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The clinical and radiological results before and after surgery were compared and analyzed for patients with multilevel lumbar stenosis who underwent bi-portal endoscopic spine surgery (BESS) and microscopic unilateral laminotomy for bilateral decompression (ULBD). We retrospectively identified 47 and 49 patients who underwent BESS and microscopic ULBD, respectively, who were diagnosed with multi-level lumbar stenosis. Clinical outcomes were evaluated using the visual analog scale score for both back and leg pain, and medication (pregabalin) use and Oswestry Disability Index (ODI) scores for overall treatment outcomes were used pre-operatively and at the final follow-up. Radiological outcomes were evaluated as the percentage of dura expansion volume, and percentage preservation of both facets and both lateral recess angles. The follow-up period of patients was about 17.04 months in the BESS group and about 16.90 months in the microscopic ULBD group. The back and leg visual analog scale (VAS) scores and average pregabalin use decreased more significantly in the BESS group than in the microscopic ULBD group (each p-value 0.0443

The level of collagen production critically determines skin wound contraction. If an intelligent skin drug delivery technology that enables collagen production in a specific wound skin area is developed, a breakthrough in wound healing treatment would be expected. However, such an intelligent drug delivery technology has not yet been developed as much as in the field of anticancer therapy. In this study, we propose a smart drug delivery system using polymeric nanovehicles (PNVs), in which the periphery is conjugated with a fibroblast-targeting collagen-derived peptide, KTTKS (Lys-Thr-Thr-Lys-Ser). We showed that surface engineering of PNVs with simultaneous PEGylation and peptide patching improved the dispersibility of PNVs, while promoting selective cellular uptake to fibroblasts

A non-neoplastic mass posterior to the dens is termed a retro-odontoid mass (R-OM). This retrospective study evaluated radiographic and clinical outcomes and R-OM changes after upper cervical spine surgery. This study included 69 patients who underwent upper cervical spine surgery, including atlantoaxial fusion, occipitocervical fusion, or decompression. All patients underwent preoperative magnetic resonance imaging (MRI). Six-month follow-up MRI examinations were performed in 30 patients who had preoperative R-OMs. Radiographic outcomes of the anterior and posterior atlantodental intervals were measured using X-rays and computed tomography. The R-OM and space available for the cord (SAC) were measured using MRI. Clinical outcomes were evaluated using neck and arm pain visual analog scales, the Japanese Orthopedic Association score, the neck disability index, and the patient-reported subjective improvement rate. The anterior atlantodental interval decreased, while the posterior atlantodental interval and SAC increased postoperatively. Among the clinical outcomes, the neck and arm pain and the neck disability index decreased postoperatively, while the Japanese Orthopedic Association score increased. All clinical and radiographic outcomes improved postoperatively. The R-OM either decreased in size or disappeared after fusion surgery in all cases, except in one patient who underwent decompression surgery. In conclusion, stabilization through fusion surgery is essential for treating R-OM.

Plate bending-related normal faults (i.e. bend-faults) develop at the outer trench-slope of the oceanic plate incoming into the subduction zone. Numerous geophysical studies and numerical simulations suggest that bend-faults play a key role by providing pathways for seawater to flow into the oceanic crust and the upper mantle, thereby promoting hydration of the oceanic plate. However, deep penetration of seawater along bend-faults remains controversial because fluids that have percolated down into the mantle are difficult to detect. This report presents anomalously high helium isotope (3He/4He) ratios in sediment pore water and seismic reflection data which suggest fluid infiltration into the upper mantle and subsequent outflow through bend-faults across the outer slope of the Japan trench. The 3He/4He and 4He/20Ne ratios at sites near-trench bend-faults, which are close to the isotopic ratios of bottom seawater, are almost constant with depth, supporting local seawater inflow. Our findings provide the first reported evidence for a potentially large-scale active hydrothermal circulation system through bend-faults across the Moho (crust-mantle boundary) in and out of the oceanic lithospheric mantle.

Full-waveform inversion (FWI) of limited-offset marine seismic data is a challenging task due to the lack of refracted energy and diving waves from the shallow sediments, which are fundamentally required to update the long-wavelength background velocity model in a tomographic fashion. When these events are absent, a reliable initial velocity model is necessary to ensure that the observed and simulated waveforms kinematically fit within an error of less than half a wavelength to protect the FWI iterative local optimization scheme from cycle skipping. We use a migration-based velocity analysis (MVA) method, including a combination of the layer-stripping approach and iterations of Kirchhoff prestack depth migration (KPSDM), to build an accurate initial velocity model for the FWI application on 2D seismic data with a maximum offset of 5.8 km. The data are acquired in the Japan Trench subduction zone, and we focus on the area where the shallow sediments overlying a highly reflective basement on top of the Cretaceous erosional unconformity are severely faulted and deformed. Despite the limited offsets available in the seismic data, our carefully designed workflow for data preconditioning, initial model building, and waveform inversion provides a velocity model that could improve the depth images down to almost 3.5 km. We present several quality control measures to assess the reliability of the resulting FWI model, including ray path illuminations, sensitivity kernels, reverse time migration (RTM) images, and KPSDM common image gathers. A direct comparison between the FWI and MVA velocity profiles reveals a sharp boundary at the Cretaceous basement interface, a feature that could not be observed in the MVA velocity model. The normal faults caused by the basal erosion of the upper plate in the study area reach the seafloor with evident subsidence of the shallow strata, implying that the faults are active.

The critical taper model best describes the first-order mechanics of subduction zone wedges. The wedge geometry, which is conventionally defined by two parameters, slope angle and basal dip angle, accounts for the strength of megathrust. By applying this theoretical model, fault frictional properties and earthquake occurrences can be compared among subduction zones, and within a single subduction zone, and the spatial distribution or temporal change of fault strength can be investigated. Slope angle can be accurately estimated from bathymetry data, but basal dip angle must be inferred from subsurface structure, which requires highly accurate depth-migrated seismic reflection profiles. Thus, application of the critical taper model is often limited by an insufficient number of highly accurate profiles, and the spatial distribution of frictional coefficients must be inferred from relatively few data. To improve this situation, we revisited the theoretical formula of the critical taper model. We found that the effect of basal dip angle on the critical taper model is small, and slope angle can be a proxy for the effective friction when the pore fluid pressure ratio is high, internal friction is small, or both. These conditions are met in many subduction zones. The validity of the approximation can be checked with a parameter newly introduced in this study. Therefore, this finding allows use of variations in slope angle, which could be obtained accurately from only the bathymetry as an approximation for relative variations in the effective coefficient of basal friction, if the targeted subduction meets the validity. We applied this approximation to the Japan Trench and estimated the variations in the friction coefficient distribution on the shallow plate boundary fault from 71 data points. We found that the area where the friction coefficient was smaller than the mean corresponded to a segment, where a large coseismic shallow rupture occurred during the 2011 Tohoku-Oki earthquake (Mw 9.0). Thus, by approximating tapered wedge geometry with a simple topographic parameter that can be obtained from existing global bathymetry, we can quickly estimate the distribution of frictional properties on a plate boundary fault along a trench and related seismic activity. Graphical Abstract

We collected bottom water samples and unconsolidated sediment samples for noble-gas analysis in the water column as well as in the pore water phase along the Nankai Trough to assess the sources and...

Multibeam (MB) and subbottom profile (SBP) data along the forearc slope off Miyagi, Japan, are combined to investigate structural-morphological and sedimentary structures along the forearc slope of the Japan Trench subduction zone. In addition to dip-oriented slope gullies, the MB data image a nearly dip-perpendicular slope trough bounded by a fault scarp landward of the trench-slope break. Seaward of the trench-slope break, the subbottom mostly contains normal faults that dip in opposite directions. The SBP data show not only unconformity and sliding surfaces, but also underfilled (forearc trough) and filled structures that may reflect the most recent forearc subsidence and basin filling. We propose these forearc trough and associated filling structures may indicate the earliest developments of modern isolated basins. Thus, a model of forearc basin development from slope gully to slope trough, isolated basins and forearc basin, transferred by active structures, could be proposed. Observed seafloor liquefaction in the SBP data may represent a near-surface seep structure of a plumbing system that enables hydrosphere-mantle fluid migration plausibly activated by earthquake cycles.

The critical taper model of a sedimentary wedge best describes the first-order mechanics of a subduction zone wedge. The tapered wedge geometry, which is conventionally defined by two parameters, the slope angle and the basal dip angle, is responsible for the strength of a megathrust. By applying this theoretical model to subduction zones, fault frictional properties and earthquake occurrences can be compared among subduction zones, and within a single subduction zone, the spatial distribution or temporal change of fault strength can be investigated. The slope angle can be accurately estimated from bathymetry data, but the basal dip angle must be inferred from the subsurface structure, and it requires highly accurate depth-converted seismic reflection profiles. Thus, application of the critical taper model is often limited by a lack of a sufficient number of highly accurate profiles, and the spatial distribution of frictional coefficients must be inferred from relatively few data, generally less than a dozen points. To improve this situation, we revisited the theoretical formula of the critical taper model. We found that the effect of the décollement dip angle β on the critical taper model of a sedimentary wedge is negligible when the pore fluid pressure ratio is high or internal friction is small, conditions which are met in many subduction zones. Therefore, this finding allows frictional variation to be approximated by using only the slope angle variation obtained from the bathymetry. We applied this approximation to the Japan Trench as an example of this approximation, and were able to estimate the friction coefficient distribution on the shallow plate boundary fault from 71 data points. We found that the area where the friction coefficient was smaller than the mean corresponded to the segment where a large coseismic shallow rupture occurred during the 2011 Tohoku-oki earthquake (Mw 9.0). This result shows that by approximating tapered wedge geometry using a simple topographic parameter that can be obtained from existing global bathymetry, we can quickly estimate the distribution of frictional properties on a plate boundary fault along a trench and related seismic activity.

Identifying materials contributing to skin hydration, essential for normal skin homeostasis, has recently gained increased research interest. In this study, we investigated the potential benefits and mechanisms of action of Aspergillus oryzae-fermented wheat peptone (AFWP) on the proliferation and hydration of human skin keratinocytes, through in vitro experiments using HaCaT cell lines. The findings revealed that compared to unfermented wheat peptone, AFWP exhibited an improved amino acid composition, significantly (p &lt, 0.05) higher DPPH scavenging capability and cell proliferation activity, and reduced lipopolysaccharide-induced NO production in RAW 264.7 cells. Furthermore, we separated AFWP into eleven fractions, each ≤2 kDa, of these, fraction 4 (AFW4) demonstrated the highest efficacy in the cell proliferation assay and was found to be the key component responsible for the cell proliferation potential and antioxidant properties of AFWP. Additionally, AFW4 increased the expression of genes encoding natural moisturizing factors, including filaggrin, transglutaminase-1, and hyaluronic acid synthase 1–3. Furthermore, AFW4 activated p44/42 MAPK, but not JNK and p38 MAPK, whereas PD98059, a p44/42 MAPK inhibitor, attenuated the beneficial effects of AFW4 on the skin, suggesting that the effects of AFW4 are mediated via p44/42 MAPK activation. Finally, in clinical studies, AFW4 treatment resulted in increased skin hydration and reduced trans-epidermal water loss compared with a placebo group. Collectively, these data provide evidence that AFW4 could be used as a potential therapeutic agent to improve skin barrier damage induced by external stresses.

Multi-channel seismic reflection and sub-bottom profiling data reveal landward-dipping normal faults as potential conduits for mantle-derived fluids in the coseismic slip area of the 2011 Tohoku earthquake (Mw9.0). Normal faults below the helium isotope anomaly sites appear to develop through the forearc crust (i.e., the seafloor sedimentary section and Cretaceous basement) and to evolve to lower dip angles as extension progresses deeper, potentially extending down to the mantle wedge, despite their intermittently continuous reflections. The faults are characterized by high-amplitude, reverse-polarity reflections within the Cretaceous basement. Moreover, deep extension of the faults connecting to a low-velocity region spreading from the Cretaceous basement into the mantle wedge across the forearc Moho suggests that the faults are overpressured by local filling with mantle-derived fluids. The locations of the normal faults are roughly consistent with aftershocks of the 2011 Tohoku earthquake, which show normal-faulting focal mechanisms. The 2011 Tohoku mainshock and subsequent aftershocks can lead the pre-existing normal faults to be reactive and more permeable so that locally trapped mantle fluids can migrate up to the seafloor through fault fracture zones. The reactivated normal faults may be an indicator of shallow coseismic slip to the trench. Locally elevated fluid pressures can decrease the effective normal stress for the fault plane, facilitating easier slip along the fault and local tsunami. The landward-dipping normal faults developing from the seafloor down into the Cretaceous basement are predominant in the middle slope region of the forearc. A possible shear zone with high-amplitude, reverse-polarity reflections above the plate interface, which is almost localized to the middle slope region, suggests more intense basal erosion of the overlying plate in that region.

Owing to the strict restrictions on the use of air guns in marine seismic surveys due to concerns about their potential impact on the marine ecosystem, there have been several cases where seismic surveys were not permitted. This tendency has been particularly significant in coastal waters where fishing activity is flourishing, which creates blank zones in seismic surveys. The authors, therefore, adopted underwater speakers as environment-friendly seismic sources that can be used under such restrictions. In December 2017, the applicability of underwater speakers as a seismic source was tested in a seismic reflection experiment in the northern part of Tokyo Bay. As a result, shallow subsurface structures were successfully imaged, and a low-velocity zone was detected 7–8 m below the seafloor. In this paper, the concept of environment-friendly seismic survey using underwater speakers is reported. In addition, the potential presence of a methane gas layer that was detected in the low-velocity zone is discussed. If the methane gas is widely distributed near the seafloor in the northern part of Tokyo Bay, a large amount of gas might be released into the water and then into the air when, for example, a large-scale earthquake occurs directly underneath the Tokyo Bay area. Given the high flammability of methane, the features and volume of its distribution must be precisely investigated from the perspective of earthquake occurrences in the metropolitan area.

The helium isotope ratio is an important tracer of mantle-derived fluids. Different reservoirs in nature have distinct helium isotope signatures that make it possible to identify various sources and their mixing. At 5 years after the 2011 Tohoku-Oki earthquake, we continue to investigate possible fluid venting near the epicenter by measuring helium isotopes. We collected seawater and sediment samples in 2016 at the landward slope of the Japan Trench onboard R/V Shinsei Maru. Sediments were collected using a multiple corer. Seawater samples were obtained from different depths using a CTD rosette system. Pore water was extracted from sediments via centrifugation. Gas from each sample was then exsolved from solution and introduced into the in-house purification system equipped with charcoal traps and Ti getter. Helium isotopes were measured using a noble gas mass spectrometer. Our data show less excess 3He in bottom seawater samples than indicated by helium isotope ratios measured after the earthquake, which...

This study investigated the efficacy of a novel surgical method that relies on the transient fixation of L4 in Lenke Type 5C and 6C adolescent idiopathic scoliosis. Thirty-six transient surgically treated L4 fixation patients were retrospectively evaluated. The first surgery involved mechanical correction of scoliosis; the lowest instrumented vertebra (LIV) was L4. After an average of 1.3 years (range, 0.3–3.4), the second surgery to remove transient L4 pedicle screws was performed. Radiographic parameters and SRS-22 scores were measured. Cobb’s angle, coronal balance, LIV tilting angle, and LIV coronal disc angle clearly improved after the first surgery (p

Full waveform inversion (FWI) of limited-offset marine seismic data is a challenging task due to the lack of refracted energy and diving waves from the shallow sediments, which are fundamentally required to update the long-wavelength background velocity model through a tomographic fashion. When these events are absent, a reliable initial velocity model is necessary to assure that the observed and simulated waveforms kinematically fit within an error less than half a wavelength to protect the FWI iterative local optimization scheme from cycle skipping. We use a migration-based velocity analysis (MVA) method, including a combination of the layer stripping approach and iterations of Kirchhoff prestack depth migration (KPSDM) to build an accurate initial velocity model for the FWI application on 2D seismic data with a maximum offset of 5.8 km. The data is acquired in the Japan Trench subduction zone, and we focus on the area where the shallow sediments overlying a highly reflective basement on top of the Cretaceous erosional unconformity are severely faulted and deformed. Despite the limited offsets available in the seismic data, our carefully designed workflow for data preconditioning, initial model building, and waveform inversion provides a velocity model which could improve the depth images down to a depth of almost 3.5 km. We present several quality control measures to assess the reliability of the resulting FWI model, including ray path illuminations, sensitivity kernels, reverse time migration (RTM) images, and KPSDM common image gathers. A direct comparison between the FWI and MVA velocity profiles reveals a sharp boundary at the Cretaceous basement interface, a feature which could not be observed in the MVA velocity model. The normal faults caused by the basal erosion of the upper plate in the study area reach the seafloor with evident subsidence of the shallow strata, implying that the faults are active.

Carbon capture and storage (CCS) is considered a key technology for reducing CO2emissions into the atmosphere. Nonetheless, there are concerns that if injected CO2migrates in the crust, it may trigger slip of pre-existing faults. In order to test if this is the case, covariations of carbon, hydrogen, and oxygen isotopes of groundwater measured from Uenae well, southern Hokkaido, Japan are reported. This well is located 13 km away from the injection point of the Tomakomai CCS project and 21 km from the epicenter of September 6th, 2018 Hokkaido Eastern Iburi earthquake (M 6.7). Carbon isotope composition was constant from June 2015 to February 2018, and decreased significantly from April 2018 to November 2019, while total dissolved inorganic carbon (TDIC) content showed a corresponding increase. A decrease in radiocarbon andδ13C values suggests aquifer contamination by anthropogenic carbon, which could possibly be attributable to CCS-injected CO2. If such is the case, the CO2enriched fluid may have initially migrated through permeable channels, blocking the fluid flow from the source region, increasing pore pressure in the focal region and triggering the natural earthquake where the brittle crust is already critically stressed.

Although fluid behavior along faults has often been associated with earthquakes and hydrocarbon accumulation, few observations of active, ongoing fluid discharge along the faults exist. We conducted a dense-2D multi-channel seismic (MCS) reflection survey in Uchiura Bay off Numazu, Japan, in 2018 to obtain a high-resolution image of active faults. As a result, active faults cutting the seafloor and possibly active faults cutting reflections immediately below the seafloor have been clearly imaged on MCS profiles. The spatial variation in their displacement on the seafloor has also been quantified. The seafloor displacement of the most obvious active fault, Fault A, changes by more than 2 m within a short horizontal distance of 50 m. On one of the MCS profiles, an enigmatic wavefield (EWF) is observed within the water column above the seafloor near the faults. From careful observations of the raw field data and shot records, the EWF shows three patterns that suggest fluid flow. Based on a velocity analysis of the seawater, the velocity of the EWF zone was somewhat higher than that of its surroundings. Because the seawater velocity is a function of temperature and salinity at the same depth, the effect of temperature is generally greater than that of salinity, so that the higher velocity would suggest a higher temperature. If temperature of the fluid flow is higher than that of its surroundings, the fluid would rise with its buoyancy and spread out along the sea surface. This scenario could well explain the three EWF patterns. From the appearance and non-appearance of the most obvious EWF on adjacent seismic lines, some fluid discharge might have been occurring intermittently from the seafloor near the faults in Uchiura Bay.

In the 2011 Tohoku-Oki earthquake, the rupture in the subduction megathrust reached the trench axis and triggered a large tsunami. The shallow portion of the subduction megathrust fault was regarde...

In order to study groundwater anomaly related to the 2018 Hokkaido Eastern earthquake (Mw6.6) occurred on 6th September, we have measured δD and δ18O values of commercial bottled mineral water at two sites in Iburi region, Hokkaido, Northern Japan from June 2015 to May 2019. At the Uenae site, 21km west of the epicenter, both δD and δ18O values are constant from June 2015 to February 2018. Then these values have decreased substantially from April 2018 to December 2018 with significant fluctuations. These variations may be attributable to a mixing of groundwater with light δD and δ18O values. At the Eniwa site 34km northwest of the epicenter, δD values have decreased slightly and monotonically, while δ18O values are constant from June 2016 to October 2018. Observed isotopic variations of the Uenae site are different from those found at the 2016 Tottori earthquake where the δ18O value of groundwater increased a couple of months before the seismic event, while the δD value was constant. These data were attributable to water-rock interaction in the aquifer. Thus, the mechanism of groundwater isotopic anomaly may be different between Tottori and Hokkaido earthquakes. In addition to the M6.7 earthquake, CO2 injection by CCS project at Tomakomai, 13km southwest of the Uene site may be another factor to induce such variations. In order to evaluate the environmental impact of CO2 injection, we should measure total carbonate concentration and δ13C value of carbonate at both sites. Then we will discuss mechanism of groundwater anomaly.

Additional file 6. Raw data, rms amplitude, shot record and velocity.

Additional file 7. Seawater velocity modeling by using the equation of Mackenzie (1981). The calculated velocity was plotted for temperature from 10 to 70 °C as a function of salinity ranging from 32 to 38 ‰, in case of water depth of 50 m. This equation is applicable below 30 °C. Light yellow hatch indicates a temperature zone extrapolated by this relational expression.

Additional file 8. Results of velocity analysis.

Additional file 4. Time slices of 120 to 220 ms in two-way traveltimes.

Additional file 3. Seismic profiles of all MCS lines.

Additional file 2. Method of seismic attenuation profiling (SAP).

Additional file 5. Q slices of 120 to 220 ms in two-way traveltimes.

BACKGROUND Energy-delivering devices can be used to induce thermal coagulation of the eccrine sweat glands for treating primary axillary hyperhidrosis (PAH). OBJECTIVE The objective of this study was to compare the efficacy and safety of invasive, bipolar radiofrequency (RF) treatment for PAH. METHODS A split-axilla study was performed to compare the clinical outcomes of 0.5 MHz, invasive, bipolar RF treatment with treatment settings of a longer conduction time and lower power (LC/LP) vs a shorter conduction time and higher power (SC/HP) for treating PAH. RESULTS The in vivo study revealed median hyperhidrosis disease severity scale scores of 1.5 (interquartile range [IQR], 1-2) at 1 month and 1 (IQR, 1-2) at 3 months after treatment with the LC/LP setting, compared to baseline. Meanwhile, the other side of the axillae treated with the SC/HP setting showed scores of 2 (IQR, 2-2) at 1 month and 2 (IQR, 1.25-2) at 3 months. Analysis via a linear mixed model revealed a significant interaction (group, P = .011; time, P

The cross ambiguity function (CAF) has been commonly used to find time difference of arrival (TDOA) and frequency difference of arrival (FDOA). In most cases, direct computation of the CAF by using a conventional method such as fast Fourier transform is too computationally intensive. Thus, a two-stage approach consisting of a coarse mode to find rough TDOA/FDOA estimates and a fine mode for precise estimation was introduced. However, there has been no methodology for selecting an interpolation factor determined by the sampling frequency and target precision which significantly affects the computational complexity. In addition, even if the computational complexity can be reduced by using the optimal interpolation factor, the huge transmission data through the datalink between sensors and the central station still remains to be an obstacle for an electronic warfare (EW) system. In this respect, we derive an optimal interpolation factor and then propose a new two-stage TDOA/FDOA estimation algorithm using a resampling block to reduce the computational complexity and the data size simultaneously in EW systems. In the proposed method, the optimal interpolation factor can be used irrespective of the sampling frequency and the target precision. Simulation results show that the optimal interpolation factor efficiently reduces the computational burden without the loss of estimation performance.