The Add-On Effect of Solifenacin for Patients with Remaining Overactive Bladder after Treatment with Tamsulosin for Lower Urinary Tract Symptoms Suggestive of Benign Prostatic Obstruction

Objectives. To investigate the add-on effect of solifenacin for Japanese men with remaining overactive bladder (OAB) symptoms after tamsulosin monotherapy for lower urinary tract symptoms (LUTS) suggestive of benign prostatic obstruction (BPO) in real-life clinical practice. Methods. Patients aged ≥ 50 having remaining OAB symptoms (≥ 3 of OAB symptom score (OABSS) with ≥2 of urgency score) after at least 4 weeks treatment by 0.2 mg of tamsulosin for BPO/LUTS received 2.5 or 5.0 mg of solifenacin for 12 weeks. The International Prostate Symptom Score (IPSS), QOL index and OABSS, maximum flow rate (Qmax) and postvoid residual urine volume (PVR) were determined. Results. A total of 48 patients (mean age 72.5 years) completed the study. There were significant improvement in IPSS (15.1 to 11.2) and QOL index (4.2 to 3.0) by add-on of solifenacin. Although the IPSS storage symptom score was significantly improved, there were no changes observed in the IPSS voiding symptom score. The OABSS showed significant improvement (8.0 to 4.8). No changes were observed in Qmax and PVR. Conclusions. Under the supervision of an experienced urologist, the additional administration of solifenacin to patients with BPO/LUTS treated with tamsulosin, is effective in controlling remaining OAB symptoms

AMS 14C Dating of Iron Artifacts: Development and Application

From the 18th International Radiocarbon Conference held in Wellington, New Zealand, September 1-5, 2003.We have developed a prototype carbon extraction system for accelerator mass spectrometry (AMS) radiocarbon dating of archaeological iron remains by combusting them with a RF induction furnace. We have also successfully tested and used a method of carbon extraction from iron using a CuCl2 solution. Modifications to our carbon extraction systems and methods provide us acceptable performances; carbon yield is normally around 80% and the 14C background level is as low as 42-48 ka BP in 14C apparent age. We have also conducted an iron refining experiment to examine the sources for carbon 14C age derived from iron, using established AMS 14C dating and carbon extraction systems. Our refining experiment was conducted on iron slag, which are by-products formed during iron smelting methods in the 7th century AD, and using modern charcoal as fuel. The aim of the experiment was to determine whether original carbon characteristics in the original iron materials would be preserved, or if the carbon signature would be replaced to some degree by the modern charcoal. AMS 14C measurements on the refined iron yielded 14C ages equivalent to those of the modern charcoal fuel. The result indicates that the original carbon signatures in the iron slag from 7th century production was replaced completely by modern carbon used in our experiment. The experiment confirms the assumption that 14C ages on iron products are associated with the fuel source of the iron smelting or refining process. We also report on the dating of iron slag materials excavated from the Gennaitouge iron smelting site, where 14C dates were consistent with the age of the site estimated by archaeological evidence.The Radiocarbon archives are made available by Radiocarbon and the University of Arizona Libraries. Contact [email protected] for further information.Migrated from OJS platform February 202

Adaptive Data Transmission Control for Spatio-temporal Data Retention over Crowds of Vehicles

Some specific services for Internet of Things, such as real-time map and providing local weather information, depend strongly on geographical time and location. We refer to the data for such service as spatio-temporal data (STD). When STD is used in a query response system similar to conventional Internet services, users not only need to acquire data actively as required, they must also have functions for retrieving data available STD. Therefore, we propose an STD retention system that uses vehicles as information hubs (InfoHubs) for disseminating and retaining the data in a specific area. In our system, InfoHubs diffuse, maintain, and advertise STD over places and times where the STD are strongly dependent, thereby allowing users to receive such data passively within the specific area. Additionally, because STD are associated with a particular space, the system can reduce search costs. We also propose an adaptive transmission control method that each vehicle effectively operates its wireless resources autonomously and STD are retained and distributed efficiently. Finally, we evaluated our proposed method using simulations and clarified that our proposed system is capable of achieving a coverage rate of nearly 100% for STD while reducing the number of data transmissions compared to existing systems

Diagnostic Intravascular Imaging Modalities for Cardiac Allograft Vasculopathy

Cardiac allograft vasculopathy (CAV) is one of the major factors limiting long-term survival after heart transplantation (HTX). Typically, concentric vascular thickening and fibrosis with marked intimal proliferation are found in CAV. Most of HTX patients often remain free from symptoms of typical angina. Therefore, surveillance diagnostic exams are often performed. The gold standard of diagnosing CAV is coronary angiography (CAG). However, CAG can often be a less sensitive modality for the detection of diffuse concentric lesions. Intravascular ultrasound (IVUS) is helpful for direct imaging of vessel walls and provides useful information about coronary intimal thickening; however, it is difficult to evaluate plaque morphology in detail. Optimal coherence tomography (OCT), which delivers high resolution of 10 μm, can provide more details on plaque morphology than conventional imaging modalities. Recently, OCT imaging revealed new insight in CAV such as the development of atherosclerotic lesions and complicated coronary lesions. We review the pathogenesis, clinical features, diagnosis of CAV, with a particular focus on diagnostic intravascular imaging modalities

Induction Therapy in the Current Immunosuppressive Therapy

The current immunosuppressive therapy including calcineurin inhibitors, mycophenolate mofetil, and steroids, has substantially suppress rejections and improved clinical outcomes in heart transplant (HTx) recipients. Nevertheless, the management of drug-related nephrotoxicity, fatal acute cellular rejection (ACR), antibody-mediated rejection and infections remains challenging. Although previous some studies suggested that perioperative induction immunosuppressive therapy may be effective for the suppressing ACR and deterioration of renal function, increased incidence of infection and malignancy was concerned in recipients with induction immunosuppressive therapy. The international society of heart and lung transplantation (ISHLT) guidelines for the care of heart transplant recipients do not recommend routine use of induction immunosuppressive therapy, except for the patients with high risk of acute rejection or renal dysfunction, however, appropriate therapeutic regimen and indication of induction immunosuppressive therapy remains unclear in HTx recipients. We review current evidence of induction immunosuppressive therapy in HTx recipients, and discuss the appropriate therapeutic regimen and indication of induction therapy

Nsp16 shields SARS–CoV‐2 from efficient MDA5 sensing and IFIT1‐mediated restriction

Abstract Methylation of the mRNA 5′ cap by cellular methyltransferases enables efficient translation and avoids recognition by innate immune factors. Coronaviruses encode viral 2′‐O‐methyltransferases to shield their RNA from host factors. Here, we generate recombinant SARS–CoV‐2 harboring a catalytically inactive 2′‐O‐methyltransferase Nsp16, Nsp16mut, and analyze viral replication in human lung epithelial cells. Although replication is only slightly attenuated, we find SARS–CoV‐2 Nsp16mut to be highly immunogenic, resulting in a strongly enhanced release of type I interferon upon infection. The elevated immunogenicity of Nsp16mut is absent in cells lacking the RNA sensor MDA5. In addition, we report that Nsp16mut is highly sensitive to type I IFN treatment and demonstrate that this strong antiviral effect of type I IFN is mediated by the restriction factor IFIT1. Together, we describe a dual role for the 2′‐O‐methyltransferase Nsp16 during SARS–CoV‐2 replication in avoiding efficient recognition by MDA5 and in shielding its RNA from interferon‐induced antiviral responses, thereby identifying Nsp16 as a promising target for generating attenuated and highly immunogenic SARS–CoV‐2 strains and as a potential candidate for therapeutic intervention