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Biomedical subjects

Takanori Fukushima

Publications and source records attributed to Takanori Fukushima.

At least 19 recordsLinked to original sources

Formation of water-dispersible nanotubular graphitic assembly decorated with isothiouronium ion groups and its supramolecular functionalization.

A newly designed Gemini-shaped hexabenzocoronene amphiphile (1), carrying an isothiouronium ion-appended side chain, self-assembles in CH2Cl2 to form a nanotubular object, whose graphitic wall is densely covered by a positively charged molecular layer of isothiouronium ion pendants. The graphitic nanotube can be dispersed uniformly in aqueous media owing to effective hydration as well as electrostatic repulsion. Post-supramolecular functionalization of the nanotube surface is possible, without disruption of the tubular morphology, by taking advantage of a specific interaction of the isothiouronium ion pendants with oxoanion guests. Mixing with sodium poly(4-styrenesulfonate) results in wrapping of the nanotube, while complexation with an electron-accepting oxoanion such as anthraquinone carboxylate allows photoinduced electron transfer from the graphitic wall to the bound guest molecules.

Anthraquinones↗

Photoconductive coaxial nanotubes of molecularly connected electron donor and acceptor layers.

Controlled self-assembly of a trinitrofluorenone-appended gemini-shaped amphiphilic hexabenzocoronene selectively formed nanotubes or microfibers with different photochemical properties. In these nanotubes, which are 16 nanometers in diameter and several micrometers long, a molecular layer of electron-accepting trinitrofluorenone laminates an electron-donating graphitic layer of pi-stacked hexabenzocoronene. The coaxial nanotubular structure allows photochemical generation of spatially separated charge carriers and a quick photoconductive response with a large on/off ratio greater than 10(4). In sharp contrast, the microfibers consist of a charge-transfer complex between the hexabenzocoronene and trinitrofluorenone parts and exhibit almost no photocurrent generation.

Journal Article↗

Stabilization of a kinetically favored nanostructure: surface ROMP of self-assembled conductive nanocoils from a norbornene-appended hexa-peri-hexabenzocoronene.

Newly designed norbornene-appended hexabenzocoronene 1 self-assembles, upon diffusion of an Et(2)O vapor into its CH(2)Cl(2) solution, to form either graphitic nanocoils or nanotubes, depending on the self-assembling conditions. The coiled assembly, selectively formed at 15 degrees C, is a kinetic intermediate for the tubular assembly and transforms into nanotubes on standing at 25 degrees C. However, post-ring-opening metathesis polymerization of the norbornene pendants of 1 enhances the thermal stability of the coiled assembly as well as the tubular one and disables a thermodynamic coil-to-tube transition. The polymerized nanocoils show an electroconductivity of 1 x 10(-)(4) S cm(-)(1) upon doping with I(2), while the nonpolymerized nanocoils are disrupted upon being doped.

Diffusion↗

Photochemical stitching of a tubularly assembled hexabenzocoronene amphiphile by dimerization of coumarin pendants.

A coumarin-appended amphiphilic hexa-peri-hexabenzocoronene (1) self-assembled to form graphitic nanotubes. Upon irradiation of lambda > 300 nm, the nanotubes in the solid state and suspension both underwent dimerization of the coumarin pendants, affording covalently stitched nanotubes, which were hardly soluble in CHCl3, a good solvent of 1. In contrast, a thin film cast from a homogeneous solution of 1 was intact to photoirradiation. Owing to the reversible nature of the photochemical stitching, both negative and positive patterns of the graphitic nanotubes were developed on a silicon substrate by a lithographic post processing.

Journal Article↗

Aneurysms in children: review of 15 years experience.

INTRODUCTION: Intracranial aneurysms in children are rare. The location, size, age, and presentation in the young are markedly different from that of adults. The 15-year experience of the senior author in southern California is presented. METHODS: All paediatric patients treated for cerebral aneurysm over a 15-year period were identified. Intraoperative and postoperative data were collected retrospectively from the medical records. The need for additional surgery as well as the incidence of complications including death, hemiparesis, seizures, memory disturbances, and the need for subsequent cerebrospinal fluid (CSF) diversion were identified. RESULTS: Fifty children were identified (54 lesions). Subarachnoid haemorrhage was the most common mode of presentation with the average Hunt-Hess grade being I-II. The locations of the lesions were middle cerebral (10), internal carotid (8), anterior communicating (7), posterior cerebral (6), posterior communicating (5), pericallosal (4), anterior cerebral (3), choroidal (3), posterior inferior cerebellar (3), basilar (2), vertebral (2) and frontopolar (1) arteries. Clinical vasospasm was encountered in eight of our patients, but no cases were observed in those younger than nine years. Long-term outcome was excellent in 22 cases, good in 20 and poor in nine, with one death and two patients lost to follow-up. CONCLUSION: Analysis of our data suggested a predilection for the posterior circulation compared to adults, larger size, more complex architecture, and a decreased incidence of clinical vasospasm in the younger age group. This series and a review of the literature suggest that aneurysmal disease in children may be distinct from that of adults.

Adolescent↗

Dramatic effect of dispersed carbon nanotubes on the mechanical and electroconductive properties of polymers derived from ionic liquids.

Free-radical polymerization of an imidazolium ion-based ionic liquid bearing a methacrylate group, gelling with single-walled carbon nanotubes (SWNTs), allows fabrication of a mechanically reinforced, electroconductive soft material (bucky plastic). A film sample of this material displays an excellent conductivity of 1 S cm(-1) and a 120-fold enhancement of the Young's modulus at a 7 wt % content of SWNTs. The conductivity is temperature-dependent in the range 5-300 K, suggesting that the conductive process involves carrier hopping. Scanning electron and atomic force micrographs of a bucky plastic film display the presence of crosslinked networks consisting of finely dispersed SWNTs. Such nanotube networks, developed in the polymer matrix, likely suppress slipping of entrapped polymer molecules via a strong interfacial interaction and also facilitate intertubular carrier transport. Although a bucky plastic derived from a vinylimidazolium ion-based ionic liquid monomer shows a comparable conductivity to that of the methacrylate version, the film is brittle irrespective of the presence or absence of SWNTs.

Colloids↗

Three-dimensional computed tomographic analysis of the relationship between the arcuate eminence and the superior semicircular canal.

OBJECTIVE: The location of the superior semicircular canal (SSC) is often determined intraoperatively based on its topographic association with the arcuate eminence (AE). This determination is not always possible because of the potential variability in the relationship between these two structures. The goal of this study was to describe the three-dimensional (3-D) relationship between the AE and SSC using 3-D computed tomography (CT) and to evaluate the utility of 3-D CT for preoperative planning for surgical approaches to the middle cranial fossa. METHODS: We studied 11 patients (22 sides) radiographically using 0.8- to 1-mm thick reconstructed CT images. A standard set of structural relationships was measured between the AE, SSC, and other regional landmarks. RESULTS: 3-D CT clearly demonstrated the relationships between traditional landmarks along the petrous ridge and middle cranial fossa. The relationship between the arcuate eminence and SSC was found to be highly variable. The average distance between the tips of the two structures was found to be 5.7 mm (range, 2.7-10.4 mm). CONCLUSIONS: There is significant variability in the relationship between the AE and the SSC. The AE is not a consistent or reliable landmark for identifying the precise position of the SSC. Detailed preoperative information regarding the relationship between the AE, SSC, and other bony landmarks can be easily and quickly assessed using 3-D CT.

Adolescent↗

The combined transmastoid retro- and infralabyrinthine transjugular transcondylar transtubercular high cervical approach for resection of glomus jugulare tumors.

Complex tumors OF the glomus jugulare present a surgical challenge because of their difficult location, extreme vascularity, and involvement with multiple cranial nerves. Modern microneurosurgical and cranial base techniques have enabled safe total removal of these complicated tumors. We describe a one-stage transjugular posterior infratemporal fossa approach for radical resection of glomus jugulare tumors located around the jugular foramen, the lower clivus, and the high cervical region from an anterolateral direction. This approach is a combination of transmastoid, suprajugular, transjugular, extreme lateral infrajugular transcondylar transtubercular, and high cervical approaches. Total exposure of the jugular foramen can be achieved, and multidirectional approaches can be performed, including infralabyrinthine/suprajugular, retrosigmoid/transcondylar/infrajugular, and transjugular exposures. Exposure of the vertical C7 segment of the infratemporal internal carotid artery and the lower clivus can be performed without permanent rerouting of the facial nerve. The details of this approach are described and illustrated in a stepwise fashion, and the microsurgical anatomy is reviewed.

Carotid Artery, Internal↗

Increasing exposure of the petrous internal carotid artery for revascularization using the transzygomatic extended middle fossa approach: a cadaveric morphometric study.

OBJECTIVE: When internal carotid artery (ICA) sacrifice is planned in the management of difficult tumors or aneurysms at the cranial base, the petrous ICA may be a useful site for anastomosis for interpositional vascular bypass. However, exposure of the artery and performing an anastomosis in this region may be technically challenging because of the narrow working corridor. The authors describe a transzygomatic extended middle fossa approach that maximizes the exposure of the petrous ICA for performing the difficult anastomosis. METHODS: Bilateral dissections were performed on eight silicone-injected cadaveric head specimens. Exposure of the entire petrous ICA (horizontal segment, genu, and vertical segment) using the transzygomatic extended middle fossa approach was performed by the following steps. A frontotemporal craniotomy was performed followed by a zygomatic osteotomy. The temporal lobe dura was elevated extradurally to expose the posterior cavernous sinus and floor of the middle fossa. The middle fossa rhomboid was identified, which is bordered by V3 anteriorly, the GSPN laterally, the arcuate eminence posteriorly, and the petrous edge medially. Bone drilling was performed in the middle fossa rhomboid and Glasscock's triangle with care not to violate the cochlea. The horizontal and vertical segments of the petrous ICA were skeletonized entirely and mobilized from carotid canal. The V3 segment of the trigeminal nerve was retracted anteriorly to obtain more distal exposure of the ICA. An osteoplastic bone flap of the middle fossa floor lateral to the ICA was removed to increase the working space. A morphometric analysis was performed, quantifying the petrous ICA exposure, the surgical working corridor, and the angles of exposure. RESULTS: On average, the length of the horizontal petrous ICA exposed was 9.2 +/- 1.0 mm (range, 8.0-11.0 mm). Anterior retraction of V3 provided an additional 4.3 +/- 0.4 mm of carotid exposure (46.7% increase; P < 0.05). The length of the genu was on average 3.6 +/- 0.4 mm (range, 3.0-4.0 mm), and the length of the vertical segment of the petrous ICA was 13.1 +/- 2.0 mm (range, 10.0-15.0 mm). The average depth of the petrous ICA from the outer surface of the temporal bone was 30.6 +/- 1.1 mm (range, 30.0-33.0 mm) at the V3-ICA junction and 27.2 +/- 0.7 mm (range, 26.0-28.0 mm) at the ICA genu. The average diameter of the inner working corridor was 24.2 +/- 3.0 mm (range, 21.5-30.0 mm). Removal of the zygoma increased the outer working corridor from an average distance of 24.4 +/- 3.8 mm to 33.4 +/- 3.4 mm (36.9% increase in exposure; P < 0.05). The average angle of exposure was 66.5% greater (P < 0.05) with zygomatic arch removal (39.3 +/- 4.9 degrees) than without zygomatic arch removal (23.6 +/- 2.7 degrees). CONCLUSION: The transzygomatic extended middle fossa approach provides a wide surgical corridor for maximal exposure of the petrous ICA with minimized temporal lobe retraction. This large exposure facilitates vascular anastomoses at the petrous ICA and provides working room to maneuver instruments. The middle fossa rhomboid is a key landmark to identify the petrous ICA and to avoid neuro-otologic structures.

Anastomosis, Surgical↗

Jugular tubercle: Morphometric analysis and surgical significance.

OBJECT: Maximizing intradural exposure via the extreme lateral infrajugular transcondylar-transtubercular exposure (ELITE) approach depends on understanding the fundamental anatomy of the jugular tubercle (JT). Drilling the JT can maximize the extent of exposure achieved with the ELITE approach. Removing the JT is critical for optimizing access to the inferior and midclival areas, vertebrobasilar artery junction, and ventral pons and medulla. METHODS: In this cadaveric study, the individual structural variations in the JT were evaluated in 100 split occipital bones. The mean length of the JT was 1.65 +/- 0.36 cm (range 1.2-3 cm); its mean width was 1.15 +/- 0.16 cm (range 0.7-1.7 cm); and its mean thickness was 0.61 +/- 0.15 cm (range 0.2-1 cm). The authors analyzed the difference in morphometric data with regard to right and left sides and found no statistically significant difference between the two sides. Furthermore, data from the morphometric study were compared with the results of 20 measurements obtained from three-dimensional computed tomography (3D CT) scans. Accordingly, the mean length of the JT was 1.35 +/- 0.15 cm (range 1-2.8 cm); the mean width, 1.10 +/- 0.12 cm (range 0.8-1.3 cm); and the mean thickness, 0.51 +/- 0.18 cm (range 0.2-1 cm). CONCLUSIONS: Morphometric data on the JT contribute significantly to the neurosurgeon's task of skull base drilling. The 3D CT scans were useful in the preoperative planning.

Body Weights and Measures↗

Self-assembled graphitic nanotubes with one-handed helical arrays of a chiral amphiphilic molecular graphene.

Self-assembly of a Gemini-shaped, chiral amphiphilic hexa-peri-hexabenzocoronene having two chiral oxyalkylene side chains, along with two lipophilic side chains, yields graphitic nanotubes with one-handed helical chirality. The nanotubes are characterized by an extremely high aspect ratio of >1,000 and have a uniform diameter of 20 nm and a wall thickness of 3 nm. The nanotubes with right- and left-handed helical senses were obtained from the (S)- and (R)-enantiomers of the amphiphile, respectively, due to an efficient translation of point chirality into supramolecular helical chirality. The (S)- and (R)-enantiomers coassemble at varying mole ratios to give nanotubes, whose circular dichroism profiles are almost unchanged over a wide range of the enantiomeric excess of the amphiphile (100-20%). The high level of chirality amplification thus observed indicates a long-range cooperativity in the self-assembling process. In sharp contrast, a hexabenzocoronene amphiphile with chiral lipophilic side chains did not form nanotubular assemblies. The present work demonstrates the majority rule in noncovalent systems and also may provide a synthetic strategy toward realization of molecular solenoids.

Journal Article↗

Controlled self-assembly triggered by olefin metathesis: cross-linked graphitic nanotubes from an amphiphilic hexa-peri-hexabenzocoronene.

Acyclic diene metathesis (ADMET) in CH2Cl2 of a Gemini-shaped nonionic hexabenzocoronene amphiphile (2), bearing triethylene glycol chains with terminal allylic functionalities, resulted in spontaneous formation of graphitic nanotubes with a cross-linked surface. Without ADMET, 2 did not self-assemble to form a tubular structure due to a high solubility in CH2Cl2. Although 2 formed nanotubes in THF, ADMET on the surface of the preformed nanotubes in THF proceeded only sluggishly and resulted in partial disruption of the tubular structure. The cross-linked nanotubes showed a softening temperature (244 degrees C) higher than that of the uncross-linked version (195 degrees C) and preserved their hollow structure much longer upon heating.

Journal Article↗

Surgical management of petroclival meningiomas: defining resection goals based on risk of neurological morbidity and tumor recurrence rates in 137 patients.

OBJECTIVE: Meningiomas arising from the petroclival region remain a challenging surgical problem. Because of the substantial risk of neurological morbidity, uniformly pursuing a gross total resection (GTR) to minimize tumor recurrence rates may not be justified. We sought to define optimal resection goals based on risk factors for postoperative neurological morbidity and tumor recurrence rates. METHODS: This series represents our experience with 137 meningiomas arising from the petroclival region resected between June 1993 and October 2002. There were 38 male and 99 female patients with a mean age of 53 years. RESULTS: GTR was achieved in 40% of patients, and near total resection (NTR) was achieved in 40% of patients. One operative death occurred. Twenty-six percent of patients experienced new postoperative cranial nerve deficits, paresis, or ataxia when assessed at a mean follow-up of 8.3 months. The risk of cranial nerve deficits increased with prior resection (P < 0.001), preoperative cranial nerve deficit (P = 0.005), tumor adherence to neurovascular structures (P = 0.046), and fibrous tumor consistency (P = 0.005). The risk of paresis or ataxia increased with prior resection (P = 0.001) and tumor adherence (P = 0.045). Selective NTR rather than GTR in patients with adherent or fibrous tumors significantly reduced the rate of neurological deficits. Radiographic recurrence or progression occurred in 17.6% of patients at a mean follow-up of 29.8 months. Tumor recurrence rates after GTR and NTR did not differ significantly (P = 0.111). CONCLUSION: Intraoperatively defined tumor characteristics played a critical role in identifying the subset of patients with an increased risk of postoperative deficits. By selectively pursuing an NTR rather than a GTR, neurological morbidity was reduced significantly without significantly increasing the rate of tumor recurrence.

Adolescent↗

Tetrafluoroborate salts as site-selective promoters for sol-gel synthesis of mesoporous silica.

Tetrafluoroborate ion (BF(4)(-)) serves as a powerful and better-behaved promoter than fluoride ion (F(-)) for hydrolytic condensation of alkoxysilanes, such as tetraethoxy orthosilicate, in aqueous media containing amphiphiles with onium ion headgroups as templates, affording thermally and hydrothermally stable mesoporous silica. According to (19)F NMR spectral profiles, BF(4)(-) is localized on a positive-charged micellar surface, thereby allowing a site-selective growth of the silica framework. The resulting porous silica has an ordered hexagonal structure with a well-developed and thick silicate wall. Even without calcination, the condensation with BF(4)(-) as the promoter progresses to a large extent to furnish a [Si(OSi-)(4)]/([HOSi(OSi-)(3)] + [(HO)(2)Si(OSi-)(2)]) ratio of 6.2, which is greater than that of mesoporous silica formed without BF(4)(-) before (1.5) and even after calcination (3.5) to promote thermal condensation in the solid state.

Journal Article↗

Self-assembled hexa-peri-hexabenzocoronene graphitic nanotube.

An amphiphilic hexa-peri-hexabenzocoronene self-assembles to form a pi-electronic, discrete nanotubular object. The object is characterized by an aspect ratio greater than 1000 and has a uniform, 14-nanometer-wide, open-ended hollow space, which is an order of magnitude larger than those of carbon nanotubes. The wall is 3 nanometers thick and consists of helical arrays of the pi-stacked graphene molecule, whose exterior and interior surfaces are covered by hydrophilic triethylene glycol chains. The graphitic nanotube is redox active, and a single piece of the nanotube across 180-nanometer-gap electrodes shows, upon oxidation, an electrical resistance of 2.5 megohms at 285 kelvin [corrected]. This family of molecularly engineered graphite with a one-dimensional tubular shape and a chemically accessible surface constitutes an important step toward molecular electronics.

Journal Article↗