Pathogenic Basis of Thromboinflammation and Endothelial Injury in COVID-19 : Current Findings and Therapeutic Implications

Coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has become a global pandemic with a great impact on social and economic activities, as well as public health. In most patients, the symptoms of COVID-19 are a high-grade fever and a dry cough, and spontaneously resolve within ten days. However, in severe cases, COVID-19 leads to atypical bilateral interstitial pneumonia, acute respiratory distress syndrome, and systemic thromboembolism, resulting in multiple organ failure with high mortality and morbidity. SARS-CoV-2 has immune evasion mechanisms, including inhibition of interferon signaling and suppression of T cell and B cell responses. SARS-CoV-2 infection directly and indirectly causes dysregulated immune responses, platelet hyperactivation, and endothelial dysfunction, which interact with each other and are exacerbated by cardiovascular risk factors. In this review, we summarize current knowledge on the pathogenic basis of thromboinflammation and endothelial injury in COVID-19. We highlight the distinct contributions of dysregulated immune responses, platelet hyperactivation, and endothelial dysfunction to the pathogenesis of COVID-19. In addition, we discuss potential therapeutic strategies targeting these mechanisms

Evaluation of ITER TF Coil Joint Performance

To evaluate the ITER TF joint performance, the joint test sample, which consists of two short TF conductors and has full size joint, shall be tested using NIFS test facility under the condition of current of 68 kA and external field of 2 T. For high accuracy, the issue of voltage difference between cable and jacket had been anticipated in the evaluation of joint resistance. If a voltage difference exist between them, it is difficult to measure real joint resistance using voltage taps on the jacket. Therefore, the author first calculated the position where voltage of cable and jacket become equipotential and then decided the voltage tap position where the influence of voltage drop could be avoided. Thus, a high accuracy measurement of joint resistance could be achieved and the joint resistance was accurately evaluated as around 1 n Ω , which is well below the ITER requirement of 3 n Ω

Excision of recurrent appendix testis torsion

A 6-year-old boy developed left side scrotal pain. We diagnosed the patient as having left appendix testis torsion. We prescribed acetaminophen and the pain gradually improved. Four months after the initial episode of pain, the patient had scrotum pain again. Ultrasonography revealed a swollen appendage at the upper pole of the testis with calcification. We performed resection of the twisted appendix testis. Pathological examination revealed lymphocytic infiltration, fibrosis, edema, granulation tissue, and frequent foci of calcification. There was no necrosis. Some cases of appendix testis torsion whose initial symptoms are conservatively managed, require subsequent removal of the chronically inflamed appendage accompanied by acute inflammation for persistent or recurrent pain several months after appearance and resolution of the initial symptoms. Keywords: Acute scrotum, Torsion of appendix testis, Recurrence symptom

Ground-based instruments of the PWING project to investigate dynamics of the inner magnetosphere at subauroral latitudes as a part of the ERG-ground coordinated observation network

Abstract The plasmas (electrons and ions) in the inner magnetosphere have wide energy ranges from electron volts to mega-electron volts (MeV). These plasmas rotate around the Earth longitudinally due to the gradient and curvature of the geomagnetic field and by the co-rotation motion with timescales from several tens of hours to less than 10 min. They interact with plasma waves at frequencies of mHz to kHz mainly in the equatorial plane of the magnetosphere, obtain energies up to MeV, and are lost into the ionosphere. In order to provide the global distribution and quantitative evaluation of the dynamical variation of these plasmas and waves in the inner magnetosphere, the PWING project (study of dynamical variation of particles and waves in the inner magnetosphere using ground-based network observations, http://www.isee.nagoya-u.ac.jp/dimr/PWING/) has been carried out since April 2016. This paper describes the stations and instrumentation of the PWING project. We operate all-sky airglow/aurora imagers, 64-Hz sampling induction magnetometers, 40-kHz sampling loop antennas, and 64-Hz sampling riometers at eight stations at subauroral latitudes (~ 60° geomagnetic latitude) in the northern hemisphere, as well as 100-Hz sampling EMCCD cameras at three stations. These stations are distributed longitudinally in Canada, Iceland, Finland, Russia, and Alaska to obtain the longitudinal distribution of plasmas and waves in the inner magnetosphere. This PWING longitudinal network has been developed as a part of the ERG (Arase)-ground coordinated observation network. The ERG (Arase) satellite was launched on December 20, 2016, and has been in full operation since March 2017. We will combine these ground network observations with the ERG (Arase) satellite and global modeling studies. These comprehensive datasets will contribute to the investigation of dynamical variation of particles and waves in the inner magnetosphere, which is one of the most important research topics in recent space physics, and the outcome of our research will improve safe and secure use of geospace around the Earth