Effects of Ninjin'yoeito on Patients with Chronic Obstructive Pulmonary Disease and Comorbid Frailty and Sarcopenia: A Preliminary Open-Label Randomized Controlled Trial.

Purpose: To present the preliminarily findings regarding the effects of a herbal medicine, Ninjin'yoeito, on comorbid frailty and sarcopenia in patients with chronic obstructive pulmonary disease (COPD). Patients and Methods: Patients with COPD (GOLD II or higher) and fatigue were randomly assigned to Group A (n = 28; no medication for 12 weeks, followed by 12-week administration) or B (n= 25; 24-week continuous administration). Visual analog scale (VAS) symptoms of fatigue, the COPD assessment test (CAT), and the modified Medical Research Council (mMRC) Dyspnea Scale were examined. Physical indices such asknee extension leg strength and walking speed, skeletal muscle mass index (SMI), and respiratory function test were also measured. Results: VAS fatigue scales in Group B significantly improved after 4, 8, and 12 weeks compared to those in Group A (each p<0.001, respectively). Right and left knee extension leg strength in Group B significantly improved after 12 weeks compared to that in Group A (p=0.042 and p=0.037, respectively). The 1-s walking speed for continued to increase significantly over 24 weeks in Group B (p=0.016, p<0.001, p<0.001, p=0.004, p<0.001, and p<0.001 after 4, 8, 12, 16, 20, and 24 weeks, respectively); it also significantly increased after the administration of Ninjin'yoeito in Group A. In Group B, the SMI significantly increased at 12 weeks in patients with sarcopenia (p=0.025). The CAT scores in Group B significantly improved after 12 weeks compared to those in Group A (p=0.006). The mMRC scores in Group B also significantly improved after 8 and 12 weeks compared to those in Group A (p= 0.045 and p <0.001, respectively). The changes in %FEV1.0 in Group B were significantly improved at 12 and 24 weeks (p=0.039 and p=0.036, respectively). Conclusion: Overall, Ninjin'yoeito significantly improved patients' quality of life, physical activity, muscle mass, and possibly lung function, suggesting that Ninjin'yoeito may improve frailty and sarcopenia in patients with COPD.

Evaluating Hip Periprosthetic Joint Infection with Metal-artifact-reduction MR Imaging.

PURPOSE: To evaluate the significant findings of hip periprosthetic joint infection (PJI) using metal-artifact-reduction (MAR) MRI and to compare the MRI results to other clinical markers. METHODS: The results of MRI, including two-dimensional fast-spin echo sequences with increased bandwidth and multi-acquisition variable-resonance image combination selective for hips with orthopedic implants at 1.5T (from April 2014 to November 2021), were retrospectively assessed for imaging findings and diagnostic impressions by two radiologists. Clinical data and courses were also investigated. Univariate and multivariate analyses were performed to identify the significant MRI findings in patients with hip PJI and those who underwent surgical intervention. The MRI impressions were compared with other clinical markers in diagnosing hip PJI. RESULTS: Thirty-seven hip joints in 24 Asian patients (age = 73.9 ± 10.8 years; 18 females) were included. Twelve hip joints (32%) had PJI; seven underwent a surgical intervention. The significant findings for hip PJI included periosteal edema of the acetabulum, intermuscular edema, intramuscular fluid collection, and lymphadenopathy (P < 0.05). In the cases with surgical intervention, the significant findings included capsular distension, capsular thickening, an osteolysis-like pattern of the femur, subcutaneous fluid collection, and lymphadenopathy (P < 0.05). The MRI impressions had high diagnostic significance for both hip PJI cases and those with surgical intervention (P < 0.001). The MRI impression was more significant for hip PJI than the other clinical markers (P < 0.05), while the other clinical markers were more significant in the cases with surgical intervention (P < 0.05). CONCLUSION: The significant findings in the hip PJI cases included acetabular periosteal edema, intermuscular edema, intramuscular fluid collection, and lymphadenopathy. The significant findings in the cases with surgical intervention included capsular distention, capsular thickening, a femoral osteolysis-like pattern, subcutaneous fluid collection, and lymphadenopathy. The utilization of MAR MRI demonstrated great diagnostic significance for hip PJI.

[Improved Protective Equipment for NICU Portable Radiography].

We have been developing protective equipment for portable radiography in neonatal intensive care units because the portable radiography's X-ray tube is in close proximity to the head of the nurse who is assisting the patient. Although our initial protective-equipment design was highly effective, there were some concerns that it obstructed the view of the patient and was difficult to handle. To overcome this problem, we have developed two new types of protective device: a narrow-type 0.13 mmPb device, 17 cm long and 45 cm wide (weight 200 g); and a wide type with a wider core material, 45 cm long and 25 cm wide (weight 300 g), both of which can be hung from the collimator cover of mobile X-ray equipment. The measured protective effectiveness was 80.6% at head height for the wide type and 76.8% for the narrow type. A survey of nurses regarding the new protective devices revealed no significant differences between the two types in terms of visibility and whether the devices would be an obstacle when assisting patients. The nurses preferred the wider type, which offered better protection. Radiological technologists also liked that both types were easy to handle because the irradiation field could be adjusted even after the device was fitted. Both types of the new protective device are thus expected to be useful in clinical practice in terms of their high protective effect and improved ease of handling.

Ecosystem carbon dioxide exchange and water use efficiency in a triple-cropping rice paddy in Southern India: A two-year field observation.

The lowland tropical triple-cropping rice system has unique characteristics that affect the hydrological, nutrient, and atmospheric environments. To better understand the ecosystem carbon and water dynamics of a triple-cropping rice paddy from the perspective of sustainability, ecosystem-level CO2 flux and ecosystem water use efficiency (eWUE) were observed using eddy covariance over 2 years (2016-2018) at an experimental field site in southern India, and gross primary production (GPP) and ecosystem respiration (RE) were derived using the flux partitioning technique. Results showed that among the three crop seasons per year, GPP and RE were higher (887.2 and 570.2 g C m-2, respectively) in Thaladi (October-January: wet season) than in Kuruvai (June-September: dry season; 773.4 and 568.9 g C m-2, respectively) and summer rice (February-May; 694.0 and 499.7 g C m-2, respectively) owing to the longer growing season. Triple-cropping meant that the quasi-annual GPP of 2598 g C m-2 (i.e., the total value for the three consecutive seasons, including the corresponding fallow periods) was much greater than the quasi-annual RE of 1974 g C m-2. Consequently, the net ecosystem production value was positive (624 g C m-2). Evapotranspiration was also high on the annual scale (1681 mm); that is, 48 % greater than mean annual precipitation (1139 mm). Analysis revealed that Thaladi had higher eWUE (2.21 g C (kg H2O)-1) than that of Kuruvai (1.46 g C (kg H2O)-1) and summer rice (1.57 g C (kg H2O)-1) owing to decreased water loss in cloudy weather. Intense solar radiation is generally recognized as advantageous for crop growth in most regions, but not for Kuruvai and summer rice, when too strong solar radiation increases loss of water unused for photosynthesis. The findings indicate that water-saving techniques should be targeted on the Kuruvai and summer rice seasons.

Peptidyl-prolyl cis-trans isomerase A participates in the selenium transport into the rat brain.

Selenium, an essential micronutrient, plays vital roles in the brain. Selenoprotein P (SELENOP), a major plasma selenoprotein, is thought to transport selenium to the brain. However, Selenop-knockout mice fed a diet containing an adequate amount of selenium shows no objective neurological dysfunction which is observed in the selenium-deficient diet-fed Selenop-knockout mice. This fact indicated that selenium from low-mass selenium-source compounds can be transported by SELENOP-independent alternative pathways to the brain. In this study, to obtain the basic information about the SELENOP-independent transport pathways, we performed ex vivo experiments in which the rat brain cell membrane fraction was analyzed to find selenium-binding and/or -interactive proteins using its reactive metabolic intermediate, selenotrisulfide (STS), and MALDI TOF-mass spectrometry. Several membrane proteins with the cysteine (C) thiol were found to be reactive with STS through the thiol-exchange reaction. One of the C-containing proteins in the brain cell membrane fraction was identified as peptidyl-prolyl cis-trans isomerase (PPIase) A from tryptic fragmentation experiments and database search. Among the 4 C residues in rat PPIase A, 21st C was proved to react with STS by assessment using C mutated recombinant proteins. PPIase A is ubiquitously expressed and also associates with a variety of biologically important events such as immunomodulation, intracellular signaling, transcriptional regulation and protein trafficking. Consequently, PPIase A was thought to participate in the selenium transport into the rat brain.

Effect of low C/N crop residue input on N2O, NO, and CH4 fluxes from Andosol and Fluvisol fields.

Crop residues are produced from agriculture in large amounts globally. Crop residues are known to be a source of nitrous oxide (N2O); however, contrasting results have been reported. Furthermore, the effect of crop residues on nitric oxide (NO) and methane (CH4) fluxes has not been well studied. We investigated N2O, NO, and CH4 fluxes after low C/N crop residue (cabbages and potatoes) inputs to lysimeter fields for two years using with automated flux monitoring system. Lysimeters were filled with two contrasting soil types, Andosol (total C: 33.1 g kg-1; clay: 18%) and Fluvisol (17.7 g kg-1; 36%). Nitrogen application rates were 250 kg N ha-1 of synthetic fertilizer and 272 kg N ha-1 of cow manure compost for cabbage, and 120 kg N ha-1 of synthetic fertilizer and 136 kg N ha-1 of cow manure compost for potato, respectively. Large N2O peaks were observed after crop residues were left on the surface of the soil for 1 to 2 weeks in summer, but not in winter. The annual N2O emission factors (EFs) for cabbage residues were 3.02% and 5.37% for Andosol and Fluvisol, respectively. Those for potatoes were 7.51% and 5.10% for Andosol and Fluvisol, respectively. The EFs were much higher than the mean EFs of synthetic fertilizers from Japan's agricultural fields (0.62%). Moreover, the EFs were much higher than the Intergovernmental Panel on Climate Change (IPCC) default N2O EFs for synthetic fertilizers and crop residues (1%). The annual NO EFs for potatoes were 1.35% and 2.44% for Andosol and Fluvisol, respectively, while no emission was observed after cabbage residue input. Crop residues did not affect CH4 uptake by soil. Our results suggest that low C/N crop residue input to soils can create a hotspot of N2O emission, when temperature and water conditions are not limiting factors for microbial activity.

Effect of dolomite and biochar addition on N2O and CO2 emissions from acidic tea field soil.

A laboratory study was conducted to study the effects of liming and different biochar amendments on N2O and CO2 emissions from acidic tea field soil. The first experiment was done with three different rates of N treatment; N 300 (300 kg N ha-1), N 600 (600 kg N ha-1) and N 900 (900 kg N ha-1) and four different rates of bamboo biochar amendment; 0%, 0.5%, 1% and 2% biochar. The second experiment was done with three different biochars at a rate of 2% (rice husk, sawdust, and bamboo) and a control and lime treatment (dolomite) and control at two moisture levels (50% and 90% water filled pore space (WFPS)). The results showed that dolomite and biochar amendment significantly increased soil pH. However, only biochar amendment showed a significant increase in total carbon (C), C/N (the ratio of total carbon and total nitrogen), and C/IN ratio (the ratio of total carbon and inorganic nitrogen) at the end of incubation. Reduction in soil NO3--N concentration was observed under different biochar amendments. Bamboo biochar with the rates of 0.5, 1 and 2% reduced cumulative N2O emission by 38%, 48% and 61%, respectively, compare to the control soil in experiment 1. Dolomite and biochar, either alone or combined significantly reduced cumulative N2O emission by 4.6% to 32.7% in experiment 2. Reduction in N2O production under biochar amendment was due to increases in soil pH and decreases in the magnitude of mineral-N in soil. Although, both dolomite and biochar increased cumulative CO2 emission, only biochar amendment had a significant effect. The present study suggests that application of dolomite and biochar to acidic tea field soil can mitigate N2O emissions.

Photoredox-Catalyzed Hydrodifluoroalkylation of Alkenes Using Difluorohaloalkyl Compounds and a Hantzsch Ester.

Photoredox-catalyzed hydrodifluoroalkylation of alkenes proceeded smoothly in the presence of a Hantzsch ester as a hydrogen source under visible light irradiation. The reaction was also applicable to the hydrodifluoroalkylation of alkynes, and a continuous photo flow reaction was also successful.

Mitigation of soil N2O emission by inoculation with a mixed culture of indigenous Bradyrhizobium diazoefficiens.

Agricultural soil is the largest source of nitrous oxide (N2O), a greenhouse gas. Soybean is an important leguminous crop worldwide. Soybean hosts symbiotic nitrogen-fixing soil bacteria (rhizobia) in root nodules. In soybean ecosystems, N2O emissions often increase during decomposition of the root nodules. Our previous study showed that N2O reductase can be used to mitigate N2O emission from soybean fields during nodule decomposition by inoculation with nosZ++ strains [mutants with increased N2O reductase (N2OR) activity] of Bradyrhizobium diazoefficiens. Here, we show that N2O emission can be reduced at the field scale by inoculation with a mixed culture of indigenous nosZ+ strains of B. diazoefficiens USDA110 group isolated from Japanese agricultural fields. Our results also suggested that nodule nitrogen is the main source of N2O production during nodule decomposition. Isolating nosZ+ strains from local soybean fields would be more applicable and feasible for many soybean-producing countries than generating mutants.

Continuous and unattended measurements of the site preference of nitrous oxide emitted from an agricultural soil using quantum cascade laser spectrometry with intercomparison with isotope ratio mass spectrometry.

RATIONALE: The difference between the (15)N natural abundance of (14)N-(15)N-O and (15)N-(14)N-O (site preference; SP) is used to understand the mechanisms underlying N2O emissions from soils. We investigated the use of quantum cascade laser (QCL) absorption spectrometry for continuous and precise analysis of the SP of N2O emitted from a field soil at atmospheric mixing ratios. METHODS: A QCL-based spectrometer was used to determine the SP of soil-emitted N2O accumulated in a closed chamber system without preconcentration. N2O standards (<2500 ppbv) were used to evaluate the precision of the QCL spectrometry (QCLS) system. CO2 and H2O were removed from the gas samples. Intercomparison measurements of QCLS and isotope ratio mass spectrometry (IRMS) were performed on N2O calibration gases at different mixing ratios. The observed dependency of the QCLS result on the N2O mixing ratio was corrected. RESULTS: Measurement of SP of N2O emitted from the field suggested that the SP of N2O varied from 0 to 40‰ over a period of 1 month. The precisions of the SP measurements (300-2500 ppbv) were <1.9‰ for δ(15)N(α) values, <2.6‰ for δ(15)N(ß) values, <2.1‰ for δ(15)N(bulk) values, and <2.1‰ for the SP (1 min averaging time) obtained on a once-an-hour calibrated QCLS system, with a cell temperature control precision of ±0.01 K. CONCLUSIONS: Continuous and unattended measurements of the SP of N2O emitted from soils were achieved at low N2O mixing ratios. The accuracy of the QCLS measurements for the SP of N2O was significantly improved by precisely controlling the temperature of the system and by correcting for the concentration dependency of the raw data through an intercomparison with IRMS measurements.

EXTREMELY HIGH GROWTH RATE OF THE SMALL DIATOM CHAETOCEROS SALSUGINEUM ISOLATED FROM AN ESTUARY IN THE EASTERN SETO INLAND SEA, JAPAN(1).

Small single-celled Chaetoceros sp. are often widely distributed, but frequently overlooked. An estuarine diatom with an extremely high growth potential under optimal conditions was isolated from the Shinkawa-Kasugagawa estuary in the eastern part of the Seto Inland Sea, western Japan. It was identified as Chaetoceros salsugineum based on morphological observations. This strain had a specific growth rate of 0.54 h(-1) at 30°C under 700 µmol · m(-2) · s(-1) (about 30% of natural maximal summer light) with a 14:10 L:D cycle; there was little growth in the dark. However, under continuous light it grew at only 0.35 h(-1) or a daily specific growth rate of 8.4 d(-1) . In addition, cell density, chlorophyll a, and particulate organic carbon concentrations increased by about 1000 times in 24 h at 30°C under 700 µmol · m(-2) · s(-1) with a 14:10 L:D cycle, showing a growth rate of close to 7 d(-1) . This very rapid growth rate may be the result of adaptation to this estuarine environment with high light and temperature. Thus, C. salsugineum can be an important primary producer in this estuary in summer and also an important organism for further physiological and genetic research.

Analysis of cytokine production patterns of peripheral blood mononuclear cells from a rheumatoid arthritis patient successfully treated with rituximab.

We had a rheumatoid arthritis (RA) patient resistant to multiple drugs and who developed panniculitis due to etanercept treatment, then responded fairly well to rituximab. Intracellular staining of cytokines in the peripheral blood mononuclear cells before and after rituximab administration revealed that the cytokine production, representative of T-helper (Th)1-, Th2-, and Th17-type responses, decreased abruptly after the treatment. Interestingly, this timing coincided with that of the manifestation of the beneficial effect. This relationship may provide useful insight into the mechanism of action of the drug and hence about the pathogenesis of RA.

[A case of bleeding tendency due to warfarin in a patient treated with chemotherapy by S-1].

A 82-year-old male patient had suffered from a cancer of the papilla of Vater. After the operation, he received 4 courses of gemcitabine(GEM)adjuvant chemotherapy and warfarin(WF)administration because of thrombosis in the left internal jugular vein. Since the tumors re-grew, GEM was discontinued, and chemotherapy including S-1 and GEM was examined. However, the chemotherapy could not be continued because of edema in both lower legs and tassel midway in the 2nd course. Because of a bleeding tendency(non-measurable INR(international normalized ratio of prothrombin time)), WF administration was discontinued on the 11th day after S-1/GEM combined therapy was suspended. On the following day, although the INR value recovered to 1.7, it gradually worsened and the symptoms of pulmonary embolism developed on the 13th day. Then, INR was controlled by continuous infusion of heparin. Since the INR level decreased after that, in addition to heparin, re-medication of WF was performed. We tried to analyze the genotype of a patient, who had a tendency to bleed by coadministration of WF with S-1, in terms of hepatic cytochrome P-450(CYP)2C9 and vitamin K epoxide reductase complex subunit 1(VKORC1). We also measured the plasma concentration of S-and R-WF by HPLC after obtaining informed consent from the patient. We found that he is homozygous for CYP2C9 1/1 and for A/A of VKORC1(-1639G>A). The obtained data did not show the abnormalities of blood coagulation. Because the genotype of a patient with a tendency to bleed was a major type in a Japanese population, fine monitoring of INR is required in order to prevent side effects of blood coagulation by S-1 and WF coadministration, regardless of patient genotypes.