Changes in Sexuality of Castration-Resistant Prostate Cancer Patients Under Hormone Therapy in Japan: a Case Study

Background: Hormone therapy is an important treatment for male patients with prostate cancer. However, it can produce changes in the genitalia and sexuality of the patients. Purpose: This study aimed to investigate the relations between changes in male genitalia and sexuality in the castration-resistant prostate cancer patients. It also proposed concrete interventions to ease pain and fear towards body image changes. Methods: This study used a descriptive qualitative design. The subjects were two castration-resistant prostate cancer patients undergoing chemotherapy and endocrine therapy. The data were collected through semi-structured interviews and analyzed using verbatim reports and content analysis. Results: The study indicated that the effects of hormone therapy treatment on the sexuality were largely categorized as: “surprises and anxieties about the shrinkage of male genitalia”, “masculinity loss”, “difficulty adapting the situation”, and “connection with others”. Conclusion: It became clear that the prostate cancer patients had pains not only for prognosis, but also for physical changes, relationship changes with others and sexuality changes through their treatments

Experimentally observed evolution between dynamic patterns and intrinsic localized modes in a driven nonlinear electrical cyclic lattice

Locked intrinsic localized modes (ILMs) and large amplitude lattice spatial modes (LSMs) have been experimentally measured for a driven 1-D nonlinear cyclic electric transmission line, where the nonlinear element is a saturable capacitor. Depending on the number of cells and electrical lattice damping a LSM of fixed shape can be tuned across the modal spectrum. Interestingly, by tuning the driver frequency away from this spectrum an LSM can be continuously converted into ILMs and visa versa. The differences in pattern formation between simulations and experimental findings are due to a low concentration of impurities. Through this novel nonlinear excitation and switching channel in cyclic lattices either energy balanced or unbalanced LSMs and ILMs may occur. Because of the general nature of these dynamical results for nonintegrable lattices applications are to be expected. The ultimate stability of driven aero machinery containing nonlinear periodic structures may be one example.Comment: 7 pages 7 figure

Spectral Retrieval of Latent Heating Profiles from TRMM PR data

The global hydrological cycle is central to the Earth's climate system, with rainfall and the physics of precipitation formation acting as the key links in the cycle. Two-thirds of global rainfall occurs in the tropics with the associated latent heating (LH) accounting for threefourths of the total heat energy available to the Earth's atmosphere. In the last decade, it has been established that standard products of LH from satellite measurements, particularly TRMM measurements, would be a valuable resource for scientific research and applications. Such products would enable new insights and investigations concerning the complexities of convection system life cycles, the diabatic heating controls and feedbacks related to rne-sosynoptic circulations and their forecasting, the relationship of tropical patterns of LH to the global circulation and climate, and strategies for improving cloud parameterizations In environmental prediction models. However, the LH and water vapor profile or budget (called the apparent moisture sink, or Q2) is closely related. This paper presented the development of an algorithm for retrieving Q2 using 'TRMM precipitation radar. Since there is no direct measurement of LH and Q2, the validation of algorithm usually applies a method called consistency check. Consistency checking involving Cloud Resolving Model (CRM)-generated LH and 42 profiles and algorithm-reconstructed is a useful step in evaluating the performance of a given algorithm. In this process, the CRM simulation of a time-dependent precipitation process (multiple-day time series) is used to obtain the required input parameters for a given algorithm. The algorithm is then used to "~econsti-LKt~h"e heating and moisture profiles that the CRM simulation originally produced, and finally both sets of conformal estimates (model and algorithm) are compared each other. The results indicate that discrepancies between the reconstructed and CM-simulated profiles for Q2, especially at low levels, are larger than those for latent heat. Larger discrepancies in Q2 at low levels are due to moistening for non-precipitating region that algorithm cannot reconstruct. Nevertheless, the algorithm-reconstructed total Q2 profiles are in good agreement with the CRM-simulated ones

Vertical Diabatic Heating Structure of the MJO: Intercomparison between Recent Reanalyses and TRMM Estimates

Capitalizing on recently released reanalysis datasets and diabatic heating estimates based on Tropical Rainfall Measuring Mission (TRMM), the authors have conducted a composite analysis of vertical anomalous heating structures associated with the Madden–Julian oscillation (MJO). Because diabatic heating lies at the heart of prevailing MJO theories, the intention of this effort is to provide new insights into the fundamental physics of the MJO. However, some discrepancies in the composite vertical MJO heating profiles are noted among the datasets, particularly between three reanalyses and three TRMM estimates. A westward tilting with altitude in the vertical heating structure of the MJO is clearly evident during its eastward propagation based on three reanalysis datasets, which is particularly pronounced when the MJO migrates from the equatorial eastern Indian Ocean (EEIO) to the western Pacific (WP). In contrast, this vertical tilt in heating structure is not readily seen in the three TRMM products. Moreover, a transition from a shallow to deep heating structure associated with the MJO is clearly evident in a pressure–time plot over both the EEIO and WP in three reanalysis datasets. Although this vertical heating structure transition is detectable over the WP in two TRMM products, it is weakly defined in another dataset over the WP and in all three TRMM datasets over the EEIO. The vertical structures of radiative heating QR associated with the MJO are also analyzed based on TRMM and two reanalysis datasets. A westward vertical tilt in QR is apparent in all these datasets: that is, the low-level QR is largely in phase of convection, whereas QR in the upper troposphere lags the maximum convection. The results also suggest a potentially important role of radiative heating for the MJO, particularly over the Indian Ocean. Caveats in heating estimates based on both the reanalysis datasets and TRMM are briefly discussed

Suppression of Cdc27B expression induces plant defence responses

Non-host resistance is the most general form of disease resistance in plants because it is effective against most phytopathogens. The importance of hypersensitive responses (HRs) in non-host resistance of Nicotiana species to the oomycete Phytophthora is clear. INF1 elicitin, an elicitor obtained from the late-blight pathogen Phytophthora infestans, is sufficient to induce a typical HR in Nicotiana species. The molecular mechanisms that underlie the non-host resistance component of plant defence responses have been investigated using differential-display polymerase chain reaction (PCR) in a model HR system between INF1 elicitin and tobacco BY-2 cells. Differential-display PCR has revealed that Cdc27B is down-regulated in tobacco BY- 2 cells after treatment with INF1 elicitin. Cdc27B is one of 13 essential components of the anaphase- promoting complex or cyclosome ( APC/ C)-type E3 ubiquitin ligase complex in yeast. This APC/C-type E3 ubiquitin ligase complex regulates G2-to-M phase transition of the cell cycle by proteolytic degradation. In this study, we investigated the roles of this gene, NbCdc27B, in plant defence responses using virus-induced gene silencing. Suppression of NbCdc27B in Nicotiana benthamiana plants induced defence responses and a gain of resistance to Colletotrichum lagenarium fungus. Elicitin-induced hypersensitive cell death (HCD) was inhibited mildly in plants silenced with tobacco rattle virus:: Cdc27B. Cdc27B could manage the signalling pathways of plant defence responses as a negative regulator without HCD.</p

TRMM Latent Heating Retrieval and Comparisons with Field Campaigns and Large-Scale Analyses

Rainfall production is a fundamental process within the Earth's hydrological cycle because it represents both a principal forcing term in surface water budgets, and its energetics corollary, latent heating (LH), is one of the principal sources of atmospheric diabatic heating. Latent heat release itself is a consequence of phase changes between the vapor, liquid, and frozen states of water. The vertical distribution of LH has a strong influence on the atmosphere, controlling large-scale tropical circulations, exciting and modulating tropical waves, maintaining the intensities of tropical cyclones, and even providing the energetics of midlatitude cyclones and other mobile midlatitude weather systems. Moreover, the processes associated with LH result in significant non-linear changes in atmospheric radiation through the creation, dissipation and modulation of clouds and precipitation. Yanai et al. (1973) utilized the meteorological data collected from a sounding network to present a pioneering work on thermodynamic budgets, which are referred to as the apparent heat source (Q1) and apparent moisture sink (Q2). Yanai's paper motivated the development of satellite-based LH algorithms and provided a theoretical background for imposing large-scale advective forcing into cloud-resolving models (CRMs). These CRM-simulated LH and Q1 data have been used to generate the look-up tables used in LH algorithms. This paper examines the retrieval, validation, and application of LH estimates based on rain rate quantities acquired from the Tropical Rainfall Measuring Mission satellite (TRMM). TRMM was launched in November 1997 as a joint enterprise between the American and Japanese space agencies -- with overriding goals of providing accurate four-dimensional estimates of rainfall and LH over the global Tropics and subtropics equatorward of 35o. Other literature has acknowledged the achievement of the first goal of obtaining an accurate rainfall climatology. This paper describes the second major goal of obtaining credible LH estimates as well as their applications within TRMM's zone of coverage, the standard TRMM LH products, and areas for further improvement

Impact of Glycemic and Blood Pressure Variability on Surrogate Measures of Cardiovascular Outcomes in Type 2 Diabetic Patients

OBJECTIVE—The effect of glycemic variability (GV) on cardiovascular risk has not been fully clarified in type 2 diabetes. We evaluated the effect of GV, blood pressure (BP), and oxidative stress on intima-media thickness (IMT), left ventricular mass index (LVMI), flow-mediated dilation (FMD), and sympathovagal balance (low frequency [LF]/high frequency [HF] ratio) in 26 type 2 diabetic patients (diabetes duration 4.41 6 4.81 years; HbA1c 6.70 6 1.25%) receiving diet and/or metformin treatment, with no hypotensive treatment or complications. RESEARCH DESIGN AND METHODS—Continuous glucose monitoring (CGM) data were used to calculate mean amplitude of glycemic excursion (MAGE), continuous overall net glycemic action (CONGA)-2, mean blood glucose (MBG), mean postprandial glucose excursion (MPPGE), and incremental area under the curve (IAUC). Blood pressure (BP), circadian rhythm, and urinary 15-F2t-isoprostane (8-iso-prostaglandin F2a [PGF2a]) were also evaluated. Subjects were divided into dipper (D) and nondipper (ND) groups according to DBP. RESULTS—IMT and LVMIwere increased inNDversusD(0.7760.08 vs. 0.6860.13 [P=0.04] and 67 6 14 vs. 55 6 11 [P = 0.03], respectively). MBG, MAGE, and IAUC were significantly associated with LF/HF ratio at night (r = 0.50, P = 0.01; r = 0.40, P = 0.04; r = 0.41, P = 0.04, respectively), MPPGE was negatively associated with FMD (r =20.45, P = 0.02), andCONGA-2was positively associatedwith LVMI (r=0.55, P=0.006).TheDsystolic BP was negatively associated with IMT (r =20.43, P = 0.03) andwith LVMI (r =20.52, P = 0.01). Urinary 8-iso-PGF2a was positively associated with LVMI (r = 0.68 P , 0.001). CONCLUSIONS—An impaired GV and BP variability is associated with endothelial and cardiovascular damage in short-term diabetic patients with optimal metabolic control. Oxidative stress is the only independent predictor of increased LV mass and correlates with glucose and BP variability