Late-diagnosed cesarean scar pregnancy resulting in unexpected placenta accreta spectrum necessitating hysterectomy

Cesarean scar pregnancy (CSP) is a rare complication involving the implantation of the gestational sac in a cesarean delivery scar. The authors report a case of unexpected placenta accreta spectrum (PAS) caused by late diagnosed CSP, necessitating emergent hysterectomy. A 28-year-old Japanese woman with two previous cesarean deliveries presented to our hospital at 11 weeks of gestation with abnormal transvaginal ultrasound findings obtained at another hospital;however, transabdominal ultrasound revealed that the fetus was already present in the uterine cavity at this time. At 28 weeks, there was no evidence of placenta previa. The woman developed preeclampsia at 29 weeks, and a cesarean section was conducted. Intraoperative findings confirmed PAS, and hysterectomy was conducted immediately

Spatially variable hydrological and biological processes shape diverse post‐flood aquatic communities

水の満ち引きが多様な生物の共存を実現 --自然氾濫原において多くの生物の共存を可能とする河川氾濫の役割--. 京都大学プレスリリース. 2021-12-13.1. Diverse aquatic environments in floodplains support high biodiversity, including plankton, benthos, nekton (fish), and amphibians. Variation in aquatic communities among waterbodies should be explained not only by the spatial variation in the environment at low flow but also by the hydrological dynamics and biological responses over flood and recession periods. However, very few studies have examined the formation processes of floodplain aquatic communities over flood periods. 2. In this study, we aimed to obtain a mechanistic understanding of the assembly of aquatic communities on a temperate floodplain by conducting intensive fieldwork during and after seasonal flooding. The study was conducted in the Butokamabetsu River catchment in northern Hokkaido, where snowmelt causes annual spring floods. At peak flow, floodwater not only flow through main stream river and the extant side channels, but also flow through some palaeo-side channels, which are usually isolated from the mainstream river and harbour stagnant water. As the floods recede, palaeo-side channels become isolated from the mainstream river and their flow cease, but the timing of the flow cessation varied among palaeo-side channels. We hypothesised that this spatial asynchrony in the timing of flow cessations shapes diverse floodplain aquatic communities. Therefore, we conducted field surveys of four faunal groups (plankton, benthos, nekton [fish], and amphibian) during and after the spring flood in 2019. 3. The post-flood aquatic communities varied spatially, according to the flow at peak flood, the timing of flow cessation, and the flow at low flow. Plankton composition was influenced by the water flow at peak flood, and they were more abundant in waterbodies that were never flushed by floodwaters. Fish composition was also influenced by the water flow at peak flood; in particular, salmonids were more abundant in waterbodies that were hydrologically connected to the main stream at peak flood. The presence of amphibian eggs was influenced by the timing of flow cessation; eggs were laid in waterbodies with stagnant water during breeding season. The benthic composition was influenced by flow at low flow. After the flood had receded, these different distribution patterns of the four biological groups led to gradual variation of aquatic communities among waterbodies on a floodplain. 4. Overall, this study showed that hydrological dynamics during flood recession shapes the post-flood aquatic communities, and the spatial variability in the hydrological dynamics and the different responses of the four faunal groups support diverse aquatic communities on a floodplain. Importance of the natural geomorphological complexities, where paleo-side channels with wide range of hydrological connectivity to the river channel co-occur, as well as the natural hydrological dynamics of snowmelt recession, where the flooding discharge gradually decrease over a certain period in spring for floodplain aquatic communities are highlighted

Spatially variable hydrological and biological processes shape diverse post-flood aquatic communities

Diverse aquatic environments in floodplains support high biodiversity, including plankton, benthos, nekton (fish), and amphibians. Variation in aquatic communities among waterbodies should be explained not only by the spatial variation in the environment at low flow but also by the hydrological dynamics and biological responses over flood and recession periods. However, very few studies have examined the formation processes of floodplain aquatic communities over flood periods. In this study, we aimed to obtain a mechanistic understanding of the assembly of aquatic communities on a temperate floodplain by conducting intensive fieldwork during and after seasonal flooding. The study was conducted in the Butokamabetsu River catchment in northern Hokkaido, where snowmelt causes annual spring floods. At peak flow, floodwater not only flow through main stream river and the extant side channels, but also flow through some palaeo-side channels, which are usually isolated from the mainstream river and harbour stagnant water. As the floods recede, palaeo-side channels become isolated from the mainstream river and their flow cease, but the timing of the flow cessation varied among palaeo-side channels. We hypothesised that this spatial asynchrony in the timing of flow cessations shapes diverse floodplain aquatic communities. Therefore, we conducted field surveys of four faunal groups (plankton, benthos, nekton [fish], and amphibian) during and after the spring flood in 2019. The post-flood aquatic communities varied spatially, according to the flow at peak flood, the timing of flow cessation, and the flow at low flow. Plankton composition was influenced by the water flow at peak flood, and they were more abundant in waterbodies that were never flushed by floodwaters. Fish composition was also influenced by the water flow at peak flood; in particular, salmonids were more abundant in waterbodies that were hydrologically connected to the main stream at peak flood. The presence of amphibian eggs was influenced by the timing of flow cessation; eggs were laid in waterbodies with stagnant water during breeding season. The benthic composition was influenced by flow at low flow. After the flood had receded, these different distribution patterns of the four biological groups led to gradual variation of aquatic communities among waterbodies on a floodplain. Overall, this study showed that hydrological dynamics during flood recession shapes the post-flood aquatic communities, and the spatial variability in the hydrological dynamics and the different responses of the four faunal groups support diverse aquatic communities on a floodplain. Importance of the natural geomorphological complexities, where paleo-side channels with wide range of hydrological connectivity to the river channel co-occur, as well as the natural hydrological dynamics of snowmelt recession, where the flooding discharge gradually decrease over a certain period in spring for floodplain aquatic communities are highlighted

Vessel specific imaging of glucose transfer with fluorescent glucose analogue in anesthetized mouse cortex.

The present study examined glucose transfer in the cellular scale of mouse brain microvasculature in vivo using two-photon microscopy and fluorescent glucose analogue (2-NBDG). The 2-NBDG was intravenously injected (0.04 mL/min) in the anesthetized Tie2-GFP mice in which the vascular endothelium expressed fluorescent protein. Time-lapse imaging was conducted on the cortical parenchyma, while the time-intensity change of the injected 2-NBDG was analysed in respective vascular compartments (artery, capillary, and vein). We observed that 2-NBDG signal increased monotonically in the vasculature during the period of the injection, and rapidly declined following its cessation. In tissue compartment, however, the signal intensity gradually increased even after cessation of the injection. Spatiotemporal analysis of the 2-NBDG intensity over the cross-sections of the vessels further showed distinct change of the 2-NBDG intensity across the vessel wall (endothelium), which may represents a regulation site of tissue glucose influx

Novel nuclear and mitochondrial glycosylases revealed by disruption of the mouse Nth1 gene encoding an endonuclease III homolog for repair of thymine glycols

Endonuclease III, encoded by nth in Escherichia coli, removes thymine glycols (Tg), a toxic oxidative DNA lesion. To determine the biological significance of this repair in mammals, we established a mouse model with mutated mNth1, a homolog of nth, by gene targeting. The homozygous mNth1 mutant mice showed no detectable phenotypical abnormality. Embryonic cells with or without wild-type mNth1 showed no difference in sensitivity to menadione or hydrogen peroxide. Tg produced in the mutant mouse liver DNA by X-ray irradiation disappeared with time, though more slowly than in the wild-type mouse. In extracts from mutant mouse liver, we found, instead of mNTH1 activity, at least two novel DNA glycosylase activities against Tg. One activity is significantly higher in the mutant than in wild-type mouse in mitochondria, while the other is another nuclear glycosylase for Tg. These results underscore the importance of base excision repair of Tg both in the nuclei and mitochondria in mammals