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Complex thin-walled components, such as conical-cylindrical parts, widely used in combustor shells, are generally made of Ni-based superalloy. However, it is difficult to manufacture the complex components with high dimensional accuracy by single process, and the formability of Ni-based superalloy is limited at room temperature due to the severe work hardening. A new spinning-heat treatment composite forming method of manufacturing the conical-cylindrical parts, consisting of shear spinning, solution heat treatment, and deep drawing spinning, was proposed. The feasibility of manufacturing the Ni-based superalloy complex component at room temperature was explored, and the spinning formability under complex strain path was analyzed. The results show that the limited thinning ratio of Ni-based superalloy is about 50% at room temperature under the strain state of pure shear deformation, and the work hardening of conical pre-formed blank can be completely eliminated by a 1200°C × 20 min solution heat treatment. Wrinkling occurs easily when single-pass deep drawing spinning was adopted to form the cylindrical section with the spinning coefficient of 0.78 under the linear strain path. Fracture along axial direction occurs easily at the opening area of the spun workpiece under the locally serrated strain path when multi-pass deep drawing spinning was adopted to form the cylindrical section without solution heat treatment. The spinning formability of the Ni-based superalloy of the multi-pass deep drawing spinning improves remarkably after solution heat treatment due to the improvement of deformation uniformity and the significant decrease of the tangential compressive stress at flange area. The experiments were carried out to verify the theoretical analysis results, and the Ni-based superalloy conical-cylindrical parts with high dimensional accuracy were manufactured successfully by the developed method combining of shear spinning followed by a solution heat treatment and multi-pass deep drawing spinning. [ABSTRACT FROM AUTHOR]

Since its introduction in the early 1990s, laparoscopic gastrectomy has been widely accepted for the treatment of gastric cancer worldwide. In the last decade, the Korean Laparoendoscopic Gastrointestinal Surgery Study group performed important clinical trials and exerted various efforts to enhance the quality of scientific knowledge and surgical techniques in the field of gastric cancer surgery. Laparoscopic gastrectomy has shifted to a new era in Korea due to recent advances and innovations in technology. Here, we discuss the recent updates of laparoscopic gastrectomy—namely, reduced-port, single-incision, robotic, image-guided, and oncometabolic surgery. [ABSTRACT FROM AUTHOR]

Background: Endoscopic treatment is one of the options for superficial esophageal cancer, but additional therapy such as esophagectomy or chemoradiotherapy (CRT) is sometimes needed due to noncurative resection. However, the outcome of additional therapy after endoscopic treatment has not been fully evaluated. Methods: In 160 patients with superficial esophageal cancer, including 37 patients who underwent esophagectomy and 123 patients who underwent CRT after noncurative endoscopic resection, outcomes were investigated. Results: The CRT group included more elderly patients than the surgery group, although there were no significant differences in tumor depth or lymphovascular invasion between the two groups. Overall survival was significantly better in the surgery group than in the CRT group (5-year overall survival: 94.3% vs. 79.9%; p = 0.039). Two (5.4%) patients in the surgery group who developed lymph node recurrence achieved complete response by chemotherapy or CRT, and 9 of 16 patients (13.0%) in the CRT group who developed recurrence underwent salvage esophagectomy or lymphadenectomy. As a result, the 5-year cause-specific survival was 100% in the surgery group and 92.8% in the CRT group. SM2 invasion (≥ SM2) was significantly associated with recurrence after CRT, while lymphatic invasion was associated with lymph node metastasis in the surgery group. Conclusion: Endoscopic treatment combined with esophagectomy or CRT can be a curative treatment option in patients with superficial esophageal cancer. However, esophagectomy rather than CRT should be recommended for patients with massive submucosal tumor invasion due to the risk of recurrence after CRT. [ABSTRACT FROM AUTHOR]

Background: To evaluate the immune function of gastric cancer patients after single-incision laparoscopic distal gastrectomy (SIDG) or multiport laparoscopic distal gastrectomy (MLDG) guided by enhanced recovery after surgery (ERAS). Methods: A retrospective cohort study was performed on 120 patients who underwent laparoscopic distal gastrectomy for gastric cancer. The patients were divided into two groups according to operation method: group A (MLDG) and group B (SIDG), both guided by ERAS concept. The indicators reflecting immune function and inflammation, such as CD3+, CD4+, CD8+ and NK cell count, CD4+/CD8+ cell ratios, IgA, IgM and IgG levels, C-reactive protein (CRP), total lymphocyte count (TLC) and neutrophil-to-lymphocyte ratio (NLR) were tested 3 days and 7 days after surgery. Results: The skin incision length of patients in group B was significantly shorter than that in group A, but the operation time was significantly longer in group B than that in group A (P < 0.05). There were no significant differences in preoperative CD3+, CD4+, CD8+, natural killer (NK) cells, CD4+/CD8+, IgA, IgM and IgG levels between two groups (P < 0.05). Three days after surgery, the immune function indices were decreased in both groups, but with no significant difference between two groups (P > 0.05). On the 7th day after surgery, the immune indexes of both groups recovered somewhat, approaching the preoperative level (P > 0.05). Inflammation indexes increased 3 days after surgery and decreased 7 days after surgery in both groups, among them the CRP level in group A was higher than that in group B (P < 0.05). The 3-year survival rate were 96.7% in group A and 91.7% in group B, respectively, with no statistically significant difference. Conclusion: Compared with MLDG guided by ERAS, SIDG under the guidance of the ERAS concept has better cosmetic effect and similar effect on immune function of gastric cancer patients. [ABSTRACT FROM AUTHOR]

Galectins are β-galactoside-binding lectins consisting of 15 members in mammals. Galectin-1,-3,-4,-8, and -9 are predominantly expressed in the central nervous system (CNS) and regulate various physiological and pathological events. This review summarizes the current knowledge of the cellular expression and role of galectins in the CNS, and discusses their functions in neurite outgrowth, myelination, and neural stem/progenitor cell niches, as well as in ischemic/hypoxic/traumatic injuries and neurodegenerative diseases such as multiple sclerosis. Galectins are expressed in both neurons and glial cells. Galectin-1 is mainly expressed in motoneurons, whereas galectin-3-positive neurons are broadly distributed throughout the brain, especially in the hypothalamus, indicating its function in the regulation of homeostasis, stress response, and the endocrine/autonomic system. Astrocytes predominantly contain galectin-1, and galectin-3 and−9 are upregulated along with its activation. Activated, but not resting, microglia contain galectin-3, supporting its phagocytic activity. Galectin-1,−3, and -4 are characteristically expressed during oligodendrocyte differentiation. Galectin-3 from microglia promotes oligodendrocyte differentiation and myelination, while galectin-1 and axonal galectin-4 suppress its differentiation and myelination. Galectin-1- and- 3-positive cells are involved in neural stem cell niche formation in the subventricular zone and hippocampal dentate gyrus, and the migration of newly generated neurons and glial cells to the olfactory bulb or damaged lesions. In neurodegenerative diseases, galectin-1,-8, and -9 have neuroprotective and anti-inflammatory activities. Galectin-3 facilitates pro-inflammatory action; however, it also plays an important role during the recovery period. Several ligand glycoconjugates have been identified so far such as laminin, integrins, neural cell adhesion molecule L1, sulfatide, neuropilin-1/plexinA4 receptor complex, triggering receptor on myeloid cells 2, and T cell immunoglobulin and mucin domain. N -glycan branching on lymphocytes and oligodendroglial progenitors mediated by β1,6- N -acetylglucosaminyltransferase V (Mgat5/GnTV) influences galectin-binding, modulating inflammatory responses and remyelination in neurodegenerative diseases. De-sulfated galactosaminoglycans such as keratan sulfate are potential ligands for galectins, especially galectin-3, regulating neural regeneration. Galectins have multitudinous functions depending on cell type and context as well as post-translational modifications, including oxidization, phosphorylation, S-nitrosylation, and cleavage, but there should be certain rules in the expression patterns of galectins and their ligand glycoconjugates, possibly related to glucose metabolism in cells. [ABSTRACT FROM AUTHOR]

Background: Fusobacterium nucleatum (F. n) is an important opportunistic pathogen causing oral and gastrointestinal disease. Faecalibacterium prausnitzii (F. p) is a next-generation probiotic and could serve as a biomarker of gut eubiosis/dysbiosis to some extent. Alterations in the human oral and gut microbiomes are associated with viral respiratory infection. The aim of this study was to characterise the oral and fecal bacterial biomarker (i.e., F. n and F. p) in COVID-19 patients by qPCR and investigate the pharyngeal microbiome of COVID-19 patients through metagenomic next-generation sequencing (mNGS). Results: Pharyngeal F. n was significantly increased in COVID-19 patients, and it was higher in male than female patients. Increased abundance of pharyngeal F. n was associated with a higher risk of a positive SARS-CoV-2 test (adjusted OR = 1.32, 95% CI = 1.06 ~ 1.65, P < 0.05). A classifier to distinguish COVID-19 patients from the healthy controls based on the pharyngeal F. n was constructed and achieved an area under the curve (AUC) of 0.843 (95% CI = 0.688 ~ 0.940, P < 0.001). However, the level of fecal F. n and fecal F. p remained unaltered between groups. Besides, mNGS showed that the pharyngeal swabs of COVID-19 patients were dominated by opportunistic pathogens. Conclusions: Pharyngeal but not fecal F. n was significantly increased in COVID-19 patients, clinicians should pay careful attention to potential coinfection. Pharyngeal F. n may serve as a promising candidate indicator for COVID-19. [ABSTRACT FROM AUTHOR]

Our objective was to determine current practice in Switzerland regarding the use of pNPWT in abdominal surgery. An online survey was carried out to evaluate the use of pNPWT among abdominal surgeons in Switzerland. One hundred and ten participants replied to the survey from 16.12.2019 to 15.01.2020. Eleven were excluded, leaving 99 responders for analysis. Seventy participants (70.7%) were using pNPWT, 3 (3%) have stopped using it and 26 (26.3%) have never used it. pNPWT was used on midline laparotomy by 63 responders (90%), closed stoma wounds by 21 (30%), closed perineal wounds by 20 (28.6%), Pfannenstiel incisions by 18 (23.7%), groin incisions by 16 (22.9%), subcostal incisions by 13 (18.6%), Mc Burney incisions by 3 (4.3%) and other incisions by 18 (25.7%). Forty-eight participants (68.6%) used pNPWT on less than 10% of patients, 14 (20%) on 10–25% of patients, six (8.6%) on 25–50% of patients and two (2.9%) on 75–100% of patients. Suggestions for improvement to pNPWT were: better sealing, recyclable system, better adaptation to the perineum, smaller device, reduced cost and possibility to check the surgical wound through the dressing. In conclusion, pNPWT is widely used among Swiss surgeons, mostly on midline incisions. However, most of them apply pNPWT on a small proportion of patients only. Suggestions for improvement were a better sealing for complex wounds, reduced cost and possibility to check the wound during the therapy. [ABSTRACT FROM AUTHOR]

Internal waves with high vertical wavenumber structures on the northern part of the eastern ridge in Luzon Strait were investigated using shipboard observations and a wave propagation model. Detailed repeat observations across the ridge revealed complex undulations of isopycnals near the ridge that were characterized by vertically alternating concave and convex structures. In addition, strong eastward and westward flow areas with horizontal and vertical scales of 3–5 km and 150–250 m, respectively, occurred alternately on the downstream side of the ridge. These high-wavenumber structures in flow and density fields were associated with internal waves generated by interactions between diurnal tidal flow and the meridional submarine ridge in the strait; an acoustic Doppler current profiler recorded no signals of the Kuroshio Current and semi-diurnal tides in the zonal flow on the western slope of the eastern ridge. Many temperature inversions around the ridge exhibited vertical scales of predominantly ~ 30 m. Simple calculations of internal wave motion reveal that each internal wave mode tends to stagnate near the summits of the ridge depending on the direction and strength of the background tidal flow. This suggests that the observed high-wavenumber structure in the flow profiles near the ridge is ascribed to the superposition of transient internal wave modes, although this is not the main cause of the temperature inversions. As a possible mechanism to explain the temperature inversions, we propose that higher-mode internal waves emanating from the unresolved topographic undulations are trapped by the observed high-wavenumber structures, resulting in turbulent mixing. [ABSTRACT FROM AUTHOR]

Studies on the effects of memantine on QT prolongation have yielded conflicting results. For a long time, memantine was reported to be a safe drug without QT prolongation; however, several case studies have reported memantine‐induced QT prolongation in Alzheimer's patients. This study evaluated the relationship between memantine blood levels, and QT interval changes. Over a 2‐week period, we orally administered 20 mg of memantine daily to achieve a steady state in 57 healthy Korean subjects. We measured and analyzed the QT interval and blood memantine concentrations simultaneously before and after treatment, as well as 2 weeks after the last dosing. Correlation analysis was done between blood memantine level and QT interval. No serious adverse events occurred during the study period. Repeated dosing of memantine did not show clinically significant QT interval changes after treatment. Regression analysis was performed based on the results; there was no statistical association between memantine blood level and QT prolongation. In conclusion, the results of the present study demonstrated no clinically significant changes in the QT interval with therapeutic blood levels of memantine. [ABSTRACT FROM AUTHOR]

Background: While neoadjuvant chemotherapy and chemoradiotherapy (NACRT) for pancreatic head cancer are effective, preoperative endoscopic biliary drainage (EBD) is necessary for managing obstructive jaundice and cholangitis during the preoperative waiting period. Nevertheless, ideal choice of stent type is unclear. We compared plastic stents (PS) and metal stents (MS) in these situations. Methods: We retrospectively studied 43 patients who successfully underwent preoperative EBD prior to NACRT for pancreatic head cancer at a single institution. We divided patients into PS (n = 22) and MS (n = 21) groups. The primary outcome was the rate of re‐interventional drainage rate before surgery. Secondary outcomes were rates of EBD‐associated and postoperative complications and total costs in the pre‐ and perioperative periods. Results: The re‐intervention rate was significantly greater in the PS group than in the MS group (95% vs 4.8%, respectively, P < 0.05). EBD‐associated and postoperative complications were significantly less common in the MS group (P < 0.05). The average total preoperative medical costs were significantly lower in the MS group (PS vs MS: 528,597 vs 395,891 JPY, P = 0.004). Conclusions: MS can be the first choice for EBD in patients undergoing NACRT for pancreatic head cancer. MS may be less costly overall. [ABSTRACT FROM AUTHOR]

Background: Discoidin domain receptors (DDRs) belong to the receptor tyrosine kinases family and are activated by different types of collagens, which play roles in various physiological processes. An abnormal expression of DDRs is reported in different types of cancers. Despite many reports about the association and roles of high DDR expression levels in cancers, the prognostic values of DDRs are still unclear. This meta-analysis was performed to evaluate the prognostic effect of DDRs in different tissue cancers. Method: A literature search was performed in several related databases to find eligible English articles. Based on our research, 20 appropriate studies with 2,602 patients were selected till October 5, 2020. The pooled hazard ratio (HR) with a corresponding 95% confidence interval (CI) was computed to evaluate the strength of correlation between DDRs and survival of cancer patients. Result: Pooling results showed that a high DDR expression was significantly associated with poorer overall survival (OS) (HR = 1.304, 95% CI 1.007–1.69, p = 0.04). Subgroup analysis based on cancer type revealed a significant link between a high DDR expression level and poor OS both in gastrointestinal (pooled HR = 1.78, 95% CI 1.214–2.624, p = 0.003) and urological cancers (pooled HR = 1.42, 95% CI 1.062–1.82, p = 0.018). Conclusion: Our meta-analysis results suggest that high DDRs expression has the potential to be used as a biomarker of poor prognosis in cancers. [ABSTRACT FROM AUTHOR]

Background. Cancer has been considered as the leading cause of death in the world. In patients with cancer, up to 80% display a cachectic period after diagnosis. Cachexia is known to have a negative impact on function, treatment tolerance, higher rates of hospitalizations, and mortality. Anorexia is often used as a warning sign of precachexia. Long-term anorexia may lead to malnutrition and, then, accelerate the occurrence of cachexia. A safe and effective treatment, which can both improve appetite and assist nutritional support for precachexia cancer patients shows its particular important role. Methods. A retrospective analysis comparing the different therapeutic effects on precachexia cancer patients with anorexia-malnutrition. We recorded 46 patients with the improved-Sijunzi decoction combined with enteral nutrition emulsion (ISJZ group) and 35 patients with single enteral nutrition emulsion (SEN group). The different therapeutic effects of the two groups were observed by recording indicators before and 2 weeks after treatment, including patient-generated subjective global assessment score, quality of life score, Karnofsky performance status scale, Eastern cooperative oncology group scale standard and traditional Chinese medicine syndrome, daily total dietary intake, red blood cells, hemoglobin, prealbumin, albumin, total protein cholinesterase, C-reactive protein, leukocytes, alanine aminotransferase, aspartate aminotransferase, alkaline phosphatase, urea nitrogen, and creatinine. Results. ISJZ group exhibited prominent improvement of traditional Chinese medicine syndrome (TCMS), nutritional condition, and quality of life compared with the SEN group (QOL: p = 0.0001 , PG-SGA: p = 0.019 , dietary intake: p = 0.0001 , TCMS: p = 0.0001). The levels of HGB (p = 0.006), PAlb (p = 0.001), Alb (p = 0.0001), TP (p = 0.008), and ChE (p = 0.0001) in the ISJZ group were higher than the SEN group after treatment. Moreover, the ratios of CRP/ALB (p = 0.028) and CRP/PALB (p = 0.005) in the two groups have obvious differences; they were lower for the ISJZ group than the SEN group. Conclusions. Enteral nutrition combined with ISJZ decoction is an effective treatment in precachexia cancer patients for the prevention of cachexia. This treatment therapy can alleviate the inflammatory response, improve malnutrition state, and promote the performance status. Tianjin Medical University Cancer Institute and Hospital approved this study (Trial No. 1913). [ABSTRACT FROM AUTHOR]

Background: To determine the potential of the combination of DCE-MRI imaging method with DWI and serum CA125 and CA199 levels in the evaluation of the efficacy of neoadjuvant chemotherapy in breast cancer patients. Methods: Sixty-five breast cancer patients who received neoadjuvant chemotherapy in our hospital from April 2016 to April 2017 were selected as research subjects. The patients received 4 courses of neoadjuvant chemotherapy. Lesions were monitored using DCE-MRI and DWI, while ELISA was used to measure the serum expression levels of the tumour markers CA125 and CA199. The patients were divided into the remission group and ineffective group based on pathological diagnosis. Results: There were significant differences in Kep, Ktrans, ADCmin, ADCmean, tumour volume, and serum levels of CA125 and CA199 in patients in the remission group, before and after neoadjuvant chemotherapy, and there were significant differences in post-chemotherapy values of these indexes between the remission group and the ineffective group (p < 0.01). Conclusion: Combination of DCE-MRI diagnostic imaging with DWI can directly reflect the lesions in breast cancer patients after neoadjuvant chemotherapy. Serum levels of CA125 and CA199 levels are useful for evaluation of the impact of neoadjuvant chemotherapy on breast cancer patients, including risk of cancer cell metastasis and changes in some small lesions. [ABSTRACT FROM AUTHOR]

Known for their adaptability to surroundings, capability of transport control of molecules, or the ability of converting one type of energy to another as a result of external or internal stimuli, responsive polymers play a significant role in advancing scientific discoveries that may lead to an array of diverge applications. This review outlines recent advances in the developments of selected commodity polymers equipped with stimuli‐responsiveness to temperature, pH, ionic strength, enzyme or glucose levels, carbon dioxide, water, redox agents, electromagnetic radiation, or electric and magnetic fields. Utilized diverse applications ranging from drug delivery to biosensing, dynamic structural components to color‐changing coatings, this review focuses on commodity acrylics, epoxies, esters, carbonates, urethanes, and siloxane‐based polymers containing responsive elements built into their architecture. In the context of stimuli‐responsive chemistries, current technological advances as well as a critical outline of future opportunities and applications are also tackled. [ABSTRACT FROM AUTHOR]

Background: This study aimed to evaluate the surgical outcome and quality of life (QoL) of totally laparoscopic total gastrectomy (TLTG) compared with laparoscopy-assisted total gastrectomy (LATG) in patients with clinical stage I gastric cancer.Methods: From 2012 to 2018, EGC patients who underwent TLTG (n = 223), including the first case with intracorporeal hemi-double stapling, were matched to those who underwent LATG (n = 114) with extracorporeal circular stapling, using 2:1 propensity score matching (PSM). Prospectively collected morbidity was compared between the TLTG and LATG groups in conjunction with the learning curve. The European Organization for Research and Treatment of Cancer (EORTC) QoL questionnaires QLQ-C30, STO22, and OG25 were prospectively surveyed during postoperative 1 year for patient subgroups.Results: After PSM, grade I pulmonary complication rate was lower in the TLTG group (n = 213) than in the LATG group (n = 111) (0.5% vs. 5.4%, P = 0.007). Other complications were not different between the groups. The learning curve of TLTG was overcome at the 26th case in terms of the comprehensive complication index. The TLTG group after learning curve showed lower grade I pulmonary complication rate than the matched LATG group (0.5% vs. 4.7%, P = 0.024). Regarding postoperative QoL, the TLTG group (n = 63) revealed less dysphagia (P = 0.028), pain (P = 0.028), eating restriction (P = 0.006), eating (P = 0.004), odynophagia (P = 0.023) than the LATG group (n = 21). Multivariate analyses for each QoL item demonstrated that TLTG was the only common independent factor for better QoL.Conclusions: TLTG reduced grade I pulmonary complications and provided better QoL in dysphagia, pain, eating, odynophagia than LATG for patients with clinical stage I gastric cancer. [ABSTRACT FROM AUTHOR]

Malocclusions can occur due to the airway obstruction and the developmental process that the obstruction limits. The purpose of this study is to uncover whether airway obstruction is a cause of malocclusion. The systematic review involved the identification of relevant articles on the Google Scholar, Cochrane Library, and PubMed databases. Studies published between 2011 and 2021 were obtained, screened, and assessed for eligibility using the PRISMA guidelines. The outcomes were summarized in a table. 14 studies were included for the systematic review, with the average number of participants they analyzed being seven to 9,098. The studies revealed the existence of an association between airway obstruction and dental malocclusion, majorly of Class II and III. They also indicated that some of the conditions that cause airway obstruction include rhinitis, asthma, tonsilitis, and sleep apnea, which are also associated with malocclusion. Mouth breathing, especially during childhood, affects the development of craniofacial patterns, which can cause malocclusion. There is a significant association between airway obstruction and malocclusion, implying that airway obstruction is one of the causes of Class I, II, and III malocclusions. [ABSTRACT FROM AUTHOR]

Hot water bathing has been demonstrated to be an effective way to improve people's cardiovascular health in many studies. This study focused on seasonal physiological changes to provide suggestions on bathing methods based on season for hot spring bathing. Volunteers were recruited to the program of hot spring bathing at 38-40 °C in New Taipei City. Cardiovascular function, blood oxygen, and ear temperature were observed. There were five assessments for each participant during the study process: baseline, bathing for 20 min and 2 cycles *20 (2*20) min, resting for 20 min and 2*20 min after bathing, respectively. Lower blood pressure (p < 0.001), pulse pressure (p < 0.001), left ventricular dP/dt Max (p < 0.001), and cardiac output (p < 0.05) were identified after bathing then rested for 2*20 min in four seasons, compared to baseline by paired T test. However, in multivariate linear regression model, potential risk for bathing in summer was assumed by higher heart rate (+28.4%, p < 0.001), cardiac output (+54.9%, p < 0.001) and left ventricular dP/dt Max (+27.6%, p < 0.05) during bathing at 2*20 min in summer. Potential risk for bathing in winter was postulated by blood pressure lowering (cSBP -10.0%; cDBP -22.1%, p < 0.001) during bathing at 2*20 min in winter. Hot spring bathing is shown to potentially improve cardiovascular function via reducing cardiac workload and vasodilation effects. Prolonged hot spring bathing in summer is not suggested due to significantly increased cardiac stress. In winter, prominent drop of blood pressure should be concerned. We demonstrated the study enrollment, the hot-spring contents and location, and physiological changes of general trends or seasonal variations, which may indicate potential benefits and risks during and after bathing. (Abbreviations: BP, blood pressure; PP, pulse pressure; LV, left ventricular; CO, cardiac output; HR, heart rate; cSBP, central systolic blood pressure; cDBP, central diastolic blood pressure)., (© 2023. The Author(s), under exclusive licence to The Japanese Society of Hypertension.)

Monte Carlo simulations are used to evaluate the Modified Sigmund Model of Sputtering. Simulations were carried out for a range of ion incidence angles and surface curvatures for different ion species, ion energies, and target materials. Sputter yields, moments of erosive crater functions, and the fraction of backscattered energy were determined. In accordance with the Modified Sigmund Model of Sputtering, we find that for sufficiently large incidence angles θ the curvature dependence of the erosion crater function tends to destabilize the solid surface along the projected direction of the incident ions. For the perpendicular direction, however, the curvature dependence always leads to a stabilizing contribution. The simulation results also show that, for larger values of θ, a significant fraction of the ions is backscattered, carrying off a substantial amount of the incident ion energy. This provides support for the basic idea behind the Modified Sigmund Model of Sputtering: that the incidence angle θ should be replaced by a larger angle Ψ to account for the reduced energy that is deposited in the solid for larger values of θ. [ABSTRACT FROM AUTHOR]

Background: There is no established view of how gastric acid suppression affects the time for gastric emptying. Vonoprazan fumarate shows potent and durable gastric acid inhibitory effects, but its effects on gastric emptying have not been studied widely. We investigated the effects of vonoprazan fumarate on gastric emptying and measured serum gastrin and plasma ghrelin levels in healthy adults. Methods: Ten participants were administered 10 mg vonoprazan fumarate daily for 14 days, then 20 mg vonoprazan fumarate daily for 14 days. The gastric emptying breath test was performed and serum gastrin levels were measured at baseline and after each medication administration period. The protocol was then repeated, with the gastric emptying breath test and serum gastrin and plasma desacyl-ghrelin levels measured at baseline and the end of the medication trial. Results: Mean serum gastrin levels increased in a dose-dependent manner [baseline: 104.7 ± 50.4, after 10 mg protocol: 328 ± 123.8, after 20 mg protocol: 555 ± 378.8 (pg/mL, mean ± standard deviation), p = 0.0008]. There was a significant difference between the gastric emptying breath test Tmax at baseline and just after the 20 mg protocol (baseline: 45.5 ± 15.3, after 20 mg protocol: 60.5 ± 19.6 min, p = 0.0418). Plasma desacyl-ghrelin levels increased significantly just after the 20 mg protocol compared to those at baseline [baseline: 222.3 ± 106.4, after 20 mg protocol: 366.2 ± 178.6 (fmol/mL), p = 0.0008]. Conclusions: In healthy adults, 14 days of vonoprazan fumarate administration at 20 mg/day delayed gastric emptying. Trial registration: This clinical trial was registered in the University hospital Medical Information Network Clinical Trial Registry (Trial No. UMIN000039199 and UMIN000042969). [ABSTRACT FROM AUTHOR]

Starting from 5-methylhexanal and (S)-configured N -propargylprolinol ethers, coupling delivered N -(4-hydroxynon-2-ynyl)prolinol derivatives as mixtures of C4 diastereomers. Resolution of the epimers succeeded after introduction of an (R)-mandelic ester derivative and subsequent HPLC separation. Alternatively, suitable oxidation gave the corresponding alkynyl ketone. Midland reagent controlled diastereoselective reduction afforded a defined configured propargyl alcohol with high selectivity. LiAlH4 reduction and Mosher analyses of the allyl alcohols enabled structure elucidation. The suitably protected products are used as key intermediates in enantioselective Streptomyces γ-butyrolactone signaling molecule total syntheses. [ABSTRACT FROM AUTHOR]

Discoidin domain receptors, DDR1 and DDR2 are members of the receptor tyrosine kinase (RTK) family that serves as a non-integrin collagen receptor and were initially identified as critical regulators of embryonic development and cellular homeostasis. In recent years, numerous studies have focused on the role of these receptors in disease development, in particular, cancer where they have been reported to augment ECM remodeling, invasion, drug resistance to facilitate tumor progression and metastasis. Interestingly, accumulating evidence also suggests that DDRs promote apoptosis and suppress tumor progression in various human cancers due to which their functions in cancer remain ill-defined and presents a case of an interesting therapeutic target. The present review has discussed the role of DDRs in tumorigenesis and the metastasis. [ABSTRACT FROM AUTHOR]

Objective: This prospective randomized trial compared the invasiveness of laparoscopic gastrectomy using a single-port approach with that of a conventional multi-port approach in the treatment of gastric cancer. Summary Background Data: The benefit of single-port laparoscopic gastrectomy (SLG) over multi-port laparoscopic gastrectomy (MLG) has yet to be confirmed in a well-designed study. Methods: One hundred and one patients who were scheduled to undergo laparoscopic distal gastrectomy for histologically confirmed clinical stage I gastric cancer between April 2016 and September 2018 were randomly allocated to SLG (n = 50) or MLG (n = 51). The primary endpoints were the postoperative visual analog scale pain scores. Secondary endpoints were frequency of use of analgesia, short-term outcomes, such as operating time, intraoperative blood loss, inflammatory reactions, postoperative morbidity, and 90-day mortality. Results: The postoperative pain score was significantly lower in the SLG group than in the MLG group (p < 0.001) on the operative day and the postoperative day 1–7. Analgesics were administered significantly less often in the SLG group than in the MLG group (1 vs. 3 days, p = 0.0078) and the duration of use of analgesics was significantly shorter in the SLG group (2 vs. 3 days, p = 0.0171). The operating time was significantly shorter in the SLG group than in the MLG group (169 vs. 182 min, p = 0.0399). Other surgical outcomes were comparable between the study groups. Conclusions: SLG was shown to be safe and feasible in the treatment of gastric cancer with better short-term results in terms of less severe pain and may be suitable for treatment of cStage I gastric cancer. Clinical trial registration: UMIN000022218 [ABSTRACT FROM AUTHOR]

Ocean circulation in the Challenger Deep is rarely investigated due to sparse observations. Based on hydrographic data collected by two super‐deep Chinese "Sea‐Wing" gliders during September–October 2018, we analyzed water properties and ocean circulation structures in this trench. Results showed that the horizontal distribution of water properties is approximately a three layer structure, changing from a northeast‐southwest structure to a north‐south structure then to an east‐west structure as the depth increases from 3,000 to 7,000 m. This structure is a joint result of the water uplift, advection, and diffusion in the trench. The westward geostrophic flow, with 1.29 Sv (1 Sv = 106 m3 s−1) volume transport, dominates the deep layer of the Challenger Deep, gradually weakening with depth. The unexpectedly large volume transport, twice that of previous studies, might be due to temporal variations of LCDW (Lower Circumpolar Deep Water) intrusion from the Southern Ocean and different reference levels. Plain Language Summary: The Challenger Deep is the world deepest trench. It acts as a transition zone for deep ocean water transport from the Southern Ocean to the northwestern Pacific Ocean. The AABW (Antarctic bottom water) bring large volume of clod, salty, dense, high dissolved oxygen and low‐nutrient to this region and impact the local environment and biomass in this trench. Hence, it is a meaningful thing to explore the water characteristics, circulation and volume transport over this region. Limited by observation technology in the past, they are rarely studied by previous researchers. Present observations by new‐type super‐deep gliders give us a chance to achieve that goal. Results indicate that complex 3‐D structures of water properties and circulation show up in the Challenger Deep. And large water volume of LCDW (Lower Circumpolar Deep Water) is transported into this area. These results promote the knowledge of water mass properties and circulation in the Challenger Deep. Key Points: Water property in the Challenger Deep has a three‐layer structureWestward geostrophic flow dominated the Challenger Deep and its core is shallower in the westLarge volume transport of Lower Circumpolar Deep Water (LCDW) about 1.29 Sv passed through the trench area above 7,000 m [ABSTRACT FROM AUTHOR]

Background: Clostridioides difficile is the leading cause of nosocomial infectious diarrhea. Toll-like receptors (TLRs) are the major components of innate immunity that sense pathogens. The relationship between TLRs and C. difficile infection (CDI) was analyzed in clinical patients and a mouse model. Materials and Methods: A prospective investigation was conducted in medical wards of Tainan Hospital, Ministry of Health and Welfare, Tainan, Taiwan, from January 2011 to January 2013. Adult patients were followed up for the development of CDI. Single nucleotide polymorphisms (SNPs) of TLR2 and TLR4 were analyzed to assess the relationship between genetic polymorphisms and the development of CDI. A mouse model of CDI was used to investigate the pathogenic role of TLRs in CDI, TLR2 and TLR4 knockout (Tlr2-/- and Tlr4-/-) mice. Results: In the prospective study, 556 patients were enrolled, and 6.5% (36) of patients, accounting for 3.59 episodes per 1000 patient-days, developed CDI. Of 539 patients with available blood samples, the TLR2 rs3804099 polymorphism was more often noted in those with CDI than in those without CDI (64.5% vs. 46.1%; P = 0.046) but was not significant in multivariate analysis. Because the TLR2 rs3804099 polymorphism was moderately associated with CDI, the role of TLR2 and TLR4 was further evaluated in a mouse model. Both Tlr2-/- and Tlr4-/- mice showed more severe CDI disease than wild-type mice in terms of body weight change and fecal content five days after oral challenge with C. difficile. Furthermore, Tlr2-/- mice suffered from more severe disease than Tlr4-/- mice, as evidenced by stool consistency, cecum weight, and survival rate. Conclusion: The TLR2 rs3804099 polymorphism is marginally associated with the development of CDI, and the pathogenic role of TLR2 is further supported by a mouse model. [ABSTRACT FROM AUTHOR]

Two unresolved questions in marine population connectivity are: (1) the relative importance of contemporary and historical factors (e.g., ongoing gene flow versus past demographic events), and (2) to what extent species subject to the same evolutionary forces exhibit similar phylogeographic patterns. Here, we address these questions using two species from New Zealand's rocky shore that have very similar distributions and life histories, but very different larval dispersal abilities: the cat's eye snail Lunella smaragda has short-lived pelagic larvae (3–4 days) while the half-crab Petrolisthes elongatus has a longer pelagic larval duration (3–4 weeks). A large number of individuals of these species were collected (n = 727 and 440) at different locations (31 and 20) throughout their wide New Zealand distribution. These species were analysed for both mitochondrial DNA cytochrome oxidase I (COI) and nuclear ribosomal internal transcribed spacer (ITS-1) variation. Contrary to expectations, the species with much greater dispersal potential, P. elongatus, exhibited much greater population differentiation (> fivefold for mtDNA ΦST, > 50-fold for nDNA ΦST). This study highlights that species along the same coast can show remarkably different patterns of population structure, and that although there appear to be some common geographic discontinuities in New Zealand, there are few common overall patterns that apply to many species. The study reinforces the observation that predictions of population structure based on life history are often not upheld, and shows that differences in demographic history may be an important factor in driving contemporary patterns of genetic diversity. [ABSTRACT FROM AUTHOR]

Background: Anastomotic leakage and stenosis remain major problems after esophageal reconstruction. This study evaluated the clinical outcomes between the total eversion (TE) triangulating stapling technique (TST) and conventional (C) TST. Methods: The study included 404 consecutive patients with esophageal cancer who underwent cervical esophagogastrostomy by TST between January 2013 and December 2018. The postoperative outcomes were compared between TE-TST and C-TST using propensity score-matched analysis. Results: Before matching, the cT stage and the cTNM stage were different between the groups. After matching, each group consisted of 128 patients. The patients' background characteristics were similar between the groups. Although the incidence of anastomotic leakage was similar between the groups (p = 0.216), anastomotic stricture occurred in 19 (14.8%) and 7 (5.5%) patients in the C-TST and the TE-TST groups, respectively (p = 0.021). Conclusions: The incidence of anastomotic stenosis was significantly lower in the TE-TST group than in the C-TST group. TE-TST decreases the incidence of anastomotic stricture and can improve the quality of life in patients undergoing esophagectomy. [ABSTRACT FROM AUTHOR]

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The chilhuil sea catfish (Bagre panamensis) is an ecologically relevant species contributing to the structure, organization, and functioning of the ecosystems it inhabits. Also, it is an important artisanal fishery resource in the Mexican Pacific coast. This study aimed to determine the genetic diversity, population structure, and historical demography of B. panamensis in the Mexican Pacific. The mitochondrial DNA was amplified from two distinct regions, r16S and COI, resulting in an 1142bp of the concatenated genes. Low genetic diversity levels were detected for r16S (H = 12; h = 0.131; π = 0.0003) and high genetic diversity levels for COI (H = 57; h = 0.9128; π = 0.0039) and the concatenated gene fragments (H = 62; h = 0.9307; π = 0.0023). Population structure analysis indicated ‘panmixia’ for B. panamensis along the Mexican Pacific. Furthermore, historical demographic analysis (Tajima’s D, Fu’s Fs, mismatch distribution, and Bayesian Skyline plot analyses) supported a population expansion scenario for the studied species. [ABSTRACT FROM AUTHOR]

Omega-3 (n-3; ω-3) fatty acids (FA) are often included in the diet for their potential health benefits. However, because oxidative potential is increased with the degree of unsaturation in vitro, polyunsaturated FA such as eicosapentaenoic acid (EPA ; 20:5n-3) and docosahexaenoic acid (DHA ; 22:6n-3) may be at increased risk of lipid peroxidation. We aimed to determine the effects of dietary n-3 FA supplementation on antioxidant status and lipid peroxidation in yearling horses. Quarter Horses (mean ± SEM; 14.6 ± 0.2 mo) were randomly assigned to receive no n-3 FA supplementation (CON; n = 6) or 60 mg n-3/kg body weight from milled flaxseed (FLAX; n = 6) or encapsulated fish oil (FISH; n = 6). All horses received a basal diet of mixed grain concentrate fed individually at 1.5% body weight (dry matter basis) and ad libitum bahiagrass pasture forage. Blood samples were obtained before and after 70 d of supplementation to evaluate vitamin E, selenium, lipids, antioxidant status, and oxidative stress. Data were analyzed using a mixed model ANOVA with repeated measures. Supplementation with n-3 FA did not reduce serum vitamin E or Se and, in fact, elevated (P ≤ 0.0003) vitamin E status in FISH horses. At day 70, serum triglycerides were lower in FISH and FLAX horses than CON horses (P ≤ 0.02) and F2-isoprostanes were lower in FISH than CON horses (P = 0.0002). Dietary n-3 FA had no effect on cholesterol, reduced and oxidized glutathione, glutathione peroxidase, and thiobarbituric acid-reactive substances. In growing horses fed to meet their vitamin E requirements, supplementation with 60 mg n-3/kg body weight did not negatively affect vitamin E status or promote lipid peroxidation. Elevated vitamin E status in horses fed FISH, coupled with lower serum F2-isoprostanes, further suggest that the longer-chain, highly unsaturated n-3 FA, EPA and DHA, may actually attenuate lipid peroxidation. [ABSTRACT FROM AUTHOR]

Purpose: The role of pancreatectomy for very elderly patients with pancreatic adenocarcinoma is controversial. This study aimed to clarify the validity of pancreatic resection in octogenarian patients with pancreatic ductal adenocarcinoma. Methods: We compared 31 patients aged ≥ 80 years and 548 patients aged < 80 years who underwent pancreatectomy for pancreatic ductal adenocarcinoma and evaluated the relationship between age, clinicopathological factors, recurrence, and outcomes. Results: Postoperative mortality, morbidity, and completion of adjuvant chemotherapy rates did not differ between groups. There were no significant differences in median recurrence–free survival, disease-specific survival, and overall survival between groups (1.0, 2.3, and 2.2 years in patients ≥ 80 years and 1.2, 2.8, and 2.7 years in patients < 80 years; P = 0.67, 0.47, and 0.46, respectively). The median time from recurrence to death of octogenarian patients was significantly shorter than that of younger patients (0.6 vs. 1.1 years, P = 0.0070). In multivariate analysis, age ≥ 80 years (hazard ratio, 1.5), resection of other organs (hazard ratio, 1.8), pathological grade 2/3 (hazard ratio, 1.6), and failure to implement of treatment after recurrence (hazard ratio, 3.6) were independent risk factors for a short time from recurrence to death. Furthermore, age ≥ 80 years (odds ratio, 0.32) was an independent risk factor for the implementation of treatment after recurrence. Conclusions: Pancreatectomy for octogenarians may be acceptable, but median survival time from recurrence to death was shorter due to lower rates of implementation of treatment after recurrence in octogenarian patients. [ABSTRACT FROM AUTHOR]

Decadal-scale variability of the North Pacific subtropical mode water (STMW) and its influence on the pycnocline are examined by analyzing Japan Meteorological Agency (JMA) repeat hydrographic observations along the 137°E meridian from 1972 to 2019, with a particular focus on the summer season when the seasonal upper pycnocline develops above the STMW. The STMW appears between 20° and 32°N at 137°E, with the thickness varying on decadal timescales of approximately 9–15 years. Argo float observations suggest that the observed change in the STMW thickness originates in the wintertime mixed layer south of the Kuroshio Extension in the preceding year. The STMW has a substantial impact on the pycnocline. The presence of thick STMW shoals the upper pycnocline, occasionally concurrent with the deepening of the lower main pycnocline. The change is robust in the upper pycnocline, where the heaving of isopycnal surfaces occurs with density anomalies up near the surface. The subtropical front (STF) at subsurface depths, which is associated with a northward shoaling of the upper pycnocline and is maintained by the STMW in the climatology, also changes on decadal timescales. A thick STMW increases the northward shoaling of the upper pycnocline and intensifies the STF. On decadal timescales, the STF variations are accounted for by the STMW-induced change in the upper pycnocline slope. The change in the STF due to mode waters is consistent with previous findings from numerical models. [ABSTRACT FROM AUTHOR]

The machine learning approach has gained a significant attention in the healthcare sector because of the prospect of developing new techniques for medical devices and handling the critical database of chronic diseases. The learning approach has potential to analyze complex medical data, disease diagnosis, and patient monitoring system, and to monitor e-health record. Non-invasive cuffless blood pressure (CLBP) measurement secured a significant position in the patient monitoring system. From a few recent decades, the importance of cuffless technology has been perceived towards continuous monitoring of blood pressure (BP) and supplementary efforts have been made towards its continuous monitoring. However, the optimal method that measures BP unambiguously and continuously has not yet emerged along with issues like calibration time, accuracy and long-term estimation of BP with miniaturizing hardware. The present study provides an insight into several learning algorithms along with their feature selection models. Various challenges and future improvements towards the current state of machine learning in healthcare industries are discussed in the present review. The bottom line of this study is to provide a comprehensive perspective of the machine learning approach of CLBP for the generation of highly precise predictive models for continuous BP measurement. [ABSTRACT FROM AUTHOR]

Background: Compared to open esophagectomy (OE), minimally invasive esophagectomy (MIE) is associated with lower morbidity and mortality. However, lymph node (LN) dissection around the recurrent laryngeal nerve (RLN) is still an important factor that affects the length of the learning curve of MIE. This study aims to evaluate the surgical outcomes of the first nearly 5-year period and explore the learning curve for LN dissection around the RLN in McKeown MIE by a new single surgical team. Methods: A total of 285 consecutive patients who underwent McKeown MIE between March 2016 and September 2020 were included at our institution. According to the cumulative sum (CUSUM) analysis of LN dissection around the RLN, the patients were divided into three groups: exploration period, adjustment period, and stable period. We assessed the impact of surgical proficiency on postoperative outcomes and explored the learning curve for LN dissection around the RLN in McKeown MIE. Results: The CUSUM graph showed that a point of upward inflection for LN dissection around the RLN was observed in 151 cases. After 151 cases, LNs around the right and left RLNs were dissected thoroughly compared to the exploration and adjustment period (P = 0.010 and P = 0.012, respectively), and the postoperative incidence of hoarseness significantly decreased from 11.1 to 1.5% (P<0.001). Conclusions: Our study results revealed that not only are the LN, around the RLN, sufficiently dissected but also the incidence of hoarseness significantly decreased in the stable phase. Consequently, the learning curve length was approximately 151 cases for LN dissection around the RLN in McKeown MIE. [ABSTRACT FROM AUTHOR]

By using a convergent methodology, a novel series of N‐arylated 4‐yl‐benzamides containing a bi‐heterocyclic thiazole–triazole core was synthesized, and the structures of these hybrid molecules, 9a–k, were corroborated through spectral analyses. The in vitro studies of these multifunctional molecules demonstrated their potent carbonic anhydrase inhibition relative to the standard used. The kinetics mechanism was exposed by Lineweaver–Burk plots, which revealed that 9j inhibited carbonic anhydrase non‐competitively by forming an enzyme‐inhibitor complex. The inhibition constants Ki calculated from Dixon plots for this compound was 1.2 μM. The computational study was also persuasive with the experimental results, and these molecules disclosed good results of all scoring functions and interactions, which suggested a good binding to carbonic anhydrase. So, it was predicted from the inferred results that these molecules might be considered as promising medicinal scaffolds for various diseases related to the uncontrolled production of this enzyme. [ABSTRACT FROM AUTHOR]

Actinomycetes are a rich source of bioactive natural products important for novel drug leads. Recent genome mining approaches have revealed an enormous number of secondary metabolite biosynthetic gene clusters (smBGCs) in actinomycetes. However, under standard laboratory culture conditions, many smBGCs are silent or cryptic. To activate these dormant smBGCs, several approaches, including culture-based or genetic engineering-based strategies, have been developed. Above all, coculture is a promising approach to induce novel secondary metabolite production fromactinomycetes by mimicking an ecological habitat where cryptic smBGCs may be activated. In this review, we introduce coculture studies that aim to expand the chemical diversity of actinomycetes, by categorizing the cases by the type of coculture partner. Furthermore, we discuss the current challenges that need to be overcome to support the elicitation of novel bioactive compounds from actinomycetes. [ABSTRACT FROM AUTHOR]

SUMMARY: The CUP‐SHAPED COTYLEDON (CUC) genes (CUC1, CUC2 and CUC3) regulate organ boundary formation in Arabidopsis. However, the functions of their homologous genes in rice (Oryza sativa) are still unknown. Here, we have identified an orthologous gene of CUC1 and CUC2 in rice, named OsNAM. Subcellular localization and yeast two‐hybrid assay results have suggested that OsNAM encodes a conserved nuclear NAC (NAM/ATAF1/CUC2) protein with a transcriptional activator. The null mutant osnam‐1 presented a fused leaf structure, small panicles, reduced branches and aberrant floral organ identities when compared with those of the wild type. Beta‐glucuronidase staining and GFP reporter lines indicated that OsNAM was expressed in young tissues and that its boundary enrichment expression was regulated by OsmiR164. Loss‐of‐function mutants for OsCUC3 resulted in no obvious defects throughout rice development. The osnam oscuc3 double mutant, however, resulted in severe leaf fusion of the first two leaves, while the osnam single mutant showed a similar phenotype from the seventh leaf. These results indicated that OsNAM and OsCUC3 act redundantly for boundary specification during post‐embryonic development. Overall, we describe the biological functions of OsNAM and OsCUC3 in rice development and the expression characteristics of OsNAM. This work reveals the important role of CUC genes in rice. [ABSTRACT FROM AUTHOR]

Seven profiling floats equipped with oxygen sensors deployed in the Sea of Okhotsk provide time series data for 33 cases of spring phytoplankton bloom period, including 9 cases in which sea ice existed just before the bloom (prior‐ice case). As an index of biological productivity, we calculated net community production (NCP) based on the increasing oxygen rate using the Redfield ratio. The total NCP in the euphotic layer averaged for prior‐ice cases is 31.3 mmolC m−2 day−1), ∼3 times higher than that of non‐ice cases. In addition to intensification of surface stratification, other factors of sea‐ice melt likely enhance the bloom. The influence of sea‐ice melt is particularly large in the southwestern region, where the iron availability likely limits phytoplankton growth. A suggested scenario is that when the sea ice containing sediment/iron is transported from the northern shelves, a prominent bloom is induced via the iron supply by sea‐ice melt. Plain Language Summary: The seasonal ice zone is a high biological productivity area with a large spring phytoplankton bloom. The enhanced biological production results in significant CO2 uptake, which could play an important role in carbon budget. However, understanding of high biological productivity in seasonal ice zones is poor due to limited observations. This study examines the spring bloom in and around the Sea of Okhotsk, a typical seasonal ice zone, using profiling floats equipped with oxygen sensors. Based on the rate of oxygen increase for 30 cases of the spring bloom period, we estimated NCP as a quantitative indicator of biological production and CO2 uptake. It is statistically shown that a large spring bloom, corresponding to high NCP, is strongly related to sea‐ice melt. The cause is suggested to be sediments/iron released from melting sea ice as well as enhancement of stratification and light availability. This study will also provide the first attempt to evaluate the impact of significant sea ice decline in the Sea of Okhotsk on the carbon budget in the present and future. Key Points: Profiling floats equipped with oxygen sensors observed 30 cases of spring phytoplankton bloom in and around the Sea of Okhotsk, seasonal ice zoneTotal net community production estimated in the euphotic layer in cases where sea ice existed is much higher than that of no ice casesIn addition to the intensification of surface stratification, sediment/iron released from melting sea ice likely enhances the spring bloom [ABSTRACT FROM AUTHOR]

Objective: To evaluate the safety of early oral feeding in patients with type II diabetes after radical resection of esophageal carcinoma.Methods: The clinical data of 121 patients with type II diabetes who underwent radical resection of esophageal carcinoma in the department of cardiothoracic surgery of Jinling Hospital from January 2016 to December 2018 were retrospectively analyzed. According to the median time (7 days) of the first oral feeding after surgery, the patients were divided into early oral feeding group (EOF, feeding within 7 days after surgery, 67 cases) and late oral feeding group (LOF, feeding after 7 days, 54 cases). Postoperative blood glucose level, incidence of complications, nutritional and immune indexes, inflammatory indexes, normalized T12-SMA (the postoperative/preoperative ratio of vertical spinal muscle cross-sectional area at the 12th thoracic vertebra level) and QLQ-C30 (Quality Of Life Questionnaire) scores were recorded and compared in the two groups.Results: There was no statistical difference in preoperative nutritional index and postoperative complication rates between the EOF and LOF group (p > 0.05). The postoperative nutritional index (ALB, PA, TRF, Hb) and immune index (IgA, IgG, IgM) of the EOF group were higher than those of the LOF group (p < 0.05), and the inflammatory indicators (CRP, IL-6) of the EOF group were significantly lower than those of the LOF group (p < 0.05). Moreover, postoperative T12-SMA variation and QLQ-C30 scores of the EOF group were higher than those in LOF group (p < 0.05).Conclusions: Early oral feeding is safe and feasible for patients with type II diabetes after radical resection of esophageal cancer, and it can improve short-term nutritional status and postoperative life quality of the patients. [ABSTRACT FROM AUTHOR]

Actinomycetes are a rich source of bioactive natural products important for novel drug leads. Recent genome mining approaches have revealed an enormous number of secondary metabolite biosynthetic gene clusters (smBGCs) in actinomycetes. However, under standard laboratory culture conditions, many smBGCs are silent or cryptic. To activate these dormant smBGCs, several approaches, including culture-based or genetic engineering-based strategies, have been developed. Above all, coculture is a promising approach to induce novel secondary metabolite production from actinomycetes by mimicking an ecological habitat where cryptic smBGCs may be activated. In this review, we introduce coculture studies that aim to expand the chemical diversity of actinomycetes, by categorizing the cases by the type of coculture partner. Furthermore, we discuss the current challenges that need to be overcome to support the elicitation of novel bioactive compounds from actinomycetes. [ABSTRACT FROM AUTHOR]

Aim: This study aimed to clarify the prognostic factors, the advantageous factors of R0 curative resection, and optimal extents of lymph node dissection for conversion esophagectomy after induction therapy. Methods: Among 1903 patients with esophageal cancer at Toranomon Hospital between January 2006 to May 2020, 151 patients with locally advanced T4b thoracic esophageal cancer were divided into two groups according to treatment: conversion surgery group (n = 54) and non‐surgical treatment group (n = 97) for comparison. Results: The patients who underwent R0 curative resection showed preferable survival comparable to the survival rate of patients with cCR in the non‐surgical treatment group (1‐, 3‐ and 5‐year survival: 96.9%, 82.1% and 76.7% vs 94.1%, 86.3%, and 86.3%; P = 0.770). Multivariate analysis revealed that the T4b tumor invasion by primary site (odds ratio (OR) = 6.100; 95% CI, 1.439‐25.865: P = 0.014) and time to conversion surgery from start of induction therapy within four months (OR = 5.229; 95% CI, 1.296‐21.102: P = 0.020) were all independent advantageous factors of R0 curative resection. Actuarial 1‐, 3‐ and 5‐year survival rates in patients who underwent conversion surgery with D2‐3 lymphadenectomy were 90.9%, 48.6%, and 40.8%, respectively. Conclusions: R0 resection led to improved prognosis in conversion esophagectomy for cT4b esophageal cancer. The T4b tumor invasion by primary site and time to conversion surgery from start of induction therapy within 4 months were independent advantageous factors of R0 curative resection. In addition, standard radical esophagectomy including prophylactic D2‐/3‐ lymphadenectomy should be performed if it is possible, while taking adequate care regarding the increased risk after induction therapy. [ABSTRACT FROM AUTHOR]

Background: The efficacy of multidisciplinary treatment, including neoadjuvant treatment, in borderline resectable pancreatic cancer (BRPC) remains unclear. We assessed the efficacy of neoadjuvant chemoradiotherapy with gemcitabine and tegafu/gimearcil/oteracil (S-1) for BRPC., Methods: In a single center, nonrandomized prospective study, neoadjuvant chemoradiotherapy (NACRT) with gemcitabine plus S-1 was administered for BRPC (no. B090312028) in 122 patients enrolled between 2009 and 2015. Gemcitabine plus S-1 comprised gemcitabine on days 8 and 15, and daily S-1 on days 1-14. After two courses of gemcitabine plus S-1, 30 Gy radiotherapy was administered in 10 fractions with S-1., Results: Eighty-four and 38 patients had BR-PV and BR-A, respectively. No deaths occurred during NACRT. Ninety-four patients (77%) underwent resection with curative intent. R0 resection was performed in 91% of resected cases. Patients who underwent post-NACRT resection had better overall survival than did patients without resection (mean survival time [MST]: 24.7 vs 9.6 months, 5-year-survival rate (5 years): 30.3% vs 0%, P < .001). Adjuvant chemotherapy was administered in 73% of patients. MST and 5-year survival rate of the patients treated with NACRT followed by resection and adjuvant chemotherapy were 29.6 months and 34.3%, respectively., Conclusions: Neoadjuvant chemoradiotherapy with gemcitabine and S-1 can be safely administered in BRPC and may require adjuvant chemotherapy., Clinical Trial Registration Number: This study was registered with the University Hospital Medical Information Network-Clinical Trials Registry (UMIN-CTR) UMIN000006782., (© 2022 Japanese Society of Hepato-Biliary-Pancreatic Surgery.)

Small water parcels, which are characterized by a low salinity and high dissolved oxygen (DO) are observed by Seaglider in the main thermocline (26.0–27.0 σθ) south of the Kuroshio Extension (KE), have horizontal and vertical scales of a few tens of kilometers and a few tens of meters, respectively. Water mass analyses revealed larger negative salinity anomalies (<− 0.05) and positive DO anomalies (> 15 μmol kg−1) than those of the surrounding water. The characteristics are similar to those of water mass with low salinity and high DO in the subpolar Northwestern Pacific Ocean. Additionally, higher DO anomaly water parcels appear in the upper layer (< 26.7 σθ) while low salinity parcels appear in the lower layer (> 26.7 σθ). Oxygen consumption rates from the apparent oxygen utility suggest that the small water parcels consume less oxygen than the surrounding water, implying that they migrate in a shorter time across the KE after subduction and their characteristics may reflect the sea surface temperature, salinity, and DO in the subduction region. Similar small water parcels represented by high-resolution numerical simulations indicate that they pass through the KE in 1 month. The simulations support the oxygen consumption rate from the Seaglider observations. The existence of a fast process for water mass migration via meso- and submesoscale subduction processes across the KE affects the amount, subduction, and exchange process of water mass. Our study indicates that a small water mass contributes to the exchange process across the KE rapidly, which had not been identified in previous studies. Consequently, detailed observations using multiple Seagliders should capture detailed spatial and temporal variability of the water mass exchange process. [ABSTRACT FROM AUTHOR]

Hadal, > 6000 m deep shipborne Sea-Bird Electronics SBE 911plus Conductivity Temperature Depth (CTD) data are obtained using two different systems in the vicinity of the Earth's deepest point, in the Challenger Deep, Mariana Trench 14 years apart. Below 7000 m in very weakly density stratified waters, the salinity data from both sets show an artificial increase with depth of about 10–6 g kg−1 m−1 that is not covered by the SBE linear pressure correction to the conductivity data. With the aid of independent water sample data, salinity is corrected and an additional algorithm for the pressure correction on conductivity data is formulated. The corrected salinity data still weakly increase with depth, together with a decrease in temperature, which may point at an influx of dense modified Antarctic bottom water. The corrected density variations with depth are used in calculations of deep turbulence values. [ABSTRACT FROM AUTHOR]

We have studied the antioxidant activity and analyzed active substances of the aqueous and methanol extracts of endemic species Thecocarpus carvifolius Hedge and Lamond. The antioxidant activity was identified and assessed using the DPPH, FRAP and iron chelating capacity assay. Active substances were detection, total phenolic, flavonoids and volatile compounds were analyzed. According to DPPH analyzes, the inhibition percentage was 48.57% for aqueous extract and 76.34% for methanol extract. The FRAP reduction capacity was determined as 3.32 mg/mL for aqueous extract and 11.75 mg/mL FESO4 for methanol extract. The total concentrations of phenolics and flavonoids were calculated as 64.08 – 35.29 μg/mL and 146.84 – 555.66 μg/mL in aqueous and methanol extracts, respectively. Finally, five volatile compounds were detected in methanol extracts. The results indicated that the endemic species of T. carvifolius can be evaluated as a natural antioxidant plant. [ABSTRACT FROM AUTHOR]