Distribution and Sources of Dissolved Black Carbon in Surface Waters of the Chukchi Sea, Bering Sea, and the North Pacific Ocean

Pyrogenic carbon, also called black carbon (BC), is an important component in the global carbon cycle. BC produced by biomass burning or fossil fuel combustion is transported to oceans by the atmosphere or rivers. However, environmental dynamics (i.e., major sources and sinks) of BC in marine environments have not been well-documented. In this study, dissolved BC (DBC) collected from surface waters of the Chukchi Sea, the Bering Sea, and the subarctic and subtropical North Pacific were analyzed using the benzene polycarboxylic acid (BPCA) method. The DBC concentration and the ratio of B5CA and B6CA to all BPCAs (an index of the DBC condensation degree) ranged from 4.8 to 15.5 μg-C L−1 and from 0.20 to 0.43, respectively, in surface waters of the Chukchi/Bering Seas and the North Pacific Ocean. The concentration and condensation degree of DBC in the Chukchi/Bering Seas were higher and more variable than those in the subarctic and subtropical North Pacific, which implies that the major factors controlling DBC distribution were different in these marine provinces. In the Chukchi/Bering Seas, the DBC concentration was negatively correlated to salinity but positively correlated to chromophoric dissolved organic matter (CDOM) quantity and total dissolved lignin phenol concentration estimated by CDOM parameters. These correlations indicated that the possible major source of DBC in the Chukchi/Bering Seas was Arctic rivers. However, in the North Pacific, where riverine inputs are negligible for most sampling sites, DBC was possibly derived from the atmosphere. Although spectral slopes of CDOM at 275–295 nm (an index of the photodegradation degree of CDOM) differed widely between the subarctic and subtropical North Pacific, the concentration and condensation degrees of DBC were similar between the subarctic and subtropical North Pacific, which suggests that photodegradation was not the only major factor controlling DBC distribution. Therefore, DBC distributions of the North Pacific Ocean were considered to be mainly controlled by atmospheric deposition of BC and subsequent losses by photodegradation and adsorption onto sinking particles. This study implies that the main influence on DBC distribution in the open ocean and the coastal ocean are atmospheric deposition and fluvial inputs, respectively

Utility of robot‐assisted radical cystectomy with intracorporeal urinary diversion for muscle‐invasive bladder cancer

Radical cystectomy remains the gold standard for treatment of muscle‐invasive bladder cancer. Robot‐assisted radical cystectomy has technical advantages over laparoscopic radical cystectomy and has emerged as an alternative to open radical cystectomy. Despite the advancements in robotic surgery, experience with total intracorporeal reconstruction of urinary diversion remains limited. Most surgeons have carried out the hybrid approach of robot‐assisted radical cystectomy and extracorporeal reconstruction of urinary diversion, as intracorporeal reconstruction of urinary diversion remains technically challenging. However, intracorporeal reconstruction of urinary diversion might potentially proffer additional benefits, such as decreased fluid loss, reduction in estimated blood loss and a quicker return of bowel function. The adoption of intracorporeal ileal neobladder reconstruction has hitherto been limited to high‐volume academic institutions. In the present review, we compare the totally intracorporeal robot‐assisted radical cystectomy approach with open radical cystectomy and robot‐assisted radical cystectomy + extracorporeal reconstruction of urinary diversion in muscle‐invasive bladder cancer patients

The effect of a prostaglandin E-1 derivative on the symptoms and quality of life of patients with lumbar spinal stenosis

Quality of life (QOL) is a concern for patients with lumbar spinal stenosis (LSS). In this study, QOL was examined using the 5-item EuroQol (EQ-5D). QOL and activities of daily living (ADL) were surveyed for 91 patients who visited 18 medical institutions in our prefecture and were diagnosed with LSS-associated intermittent claudication. A second survey was performed after a parts per thousand yen6 weeks for 79 of the subjects to evaluate therapy with limaprost (an oral prostaglandin E1 derivative) or etodolac (an NSAID). Symptoms, maximum walking time, QOL, ADL items, and relationships among these variables were investigated for all 91 patients. Leg pain, leg numbness, and low back pain while walking were surveyed by use of VAS scores (0-100). Leg pain, leg numbness, and low back pain while walking (VAS a parts per thousand yen25) were present in 83.5, 62.6, and 54.9 % of the patients in the first survey, and approximately half of the patients had a maximum walking time 30 min, showing that maximum walking time affected health-related QOL. Of the 79 patients who completed the second survey, 56 had taken limaprost and 23 (control group) had received etodolac. Limaprost improved possible walking time, reduced ADL interference, and significantly increased the EQ-5D utility score, whereas no significant changes occurred in the control group. Maximum walking time was prolonged by a parts per thousand yen10 min and the EQ-5D utility value was improved by a parts per thousand yen0.1 points in significantly more patients in the limaprost group than in the control group. According to the findings of this survey, at an average of 8 weeks after administration limaprost improved symptoms, QOL, and ADL in LSS patients whereas treatment with an NSAID reduced pain but did not have any other effects.ArticleJOURNAL OF ORTHOPAEDIC SCIENCE. 18(2):208-215 (2013)journal articl

Distribution and Sources of Dissolved Black Carbonin Surface Waters of the Chukchi Sea, Bering Sea, and the North Pacific Ocean

Pyrogenic carbon, also called black carbon (BC), is an important component in the global carbon cycle. BC produced by biomass burning or fossil fuel combustion is transported to oceans by the atmosphere or rivers. However, environmental dynamics (i.e., major sources and sinks) of BC in marine environments have not been well-documented. In this study, dissolved BC (DBC) collected from surface waters of the Chukchi Sea, the Bering Sea, and the subarctic and subtropical North Pacific were analyzed using the benzene polycarboxylic acid (BPCA) method. The DBC concentration and the ratio of B5CA and B6CA to all BPCAs (an index of the DBC condensation degree) ranged from 4.8 to 15.5 mu g-C L-1 and from 0.20 to 0.43, respectively, in surface waters of the Chukchi/Bering Seas and the North Pacific Ocean. The concentration and condensation degree of DBC in the Chukchi/Bering Seas were higher and more variable than those in the subarctic and subtropical North Pacific, which implies that the major factors controlling DBC distribution were different in these marine provinces. In the Chukchi/Bering Seas, the DBC concentration was negatively correlated to salinity but positively correlated to chromophoric dissolved organic matter (CDOM) quantity and total dissolved lignin phenol concentration estimated by CDOM parameters. These correlations indicated that the possible major source of DBC in the Chukchi/Bering Seas was Arctic rivers. However, in the North Pacific, where riverine inputs are negligible for most sampling sites, DBC was possibly derived from the atmosphere. Although spectral slopes of CDOM at 275-295 nm (an index of the photodegradation degree of CDOM) differed widely between the subarctic and subtropical North Pacific, the concentration and condensation degrees of DBC were similar between the subarctic and subtropical North Pacific, which suggests that photodegradation was not the only major factor controlling DBC distribution. Therefore, DBC distributions of the North Pacific Ocean were considered to be mainly controlled by atmospheric deposition of BC and subsequent losses by photodegradation and adsorption onto sinking particles. This study implies that the main influence on DBC distribution in the open ocean and the coastal ocean are atmospheric deposition and fluvial inputs, respectively

Identification of a major glucose transporter in Flavobacterium johnsoniae: Inhibition of F. johnsoniae colony spreading by glucose uptake

Many members of the phylum Bacteroidetes, such as Flavobacterium johnsoniae, can glide over a solid surface: an ability called gliding motility. It can be usually observed on agar plates as thin, flat, spreading colonies with irregular, feathery edges; this phenomenon is called colony spreading. Colony spreading of F. johnsoniae on 1.5% agar plates containing poor nutrients is dose-dependently inhibited by addition of D-glucose, as previously reported. Accordingly, here, we created mutants (by transposon mutagenesis) that partially suppressed glucose-mediated inhibition of colony spreading. Among the isolates, we found that one had a transposon insertion in Fjoh_4565, tentatively named mfsA, which encodes a major facilitator superfamily (MFS) transporter previously shown to be required for growth on glucose, N-acetyl-glucosamine, and chitin. We constructed an mfsA deletion mutant and found that the mutant showed no glucose-mediated acceleration of growth or glucose uptake. The mfsA gene complemented the phenotype of a glucose-negative Escherichia coli. These results suggest that the mfsA gene encodes the sole MFS transporter of glucose in F. johnsoniae and that glucose uptake is partially required for the glucose-mediated inhibition of F. johnsoniae colony spreading

Trends in the Use of Second-Generation Androgen Receptor Axis Inhibitors for Metastatic Hormone-Sensitive Prostate Cancer and Clinical Factors Predicting Biological Recurrence

The advent of second-generation androgen receptor axis-targeted agents (ARATs) has revolutionized the treatment of metastatic hormone-sensitive prostate cancer (mHSPC). Biochemical recurrence-free survival (BRFS) was used to compare the efficacy of each ARAT. This multicenter retrospective study included 581 patients with newly diagnosed mHSPC who received first-line hormone therapy. The characteristics of patients treated with different ARATs were compared as well as changes in the usage of each drug over time. For BRFS, the apalutamide (Apa) and enzalutamide (Enza) groups, as well as the abiraterone acetate (Abi) and Apa/Enza groups, were compared. In addition, multivariate analysis was performed to determine predictive factors for biochemical recurrence (BCR). The use of second-generation ARATs tended to increase after May 2020. No significant difference in BRFS was found between patients receiving Apa and Enza (p = 0.490) and those receiving Abi or Apa/Enza (p = 0.906). Multivariate analysis revealed that the neutrophil-to-lymphocyte ratio (NLR) ≥ 2.76 and PSA ≥ 0.550 ng/mL were independent predictors of BCR. There were no significant differences in patient characteristics or BRFS in patients with mHSPC receiving different ARATs as first-line treatment. NLR and PSA may be prognostic factors following the first-line treatment of patients with mHSPC

The Geriatric Nutritional Risk Index Predicts Prognosis in Japanese Patients with LATITUDE High-Risk Metastatic Hormone-Sensitive Prostate Cancer: A Multi-Center Study

Malnutrition is associated with prognosis in cancer. The geriatric nutritional risk index (GNRI), based on the ratio of actual to ideal body weight and also serum albumin level, is a simple screening tool for assessing nutrition. We investigated the GNRI as a prognostic factor for oncological outcomes in patients with high-risk metastatic hormone-sensitive prostate cancer (mHSPC) using a Japanese multicenter cohort. This study included a total of 175 patients with LATITUDE high-risk mHSPC, of whom 102 had received androgen deprivation therapy (ADT) plus upfront abiraterone acetate, and 73 had received ADT plus bicalutamide (Bica), from 14 institutions associated with the Tokai Urologic Oncology Research Seminar. Patients were classified into GNRI-low (p < 0.001). Multivariate analysis identified Bica and low GNRI (<98) as independent prognostic factors for reduced times to both castration-resistant prostate cancer and OS, and, therefore, a poor prognosis. Our findings indicate the GNRI may be a practical prognostic indicator in the evaluation of survival outcomes in patients with LATITUDE high-risk mHSPC