Search

In August 2022, the Tohoku region of Japan suffered three major heavy rainfall events, while one was related to an anticyclone, and the others were induced by a "Baiu‐like" stationary front. By using the Lagrangian backward trajectories, we found the moisture sources of the three events varied much due to the rapidly changing atmospheric conditions. In general, moisture from the Sea of Japan contributed the most in all events, while the western Pacific also played a certain role. Surprisingly, moisture from tropical storms and the East China Sea did not contribute much due to the along‐transport precipitation. But, based on forward‐traced trajectories, we confirmed that tropical storms did enhance moisture transport from subtropical regions via their southerly wind. Overall, this study highlights the role of the moisture gains nearby and the outer flows of tropical storms during heavy rainfalls in a northern region. Plain Language Summary: Heavy rainfalls hit northern Japan (i.e., the Tohoku region) from early‐ to mid‐August 2022, which were caused by a moving high‐pressure system, a rare north‐located "Baiu‐like" stationary front, and tropical storms. The highly accumulated moisture over Tohoku was supplied by the moistening over the marginal seas and the subtropical western Pacific, while the inland region also supplied a certain amount. Surprisingly, moisture carried by tropical storms (Songda, Trases, and Meari) and that from the East China Sea did not contribute much, because they were lost due to the precipitation during the transport. Most of the moisture was obtained nearby over the Sea of Japan. On the other hand, although storms did not contribute much moisture, their related wind fields did enhance moisture transport from moist‐rich regions to the Tohoku region. Key Points: Three heavy rainfalls occurred over the Tohoku region with varied moisture sourcesMoisture gains from the nearby Sea of Japan contributed the most, while the western Pacific played a secondary roleMoisture that was carried by tropical storms did not contribute much to the events but the storm‐induced southerly wind did [ABSTRACT FROM AUTHOR]

The transport and accumulation of moisture played an essential role in the extremely heavy rainfall of July 2020 in Japan. To better understand this event in terms of moisture sources and transport routes, backward particle trajectory analysis was conducted. We found two major moisture sources: transport from the tropics and uptake from the subtropics. A narrow moisture channel was found along the edge of the western Pacific Subtropical High (WPSH), transporting the moisture to the Baiu front. However, most moisture from the tropics was lost due to precipitation, and their contributions were reduced to about 15%. In contrast, the subtropical regions contributed over 80% moisture via evaporation and lower tropospheric convection. Among those regions, the western Pacific contributed the most (>33%). This study highlights the role of WPSH in moisture transport and demonstrated the importance of moisture uptake during transport. Plain Language Summary: Heavy rainfalls hit Japan in July 2020, and the related atmospheric river was found to be accumulated by the moisture from tropics and subtropics. The moisture was transported by a narrow moisture channel along the edge of western Pacific Subtropical High. But, due to the precipitation during the transport, the moisture from the tropics decreased. On the other hand, when the air flows passed over the subtropical regions, they were moistened by evaporation and lower troposphere convection. Thus, our results suggest that the moisture from subtropical regions contributed the most to the moisture accumulation during the heavy rain event. Key Points: Moisture came from both the tropical regions and subtropical regionsThe western Pacific Subtropical High is major forcing of moisture transport and also helped the moistening of low‐level flowsSubtropical regions (especially the western Pacific) contributed the most to the moisture accumulation [ABSTRACT FROM AUTHOR]

Based on absolute geostrophic velocity calculated from repeated hydrographic data of 39 cruises from 2000 to 2009 and nitrate concentrations measured at the same sections from 1964 to 2011, we obtained temporally averaged nitrate flux (the product of velocity and nitrate concentration) and nitrate transport (integration of flux over a section) through 4 sections along the Kuroshio path from the East China Sea (sections PN and TK) to south of Japan (sections ASUKA and 137E). In addition, we examined section OK east of the Ryukyu Islands in order to understand the contribution of Ryukyu Current to the Kuroshio nutrient transport south of Japan. The mean nitrate flux shows a subsurface maximum core with a value of 10, 10, 11, 11, and 6 molm-2 s-1 at sections PN, TK, ASUKA, 137E, and OK, respectively. The depth of subsurface maximum core changes among five sections and is approximately 400, 500, 500, 400, and 800m at sections PN, TK, ASUKA, 137E, and OK respectively. The mean downstream nitrate transport is 199.3, 176.3, 909.2, 1385.5, and 341.2 kmolm-1 at sections PN, TK, ASUKA, 137E, and OK respectively. The nutrient transports at these sections suggest the presence of Kuroshio nutrient stream from its upstream region to downstream. The deep current structure of Ryukyu Current (section OK) makes it contribute more nitrate transport than the Kuroshio in the East China Sea (section TK) to the Kuroshio south of Japan. In addition, the positive difference between the downstream nitrate transport through section ASUKA and the sum of nitrate transports through sections TK and OK, as well as the positive difference of downstream nitrate transport between sections 137E and ASUKA, suggest that the Kuroshio recirculation significantly intensifies the downstream (eastward) nitrate transport by the Kuroshio. [ABSTRACT FROM AUTHOR]

This study conducted policy and regulation analyses and user acceptance surveys in three East Asian countries with developed telecommunication infrastructure (China, South Korea, and Japan) to determine the most effective way to implement mobile health (mHealth). Regional differences in users' emphasis on the purpose of mHealth, including medical information referral or health management, appear to be influenced by regional regulation, thus making regulation analysis important when considering mHealth penetration strategies. Potential mHealth users have high expectations for medical information and correspondence, which is crucial for the pharmaceutical industry in terms of providing information and retaining patients. Furthermore, potential users are willing to use the system medically, which is beneficial to the pharmaceutical industry when introducing mHealth and prescriptions in combination., (Copyright © 2024 The Author(s). Published by Elsevier Ltd.. All rights reserved.)

Background: Kawasaki disease (KD) is a self-limiting acute systemic vasculitis occur mainly in infants and young children under 5 years old. Although the use of acetylsalicylic acid (AAS) in combination with intravenous immunoglobulin (IVIG) remains the standard therapy to KD, the etiology, genetic susceptibility genes and pathogenic factors of KD are still un-elucidated., Purpose: Current obstacles in the treatment of KD include the lack of standard clinical and genetic markers for early diagnosis, possible severe side effect of AAS (Reye's syndrome), and the refractory KD cases with resistance to IVIG therapy, therefore, this review has focused on introducing the current advances in the identification of genetic susceptibility genes, environmental factors, diagnostic markers and adjuvant pharmacological intervention for KD., Results: With an overall update in the development of KD from different aspects, our current bioinformatics data has suggested CASP3, CD40 and TLR4 as the possible pathogenic factors or diagnostic markers of KD. Besides, a list of herbal medicines which may work as the adjunct therapy for KD via targeting different proposed molecular targets of KD have also been summarized., Conclusion: With the aid of modern pharmacological research and technology, it is anticipated that novel therapeutic remedies, especially active herbal chemicals targeting precise clinical markers of KD could be developed for accurate diagnosis and treatment of the disease., Competing Interests: All authors declare no conflict of interest., (© 2020 Elsevier GmbH. All rights reserved.)

Background: Risk variants identified so far for colorectal cancer explain only a small proportion of familial risk of this cancer, particularly in Asians., Methods: We performed a genome-wide association study (GWAS) of colorectal cancer in East Asians, including 23,572 colorectal cancer cases and 48,700 controls. To identify novel risk loci, we selected 60 promising risk variants for replication using data from 58,131 colorectal cancer cases and 67,347 controls of European descent. To identify additional risk variants in known colorectal cancer loci, we performed conditional analyses in East Asians., Results: An indel variant, rs67052019 at 1p13.3, was found to be associated with colorectal cancer risk at P = 3.9 × 10 -8 in Asians ( OR per allele deletion = 1.13, 95% confidence interval = 1.08-1.18). This association was replicated in European descendants using a variant (rs2938616) in complete linkage disequilibrium with rs67052019 ( P = 7.7 × 10 -3 ). Of the remaining 59 variants, 12 showed an association at P < 0.05 in the European-ancestry study, including rs11108175 and rs9634162 at P < 5 × 10 -8 and two variants with an association near the genome-wide significance level (rs60911071, P = 5.8 × 10 -8 ; rs62558833, P = 7.5 × 10 -8 ) in the combined analyses of Asian- and European-ancestry data. In addition, using data from East Asians, we identified 13 new risk variants at 11 loci reported from previous GWAS., Conclusions: In this large GWAS, we identified three novel risk loci and two highly suggestive loci for colorectal cancer risk and provided evidence for potential roles of multiple genes and pathways in the etiology of colorectal cancer. In addition, we showed that additional risk variants exist in many colorectal cancer risk loci identified previously., Impact: Our study provides novel data to improve the understanding of the genetic basis for colorectal cancer risk., (©2019 American Association for Cancer Research.)

Esophageal cancer surgery originated in the early 20(th) century. However, the true meaning of trans-thoracic esophagectomy and digestive tract reconstruction began in the 1930s. Almost at the same time, Japan and Western countries began the surgical exploration of esophageal cancer. Based on the pathological type of esophageal cancer in Asia, squamous cell carcinoma is the majority, and its biological characteristics and treatment strategies are different from those of European and American patients. After more than eighty years of development, the surgical treatment of esophageal cancer in Japan has been developed from the initial attempt, deep cultivation practice to the pursuit of excellence, and explored a set of more advanced surgical techniques and diagnostic strategies, which is unique in the world. On the basis of the establishment of the Japanese Society of Esophagus, Japanese scholars have developed and irregularly updated the Japanese Classification of Esophageal Cancer and published the professional academic journal Esophagus . The Japanese Clinical Oncology Group organized a number of phase Ⅲ clinical studies on esophageal cancer, providing strong evidence for the diagnosis and treatment of esophageal squamous carcinoma. Focused on the origin, development, current situation and future of esophageal cancer surgery in Japan, this paper summarized the development of esophageal cancer surgery in Japan through literature review, interviews with senior experts and Hot topics of esophageal cancer surgery-questionnaire survey of Japanese experts .

Riverine input is an important source of contaminants in the marine environments. Based on a hydrodynamic model, the dilution characteristics of riverine contaminants in the Seto Inland Sea and their controlling factors were studied. Results showed that contaminant concentration was high in summer and low in winter. Contaminant concentration decreased with the reduction of its half-life period, and the relationship between them followed power functions. Sensitivity experiments suggested that the horizontal current and vertical stratification associated with air-sea heat flux controlled the seasonal cycle of contaminant concentration in the water column; however, surface wind velocity was the dominant factor affecting the surface contaminant concentration. In addition, contaminant concentration in a sub-region was likely controlled by the variations in river discharges close to the sub-region. These results are helpful for predicting contaminant concentrations in the sea and are expected to contribute to assessing the potential ecological risks to aquatic organisms., (Copyright © 2019 Elsevier Ltd. All rights reserved.)

Objective: Previous studies have demonstrated that obesity is rare among those who consume the Japanese diet because of its lower caloric content compared with the American diet. Meanwhile, it has been reported that maternal caloric restriction, which induces antiobesity effects, during pregnancy and lactation increases the likelihood of a low birthweight infant, which increases the risks for obesity and diabetes later in life. The aim of this study was to examine the influence of maternal consumption of the Japanese diet during pregnancy and lactation on the risk for obesity and diabetes in the offspring later in life., Methods: Pregnant mice were divided into three groups and fed either a control diet, Western diet, or Japanese diet, and their offspring were raised until 7 wk old., Results: Examinations of 18-d-old and 7-wk-old offspring showed no effect of consistently eating a Japanese diet during pregnancy and lactation on the health conditions of 18-d-old offspring, but 7-wk-old offspring showed a decrease in visceral fat and liver triacylglycerol levels. In addition, 7-wk-old offspring from mothers who consumed the Japanese diet during pregnancy and lactation showed a decrease in the homeostatic model assessment of insulin resistance and a reduced risk for developing diabetes. This tendency was also confirmed in 18-d-old offspring. Evaluation of the mechanism revealed that fatty acid synthesis in the liver of the offspring was suppressed by the mother's consumption of the Japanese diet., Conclusion: From these results, maternal consumption of the Japanese diet during pregnancy and lactation did not adversely affect the offspring, and continual intake of this diet reduced the risk for developing obesity and diabetes in the offspring later in life., (Copyright © 2018 Elsevier Ltd. All rights reserved.)

Multicentric Castleman disease (MCD) is a systemic inflammatory disease potentially caused by an increase in the serum interleukin-6 (IL-6) level. Idiopathic MCD (iMCD) is histopathologically classified into three types: plasmacytic (PC), mixed, and hypervascular (hyperV) types. Recently, a unique clinical phenotype with a poor prognosis overlap with iMCD, thrombocytopenia, anasarca, fever, renal failure or reticulin fibrosis, and organomegaly (TAFRO syndrome), has been reported from Japan, but its detailed clinicopathological features remain unclear. In this study, we performed a clinicopathological analysis of 70 nodal cases of iMCD with and without TAFRO syndrome (n = 37 versus n = 33). Compared with iMCD without TAFRO, iMCD with TAFRO showed more atrophic lymphoid follicles (LF), greater distances between follicles, increased glomeruloid vascular proliferation within the germinal center, and increased follicular dendritic cells. In addition, the hyperV type in particular demonstrated severe atrophic LF and interfollicular vascular proliferation. Among the mixed-type cases, the serum IL-6 levels in iMCD with TAFRO were significantly higher than those in iMCD without TAFRO. Furthermore, compared to iMCD without TAFRO, the numbers of immunoglobulin G4 (IgG4)-positive and CD38-positive plasma cells were significantly decreased in iMCD with TAFRO., (Copyright © 2018 Elsevier Inc. All rights reserved.)

Background: Oxidative stress plays pivotal roles in the progression of lung adenocarcinoma (LUAD) through cell signaling related closely to cancer growth. We previously reported that peroxiredoxin 4 (PRDX4), a secretory-type antioxidant enzyme, can protect against the development of various diseases, including potential malignancies. Since many patients with early-stage LUAD develop recurrence, even after curative complete resection, we investigated the association of the PRDX4 expression with the clinicopathological features and recurrence/prognosis using post-surgical samples of stage I-LUAD. Methods: The expression of PRDX4 and MIB-1, a widely accepted Ki67 protein, was immunohistochemically analysed in 206 paraffin-embedded tumour specimens of patients with stage I-LUAD. The PRDX4 expression was considered to be weak when less than 25% of the adenocarcinoma cells showed positive staining. Results: A weak PRDX4+ expression demonstrated a significantly close relationship with pathologically poor differentiation, highly invasive characteristics and recurrence. The decrease in PRDX4-positivity potentially induced cell growth in LUAD, which was correlated significantly with a very high MIB-1 labelling index (≥17.3%). Univariate/multivariate analyses revealed that the subjects with both weak PRDX4+ expression and a very high MIB-1 index had significantly worse disease-free survival rates than other subjects. Conclusions: The combination of weak PRDX4 expression and a very high MIB-1 index can predict high proliferating activity and recurrence with a potential poor prognosis, especially in post-operative stage I-LUAD patients., Competing Interests: Competing Interests: The authors have declared that no competing interest exists.

During the one hundred years and more from the beginning of the 18th century to the beginning of the 19th century, about 16 Chinese doctors, at the invitation of Japanese, went to Japan successively by trade ships to practice medicine and teach Chinese medicine. They also conducted academic exchanges with Japanese doctors. Because both the Japanese authorities of that time and the emperor of Qing dynasty implemented the policy of closing the country, they could only do things in certain areas within limited time. By consulting a vast amount of data and following the footprints of some of the Chinese doctors in Japan, the author has got things into shape about the comings and goings of the doctors who went to Japan during the century and their activities, with the stressed point laid on the achievements of such influential doctors as Zhu Laizhang, Zhu Zizhang, Zhou Qilai, Zhao Songyang, Li Renshan, Hu Zhaoxin and so on.