NH3 in the Galactic Center is formed in Cool Conditions

It is an open question why the temperature of molecular gas in the Galactic center region is higher than that of dust. To address this problem, we made simultaneous observations in the NH_3 (J,K) = (1,1), (2,2), and (3,3) lines of the central molecular zone (CMZ) using the Kagoshima 6 m telescope. The ortho-to-para ratio of NH_3 molecules in the CMZ is 1.5--3.5 at most observed area. This ratio is higher than the statistical equilibrium value, and suggests that the formation temperature of NH_3 is 11--20 K. This temperature is similar to the dust temperature estimated from the submillimeter and infrared continuum. This result suggests that the NH_3 molecules in the CMZ were produced on dust grains with the currently observed temperature (11--20 K), and they were released into the gas phase by supernova shocks or collisions of dust particles. The discrepancy between warm molecular gas and cold dust can be explained by the transient heating of the interstellar media in the CMZ approximately 10^5 years ago when the NH_3 molecules were released from the dust.Comment: 19 pages, 12 figures, accepted for PAS

A Complete Survey of the Central Molecular Zone in NH3

We present a map of the major part of the central molecular zone (CMZ) of simultaneous observations in the NH3 (J,K) = (1,1) and (2,2) lines using the Kagoshima 6-m telescope. The mapped area is -1.000 < l < 1.625 deg, -0.375 < b < +0.250 deg. The kinetic temperatures derived from the (2,2) to (1,1) intensity ratios are 20--80 K or exceed 80 K. The gases corresponding to temperature of 20--80 K and > 80 K contain 75% and 25% of the total NH3 flux, respectively. These temperatures indicate that the dense molecular gas in the CMZ is dominated by gas that is warmer than the majority of the dust present there. A comparison with the CO survey by Sawada et al. (2001) shows that the NH3 emitting region is surrounded by a high pressure region on the l-v plane. Although NH3 emission traces dense gas, it is not extended into a high pressure region. Therefore, the high pressure region is less dense and has to be hotter. This indicates that the molecular cloud complex in the Galactic center region has a ``core'' of dense and warm clouds which are traced by the NH3 emission, and an ``envelope'' of less dense and hotter gas clouds. Besides heating by ambipolar diffusion, the hot plasma gas emitting the X-ray emission may heat the hot ``envelope''.Comment: 21 pages, 14 figures, accepted for PAS

Impact of the cervical cancer awareness months on public interest in Japan: A Google Trends analysis, 2012-2021

The immunization and screening rates for human papillomavirus in Japan are lower than those in other countries. We aimed to evaluate the impact of cervical cancer awareness months on public attention using Google Trends analysis. Between 2012 and 2021, we analyzed the trends in relative search volumes (RSVs) for "Shikyuu-keigan" (cervical cancer in English) in Japan, during the cervical cancer awareness month (CCAM) in January and cervical cancer prevention awareness enhancement month (CCPAEM) in November. We performed a joinpoint regression analysis to identify a statistically significant trend change point. Additionally, we compared the mean RSVs of each awareness month with the rest of the year. Significant trend change points were observed, but none were found in CCAM and CCPAEM periods. Comparison of mean RSVs among CCAM, CCPAEM, and the rest of the months did not suggest any significant increases in RSVs during these awareness periods. In conclusion, CAM and CCPAEM did not raise public interest in cervical cancer in Japan. Although the results are based on internet users, the findings might suggest a need to develop a more effective and attractive approach to achieve the 90-70-90 targets of cervical cancer prevention by 2030

Propagation of Highly Efficient Star Formation in NGC 7000

We surveyed the (1,1), (2,2), and (3,3) lines of NH3 and the H2O maser toward the molecular cloud L935 in the extended HII region NGC 7000 with an angular resolution of 1.6' using the Kashima 34-m telescope. We found five clumps in the NH3 emission with a size of 0.2--1 pc and mass of 9--452 M_sun. The molecular gas in these clumps has a similar gas kinetic temperature of 11--15 K and a line width of 1--2 km/s. However, they have different star formation activities such as the concentration of T-Tauri type stars and the association of H2O maser sources. We found that these star formation activities are related to the geometry of the HII region. The clump associated with the T-Tauri type star cluster has a high star formation efficiency of 36--62%. This clump is located near the boundary of the HII region and molecular cloud. Therefore, we suggest that the star formation efficiency increases because of the triggered star formation.Comment: 19 pages, 15 figures, accepted for PASJ Vol.63 No.

Trends in the Incidence of Disseminated Cryptococcosis in Japan: A Nationwide Observational Study, 2015–2021

Background Cryptococcus species can cause severe disseminated infections in immunocompromised hosts. This study investigated the epidemiological features and trends in disseminated cryptococcosis in Japan. Methods We used publicly available Infectious Diseases Weekly Reports to obtain data on the incidence of disseminated cryptococcosis in Japan from 2015 to 2021. Patient information, including age, sex, and regional and seasonal data, were extracted. The Joinpoint regression program was used to determine the age-adjusted incidence rate (AAR) per 100,000 population, annual percentage change (APC), and average APC (AAPC). Results A total of 1047 cases of disseminated cryptococcosis were reported, of which those aged ≥ 70 years accounted for 68.8%. The AAR in men was significantly higher than that in women (median: 0.13 vs. 0.09: p = 0.0024). APC for the overall cases increased by 9.9% (95% confidence interval [95% CI] − 5.4–27.7) from 2015 to 2018 and then decreased by 3.3% (95% CI − 15.5–10.7) from 2018 to 2021. AAPC for the entire study period was 3.1% (95% CI − 1.5–8.0), indicating a possible increase in its number, although not statistically significant. In terms of regional distribution, the average AAR was highest in Shikoku District (0.17) and lowest in Hokkaido District (0.04). Northern Japan exhibited a significantly lower median AAR (median [interquartile range]: 0.06 [0.05, 0.08]) than the Eastern (0.12 [0.12, 0.13]), Western (0.11 [0.10, 0.13]), and Southern (0.14 [0.12, 0.15]) regions. No seasonal variation in incidence was observed. Conclusion The prevalence of disseminated cryptococcosis has not increased in Japan. Geographically, the incidence is lower in Northern Japan. Further investigations that incorporate detailed clinical data are required

Atrial tachycardia caused by a superior vena cava fibrillation with conduction block

AbstractAT caused by SVC fibrillationHere, we report a case of a 62-year-old man with a history of incessant atrial tachycardia (AT) for several years. An electrophysiological study revealed rapid and irregular activity in the superior vena cava (SVC), but the surface 12-lead electrocardiogram (ECG) exhibited a relatively regular AT (atrial cycle length=240ms). CARTO mapping of the right atrium (RA) demonstrated that the earliest atrial activation occurred at the posterior septum of the upper RA (the SVC–RA junction). Intravenous administration of 20mg adenosine triphosphate (ATP) led to an acceleration of the SVC–RA conduction up to 1:1 conduction, and the atrial cycle length decreased, consequently converting the AT to transient atrial fibrillation (AF). Application of single radiofrequency energy at the earliest atrial activation site during tachycardia terminated the AT and achieved isolation of the SVC from the RA, despite the continued presence of fibrillation in the SVC. We speculated that SVC fibrillation with spontaneous conduction block at the SVC–RA junction was the cause of this AT

A nationwide trend analysis in the incidence and mortality of Creutzfeldt-Jakob disease in Japan between 2005 and 2014

In the era of hyper-ageing, Creutzfeldt-Jakob disease (CJD) can become more prevalent as an important cause of dementia. This study aimed to evaluate the trends in crude and age-adjusted CJD-associated mortality and incidence rates in Japan using national vital statistics data on CJD-associated deaths among individuals aged over 50 years, as well as the government-funded nationwide CJD surveillance data (pertaining to the years 2005-2014) in Japan. The data were analysed using the Joinpoint Regression Program to estimate the long-term trends and average annual percentage changes (AAPCs). Overall, the AAPCs of age-adjusted CJD-associated mortality rates rose significantly over the study period (3.2%; 95% confidence interval [CI] 1.4-5.1%). The AAPC of the age-adjusted incidence rates also increased (overall 6.4%; 95% CI 4.7-8.1%). The CJD-associated increases in the mortality and incidence rates were especially prominent among adults over the age of 70 years. Given this trend in aging of population, the disease burden of CJD will continue to increase in severity. Our findings thus recommend that policymakers be aware of the importance of CJD and focus on preparing to address the increasing prevalence of dementia

Trends in the incidence and mortality of legionellosis in Japan: a nationwide observational study, 1999-2017

This study examined temporal trend, seasonality, and geographical variations of legionellosis incidence and mortality in Japan. This nationwide observational study used the Japanese Vital Statistics and Infectious Diseases Weekly Report (1999-2017) data to calculate legionellosis crude and age-adjusted incidence and mortality rates per 100,000 population by age and sex. Incidence was compared among the 4 seasons and regional incidence among 47 prefectures. Of 13,613 (11,194 men) people with legionellosis in Japan, 725 (569 men) were fatal. Increasing incidence trend occurred from 0.0004 (1999) to 1.37 (2017) per 100,000 population. People aged >= 70 years accounted for 43.1% overall; men's age-adjusted incidence rate was consistently approximately five times higher than for women. Significantly higher incidence occurred in summer than in winter (p=0.013). Geographically, highest incidence (>= 2.0 per 100,000 population) occurred in Hokuriku District, with increasing trends in Hokkaido and middle-part of Japan. Estimated fatality rates decreased consistently at 5.9% (95% confidence interval: - 8.1, - 3.5) annually, from 1999 to 2017, with no trend change point. Increasing legionellosis incidence occurred in Japan during 1999-2017, with declining estimated fatality rates. In this aging society and warming world, disease clinical burden may further deteriorate in future due to increasing incidence trends