Kyoto University

About: Kyoto University is a education organization based out in Kyoto, Japan. It is known for research contribution in the topics: Catalysis & Population. The organization has 85837 authors who have published 217215 publications receiving 6526826 citations. The organization is also known as: Kyōto University & Kyōto daigaku.

Stereotactic Radiosurgery Plus Whole-Brain Radiation Therapy vs Stereotactic Radiosurgery Alone for Treatment of Brain Metastases: A Randomized Controlled Trial

Abstract: ContextIn patients with brain metastases, it is unclear whether adding up-front whole-brain radiation therapy (WBRT) to stereotactic radiosurgery (SRS) has beneficial effects on mortality or neurologic function compared with SRS alone.ObjectiveTo determine if WBRT combined with SRS results in improvements in survival, brain tumor control, functional preservation rate, and frequency of neurologic death.Design, Setting, and PatientsRandomized controlled trial of 132 patients with 1 to 4 brain metastases, each less than 3 cm in diameter, enrolled at 11 hospitals in Japan between October 1999 and December 2003.InterventionsPatients were randomly assigned to receive WBRT plus SRS (65 patients) or SRS alone (67 patients).Main Outcome MeasuresThe primary end point was overall survival; secondary end points were brain tumor recurrence, salvage brain treatment, functional preservation, toxic effects of radiation, and cause of death.ResultsThe median survival time and the 1-year actuarial survival rate were 7.5 months and 38.5% (95% confidence interval, 26.7%-50.3%) in the WBRT + SRS group and 8.0 months and 28.4% (95% confidence interval, 17.6%-39.2%) for SRS alone (P = .42). The 12-month brain tumor recurrence rate was 46.8% in the WBRT + SRS group and 76.4% for SRS alone group (P<.001). Salvage brain treatment was less frequently required in the WBRT + SRS group (n = 10) than with SRS alone (n = 29) (P<.001). Death was attributed to neurologic causes in 22.8% of patients in the WBRT + SRS group and in 19.3% of those treated with SRS alone (P = .64). There were no significant differences in systemic and neurologic functional preservation and toxic effects of radiation.ConclusionsCompared with SRS alone, the use of WBRT plus SRS did not improve survival for patients with 1 to 4 brain metastases, but intracranial relapse occurred considerably more frequently in those who did not receive WBRT. Consequently, salvage treatment is frequently required when up-front WBRT is not used.Trial Registrationumin.ac.jp/ctr Identifier: C000000412

Nomenclature of pyroxenes.

Abstract: La Sous-Commission Pyroxenes creee par la Commission Nouveaux Mineraux et Noms de Mineraux (C.N.M.M.N.) de l'Association Mineralogique Internationale (I.M.A.) presente son rapport final sur la nomenclature des pyroxenes. Les recommandations de la Sous-Commission proposees dans ce rapport ont ete officiellement acceptees par la Commission. Des noms acceptes et largement utilises ont ete definis chimiquement, combinant des methodes nouvelles et conventionnelles, de facon a etre en accord dans la mesure du possible avec l'usage actuel generalement admis. Vingt noms ont ete officiellement acceptes, parmi eux treize sont employes pour representer des poles purs de composition chimique bien determinee. Dans les solutions solides binaires ordinaires, les noms d'especes sont donnes par les termes extremes suivant la \"regle des 50%\". Des adjectifs modificatifs sont ajoutes aux noms des pyroxenes pour indiquer des quantites exceptionnelles de constituants chimiques. Ce rapport inclut une liste de 105 noms de pyroxene utilises precedemment, qui ont ete rejetes officiellement par la Commission.

The Vienna classification of gastrointestinal epithelial neoplasia

Abstract: Background—Use of the conventional Western and Japanese classification systems of gastrointestinal epithelial neoplasia results in large diVerences among pathologists in the diagnosis of oesophageal, gastric, and colorectal neoplastic lesions. Aim—To develop common worldwide terminology for gastrointestinal epithelial neoplasia. Methods—Thirty one pathologists from 12 countries reviewed 35 gastric, 20 colorectal, and 21 oesophageal biopsy and resection specimens. The extent of diagnostic agreement between those with Western and Japanese viewpoints was assessed by kappa statistics. The pathologists met in Vienna to discuss the results and to develop a new consensus terminology. Results—The large diVerences between the conventional Western and Japanese diagnoses were confirmed (percentage of specimens for which there was agreement and kappa values: 37% and 0.16 for gastric; 45% and 0.27 for colorectal; and 14% and 0.01 for oesophageal lesions). There was much better agreement among pathologists (71% and 0.55 for gastric; 65% and 0.47 for colorectal; and 62% and 0.31 for oesophageal lesions) when the original assessments of the specimens were regrouped into the categories of the proposed Vienna classification of gastrointestinal epithelial neoplasia: (1) negative for neoplasia/dysplasia, (2) indefinite for neoplasia/dysplasia, (3) non-invasive low grade neoplasia (low grade adenoma/ dysplasia), (4) non-invasive high grade neoplasia (high grade adenoma/ dysplasia, non-invasive carcinoma and suspicion of invasive carcinoma), and (5) invasive neoplasia (intramucosal carcinoma, submucosal carcinoma or beyond). Conclusion—The diVerences between Western and Japanese pathologists in the diagnostic classification of gastrointestinal epithelial neoplastic lesions can be resolved largely by adopting the proposed terminology, which is based on cytological and architectural severity and invasion status. (Gut 2000;47:251‐255)

Soft porous crystals

Abstract: Encapsulating guest molecules inside host structures ranging from soft, flexible enzymes to rigid, porous zeolites has led to developments in many areas, including catalysis, sensing and separation. This Review highlights how metal–organic frameworks — materials formed by linking metal centres with organic ligands — can combine softness with regularity to produce dynamic, yet crystalline, structures that may prove useful for a range of applications. The field of host–guest complexation is intensely attractive from diverse perspectives, including materials science, chemistry and biology. The uptake and encapsulation of guest species by host frameworks are being investigated for a wide variety of purposes, including separation and storage using zeolites, and recognition and sensing by enzymes in solution. Here we focus on the concept of the cooperative integration of 'softness' and 'regularity'. Recent developments on porous coordination polymers (or metal–organic frameworks) have provided the inherent properties that combine these features. Such soft porous crystals exhibit dynamic frameworks that are able to respond to external stimuli such as light, electric fields or the presence of particular species, but they are also crystalline and can change their channels reversibly while retaining high regularity. We discuss the relationship between the structures and properties of these materials in view of their practical applications.

Structure and function of the global ocean microbiome

Abstract: Microbes are dominant drivers of biogeochemical processes, yet drawing a global picture of functional diversity, microbial community structure, and their ecological determinants remains a grand challenge. We analyzed 7.2 terabases of metagenomic data from 243 Tara Oceans samples from 68 locations in epipelagic and mesopelagic waters across the globe to generate an ocean microbial reference gene catalog with >40 million nonredundant, mostly novel sequences from viruses, prokaryotes, and picoeukaryotes. Using 139 prokaryote-enriched samples, containing >35,000 species, we show vertical stratification with epipelagic community composition mostly driven by temperature rather than other environmental factors or geography. We identify ocean microbial core functionality and reveal that >73% of its abundance is shared with the human gut microbiome despite the physicochemical differences between these two ecosystems.