Unexpected high abundance of aragonite-forming Nanipora (Octocorallia: Helioporacea) at an acidified volcanic reef in southern Japan

Nanipora Miyazaki & Reimer, 2015 is a recently discovered genus of aragonite-skeleton producing octocorals closely related to the blue coral genus Heliopora de Blainville, 1830. Since its discovery, Nanipora has been reported from coral reefs in Okinawa, Japan, and Thailand, and from seagrass beds in the northern South China Sea. However, it remains little known and studied. Here, we report on the unexpected discovery of an abundance of Nanipora colonies in shallow waters less than 2-m deep around a CO2 vent from the uninhabited volcanic island of Iwotorishima, Okinawa, in southern Japan. Nanipora colonies were found covering both coral rubble and hard substrates, alongside a few soft coral and zoantharian species. Polyps were pale white in color with none brown or darker in coloration as in some recent reports. As the original description of N. kamurai from Zamami Island in Okinawa describes the species as azooxanthellate, as the current Iwotorishima specimens also appear to be, and recently reported specimens from Thailand, Dongsha Atoll, and Yaeyama are zooxanthellate, it may be that there are more than one Nanipora species; the type species N. kamurai that is also likely at Iwotorishima, and a zooxanthellate species that constitutes the other records. Although Nanipora is not well studied, its presence at this volcanic CO2 seep suggests it has the ability to survive under unique and extreme environmental conditions, rendering it as a potentially important subject of study in the face of increasing ocean acidification

Acquired Hemophilia A Developing Cerebral Infarction 36 Days after the Frequent Administration of Bypass Hemostatic Agents

A 74-years-old male who was a smoker and received treatment for hypertension, dyslipidemia, peripheral arterial disease and idiopathic interstitial pneumonia complained of subcutaneous hemorrhage of the right lower thigh. Marked anemia (hemoglobin 5.5 g/dL) and prolonged activated partial thromboplastin time (≥130 s) were noted. The factor VIII activity level was reduced to 1.2%, and the factor VIII inhibitor titer was 285.3 BU/mL, a diagnosis of acquired hemophilia A (AHA) was made. Then, hematomas of 5 intra-muscles were recurred. Hemostasis became difficult despite frequent and high-dose administration of recombinant human coagulation factor VIIa (total: 18 days, 305 mg). Hemostasis was achieved by switching to activated prothrombin complex concentrate (for 3 days, 18,000 units), however, cerebral infarction occurred after 36 days. After the frequent administration of bypass hemostatic agents on elderly AHA patients with several risk factors for ischemic stroke, the risk of subsequent thrombotic events may persist for 1 month

Neural basis of impaired cognitive flexibility in patients with anorexia nervosa.

Impaired cognitive flexibility in anorexia nervosa (AN) causes clinical problems and makes the disease hard to treat, but its neural basis has yet to be fully elucidated. The purpose of this study was to evaluate the brain activity of individuals with AN while performing a task requiring cognitive flexibility on the Wisconsin Card Sorting Test (WCST), which is one of the most frequently used neurocognitive measures of cognitive flexibility and problem-solving ability.Participants were 15 female AN patients and 15 age- and intelligence quotient-matched healthy control women. Participants completed the WCST while their brain activity was measured by functional magnetic resonance imaging during the task. Brain activation in response to set shifting error feedback and the correlation between such brain activity and set shifting performance were analyzed.The correct rate on the WCST was significantly poorer for AN patients than for controls. Patients showed poorer activity in the right ventrolateral prefrontal cortex and bilateral parahippocampal cortex on set shifting than controls. Controls showed a positive correlation between correct rate and ventrolateral prefrontal activity in response to set shifting whereas patients did not.These findings suggest dysfunction of the ventrolateral prefrontal cortex and parahippocampal cortex as a cause of impaired cognitive flexibility in AN patients