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Background The optimal coronary revascularization strategy for the patients on hemodialysis is yet to be determined. In the real-world practice, we sometimes encounter the rapid deterioration after percutaneous coronary intervention (PCI) to angiographically intermediate but functionally significant stenosis. According to the fractional flow reserve (FFR) based revascularization strategy, the clinical outcome of the deferred lesions is reported to be almost equivalent to that of the lesions received PCI. However, whether the relationship also applies to hemodialysis patients is unclear. Purpose To assess the clinical outcome of the lesions for which revascularization strategy was determined by FFR in patients with hemodialysis. Methods Consecutive 147 vessels in 120 patients with hemodialysis whose revascularization strategy was decided according to the FFR were enrolled in this study. We compared the clinical outcomes of the deferred group (FFR ≥0.80, 87 vessels, 78 patients) with the PCI group (FFR Results The median follow-up period was 2.3 years (interquartile range, 1.5–4.0 years). The beseline characteristics of the lesions and patients were well balanced between the 2 treatment groups except for the distribution of target vessels and FFR value. The cumulative TVF rate was not significantly different between the deferred group and PCI group (2-year event rate 26.7% vs. 17.7%; Log-rank p=0.23). The risk of MACE was also not significantly different between two groups (2-year event rate 35% vs. 30%; Log-rank p=0.48). Conclusion The clinical outcome of the lesions/patients for which received revascularization based on FFR was equivalent to the deferred lesions/patients even in the patients on hemodialysis (2,129/3,000). Funding Acknowledgement Type of funding sources: None. Table 1Figure 1

Aims The purpose of this study was to evaluate the effect of aggressive lipid-lowering therapy with pitavastatin and ezetimibe in patients with ST-segment elevation myocardial infarction (STEMI) as compared with those with other classification of an acute coronary syndrome (ACS) including non-STEMI (NSTEMI) and unstable angina pectoris (UA). Methods This is a post hoc sub-analysis of the HIJ-PROPER study. In the original study, ACS patients with dyslipidemia were randomized to either pitavastatin + ezetimibe therapy or pitavastatin monotherapy. In the present analysis, we divided HIJ-PROPER participants into the STEMI group (n=880) and NSTEMI + UA group (n=841). Cardiovascular events were analyzed between the two groups. The primary endpoint was a composite of major advanced cardiovascular events (MACE; all-cause death, non-fatal myocardial infarction, non-fatal stroke, unstable angina pectoris, and ischemia-driven revascularization) Result During median follow-up period of 3.4 years, the cumulative incidence of the primary endpoint in STEMI group was 31.9% in the pitavastatin+ezetimibe therapy, compared with 39.7% in the pitavastatin-monotherapy (HR, 0.77; 95% CI, 0.62–0.97; p=0.02). However, there was no effect of pitavastatin+ezetimibe therapy on the primary endpoint in the NSTEMI + UA group. Concerning the individual components of the primary endpoint in STEMI group, the percentage of occurrence of all-cause death was significantly lower in the pitavastatin+ezetimibe therapy compared to pitavastatin mono-therapy (14 patients (3.2%) vs. 31 patients (6.9%), respectively; HR, 0.45; 95% CI, 0.23–1.84, p=0.01). Multivariate analysis revealed that use of ezetimibe and prevalence of diabetes mellitus at baseline were independent predictors of primary endpoints in STEMI group (HR, 0.79; 95% CI, 0.63–0.99; p=0.04 for use of ezetimibe, HR 1.54; 95% CI, 1.22–1.94, p=0.0003 for diabetes mellitus). Conclusion Patients with pitavastatin+ezetimibe therapy as compared with pitavastatin-monotherapy had lower cardiovascular event in patients with ST-segment elevation myocardial infarction. Kaplan-Meier curves for primary endpoint Funding Acknowledgement Type of funding source: None

Background This study aimed to elucidate whether high-density lipoprotein cholesterol (HDL-C) at 3-month follow-up for patients receiving contemporary lipid-lowering therapy after acute coronary syndrome (ACS) could predict cardiac events. Methods The HIJ-PROPER study was a multicenter, prospective, randomized trial comparing intensive lipid-lowering therapy (pitavastatin + ezetimibe) and conventional lipid-lowering therapy (pitavastatin monotherapy) after ACS. For the present analysis, the entire cohort was divided into three groups according to HDL-C levels at 3-month follow-up (Group 1, HDL-C ≤43 mg/dL; Group 2, 43–53.6 mg/dL; Group 3; HDL-C ≥53.6 mg/dL). Baseline characteristics and the incidence of the primary endpoint (a composite of all-cause death, non-fatal myocardial infarction, non-fatal stroke, unstable angina pectoris, or ischemia-driven revascularization) were compared among the three groups. Results The primary endpoint was reported in 34.8%, 30.1%, and 24.6% of patients in Groups 1, 2, and 3, respectively. The incidence of the primary endpoint was significantly higher in Group 1 than in Group 3 (hazard ratio [HR], 1.5; 95% confidence interval [CI], 1.19–1.9; p=0.001). Irrespective of the treatment regimen, Group 1 had a significantly higher rate of the primary endpoint than Group 3 (pitavastatin + ezetimibe therapy: HR, 1.6; 95% CI, 1.12–2.22; p=0.01 and pitavastatin monotherapy: HR, 1.4; 95% CI, 1.05–1.98; p=0.02). These trends remained even after adjustment for baseline characteristics and lipid profiles. Conclusions Lower levels of HDL-C at 3-month follow-up are associated with higher incidence of the cardiovascular events in patients with acute coronary syndrome receiving contemporary lipid-lowering therapy. HDL-C levels and Cardiovascular events Funding Acknowledgement Type of funding source: None

Introduction Transcatheter aortic valve implantation (TAVI) theoretically increases renal blood flow through increasing cardiac output by relieving aortic valvular obstruction of blood flow from left ventricle, resulting in a renal functional recovery in patients with severe aortic valve stenosis (AS). However, procedural steps of TAVI including contrast use potentially damages renal medulla and may deteriorate renal function. Purpose The aim of this study was to investigate renal functional change and clarify preoperative predictors for renal functional improvement after TAVI in chronic kidney disease (CKD) patients with severe AS. Methods A total of 88 consecutive severe AS patients with CKD (grade >3) who underwent TAVI from 2015 to 2018 was enrolled in this observational study. They were divided into two groups depending on their renal functional improvement after TAVI that was defined as more than 10% increase in estimated glomerular filtration rate (eGFR) at discharge from their preoperative level. Results Among the whole candidates, 49 patients (55.7%) were improved their renal function. Patients with the lowest preoperative eGFR achieved the highest increase in eGFR after TAVI (CKD grade >4: +22.7±23.7%, Figure). Patients in the Improved group had lower hemoglobin level, higher mean transaortic pressure gradient (TAPG), and higher aortic valve gradient before TAVI, compared to those in the Non-improved group. However, contrast volume during the procedure was not significantly different between the groups. Multivariate logistic regression analysis revealed that high mean TAPG and low left ventricular ejection fraction (LVEF) before TAVI were independent predictors for the improvement of renal function (odds ratio (OR): 1.04, 95% confidence interval (CI): 1.00–1.08; OR: 0.94, 95% CI: 0.89–0.99, respectively), even after the adjustment of baseline eGFR level and hemoglobin level that were statistically significant on univariate logistic regression analysis. Receiver Operating Characteristic (ROC) curve showed the cut-off level of preoperative mean TAPG in renal functional improvement after TAVI as 47.0 mmHg (Sensitivity: 47.9%, Specificity: 79.5%, area under the curve: 0.62). Correlation between CKDgrade and ΔeGFR Conclusions Preoperative high mean TAPG may predict renal functional improvement after TAVI in patients with deteriorated renal function. This non-invasive predictor may help clinicians to consider to perform TAVI in a challenging case with severe CKD.

Coagulation of blood inside the implanted medical device is quite a critical problem to limit the lifetime. In this paper, we propose a microfluidic blood separating device using curved and branched channels. It utilizes centrifugal force on curved flow and separates blood flow into blood cell rich and blood cell poor ones at the bifurcation. Though it cannot separate the plasma from blood cells completely, the blood with small concentrations of blood cells will have low coagulatibity and extend the lifetime of the implant medical device. The device does not require any external pumps or valves, i.e., the system does not need any power sources but the blood pressure. We conducted experiments with a titanium foil which contacted to human whole blood with different hematocrit values for 7 days. The device was experimentally characterized with respect to the channel design. The former experiments suggested that lower concentration of blood cells helps avoiding blood coagulations, and the latter showed that the separation by our device is mainly affected by the flow rate and channel curvature.

An algorithm to design servo systems for future magnetic disk drives has been developed. An optimal relationship between the trackwidth and the servo bandwidth of a magnetic disk drive which minimizes the limit signal S/N ratio is proposed which takes into account position signal noise and mechanical vibrations. The idea of required accuracy distribution is introduced. A dual-stage actuator with a single-input single-output (SISO) system is used to confirm the calculated results. This paper describes a method for obtaining the desired servo signal quality and introduces a relationship between trackwidth and servo performance that can make it possible to design head positioning systems for trackwidths under one micron.

We develop novel layer-3 (L3) Internet protocol (IP) packet switches to connect 80 Gbps WDM-based optical packet switching (OPS) networks with 10 Gbps Ethernet (10GbE). A L3 switch, which is the ingress edge node of the OPS network, generates an optical label according to a look-up table and the destination address of an IP packet, and then encapsulates the almost 10 Gbps IP packet into an 80 Gbps (8-wavelength x 10 Gbps) optical packet Another type of L3 switch, which is the egress edge node of the OPS network, decapsulates the IP packet from the optical packet and generates a lOGbE frame accommodating the IP packet according to a look-up table. We achieve the transmission of 7.2-Gbps IP packets throughput with a packet loss rate under 10-6 and demonstrate smooth UDP/IP-based 3D high-definition television (HDTV) video-streaming via the L3 switches and 80 Gbps WDM-based OPS system.

We numerically studied the material and structural parameter dependence of interferometric properties of the standing spin wave resonance (SSWR) by micromagnetic simulations and demonstrate the feasibility of practical application to an integrated phase comparator. The micromagnetic configuration of the synthesized SSWR emitted from the two microwave currents flowing through the parallel strip lines depends on the phase difference Δϕ between them. Resultantly, the Δϕ is converted to the related output voltage with an overlaid phase detector, inductively coupled to the magnetic strip. Among the investigated various material systems, low damping (α ∼ 0.001) metallic ferromagnets are found to exhibit superior device performance due to the reduced viscous dissipation.

Magnetic disk drives are widely used as data storage devices, and the demand for larger capacity and smaller size is increasing. In order to meet this demand, a head positioning control technique is expected to improve the head positioning accuracy by reducing the tracking error caused by disturbances such as bias-force and repeatable run-out. We have developed a disturbance compensation system that is a learning system which can reduce the repeatable run-out tracking error by updating the compensation table using a disturbance observer. This method has reduced the tracking error to the background noise level of a position error signal.

M channel filter banks, which have perfect reconstruction and linear phase properties, have been studied extensively and several design methods have been addressed in the past. However, almost all of these methods require the nonlinear programming technique which contains some problems such as computational complexity, initial value and so on. In this paper, we propose a new design method of linear phase paraunitary filter banks. In our proposed method, we use an efficient least-mean-square-based adaptive algorithm to optimize the parameter, which minimizes the cost function, instead of using the nonlinear programming technique.

Multimedia telecommunication services will have a bright future for ATM networks. Many of them will need multipoint connections, and also will have to manipulate connections for a multimedia service. On the other hand, intelligent network architectures are being studied for providing more sophisticated telecommunication services. New standards for B-ISDN are being developed. Functionalities need to be extracted for controlling multipoint connections and efficient routing. We describe the newly developed service simulator for extracting such functionalities. We propose the call model for multipoint connection services. We also propose the trigger transfer function to call a set-up procedure for multipoint connection service provisioning. The service simulator has installed new functionalities and is able to set up multipoint connections and provide multicast services.

Allowable delays in multimedia transmission are an important factor for media synchronization. Automatic repeat request (ARQ) is a very popular protocol for error correction. However, long propagation delays and high packet error-rates make long total packet delays. If the received packet has a longer delay than the allowable delay then it will be lost. This loss reduces the quality of the multimedia applications. To solve this problem, an adaptive protocol relay capability is proposed. Having this capability allows the protocol to be adaptively terminated at the relay nodes. However, the error correction between the protocol relay nodes still requires a small delay. We analyze the relationship between the protocol relay capability and the total loss of media transmissions with allowable delay. Also, the criteria for this adaptive protocol relay is described.

We report on numerical analysis on self-oscillation of standing spin wave excited in a nanostructured active ring resonator, consists of a ferromagnetic nanowire with perpendicular anisotropy. The confined resonant modes are along the nanowire length. A positive feedback with proportional-integral-derivative gain control was adopted in the active ring. Stable excitation of the 1st order standing spin wave has been demonstrated with micromagnetic simulations, taking into account the thermal effect with a random field model. The stationary standing spin wave with a pre-determined set variable of precession amplitude was attained within 20 ns by optimizing the proportional-integral-derivative gain control parameters. The result indicates that a monochromatic oscillation frequency fosc is extracted from the initial thermal fluctuation state and selectively amplified with the positive feedback loop. The obtained fosc value of 5.22 GHz practically agrees with the theoretical prediction from dispersion relation ...

We numerically investigate the feasibility of spin wave (SW) based parallel logic operations, where the phase of SW packet (SWP) is exploited as a state variable and the phase shift caused by the interaction with domain wall (DW) is utilized as a logic inversion functionality. A designed functional element consists of parallel ferromagnetic nanowires (6 nm-thick, 36 nm-width, 5120 nm-length, and 200 nm separation) with the perpendicular magnetization and sub-μm scale overlaid conductors. The logic outputs for binary data, coded with the existence (“1”) or absence (“0”) of the DW, are inductively read out from interferometric aspect of the superposed SWPs, one of them propagating through the stored data area. A practical exclusive-or operation, based on 2π periodicity in the phase logic, is demonstrated for the individual nanowire with an order of different output voltage Vout, depending on the logic output for the stored data. The inductive output from the two nanowires exhibits well defined three differe...

We developed novel network interfaces, for example 10 Gbit Ethernet to 80 Gbit/s optical-packet (10 GbitE-80 GbitOP) or 80 Gbit/s optical-packet to 10 Gbit Ethernet (80 GbitOP-10 GbitE) converters (collectively called as 10 GbitE/80 GbitOP converters), to connect optical packet switching (OPS) networks with IP technology-based networks. By using newly developed arrayed burst-mode optical packet transmitters/receivers together, the 10 GbitE-80 GbitOP converter at the ingress edge node of the OPS network encapsulates an IP packet into an 80(8lambdat10)nGbit/s dense wavelength division multiplexing (DWDM)-based optical packets and generates an optical label based on a lookup table and the destination addresses of the IP packet. The 80 GbitOP-10 GbitE converter at the egress edge node decapsulates the IP packet from the optical packet and generates a 10 GbitE frame accommodating the IP packet according to a lookup table. By using these network interface devices and OPS system based on multiple optical label processing, we achieved, for the first time, 74-km single-mode fiber transmission, switching, and buffering of 80(8lambdat10)nGbit/s DWDM-based optical packets encapsulating almost 10 Gbit/s IP packets with error-free operation (IP packet loss rate < 10-6).

A dual-stage actuator has been developed using a piezoelectric device for a magnetic disk drive with a high track density over 15 kTPI. This actuator uses a VCM (voice coil motor) rotary actuator as a coarse actuator and a piezoelectric actuator installed in a head-arm as a fine actuator. The stroke of the fine actuator is 4.6 mu m, which is sufficient for a track pitch of 1.5 mu m at 17 kTPI. The head position is detected by an optical method using a dot-pattern etched on a disk. The authors describe the design of the dual-stage actuator, including structural analysis, its static and dynamic characteristics, the dual-stage feedback control system. Experimental results of tracking with high accuracy on a 3.5-in disk-drive unit are presented. >

Restenosis following carotid endarterectomy is not a rare condition. Among 122 endarterectomies we experienced, five restenoses (4.1%) were encountered and treated by the second surgery. The present report clarifies the clinical profiles and pathological findings of restenosis following carotid endarterectomy. Mean age of restenosis group (59 years old) was not significantly different from the group without restenosis (62 years old). Average duration between the first endarterectomy and the second surgery was 17 months (8-30 months). Initial symptoms were transient ischemic attack in three sides, minor stroke in one side, and asymptomatic in one. Degree of stenosis was tight (or = 90%) in two and moderate (70-89%) in three. It is interesting to note that no ulcer was noted in the first endarterectomy specimen. At surgery for restenosis, two cases had symptoms and another two cases were asymptomatic, though all had neck bruits. Four of five lesions were treated by short venous graft from common carotid artery to distal internal carotid artery and another lesion was treated by second endarterectomy and Dacron patch graft. Pathology was studied in four and all showed myointimal hyperplasia. Three of four restenosis tissues showed mutant form p53 by immunohistochemistry. The present study indicates that restenosis following carotid endarterectomy is not a rare status. Short venous bypass across the stenotic portion is the treatment of choice. Monoclonal growth of smooth muscle with mutant form p53 might be related to the restenosis.

The tobacco retrotransposon Tto1, one of a few active retrotransposons of plants, has been shown to be activated by tissue culture. Its transposition is regulated mainly at the transcriptional level. It is shown here that expression of Tto1 can be induced in leaves of tobacco by wounding stress. Exogenous supply of methyl jasmonate, which is known to be a potent inducer of certain wound-responsive genes in plants, also induces Tto1 RNA expression. Tto1 RNA was detected within 2 to 4 h after wounding/cutting treatment, and increased levels of Tto1 RNA were observed during subsequent incubation periods for 48 h. Expression of Tto1 RNA after cutting treatment was induced more significantly in young expanding leaves rather than in older mature leaves, suggesting that developmental or physiological factors may be required for the strong response to Tto1 transcription to wounding stimuli. Experiments with transgenic tobacco plants carrying the Tto1-LTR: beta-glucuronidase fusion gene (LTR:GUS) revealed that Tto1 actually contains cis-regulatory regions in response to wounding and methyl jasmonate. These findings are discussed in relation to the mechanism of transcriptional activation and the evolutionary role played by retrotransposons.

Extrachromosomal DNA forms of Drosophila retrotransposons (RTn) and retroviruses have been extensively analyzed. However, no such analysis with plant RTn has been reported. Here, we report the analysis of extrachromosomal forms of the tobacco RTn Tto1. Tto1 is one of a few active RTn of plants and has been shown to be activated in tissue culture. Extrachromosomal circular DNA forms of Tto1, with one or two long terminal repeats (LTR), were found in cultured cells. Sequence analysis of the sites of circularization through joining two LTR showed that the junction between the LTR contains small deletions and/or insertions. The insertions are heterogeneous and do not show any homology to the Tto1 sequence. Similar insertions have been detected in the extrachromosomal circular forms of the copia element of Drosophila and suggested to be the result of excision of genomic copia. The structural features of the junctions found in Tto1 suggest that the insertions are produced by a mechanism other than excision. The potential mechanism of production of the extrachromosomal circular forms of Tto1 is discussed.

We have detected fibroblast growth factor receptor (FGFR) gene expression in the focal ischemia model. The FGFR gene expression in neurons can be explained by neuronal network disturbances, but the mechanism of astroglial gene expression remains uncertain. We speculated that blood-borne edema fluid may activate gene expression of astroglias. To prove this hypothesis, we compared the pattern's of gene expression of FGFR and distribution of edema fluid by using serial tissue sections of the middle cerebral artery (MCA) ischemia. The left MCA of twenty-four male Wistar rats were occluded, and sacrificed 1, 3, 4, 7 and 14 days later by transcardiac perfusion and fixation. The tissues were sliced thinly to 14 microns sections. Part of the tissue sections was used for in situ hybridization for rat FGFR with [35S]labeled RNA probes. The other part of the sections was used for immunostaining for albumin, immunoglobulin G (IgG) and IgM. The FGFR mRNA expression was evident in the lesion-side hemisphere. In the cortex, neurons mainly expressed FGFR gene in the cortex, whereas astroglias and capillary endothelium expressed FGFR in the corpus callosum and internal capsule. The albumin distributed cortex and white matter of the lesion-side and it extended to the contralateral side. The IgG distributed mainly in the lesion-side white matter, and in part extended to the contralateral side. The IgM only distribute to the infarcted area. When we compared topographical distribution of FGFR in the white matter and pattern of albumin, IgG and IgM distribution, pattern of IgG distribution correlated well to the area of FGFR expression.(ABSTRACT TRUNCATED AT 250 WORDS)

A study was done on the combined actions of an aminoglycoside, isepamicin (ISP), and 3 beta-lactam antibiotics (cefoperazone (CPZ), latamoxef (LMOX) and imipenem/cilastatin sodium (IPM/CS] against clinical isolates of Pseudomonas aeruginosa, Serratia marcescens and Klebsiella pneumoniae. Minimal inhibitory concentrations of individual antibiotics were compared first. ISP and IPM/CS had strong antibacterial activities against all 3 bacterial species while the antibacterial activities of CPZ against P. aeruginosa and S. marcescens, and that of LMOX against P. aeruginosa were much weaker than those of IPM/CS or ISP. Fractional inhibitory concentration indices determined by the checker-board dilution method were compared next. ISP, when used in combination with beta-lactam antibiotics (CPZ, LMOX, or IPM/CS), showed synergistic or additive effect on most strains of the all 3 species, the combination of ISP and CPZ being most effective. Although less effective, synergistic or additive effects were also observed with the combinations of 2 beta-lactam antibiotics (CPZ and IPM/CS, LMOX and IPM/CS). Time course experiments demonstrated that ISP combined with CPZ had bactericidal activities against all 3 bacterial species at concentrations at which the respective drug alone showed only bacteriostatic activity.

For down-sizing and increasing capacity of disk file memories, a servo technology for micron trackwidth is one of the most important themes to realize high recording density. Three key problems for micron trackwidth servo are investigated. They are a high SNR of position error signal, a gain variation caused by head/pattern width variation, and a dual-stage actuating. It is shown that over 12dB of SNR(electrical) is necessary for tracking around 1μm trackwidth head. And a new dual-stage servo system is proposed for a high performance tracking technology.

The R ratio for e/sup +/e/sup -/ annihilation into hadronic final states is measured to be 4.34 +- 0.45 +- 0.30 and 4.23 +- 0.20 +- 0.21 at c.m. energies of 50 and 52 GeV, respectively. From these values of R and an analysis of the event shapes we deduce a 95%-confidence-level upper limit for the production rate of new heavy charge +(2/3e or -(1/3e quarks to be 0.19 units of R.

Tracer amounts of [59Fe++]citrate, [111In+++]chloride, and [68Ga+++]chloride were complexed with autologous plasma transferrin. Each of these complexes were co-administered with [125I]albumin by i.v. injection and their biodistribution was studied in Wistar rats. The plasma clearance of 59Fe and [125I]albumin was monoexponential with half-times of 49-70 and 277 min, respectively. The plasma clearance of 68Ga and 111In was biexponential with second component half-times of 157 and 232 min, respectively. Indium-111 tissue distribution was similar to that of [125I]albumin in heart, lung, muscle, brain and Walker-256 allograft. Iron-59 distribution spaces were generally the highest of the metal complexes in all tissues except muscle, where the 68Ga space was highest. The effects of transferrin-specific receptor-mediated endocytosis can be avoided in many organs and Walker-256 allografts by using the indium-transferrin complex, and the radiolabeled complex may be a convenient macromolecular tracer to estimate vascular permeability and vessel pore size in tumor and systemic tissue. In contrast, the iron-transferrin complex may be useful for measuring and imaging transferrin-specific receptors in brain and tumor tissue.

A 51-year-old house woman visited the Department of Neurosurgery, Osaka University Hospital for examination of the head injury on Oct. 7, 1975. Neurological examination was normal. Endocrinological examination showed galactorrhea. The patient had a past history of premature menopause. Plain skull films revealed enlargement of sella turcica and CT scan showed sellar tumor with suprasellar expansion which was enhanced by contrast medium. The serum prolactin (PRL) level was 3,290 ng/ml. Diagnosis of PRL secreting pituitary adenoma (prolactinoma) was made. Though surgical removal of the tumor was recommended, it was refused by the patient. Therefore, careful observation was continued as an out-patient until May 1979 when she noticed a temporal hemianopsia of her left eye. She was admitted and had partial removal of the tumor via frontal route and subsequent irradiation (total dose of 5,000 rad by Lineac). The tumor was verified to be a prolactinoma by the immunohistochemical staining. Postoperative course was uneventful and she lead a normal life. In Oct. 1981, severe faceache began and she was readmitted. Sella was destructed extensively and CT scan revealed a hugh sellar tumor with multi-directional extrasellar extension which was less enhanced than that of the first study. The serum PRL level was 588 ng/ml and the regrowth of prolactinoma was suspected. High dose bromocriptine (40 mg/day) therapy was started. The serum PRL level rapidly fell to the negligible value, however, shrinkage of the tumor was not observed. On Jan. 20, 1982, suddenly she developed a left hemiparesis and her level of consciousness gradually deteriorated. On Mar. 11, 1982, the second operation was performed and a solid firm tumor in the base of the skull was partially removed. The tumor was histologically verified to be a fibrosarcoma. After the second operation bromocriptine therapy was discontinued, however expected elevation of the serum PRL level was not recognized. She died on Apr. 4, 1982.

A preliminary design of the ZnSe cycle for thermochemical hydrogen production has been prepared for use in deriving economic costs for hydrogen production. The process flowsheet identifies key equipment items as well as major streams. Flow and heat loads have been estimated based on one mole of hydrogen output. The thermal efficiency of this cycle depends on two factors: (1) the ability to perform the dissolution of ZnSO/sub 4/ and the hydrolysis of ZnSe with a minimum amount of aqueous HCl, and (2) the ability to match the process heat requirements with available heat from the exothermic steps in the cycle. Estimates of the cycle's thermal efficiency range from 34--57 percent depending upon the process heat utilization.

utilizes copper wool to provide a large cold surface on which the tritium freezes out. Helium-3 gas, originally containing approximately 2.5 parts of tritium in 10/sup 3/, was purified to a tritium concentration 7 parts in 10/ sup 11/ with two distillations. (C.J.G.)