Diagnostic utility of measuring lactate dehydrogenase levels and its isoenzyme activities for the evaluation of malignancy in feline pleural effusion and ascitic fluid

Background: Lactate dehydrogenase (LDH) isoenzymes may be useful in the differential diagnosis of pleural effusion (PE) and ascitic fluid (AF) etiologies in cats since tissue damage induces their release, changing the pattern of their activity. Aim: This study aimed to determine the diagnostic utility of measuring LDH levels and isoenzyme activities in PE or AF in cats with malignancy. Methods: LDH levels and isoenzyme activities in the serum, PE, and AF were compared among cats in the malignant, infectious, and non-malignant, non-infectious groups. A receiver operating characteristic (ROC) analysis was performed to assess the accuracy in diagnosing feline malignancy. Results: Significant differences in LDH level and LDH isoenzyme activities in the PE and AF were observed among the three groups. The combination of LDH level and LDH-1 activity in PE or AF had the highest area under the ROC (AUC) values for discriminating malignant effusion from non-malignant effusion. The AUC of the combination of LDH level and LDH-1 activity in PE or AF was 0.874. The sensitivity and specificity of using the combination of LDH level (cut-off: <2,269 U/l) and LDH-1 activity (cut-off: <4.8%) in PE or AF for predicting malignancy with the highest AUC value were 94.4% and 72.7%, respectively. Conclusion: Our results suggest that the combination of LDH level and LDH-1 activity in PE or AF is a potential factor for diagnosing malignancy. Considering that LDH isoenzymes can be measured inexpensively and easily, LDH tests can be readily accommodated in veterinary clinical practice

Similarity-based Classification: Connecting Similarity Learning to Binary Classification

In real-world classification problems, pairwise supervision (i.e., a pair of patterns with a binary label indicating whether they belong to the same class or not) can often be obtained at a lower cost than ordinary class labels. Similarity learning is a general framework to utilize such pairwise supervision to elicit useful representations by inferring the relationship between two data points, which encompasses various important preprocessing tasks such as metric learning, kernel learning, graph embedding, and contrastive representation learning. Although elicited representations are expected to perform well in downstream tasks such as classification, little theoretical insight has been given in the literature so far. In this paper, we reveal that a specific formulation of similarity learning is strongly related to the objective of binary classification, which spurs us to learn a binary classifier without ordinary class labels---by fitting the product of real-valued prediction functions of pairwise patterns to their similarity. Our formulation of similarity learning does not only generalize many existing ones, but also admits an excess risk bound showing an explicit connection to classification. Finally, we empirically demonstrate the practical usefulness of the proposed method on benchmark datasets.Comment: 22 page

Successful Percutaneous Thoracic Duct Embolization for Chylothorax After Total Arch Replacement

Chylothorax after cardiac surgery is a rare complication associated with severe morbidity and mortality. This report documents successful treatment with percutaneous thoracic duct embolization for chylothorax after total arch replacement. A 69-year-old man underwent replacement of the aortic arch to treat a ruptured aortic aneurysm. After surgery, the left thoracic drain discharged 2,000 to 3,000 mL serosanguineous fluid per day, even though the patient took nothing orally and was administered subcutaneous octreotide therapy. On postoperative day 9, percutaneous thoracic duct embolization was performed, and the drain could be removed. The chylothorax did not recur, and the patient was discharged on postoperative day 17

Stomagen positively regulates stomatal density in Arabidopsis.

葉の気孔の数を増加させる因子の発見～CO2削減や食糧増産へ向けて～. 京都大学プレスリリース. 2009-12-10.Stomata in the epidermal tissues of leaves are valves through which passes CO(2), and as such they influence the global carbon cycle. The two-dimensional pattern and density of stomata in the leaf epidermis are genetically and environmentally regulated to optimize gas exchange. Two putative intercellular signalling factors, EPF1 and EPF2, function as negative regulators of stomatal development in Arabidopsis, possibly by interacting with the receptor-like protein TMM. One or more positive intercellular signalling factors are assumed to be involved in stomatal development, but their identities are unknown. Here we show that a novel secretory peptide, which we designate as stomagen, is a positive intercellular signalling factor that is conserved among vascular plants. Stomagen is a 45-amino--rich peptide that is generated from a 102-amino-acid precursor protein designated as STOMAGEN. Both an in planta analysis and a semi-in-vitro analysis with recombinant and chemically synthesized stomagen peptides showed that stomagen has stomata-inducing activity in a dose-dependent manner. A genetic analysis showed that TMM is epistatic to STOMAGEN (At4g12970), suggesting that stomatal development is finely regulated by competitive binding of positive and negative regulators to the same receptor. Notably, STOMAGEN is expressed in inner tissues (the mesophyll) of immature leaves but not in the epidermal tissues where stomata develop. This study provides evidence of a mesophyll-derived positive regulator of stomatal density. Our findings provide a conceptual advancement in understanding stomatal development: inner photosynthetic tissues optimize their function by regulating stomatal density in the epidermis for efficient uptake of CO(2)

A Dynamical Study of Galaxies in the Hickson Compact Groups

In order to investigate dynamical properties of spiral galaxies in the Hickson compact groups (HCGs), we present rotation curves of 30 galaxies in 20 HCGs. We found as follows. 1) There is not significant relation between dynamical peculiarity and morphological peculiarity in HCG spirals. 2) There is no significant relation between the dynamical properties and the frequency distribution of nuclear activities in HCG spirals. 3) There are no significant correlations between the dynamical properties of HCG spirals and any group properties (i.e., the size, the velocity dispersion, the galaxy number density, and the crossing time). 4) Asymmetric and peculiar rotation curves are more frequently seen in the HCG spirals than in field spirals and in cluster ones. However, this tendency is more obviously seen in late-type HCG spirals. These results suggest that the dynamical properties of HCG spirals do not strongly correlate with the morphology, the nuclear activity, and the group properties. Our results also suggest that more frequent galaxy collisions occur in the HCGs than in the field and in the clusters.Comment: 24 pages test (aasms4 LaTeX), 50 page tables (aasms4 LaTeX), and 16 Postscript figures, Accepted for The Astronomical Journa

Panel‑based next‑generation sequencing facilitates the characterization of childhood acute myeloid leukemia in clinical settings

Acute myeloid leukemia (AML) accounts for ~20% of pediatric leukemia cases. The prognosis of pediatric AML has been improved in recent decades, but it trails that of most other types of pediatric cancer, with mortality rates of 30‑40%. Consequently, newer more targeted drugs are required for incorporation into treatment plans. These newer drugs selectively target AML cells with specific gene alterations. However, there are significant differences in genetic alterations between adult and pediatric patients with AML. In the present study, inexpensive and rapid next‑generation sequencing (NGS) of >150 cancer‑related genes was performed for matched diagnostic, remission and relapse (if any) samples from 27 pediatric patients with AML. In this analysis, seven genes were recurrently mutated. KRAS was mutated in seven patients, NRAS was mutated in three patients, and KIT, GATA1, WT1, PTPN11, JAK3 and FLT3 were each mutated in two patients. Among patients with relapsed AML, six harbored KRAS mutations at diagnosis; however, four of these patients lost these mutations at relapse. Additionally, two genetic alterations (FLT3‑ITD and TP53 alterations) were detected among patients who eventually relapsed, and these mutations are reported to be adverse prognostic factors for adult patients with AML. This panel‑based, targeted sequencing approach may be useful in determining the genetic background of pediatric AML and improving the prediction of treatment response and detection of potentially targetable gene alterations. RAS pathway mutations were highly unstable at relapse; therefore, these mutations should be chosen as a target with caution. Incorporating this panel‑based NGS approach into the clinical setting may allow for a patient‑oriented strategy of precision treatment for childhood AML