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Abstract Although α-synuclein seed amplification assays (α-syn SAA) are promising, its sensitivity may be affected by heterogeneity among patients with Lewy body disease (LBD). We evaluated whether α-syn SAA sensitivity is affected by patient heterogeneity, using 123I-meta-iodobenzylguanidine (MIBG) cardiac scintigraphy in early drug-naïve patients. Thirty-four patients with clinically established or probable Parkinson’s disease (PD) and seven with dementia with Lewy bodies (DLB) or prodromal DLB were included. While 85.2% of patients with abnormal cardiac MIBG were α-syn SAA positive, only 14.3% were positive among those with normal scans. Logistic regression analysis showed that MIBG positivity was the only significant variable associated with α-syn SAA positivity (odds ratio 74.2 [95% confidence interval 6.1–909]). Although α-syn SAA is sensitive for LBD in patients with abnormal MIBG, the sensitivity may be lower in those with normal MIBG. Further studies are necessary to evaluate the association between patient heterogeneity and α-syn SAA sensitivity.

Abstract Plant tendrils are specialized organs that can twine around other structures to facilitate climbing. They occur in a variety of plant families and have diverse ontogenic origins. In cucurbits, tendrils originate from lateral shoots. Fine mapping verified that the tendril-less ctl mutation of the melon Cucumis melo corresponds to a frameshift mutation in the CmTCP1 gene, which encodes a TCP transcription factor. A yeast two-hybrid screen for CmTCP1/CTL-interacting proteins identified a member of the plant-specific YABBY transcription factor family, which was named CmYAB1. Each of the N- and C-terminal regions of CmTCP1 interacted with CmYAB1. The ctl mutation impaired the interaction between CmTCP1 and CmYAB1. Both proteins interacted in vitro and were localized to the nucleus in plant cells. In situ expression analysis revealed the coexistence of the CmTCP1 and CmYAB1 mRNAs in the abaxial domains of developing tendrils. An RNA-seq analysis of the seven YABBY genes in the melon genome revealed relatively high expression ratios of CmYAB1 in tendrils compared with those in leaves. These results suggest a novel function of the YABBY protein through its interaction with a TCP protein in the development of cucurbit tendrils.

Abstract We propose an organic thermoelectric device having a new power generation mechanism that extracts small-scale thermal energy, i.e., a few tens of millielectronvolts, at room temperature without a temperature gradient. We demonstrate a new operating mechanism based on an organic thermoelectric power generation architecture that uses the charge separation capabilities of organic charge transfer (CT) interfaces composed of copper (II) phthalocyanine and copper (II) 1,2,3,4,8,9,10,11,15,16,17,18,22,23,24,25-hexadecafluoro-29H,31H-phthalocyanine as the donor and acceptor, respectively. With the optimized device architecture, values of open-circuit voltage V OC of 384 mV, short-circuit current density J SC of 1.1 μA/cm2, and maximum output P max of 94 nW/cm2 are obtained. The temperature characteristics of the thermoelectric properties yield activation energy values of approximately 20–60 meV, confirming the low-level thermal energy’s contribution to the power generation mechanism. Furthermore, from surface potential analysis using a Kelvin probe, we confirm that charges are generated at the CT interface, and the electrons and holes are diffused to the counter-electrodes with the aid of Fermi-level alignment between adjacent layers.

Abstract Background Blood pressure variability has been found to be a predictor of a stroke, heart failure, and ischemic heart disease that is independent of blood pressure control. This study used the variability independent of the mean (VIM) to evaluate the visit‐to‐visit blood pressure variability in patients previously undergoing catheter ablation (CA) of paroxysmal atrial fibrillation (PAF), and its relationship with AF recurrence was examined. Method and Results The subjects were 274 consecutive PAF patients who underwent CA at our hospital. Finally, 237 subjects were included in the analysis. The mean follow‐up period was 29.6 months, during which 37 subjects had recurrences, and 200 did not. During the outpatient blood pressure examinations, the VIM of the systolic blood pressure (VIM SBP) was significantly higher in the recurrence group, suggesting that blood pressure variability is associated with recurrence. The Cox proportional hazards ratio of the VIM SBP was significantly higher in the recurrence (4.839) than no‐recurrence group, even after an adjustment, suggesting that the extent of the variability was a risk factor of recurrence post‐CA. In addition, the Cox proportional hazard ratio for recurrence was significantly lower in the patients taking dihydropyridine calcium channel blockers, suggesting that the risk of recurrence may differ depending on the type of antihypertensive drug. Conclusions Blood pressure variability may be a risk for AF recurrence after CA.

Abstract Aim Numerous recent reports have highlighted the association between mental disorders and electrocardiographic findings. The early repolarization pattern (ERP) on electrocardiogram has been linked with a history of suicide attempts and attention deficit hyperactivity disorder, and associations with impulsivity have also been reported. It is known that suicidal intent is more common at night. Patients who have a mental disorder and ERP may have a higher likelihood of impulsivity, potentially increasing the risk of suicide at night. Methods The subjects were 43 patients with a history of suicide attempts who had undergone electrocardiographic examination at Jikei University School of Medicine Kashiwa Hospital and received intervention from our department. Due to the diurnal variation in electrocardiographic findings, only patients who underwent the examination during the daytime were included. Patients' clinical backgrounds were compared according to the presence or absence of ERP, and the association between nocturnal suicide attempts and ERP was examined using multivariate analysis. Results The frequency of nocturnal suicidal behavior was 76.2% in patients with ERP and 31.8% in those without ERP, but the difference was not significant after Bonferroni correction. In the multivariate analysis, there was a significant association of ERP with nocturnal suicide attempts (p = 0.018). Conclusion The finding of an association between ERP and nocturnal suicide attempts indicates that ERP is a biological indicator that can predict nocturnal suicide attempts.

IntroductionThe system of Risk Management Plan in Japan (J-RMP) is a relatively new system, implemented in 2013; thus, its effect on safety measures is still unclear. One of the purposes of J-RMP is to enhance the postmarketing safety measures to be ensured by publishing J-RMP and sharing information on risk management among healthcare professionals. We hypothesized that this might enable information about postmarketing adverse events to be accumulated rapidly, potentially accelerating the identification of adverse reactions (ARs). Herein, we focused on the speed of adding clinically significant ARs (CSARs) to package inserts (PIs) as an indicator of the rapidity of AR identification, investigated the impact of the J-RMP system on PI revisions.MethodsWe investigated the “Notice of Revision of Precautions” on the website of Pharmaceuticals and Medical Devices Agency (PMDA), targeting PI revisions with the addition of CSARs from April 2003 to March 2023, which corresponds to 10 years before and after J-RMP implementation in April 2013. We created an original database from public information of PMDA and investigated the speed of adding CSARs to PIs.ResultsComparing the time lapse from drug approvals to PI revisions after J-RMP implementation (149 cases) to that before implementation (318 cases), the median value was 32 months for both. Regarding the time lapse when the additional CSARs were listed and unlisted as safety concerns at the time of approvals, it was 35 months vs. 32 months (14 cases vs. 126 cases, p = 0.7820), with no statistically significant difference. Conversely, there were significant differences within each AR and each drug therapeutic category.Discussion and conclusionsThis study revealed that the rapidity of risk identification as ARs was not affected by J-RMP, and it may be affected by the characteristics of each AR and each drug therapeutic category. It is expected that other J-RMP benefits, such as risk prevention before the occurrence, will be utilized to further develop strategies for the effective utilization of the J-RMP for safety measures in Japan.

Abstract Quantum dots (QDs) are essential luminescent materials with applications in wide‐color‐gamut displays requiring exceptional color reproducibility. Multinary semiconductor QDs composed of groups I, III and VI elements are expected to serve as eco‐friendly materials to replace conventional QDs owing to the potential narrow spectral widths and tunable bandgaps of the former. Although optimized Ag–In–Ga–S/Ga–S core/shell QDs (AIGS QDs) have exhibited vibrant green emissions, electroluminescence from QD‐based light‐emitting diodes (QLEDs) incorporating these AIGS QDs is reduced as a consequence of the effects of defect sites. The present work therefore examines the incorporation of electron transport materials (ETMs) into AIGS QD emitting layers. A device incorporating emitting layers composed of AIGS QDs and 2,4,6‐tris(3‐(3‐pyridyl)phenyl)‐1,3,5‐triazine (TmPPyTz), with the latter acting as a highly conductive ETM, exhibits a low driving voltage and high efficiency. Furthermore, the addition of two ETMs — TmPPyTz and tris(2,4,6‐trimethyl‐3‐(pyridin‐3‐yl)phenyl)borane — is found to provide enhanced luminescence properties because these materials are deposited in the emitting layer in different forms and hence has varying effects in terms of improving conductivity and charge balance. The resulting QLEDs have a sharp spectral width of 30 nm, suggesting a level of color purity suitable for wide‐color‐gamut displays.

Black carbon (BC) aerosol is considered one of the most important contributors to rapid climate warming as well as snow and sea ice melting in the Arctic, yet the observations of BC aerosols in the Arctic Ocean have been limited due to infrastructural and logistical difficulties. We observed BC mass concentrations (mBC) using light absorption methods on board the icebreaker R/V Araon in the Arctic Ocean (< 80° N and 166° E to 156° W) as well as the North Pacific Ocean in summer and early autumn of 2016–2020. The levels, interannual variations, and pollution episodes of mBC in the Arctic were examined, and the emission sources responsible for the high-BC episodes were analyzed with global chemistry-transport-model simulations. The average mBC in the surface air over the Arctic Ocean (72–80° N) observed by the 2019 cruise exceeded 70 ng m−3, which was substantially higher than that observed by cruises in other years (approximately 10 ng m−3). The much higher mBC observed in 2019 was perhaps due to more frequent wildfires occurring in the Arctic region than in other years. The model suggested that biomass burning contributed most to the observed BC by mass in the western Arctic Ocean and the marginal seas. For these 5 years, we identified 10 high-BC episodes north of 65° N, including one in 2018 that was associated with co-enhancements of CO and CH4 but not CO2 and O3. The model analysis indicated that certain episodes were attributed to BC-containing air masses transported from boreal fire regions to the Arctic Ocean, with some transport occurring near the surface and others in the mid-troposphere. This study provides crucial datasets on BC mass concentrations and the mixing ratios of O3, CH4, CO, and CO2 in the western Arctic Ocean regions, and it highlights the significant impact of boreal fires on the observed Arctic BC during the summer and early autumn months.

Abstract Mixed-stack complexes which comprise columns of alternating donors and acceptors are organic conductors with typically poor electrical conductivity because they are either in a neutral or highly ionic state. This indicates that conductive carriers are insufficient or are mainly localized. In this study, mixed-stack complexes that uniquely exist at the neutral–ionic boundary were synthesized by combining donors (bis(3,4-ethylenedichalcogenothiophene)) and acceptors (fluorinated tetracyanoquinodimethanes) with similar energy levels and orbital symmetry between the highest occupied molecular orbital of the donor and the lowest unoccupied molecular orbital of the acceptor. Surprisingly, the orbitals were highly hybridized in the single-crystal complexes, enhancing the room-temperature conductivity (10−4–0.1 S cm−1) of mixed-stack complexes. Specifically, the maximum conductivity was the highest reported for single-crystal mixed-stack complexes under ambient pressures. The unique electronic structures at the neutral–ionic boundary exhibited structural perturbations between their electron-itinerant and localized states, causing abrupt temperature-dependent changes in their electrical, optical, dielectric, and magnetic properties.

Abstract Background Diversity in hemodynamics of adult congenital heart disease necessitates a case-by-case selection of appropriate surgical and anesthetic options. However, previous case reports regarding the management of laparoscopic surgery in adult patients with congenital heart disease are limited. Case presentation A 72-year-old man who underwent a laparoscopic right colectomy for colon cancer had a residual ventricular septal defect and right ventricular outflow tract obstruction despite post-repair of tetralogy of Fallot. Pulmonary hypertension or right ventricular dysfunction was not observed. The preoperative pulmonary to systemic blood flow ratio (Qp/Qs) was 2.3. After positive pressure ventilation and insufflation, the amount of left-to-right ventricular shunting decreased, and the Qp/Qs approached 1.0, as calculated from pulmonary arterial and systemic arterial blood gas analysis. Conclusions Laparoscopic surgery might be tolerable in patients with tetralogy of Fallot who have preserved the right ventricular function, left-to-right ventricular shunting, and no high pulmonary vascular resistance.

RESUMO A Mata Atlântica é um “hotspot” de biodiversidade, devido a sua elevada riqueza, endemicidade e ameaças. Caracterizamos as fitofisionomias e listamos as espécies vasculares do Parque Estadual Lagamar de Cananéia (PELC). Foram coletadas as espécies de diferentes hábitos encontradas ao longo das trilhas percorridas no PELC e o mapeamento das fitofisionomias foi feito por fotointerpretação. Mapeamos oito fitofisionomias vegetacionais, com Floresta Ombrófila Densa Submontana, representando 53,9%, enquanto as Montanas e das Terras Baixas cobriram 14,3% e 13,2%, respectivamente. A flora conhecida do PELC é composta por 540 espécies vasculares distribuídas em 122 famílias, sendo 55 espécies de Samambaias e Licófitas, duas Gimnospermas e 483 Angiospermas, com espécies em risco de extinção (20 espécies). O PELC possui fitofisionomias importantes e flora com elevada riqueza de espécies, ratificando sua importância para a conservação da biodiversidade da Mata Atlântica no Estado de São Paulo.

Summary: Plasticity during the critical period is important for the functional maturation of cortical neurons. While characteristics of plasticity are diverse among cortical layers, it is unknown whether critical period timing is controlled by a common or unique molecular mechanism among them. We here clarified layer-specific regulation of the critical period timing of ocular dominance plasticity in the primary visual cortex. Mice lacking the endocannabinoid synthesis enzyme diacylglycerol lipase-α exhibited precocious critical period timing, earlier maturation of inhibitory synaptic function in layers 2/3 and 4, and impaired development of the binocular matching of orientation selectivity exclusively in layer 2/3. Activation of cannabinoid receptor restored ocular dominance plasticity at the normal critical period in layer 2/3. Suppression of GABAA receptor rescued precocious ocular dominance plasticity in layer 4. Therefore, endocannabinoids regulate critical period timing and maturation of visual function partly through the development of inhibitory synaptic functions in a layer-dependent manner.

Objective: To determine the relationships among knee and patella alignments, BMI, quadriceps, and knee adduction moments, which are associated with knee osteoarthritis, in healthy people. Methods: In 60 young females, intercondylar distances normalized by body height, Q-angle, and BMI were assessed. The ratios of individual muscle:quadriceps thicknesses measured using ultrasonography were calculated. Correlations between these parameters were evaluated. Ten subjects were selected from the VALGUS, mild VARUS, or severe VARUS knee groups (

Abstract Background Bisphosphonates may cause serious adverse events, including osteonecrosis of the jaw. This article describes a case of successful application of radiofrequency thermocoagulation for pain caused by osteonecrosis of the jaw. Case presentation An 86-year-old woman who had received alendronate sodium hydrate for osteoporosis was diagnosed with osteonecrosis of the right mandible after dental treatment. Despite repeated conservative and debridement treatments, the patient could not eat due to intractable pain; accordingly, her condition was debilitated. The patient was referred to our pain management clinic for radiofrequency thermocoagulation of the right mandibular nerve. Immediately after the procedure, her pain drastically improved and she could eat; moreover, the pain has not recurred for 3 years. Conclusion Our findings demonstrate that minimally invasive radiofrequency thermocoagulation may have long-term effects in patients with chronic pain caused by osteonecrosis of the jaw that is refractory to conservative treatment.

Abstract During mid-Cretaceous Oceanic Anoxic Event 2, significant increase of atmospheric carbon dioxide concentrations from the eruption of the large igneous provinces is hypothesized to have induced a humid climate and an elevation in nutrient runoff from continents to the oceans, resulting in oxygen depletion in the ocean. However, hitherto there is limited insight into the driving factors of Oceanic Anoxic Event 2 from the Pacific and Asian continental margins, even though the former and the latter were the largest ocean and landmass at that time. Here, a multiproxy analysis for the Oceanic Anoxic Event 2 interval of the Yezo Group –deposited on northwestern Pacific along the active Asian continental margin– is interpretated to identify seven volcanic pulses, five of which may have elevated humidity, weathering intensity, and vegetational change in the eastern margin of Asia. Moreover, oxygen depletion occurred simultaneously in the northwest Pacific. Given that these environmental changes in the eastern margin of Asia were penecontemporaneous with the global carbon burial intervals during Oceanic Anoxic Event 2, the elevated nutrient supply from the Asian continental margin to the Pacific Ocean may have, in part, contributed to the worldwide depletion of oxygen of the ocean during Oceanic Anoxic Event 2.

Abstract A 61‐year‐old woman, who had a history of total thyroidectomy for follicular variant of papillary thyroid carcinoma (PTC), visited our hospital for assessment of an enlarging nodule which appeared in the lung with multiple metastatic lesions of PTC which had been stable for 17 years. Wedge resection of the lung was performed. Miliary nodules were confirmed to be metastatic PTCs based on their morphological as well as immunohistochemical findings. As for the main nodule, its morphological features suggested a diagnosis of metastatic PTC, while its immunohistochemical findings were identical with primary lung adenocarcinoma. Further genetic analysis provided no definitive information for the diagnosis of the main nodule. The present case shows the need of comprehensive analyses for differentiation between primary lung adenocarcinoma and metastatic PTCs.

Abstract Background The gold standard treatment for locally advanced colon cancer is curative surgery followed by adjuvant chemotherapy, although this approach is associated with serious concerns, such as high recurrence rates and occasionally unnecessary oversurgery. Neoadjuvant chemotherapy may be a promising strategy for overcoming these issues. This study reports a case of a recurrence-free patient who underwent curative resection without significant organ dysfunction after preoperative chemotherapy for locally advanced sigmoid colon cancer. The tumor coexisted with a large intra-abdominal abscess, and the patient was quite frail at the first visit. We performed percutaneous drainage followed by preoperative panitumumab monotherapy, which yielded favorable outcomes. Case presentation A 78-year-old frail woman was emergently transferred to our hospital with fever and abdominal pain. The diagnosis was locally advanced sigmoid colon cancer stage IIIC (T4bN2aM0) with a large intra-abdominal abscess. Immediate curative surgery was inappropriate, considering both tumor progression and the patient’s frailty. We performed percutaneous drainage and colostomy construction, which was followed by seven cycles of preoperative panitumumab monotherapy without significant adverse events. After these treatments, inflammation was well controlled, and the tumor shrank remarkably. Furthermore, the patient recovered well from frailty; therefore, curative sigmoidectomy combined with resection of the left ovary and stoma closure was possible without any postoperative complications. The final pathological finding was T3N0M0, stage IIA disease. The patient was recurrence-free and had no significant organ dysfunction 21 months after the curative surgery. Conclusions The management of intra-abdominal abscesses and tailor-made preoperative chemotherapy based on the patient’s frailty may have been the key factors responsible for the favorable course of this patient. Although further research is needed on the appropriateness of percutaneous drainage for malignancies related to intra-abdominal abscesses and preoperative panitumumab use for locally advanced colon cancer, the study findings can serve as reference for managing similar cases in an aging society.