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  • 1
    Online Resource
    Online Resource
    Oxford University Press (OUP) ; 2007
    In:  European Journal of Endocrinology Vol. 157, No. 3 ( 2007-09), p. 265-270
    In: European Journal of Endocrinology, Oxford University Press (OUP), Vol. 157, No. 3 ( 2007-09), p. 265-270
    Abstract: Objective : Hypoglycemia induces rapid secretion of counterregulatory hormones such as catecholamine, glucagon, cortisol, and GH. Insulin-induced hypoglycemia is used for evaluating GH–IGF-I and ACTH–adrenal axes in patients with pituitary disorders. The aim of this study was to determine whether the response of catecholamine secretion to hypoglycemia is disrupted in patients with pituitary adenoma. Methods : The study population comprised 23 patients with pituitary adenoma (non-functioning adenoma or prolactinoma). An insulin tolerance test was performed and serum catecholamines as well as plasma GH and serum cortisol were measured. Results : The study patients showed diminished response of plasma epinephrine to insulin-induced hypoglycemia. With the cutoff level of peak epinephrine for defining severe impairment set at 400 pg/ml, more patients with secondary adrenal insufficiency showed severe impairment of the epinephrine response than did those without it. Peak epinephrine levels to insulin-induced hypoglycemia were significantly correlated with peak cortisol levels. In patients with secondary hypothyroidism, secondary hypogonadism, GH deficiency, or diabetes insipidus, the prevalence of severe impairment of the epinephrine response was similar to that in patients without these deficiencies. Conclusions : Impaired epinephrine secretion in response to insulin-induced hypoglycemia was frequently observed in patients with pituitary adenoma. This disorder was especially severe in patients with secondary adrenal insufficiency.
    Type of Medium: Online Resource
    ISSN: 0804-4643 , 1479-683X
    RVK:
    Language: Unknown
    Publisher: Oxford University Press (OUP)
    Publication Date: 2007
    detail.hit.zdb_id: 1485160-X
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  • 2
    Online Resource
    Online Resource
    West-Japanese Society of Orthopedics & Traumatology ; 1989
    In:  Orthopedics & Traumatology Vol. 38, No. 1 ( 1989), p. 322-325
    In: Orthopedics & Traumatology, West-Japanese Society of Orthopedics & Traumatology, Vol. 38, No. 1 ( 1989), p. 322-325
    Type of Medium: Online Resource
    ISSN: 1349-4333 , 0037-1033
    Language: Unknown
    Publisher: West-Japanese Society of Orthopedics & Traumatology
    Publication Date: 1989
    detail.hit.zdb_id: 2155536-9
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  • 3
    In: Applied Physics Express, IOP Publishing, Vol. 15, No. 4 ( 2022-04-01), p. 044003-
    Abstract: We demonstrated the structural optimization of AlGaN tunnel junction (TJ) deep-ultraviolet light-emitting diodes by changing the thickness and impurity concentrations of p + -type and n + -type AlGaN constituting the TJ. By decreasing the total thickness of the TJ to 23 nm, the operating voltage reached a minimum of 8.8 V at 63 A cm −2 . Further decrease in TJ thickness markedly increases the operating voltage. This finding implies that the depletion layer width becomes greater than the TJ thickness if it is smaller than 12 nm. Therefore, we conclude that the TJ thickness must be greater than the depletion layer width.
    Type of Medium: Online Resource
    ISSN: 1882-0778 , 1882-0786
    RVK:
    Language: Unknown
    Publisher: IOP Publishing
    Publication Date: 2022
    detail.hit.zdb_id: 2417569-9
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  • 4
    In: ECS Transactions, The Electrochemical Society, Vol. 61, No. 4 ( 2014-03-20), p. 345-351
    Abstract: In this paper we investigated transistor properties of indium-gallium-zinc oxide (IGZO) thin film transistors (TFT) with Al 2 O 3 /SiO 2 dielectric. The saturation field-effect mobility (m sat ) of TFTs with Al 2 O 3 decreased about 10 % irrespective of the Al 2 O 3 thickness. Furthermore, the threshold voltage (V th ) value of TFT with Al 2 O 3 shifts toward positive direction about 0.5 V. We found that the SiO 2 /Al 2 O 3 stack structure contains fixed charge of about -1.1 × 10 11 /cm 2 and dipole moment of about 0.4 V at Al 2 O 3 /SiO 2 interface, and negligible fixed charge in Al 2 O 3 layer. These indicate that the origin of the m sat degradation and positive V th shift are dominantly due to the fixed charge at IGZO/Al 2 O 3 interface and dipole moment at Al 2 O 3 /SiO 2 interface, respectively.
    Type of Medium: Online Resource
    ISSN: 1938-5862 , 1938-6737
    Language: Unknown
    Publisher: The Electrochemical Society
    Publication Date: 2014
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  • 5
    In: Journal of Neurosurgery: Case Lessons, Journal of Neurosurgery Publishing Group (JNSPG), Vol. 5, No. 23 ( 2023-06-5)
    Abstract: Recurrent cervical internal carotid artery vasospasm syndrome (RCICVS) causes cerebral infarction, ocular symptoms, and occasionally chest pain accompanied by coronary artery vasospasm. The etiology and optimal treatment remain unclear. OBSERVATIONS The authors report a patient with drug-resistant RCICVS who underwent carotid artery stenting (CAS). Magnetic resonance angiography revealed recurrent vasospasm in the cervical segment of the internal carotid artery (ICA). Vessel wall imaging during an ischemic attack revealed vascular wall thickening of the ICA, similar to that in reversible cerebral vasoconstriction syndrome. The superior cervical ganglion was identified at the anteromedial side of the stenosis site. Coronary artery stenosis was also detected. After CAS, the symptoms of cerebral ischemia were prevented for 2 years, but bilateral ocular and chest symptoms did occur. LESSONS Vessel wall imaging findings suggest that RCICVS is a sympathetic nervous system-related disease. CAS could be an effective treatment for drug-resistant RCICVS to prevent cerebral ischemic events.
    Type of Medium: Online Resource
    ISSN: 2694-1902
    Language: Unknown
    Publisher: Journal of Neurosurgery Publishing Group (JNSPG)
    Publication Date: 2023
    detail.hit.zdb_id: 3106696-3
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  • 6
    Online Resource
    Online Resource
    West-Japanese Society of Orthopedics & Traumatology ; 1988
    In:  Orthopedics & Traumatology Vol. 36, No. 4 ( 1988), p. 1445-1448
    In: Orthopedics & Traumatology, West-Japanese Society of Orthopedics & Traumatology, Vol. 36, No. 4 ( 1988), p. 1445-1448
    Type of Medium: Online Resource
    ISSN: 1349-4333 , 0037-1033
    Language: Unknown
    Publisher: West-Japanese Society of Orthopedics & Traumatology
    Publication Date: 1988
    detail.hit.zdb_id: 2155536-9
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  • 7
    In: Frontiers in Immunology, Frontiers Media SA, Vol. 13 ( 2022-11-10)
    Abstract: With the development of laser technology in the 1960s, a technique was developed to inject intradermal vaccines immediately after irradiating the skin with laser light to elicit an adjuvant effect, referred to as “laser adjuvant.” We have been investigating the mechanism of laser adjuvant in influenza mouse models using noninvasive continuous-wave (CW) near-infrared (NIR) light mainly at a wavelength of 1064 nm, and have shown that the production of reactive-oxygen-species (ROS) in the skin and mast cells in the skin tissue plays an important role in the laser adjuvant effect. The new wavelength of 1270 nm NIR light is characterized by its ability to elicit the same vaccine adjuvant effect as other wavelengths at a lower energy, and may be suitable for clinical applications. In this study, we investigated the physiological activity of CW1270 nm NIR light in mast cells, its biological activity on mouse skin, and the durability of the vaccine adjuvant effect in influenza vaccine mouse models. We show that irradiation of mast cells with 1270 nm NIR light produced ROS and ATP, and irradiation of isolated mitochondria also produced ATP. In mouse skin, the relative expression levels of chemokine mRNAs, such as Ccl2 and Ccl20 , were increased by irradiation with 1270 and 1064 nm NIR light at minimum safe irradiance. However, the relative expression of Nfkb1 was increased at 1064 nm, but not at 1270 nm. Serum anti-influenza IgG antibody titers increased early after immunization with 1064 nm, whereas with 1270 nm, there was not only an early response of antibody production but also persistence of antibody titers over the medium- to long-term. Thus, to our knowledge, we show for the first time that 1270 nm NIR light induces ROS and ATP production in mitochondria as photoreceptors, initiating a cascade of laser adjuvant effects for intradermal vaccines. Additionally, we demonstrate that there are wavelength-specific variations in the mechanisms and effects of laser adjuvants. In conclusion, CW1270 nm NIR light is expected to be clinically applicable as a novel laser adjuvant that is equivalent or superior to 1064 nm NIR light, because it can be operated at low energy and has a wavelength-specific adjuvant effect with medium- to long-lasting antibody titer.
    Type of Medium: Online Resource
    ISSN: 1664-3224
    Language: Unknown
    Publisher: Frontiers Media SA
    Publication Date: 2022
    detail.hit.zdb_id: 2606827-8
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  • 8
    In: Frontiers in Oncology, Frontiers Media SA, Vol. 12 ( 2022-10-26)
    Abstract: Although patients with oral squamous cell carcinoma who develop contralateral neck metastasis (CLNM) have worse survival outcomes than those without CLNM, accurate prediction of occult CLNM in clinically negative contralateral neck (contralateral cN0) remains difficult. This study aimed to identify clinicopathological factors that could reliably predict CLNM in patients with locally advanced (clinical T3 and T4a) tongue squamous cell carcinoma (TSCC). Patients and methods The medical data of 32 patients with cT3–4a TSCC who underwent curative surgery between 2010 and 2017 were retrospectively analyzed. The correlation of clinicopathological variables with CLNM was examined using logistic regression analysis. The diagnostic performance of significant variables was evaluated using the area under the receiver operating characteristic curves (AUC). Overall survival (OS) and disease-free survival (DFS) were assessed using a Cox proportional hazards model. Results CLNM was eventually confirmed in 11 patients (34.4%). Multivariate logistic regression showed that midline involvement [odds ratio (OR) = 23.10, P = 0.017] and perineural invasion (PNI, OR = 14.96, P = 0.014) were independent predictors of CLNM. Notably, the prediction model comprising a combination of midline involvement and PNI exhibited superior diagnostic performance with an even higher OR of 80.00 (P & lt; 0.001), accuracy of 90.3%, and AUC of 0.876. The multivariate Cox hazards model revealed independent significance of CLNM as an unfavorable prognostic factor for both OS [hazard ratio (HR) = 5.154, P = 0.031] and DFS (HR = 3.359, P = 0.038), as well as that of PNI for OS (HR = 5.623, P = 0.033). Conclusion Our findings suggest that coexisting midline involvement and PNI of the primary tumor is highly predictive of CLNM development, which independently affects both OS and DFS in patients with locally advanced TSCC. Such reliable prediction enables efficient control of CLNM by optimizing management of the contralateral cN0 neck, which will likely contribute to improved prognosis of those patients without unnecessarily compromising their quality of life.
    Type of Medium: Online Resource
    ISSN: 2234-943X
    Language: Unknown
    Publisher: Frontiers Media SA
    Publication Date: 2022
    detail.hit.zdb_id: 2649216-7
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  • 9
    Online Resource
    Online Resource
    The Electrochemical Society ; 2014
    In:  ECS Meeting Abstracts Vol. MA2014-01, No. 41 ( 2014-04-01), p. 1551-1551
    In: ECS Meeting Abstracts, The Electrochemical Society, Vol. MA2014-01, No. 41 ( 2014-04-01), p. 1551-1551
    Abstract: Introduction Recently, indium-gallium-zinc oxide (IGZO) thin film transistor (TFT) has attracted attention for their applications to active matrix liquid crystal display and active matrix organic light-emitting diode. As a typical IGZO TFT, the Si 3 N 4 /SiO 2 structure has been widely developed. To archive the requirements of a low leakage current and a high k value, several high-k dielectrics, such as Al 2 O 3 , HfO 2 , Ta 2 O 5 , ZrO 2 and Y 2 O 3 have been intensively investigated as gate dielectric [1-3]. Hence, we paid attention to the Al 2 O 3 as gate dielectrics because of its low leakage current. However, it is well known that Al 2 O 3 film, which fabricated by conventional ALD at low temperature, contains some defects [4] and results in mobility degradation and abnormal threshold voltage (Vth) shift. Plasma-enhanced ALD (PE-ALD) is expected to reduce impurities and increases the film density because of oxidation reaction. In this paper, we report on electrical performance of IGZO TFTs with Al 2 O 3 dielectrics grown by PE-ALD process. We especially discuss about influence of quality of Al 2 O 3 films on transistor properties. Experimental Bottom-gate-type IGZO TFT with Al 2 O 3 dielectric was fabricated as follows. A 30-nm-thick SiO 2 layer was fabricated on p ++ -Si as a back gate electrode. Next, the Al 2 O 3 layer was deposited on SiO 2 /Si substrate by the PE-ALD method at 300 °C using TMA precursor and plasma oxygen gas. The thicknesses of the Al 2 O 3 were varied to 5, 10, 15 and 25 nm by changing ALD cycles. A 50-nm-thick IGZO layer was subsequently deposited at room temperature by DC-sputtering using an IGZO target (In 2 O 3 :Ga 2 O 3 :ZnO = 1:1:1 mol%). Finally, the Au (100 nm) layers as source/drain electrodes were deposited by thermal evaporation method. The channel length and width of the TFTs are 50 and 1200 mm, respectively. Post annealing was performed at 300 °C for 1 h. In addition, Pt/Al 2 O 3 /SiO 2 MOS capacitor was prepared to examine quality of Al 2 O 3 film. A 4-nm-thick SiO 2 layer was fabricated on p-Si substrate, and subsequently Al 2 O 3 films with 5-25 nm thicknesses were deposited by PE-ALD at 300 °C. Finally, Pt electrode (150 nm) was deposited on Al 2 O 3 films by DC-sputtering. Results and Discussion Figure 1 shows transfer characteristics (Id-Vg) of the IGZO TFTs with Al 2 O 3 dielectrics. Note that saturated mobility of TFT without Al 2 O 3 is slightly larger than those of TFTs with Al 2 O 3 dielectrics. Furthermore, the TFTs with Al 2 O 3 dielectrics show almost same saturated mobility regardless of Al 2 O 3 thickness. The positive Vth shift (~1V) in the TFTs with Al 2 O 3 dielectrics significantly appears compared to that of TFT without Al 2 O 3 dielectric. No thickness dependence of Al 2 O 3 on Vth shift is clear. The Vfb change as a function of the equivalent oxide thickness (EOT) of the Al 2 O 3 films for Pt/Al 2 O 3 /SiO 2 MOS capacitors is shown in Fig. 2 . It is clear that these data satisfy the linear equation. This indicates that the fixed charge in Al 2 O 3 film, which deposited by PE-ALD process, is a negligible small. The fixed charge (Q IL ) at Al 2 O 3 /SiO 2 interface can be obtained the following equation: Vfb = (Φ m,eff – Φ Si ) – Q IL / ε sio2 × EOT Al2O3 (1) where f m,eff , f Si , e SiO2 and EOT Al2O3 are the effective work function of the gate electrode on Al 2 O 3 , the Fermi-level of silicon substrate, the dielectric constant of SiO 2 and EOT of Al 2 O 3 film, respectively. The Q IL value was estimated about -2.0 × 10 12 /cm 2 . Hence, when the fixed charge is assumed to occur at SiO 2 /Si interface for Metal/SiO 2 (30nm)/Si capacitor, the Q IL value of -2.0 × 10 12 /cm 2 leads to positive Vfb shift of 1.5V. We notice that the positive Vth shift of ~1V in the TFTs with Al 2 O 3 dielectrics might be due to the fixed charge at Al 2 O 3 /SiO 2 interface. Conclusions We have systematically investigated transistor properties of Bottom-gate-type IGZO TFTs with Al 2 O 3 dielectric grown by PE-ALD process. We found that mobility of TFTs with Al 2 O 3 dielectrics decreases slightly irrespective of the Al 2 O 3 thickness. Note that the positive Vth shift of TFTs with Al 2 O 3 dielectrics is dominantly due to the fixed charge at Al 2 O 3 /SiO 2 interface from data of Pt/Al 2 O 3 /SiO 2 capacitors. References [1] H. Nomura et al., Nature (London) 432 (2004) 488. [2] S-Y. Lee et al., Thin Solid Films 518 (2010) 3030.. [3] I-K. Lee et al., Jpn. J. Appl. Phys. 52 (2010) 06GE05. [4] T. Nabatame et al., Abst. 12 th Int. Conf. on ALD (2012) p.267. Fig. 1 Id-Vg characteristics of the IGZO TFTs with and without Al 2 O 3 gate dielectrics. Fig. 2 The Vfb change as a function of the EOT of the Al 2 O 3 films for Pt/Al 2 O 3 /SiO 2 MOS capacitors.
    Type of Medium: Online Resource
    ISSN: 2151-2043
    Language: Unknown
    Publisher: The Electrochemical Society
    Publication Date: 2014
    detail.hit.zdb_id: 2438749-6
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  • 10
    In: Nuclear Medicine Review, VM Media Group sp. z o.o, Vol. 25, No. 2 ( 2022-08-05), p. 95-100
    Type of Medium: Online Resource
    ISSN: 1644-4345 , 1506-9680
    Language: Unknown
    Publisher: VM Media Group sp. z o.o
    Publication Date: 2022
    detail.hit.zdb_id: 2595415-5
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