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Background: Gestational diabetes mellitus (GDM) with poorly controlled glycemia is associated with poor pregnancy outcomes. However, adequate markers for glycemic control in GDM have not been fully evaluated., Methods: We retrospectively studied 77 patients with GDM and their infants. Mean glycated albumin (GA), glycated hemoglobin (HbA1c), and GA/HbA1c in GDM were compared between two groups stratified by the presence or absence of infant complications (complications or non-complications). We assessed the predictability of infant complications in GA, HbA1c, and GA/HbA1c of women with GDM by receiver operating characteristic analysis (ROC)., Results: In complications and non-complications, GA and GA/HbA1c were significantly associated with neonatal hypoglycemia (13.9% vs. 13.0%, p < 0.001 and 2.49 vs. 2.33, p < 0.001, respectively), respiratory disorders (13.7% vs. 13.2%, p = 0.013 and 2.48 vs. 2.34, p < 0.001, respectively), myocardial hypertrophy (14.5% vs. 13.0%, p < 0.001 and 2.59 vs. 2.33, p < 0.001, respectively), and large for gestational age (14.5% vs. 13.1%, p < 0.001 and 2.58 vs. 2.34, p < 0.001, respectively). Compared with each infant complication in ROC, GA and GA/HbA1c had higher area under the curve than HbA1c. Especially, GA and GA/HbA1c had highest AUC in predicting myocardial hypertrophy and large for gestational age (GA; 0.92 and 0.92, GA/HbA1c; 0.91 and 0.86, respectively). Although statistically significant positive correlations were found between GA and GA/HbA1c and the number of infant complications (GA: r = 0.417, p < 0.001; GA/HbA1c: r = 0.408, p < 0.001), their correlations were weak., Conclusion: Compared with HbA1c, GA and GA/HbA1c of GDM in late pregnancy might be useful for predicting infant complications arising from GDM., (Copyright © 2022 Taiwan Pediatric Association. Published by Elsevier B.V. All rights reserved.)

Background: This study was conducted to investigate whether glycated albumin is a useful glycemic marker from the point of view of infant complications for monitoring glycemic control in pregnant women with diabetes or gestational diabetes mellitus., Methods: We retrospectively studied 42 Japanese infants of diabetic mothers and their mothers at our facility between May 2010 and July 2013. The mean glycated albumin and glycated hemoglobin levels were compared between mothers of infants with complications and those without complications. We used 15.8% as the cutoff value of glycated albumin and calculated the sensitivity and specificity of items that were significantly different between the two groups., Results: Glycated albumin was significantly higher in mothers of infants with hypoglycemia (15.5±1.8 vs. 13.8±1.2%, p = 0.001), respiratory disorders (15.6±1.8 vs. 13.9±1.2%, p < 0.001), hypocalcemia (15.7±2.1 vs. 14±1.2%, p = 0.004), myocardial hypertrophy (15.2±1.9 vs. 13.7±1%, p = 0.007), and large-for-date status (15.8±1.9 vs. 14±1.3%, p = 0.002). By contrast, considering hypoglycemia, glycated hemoglobin was not significantly different between the two groups. The sensitivity and specificity with 15.8% as the cutoff value of glycated albumin were as follows: hypoglycemia (70% and 81.2%), respiratory disorders (61.5% and 82.8%), hypocalcemia (62.5% and 84.4%), myocardial hypertrophy (87.5% and 79.4%), and large-for-date status (75% and 85.3%)., Conclusion: Glycated albumin is a useful marker of glycemic control considering infant complications during pregnancy. This study also suggests that evaluating both glycated hemoglobin and glycated albumin levels can lead to better glycemic control in pregnant women., (Copyright © 2016. Published by Elsevier B.V.)

The expected geomorphic after-effects of the Mw 9.0 Tōhoku-oki earthquake of 11 March 2011 (eastern Japan) are summarized by a schematic model of seismic driving, which details seismogenic disturbances to sediment systems that affect the rate or timing of sediment delivery to coastlines over timescales of 10(2)-10(4)years. The immediate physical environmental responses to this high-magnitude earthquake included a large tsunami and extensive region-wide slope failures. Normally, slope failures within mountain catchments would have significant impacts on Japan's river and coastal geomorphology in the coming decades with, for example, a new beach ridge expected to form within 20-100 years on the Sendai Plain. However, human activity has significantly modified the rate and timing of geomorphic processes of the region, which will have impacts on likely geomorphic responses to seismic driving. For example, the rivers draining into Sendai Bay have been dammed, providing sediment traps that will efficiently capture bedload and much suspended sediment in transit through the river system. Instead of the expected ~1 km of coastal progradation and formation of a ~3m high beach ridge prior to the next large tsunami, it is likely that progradation of the Sendai Plain will continue to slow or even cease as a result of damming of river systems and capture of river sediments behind dams. The resulting reduction of fluvial sediment delivery to the coast due to modification of rivers inadvertently makes seawalls and other engineered coastal structures even more necessary than they would be otherwise., (Copyright © 2015 Elsevier B.V. All rights reserved.)