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In this report, we proposed the installation of a conical phase adjuster (CPA) in a thermoacoustic prime mover as a method for reducing the onset temperature and investigated the effect of the installation position of a CPA on the onset temperature using stability analysis. The onset temperature of CPA also was investigated experimentally by changing the installation position of CPA. As a result, when CPA was installed at 1000 mm from the high-temperature end of the stack, the onset temperature was 195 K lower than the onset temperature without CPA, that is, the installation of the CPA in a loop-tube-type thermoacoustic prime mover reduced the onset temperature by 29%. Comparing onset temperatures of the PA had installed in a system, CPA is considered to have the same effect as a PA because the onset temperature tendency of the CPA to reduce at the installation position agrees with that of the PA. [ABSTRACT FROM AUTHOR]

The influence of an external sound applied to a loop-tube type thermoacoustic system on the energy conversion efficiency is experimentally examined. The investigation is carried out by studying the effect of a loudspeaker (SP) set as an external sound source. As a result, it is found that the location of the SP affects the sound field in the system and that the amount of energy generated increases or decreases. The increasing or decreasing effect differs depending on the location of the SP. Furthermore, it is confirmed that, provided the SP is located near the particle velocity node, the sound energy can be increased by more than the input power to the SP without changing the sound field in the tube. From these results it can be confirmed that, similar to a straight-tube type thermoacoustic system, the energy conversion efficiency can be enhanced by locating the SP at a suitable position even in a loop-tube type system without end surfaces. [ABSTRACT FROM AUTHOR]

Phenacoscorpius longicaudalis sp. nov. is described from 19 specimens collected in depths of 228–990 m off Western Australia, eastern Indian Ocean. The new species is distinguished from other congeners by the following combination of characters: pectoral-fin rays 17–19 (mode 18), middle rays branched; palatine teeth absent; second preopercular spine small; lateral lacrimal spine usually absent; head width 14.7–16.9 (mean 15.4) % of SL; snout length 9.9–11.0 (10.5) % of SL; orbit diameter 13.4–16.1 (15.1) % of SL; caudal-fin length 25.6–29.5 (27.6) % of SL; and caudal-peduncle length 19.1–23.8 (20.6) % of SL. In addition, five specimens of the Indo-West Pacific species Phenacoscorpius adenensis, also collected off Western Australia, are described, the specimens representing the first records of the species from the southeastern Indian Ocean. [ABSTRACT FROM AUTHOR]

The suppression of side reactions is one of the most important objectives in peptide synthesis, where highly reactive compounds are involved. Recently, the violuric acid derivative Oxyma-B was introduced into peptide synthesis protocols as a promising additive to efficiently control the optical purity of the amino acids prone to racemization. However, we discovered a side reaction involving the Beckmann rearrangement of Oxyma-B during the coupling reaction, which compromises the yield and purity of the target peptides. Here, we present the investigation of the mechanism of this rearrangement and the optimization of the coupling reaction conditions to control it. These results can be taken into account for the design of novel efficient oxime-based coupling reagents. [ABSTRACT FROM AUTHOR]

Holmium (Ho) is a lanthanide element with a high magnetic moment. Here, we create an amorphous metal‐organic framework (MOF) that has no long‐range periodic order but retains the basic components of MOF by using isophthalic acid as an organic linker and Ho as a metal species. The resulting spherical Ho‐MOF particles disperse well in a solvent and exhibit excellent magnetic properties in response to magnets. Since Ho has almost no coloring, Ho‐MOF particles are a colorless magnetic material, unlike conventional iron oxide particles. Taking advantage of the colorless property, the selective adsorption of dyes on Ho‐MOF particles can be easily visually confirmed by magnetically separating the particles. In addition, present versatile processes that enable adaptation of lanthanide elements other than Ho enable the development of colorless multifunctional MOF particles. [ABSTRACT FROM AUTHOR]

Objective. To see how effective a blended teaching model based on a small private online course (SPOC) is in a science popularization education course on oral health-general health (OHGH). Methods. The SPOC blended teaching model was created using an elective classroom course "Oral Prophylaxis and Hygiene" in conjunction with an online learning course called "Preventive Dentistry" from the China University massive open online course (MOOC) for the science popularization education on OHGH. Students' evaluations and teaching efficacy of this science popularization education course were tested using pre- and postcourse questionnaires. Results. In all, 105 valid questionnaires were returned. Before the course, 95.2% of the students expressed an interest in learning more knowledge on oral disease and OHGH. When compared to those of the precourse, students' knowledge of oral diseases and OHGH was significantly higher (P < 0.0001) and the associated practice after science popularization education was much increased (P < 0.0001 or P = 0.0005), except for root canal therapy (P = 0.3886). The scores of students on the scientific popularization task also improved when compared to those of the previous classroom-only teaching (P < 0.0001). In the postcourse questionnaire, students rated the SPOC teaching mode significantly higher than both online learning and classroom teaching alone (P < 0.0001 ; P = 0.0117); the SPOC blended teaching was judged as more suitable for science popularization education (P < 0.0001). Conclusion. The application of the SPOC teaching mode for the science popularization education course on OHGH to nonmedical undergraduates has better teaching outcomes and is more likely to be accepted by college students. [ABSTRACT FROM AUTHOR]

A giant phyllosoma larva, assigned to the final stage, was collected from off Peru. This specimen was determined to be Projasus bahamondei George, 1976 by DNA barcoding, and morphological description was given for the first time in the genus Projasus George and Grindley, 1964. The present phyllosoma was characteristic of having very wide cephalic shield (about 2.3 times of thorax width), median rostrum, eminent setose exopods on the second and third maxillipeds, and five stout spines on basial endite of maxillule. Projasus phyllosoma has morphological characteristics of both 'Silentes' and 'Stridentes' groups in the family Palinuridae. [ABSTRACT FROM AUTHOR]

The incidence of pancreatic ductal adenocarcinoma (PDAC) has been on the rise in recent years; however, its clinical diagnosis and treatment remain challenging. Although surgical resection remains the only chance for long-term patient survival, the likelihood of initial resectability is no higher than 20%. Neoadjuvant therapy (NAT) in PDAC aims to transform the proportion of inoperable PDACs into operable cases and reduce the likelihood of recurrence to improve overall survival. Ongoing phase 3 clinical trial aims to validate the role of NAT in PDAC therapy, including prolongation of survival, increased R0 resection, and a higher proportion of negative lymph nodes. Controversies surrounding the role of NAT in PDAC treatment include applicability to different stages of PDAC, chemotherapy regimens, radiation, duration of treatment, and assessment of effect. This review aims to summarize the current progress and controversies of NAT in PDAC. [ABSTRACT FROM AUTHOR]

Intricate genetic mutations promote the progression of different cancer types. Long noncoding RNAs (lncRNAs) have been widely demonstrated to participate in the genomic activities of various human cancers. Long intergenic non-coding RNA 467 (LINC00467) is an upregulated lncRNA in diverse diseases, especially in several types of cancers. Functional experiments of LINC00467 revealed that LINC00467 overexpression enhanced cell chemoresistance, proliferation, migration, and invasion in several types of cancers. Moreover, overexpressed LINC00467 was associated with a poor clinical prognosis. The present evidence suggests that LINC00467 may serve as a promising prognostic indicator and become a novel cancer therapeutic target. In this review, we introduce the biologic functions of lncRNAs and describe the molecular mechanism and clinical significance of LINC00467 in detail. [ABSTRACT FROM AUTHOR]

Grain size is an important textural property of sediments and is widely used in paleoenvironmental studies as a means to infer changes in the sedimentary environment. However, grain size parameters are not always easy to interpret without a full understanding of the factors that influence grain size. Here, we measure grain size in sediment cores from the Bering slope and the Umnak Plateau, and review the effectiveness of different grain size parameters as proxies for sediment transport, current strength, and primary productivity, during a past warm interval (Marine Isotope Stage 11, 424-374 ka). In general, sediments in the Bering Sea are hemipelagic, making them ideal deposits for paleoenvironmental reconstructions, but there is strong evidence in the grain size distribution for contourite deposits between ~408-400 ka at the slope sites, suggesting a change in bottom current transport at this time. We show that the grain size of coarse (>150 µm) terrigenous sediment can be used effectively as a proxy for ice rafting, although it is not possible to distinguish between iceberg and sea ice rafting processes, based on grain size alone. We find that the mean grain size of bulk sediments can be used to infer changes in productivity on glacial-interglacial timescales, but the size and preservation of diatom valves also exert a control on mean grain size. Lastly, we show that the mean size of sortable silt (10-63 µm) is not a valid proxy for bottom current strength in the Bering Sea, because the input of ice-rafted silt confounds the sortable silt signal. [ABSTRACT FROM AUTHOR]

The purpose of the Creative Robot Contest for Decommissioning is to raise students' interest in decommissioning through robotics, contribute to the cultivation of students' creativity, and develop not only their problem-solving ability but also their problem-finding ability. The contest assumes fuel debris removal from the lower part of the pedestal at the Fukushima Daiichi Nuclear Power Plant. This paper describes the activities of our college in the Creative Robot Contest for Decommissioning and the robot design to overcome the challenges of the 4th and 5th contests. Whereas the 4th contest was held on site, the 5th contest was held online. To evaluate the robot that we have developed, we prepared a mock-up of the contest field at our school and conducted a demonstration. In the 4th contest, our team was the only one among the participating teams to complete the task and won the award from the Ministry of Education, Culture, Sports, Science and Technology (MEXT). In the 5th contest, we won the award from the Governor of Fukushima prefecture. The educational effects of the Creative Robot Contest for Decommissioning were great. The students who participated in the contest became more interested in decommissioning and were able to develop problem-solving skills, the ability to study independently, schedule management, and so on. [ABSTRACT FROM AUTHOR]

Objective: To compare hand-sewn and stapled sutures and the influence of intestinal excision on postoperative complications. Study Design: Retrospective comparative study. Place and Duration of Study: General Surgery Department of CMH Peshawar, from Jan 2020 to Jan 2021. Methodology: Once receiving consent, all individuals hospitalized in the medical facility for ileostomy closure were included in our investigation. In a questionnaire, postoperative complications were documented. Result: This study involved a total of 60 subjects. Individuals were scheduled for surgery after receiving clearances and a loopogram distally. Thirty patients had their wounds hand-sewn shut, while 30 others had their wounds stapled shut. The mean operating time for the hand-sewn method was 2.46 ± 0.29 hours, compared to 1.86 ± 0.17 hours mean for the stapled method. In both categories, the anastomotic leak was comparable. Thirty patients in the hand-sewn group took a mean of 2.42 ± 0.25 days to return bowel sounds after surgery, whereas it took 1.83 ± 0.20 days to return bowel sounds. Conclusion: The stapler method greatly decreases the duration of surgery, promotes rapid recovery, and has a lower fatality rate. Stapling is a simple procedure that can be performed in inaccessible locations, such as a low colorectal anastomosis. In elective gastrointestinal procedures, stapler anastomosis can be utilized safely and successfully. [ABSTRACT FROM AUTHOR]

Background and Objectives: Pancreatic ductal adenocarcinoma (PDAC) remains one of the most lethal tumors, with a 5-year overall survival rate of less than 10%. To date, curative surgical resection remains the only favorable option for improving patients' survival. However, there is no consensus on which prognostic biochemical, radiological markers or neoadjuvant therapy regimens would benefit patients the most. Materials and Methods: A literature review was performed focusing on overall survival, R0 resection, 30-day mortality, adverse events (AEs), and elevated biomarkers. The electronic databases were searched from 2015 to 2020. Results: We reviewed 22 independent studies. In total, 20 studies were retrospective single- or multi-center reviews, while 2 studies were prospective Phase II trials. Conclusions: Patients with borderline resectable or locally advanced PDAC, who received neoadjuvant therapy (NAT) and surgery, have significantly better survival rates. The CA 19-9 biomarker levels in the neoadjuvant setting should be evaluated and considered as a specific biomarker for tumor resectability and overall survival. [ABSTRACT FROM AUTHOR]

The inflammatory status of patients is closely related to their nutritional status, and the impact of inflammatory status on patients with pyloric stenosis remains unclear. The present study aimed to investigate the impact of inflammatory status on the prognosis of patients with gastric cancer with early pyloric stenosis who underwent radical resection. A retrospective analysis included 242 patients with gastric cancer who underwent radical resection at the Affiliated Hospital of Southwest Medical University between July 2016 and December 2020. All patients were diagnosed with early pyloric stenosis. Correlation analysis was used to assess variations among different factors, and survival analysis was conducted to evaluate differences in overall survival (OS). To identify independent prognostic indicators, both univariate and multivariate Cox regression analyses were performed, addressing potential multicollinearity using Lasso analysis. Propensity score matching (PSM) was employed to eliminate potential confounding factors. Additionally, a prognostic risk model and nomogram based on inflammatory indicators were developed to comprehensively explore their impact on prognosis. Initial survival analysis revealed significant associations between neutrophil-to-lymphocyte ratio (NLR; χ2=10.522, P<0.001), systemic immune-inflammation index (SII; χ2=6.733, P=0.025), systemic inflammation response index (SIRI; χ2=15.490, P<0.001) and OS of the patients, while there was no significant survival difference among patients with different platelet-to-lymphocyte ratio (PLR; χ2=2.561, P=0.050). SIRI not only had the highest area under the curve but was also found to be an independent prognostic indicator (hazard ratio=1.851, P=0.046) in the present study. Following PSM on SIRI, a total of 174 patients were included in the subsequent analysis. Time-receiver operating characteristic and survival curves for SIRI after PSM consistently demonstrated its robust prognostic predictive capability. Furthermore, the prognostic risk model based on SIRI and the nomogram incorporating SIRI both exhibited high prognostic value. Inflammatory status was significantly associated with the prognosis of patients with gastric cancer with early pyloric stenosis who underwent radical resection. The NLR, SII and SIRI could all predict patient outcomes. Moreover, SIRI exhibited the highest prognostic value among the inflammatory indices and has been identified as an independent prognostic factor in the present study. [ABSTRACT FROM AUTHOR]

Background: The esophagus has no serosa; therefore, esophageal cancer may quickly invade its adjacent organs. In recent years, reports of conversion surgery (CS) and salvage surgery (SS) have described resection of esophageal cancer previously considered unresectable, with the addition of intensive preoperative chemotherapy or chemoradiotherapy. Currently, there is no established method for determining whether tumor excision is possible. Additionally, differences in surgical approaches between facilities may influence outcome after resection. However, the option for resection is considered a significant factor in determining a patient's prognosis. Methods: Patients who were diagnosed with advanced-stage (T3 or higher) squamous cell carcinoma of the esophagus and subsequently underwent resection with CS or SS were included in the study. Resection was performed through a small thoracotomy using a thoracoscope. Clinicopathologic factors, such as complete resection rate (R0) and prognosis, were investigated. Results: A total of 49 surgeries were conducted: 39 CS and 10 SS cases. The male-to-female ratio was 37:12. R0:R1:R2 equals 42:3:4, and the R0 resection rate was 85.7%. The 5-year survival rates for CS and SS cases were 69.2% and 32.1%, respectively. The 5-year survival rates for R0, R1, and R2 resections were 63.4%, 0.0%, and 25.0%, and those for R0 and R1 + 2 resections were 63.4% and 14.3%, respectively, indicating that the prognosis for R0 resection cases was significantly better (P = 0.001 and P = 0.001, respectively). Regarding chemotherapy for CS, 29 patients received 5-FU and cisplatin therapy, whereas 10 patients received 5-FU, cisplatin, and docetaxel (DCF) therapy. After 2015, the ratio of DCF was significantly high, and the R0 resection rate was 100% in patients who received DCF therapy. Conclusions: In this study, a satisfactory R0 rate was achieved using the magnifying effect of the thoracoscope while ensuring safety during thoracotomy. Trial registration: This was a single-center cohort study wherein clinical data were retrospectively registered. This study was approved by the Chiba Cancer Center review board (H29-262). All procedures adhered to the ethical standards of the responsible committee on human experimentation and the Helsinki Declaration of 1964 and its later amendments. [ABSTRACT FROM AUTHOR]

The surface nutrient concentrations of the Northwest Pacific Ocean have shown distinct changes over the past four decades, which have been variably attributed to changes in anthropogenic nitrogen inputs or stratification. Here, we present a new data compilation that demonstrates a long‐term decline in the surface nutrient concentrations caused by a significant decrease (∼25%) in the nutrient inventories of the permanent thermocline (100–850 m) rather than by enhanced stratification. This subsurface nutrient decrease is likely due to the northward expansion of high‐temperature, low‐nutrient subtropical gyre waters associated with climate change and a regional physical regime shift. Furthermore, a declining trend in the N:P ratio pointing toward greater N‐limitation is observed in this research, in contrast to current assumptions inferring P‐limitation by anthropogenic nitrogen inputs. Our results imply that these shifts may influence new production as well as carbon sequestration in this region. Plain Language Summary: In the Northwest Pacific Ocean, contrasting descriptions of surface nutrient trends have been reported, with different mechanisms such as anthropogenic inputs and climate change. In this study, we show that the nutrients have declined over the past four decades in the surface layer of the Northwest Pacific Ocean as a result of a significant decrease in the nutrient inventories of the subsurface waters. This decline in nutrient concentrations is likely associated with regional climate change. The results show that the nutrient biogeochemistry of the region is shifting toward N reduction and limitation, which may influence new production and carbon sequestrations in this region. Key Points: Significant upper ocean (0–850 m) declining trends in nitrate and phosphate are identified in the Northwest Pacific OceanMaximum declining trends of nutrients and increase in temperature are identified at mid‐depths (300–500 m)The Northwest Pacific is shifting toward N‐limitation in contrast to previously inferred P‐limitation [ABSTRACT FROM AUTHOR]

Background: Several studies investigated the utility of inflammation and nutritional markers in predicting the prognosis in patients with gastric cancer; however, the markers with the best predictive ability remain unclear. This retrospective study aimed to determine inflammation and nutritional markers that predicted prognosis in elderly patients over 75 years of age undergoing curative gastrectomy for gastric cancer.Methods: Between January 2005 and December 2015, 497 consecutive elderly gastric cancer patients aged over 75 years underwent curative gastrectomy in 12 institutions. The geriatric nutritional risk index (GNRI), prognostic nutritional index, neutrophil/lymphocyte ratio, platelet/lymphocyte ratio, and C-reactive protein/albumin ratio were examined as prognostic markers for overall survival (OS) and disease-specific survival (DSS) using area under the curve (AUC) using receiver operating characteristic (ROC) curve analysis.Results: The GNRI had the highest AUC and predictive value for both OS (0.637, p < 0.001) and DSS (AUC 0.645, p < 0.001). The study cohort was categorized into the high and low GNRI groups based on the optimal GNRI cut-off values for OS (97.0) and DSS (95.8) determined with the ROC analysis. For both OS and DSS, there was a significant correlation between the GNRI and several clinicopathological factors including age, body mass index, albumin, American Society of Anesthesiologists physical status score, depth of tumor invasion, lymph node metastasis, lymphatic invasion, pathological stage, operation duration, bleeding, procedure, approach, death due to primary disease, and death due to other disease. The GNRI remained a crucial independent prognostic factor for both OS (Hazard ratio [HR] = 1.905, p < 0.001) and DSS in multivariate analysis (HR = 1.780, p = 0.043).Conclusions: Among a panel of inflammation and nutritional markers, the GNRI exhibited the best performance as a prognostic factor after curative gastrectomy in elderly patients with gastric cancer, indicating its utility as a simple and promising index for predicting OS and DSS in these patients. [ABSTRACT FROM AUTHOR]

Purpose: This retrospective nationwide survey investigated the quality of life (QOL) of patients with esophagogastric junction cancer after gastrectomy using the Postgastrectomy Syndrome Assessment Scale-45. Methods: The Postgastrectomy Syndrome Assessment Scale-45 comprises 45 questions classified into symptoms, living status, and QOL domains. A total of 1950 gastrectomized patients with upper-third gastric or esophagogastric junction cancer returned the completed forms. Among them, 224 eligible patients with esophagogastric junction cancer were selected, including 86, 120, and 18 patients who underwent total gastrectomy, proximal gastrectomy (reconstruction-esophagogastrostomy: 56; double-tract method: 51), and other procedures, respectively. Results: The postoperative period was significantly shorter (47 ± 30 vs. 34 ± 30 months, p = 0.002), and the rates of early-stage disease and minimally invasive approaches significantly higher (both p < 0.001) in the proximal gastrectomy group than in the total gastrectomy group. Despite advantageous background factors for proximal gastrectomy, the postoperative QOL did not differ markedly between the groups. Compared to patients who underwent reconstruction with the double-tract method, patients who underwent esophagogastrostomy had significantly larger remnant stomachs but a similar QOL. Conclusion: Even with total gastrectomy, a postoperative QOL comparable to that with proximal gastrectomy can be maintained. Clarifying the optimal reconstruction methods for proximal gastrectomy for esophagogastric junction cancer is warranted. Trial registration: This study was registered at the University Hospital Medical Information Network Clinical Trials Registry (UMIN-CTR; registration number: 000032221). [ABSTRACT FROM AUTHOR]

Background: Postoperative pneumonia is one of the major complications after esophagectomy. The aim of this study was to determine whether bacterial cultures before esophagectomy could predict occurrence of postoperative pneumonia and help treatment strategies for postoperative pneumonia. Methods: Sixty-nine patients who underwent subtotal esophagectomy at Fukushima Medical University Hospital between January 2017 and May 2021 were included in this study. We collected sputum, oral, and/or nasopharyngeal swabs for bacterial culture preoperatively from all patients and from those who were suspected of postoperative pulmonary infections. We compared cultured pathogenic bacteria obtained preoperatively and postoperatively from patients who developed postoperative pneumonia, and investigated their association with incidence of postoperative pneumonia. Results: Postoperative pneumonia occurred in 22 of 69 patients (31%), including 13 cases of severe pneumonia with a Clavien-Dindo classification of grade IIIa or higher. Multivariate analysis revealed that longer operative duration (for 30 minutes increase; odds ratio 1.27, 95% CI 1.01-1.51, p=0.039) and positivity for preoperative bacterial culture (odds ratio 5.03, 95% CI 1.31-19.2, p=0.018) were independent risk factors for severe postoperative pneumonia, but not for all incidences of postoperative pneumonia. Of note, in only 5 of the 22 patients with pneumonia, the same pathogenic species were detected preoperatively and after the onset of pneumonia. Conclusions: Our results imply that preoperative bacterial culture may be useful to predict severe postoperative pneumonia. However, it may not be useful in determining pathogenic bacteria responsible for postoperative pneumonia. [ABSTRACT FROM AUTHOR]

Aim: Early detection of surgical site infection (SSI) allows for appropriate management after Crohn's disease (CD) surgery. The aim of this study was to evaluate the usefulness of bacterial culture of postoperative drainage fluid after CD surgery. Methods: This study included 110 patients with CD who underwent surgery with bowel resection between January 2010 and March 2020 at Osaka University Hospital. Patients with only perianal surgery or incomplete records were excluded. Risk factors for SSI were evaluated in the context of clinical findings, including bacterial culture of postoperative drainage fluid, and bacterial species related to SSI were also examined. Results: Of 110 patients, 18 (16.4%) developed SSI. Organ/space SSI developed in six, and a positive bacterial culture of drainage fluid (D‐Posi) was found in five (83.3%). Of 104 patients without organ/space SSI, 31 (29.8%) were D‐Posi (P =.027). Similarly, 68.8% with incisional SSI were D‐Posi, whereas 26.6% without incisional SSI were D‐Posi (P =.0021). Multivariate analysis revealed that D‐Posi was an independent risk factor in both organ/space and incisional SSI. Bacterial examination showed that Pseudomonas aeruginosa and Enterococcus faecalis were significantly detected in patients with SSI. Conclusion: This study suggests the usefulness of postoperative drainage fluid bacterial culture for early diagnosis of SSI after CD surgery. [ABSTRACT FROM AUTHOR]

Objective: Novel hematological inflammation-based parameters, such as neutrophil-to-lymphocyte ratio (NLR), systemic immune-inflammation index (SII), prognostic nutritional index (PNI), lymphocyte-to-C-reactive protein ratio (LCR), systemic inflammatory response index (SIRI), and hemoglobin-to-red cell distribution width ratio (HRR), have been determined to be linked to prognosis of various cancer types, although the predictive impact of these parameters on extensive-stage small-cell lung cancer (SCLC) is not exactly known. In this study, we aimed to demonstrate the prognostic significance of these novel parameters. Materials and Methods: This retrospective study included 162 patients who were under follow-up with a diagnosis of extensive-stage SCLC. The receiver operating characteristic curve analysis revealed that the optimal cutoff values for NLR, SII, PNI, LCR, SIRI, and HRR were 2.34, 787, 46.13, 0.29, 1.5, and 1.05, respectively. Cox regression analyses were done to determine the predictive impact of these parameters on progression-free survival (PFS) and overall survival (OS). Results: Patients with higher LCRs and HRRs had longer PFS and OS than patients with lower LCRs and HRRs (P < 0.001, P < 0.001, P < 0.001, P < 0.001, respectively). PFS and OS were significantly shorter in the group with high SIRIs than in the group with low SIRIs (P < 0.001, P < 0.001, respectively). A multivariate analysis identified LCR and SIRI as independent prognosticators for both PFS and OS (P < 0.001, P < 0.001; P = 0.002, P < 0.001, respectively), and HRR as an independent prognostic factor only for OS (P = 0.046). Conclusion: LCR, SIRI, and HRR are independent prognostic parameters that predict survival times in patients with extensive-stage SCLC. [ABSTRACT FROM AUTHOR]

Purpose: The purpose of this study was to clarify the clinical features and outcomes of patients with recurrence after esophagectomy following neoadjuvant chemotherapy (NAC) related to the timing of recurrence. Methods: We reviewed 240 consecutive patients who underwent NAC followed by esophagectomy for clinical stage II/III esophageal squamous cell carcinoma between 2009 and 2014. We compared the clinical features and survival after recurrence among groups of patients stratified by the timing of recurrence diagnosis and identified the risk factors for early recurrence (ER). Results: Recurrence was identified within 1 year in 61 patients and after 1 year in 23 patients. Significant differences were observed between the patients with recurrence within 1 year (early recurrence; ER) and those with recurrence after 1 year (late recurrence; LR). The ER patients had more advanced tumors and higher pretreatment serum squamous cell antigen (SCC-Ag) levels and less experienced downstaging than patients without recurrence (no recurrence; NR). Overall survival was significantly worse for the ER patients than for the LR patients. Multivariate analysis revealed that cN2-3, increased serum SCC-Ag levels, and clinical response to NAC were independent predictors of ER. Conclusion: The ER patients had distinctive clinical features from the LR and NR patients. Extensive lymph node metastasis, an elevated SCC-Ag, and inadequate response to NAC were identified as predictors of ER. [ABSTRACT FROM AUTHOR]

To characterize the adaptive responses to short-term heat acclimation (HA) training with repeated-sprint exercises and to determine the effects of ice slurry ingestion during HA on aerobic capacity and adaptations. Seven physically active males completed two 5 consecutive day interventions in a randomized cross-over design. Participants performed approximately 80-min intermittent repeated-sprints using a cycling ergometer including break-time and half time in 36.5°C and 50%RH. Participants ingested either 1.25 g·kg body mass−1 of ice slurry (ICE: −1°C) or room temperature beverage (NOC: 36.5°C) throughout each break and 7.5 g·kg body mass−1 of the same drink during half time. Maximum oxygen uptake ( V ˙ O2max) test in hot conditions was completed before and after HA training. Ice slurry ingestion during short-term HA training induced significantly higher both V ˙ O2max and watt at V ˙ O2max following HA training. Total work done was significantly higher in HA with ICE than for the NOC trial on both day 1 and day 5. Sweating Na+ concentration in NOC trial at day 5 were significantly lower than those in the NOC trial day 1, but was not observed in ICE trial. Cooling during HA training may be an effective strategy for enhancement of aerobic capacity via the adaptations gained from a higher quantity of exercise caused by cooling, but does not improve heat loss capacity. Highlights There is the potential dilemma whether cooling during short-term training in the heat might negatively impacts the process of helping athletes adapt to hot environments. Cooling during short-term heat training may be an effective strategy to enhancement of aerobic capacity via the adaptations gained from a higher quantity of exercise caused by cooling, but does not improve heat loss capacity. The study suggests the importance to selecting cooling during the heat acclimation phase of consecutive field training according to the individual's training plan. [ABSTRACT FROM AUTHOR]

High-throughput sequencing of the 16S ribosomal RNA (16S rRNA) gene has been successfully applied to explore the microbial structure and dynamics in various environments. The distinctive microbial communities in oceanic trench sediments are expected because of the extremely high pressure and V-shape topology that caused the isolation from the other marine sediments. However, they have only been primarily targeted using 'universal' primers that provide variable performances for different environments. It is necessary to design specific primers to improve the detection resolution of unique microbial groups in oceanic trenches. Here, we designed one pair of bacterial and two pairs of archaeal specific primers based on 16S rRNA gene full-length sequences that truly come from trench sediment and tested their performances in 30 oceanic trench sediment samples. An in silico analysis showed that the V3–V4 hypervariable region was the most informative and representative for oceanic trench microbial groups. Compared with the 'universal' primers, 46 bacterial families were only detected by newly designed primer B344F/B749R, and eight archaeal families were only detected by the newly designed primer A306F/A713R which covered the one or two orders of magnitude more ASVs (amplicon sequence variants) (1,470,216) in the tested total 30 samples. Moreover, A306F/A713R had the largest number of observed ASVs suggesting its better performance in discovering more archaeal species which were easily ignored in universal primer-based experiments for oceanic trench sediments. The novel primers designed in this research could be a better option to access the unique microbial communities in extreme oceanic trench sediments. Key points • Defining V3–V4 as the most adequate hypervariable region for archaea and bacteria from oceanic trench sediments. • Three sets of bacterial and archaeal primers appear validity and advantage in revealing the real trench microbial communities. • The novel primers provide a better option to specifically detect the unique microbial communities in extreme oceanic trench sediments. [ABSTRACT FROM AUTHOR]

A novel FeB-10 wt.% Mo-12 wt.% Al0.25FeNiCoCr (denoted as FeB-10 Mo-12 HEA) cermet and coating were prepared by spark plasma sintering (SPS) and an activated combustion high-velocity air fuel (AC-HVAF) spraying process, respectively. The microstructure, phase compositions, density, microhardness, thermal shock and corrosion resistance of the cermet and coating to molten zinc were characterized in detail. The results show that the phase composition of the coating was the same as that of the cermet, which was composed of an (Fe, Al, Ni, Co, Cr)B solid solution, an (Fe, Al, Ni, Co, Cr)2B solid solution and a Mo phase. The brittleness of FeB and Fe2B was reduced by the Al, Fe, Ni, Co and Cr elements of the high-entropy alloy that was dissolved into them. The addition of Mo, which did not undergo a eutectic reaction with Zn at 450 °C, and the corrosion products (δ phase) increased the corrosion resistance of the novel cermet. Compared with the cermet that was prepared by SPS, the coating that was prepared by AC-HVAF had a lower density, lower microhardness value and worse corrosion resistance to molten zinc because of the layered structure of the coating, in which cracks could form and propagate easily under the action of thermal stress. [ABSTRACT FROM AUTHOR]

To investigate the effect of AutoFlow on airway pressure and hemodynamics in mechanical ventilation constant volume-control ventilation mode, 100 patients receiving mechanical ventilation were randomly divided into observation group (SIMV-PSV-PEEP + AutoFlow) and control group (SIMV-PSV-PEEP). The results showed that the peak airway pressure and average airway pressure decreased with different flow rate settings and automatic flow conversion (P < 0.05). The peak airway pressure and mean airway pressure decreased with different resistance settings (P < 0.05). With different compliance settings, the peak airway pressure and average airway pressure decreased after being assisted with an automatic converter (P < 0.05). Adding AutoFlow on the basis of SIMV-PSV mode can significantly reduce peak inspiratory pressure (PIP), mean airway pressure (Pmean), and airway resistance (R). There was no significant difference in hemodynamic monitoring results between the observation group and the control group. It is proved that the SIMV constant volume-controlled ventilation mode combined with AutoFlow can not only ensure tidal volume but also avoid excessive airway pressure, which has little effect on hemodynamics. [ABSTRACT FROM AUTHOR]

The anaerobic bacterium Clostridioides difficile represents one of the most problematic pathogens, especially in hospitals. Dysbiosis has been proven to largely reduce colonization resistance against this intestinal pathogen. The beneficial effect of the microbiota is closely associated with the metabolic activity of intestinal microbes such as the ability to transform primary bile acids into secondary ones. However, the basis and the molecular action of bile acids (BAs) on the pathogen are not well understood. We stressed the pathogen with the four most abundant human bile acids: cholic acid (CA), chenodeoxycholic acid (CDCA), deoxycholic acid (DCA) and lithocholic acid (LCA). Thin layer chromatography (TLC), confocal laser scanning microscopy (CLSM), and electron microscopy (EM) were employed to track the enrichment and destination of bile acids in the bacterial cell. TLC not only revealed a strong accumulation of LCA in C. difficile , but also indicated changes in the composition of membrane lipids in BA-treated cells. Furthermore, morphological changes induced by BAs were determined, most pronounced in the virtually complete loss of flagella in LCA-stressed cells and a flagella reduction after DCA and CDCA challenge. Quantification of both, protein and RNA of the main flagella component FliC proved the decrease in flagella to originate from a change in gene expression on transcriptional level. Notably, the loss of flagella provoked by LCA did not reduce adhesion ability of C. difficile to Caco-2 cells. Most remarkably, extracellular toxin A levels in the presence of BAs showed a similar pattern as flagella expression. That is, CA did not affect toxin expression, whereas lower secretion of toxin A was determined in cells stressed with LCA, DCA or CDCA. In summary, the various BAs were shown to differentially modify virulence determinants, such as flagella expression, host cell adhesion and toxin synthesis. Our results indicate differences of BAs in cellular localization and impact on membrane composition, which could be a reason of their diverse effects. This study is a starting point in the elucidation of the molecular mechanisms underlying the differences in BA action, which in turn can be vital regarding the outcome of a C. difficile infection. [ABSTRACT FROM AUTHOR]

Immune checkpoint molecules are promising anticancer targets, among which therapeutic antibodies targeting the PD-1/PD-L1 pathway have been widely applied to cancer treatment in clinical practice and have great potential. However, this treatment is greatly limited by its low response rates in certain cancers, lack of known biomarkers, immune-related toxicity, innate and acquired drug resistance, etc. Overcoming these limitations would significantly expand the anticancer applications of PD-1/PD-L1 blockade and improve the response rate and survival time of cancer patients. In the present review, we first illustrate the biological mechanisms of the PD-1/PD-L1 immune checkpoints and their role in the healthy immune system as well as in the tumor microenvironment (TME). The PD-1/PD-L1 pathway inhibits the anticancer effect of T cells in the TME, which in turn regulates the expression levels of PD-1 and PD-L1 through multiple mechanisms. Several strategies have been proposed to solve the limitations of anti-PD-1/PD-L1 treatment, including combination therapy with other standard treatments, such as chemotherapy, radiotherapy, targeted therapy, anti-angiogenic therapy, other immunotherapies and even diet control. Downregulation of PD-L1 expression in the TME via pharmacological or gene regulation methods improves the efficacy of anti-PD-1/PD-L1 treatment. Surprisingly, recent preclinical studies have shown that upregulation of PD-L1 in the TME also improves the response and efficacy of immune checkpoint blockade. Immunotherapy is a promising anticancer strategy that provides novel insight into clinical applications. This review aims to guide the development of more effective and less toxic anti-PD-1/PD-L1 immunotherapies. [ABSTRACT FROM AUTHOR]

Purpose: Both laparoscopic proximal gastrectomy with lower esophagectomy (extended LPG) and minimally invasive Ivor Lewis esophagectomy (MIILE) are acceptable treatments for adenocarcinoma of the esophagogastric junction (AEG), but the optimal reconstruction technique for mediastinal esophagogastrostomy (one that provides adequate reflux prevention) has not been established. We devised a novel side-overlap esophagogastric-tube (SO-EG) reconstruction. Methods: We performed a retrospective review of patient records after LPG or MIILE. In each patient, we created a 3-cm wide gastric tube, overlapping the esophagus by 5 cm. A linear stapler was inserted into the left side of the esophageal stump and the anterior gastric wall along the greater curvature. The entry hole was closed to make a slit-like anastomosis, and the right side of the esophageal wall was fixed to the anterior gastric wall. Results: Ten consecutive patients underwent this procedure between June 2020 and July 2021. Five patients had Siewert type II AEG: 4 with lower thoracic esophageal cancer and 1 with benign lower esophageal stenosis. A total of 3 patients underwent extended LPG, and 7 underwent MIILE. The median operative time was 352 min (range, 221–556 min). The postoperative course was uneventful in 9 patients; a single patient developed pneumonia. Seven patients underwent follow-up endoscopy at 6 months. One patient with anastomotic stenosis and 2 with mild reflux esophagitis were treated conservatively. Conclusion: Our novel SO-EG reconstruction is simple and feasible, with acceptable results for preventing reflux esophagitis. This technique can be performed with either extended LPG or MIILE. [ABSTRACT FROM AUTHOR]

The phospholipid molecular species (PMS) in the muscular tissue of the swimming crab (Portunus trituberculatus) are extracted and quantified using aminopropyl coated silica‐based solid‐phase extraction (SPE) and hydrophilic interaction chromatography‐mass spectrometry (HILIC‐MS), respectively. Once the lipidomics profile is acquired, the contents of PMS are semiquantitatively determined using linear regression models. It is found that in swimming crab, phosphatidylcholine (PC, 14.30 mg g−1) is the most abundant phospholipid class, followed by phosphatidylethanolamine (PE, 8.20 mg g−1), phosphatidylinositol (PI, 1.60 mg g−1), and phosphatidylserine (PS, 9.83 mg g−1). The nutritional eicosapentaenoic acid and/or docosahexaenoic acid structured phospholipids exist in swimming crabs, such as PC 18:0/20:5, PE 18:1/20:5 and 16:0/22:6, PI 18:0/20:5. Besides, plasmalogens are detected, such as PC o‐16:0/22:6 and PE o‐18:0/20:5. Finally, this method is validated to be efficient and accurate in terms of linearity (correlation coefficients, R2 0.9976 to 0.9993), sensitivity (limit of detection, LOD, 0.22–0.33 µg mL−1), precision (relative standard deviation, RSDintra‐day ≤ 4.11%), and recovery (78% to 85%, RSD ≤ 5.79%). In conclusion, swimming crab is rich in health‐beneficial phospholipids, such as eicosapentaenoic acid and/or docosahexaenoic acid structured phospholipids and plasmalogens, and the muscular tissue is proved to be of high nutritional value. Practical Applications: The study introduces a potential method for the lipidomics screening of polyunsaturated phospholipid molecular species in food. [ABSTRACT FROM AUTHOR]

Clopidogrel is a widely prescribed prodrug with antithrombotic activity that functions by irreversibly inhibiting the P2Y12 receptors on platelets; nevertheless, drug-induced eosinophilia from this drug is rarely reported. An 81-year-old man was diagnosed with cerebral infarction 2 months earlier and was admitted to our hospital with rash, fever, wheezing, and stomach discomfort after being initiated with clopidogrel treatment. Based on his medical history, chest CT, and gastroscopy, we diagnosed him with clopidogrel-induced hypereosinophilic syndrome. After discontinuation of clopidogrel, the eosinophilia and symptoms improved. In cases of drug-induced eosinophilia, it is important to obtain a detailed medical history., (© 2023 Taro Horino et al., published by Sciendo.)

Abstract: A focal intrahepatic enhancing lesion with associated bile duct stricture was identified in a 25-year-old woman with a history of primary sclerosing cholangitis (PSC) who was being evaluated for increasing liver enzymes. Partial hepatectomy was performed, revealing a composite tumor with neuroendocrine and cholangiocarcinomatous differentiation. Only one composite tumor of the liver has been previously reported in the literature [H. Hidaka, S. Kuwao, S. Kokubu, K. Yanagimoto, A. Satomichi, M. Takada, T. Nakazawa, K. Saigenji, Mixed carcinoid-adenocarcinoma of the liver, Intern. Med. 39 (2000) 910–913], and to our knowledge, this is the first report of such a tumor in association with PSC. We report this very unusual case and discuss the potential association of neuroendocrine carcinoma with primary sclerosing cholangitis. [Copyright &y& Elsevier]

Skeletal muscle plays a crucial role in motor function, respiration, and whole-body energy homeostasis. How to regulate the development and function of skeletal muscle has become a hot research topic for improving lifestyle and extending life span. Numerous transcription factors and nutritional factors have been clarified are closely associated with the regulation of skeletal muscle development, regeneration and function. In this article, the roles of different dietary factors including green tea, quercetin, curcumin (CUR), eicosapentaenoic acid (EPA), docosahexaenoic acid (DHA), and resveratrol (RES) in regulating skeletal muscle development, muscle mass, muscle function, and muscle recovery have been summarized and discussed. We also reviewed the potential regulatory molecular mechanism of these factors. Based on the current findings, dietary factors may be used as a potential therapeutic agent to treat skeletal muscle dysfunction as well as its related diseases. [ABSTRACT FROM AUTHOR]

Background: Administration of recombinant human soluble thrombomodulin (rTM) is often used in Japan to treat septic disseminated intravascular coagulation (DIC). Thrombin-activatable fibrinolysis inhibitor (TAFI) is a fibrinolysis inhibitor activated by the thrombin-thrombomodulin complex, however, it is unknown whether circulating activated TAFI is increased after rTM administration in patients with DIC. Furthermore, the relationship between TAFI activation and the prognosis of septic DIC is not defined yet. Case presentation: We report a series of 8 patient's TAFI activation with septic DIC treated by rTM. We sought to investigate the effect of rTM on TAFI activation and the association of plasma activated TAFI (TAFIa/ai) levels with the prognosis of septic DIC. Using plasma samples from clinical studies conducted from May 2016–March 2017 on eight patients with septic DIC at Kagoshima University Hospital, we measured plasma levels of total TAFI, TAFIa/ai, thrombin-antithrombin complex (TAT), prothrombin fragment 1 + 2 (F1 + 2), soluble fibrin (SF), antithrombin (AT), protein C (PC), protein S (PS), and plasminogen activator inhibitor-1 (PAI-1) before and after intravenous rTM administration. Then, we evaluated the relationship of these marker levels to prognosis. The thrombin-rTM complex activated TAFI in vitro in plasma from a healthy volunteer. However, TAFIa/ai levels did not significantly increase over baseline in the septic DIC patients after intravenous rTM administration. Baseline TAFIa/ai levels in non-survivors were significantly higher than those in survivors. Conclusions: Plasma TAFIa/ai did not increase with rTM administration. Elevated baseline TAFIa/ai concentration may be a negative prognostic indicator in septic DIC. Larger studies are needed to confirm the in vivo effect of rTM on TAFI activation. [ABSTRACT FROM AUTHOR]

Spiny lobsters of the family Palinuridae Latreille, 1802 are known to be industrial crustaceans in the global fishing market amongst other crustacean marine species. Panulirus femoristriga has been reported in the Maldives, Japan, Taiwan, Vietnam, the Philippines, Indonesia (Ambon, Irian Jaya, Celebes Island, Seram Island), the Polynesian Islands, Solomon Islands, New Hebrides, Wallis and Futuna and off the coast of northern Australia, but there is uncertainty about their distributions due to the morphological similarity with Panulirus femoristriga, Panulirus longipes bispinosus and Panulirus brunneiflagellum. However, the identification on P. femoristiga can only be confirmed if the morphological descriptions are mentioned in literature. [ABSTRACT FROM AUTHOR]

Background: In plants, a critical balance between differentiation and proliferation of stem cells at the shoot apical meristem zone is essential for proper growth. The spatiotemporal regulation of some crucial genes dictates the formation of a boundary within and around budding organs. The boundary plays a pivotal role in distinguishing one tissue type from another and provides a defined shape to the organs at their developed stage. NAM/CUC subfamily of the NAC transcription factors control the boundary formation during meristematic development. Results: Here, we have identified the CUP-SHAPED COTYLEDON (CUC) genes in sugarcane and named SsCUC2 (for the orthologous gene of CUC1 and CUC2) and SsCUC3. The phylogenetic reconstruction showed that SsCUCs occupy the CUC2 and CUC3 clade together with monocots, whereas eudicot CUC2 and CUC3 settled separately in the different clade. The structural analysis of CUC genes showed that most of the CUC3 genes were accompanied by an intron gain during eudicot divergence. Besides, the study of SsCUCs expression in the RNA-seq obtained during different stages of ovule development revealed that SsCUCs express in developing young tissues, and the expression of SsCUC2 is regulated by miR164. We also demonstrate that SsCUC2 (a monocot) could complement the cuc2cuc3 mutant phenotype of Arabidopsis (eudicot). Conclusions: This study further supports that CUC2 has diverged in CUC1 and CUC2 during the evolution of monocots and eudicots from ancestral plants. The functional analysis of CUC expression patterns during sugarcane ovule development and ectopic expression of SsCUC2 in Arabidopsis showed that SsCUC2 has a conserved role in boundary formation. Overall, these findings improve our understanding of the functions of sugarcane CUC genes. Our results reveal the crucial functional role of CUC genes in sugarcane. [ABSTRACT FROM AUTHOR]

Hydrozoa, Scyphozoa, Larvacea (Appendicularia) and Ctenophora are not typically associated with hadal communities. Here, we report observations of these groups based on 136 benthic camera lander deployments that spanned all five oceans, encompassing 14 deep sites, culminating in >1000 h of video in the near-bottom waters between 5000 and 10 925 m. Of the Hydrozoa, trachymedusae had a maximum depth of 9066 m in the Mariana Trench, narcomedusae were recorded to a maximum depth of 7220 m in the San Cristobal Trench and a single siphonophore was seen at 7888 m in the Mariana Trench. Scyphozoans were seen as deep as 6898 m in the New Hebrides Trench. The deepest ctenophore was seen at 6037 m in the Kermadec Trench. Larvaceans were seen in the Agulhas Fracture Zone and the Puerto Rico, Kermadec, South Shetland and Java trenches, with the deepest being 7176 m in the Java Trench. None of these groups were seen in the deep Arctic or Antarctic deeper than 6000 m. Narcomedusae, siphonophorae, Scyphozoa and Ctenophora appear very rare at hadal depths, while the larvaceans and trachymedusae appear to be relatively conspicuous in the benthopelagic at hadal depths. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Istanbul Faculty of Medicine / İstanbul Tıp Fakültesi Dergisi is the property of Istanbul Tip Fakultesi Dergisi and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Advancements of Microbiology is the property of Sciendo and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Clostridioides difficile is often resistant to the actions of antibiotics to treat other bacterial infections and the resulting C. difficile infection (CDI) is among the leading causes of nosocomial infectious diarrhea worldwide. The primary virulence mechanism contributing to CDI is the production of toxins. Treatment failures and recurrence of CDI have urged the medical community to search for novel treatment options. Strains that do not produce toxins, so called non-toxigenic C. difficile , have been known to colonize the colon and protect the host against CDI. In this review, a comprehensive description and comparison of the immune responses to toxigenic C. difficile and non-toxigenic adherence, and colonization factors, here called non-toxin proteins, is provided. This revealed a number of similarities between the host immune responses to toxigenic C. difficile and non-toxin proteins, such as the influx of granulocytes and the type of T-cell response. Differences may reflect genuine variation between the responses to toxigenic or non-toxigenic C. difficile or gaps in the current knowledge with respect to the immune response toward non-toxigenic C. difficile. Toxin-based and non-toxin-based immunization studies have been evaluated to further explore the role of B cells and reveal that plasma cells are important in protection against CDI. Since the success of toxin-based interventions in humans to date is limited, it is vital that future research will focus on the immune responses to non-toxin proteins and in particular non-toxigenic strains. [ABSTRACT FROM AUTHOR]

Thermoresponsive polymers exhibiting unique reversible phase transition properties in aqueous solution in response to temperature stimuli have been extensively investigated. In the past two decades, thermoresponsive polymers based on tertiary amine moieties have achieved considerable progress and become an important family of thermoresponsive polymers, including tertiary amine functionalized poly((meth)acrylamide)s, poly((meth)acrylate)s, poly(styrene)s, poly(vinyl alcohol)s, and poly(ethylene oxide)s, which exhibit lower critical solution temperature and/or upper critical solution temperature in water or aliphatic alcohols. Their phase transition behavior can be modulated by the solution pH and CO2 due to the protonation of tertiary amine moieties in acidic condition and deprotonation in alkaline condition and the charged ammonium bicarbonate formed by the tertiary amine moieties and CO2. The aim of this review is to summarize the recent progress in the thermoresponsive polymers based on tertiary amine moieties. [ABSTRACT FROM AUTHOR]

Gastric cancer (GC) is one of the most common malignant tumors of the digestive tract, posing a significant risk to human health. Over the past 10 years, the pathological characteristics and the prognosis of GC have been determined based on the locations of the tumors that were then classified into two types—proximal and distal GC. This review focuses on the differences in epidemiology, etiology, cell source, pathological characteristics, gene expression, molecular markers, manifestations, treatment, prognosis, and prevention between proximal and distal GC to provide guidance and a basis for clinical diagnosis and treatment. [ABSTRACT FROM AUTHOR]

Purpose This study aimed to evaluate body composition changes and the determinants of fat-free mass loss (FFML) up to 3 years after sleeve gastrectomy (SG) and one-anastomosis gastric bypass (OAGB). Materials and Methods A prospective study was conducted on 3864 patients with severe obesity who underwent either SG (2746, 76.1% women, mean age: 39.2 ± 11.6 years, and BMI: 44.3 ± 5.6 kg/m2) or OAGB (1118, 82.2% women, age: 39.9 ± 10.7 years, BMI: 45.6 ± 6.3 kg/m2). Body composition parameters were measured by bioelectrical impedance analysis preoperatively and 1, 3, 6, 9, 12, 18, 24, and 36 months after surgery. Changes in body composition were assessed using the propensity matched generalized estimated equation (GEE) method. The determinants of fat-free mass loss/weight loss (FFML/WL%) were defined using a mixed-model GEE analysis. Results Means of FM, FFM, and FFML/WL% decreased significantly in both study groups (Ptrend < 0.001). Changes in BMI, EWL%, FM, and FFML/WL% were different between the two groups (Pbetween < 0.05). The results showed a better FFM preservation and a greater FM loss over time in the OAGB group compared to the SG group (Pinteraction < 0.05). FFML during the first 3 months was greater in the SG compared to the OAGB group (P < 0.001). SG surgery, higher preoperative BMI, and female gender were associated with greater FFML/WL%. Conclusion In the SG compared to the OAGB group, FFML was greater, especially early after the surgery, emphasizing the need for therapeutic interventions such as regular exercise programs and dietary intake modifications. [ABSTRACT FROM AUTHOR]

The development of self-organized surface patterns on Si due to noble gas ion irradiation has been studied extensively in the past. In particular, Ar ions are commonly used and the pattern formation was analyzed as function of ion incidence angle, ion fluence, and ion energies between 250 eV and 140 keV. Very few results exist for the energy regime between 1.5 keV and 10keV and it appears that pattern formation is completely absent for these ion energies. In this work, we present experimental data on pattern formation for Ar ion irradiation between 1 keV and 10 keV and ion incidence angles between 50° and 75°. We confirm the absence of patterns at least for ion fluences up to 1018 ions/cm². Using the crater function formalism and Monte Carlo simulations, we calculate curvature coefficients of linear continuum models of pattern formation, taking into account contribution due to ion erosion and recoil redistribution. The calculations consider the recently introduced curvature dependence of the erosion crater function as well as the dynamic behavior of the thickness of the ion irradiated layer. Only when taking into account these additional contributions to the linear theory, our simulations clearly show that that pattern formation is strongly suppressed between about 1.5 keV and 10 keV, most pronounced at 3 keV. Furthermore, our simulations are now able to predict whether or not parallel oriented ripple patterns are formed, and in case of ripple formation the corresponding critical angles for the whole experimentally studied energies range between 250eV and 140keV. [ABSTRACT FROM AUTHOR]

Background: Primary hepatic neuroendocrine carcinomas (NECs) are extremely rare. The rate of recurrence after resection is extremely high, and the prognosis is poor. It is debatable whether chemotherapy or surgical resection is the optimal initial treatment for primary hepatic NECs. Therefore, selecting an appropriate therapeutic approach for patients with primary hepatic NECs remains clinically challenging. We present a case of primary hepatic NEC in a patient who developed recurrence after undergoing surgical resection. Case presentation: A 78-year-old man with bone metastases of prostate cancer was referred to our department because of a solitary 66-mm tumor in the left lateral segment of the liver, which was detected on annual follow-up by computed tomography after prostate resection. A biopsy and preoperative diagnostic workup identified the lesion as a primary hepatic neuroendocrine carcinoma; therefore, left lateral segmentectomy was performed. Immunohistochemically, the tumor was positive for chromogranin A, synaptophysin, and CD 56, and the Ki-67 index was 40%. This neuroendocrine carcinoma was classified as a large cell type. Adjuvant chemotherapy with carboplatin + etoposide was initially administered a month after surgery. However, lymph node recurrence occurred 4 months after surgery, and the patient died of systemic metastases 15 months after surgical resection. Conclusions: Due to the lack of availability of abundant quantities of relevant, high-quality data, there is no standard therapy for primary hepatic NECs. Selecting the most appropriate treatment for patients depending on several factors, such as the stage and differentiation of a tumor and a patient's performance status and clinical course, is consequently preferred. More cases need to be studied to establish the best treatment strategy for primary hepatic NEC. [ABSTRACT FROM AUTHOR]