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Purpose: Older men have higher prostate-specific antigen levels than younger men. However, the current Japanese Urological Association guidelines recommend secondary screening at a cutoff value of 4.0 ng/mL, even in older men. Here, we reexamined the cutoffs for older men using a prostate screening cohort in Japan and first performed an analysis to determine the indication cutoffs for detecting positive biopsies. Methods: Data from 68,566 prostate cancer screenings in the city in 2018 were combined with cancer registration data. The optimal prostate-specific antigen levels to predict prostate cancer in different age groups were calculated using receiver operating characteristic curves after determining whether a cancer was registered within one year of screening. Results: At the conventional prostate-specific antigen threshold of 4.0 ng/mL, the sensitivity, specificity, and negative predictive value were 94.9%, 91.7%, and 91.7%, respectively. The optimal prostate-specific antigen cutoff values for patients aged 50–59 years, 60–69 years, 70–79 years, and over 80 years were 3.900 ng/mL, 4.014 ng/mL, 4.080 ng/mL, and 4.780 ng/mL, respectively. Conclusions: The sensitivity and specificity of prostate cancer screening in the city were high, indicating a highly accurate screening. The prostate-specific antigen threshold was 4.78 ng/mL in patients older than 80 years. A higher prostate-specific antigen threshold may be useful in men over 80 years of age to avoid excess biopsy and reduce costs. Our results suggest that the current Japanese method of using PSA 4.0 ng/mL as a cutoff regardless of age may not be preferable for older men. [ABSTRACT FROM AUTHOR]

The long-term behaviour of immature yellowtails, Seriola quinqueradiata, was studied using electronic data-recording tags in Sagami Bay, Japan, during the autumn and early winter. Temperature or depth data were continuously recorded for 5–69 days on six yellowtails. The temperature recorded from the 0-year-old yellowtails showed only small variations (<0.5°C day-1) around the SST on the coast, indicating the 0-years stayed in the immediate coastal area with little horizontal movement. The 1-year-old yellowtail showed larger temperature variations that reached 3°C day-1, which implies distinctly larger horizontal movements than the 0-year-olds. Depth records showed the 0-years stayed around 10 m while the 1-year yellowtail swam in deeper water (mainly 10–30 m) with large variations. The latter often dived to 40 m in the daytime, but shallower than the depth of the thermocline. Both temperature and depth records showed apparent diurnal patterns. Comparing the fish data with environmental conditions, it is suggested that 1-year yellowtails stay close to the coast during the night, move at dawn to feed in the daytime and return at dusk via a frontal zone. In addition, wind stress could change yellowtails’ behaviour. [ABSTRACT FROM AUTHOR]