Eddy-induced transport of the Kuroshio warm water around the Ryukyu Islands in the East China Sea

In this study, an oceanic downscaling model in a double-nested configuration was used to investigate the role played by the Kuroshio warm current in preserving and maintaining biological diversity in the coral coasts around the Ryukyu Islands (Japan). A comparison of the modeled data demonstrated that the innermost submesoscale eddy-resolving model successfully reproduced the synoptic and mesoscale oceanic structures even without data assimilation. The Kuroshio flows on the shelf break of the East China Sea approximately 150–200 km from the islands; therefore, eddy-induced transient processes are essential to the lateral transport of material within the strip between the Kuroshio and the islands. The model indicated an evident predominance of submesoscale anticyclonic eddies over cyclonic eddies near the surface of this strip. An energy conversion analysis relevant to the eddy-generation mechanisms revealed that a combination of both the shear instability due to the Kuroshio and the topography and baroclinic instability around the Kuroshio front jointly provoke these near-surface anticyclonic eddies, as well as the subsurface cyclonic eddies that are shed around the shelf break. Both surface and subsurface eddies fit within the submesoscale, and they are energized more as the grid resolution of the model is increased. An eddy heat flux (EHF) analysis was performed with decomposition into the divergent (dEHF) and rotational (rEHF) components. The rEHF vectors appeared along the temperature variance contours by following the Kuroshio, whereas the dEHF properly measured the transverse transport normal to the Kuroshio\u27s path. The diagnostic EHF analysis demonstrated that an asymmetric dEHF occurs within the surface mixed layer, which promotes eastward transport toward the islands. Conversely, below the mixed layer, a negative dEHF tongue is formed that promotes the subsurface westward warm water transport

Influences of the Kuroshio on Interisland Remote Connectivity of Corals Across the Nansei Archipelago in the East China Sea

For the preservation and protection of coral habitats along the Nansei Archipelago in the East China Sea, a submesoscale eddy‐resolving synoptic ocean model was developed based on the Regional Oceanic Modeling System coupled with a 3‐D Lagrangian particle tracking model. Millions of neutrally buoyant particles representing coral spawn and larvae were released from 19 major islands and one lagoon every spring from 2012 to 2015. The model results were compared to satellite data, in situ observation, and surface drifters to confirm reasonable agreement. The connectivity matrix across the archipelago was quantified using Lagrangian probability density functions of the modeled particle displacement. Most particles remained near the release areas, while some traveled long distances by the northeastward drifting Kuroshio, leading to notable interisland coral transport across the archipelago that promotes interisland connectivity. A possible mechanism was examined by analyzing the transition from coastal to pelagic transport of the particles released from the Yaeyama Islands, the southernmost area of the archipelago. The Kuroshio trapped the particles released from the northern coast of the islands with considerable temporal variability in the entrainment rate. By contrast, particles released from the southern coast are markedly affected by the eastward current around the release sites, which significantly reduces their entrainment in the Kuroshio and, thus, long‐distance transport. Some entrained particles were expelled abruptly from the Kuroshio, trapped by the southwestward drifting Kuroshio Counter Current developed between the Kuroshio and the archipelago, and subsequently transported eastward to the islands

Pure Red Cell Aplasia Induced by Atezolizumab in a Patient with Small-Cell Lung Cancer Successfully Treated with Steroid Therapy: A Case Report

Introduction: Combination therapy of atezolizumab and chemotherapy has become the standard treatment for small-cell lung cancer. Immune-related adverse events (irAEs) can occur during immune checkpoint inhibitor administration. A few reports exist on pure red cell aplasia (PRCA) as an irAE after atezolizumab treatment. PRCA is characterized by normocytic-normochromic anemia, a marked decrease in reticulocytes, and a decrease in bone marrow erythroblasts. Here, we report a case of atezolizumab-induced PRCA. Case Presentation: A 69-year-old male patient was brought to the emergency department with the chief complaint of seizures. Multiple metastatic brain tumors and a mass suspected to be the primary lesion in the right hilar region were observed. After a brain biopsy, he was diagnosed with small-cell lung cancer (cT1cN0M1c stage IVB). He received four courses of carboplatin, etoposide, and atezolizumab in combination with whole-brain irradiation, which led to a partial response. After six courses of atezolizumab maintenance therapy, severe anemia (hemoglobin, 3.4 g/dL) was observed. PRCA induced by atezolizumab was diagnosed using a bone marrow biopsy performed during red blood cell transfusion. Treatment was started with prednisolone 25 mg/day (0.5 mg/kg/day). Anemia improved, and the dose was gradually reduced to 5 mg/day. Conclusion: Reports of PRCA as an irAE are rare but important; hence, we reported this case

Identification of coral spawn source areas around Sekisei Lagoon for recovery and poleward habitat migration by using a particle-tracking model

A massive coral bleaching event occurred in 2016 in the interior of Japan\u27s largest coral lagoon, the Sekisei Lagoon, located in the Kuroshio upstream region in southwestern Japan. Recovery of the coral lagoon will require the influx of coral spawn and larvae; therefore, it is important to identify and conserve source sites. A surface-particle-tracking simulation of coral spawn and larvae was used to identify source areas of coral spawn outside of the Sekisei Lagoon for potential recovery of the interior lagoon. The northern coastal zone of Iriomote Island, including Hatoma Island, was identified as a major source area. Hatoma Island was also identified as a key source for the Kuroshio downstream region and for aiding the poleward migration of coral habitat under ongoing global climate change, making it one of the most important source areas in the Nansei Archipelago

GPS and chemotherapy for elderly NSCLC

Background : Although platinum-combination chemotherapy is widely used to treat advanced non-small cell lung cancer (NSCLC), not all elderly patients benefit from this regimen. In this retrospective study, we aimed to evaluate whether the Glasgow Prognostic Score (GPS), an indicator of systemic inflammation and malnutrition, could predict the tolerability and efficacy of platinum-combination chemotherapy among elderly patients with NSCLC. Methods : The eligibility criteria included patients aged ≥ 70 years with NSCLC treated with first-line platinum-combination chemotherapy at Shimane University Hospital between January 2015 and December 2018. Results : Thirty-two patients with NSCLC (median age, 74 years) were included. The GPS scores were 0–1 for 19 patients and 2 for 13 patients. Four chemotherapy cycles were completed by 57.9% and 30.8% of patients in the GPS 0–1 and GPS 2 groups, respectively. The GPS 0–1 group experienced better outcomes than the GPS 2 group (response rate : 26% vs. 15%, P = 0.67 ; median progression-free survival : 4.1 vs. 2.1 months, P = 0.0026 ; median overall survival : 22.8 vs. 9.6 months, P = 0.0092). Conclusions : Platinum-combination chemotherapy demonstrated promising efficacy among elderly NSCLC patients with a GPS 0–1. Therefore, GPS may be crucial in determining whether treatments recommended for younger patients are suitable for older patients with NSCLC

Effects of the Submesoscale Anticyclonic Eddies Induced by Kuroshio in East China Sea

ABSTRACT For maintaining biological diversity in the coral coasts around Ryukyu Islands, Japan, a role played by the adjacent Kuroshio warm current is anticipated to be necessary for larval and nutrient transport. In order to understand dynamics and mixing between Kuroshio and the islands, we develop a detailed ocean downscaling model around Ryukyu Islands in a doubly nested configuration using ROMS at horizontal resolutions down to 1km, forced by the assimilative JCOPE2 and JMA-GSM/MSM. The model successfully reproduces anticyclonic eddies that are significantly retained on the western side of the islands to promote lateral mixing in the area