KAgoshima Galactic Object survey with Nobeyama 45-metre telescope by Mapping in Ammonia lines (KAGONMA): Discovery of parsec-scale CO depletion in the Canis Major star-forming region

In observational studies of infrared dark clouds, the number of detections of CO freeze-out onto dust grains (CO depletion) at pc-scale is extremely limited, and the conditions for its occurrence are, therefore, still unknown. We report a new object where pc-scale CO depletion is expected. As a part of Kagoshima Galactic Object survey with Nobeyama 45-m telescope by Mapping in Ammonia lines (KAGONMA), we have made mapping observations of NH3 inversion transition lines towards the star-forming region associated with the CMa OB1 including IRAS 07077-1026, IRAS 07081-1028, and PGCC G224.28-0.82. By comparing the spatial distributions of the NH3 (1,1) and C18O (J=1-0), an intensity anti-correlation was found in IRAS 07077-1026 and IRAS 07081-1028 on the ~1 pc scale. Furthermore, we obtained a lower abundance of C18O at least in IRAS 07077-1026 than in the other parts of the star-forming region. After examining high density gas dissipation, photodissociation, and CO depletion, we concluded that the intensity anti-correlation in IRAS 07077-1026 is due to CO depletion. On the other hand, in the vicinity of the centre of PGCC G224.28-0.82, the emission line intensities of both the NH3 (1,1) and C18O (J=1-0) were strongly detected, although the gas temperature and density were similar to IRAS 07077-1026. This indicates that there are situations where C18O (J=1-0) cannot trace dense gas on the pc scale and implies that the conditional differences that C18O (J=1-0) can and cannot trace dense gas are unclear.Comment: 19 pages, 15 figures, 4 tables, accepted for Publications of the Astronomical Society of Japan (PASJ). The version 1 is the Author's Original Version. My accepted manuscript will be publicly available on the arXiv one year after publication in the PAS

Association between low-carbohydrate diet score and incidence of type 2 diabetes among Japanese adults: the JACC Study

We prospectively examined the association between low-carbohydrate diet (LCD) score and incidence of type 2 diabetes (T2D) in Japanese adults using Japan Collaborative Cohort Study for Evaluation of Cancer Risk (JACC Study) data. A total of 19 084 (7052 men and 12 032 women) Japanese non-diabetic participants aged 40–79 years, who enrolled in the JACC study between 1988 and 1990, were included in our analysis. Dietary intake was evaluated using a validated food-frequency questionnaire. The overall, animal and vegetable LCD scores were calculated by dividing the study participants into eleven categories based on the percentages of energy from carbohydrates, protein and fat. The incidence of T2D was assessed using a self-administered questionnaire. We used multivariable logistic regression analysis to estimate the odds ratios (ORs) and 95 % confidence intervals (CIs) of incident T2D across the quintile of each LCD score, with adjustment for potential confounders. During the 5-year study period, 490 adults (247 men and 243 women) developed T2D. The multivariable-adjusted OR of incident T2D for the highest v. lowest quintiles of overall and animal LCD scores, respectively, were 0·64 (95 % CI 0·42, 0·99) and 0·83 (95 % CI 0·55, 1·27) for men, 0·78 (95 % CI 0·51, 1·18) and 0·84 (95 % CI 0·57, 1·24) for women. The vegetable LCD score was associated with a lower risk of T2D in men (OR 0·51; 95 % CI 0·33, 0·77). Our results suggest that diets lower in carbohydrates and higher in fat and protein are unlikely to higher the T2D risk among Japanese individuals

Sub-kpc scale gas density histogram of the Galactic molecular gas: a new statistical method to characterise galactic-scale gas structures

To understand physical properties of the interstellar medium (ISM) on various scales, we investigate it at parsec resolution on the kiloparsec scale. Here, we report on the sub-kpc scale Gas Density Histogram (GDH) of the Milky Way. The GDH is a density probability distribution function (PDF) of the gas volume density. Using this method, we are free from an identification of individual molecular clouds and their spatial structures. We use survey data of $^{12}$CO and $^{13}$CO ($J$=1-0) emission in the Galactic plane ($l = 10^{\circ}$-$50^{\circ}$) obtained as a part of the FOREST Unbiased Galactic plane Imaging survey with the Nobeyama 45m telescope (FUGIN). We make a GDH for every channel map of $2^{\circ} \times 2^{\circ}$ area, including the blank sky component, and without setting cloud boundaries. This is a different approach from previous works for molecular clouds. The GDH fits well to a single or double log-normal distribution, which we name the low-density log-normal (L-LN) and high-density log-normal (H-LN) components, respectively. The multi-log-normal components suggest that the L-LN and H-LN components originate from two different stages of structure formation in the ISM. Moreover, we find that both the volume ratios of H-LN components to total ($f_{\mathrm{H}}$) and the width of the L-LN along the gas density axis ($\sigma_{\rm{L}}$) show coherent structure in the Galactic-plane longitude-velocity diagram. It is possible that these GDH parameters are related to strong galactic shocks and other weak shocks in the Milky Way

Impact of hemodialysis on local vessel healing and thrombus formation after drug-eluting stent implantation

AbstractBackgroundAlthough hemodialysis (HD) is a suggested risk factor for stent thrombosis, its contribution to local vessel healing after drug-eluting stent (DES) implantation is unclear.MethodsA total of 121 patients (152 lesions treated with DES) who underwent 8-month follow-up coronary angiography with optical coherence tomography (OCT) were enrolled, and the findings were compared between patients with and without HD. To match baseline differences, mid-term OCT findings of 42 propensity score-matched lesions (21 non-HD vs. 21 HD) were compared. Effects of HD on the efficacy of antiplatelet therapy were also evaluated by VerifyNow assay (Accumetrics, San Diego, CA, USA).ResultsPatients with HD had a significantly higher rate of thrombus formation than those without (64% vs. 33%, p=0.007), although the baseline parameters and lesion characteristics differed between the groups. Multivariate logistic regression analysis revealed that HD was associated with an increased risk of thrombus formation (odds ratio 5.991, 95% confidence interval: 1.972–18.199, p=0.002). Even after propensity-matching for patient background and balancing of angiographic and OCT variables, the risk of thrombus formation remained significantly higher in HD patients. The P2Y12-reaction unit was significantly increased after HD (Pre HD: 211±75 vs. Post HD: 262±59, p=0.01), but patients without HD showed no increase during the same elapsed time (221±88 vs. 212±96, p=0.19).ConclusionsHD is a potential risk factor for subclinical thrombus attachment after DES therapy. Systemic problems, such as residual platelet reactivity, associated with HD as well as local vessel features in HD patients might contribute to the increased incidence of thrombus attachment and subsequent onset of thrombotic event after DES implantation

Surrounding Gastric Mucosa Findings Facilitate Diagnosis of Gastric Neoplasm as Gastric Adenoma or Early Gastric Cancer

Background and Aim. It is difficult to master the skill of discriminating gastric adenoma from early gastric cancer by conventional endoscopy or magnifying endoscopy combined with narrow-band imaging, because the colors and morphologies of these neoplasms are occasionally similar. We focused on the surrounding gastric mucosa findings in order to determine how to discriminate between early gastric cancer and gastric adenoma by analyzing the characteristics of the gastric background mucosa. Methods. We retrospectively examined 146 patients who underwent endoscopic submucosal dissection for gastric neoplasm between October 2009 and January 2015. The boundary of atrophic gastritis was classified endoscopically according to the Kimura-Takemoto classification system. Of 146 lesions, 63 early gastric cancers and 21 gastric adenomas were ultimately evaluated and assessed. Results. Almost all gastric adenomas were accompanied by open-type gastritis, whereas 47 and 16 early gastric cancers were accompanied by open-type and closed-type gastritis, respectively (p = 0.037). Conclusions. The evaluation of the boundary of atrophic gastritis associated with gastric neoplasms appears to be useful for discrimination between early gastric cancer and gastric adenoma. When gastric neoplasm is present in the context of surrounding localized gastric atrophy, gastric cancer is probable but not certain

Effect of Daily Glucose Fluctuation on Coronary Plaque Vulnerability in Patients Pre-Treated With Lipid-Lowering Therapy A Prospective Observational Study

AbstractObjectivesThis study sought to investigate the effect of daily glucose fluctuation on coronary plaque properties in patients with coronary artery disease (CAD) pre-treated with lipid-lowering therapy.BackgroundThere is growing evidence that glucose fluctuation, as a residual risk apart from dyslipidemia, is an important factor contributing to the development of CAD.MethodsThis prospective study enrolled 70 consecutive CAD patients who were referred for percutaneous coronary intervention and whose low-density lipoprotein cholesterol level was <120 mg/dl under statin treatment or <100 mg/dl without statins. Daily glucose fluctuation was analyzed by measuring the mean amplitude of glycemic excursion (MAGE). The plaque properties in the culprit and nonculprit lesions were assessed by virtual histology intravascular ultrasound, and the volume percentage of necrotic core within the plaque (%NC) and the presence of thin-cap fibroatheroma were evaluated.ResultsIn total, 165 lesions were evaluated in 70 patients (40 diabetic and 30 nondiabetic patients). %NC was well correlated with MAGE (r = 0.490, p <0.001). A linear mixed effect model showed that MAGE had the strongest effect on %NC (coefficient β = 0.080 ± 0.020 [standard error], p < 0.001). The generalized linear mixed effect model revealed that MAGE was the only independent predictor of the presence of thin-cap fibroatheroma (odds ratio: 1.037; 95% confidence interval: 1.010 to 1.065; p = 0.007).ConclusionsDaily glucose fluctuation may have an effect on coronary plaque vulnerability in patients with CAD pre-treated with lipid-lowering therapy. Further investigations should address the rationale for the early detection and control of glucose fluctuation in the era of universal statin use for CAD patients

A New Method for Surveying the World’s Smallest Class of Dragonfly in Wetlands Using Unoccupied Aerial Vehicles

Field surveys in wetlands are limited by the difficulty in accessing the site, hazards during surveys, and the risk of disturbing the ecosystem. Thus, the use of unoccupied aerial vehicles (UAVs) can overcome these limiting factors and can assist in monitoring small organisms, such as plants and insects, that are unique to wetlands, aiding in wetland management and conservation. This study aimed to demonstrate the effectiveness of a survey method that uses a small drone equipped with a telephoto lens to monitor dragonflies, which are unique to wetlands and have been difficult to survey quantitatively, especially in large wetlands. In this study, the main target species of dragonflies was Nannophya pygmaea, which is the world’s smallest dragonfly (about 20 mm long). The study area was Mizorogaike wetland (Kita Ward, Kyoto City, Japan). The UAV was flown at a low speed at an altitude of 4 m to 5 m, and images were taken using 7× telephoto lens on Mavic 3 (7× optical and 4× digital). A total of 107 dragonflies of seven species were identified from the photographs taken by the drone. N. pygmaea, about 20 mm long, was clearly identified. Eighty-five dragonflies belonging to N. pygmaea were identified from the images. Thus, by using a small drone equipped with a telephoto lens, the images of N. pygmaea were captured, and the effects of downwash and noise were reduced. The proposed research method can be applied to large wetlands that are difficult to survey in the field, and can thus provide new and important information pertaining to wetland management and conservation. This research method is highly useful for monitoring wetlands as it is non-invasive, does not require the surveyor to enter the wetland, requires little research effort, and can be repeated

Risk factors of vaginal cuff infection in women undergoing laparoscopic hysterectomy for benign gynecological diseases

Aim This study aimed to identify the risk factors for vaginal cuff infection after laparoscopic hysterectomy for benign gynecological diseases. Methods We conducted a retrospective cohort study among 1559 Japanese women who underwent total laparoscopic hysterectomy (TLH) for benign indications between 2014 and 2018 at Teine Keijinkai Hospital in Sapporo, Japan. All patients received preoperative antibiotics based on appropriate timing, choice, and weight-based dosing. We assessed the risk factors of vaginal cuff infection after TLH, including demographic and clinical variables, and patient- and surgery-related factors, using univariable and multivariable logistic regression analyses. Results Among all the patients who underwent TLH, 71 cases of vaginal cuff infections (4.6%) were recorded. Univariate analyses showed that current smoking, pathological result of adenomyosis, use of Seprafilm as an antiadhesive material, white blood cell counts on postoperative day (POD) 2, C-reactive protein (CRP) level on POD2 and postoperative vaginal cuff hematoma were significantly associated with an increased risk of vaginal cuff infection. In multivariate analysis, current smoking, use of seprafilm, CRP level on POD2 and vaginal cuff hematoma were significantly associated with an increased risk of vaginal cuff infection. Conclusion Current smoking, use of seprafilm, CRP level on POD2 and vaginal cuff hematoma were identified as significant risk factors of vaginal cuff infection in the 30 days after surgery in Japanese women who underwent TLH for benign indications