary if price is to be used effectively as a tobacco control measure.

  15. Polyether ether ketone implants achieve increased bone fusion when coated with nano-sized hydroxyapatite: a histomorphometric study in rabbit bone

    Directory of Open Access Journals (Sweden)

    Johansson P

    2016-04-01

    Full Text Available Pär Johansson,1 Ryo Jimbo,1 Yoshihito Naito,2 Per Kjellin,3 Fredrik Currie,3 Ann Wennerberg1 1Department of Prosthodontics, Faculty of Odontology, Malmö University, Malmö, Sweden; 2Oral Implant Center, Tokushima University Hospital, Tokushima, Japan; 3Promimic AB, Stena Center, Göteborg, Sweden Abstract: Polyether ether ketone (PEEK possesses excellent mechanical properties similar to those of human bone and is considered the best alternative material other than titanium for orthopedic spine and trauma implants. However, the deficient osteogenic properties and the bioinertness of PEEK limit its fields of application. The aim of this study was to limit these drawbacks by coating the surface of PEEK with nano-scaled hydroxyapatite (HA minerals. In the study, the biological response to PEEK, with and without HA coating, was investigated. Twenty-four screw-like and apically perforated implants in the rabbit femur were histologically evaluated at 3 weeks and 12 weeks after surgery. Twelve of the 24 implants were HA coated (test, and the remaining 12 served as uncoated PEEK controls. At 3 weeks and 12 weeks, the mean bone–implant contact was higher for test compared to control (P<0.05. The bone area inside the threads was comparable in the two groups, but the perforating hole showed more bone area for the HA-coated implants at both healing points (P<0.01. With these results, we conclude that nano-sized HA coating on PEEK implants significantly improved the osteogenic properties, and in a clinical situation this material composition may serve as an implant where a rapid bone fusion is essential. Keywords: HA, PEEK, osseointegration, histology, orthopedics, in vivo

  16. Synergistic induction of CX3CL1 by TNF alpha and IFN gamma in osteoblasts from rheumatoid arthritis: involvement of NF-kappa B and STAT-1 signaling pathways

    Directory of Open Access Journals (Sweden)

    Kuninobu Wakabayashi

    2008-10-01

    Full Text Available Takeo Isozaki, Tsuyoshi Kasama, Ryo Takahashi, Tsuyoshi Odai, Kuninobu Wakabayashi, Hirohito Kanemitsu, Kyoko Nohtomi, Hiroko T Takeuchi, Satoshi Matsukura, Masakazu TezukaDivision of Rheumatology, Department of Internal Medicine, Showa University School of Medicine, Tokyo, Japan, and the Department of Orthopedics, Denencyofu Central Hospital, Tokyo, JapanAbstract: To explore the regulation of CX3CL1 in inflammatory bone diseases, CX3CL1 expression by osteoblasts (OB was examined. Human OB isolated from rheumatoid arthritis (RA patients, osteoarthritis patients, and normal individuals were incubated in the presence of cytokines. Soluble CX3CL1 levels were determined with an enzyme-linked immunosorbent assay. Expression of CX3CL1 mRNA was examined using quantitative real-time polymerase chain reaction. Although tumor necrosis factor (TNF-α or interferon (IFN-γ alone RA OB induced negligible CX3CL1 secretion, the combination of TNF-α and IFN-γ induced dramatic increases in both soluble CX3CL1 protein and mRNA transcripts. This synergistic effect was more pronounced in OB from RA than in OB from either osteoarthritis or normal individuals. The expression of CX3CL1 was markedly reduced by specific inhibitors of the nuclear factor-κB (NF-κB or STAT-1 transcription factor. These findings suggest that osteoblasts are an important cellular source of CX3CL1 and may play roles in inflammatory bone/joint diseases.Keywords: osteoblast, CX3CL1, chemokine, NF-κB, STAT-1

  17. Determining gaseous composition of fluid inclusions with quadrupole mass spectrometer

    Institute of Scientific and Technical Information of China (English)

    ZHU; Heping

    2002-01-01

    [1]Joseph, R. G., Stephen, E. K., Factors affecting gas analysis of inclusion fluid by quadrupole mass spectrometry, Geo-chimica et Acta, 1995, 59(19): 3977-3986.[2]Masakatsu, S., Takayuki, S., Naoto, T., Analysis of fluid inclusion gases from geothermal systems, using a rapid-scanning quadrupole mass spectrometer, Eur. J. Mineral., 1992, 4: 895-906.[3]Van den Kerkhof, A. M., Isochoric phase diagrams in the systems CO2-CH4 and CO2-N2: Application to fluid inclusions, Geochimica et Cosmochimica Acta, 1990, 54: 621-629.[4]Colin, B., Michael, P. S., Mass spectrometric determination of gases in individual fluid inclusions in natural minerals, Anal. Chem., 1986, 58: 1330-1333.[5]David, I. N., Fredrick, J. S., Analysis of volatiles in fluid inclusions by mass spectrometry, Chemical Geology, 1987, 61: 1-10.[6]Yoichi, M., Ryo, K., Takayuki, S. et al., Gas composition of fluid inclusion from the Mori Geothermal Reservoir, South-western Hokkaido, Japan, Resource Geology, 1997, 47(5): 283-291.[7]Lu Huanzhang, Guo Dijiang, Progress and trends of researches on fluid inclusions, Geological Review, 2000, 46(4): 385-392.[8]Xia Xinyu, Wang Xianbin, Chen Jiangfeng, Geningjie, composition of fluid inclusions and CO2 carbon isotope of ultra-high pressure metamorphic rocks in Shuanghe area, Dabieshan Mountain, Science in China (in Chinese), Ser. D, 1999, 29(4): 314-320.

  18. Quantitative Analysis of Humectants in Tobacco Products Using Gas Chromatography (GC with Simultaneous Mass Spectrometry (MSD and Flame Ionization Detection (FID

    Directory of Open Access Journals (Sweden)

    Rainey CL

    2014-12-01

    Full Text Available This paper describes the modification of an existing gas chromatographic (GC method to incorporate simultaneous mass spectrometric (MSD and flame ionization detection (FID into the analysis of tobacco humectants. Glycerol, propylene glycol, and triethylene glycol were analyzed in tobacco labeled as roll-your-own (RYO, cigar, cigarette, moist snuff, and hookah tobacco. Tobacco was extracted in methanol containing 1,3-butanediol (internal standard, filtered, and separated on a 15 m megabore DB-Wax column. Post-column flow was distributed using a microfluidic splitter between the MSD and FID for simultaneous detection. The limits of detection for the FID detector were 0.5 μg/mL (propylene glycol and triethylene glycol and 0.25 μg/mL (glycerol with a linear range of 2-2000 μg/mL (propylene glycol and triethylene glycol and 1-4000 μg/mL (glycerol. The limits of detection for the MSD detector were 2 μg/mL (propylene glycol and triethylene glycol and 4 μg/mL (glycerol with a linear range of 20-2000 μg/mL (propylene glycol and triethylene glycol and 40-4000 μg/mL (glycerol. Significant improvement in the sensitivity of the MSD can be achieved by employing selective ion monitoring (SIM detection mode. Although a high degree of correlation was observed between the results from FID and MSD analyses, marginal chromatographic resolution between glycerol and triethylene glycol limits the applicability of FID to samples containing low levels of both of these humectants. Utilizing MSD greatly improves the reliability of quantitative results because compensation for inadequate chromatographic resolution can be accomplished with mass selectivity in detection.

  19. Viscous shear heating instabilities in a 1-D viscoelastic shear zone

    Science.gov (United States)

    Homburg, J. M.; Coon, E. T.; Spiegelman, M.; Kelemen, P. B.; Hirth, G.

    2010-12-01

    Viscous shear instabilities may provide a possible mechanism for some intermediate depth earthquakes where high confining pressure makes it difficult to achieve frictional failure. While many studies have explored the feedback between temperature-dependent strain rate and strain-rate dependent shear heating (e.g. Braeck and Podladchikov, 2007), most have used thermal anomalies to initiate a shear instability or have imposed a low viscosity region in their model domain (John et al., 2009). By contrast, Kelemen and Hirth (2007) relied on an initial grain size contrast between a predetermined fine-grained shear zone and coarse grained host rock to initiate an instability. This choice is supported by observations of numerous fine grained ductile shear zones in shallow mantle massifs as well as the possibility that annealed fine grained fault gouge, formed at oceanic transforms, subduction related thrusts and ‘outer rise’ faults, could be carried below the brittle/ductile transition by subduction. Improving upon the work of Kelemen and Hirth (2007), we have developed a 1-D numerical model that describes the behavior of a Maxwell viscoelastic body with the rheology of dry olivine being driven at a constant velocity at its boundary. We include diffusion and dislocation creep, dislocation accommodated grain boundary sliding, and low-temperature plasticity (Peierls mechanism). Initial results suggest that including low-temperature plasticity inhibits the ability of the system to undergo an instability, similar to the results of Kameyama et al. (1999). This is due to increased deformation in the background allowing more shear heating to take place, and thus softening the system prior to reaching the peak stress. However if the applied strain rate is high enough (e.g. greater than 0.5 x 10-11 s-1 for a domain size of 2 km, an 8 m wide shear zone, a background grain size of 1 mm, a shear zone grain size of 150 μm, and an initial temperature of 650°C) dramatic

  20. A proposal for a drug information database and text templates for generating package inserts

    Directory of Open Access Journals (Sweden)

    Okuya R

    2013-07-01

    Full Text Available Ryo Okuya,1 Masaomi Kimura,2 Michiko Ohkura,2 Fumito Tsuchiya3 1Graduate School of Engineering and Science, 2Faculty of Engineering, Shibaura Institute of Technology, Tokyo, 3School of Pharmacy, International University of Health and Welfare, Tokyo, Japan Abstract: To prevent prescription errors caused by information systems, a database to store complete and accurate drug information in a user-friendly format is needed. In previous studies, the primary method for obtaining data stored in a database is to extract drug information from package inserts by employing pattern matching or more sophisticated methods such as text mining. However, it is difficult to obtain a complete database because there is no strict rule concerning expressions used to describe drug information in package inserts. The authors' strategy was to first build a database and then automatically generate package inserts by embedding data in the database using templates. To create this database, the support of pharmaceutical companies to input accurate data is required. It is expected that this system will work, because these companies can earn merit for newly developed drugs to decrease the effort to create package inserts from scratch. This study designed the table schemata for the database and text templates to generate the package inserts. To handle the variety of drug-specific information in the package inserts, this information in drug composition descriptions was replaced with labels and the replacement descriptions utilizing cluster analysis were analyzed. To improve the method by which frequently repeated ingredient information and/or supplementary information are stored, the method was modified by introducing repeat tags in the templates to indicate repetition and improving the insertion of data into the database. The validity of this method was confirmed by inputting the drug information described in existing package inserts and checking that the method could

  1. Distribution of β-carotene-encapsulated polysorbate 80-coated poly(D, L-lactide-co-glycolide nanoparticles in rodent tissues following intravenous administration

    Directory of Open Access Journals (Sweden)

    Miyazawa T

    2015-11-01

    Full Text Available Taiki Miyazawa,1,2 Kiyotaka Nakagawa,1,2 Takahiro Harigae,2 Ryo Onuma,2 Fumiko Kimura,2 Tomoyuki Fujii,3 Teruo Miyazawa4,5 1Vascular Biology Laboratory, Jean Mayer USDA (United States Department of Agriculture-Human Nutrition Research Center on Aging, Tufts University, Boston, MA, USA; 2Food and Biodynamic Chemistry Laboratory, 3Terahertz Optical & Food Engineering Laboratory, Graduate School of Agricultural Science, 4Food and Biotechnology Innovation Project, New Industry Creation Hatchery Center (NICHe, 5Food and Health Science Research Unit, Graduate School of Agricultural Science, Tohoku University, Sendai, Japan Purpose: Biodegradable nanoparticles (NPs composed of poly(D, L-lactide-co-glycolide (PLGA have attracted considerable attention as delivery systems of drugs and antioxidative compounds, such as β-carotene (BC. Intravenous (IV administration of BC-containing PLGA-NPs (BC-PLGA-NPs coated with polysorbate 80 (PS80 has been shown to effectively deliver BC to the brain. However, the whole-body distribution profile of BC is still not clear. Therefore, we investigated the accumulation of BC in various organs, including the brain, following IV administration of PS80-coated BC-PLGA-NPs in rats.Methods: PS80-coated and uncoated BC-PLGA-NPs were prepared by solvent evaporation, and administered intravenously to Sprague Dawley rats at a BC dose of 8.5 mg/rat. Accumulation of BC in various organs (brain, heart, liver, lungs, and spleen and blood plasma was evaluated by high performance liquid chromatography with ultraviolet (UV detection, 1 hour after administration.Results: We prepared PS80-coated BC-PLGA-NPs with an entrapment efficiency of 14%, a particle size of 260 nm, and a zeta potential of -26 mV. Coating with PS80 was found to result in significant accumulation of BC in the lungs, rather than in the brain and other tissues. Further, plasma levels of BC in the PS80-coated BC-PLGA-NP group were much lower than those of the uncoated

  2. Relationships between repeated instruction on inhalation therapy, medication adherence, and health status in chronic obstructive pulmonary disease

    Directory of Open Access Journals (Sweden)

    Masaya Takemura

    2011-01-01

    Full Text Available Masaya Takemura1, Katsumi Mitsui2, Ryo Itotani1, Manabu Ishitoko1, Shinko Suzuki1, Masataka Matsumoto1, Kensaku Aihara1, Tsuyoshi Oguma1, Tetsuya Ueda1, Hitoshi Kagioka1, Motonari Fukui11Division of Respiratory Medicine, 2Division of Pharmacy, Tazuke Kofukai, Medical Research Institute, Kitano Hospital, Osaka, JapanPurpose: Adherence to inhalation therapy is a critical determinant of the success of chronic obstructive pulmonary disease (COPD management. However, in practice, nonadherence to inhalation therapy is very common in COPD patients. The effects of adherence to inhalation therapy in COPD have not been fully studied, and less is known about the relationship between medication adherence and quality of life in COPD. Our aim is to assess the factors that contribute to adherence to inhalation therapy and examine their correlation with quality of life.Patients and methods: A cross-sectional analysis of 88 COPD patients was performed using a self-reported adherence questionnaire with responses on a 5-point Likert scale.Results: Of the 88 patients who were potential participants, 55 (63% responded with usable information. The only significant factor associated with the overall mean adherence score was receiving repeated instruction about inhalation techniques (P = 0.032. Of the 55 respondents, 22 (40.0% were given repeated verbal instruction and/or demonstrations of inhalation technique by a respiratory physician. Significant correlations were found between the overall mean adherence score and the health-related quality of life score (St George’s Respiratory Questionnaire: total, r = −0.35, P = 0.023; symptoms, r = −0.43, P = 0.002; impacts, r = −0.35, P = 0.011. Furthermore, patients with repeated instruction showed better quality of life scores than those who did not receive instruction (total, P = 0.030; symptoms, P = 0.038; impacts, P = 0.019.Conclusions: Repeated instruction for inhalation techniques may contribute to adherence to

  3. Efficacy and safety of a switch to latanoprost 0.005% + timolol maleate 0.5% fixed combination eyedrops from latanoprost 0.005% monotherapy

    Directory of Open Access Journals (Sweden)

    Inoue K

    2012-05-01

    Full Text Available Kenji Inoue,1 Takayuki Fujimoto,1 Risako Higa,1 Ryo Moriyama,1 Hiromi Kohmoto,1 Haruka Nagumo,1 Masato Wakakura,1 Goji Tomita21Inouye Eye Hospital, Chiyoda-ku, Tokyo, 2Second Department of Ophthalmology, Toho University School of Medicine, Meguro-ku, Tokyo, JapanBackground: The purpose of this prospective study was to investigate the intraocular pressure (IOP-lowering effect and safety of latanoprost 0.005% + timolol maleate 0.5% fixed combination eyedrops, now available in Japan.Materials and methods: Thirty-one patients diagnosed with primary open-angle glaucoma who had an insufficient intraocular pressure (IOP decrease with latanoprost 0.005% eyedrop monotherapy were enrolled. The latanoprost 0.005% eyedrops were discontinued, and administration of latanoprost 0.005%/timolol maleate 0.5% fixed combination eyedrops was initiated without any washout period. IOP was compared before and at months 1, 3, and 6 after the switch. The incidence of adverse reactions was investigated at every follow-up visit.Results: Mean IOP was 17.3 ± 2.7 mmHg before the switch, 15.5 ± 2.6 mmHg one month after the switch, 14.9 ± 2.4 mmHg 3 months after the switch, and 15.1 ± 2.2 mmHg 6 months after the switch, indicating that IOP decreased significantly after the change. The IOP reduction rate was 9.9% ± 11.5% after one month, 13.1% ± 10.9% after 3 months, and 11.2% ± 11.8% after 6 months. Two patients (6.5% discontinued therapy due to adverse reactions (one case each of itchiness and bradycardia.Conclusion: When latanoprost 0.005% eyedrop monotherapy was replaced by latanoprost 0.005% + timolol maleate 0.5% fixed combination eyedrops, IOP decreased significantly without increasing the frequency of administration, and safety was satisfactory.Keywords: latanoprost 0.005%, timolol maleate 0.5%, fixed combination, eyedrops, intraocular pressure, switch

  4. Ocular hypotensive effect and safety of travoprost 0.004%/timolol maleate 0.5% fixed combination after change of treatment regimen from ß-blockers and prostaglandin analogs

    Directory of Open Access Journals (Sweden)

    Inoue K

    2012-02-01

    Full Text Available Kenji Inoue1, Akira Setogawa1, Risako Higa1, Ryo Moriyama1, Masato Wakakura1, Goji Tomita21Inouye Eye Hospital, Chiyoda-ku, Tokyo, Japan; 22nd Department of Ophthalmology, Toho University School of Medicine, Tokyo, JapanIntroduction: Travoprost 0.004%/timolol maleate 0.5% fixed combination eye drops are available in Japan. We prospectively investigated the intraocular pressure (IOP-decreasing effect of travoprost 0.004%/timolol maleate 0.5% fixed combination eye drops and the adherence of patients to the administration protocol.Materials and methods: We studied 43 eyes from 43 patients diagnosed with primary open-angle glaucoma, who were using prostaglandin analogs and ß-blockers. The prostaglandin analogs and ß-blockers were discontinued, and the treatment regimen was changed to travoprost 0.004%/timolol maleate 0.5% fixed combination eye drops without any washout period. IOP before and at 1 month, 3 months, and 6 months after the treatment change was evaluated and compared. A questionnaire about protocol adherence was administered 1 month after the treatment change.Results: IOP was 15.7 ± 2.9 mmHg before the change, 15.5 ± 2.7 mmHg at 1 month after the change, 15.3 ± 3.6 mmHg at 3 months after the change, and 15.8 ± 3.2 mmHg at 6 months after the change, and none of the differences were significant (P = 0.191. The responses to the questionnaire showed that cases where eye drop administration was forgotten decreased after the treatment change. Moreover, because of changes in eye drops, 19.0% of patients had irritation. More than half (54.8% of the patients preferred travoprost 0.004%/timolol maleate 0.5% fixed combination eye drops. Seven patients (16.3% discontinued eye drop use because of adverse reactions within 6 months after the change.Conclusion: When the treatment regimen was changed from prostaglandin analogs and ß-blockers to travoprost 0.004%/timolol maleate 0.5% fixed combination eye drops, administration protocol adherence

  5. Effect of a network system for providing proper inhalation technique by community pharmacists on clinical outcomes in COPD patients

    Directory of Open Access Journals (Sweden)

    Takemura M

    2013-05-01

    Full Text Available Masaya Takemura,1 Katsumi Mitsui,2 Masako Ido,2 Masataka Matsumoto,1 Misuzu Koyama,3 Daiki Inoue,1 Kazufumi Takamatsu,1 Ryo Itotani,1 Manabu Ishitoko,1 Shinko Suzuki,1 Kensaku Aihara,1 Minoru Sakuramoto,1 Hitoshi Kagioka,1 Motonari Fukui11Respiratory Disease Center, Kitano-Hospital, the Tazuke Kofukai Medical Research Institute, Osaka, Japan; 2Division of Pharmacy, Kitano-Hospital, The Tazuke Kofukai Medical Research Institute, Osaka, Japan; 3Kita-ku Pharmaceutical Association, Osaka, JapanIntroduction: Nonadherence to inhalation therapy is very common in patients with chronic obstructive pulmonary disease (COPD. Few data are available to support the role of community pharmacists in optimizing inhalation therapy in COPD patients. Since 2007, the Kitano Hospital and the Kita-ku Pharmaceutical Association have provided a network system for delivering correct inhalation techniques through certified community pharmacists. The effects of this network system on clinical outcomes in COPD patients were examined.Methods: A total of 88 consecutive outpatients with COPD at baseline and 82 of those 4 years later were recruited from the respiratory clinic of Kitano Hospital Medical Research Institute. Measurements included the frequency of COPD exacerbations, patients’ adherence to inhalation therapy using a five-point Likert scale questionnaire, and patients’ health status both prior to this system and 4 years later.Results: Usable information was obtained from 55 patients with COPD at baseline, and from 51 patients 4 years later. Compared with baseline values, a significant decrease was observed in the frequency of COPD exacerbations (1.5 ± 1.6 versus 0.8 ± 1.4 times/year, P = 0.017. Adherence to the inhalation regimen increased significantly (4.1 ± 0.7 versus 4.4 ± 0.8, P = 0.024, but health status was unchanged. At 4 years, of 51 COPD patients, 39 (76% patients who visited the certified pharmacies showed significantly higher medication adherence

  6. Absent activation in medial prefrontal cortex and temporoparietal junction but not superior temporal sulcus during the perception of biological motion in schizophrenia: a functional MRI study

    Directory of Open Access Journals (Sweden)

    Hashimoto N

    2014-11-01

    Full Text Available Naoki Hashimoto,1,2 Atsuhito Toyomaki,1 Masahiro Hirai,3 Tamaki Miyamoto,1 Hisashi Narita,1 Ryo Okubo,1 Ichiro Kusumi1 1Department of Psychiatry, Graduate School of Medicine, Hokkaido University, Sapporo, Japan; 2Child and Adolescent Psychiatry, Department of Psychiatry, University of California, San Francisco, CA, USA; 3Center for Development of Advanced Medical Technology, Jichi Medical University, Yakushiji, Shimotsuke, Tochigi, Japan Background: Patients with schizophrenia show disturbances in both visual perception and social cognition. Perception of biological motion (BM is a higher-level visual process, and is known to be associated with social cognition. BM induces activation in the “social brain network”, including the superior temporal sulcus (STS. Although deficits in the detection of BM and atypical activation in the STS have been reported in patients with schizophrenia, it remains unclear whether other nodes of the “social brain network” are also atypical in patients with schizophrenia.Purpose: We aimed to explore whether brain regions other than STS were involved during BM perception in patients with schizophrenia, using functional magnetic resonance imaging (fMRI.Methods and patients: Seventeen patients with schizophrenia, and 17 age- and sex- matched healthy controls, underwent fMRI scanning during a one-back visual task, containing three experimental conditions: (1 BM, (2 scrambled motion (SM, and (3 static condition. We used one-sample t-tests to examine neural responses selective to BM versus SM within each group, and two-sample t-tests to directly compare neural patterns to BM versus SM in schizophrenics versus controls.Results: We found significant activation in the STS region when BM was contrasted with SM in both groups, with no significant difference between groups. On the contrary, significant activation in the medial prefrontal cortex (MPFC and bilateral temporoparietal junction (TPJ was found only in the

  7. Value of systematic intervention for chronic obstructive pulmonary disease in a regional Japanese city based on case detection rate and medical cost

    Directory of Open Access Journals (Sweden)

    Tawara Y

    2015-08-01

    Full Text Available Yuichi Tawara,1 Hideaki Senjyu,1 Kenichiro Tanaka,1 Takako Tanaka,1 Masaharu Asai,1 Ryo Kozu,2 Mitsuru Tabusadani,3 Sumihisa Honda,1 Terumitsu Sawai1 1Department of Cardiopulmonary Rehabilitation Science, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan; 2Department of Rehabilitation Medicine, Nagasaki University Hospital, Nagasaki, Japan; 3Center for Industry, University and Government Cooperation, Nagasaki University, Nagasaki, Japan Objective: We established a COPD taskforce for early detection, diagnosis, treatment, and intervention. We implemented a pilot intervention with a prospective and longitudinal design in a regional city. This study evaluates the usefulness of the COPD taskforce and intervention based on COPD case detection rate and per capita medical costs.Method: We distributed a questionnaire to all 8,878 inhabitants aged 50–89 years, resident in Matsuura, Nagasaki Prefecture in 2006. Potentially COPD-positive persons received a pulmonary function test and diagnosis. We implemented ongoing detection, examination, education, and treatment interventions, performed follow-up examinations or respiratory lessons yearly, and supported the health maintenance of each patient. We compared COPD medical costs in Matsuura and in the rest of Nagasaki Prefecture using data from 2004 to 2013 recorded by the association of Nagasaki National Health Insurance Organization, assessing 10-year means and annual change.Results: As of 2014, 256 people have received a definitive diagnosis of COPD; representing 31% of the estimated total number of COPD patients. Of the cases detected, 87.5% were mild or moderate in severity. COPD medical costs per patient in Matsuura were significantly lower than the rest of Nagasaki Prefecture, as was rate of increase in cost over time.Conclusion: The COPD program in Matsuura enabled early detection and treatment of COPD patients and helped to lower the associated burden of medical costs. The

  8. Correlation between obesity and metabolic syndrome-related factors and cecal intubation time during colonoscopy

    Directory of Open Access Journals (Sweden)

    Kawasato R

    2017-01-01

    Full Text Available Ryo Kawasato,1 Shinichi Hashimoto,1 Tomohiro Shirasawa,1 Atsushi Goto,1 Takeshi Okamoto,1 Jun Nishikawa,2 Isao Sakaida1 1Department of Gastroenterology and Hepatology, 2Department of Laboratory Science, Yamaguchi University Graduate School of Medicine, Yamaguchi, Japan Purpose: To investigate which colonoscopy (CS cases should be presided over by endoscopists in training, using factors including obesity and metabolic syndrome. Patients and methods: Items investigated were sex, age, body mass index (BMI, waist circumference, hypertension, diabetes, hyperlipidemia, history of abdominal surgery (excluding colectomy, colon diverticulosis, prescription of antithrombotic agents, and quality of bowel preparation. Expert physicians were defined as those with at least 9 years of endoscopy experience; all other physicians were defined as being in training. In a retrospective analysis, cases in which a physician in training reached the cecum within 15 minutes without requiring the involvement of the supervising physician were defined as eligible cases over which a physician in training should preside, while other cases were defined as non-eligible. Results: Overall, 813 CS cases were analyzed. Males (P<0.0001, cases started by an expert physician (P<0.0001, cases of no fellow physician involvement (P<0.0001, and cases with good bowel preparation (P<0.0001 had significantly shorter cecal intubation times. Of the 562 cases presided over by a physician in training, 194 were deemed eligible and 368 non-eligible. The eligible cases had a higher proportion of males (P=0.017, younger age (P=0.033, higher BMI (P=0.034, and higher rates of hypertension (P=0.001 and good bowel preparation (P=0.001. In analysis by sex, males demonstrated significantly more eligible cases among younger patients (P=0.009 and those with good bowel preparation (P=0.008, while there were significantly more eligible cases among females with hypertension (P=0.004. Conclusion: It may be

  9. Pharmacist-based Donepezil Outpatient Consultation Service to improve medication persistence

    Directory of Open Access Journals (Sweden)

    Watanabe N

    2012-08-01

    Full Text Available Norio Watanabe,1,2 Keiko Yamamura,3 Yusuke Suzuki,4 Hiroyuki Umegaki,4 Katsuro Shigeno,5 Ryo Matsushita,1 Yoshimichi Sai,1 Ken-ichi Miyamoto,1 Kiyofumi Yamada61Department of Clinical Pharmacy, Graduate School of Natural Science and Technology, Kanazawa University, Kanazawa, Ishikawa, Japan; 2Department of Pharmacy, Hashima Municipal Hospital, Hashima, Gifu, Japan; 3Department of Clinical Pharmacy, School of Pharmacy, Aichi Gakuin University, Nagoya, Aichi, Japan; 4Department of Community Healthcare and Geriatrics, Nagoya University Graduate School of Medicine, Nagoya, Aichi, Japan; 5Department of Pharmacy Practice and Sciences, School of Pharmacy, Aichi Gakuin University, Nagoya, Aichi, Japan; 6Department of Neuropsychopharmacology and Hospital Pharmacy, Nagoya University Graduate School of Medicine, Nagoya, Aichi, JapanAim: Donepezil is widely used to delay the progression of cognitive dysfunction in patients with Alzheimer's disease (AD, but the efficacy of pharmacotherapy is often reduced by poor adherence to medication. In order to improve adherence by providing information about AD and the significance of pharmacotherapy, the Donepezil Outpatient Consultation Service (DOCS was set up. The influence of this service on medication persistence was assessed in the present study.Methods: Among outpatients starting donepezil therapy, we enrolled 59 patients between April 2008 and September 2010 before establishment of the DOCS (non-DOCS group and 52 patients between October 2010 and March 2012 who attended the DOCS (DOCS group. Each patient's and their caregiver's understanding about the clinical features of AD and pharmacotherapy with donepezil were also assessed. Their understanding was compared before and after the DOCS, and the 1-year medication persistence rate and the reasons for discontinuation were also investigated.Results: The 1-year medication persistence rate was significantly higher in the DOCS group than in the non-DOCS group (73