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Abstract Background Symptomatic heart failure (HF) negatively affects the quantity and quality of skeletal muscles. However, the association between asymptomatic HF and skeletal muscle function remains unclear. We aimed to use ultrasonography to elucidate the association between asymptomatic HF and skeletal muscle function in community-dwelling older adults. Methods This cross-sectional study comprised community-dwelling older adults aged ≥ 60 years who could perform activities of daily living independently and had never had symptomatic HF (n = 52, 76.3 ± 6.1 years). The participants were classified into three groups namely, non-HF (n = 26), stage A (n = 19), and stage B (n = 7) according to the HF stage criteria of the American Heart Association /American College of Cardiology /Heart Failure Society of America guideline. Skeletal muscle quantity and quality were assessed using ultrasonography (thickness and echo intensity) of the rectus femoris (RF) and vastus intermedius (VI) muscles. The group effects on muscle thickness and echo intensity in each group were assessed using a multivariate analysis. Results Both muscles consistently demonstrated significant group effects on the thickness and echo intensity. Thicknesses of the RF (p = 0.020) and VI (p = 0.035) were lower in the stage B group than that in the non-HF group. The echo intensities in the RF (p = 0.006) and VI (p = 0.009) were higher in the stage B group than that in the non-HF group. Conclusion Asymptomatic HF negatively associated with the characteristics of skeletal muscle function, as assessed by ultrasonography in community-dwelling older adults. The stage B HF contributes to reduced skeletal muscle function as well as symptomatic HF.

Abstract Laser-driven neutron sources (LDNSs) can generate strong short-pulse neutron beams, which are valuable for scientific studies and engineering applications. Neutron resonance transmission analysis (NRTA) is a nondestructive technique used for determining the areal density of each nuclide in a material sample using pulsed thermal and epithermal neutrons. Herein, we report the first successful NRTA performed using an LDNS driven by the Laser for Fast Ignition Experiment at the Institute of Laser Engineering, Osaka University. The key challenge was achieving a well-resolved resonance transmission spectrum for material analysis using an LDNS with a limited number of laser shots in the presence of strong background noise. We addressed this by employing a time-gated $$^{6}{\textrm{Li}}$$ 6 Li -glass scintillation neutron detector to measure the transmission spectra, reducing the impact of electromagnetic noise and neutron and gamma-ray flashes. Output waveforms were recorded for each laser shot and analyzed offline using a counting method. This approach yielded a spectrum with distinct resonances, which were attributed to $$^{115}\,{\textrm{In}}$$ 115 In and $$^{109}{\textrm{Ag}}$$ 109 Ag , as confirmed through neutron transmission simulation. The spectrum was analyzed using the least-square nuclear-resonance fitting program, REFIT, demonstrating the possibility of using an LDNS for nondestructive areal-density material characterization.

Abstract The temperature measurement of material inside of an object is one of the key technologies for control of dynamical processes. For this purpose, various techniques such as laser-based thermography and phase-contrast imaging thermography have been studied. However, it is, in principle, impossible to measure the temperature of an element inside of an object using these techniques. One of the possible solutions is measurements of Doppler brooding effect in neutron resonance absorption (NRA). Here we present a method to measure the temperature of an element or an isotope inside of an object using NRA with a single neutron pulse of approximately 100 ns width provided from a high-power laser. We demonstrate temperature measurements of a tantalum (Ta) metallic foil heated from the room temperature up to 617 K. Although the neutron energy resolution is fluctuated from shot to shot, we obtain the temperature dependence of resonance Doppler broadening using a reference of a silver (Ag) foil kept to the room temperature. A free gas model well reproduces the results. This method enables element(isotope)-sensitive thermometry to detect the instantaneous temperature rise in dynamical processes.

Abstract Physical reservoir computing is a promising solution for accelerating artificial intelligence (AI) computations. Various physical systems that exhibit nonlinear and fading-memory properties have been proposed as physical reservoirs. Highly-integrable physical reservoirs, particularly for edge AI computing, has a strong demand. However, realizing a practical physical reservoir with high performance and integrability remains challenging. Herein, we present an analogue circuit reservoir with a simple cycle architecture suitable for complementary metal-oxide-semiconductor (CMOS) chip integration. In several benchmarks and demonstrations using synthetic and real-world data, our developed hardware prototype and its simulator exhibit a high prediction performance and sufficient memory capacity for practical applications, showing promise for future applications in highly integrated AI accelerators.

Abstract Chronic stress has been implicated in mental illnesses and depressive behaviors. Somatostatin 4 receptor (SSTR4) has been shown to mediate anxiolytic and depression-like effects. Here, we aimed to explore the potential of SSTR4 as a diagnostic marker for chronic stress in mice. The mice were divided into single stress, chronic restraint stress, and control groups, and Sstr4 mRNA expression in the pituitary, lungs, and thymus, its protein expression in the thymus, were analyzed. Compared to controls, Sstr4 mRNA expression decreased significantly in the pituitary gland of the chronic and single-stress groups (P = 0.0181 and 0.0022, respectively) and lungs of the single-stress group (P = 0.0124), whereas it significantly increased in the thymus of the chronic-stress group (P = 0.0313). Thymic SSTR4 expression did not decrease significantly in stress groups compared to that in the control group (P = 0.0963). These results suggest that SSTR4 expression fluctuates in response to stress. Furthermore, Sstr4 mRNA expression dynamics in each organ differed based on single or chronic restraint stress-loading periods. In conclusion, this study suggests that investigating SSTR4 expression in each organ could allow for its use as a stress marker to estimate the stress-loading period and aid in diagnosing chronic stress.

Abstract Background During the fifth wave of the coronavirus disease 2019 (COVID-19) pandemic in Japan, which took place between June and September 2021, a significant number of COVID-19 cases with deterioration occurred in unvaccinated individuals

Background: Blood eosinophils are essential biomarkers that vary substantially over time in patients with COPD and asthma. However, no study has identified the changes and effects in the changes of the blood eosinophil counts over time in both diseases. This study aimed to demonstrate blood eosinophil variability in patients with COPD and severe asthma based on these backgrounds. Methods: A total of 172 patients with COPD from the Hokkaido COPD cohort study and 96 patients with severe asthma from the Hokkaido Severe Asthma Cohort Study, whose blood eosinophil counts were measured annually over a 3-year period, were analyzed. The factors contributing to consistently high or low blood eosinophil counts were examined in each cohort. The stability of the eosinophil classification (

Abstract In volcanic regions, active earthquake swarms often occur in association with volcanic activity, and their rapid detection and analysis are crucial for volcano disaster prevention. Currently, these processes are ultimately left to human judgment and require significant time and money, making detailed real-time verification impossible. To overcome this issue, we attempted to apply machine learning, which has been successfully applied to various seismological fields to date. For seismic phase pick, several models have already been trained using a large amount of training data (mainly crustal earthquakes). Although there are some cases in which these models can be applied without any problems, regional dependence on pre-trained models has been reported. Since this study targets earthquakes in a volcanic region, applying existing pre-trained models may be difficult. Therefore, in this study, we compared three models; the publicly available trained model (model 0), a model which was trained with approximately 220,000 P- and S-wave onset reading data recorded at the Hakone volcano from 1999 to 2020 with initialized parameters (model 1) using the same architecture, and a model fine-tuned with the aforementioned Hakone data using the parameters of model 0 as initial values (model 2), and evaluated their phase identification performance for the Hakone data. As a result, the seismic phase detection rates of models 1 and 2 were much higher than those of model 0. However, small-amplitude signals are often missed when multiple seismic events occur within a detection time window. Therefore, we created training data with two earthquakes in the same time window, retrained the model using the data, and successfully detected events that previously would have been missed. In addition, it was found that more events were detected by setting the threshold to a low probability value for detection, increasing the number of seismic phase detections, and filtering by phase association and hypocenter location. Graphical Abstract

Background: The physiological importance of mucus plugs in computed tomography (CT) imaging is being increasingly recognized. However, whether airway inflammation and smoking affect the association between mucus plugs and clinical–physiological outcomes in asthma remains to be elucidated. The objective of this study is to examine how airway inflammation and/or smoking affect the correlation of CT-based mucus plug scores with exacerbation frequency and airflow limitation indices in asthma. Methods: A total of 168 patients with asthma who underwent chest CT and sputum evaluation were enrolled and classified in eosinophilic asthma (EA; n = 103) and non-eosinophilic asthma (NEA; n = 65) groups based on sputum eosinophil percentage (cut-off: 3%). The mucus plug score was defined as the number of lung segments with mucus plugs seen on CT. Results: More mucus plugs were detected on CT scans in the EA group than in the NEA group, regardless of smoking status. Mucus plug score and exacerbation frequency during one year after enrollment were significantly associated in the EA group but not in the NEA group after adjusting for demographics, blood eosinophil count, and fractional exhaled nitric oxide. Mucus plug score was associated with percentage of predicted forced expiratory volume in 1 s in non-smoking individuals in the EA and NEA group and in smoking individuals in the EA group but not in the NEA group after adjusting for demographics. Conclusions: The association of mucus plug score with exacerbation frequency and reduced lung function may vary due to airway inflammatory profile and smoking status in asthma.

Abstract Background Mixed lineage leukemia 1-rearranged (MLL1-r) acute leukemia patients respond poorly to currently available treatments and there is a need to develop more effective therapies directly disrupting the Menin‒MLL1 complex. Small-molecule–mediated inhibition of the protein‒protein interaction between Menin and MLL1 fusion proteins is a potential therapeutic strategy for patients with MLL1-r or mutated-nucleophosmin 1 (NPM1c) acute leukemia. In this study, we preclinically evaluated the new compound DS-1594a and its salts. Methods We evaluated the preclinical efficacy of DS-1594a as well as DS-1594a·HCl (the HCl salt of DS-1594a) and DS-1594a·succinate (the succinic acid salt of DS-1594a, DS-1594b) in vitro and in vivo using acute myeloid leukemia (AML)/acute lymphoblastic leukemia (ALL) models. Results Our results showed that MLL1-r or NPM1c human leukemic cell lines were selectively and highly sensitive to DS-1594a·HCl, with 50% growth inhibition values

The advance of laser-driven neutron sources (LDNSs) has enabled neutron resonance spectroscopy to be performed with a single shot of a laser. In this study, we describe a detection system of epithermal (∼eV) neutrons especially designed for neutron resonance spectroscopy. A time-gated photomultiplier tube (PMT) with a high cut-off ratio was introduced for epithermal neutron detection in a high-power laser experiment at the Institute of Laser Engineering, Osaka University. We successfully reduced the PMT response to the intense hard X-ray generated as a result of the interaction between laser light and the target material. A time-gated circuit was designed to turn off the response of the PMT during the laser pulse and resume recording the signal when neutrons arrive. The time-gated PMT was coupled with a 6Li glass scintillator, serving as a time-of-flight (TOF) detector to measure the neutron resonance absorption values of 182W and 109Ag in a laser-driven epithermal neutron generation experiment. The neutron resonance peaks at 4.15 eV of 182W and 5.19 eV of 109Ag were detected after a single pulse of laser at a distance of 1.07 m.

Background: The mechanism of high transfer coefficients of the lungs for carbon monoxide (Kco) in non-smokers with asthma is explained by the redistribution of blood flow to the area with preserved ventilation, to match the ventilation perfusion.Objectives: To examine whether ventilation heterogeneity, assessed by pulmonary function tests, is associated with computed tomography (CT)-based vascular indices and Kco in patients with asthma.Methods: Participants were enrolled from the Hokkaido-based Investigative Cohort Analysis for Refractory Asthma (Hi-CARAT) study that included a prospective asthmatic cohort. Pulmonary function tests including Kco, using single breath methods; total lung capacity (TLC), using multiple breath methods; and CT, were performed on the same day. The ratio of the lung volume assessed using single breath methods (alveolar volume; VA) to that using multiple breath methods (TLC) was calculated as an index of ventilation heterogeneity. The volume of the pulmonary small vessels

Background: The significance of incorporating regional functional heterogeneity assessment by liver scintigraphy into the calculation of the future liver remnant has been reported. However, liver scintigraphy entails additional costs and radiation exposure. Nevertheless, studies describing when liver scintigraphy demonstrates an actual benefit over computed tomography liver volumetry are lacking. Thus, we evaluated the degree of agreement between future liver remnant % values calculated by technetium 99mTc diethylenetriaminepentaacetic acid-galactosyl human serum albumin scintigraphy (galactosyl human serum albumin–based future liver remnant %) and those by computed tomography volumetry and investigated the practical impact of performing regional functional heterogeneity assessment. Methods: The Bland–Altman method was used to retrospectively analyze the agreement between computed tomography– and galactosyl human serum albumin–based future liver remnant % measurements in 84 patients. Results: In ordinary patients with a computed tomography–based future liver remnant % greater than 50%, there was a good agreement between both measurements. However, in cases with a computed tomography–based future liver remnant % less than 40%, galactosyl human serum albumin–based measurements were significantly smaller than computed tomography–based values, with 88% of these patients exhibiting a galactosyl human serum albumin–based future liver remnant % less than 30%. After portal vein embolization, galactosyl human serum albumin–based measurements were primarily greater than or in agreement with computed tomography–based values, even in cases with a computed tomography–based future liver remnant % less than 40%. Conclusion: Adding 99mTc diethylenetriaminepentaacetic acid-galactosyl human serum albumin scintigraphy to computed tomography liver volumetry is advised when deciding on hepatectomy in patients with a computed tomography–based future liver remnant % less than 50%. If the computed tomography–based future liver remnant % is smaller than 40%, it is strongly recommended to check future liver remnant % by 99mTc diethylenetriaminepentaacetic acid-galactosyl human serum albumin scintigraphy. In other cases, computed tomography–based future liver remnant % calculation alone can be regarded as the gold standard of safe hepatectomy.

The generation of highly charged ions in laser plasmas is usually associated with collisional ionization processes that occur in electron–ion collisions. An alternative ionization channel caused by tunnel ionization in an optical field is also capable of effectively producing highly charged ions with ionization potentials of several kiloelectronvolts when the laser intensity q > 1020 W/cm2. It is challenging to clearly distinguish the impacts of the optical field and collisional ionizations on the evolution of the charge state of a nonequilibrium plasma produced by the interaction of high-intensity, ultrashort PW-class laser pulses with dense matter. In the present work, it is shown that the answer to this question can be obtained in some cases by observing the X-ray spectral lines caused by the transition of an electron into the K-shell of highly charged ions. The time-dependent calculations of plasma kinetics show that this is possible, for example, if sufficiently small clusters targets with low-density background gas are irradiated. In the case of Ar plasma, the limit of the cluster radius was estimated to be R0 = 0.1 μm. The calculation results for argon ions were compared with the results of the experiment at the J-KAREN-P laser facility at QST-KPSI.

We predict the production yield of a medical radioisotope ${}^{67}$ Cu using ${}^{67}$ Zn(n, p) ${}^{67}$ Cu and ${}^{68}$ Zn(n, pn) ${}^{67}$ Cu reactions with fast neutrons provided from laser-driven neutron sources. The neutrons were generated by the p+ ${}^9\mathrm{Be}$ and d+ ${}^9$ Be reactions with high-energy ions accelerated by laser–plasma interaction. We evaluated the yield to be (3.3 $\pm$ 0.5) $\times$ 10 ${}^5$ atoms for ${}^{67}$ Cu, corresponding to a radioactivity of 1.0 $\pm$ 0.2 Bq, for a Zn foil sample with a single laser shot. Using a simulation with this result, we estimated ${}^{67}$ Cu production with a high-frequency laser. The result suggests that it is possible to generate ${}^{67}$ Cu with a radioactivity of 270 MBq using a future laser system with a frequency of 10 Hz and 10,000-s radiation in a hospital.

Abstract In sudden unexpected death in infancy cases, postmortem genetic analysis with next-generation sequencing potentially can extract candidate genes associated with sudden death. However, it is difficult to accurately interpret the clinically significant genetic variants. The study aim was to conduct trio analysis of cases of sudden unexpected death in infancy and their parents to more accurately interpret the clinically significant disease-associated gene variants associated with cause of death. From the TruSight One panel targeting 4813 genes we extracted candidate genetic variants of 66 arrhythmia-, 63 inherited metabolic disease-, 81 mitochondrial disease-, and 6 salt-losing tubulopathy-related genes in 7 cases and determined if they were de novo or parental-derived variants. Thirty-four parental-derived variants and no de novo variants were found, but none appeared to be related to the cause of death. Using trio analysis and an in silico algorithm to analyze all 4813 genes, we identified OBSCN of compound heterozygous and HCCS of hemizygous variants as new candidate genetic variants related to cause of death. Genetic analysis of these deceased infants and their living parents can provide more accurate interpretation of the clinically significant genetic variants than previously possible and help confirm the cause of death.

Abstract Background Chronic obstructive pulmonary disease (COPD) is a heterogeneous disease with a complex progression of many clinical presentations, and clinically important deterioration (CID) has been proposed in the Western studies as a composite endpoint of disease progression. The aim of this study was to investigate the relationships between 1-year CID and the following long-term clinical outcomes in Japanese patients with COPD who have been reported to have different characteristics compared to the Westerners. Methods Among Japanese patients with COPD enrolled in the Hokkaido COPD cohort study, 259 patients who did not drop out within the first year were analyzed in this study. Two definitions of CID were used. Definition 1 comprised ≥ 100 mL decrease in forced expiratory volume in 1 s (FEV1), ≥ 4-unit increase in St George’s Respiratory Questionnaire (SGRQ) score from baseline, or moderate or severe exacerbation. For Definition 2, the thresholds for the FEV1 and SGRQ score components were doubled. The presence of CID was evaluated within the first year from enrollment, and analyzed the association of the presence of CID with following 4-year risk of exacerbations and 9-year mortality. Results Patients with CID using Definition 1, but not any single CID component, during the first year had a significantly worse mortality compared with those without CID. Patients with CID using Definition 2 showed a similar trend on mortality, and had a shorter exacerbation-free survival compared with those without CID. Conclusions Adoption of CID is a beneficial and useful way for the assessment of long-term disease progression and clinical outcomes even in Japanese population with COPD. The definition of CID might be optimized according to the characteristics of COPD population and the observation period for CID.

Abstract Since the beginning of the twenty-first century, volcanic unrest has occurred every 2–5 years at Hakone volcano. After the 2015 eruption, unrest activity changed significantly in terms of seismicity and geochemistry. Like the pre- and co-eruptive unrest, each post-eruptive unrest episode was detected by deep inflation below the volcano (~ 10 km) and deep low frequency events, which can be interpreted as reflecting supply of magma or magmatic fluid from depth. The seismic activity during the post-eruptive unrest episodes also increased; however, seismic activity beneath the eruption center during the unrest episodes was significantly lower, especially in the shallow region (~ 2 km), while sporadic seismic swarms were observed beneath the caldera rim, ~ 3 km away from the center. This observation and a recent InSAR analysis imply that the hydrothermal system of the volcano could be composed of multiple sub-systems, each of which can host earthquake swarms and show independent volume changes. The 2015 eruption established routes for steam from the hydrothermal sub-system beneath the eruption center (≥ 150 m deep) to the surface through the cap-rock, allowing emission of super-heated steam (~ 160 ºC). This steam showed an increase in magmatic/hydrothermal gas ratios (SO2/H2S and HCl/H2S) in the 2019 unrest episode; however, no magma supply was indicated by seismic and geodetic observations. Net SO2 emission during the post-eruptive unrest episodes, which remained within the usual range of the post-eruptive period, is also inconsistent with shallow intrusion. We consider that the post-eruptive unrest episodes were also triggered by newly derived magma or magmatic fluid from depth; however, the breached cap-rock was unable to allow subsequent pressurization and intensive seismic activity within the hydrothermal sub-system beneath the eruption center. The heat released from the newly derived magma or fluid dried the vapor-dominated portion of the hydrothermal system and inhibited scrubbing of SO2 and HCl to allow a higher magmatic/hydrothermal gas ratio. The 2015 eruption could have also breached the sealing zone near the brittle–ductile transition and the subsequent self-sealing process seems not to have completed based on the observations during the post-eruptive unrest episodes.

Text-guided image manipulation tasks have recently gained attention in the vision-and-language community. While most of the prior studies focused on single-turn manipulation, our goal in this paper is to address the more challenging multi-turn image manipulation (MTIM) task. Previous models for this task successfully generate images iteratively, given a sequence of instructions and a previously generated image. However, this approach suffers from under-generation and a lack of generated quality of the objects that are described in the instructions, which consequently degrades the overall performance. To overcome these problems, we present a novel architecture called a Visually Guided Language Attention GAN (LatteGAN). Here, we address the limitations of the previous approaches by introducing a Visually Guided Language Attention (Latte) module, which extracts fine-grained text representations for the generator, and a Text-Conditioned U-Net discriminator architecture, which discriminates both the global and local representations of fake or real images. Extensive experiments on two distinct MTIM datasets, CoDraw and i-CLEVR, demonstrate the state-of-the-art performance of the proposed model. The code is available online (https://github.com/smatsumori/LatteGAN).

The thermal and epithermal neutrons are powerful probes to inspect water or high-pressure hydrogen gas because of their large scattering cross-sections with protons. Laser-driven neutron source, which is able to simultaneously emit different types of radiations such as x rays, can be used for neutron and x-ray radiography in the same laser shot. In this paper, we report the demonstration of non-destructive inspection for H2O contained within a stainless steel pipe using a laser-driven thermal neutron source, where water and stainless containers are detected by neutrons and x rays, respectively. The simulation result indicates that this method can also provide the capability to measure the hydrogen density in high-pressure hydrogen gas in metal containers.

Abstract Background No clinical scoring system has yet been established to estimate the likelihood of coronavirus disease (COVID-19) and determine the suitability of diagnostic testing in suspected COVID-19 patients. Methods This was a single-center, retrospective, observational study of patients with suspected COVID-19 and confirmed COVID-19. Patient background, clinical course, laboratory and computed tomography (CT) findings, and the presence of alternative diagnoses were evaluated. Clinical risk scores were developed based on clinical differences between patients with and without COVID-19. Results Among 110 patients suspected of having COVID-19, 60.9% underwent polymerase chain reaction (PCR) testing based on the judgment of physicians. Two patients were found to have COVID-19. The clinical characteristics of 108 non-COVID-19 patients were compared with those of 23 confirmed COVID-19 patients. Patients with COVID-19 were more likely to have a history of high-risk exposures and an abnormal sense of taste and smell. The COVID-19 group had significantly higher rates of subnormal white blood cell counts, lower eosinophil counts, and lower procalcitonin levels than the non-COVID-19 group. When blood test results, CT findings, and the presence of alternative diagnoses were scored on an 11-point scale (i.e., “COVID-19 Clinical Risk Score”), the COVID-19 group scored significantly higher than the non-COVID-19 group, more than four points in the COVID-19 group. All non-COVID patients who did not undergo PCR had a score of 4 or less. Conclusions The COVID-19 Clinical Risk Score may enable the risk classification of patients suspected of having COVID-19 and can help in decision-making in clinical practice, including appropriateness of diagnostic testing. Further studies and prospective validation with an increased sample size are required.

For high repetition ultrahigh-intensity laser system, automatic alignment of structured target is key to achieving consistent particle acceleration and plasma heating. In this work, we demonstrate efficient electron acceleration with two sequential steps of laser processing using a high repetition rate, 30-fs ultrahigh-intensity laser. The first pulse does laser machining and creates a steep cylindrical crater on the surface of a flat stainless-steel target. The crater is formed by the hydrodynamic expansion of the heated surface and by spallation of the inner, deeper material by nonthermal relativistic electrons. The crater shape is well controlled and reproducible with 200 μm width and 350 μm depth. The second pulse irradiates deeply inside the crater and interacts with the crater wall, efficiently accelerating electrons via surface plasmonic, without need for target realignment. The laser absorption efficiency increases from 32.5 to 97.5% by the process.

We present preliminary results on generation of energetic α-particles driven by lasers. The experiment was performed at the Institute of Laser Engineering in Osaka using the short-pulse, high-intensity, high-energy, PW-class laser. The laser pulse was focused onto a thin plastic foil (pitcher) to generate a proton beam by the well-known TNSA mechanism which, in turn, was impinging onto a boron-nitride (BN) target (catcher) to generated alpha-particles as a result of proton-boron nuclear fusion events. Our results demonstrate generation of α-particles with energies in the range 8–10 MeV and with a flux around 5 × 109 sr−1.

Most metastatic lung tumors display well-defined, round, multiple nodular shadows, whereas the presence of diffuse ground-glass opacities on chest computed tomography generally suggests non-malignant conditions. Here, we report an unusual case of pulmonary metastasis from gastric cancer in which diffuse ground-glass opacities were observed in all lung segments. A 59-year-old man with a 3-month history of worsening chest pain and shortness of breath was referred to the pulmonary clinic. Chest computed tomography revealed low attenuation areas, suggesting emphysema, along with diffuse ground-glass opacities and interlobular septal thickening in both lungs. A transbronchial lung biopsy specimen revealed signet-ring cell carcinoma infiltrating the alveolar septa. Immunohistochemical staining of the cancer cells was positive for CDX-2, cytokeratin 7, and cytokeratin 20, and negative for surfactant apoprotein-A, TTF-1, and Napsin A. Gastrointestinal endoscopy revealed an ulcerative tumor in the stomach, and a biopsy from the tumor demonstrated malignant cells with similar morphology and immunophenotypes as those in the lungs. The final diagnosis was diffuse lung metastasis from gastric cancer. Our case shows that although multiple, well-defined nodules are typically considered to be the classic presentation of pulmonary metastasis, clinicians should also be aware of the possibility of pulmonary metastasis presenting as diffuse ground-glass opacities.

In high-energy-density physics, including inertial fusion energy using high-power lasers, doping tracer atoms and deuteration of target materials play an important role in diagnosis. For example, a low-concentration Cu dopant acts as an x-ray source for electron temperature detection while a deuterium dopant acts as a neutron source for fusion reaction detection. However, the simultaneous achievement of Cu doping, a deuterated polymer, mechanical toughness and chemical robustness during the fabrication process is not so simple. In this study, we report the successful fabrication of a Cu-doped deuterated target. The obtained samples were characterized by inductively coupled plasma optical emission spectrometry, differential scanning calorimetry and Fourier transform infrared spectroscopy. Simultaneous measurements of Cu K-shell x-ray emission and beam fusion neutrons were demonstrated using a petawatt laser at Osaka University.

Nuclear reactions between protons and boron-11 nuclei (p–B fusion) that were used to yield energetic α-particles were initiated in a plasma that was generated by the interaction between a PW-class laser operating at relativistic intensities (~3 × 1019 W/cm2) and a 0.2-mm thick boron nitride (BN) target. A high p–B fusion reaction rate and hence, a large α-particle flux was generated and measured, thanks to a proton stream accelerated at the target’s front surface. This was the first proof of principle experiment to demonstrate the efficient generation of α-particles (~1010/sr) through p–B fusion reactions using a PW-class laser in the “in-target” geometry.

It is desirable to deposit more energy in the dense plasma core to trigger the fusion ignition. Here the authors demonstrate enhanced energy coupling from laser to plasma core by using solid targets and guiding the transport of relativistic electron beam with external magnetic field.

We established three iPSC lines from postmortem-cultured fibroblasts derived following the sudden unexpected death of an 8-year-old girl with Lennox-Gastaut syndrome, who turned out to have the R551H-mutant STXBP1 gene. These iPSC clones showed pluripotent characteristics while retaining the genotype and demonstrated trilineage differentiation capability, indicating their utility in disease-modeling studies, i.e., STXBP1-encephalopathy. This is the first report on the establishment of iPSCs from a sudden death child, suggesting the possible use of postmortem-iPSC technologies as an epoch-making approach for precise identification of the cause of sudden death.

This paper discusses a micro manipulation considering that an approach angle on pickup affects adhesion and mechanical balance on release by using two needle-shaped end-effectors. In micro-scale, adhesion is generated by capillary, van der Waals and electrostatic besides gravity. Accurate and repeatable pick-and-release/place of micro sized objects is a long-standing challenge due to the strong adhesion in micro manipulation. We first introduce a strategy of pickup and release of a micro sphere. The strategy features in that the approach angle on pickup decides release by two conditions: one is geometrical condition between the sphere and a tip of end-effector, and the another is mechanical condition by forces (adhesion, gravity and friction) to the sphere from the tip and a substrate. To confirm the efficacy of the strategy, the micromanipulation tests with different approach angles have been conducted. Finally, we show the experimental results by pickup and release of spherical glass beads and not spherical pollens, for confirming the validity of the proposed strategy as a novel manipulation method.

Metal–metal bonding was performed using metallic Cu nanoparticles fabricated from CuO nanoparticles. Colloid solutions of CuO nanoparticles were prepared by the reaction of Cu(NO3)2 and NaOH in aqueous solution at reaction temperatures (TCuOs) of 20, 40, 60 and 80 °C. CuO single crystallites with a size of ca. 10 nm were produced, and they formed leaf-like aggregates. The longitudinal and lateral sizes of the aggregates decreased from 522 to 84 nm and from 406 to 23 nm, respectively, with an increase in TCuO. Colloid solutions of metallic Cu nanoparticles were prepared by reducing the CuO nanoparticles with hydrazine in the presence of cetyltrimethylammonium bromide. The size of the metallic Cu nanoparticles decreased from 92 to 73 nm with increasing TCuO. Metallic copper discs were bonded with the metallic Cu nanoparticles by annealing at 400 °C and 1.2 MPa for 5 min in H2 gas. The shear strength required to separate the bonded discs increased with increasing TCuO. A maximum shear strength of 39.2 MPa was recorded for a TCuO of 80 °C.

Imatinib mesylate is a tyrosine kinase inhibitor of c-KIT and PDGFRA. Imatinib mesylate is an effective drug that can be used as a first-choice agent for treatment of GISTs. Prior to treatment, molecular diagnosis of c-KIT or PDGFRA is necessary; however, in some types of GISTs, it is impossible to obtain a sufficient amount of specimen for diagnosis. An inoperable or marginally resectable GIST in a 79-year-old female was difficult to be diagnosed at a molecular pathological level, and hence, exploratory treatment was initiated using imatinib combined with 18FDG-PET evaluation at 1-month intervals. PET imaging indicated a positive response, and so we continued imatinib treatment in an NAC setting for 4 months. As a result, curative resection of the entire tumor was successfully performed with organ preservation and minimally invasive surgery. 18FDG-PET evaluation at 1-month intervals is beneficial for GISTs that are difficult to be diagnosed histopathologically.