Geometric modeling and a retrospective cohort study on the usefulness of fascial tensile reductions in severe keloid surgery.

BACKGROUND: Severe keloids are currently treated with surgical resection followed by radiation. Radiotherapy is essential for preventing recurrences. Fascia tensile reduction suturing may also prevent recurrence. We asked whether superficial fascia tensile reduction with or without deep fascia tensile reduction reduced skin mechanical tension and yielded good outcomes. METHODS: Geometric modeling on 3-dimensional anatomic shapes assessed the effect of superficial fascia tensile reduction with or without deep fascia tensile reduction on skin tension. A retrospective cohort study was performed on patients with severe anterior-chest keloids with Japan Scar Workshop-scar scale classification score ≥ 16 who underwent resection plus fascia tensile reduction plus radiotherapy between 2011 and 2016 and were followed for >18 months. Patient characteristics and 18-month postoperative outcomes were examined. Postoperative outcome was defined as rates of keloid disappearance, improvement, and obvious recurrence. RESULTS: Maximal mechanical forces placed on the dermis by dermal sutures, dermal sutures plus superficial fascia tensile reduction, and dermal sutures plus superficial fascia tensile reduction plus deep fascia tensile reduction were 4,700, 573, and 697 Pa, respectively. Adding deep fascia tensile reduction to superficial fascia tensile reduction decreased the force on the superficial fascia. Of 77 cohort patients, 27 and 50 underwent superficial fascia tensile reduction and superficial fascia tensile reduction plus deep fascia tensile reduction, respectively. Superficial fascia tensile reduction plus deep fascia tensile reduction patients underwent complete excision more often (60.0% vs 37.0%, P = .046). The groups did not differ in 18-month surgical outcome, including recurrence rate (P = .670). CONCLUSION: Our 2003 study showed that in anterior-chest keloids, resection plus non-fascial suturing plus radiotherapy led to a 43.1% recurrence. Thus, fascia tensile reduction suturing helps reduce anterior-chest keloid recurrence to ∼5.2%. Superficial fascia tensile reduction plus deep fascia tensile reduction is suitable for relatively large keloids that require total resection. Deep fascia tensile reduction may facilitate superficial fascia tensile reduction but may only be useful when it is technically difficult to achieve reduction with superficial fascia tensile reduction alone.

Unidirectional motion of a camphor disk on water forced by interactions between surface camphor concentration and dynamically changing boundaries.

We study the motion of a camphor disk on the water surface in a system with flexible boundaries. The boundaries can be dynamically modified by non-uniform surface tension resulting from the nonhomogeneous surface concentration of the camphor molecules dissipated by the disk. We investigate the geometry of the boundaries that forces unidirectional motion of the disk. The studied system can be regarded as a signal diode if the presence or absence of a camphor disk at a specific point is interpreted as the binary TRUE and FALSE variables. The diode can be incorporated into more complex devices, like a ring that imposes unidirectional rotation of camphor disks.

Periodic Oscillatory Motion of a Self-Propelled Motor Driven by Decomposition of H2 O2 by Catalase.

A self-propelled motor driven by the enzymatic reaction of catalase adsorbed onto a filter paper floating on an aqueous solution of H2 O2 was used to study nonlinear behavior in the motor's motion. An increase in the concentration of H2 O2 resulted in a change from no motion to irregular oscillatory motion, periodic oscillatory motion, and continuous motion. The mechanisms underlying oscillation and mode bifurcation are discussed based on experimental results on O2 bubble formation and growth on the underside of the motor.

Selection of the Rotation Direction for a Camphor Disk Resulting from Chiral Asymmetry of a Water Chamber.

Self-motion of a camphor disk rotating inside a water chamber composed of two half-disks was investigated. The half-disks were joined along their diameter segments, and the distance between their midpoints (ds) was considered as the control parameter. Various types of camphor disk motions were observed depending on ds. When ds = 0, the chamber had a circular shape, so it was symmetric. A camphor disk showed either a clockwise (CW) or counterclockwise (CCW) rotation with the direction determined by its initial state. The symmetry of the chamber was broken for ds > 0. For moderate distances between the midpoints, a unidirectional orbital motion of the disk was observed. The preferred rotation direction was determined by the shape of the chamber, and it did not depend on the initial rotation direction. For yet larger ds, the unidirectional circular motion was no longer observed and the trajectory became irregular. A mathematical model coupling the camphor disk motion with the dynamics of the developed camphor molecular layer on water was constructed, and the numerical results were compared with the experimental results. The selection of motion type can be explained by considering the influence of camphor concentration on the disk trajectory through the surface tension gradient.

Self-oscillating Gel Accelerated while Sensing the Shape of an Aqueous Surface.

The reciprocating motion of a self-oscillating square gel induced by the Belousov-Zhabotinsky (BZ) reaction was investigated on an aqueous surface. The chemical wave propagated from the side at which the oxidation of the Ru catalyst in the gel started. As the chemical wave propagated, the gel moved in either the opposite (mode I) or the same (mode II) direction as the chemical wave propagation. The gel then went back as the Ru catalyst in the gel was slowly reduced. We examined the relationship between the modes of motion (mode I or II) and the shape of the aqueous BZ solution surface. The mode selection was discussed in relation to the contact angle around the gel which was changed by the BZ reaction, i.e., the lateral imbalance of surface tension and the capillary interaction.

Enhancing hepatic fibrosis in spontaneously hypertensive rats fed a choline-deficient diet: a follow-up report on long-term effects of oxidative stress in non-alcoholic fatty liver disease.

BACKGROUND: We previously reported a model of non-alcoholic fatty liver disease (NAFLD) using spontaneously hypertensive rats (SHRs), fed a choline-deficient (CD) diet for 5 weeks, that hepatic steatosis but not fibrosis is developed through oxidative stress. To determine the relationship between hypertension and hepatic fibrosis in NAFLD, we examined whether long-term CD diet leads to hepatic fibrosis through oxidative stress. METHODS: Eight-week-old male SHR and normotensive Wistar Kyoto rats (WKYs) were fed a CD diet for 5 or 20 weeks, then liver histology and hepatic expression of genes related to lipid metabolism, fibrosis, and oxidative stress were assessed. Oxidative stress was assessed by hepatic thiobarbituric acid reactive substance (TBARS) levels. RESULTS: After 5 weeks on CD diet, prominent hepatic steatosis and decrease in expression of genes for lipid metabolism were observed in SHRs as compared with WKYs. SHRs on a CD diet demonstrated a downregulated expression of genes for antioxidants, along with significant increases in hepatic TBARS. After 20 weeks on CD diet, SHRs demonstrated severe liver fibrosis and upregulated expressions of genes for fibrosis when compared with WKY. CONCLUSION: Hypertension precipitated hepatic steatosis, and further, acts as an enhancer in NAFLD progression to liver fibrosis through oxidative stress.

Cholangiocyte senescence caused by lysophosphatidylcholine as a potential implication in carcinogenesis.

BACKGROUND: The incidence of biliary tract cancer in patients with pancreaticobiliary maljunction or intrahepatic cholelithiasis is markedly high with undefined mechanism. In these diseases, biliary lysophosphatidylcholine (LPC) level is reportedly increased. This study investigated the influence of LPC on cholangiocytes focusing on cellular senescence and its potential contribution to carcinogenesis. METHODS: Cultured MMNK-1, an immortalized human cholangiocyte was treated with LPC in vitro and its effect was evaluated. RESULTS: Lysophosphatidylcholine demonstrated cytotoxicity with generation of intracellular reactive oxygen species. Accordingly, LPC provoked oxidative DNA injury, whereas the gene expressions of DNA repair enzyme (OGG1, MUTYH, MTH1) remained unchanged. Interestingly, LPC caused global DNA hypomethylation, which is frequently observed in cancer tissues. Microarray analysis identified differentially regulated genes in response to LPC, which included the components of senescence-associated secretory phenotype (SASP) including interleukin-8 (IL-8), IL-6, transforming growth factor-ß and plasminogen activator inhibitor-1. Significant induction of these genes was further confirmed by quantitative real-time polymerase chain reaction. In addition to upregulation of p21 gene expression, senescence-associated beta-galactosidase activity, a widely used marker of cellular senescence was significantly induced by the treatment of LPC. CONCLUSIONS: Based on these data, cholangiocyte senescence and SASP caused by LPC are potential pathogenic mechanisms in the development of biliary tract cancer.

Reduction of temperature fluctuation within low temperature region using a cryocooler.

Modeling and experiments are performed to decrease temperature fluctuation generated by the periodic motion of the displacer in a Gifford-McMahon (GM) type cryocooler within the low-temperature region. The one-dimensional heat equation allows us to show that thermal diffusivity is an essential factor to achieve much smaller temperature fluctuation, and fiber-reinforced plastic (FRP) with low thermal diffusivity makes it possible to reduce the temperature fluctuation dramatically. Based on the model, experiments are performed to vary the thickness of two FRP dampers, on the cryohead of the cryocooler and on the sample stage. As a result, the FRP dampers enable us to achieve the temperature fluctuations of only 0.7 mK, corresponding to a standard deviation of 0.25 mK, when the sample stage is maintained at 4.2000 K, even if a GM cryocooler is utilized for cooling the temperature, which introduces an initial temperature fluctuation of 282 mK at the cryohead.

High-precision temperature control and stabilization using a cryocooler.

We describe a method for precisely controlling temperature using a Gifford-McMahon (GM) cryocooler that involves inserting fiber-reinforced-plastic dampers into a conventional cryosystem. Temperature fluctuations in a GM cryocooler without a large heat bath or a stainless-steel damper at 4.2 K are typically of the order of 200 mK. It is particularly difficult to control the temperature of a GM cryocooler at low temperatures. The fiber-reinforced-plastic dampers enabled us to dramatically reduce temperature fluctuations at low temperatures. A standard deviation of the temperature fluctuations of 0.21 mK could be achieved when the temperature was controlled at 4.200 0 K using a feedback temperature control system with two heaters. Adding the dampers increased the minimum achievable temperature from 3.2 to 3.3 K. Precise temperature control between 4.200 0 and 300.000 K was attained using the GM cryocooler, and the standard deviation of the temperature fluctuations was less than 1.2 mK even at 300 K. This technique makes it possible to control and stabilize the temperature using a GM cryocooler.