Transcatheter arterial embolization (TAE) was performed in 12 patients with pelvic fractures and pelvic extravasations (CT-extra) evident by enhanced CT. Three of the patients were men and 9 were women, with an average age of 56.9 years. The injury severity score ranged between 25 and 51 points. The following 3 points were evaluated : 1. TAE loading completion time from the start of treatment, 2. Arteries embolized, 3. Systolic blood pressure before and after TAE, 4. Complications of TAE. The average period required for TAE was 183 min. The mean systolic blood pressure prior to and after TAE was 76 mmHg and 117 mmHg, respectively.
As complications, kidney failure and ED occurred in one patient. Although TAE was effective for achieving acute hemodynamic stability, there have been many previous reports of TAE-specific complications. Therefore TAE for pelvic fractures should be performed with meticulous care.

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　肝門部胆管癌と診断し肝外胆管切除を伴う肝葉切除を施行した良性胆道狭窄の2例を報告する．いずれの症例も黄疸を主訴に他院にて胆道ドレナージを受けた後，来院した．右肝管を中心に著明な狭窄像を呈し，CTでは腹腔内リンパ節腫大が目立った．膵臓には異常所見を診断しえなかった．また，胆管像では進行性硬化性胆管炎に特徴的な所見を認めず臨床症状，画像検査所見からは良性疾患と診断しえなかった．いずれの症例も肝右葉切除，尾状葉切除，肝外胆管切除術を施行した．病理組織学的検討ではいずれも粘膜下に著明なlymphoplasmacytic inflammatory infiltrationを認める慢性胆管炎の所見でIgG4免疫染色検査は陰性であった．肝門部胆管狭窄病変を診断する際には，本報告で示したような症例があることを常に念頭におき，慎重な対応を心がける必要がある．

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The in-situ direct shear testing method both in large-scale and in small scale developed by Matsuoka et al. has been widely applied to determine shear strengths of soils ranging from coarse-grained rockfill materials to clays in Japan. Owing to its simplicity and possibility of determining shear strengths of coarse-grained rockfill materials in-situ, the testing method has been paid attention to abroad. In this paper, we reports an application case in a Chinese dam construction field.

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Background: The Great East Japan Earthquake inflicted severe damage on the Pacific coastal areas of northeast Japan. Although possible health impacts on aged or handicapped populations have been highlighted, little is known about how the serious disaster affected preschool children’s health. We conducted a nationwide nursery school survey to investigate preschool children’s physical development and health status throughout the disaster.
Methods: The survey was conducted from September to December 2012. We mailed three kinds of questionnaires to nursery schools in all 47 prefectures in Japan. Questionnaire “A” addressed nursery school information, and questionnaires “B1” and “B2” addressed individuals’ data. Our targets were children who were born from April 2, 2004, to April 1, 2005 (those who did not experience the disaster during their preschool days) and children who were born from April 2, 2006, to April 1, 2007 (those who experienced the disaster during their preschool days). The questionnaire inquired about disaster experiences, anthropometric measurements, and presence of diseases.
Results: In total, 3624 nursery schools from all 47 prefectures participated in the survey. We established two nationwide retrospective cohorts of preschool children; 53 747 children who were born from April 2, 2004, to April 1, 2005, and 69 004 children who were born from April 2, 2006, to April 1, 2007. Among the latter cohort, 1003 were reported to have specific personal experiences with the disaster.
Conclusions: With the large dataset, we expect to yield comprehensive study results about preschool children’s physical development and health status throughout the disaster.

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The Great East Japan Earthquake (GEJE) and resulting tsunami of March 11, 2011 gave rise to devastating damage on the Pacific coast of the Tohoku region. The Tohoku Medical Megabank Project (TMM), which is being conducted by Tohoku University Tohoku Medical Megabank Organization (ToMMo) and Iwate Medical University Iwate Tohoku Medical Megabank Organization (IMM), has been launched to realize creative reconstruction and to solve medical problems in the aftermath of this disaster. We started two prospective cohort studies in Miyagi and Iwate Prefectures: a population-based adult cohort study, the TMM Community-Based Cohort Study (TMM CommCohort Study), which will recruit 80 000 participants, and a birth and three-generation cohort study, the TMM Birth and Three-Generation Cohort Study (TMM BirThree Cohort Study), which will recruit 70 000 participants, including fetuses and their parents, siblings, grandparents, and extended family members. The TMM CommCohort Study will recruit participants from 2013 to 2016 and follow them for at least 5 years. The TMM BirThree Cohort Study will recruit participants from 2013 to 2017 and follow them for at least 4 years. For children, the ToMMo Child Health Study, which adopted a cross-sectional design, was also started in November 2012 in Miyagi Prefecture. An integrated biobank will be constructed based on the two prospective cohort studies, and ToMMo and IMM will investigate the chronic medical impacts of the GEJE. The integrated biobank of TMM consists of health and clinical information, biospecimens, and genome and omics data. The biobank aims to establish a firm basis for personalized healthcare and medicine, mainly for diseases aggravated by the GEJE in the two prefectures. Biospecimens and related information in the biobank will be distributed to the research community. TMM itself will also undertake genomic and omics research. The aims of the genomic studies are: 1) to construct an integrated biobank; 2) to return genomic research results to the participants of the cohort studies, which will lead to the implementation of personalized healthcare and medicine in the affected areas in the near future; and 3) to contribute the development of personalized healthcare and medicine worldwide. Through the activities of TMM, we will clarify how to approach prolonged healthcare problems in areas damaged by large-scale disasters and how useful genomic information is for disease prevention.

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Background and Objectives: From year 2003 we treated positively 251 patients with Traumatic Spinal Cord Injuries (TSCI), using Non-Surgical Laser Therapy (NSLT). In order to increase muscle strength, we have also started using a physical therapy practice called Grimaldi’s Muscle Shortening Manoeuvre (GMSM) The goal of our study is to obtain objective data suggesting the real effectiveness of the association of these two treatments.
Study Design and Methods: In 2015, 10 patients with incomplete TSCI were enrolled. Further 10 subjects with similar features were included as control group. All patients have subtotal sensory loss and motor paralysis below the level of the lesion. Lasers used were 808, 10600, and 1064 nm, applied with a first cycle of four sessions per day for a total of 20 sessions. The patients participated in specific physical therapy training (GMSM) twice a day, for a total of eight sessions. Each cycle of laser and GMSM was replicated each month.
Results: Results were considered positive if sensitivity increased at least two dermatomes per cycle under the level of the lesion. Results in muscle activity (on/off) were regarded as positive if sEMG showed modifications in CNS-muscle. Objective assessment of force displayed encouraging results. After each cycle, patients showed improvements in motor function and voluntary command. Follow-up is positive after 3 months.
Conclusion: Associating laser treatment and Grimaldi’s Muscle Shortening Manoeuvre (MSM) seems to be effective on muscle strength and motor control in patients affected by subtotal SCI compared to a control group.

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Due to author’s request, words in this article are corrected

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Glossodynia is one of the most common psychosomatic disorders seen in dental practice.
In this paper we report a case of glossodynia that was treated effectively by a psychosomatic approach.
The patient was 65-year-old female who had several biopsychosocial aspects to her profile.
These included such psychosocial factors as cancer phobia, perfectionism, object loss (retirement) and living alone, together with some biological factors as well.
We obtained immediate and excellent therapeutic effect in this case through the use of both physical and psychological treatments.

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This paper proposes an id-eCK secure identity-based authenticated key exchange (ID-AKE) scheme, where the id-eCK security implies that a scheme resists against leakage of all combinations of master, static, and ephemeral secret keys except ones trivially break the security. Most existing id-eCK secure ID-AKE schemes require two symmetric pairing operations or a greater number of asymmetric pairing, which is faster than symmetric one, operations to establish a session key. However, our scheme is realized with a single asymmetric pairing operation for each party, and this is an advantage in efficiency. The proposed scheme is based on the ID-AKE scheme by McCullagh and Barreto, which is vulnerable to an active attack. To achieve id-eCK security, we apply the HMQV construction and the NAXOS technique to the McCullagh-Barreto scheme. The id-eCK security is proved under the external Diffie-Hellman for target group assumption and the q-gap-bilinear collision attack assumption.

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We examined the dorsal lingual surface of an adult brush-tailed rat kangaroo (Bettongia penicillata) by scanning electron microscopy. The filiform and fungiform papillae on the lingual apex and body consisted of a main papilla and secondary papillae. The connective tissue core of the filiform papillae on the lingual apex was cylindrical in shape with a crushed top. The connective tissue core of the filiform papillae on the lingual body had one large and several small processes. The fungiform papillae were round in shape. The connective tissue core of the fungiform papillae had several depressions on its top. The surface of the vallate papillae was rough and the papillae were surrounded by a groove and a pad. Several long conical papillae derived from the posterolateral margin of the tongue where foliate papillae have been shown to be distributed in many other animal species. The long conical papillae were very similar to those of the koala and opossum.

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水素の酸化,エチレンの水素化反応に対して,高温熱処理によって失活したパラジウムリボンの触媒活性は,表面の酸素処理(250℃以上),あるいは酸化-還元などの化学的処理によりいちじるしく増加した。この原因は,単に前処理による触媒全衷面積の増加,あるいは表面組織のいちじるしい変化によっては説明できなかった。活性サイト発生の条件さらにこれらの熱安定性などを検討することにより,このサイトは前処理によって生成したある種の表面格子欠陥と推定された。さらにこれは冷加工によってつくられる活性サイトとは耐熱性の点で異なっていた。熱処理された新鮮なパラジウムによる一酸化炭素酸化反応の場合には,反応の初期につねに反応速度が徐々に増加する加速期が認められた。また,この長さは触媒の履歴,反応条件にいちじるしく依存した。加速期は反応それ自体による新しい活性サイト生成の過程と推定された。この見解は以前Baddourらによって担持パラジウム触媒による一酸化炭素酸化反応で示されたものとほぼ同じであった。

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Introduction: The human azygos vein (AV) generally runs on the right side of the vertebral column. However, a shift in its course to the middle/left side of the vertebral column, potentially as a result of aging, has been reported. The aim of this study was to understand the relationship between AV displacement and aging. Materials and Methods: Forty-seven adult cadavers were dissected. When an AV left shift was observed, long axis AV length was measured by calculating the number of vertebral bodies under the vein. We also investigated whether a crossover vein existed between AV and hemiazygos vein at the extreme left shifting point, and whether osteophytes existed along the vertebral column. Results: Forty-four cadavers (94%) had left-shifted AVs. A weak positive correlation between age and the length of the left shift was observed (r = 0.3061, P = 0.0364). Thirty cadavers (64%) had crossover veins at the extreme left shifting point, and 24 cadavers (51%) had osteophytes along the vertebral column. There was no significant relationship between the length of left-shifted AVs and the existence of crossover veins or osteophytes. Conclusion: The possibility of AV displacement to the left as part of the aging process is suggested.

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A variation artery was observed in a Japanese cadaver. The celiac and superior mesenteric arteries arose from a common trunk (also referred to as the celiacomesenteric trunk), but not from the abdominal aorta, respectively. From the common trunk, the common hepatic artery was distributed in the right part of the liver, and the left hepatic artery arose from the left gastric artery, which also arose from the common trunk. The left inferior phrenic artery arose from the common trunk, but the right inferior phrenic artery arose from the right middle suprarenal artery. This information regarding the branch pattern in this variation artery is useful for clinical examination and treatment.

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We examined the dorsal lingual surface of an adult black-backed jackal (Canis mesomelas) by using scanning electron microscopy. The filiform papilla on the lingual apex exhibited a crown-like shape with several pointed processes. The connective tissue core of the filiform papilla was U-shaped. The filiform papillae on the lingual body had several pointed processes. The connective tissue core of the filiform papillae consisted of one large and several small conical papillae. The fungiform papillae on the lingual apex and body had a smooth surface. The connective tissue core of the fungiform papillae was not hollow and did not have processes. The vallate papillae were surrounded by a groove and pad with many processes on the surface. The connective tissue core of the vallate papillae had many ditches. Thus, the tongue of the black-backed jackal more closely resembles that of the bush dog than those of the raccoon dog or fox.

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The mammalian tongue has different functions for feeding. We investigated the morphological characteristics of the surface of the tongue of Egyptian buffalo (Bubalus bubalis) using scanning electron microscopy. The lingual surface exhibited different degrees of specialization. The tongue can be divided into the apex, body, and root. The lingual prominence was observed on the posterior area of the lingual body. The lenticular, conical, and vallate papillae were observed on the caudal part of the tongue. The filiform papillae were lingual papillae covering the entire dorsal and ventral surface of the tongue at the lingual apex; they consisted of a main process that functions to transport food materials towards the pharynx. The fungiform papillae were dispersed between the filiform papillae. Large lenticular papillae were found at the lingual prominence. The highly keratinized lenticular papillae aid the physical mastication of plant materials. Twelve vallate papillae were arranged in V shape on the lingual root. These anatomical characteristics of the lingual surface of Egyptian buffalo may enhance understanding of its feeding behavior adaptations.

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