A Minimally Invasive Hemostatic Strategy for Cesarean Scar Pregnancy and Cervical Pregnancy

Cesarean scar pregnancy (CSP) and cervical pregnancy are categorized as non-tubal ectopic pregnancy, because these are associated with a high burden of maternal and fetal morbidity including early uterine rupture, prevalence of placenta previa accrete spectrum, massive hemorrhage, and hysterectomy. Although management methods vary according to the week of gestation, recent reviews and reports support an interventional or a combination of surgical and medical approaches for treatment of unruptured CSP and cervical pregnancy rather than medical approach alone. In cases of massive hemorrhage, pressure hemostasis using balloon tamponade should first be performed. If such hemostasis proves to be ineffective, surgical excision or transcatheter arterial embolization (TAE) should be selected next. TAE reportedly achieves a high hemostasis rate. However, complications such as subsequent endometrial hypoplasia, menstruation disorder, infertility, placenta accreta, and uterine rupture have been reported, even in cases that have undergone successful hemostasis with TAE using an absorbable embolus. Recently, a minimally invasive hemostatic strategy in obstetrics, which aims to preserve uterine function and enhance the safety of subsequent pregnancies, has been developed. Therefore, we should reconsider uterus-preserving hemostatic strategies for critical hemorrhage and management of non-tubal ectopic pregnancy under these circumstances by using safe and minimally invasive treatment modalities

Exploring Change of Social Role of Outsiders, and Process of Acceptance and Cooperation in Hilly and Mountainous Areas : Case Study on Community-Reactivating Cooperator’s Activities at Ueyama Area, Mimasaka, Okayama Pref.

In mountainous areas in Japan, depopulation and aging issues are being serious. But there is not enough power and willpower to reactivate by themselves. Therefore, new collaborative activities towards reactivating these areas with supporters from outside such as Community-Reactivating Cooperators have been started as national policy. On the other hand, cooperative activities with outsiders have some issues such as depend on cooperators and losing independence of inhabitants and deteriorating relationship between the two attribute. Therefore, process design of acceptance and cooperation is important in these supporting activities. This study aims to clarify the change of social role of outsiders, and process of acceptance and cooperation in hilly and mountainous areas. Firstly, we understood the outline of theory of Community-Reactivating Cooperators on local government and supporter's activities. Secondly, we clarified the process of gaining acceptance by inhabitants, through communication with cooperators. Thirdly, we clarified the role transfer process of supporters. And finally, We clarified the acceptance process and role transfer of supporters in depopulating and aging local region. This study is identified as understanding detailed process of acceptance and cooperation, and change of social role of outsiders in the new cooperative activities in hilly and mountainous areas in Japan

Maternal exposure to nanoparticulate titanium dioxide during the prenatal period alters gene expression related to brain development in the mouse

<p>Abstract</p> <p>Background</p> <p>Nanotechnology is developing rapidly throughout the world and the production of novel man-made nanoparticles is increasing, it is therefore of concern that nanomaterials have the potential to affect human health. The purpose of this study was to investigate the effects of maternal exposure to nano-sized anatase titanium dioxide (TiO₂) on gene expression in the brain during the developmental period using cDNA microarray analysis combined with Gene Ontology (GO) and Medical Subject Headings (MeSH) terms information.</p> <p>Results</p> <p>Analysis of gene expression using GO terms indicated that expression levels of genes associated with apoptosis were altered in the brain of newborn pups, and those associated with brain development were altered in early age. The genes associated with response to oxidative stress were changed in the brains of 2 and 3 weeks old mice. Changes of the expression of genes associated with neurotransmitters and psychiatric diseases were found using MeSH terms.</p> <p>Conclusion</p> <p>Maternal exposure of mice to TiO₂nanoparticles may affect the expression of genes related to the development and function of the central nervous system.</p

Evaluation of water dynamics of contour-levee irrigation system in sloped rice fields in Colombia

Contour-levee irrigation system is commonly used for rice cultivation in Latin American and Caribbean countries, but its water dynamics in commercial farm field settings are yet to be fully determined. This study aimed to investigate the water dynamics of the contour-levee irrigation system by analyzing conventional irrigation practices and by quantifying water balance and additionally to examine potential toposequential effects. Field experiments with different irrigation intervals were conducted on three commercial farms in Ibagué, Colombia for two seasons from 2017 to 2018. Irrigation and runoff water flows were constantly measured during the crop cycle using Parshall flumes with water level sensors. Percolation rate and field water table were measured using percolators and piezometers installed along the toposequence. The results showed that conventional irrigation management was highly flexible depending on soil permeability, rainfall, and agronomic factors, not particularly paying attention to ensure the flooded conditions during flowering period. The water balance resulted in the irrigation accounting for 76% of the total water input, whereas the runoff, ET, and percolation accounted for 40%, 21%, and 31% on overall average with considerable variation among the three farms. Percolation rates and duration with standing water did not show a clear and consistent tendency among the toposequential positions, but the percolation rate was significantly different among the farms corresponding to soil permeability. Consequently, clear toposequential effects on the water dynamics or on grain yield were not observed at the study site. To our knowledge, this study is the first to elucidate detailed water dynamics of contour-levee irrigation system in farm fields including toposequential difference

A Case of Right Hepatic Artery Syndrome Diagnosed by Using SpyGlassDSTM System

We report the case of a 68-year-old woman who had abdominal pain and slightly elevated biliary enzymes. Magnetic resonance cholangiopancreatography detected biliary duct stenosis, while contrast-enhanced magnetic resonance imaging showed that the right hepatic artery transversed the extrahepatic bile duct at the level of bifurcation of the bile duct. We performed endoscopic retrograde cholangiopancreatography and peroral cholangioscopy with the SpyGlass DS? system. Then, mild extrinsic pulsatile compression of the bile duct was observed at stricture level with an intact bile duct epithelium. Therefore, she was diagnosed with right hepatic artery syndrome and underwent cholecystectomy. Six months later, her biliary enzyme level decreased, and the recurrence of pain gradually decreased

Oligopeptide Transporter-1 is Associated with Fluorescence Intensity of 5-Aminolevulinic Acid-Based Photodynamic Diagnosis in Pancreatic Cancer Cells

[Background] The 5-aminolevulinic acid (ALA)-based photodynamic diagnosis is based on the accumulation of photosensitizing protoporphyrin IX in the tumor after ALA administration. However, the mechanisms connecting exogenous ALA and tumor fluorescence in pancreatic cancer remain unclear. We aimed to elucidate the mechanism underlying the ALA-induced fluorescent. [Methods] Human pancreatic duct epithelial cells (hPDECs) and pancreatic cancer cell lines were used. The expressions of ALA-associated enzymes and membrane transporters in these cell lines were investigated. ALA-induced fluorescence was also investigated. [Results] The expression of oligopeptide transporter-1 (PEPT-1), through which ALA is absorbed, was significantly higher in AsPC-1 cells and lower in MIA PaCa-2 cells than in hPDECs. AsPC-1 cells showed rapid and intense fluorescence after ALA administration, and that was attenuated by PEPT-1 inhibition. ALA-induced fluorescence was not sufficiently strong in MIA PaCa-2 cells to distinguish the cells from hPDECs. [Conclusion] We revealed the association of PEPT-1 with ALA-induced fluorescence. Cancers expressing PEPT-1 could be easily distinguished by this technique from normal cells. These findings help develop novel diagnostic modalities for pancreatic cancer

ノコギリヒラタムシ食害小麦に含まれる定着活性ケトステロイド

From hexane extract of wheat flour infested by the sawtoothed gain beetle [Oryzaephilus surinamensis (L.); Coleoptera; Silvanidae, three ketosteroids,cholestan-3-one(3),ergostan-3-one(4)and stigmastan-3-one(5),were obtained in a mixture and identified as arrestants to this weevil.世界的に著名な貯穀害虫であるノコギリヒラタムシによって食害された小麦のヘキサン抽出物中には、未食害の小麦には含まれない、数種のノコギリヒラタムシ定着活性物質が存在し、このうちの2種の活性物質が既に構造解明された。本研究では種々の機器分析、および市販化合物からの誘導などにより、未知の活性物質がcholestan-3-one,ergostan-3-one,stifmastan-3-one の混合物であると同定した

The Roles of Two IκB Kinase-related Kinases in Lipopolysaccharide and Double Stranded RNA Signaling and Viral Infection

Viral infection and stimulation with lipopolysaccharide (LPS) or double stranded RNA (dsRNA) induce phosphorylation of interferon (IFN) regulatory factor (IRF)-3 and its translocation to the nucleus, thereby leading to the IFN-β gene induction. Recently, two IκB kinase (IKK)–related kinases, inducible IκB kinase (IKK-i) and TANK-binding kinase 1 (TBK1), were suggested to act as IRF-3 kinases and be involved in IFN-β production in Toll-like receptor (TLR) signaling and viral infection. In this work, we investigated the physiological roles of these kinases by gene targeting. TBK1-deficient embryonic fibroblasts (EFs) showed dramatic decrease in induction of IFN-β and IFN-inducible genes in response to LPS or dsRNA as well as after viral infection. However, dsRNA-induced expression of these genes was residually detected in TBK1-deficient cells and intact in IKK-i–deficient cells, but completely abolished in IKK-i/TBK1 doubly deficient cells. IRF-3 activation, in response not only to dsRNA but also to viral infection, was impaired in TBK1-deficient cells. Together, these results demonstrate that TBK1 as well as, albeit to a lesser extent, IKK-i play a crucial role in the induction of IFN-β and IFN-inducible genes in both TLR-stimulated and virus-infected EFs