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1.
Sensors (Basel) ; 24(7)2024 Apr 07.
Artigo em Inglês | MEDLINE | ID: mdl-38610562

RESUMO

This paper proposes a novel tour guide robot, "ASAHI ReBorn", which can lead a guest by hand one-on-one while maintaining a proper distance from the guest. The robot uses a stretchable arm interface to hold the guest's hand and adjusts its speed according to the guest's pace. The robot also follows a given guide path accurately using the Robot Side method, a robot navigation method that follows a pre-defined path quickly and accurately. In addition, a control method is introduced that limits the angular velocity of the robot to avoid the robot's quick turn while guiding the guest. We evaluated the performance and usability of the proposed robot through experiments and user studies. The tour-guiding experiment revealed that the proposed method that keeps distance between the robot and the guest using the stretchable arm enables the guests to look around the exhibits compared with the condition where the robot moved at a constant velocity.

2.
Environ Sci Technol ; 57(10): 4091-4100, 2023 03 14.
Artigo em Inglês | MEDLINE | ID: mdl-36853188

RESUMO

Atmospheric iron (Fe) from anthropogenic, lithogenic, and pyrogenic sources contributes to ocean fertilization, climate change, and human health risk. However, significant uncertainties remain in the source apportionment due to a lack of source-specific evaluation of Fe-laden aerosols. Here, the large uncertainties in the model estimates are investigated using different Fe emissions from metal production. The best agreement in the anthropogenic factor of aerosol Fe concentrations with the field data in the downstream region of East Asian outflow (median: 0.026 µg m-3) is obtained with the low case (0.023 µg m-3), whereas the best agreement of aerosol Fe bioaccessibility with field data (4.5%) over oceans south of 45°S is obtained with the high case (4.9%). Our simulation with the low case confirms that anthropogenic aerosols play dominant roles in bioaccessible Fe deposition in the northwestern Pacific, compared to lithogenic sources. Our simulations with higher cases suggest that Fe-containing particles co-emitted with sulfur dioxide from metal production substantially contribute to atmospheric bioaccessible Fe fluxes to the Southern Ocean. These findings highlight that accurate representation of aerosol Fe from metal production is a key to reduce large uncertainties in bioaccessible Fe deposition fluxes to the Southern Ocean (0.7-4.4 Gg Fe year-1).


Assuntos
Poluentes Atmosféricos , Ferro , Humanos , Poeira/análise , Monitoramento Ambiental , Oceanos e Mares , Aerossóis/análise , Poluentes Atmosféricos/análise
3.
Environ Sci Technol ; 56(19): 13634-13643, 2022 10 04.
Artigo em Inglês | MEDLINE | ID: mdl-36107476

RESUMO

Numerical models have been developed to elucidate air pollution caused by sulfate aerosols (SO42-). However, typical models generally underestimate SO42-, and oxidation processes have not been validated. This study improves the modeling of SO42- formation processes using the mass-independent oxygen isotopic composition [17O-excess; Δ17O(SO42-)], which reflects pathways from sulfur dioxide (SO2) to SO42-, at the background site in Japan throughout 2015. The standard setting in the Community Multiscale Air Quality (CMAQ) model captured SO42- concentration, whereas Δ17O(SO42-) was underestimated, suggesting that oxidation processes were not correctly represented. The dust inline calculation improved Δ17O(SO42-) because dust-derived increases in cloud-water pH promoted acidity-driven SO42- production, but Δ17O(SO42-) was still overestimated during winter as a result. Increasing solubilities of the transition-metal ions, such as iron, which are a highly uncertain modeling parameter, decreased the overestimated Δ17O(SO42-) in winter. Thus, dust and high metal solubility are essential factors for SO42- formation in the region downstream of China. It was estimated that the remaining mismatch of Δ17O(SO42-) between the observation and model can be explained by the proposed SO42- formation mechanisms in Chinese pollution. These accurately modeled SO42- formation mechanisms validated by Δ17O(SO42-) will contribute to emission regulation strategies required for better air quality and precise climate change predictions over East Asia.


Assuntos
Poluentes Atmosféricos , Poeira , Aerossóis/química , Poluentes Atmosféricos/análise , China , Monitoramento Ambiental , Ásia Oriental , Ferro , Isótopos de Oxigênio , Solubilidade , Sulfatos , Dióxido de Enxofre/análise , Água/química
4.
Sci Adv ; 8(26): eabl9207, 2022 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-35776795

RESUMO

Nutrient inputs from the atmosphere and rivers to the ocean are increased substantially by human activities. However, the effects of increased nutrient inputs are not included in the widely used CMIP5 Earth system models, which introduce bias into model simulations of ocean biogeochemistry. Here, using historical simulations by an Earth system model with perturbed atmospheric and riverine nutrient inputs, we show that the contribution of anthropogenic nutrient inputs to past global changes in ocean biogeochemistry is of similar magnitude to the effect of climate change. Anthropogenic nutrient inputs increase oceanic productivity and carbon uptake, offsetting climate-induced decrease and accelerating climate-driven deoxygenation in the upper ocean. Moreover, accounting for anthropogenic nutrient inputs improves the known carbon budget imbalance and model underestimation of the observed decrease in the global oxygen inventory. Considering the effects of both nutrient inputs and climate change is crucial in assessing anthropogenic impacts on ocean biogeochemistry.

5.
Ann Rev Mar Sci ; 14: 303-330, 2022 01 03.
Artigo em Inglês | MEDLINE | ID: mdl-34416126

RESUMO

A key Earth system science question is the role of atmospheric deposition in supplying vital nutrients to the phytoplankton that form the base of marine food webs. Industrial and vehicular pollution, wildfires, volcanoes, biogenic debris, and desert dust all carry nutrients within their plumes throughout the globe. In remote ocean ecosystems, aerosol deposition represents an essential new source of nutrients for primary production. The large spatiotemporal variability in aerosols from myriad sources combined with the differential responses of marine biota to changing fluxes makes it crucially important to understand where, when, and how much nutrients from the atmosphere enter marine ecosystems. This review brings together existing literature, experimental evidence of impacts, and new atmospheric nutrient observations that can be compared with atmospheric and ocean biogeochemistry modeling. We evaluate the contribution and spatiotemporal variability of nutrient-bearing aerosols from desert dust, wildfire, volcanic, and anthropogenic sources, including the organic component, deposition fluxes, and oceanic impacts.


Assuntos
Ecossistema , Vento , Aerossóis/análise , Atmosfera , Nutrientes , Oceanos e Mares
6.
Sci Adv ; 7(28)2021 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-34233872

RESUMO

Anthropogenic emissions to the atmosphere have increased the flux of nutrients, especially nitrogen, to the ocean, but they have also altered the acidity of aerosol, cloud water, and precipitation over much of the marine atmosphere. For nitrogen, acidity-driven changes in chemical speciation result in altered partitioning between the gas and particulate phases that subsequently affect long-range transport. Other important nutrients, notably iron and phosphorus, are affected, because their soluble fractions increase upon exposure to acidic environments during atmospheric transport. These changes affect the magnitude, distribution, and deposition mode of individual nutrients supplied to the ocean, the extent to which nutrient deposition interacts with the sea surface microlayer during its passage into bulk seawater, and the relative abundances of soluble nutrients in atmospheric deposition. Atmospheric acidity change therefore affects ecosystem composition, in addition to overall marine productivity, and these effects will continue to evolve with changing anthropogenic emissions in the future.

7.
Atmos Chem Phys ; 21(10): 8127-8167, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-37649640

RESUMO

Even though desert dust is the most abundant aerosol by mass in Earth's atmosphere, atmospheric models struggle to accurately represent its spatial and temporal distribution. These model errors are partially caused by fundamental difficulties in simulating dust emission in coarse-resolution models and in accurately representing dust microphysical properties. Here we mitigate these problems by developing a new methodology that yields an improved representation of the global dust cycle. We present an analytical framework that uses inverse modeling to integrate an ensemble of global model simulations with observational constraints on the dust size distribution, extinction efficiency, and regional dust aerosol optical depth. We then compare the inverse model results against independent measurements of dust surface concentration and deposition flux and find that errors are reduced by approximately a factor of two relative to current model simulations of the Northern Hemisphere dust cycle. The inverse model results show smaller improvements in the less dusty Southern Hemisphere, most likely because both the model simulations and the observational constraints used in the inverse model are less accurate. On a global basis, we find that the emission flux of dust with geometric diameter up to 20 µm (PM20) is approximately 5,000 Tg/year, which is greater than most models account for. This larger PM20 dust flux is needed to match observational constraints showing a large atmospheric loading of coarse dust. We obtain gridded data sets of dust emission, vertically integrated loading, dust aerosol optical depth, (surface) concentration, and wet and dry deposition fluxes that are resolved by season and particle size. As our results indicate that this data set is more accurate than current model simulations and the MERRA-2 dust reanalysis product, it can be used to improve quantifications of dust impacts on the Earth system.

8.
Sci Adv ; 5(5): eaau7671, 2019 05.
Artigo em Inglês | MEDLINE | ID: mdl-31049393

RESUMO

Atmospheric deposition is a source of potentially bioavailable iron (Fe) and thus can partially control biological productivity in large parts of the ocean. However, the explanation of observed high aerosol Fe solubility compared to that in soil particles is still controversial, as several hypotheses have been proposed to explain this observation. Here, a statistical analysis of aerosol Fe solubility estimated from four models and observations compiled from multiple field campaigns suggests that pyrogenic aerosols are the main sources of aerosols with high Fe solubility at low concentration. Additionally, we find that field data over the Southern Ocean display a much wider range in aerosol Fe solubility compared to the models, which indicate an underestimation of labile Fe concentrations by a factor of 15. These findings suggest that pyrogenic Fe-containing aerosols are important sources of atmospheric bioavailable Fe to the open ocean and crucial for predicting anthropogenic perturbations to marine productivity.


Assuntos
Ferro/química , Aerossóis , Oceano Atlântico , Atmosfera/química , Poeira , Óxido Ferroso-Férrico/química , Oceano Índico , Modelos Químicos , Concentração Osmolar , Solo/química , Solubilidade
9.
Nat Commun ; 9(1): 3843, 2018 09 21.
Artigo em Inglês | MEDLINE | ID: mdl-30242156

RESUMO

How genetic information is modified to generate phenotypic variation within a species is one of the central questions in evolutionary biology. Here we focus on the striking intraspecific diversity of >200 aposematic elytral (forewing) colour patterns of the multicoloured Asian ladybird beetle, Harmonia axyridis, which is regulated by a tightly linked genetic locus h. Our loss-of-function analyses, genetic association studies, de novo genome assemblies, and gene expression data reveal that the GATA transcription factor gene pannier is the major regulatory gene located at the h locus, and suggest that repeated inversions and cis-regulatory modifications at pannier led to the expansion of colour pattern variation in H. axyridis. Moreover, we show that the colour-patterning function of pannier is conserved in the seven-spotted ladybird beetle, Coccinella septempunctata, suggesting that H. axyridis' extraordinary intraspecific variation may have arisen from ancient modifications in conserved elytral colour-patterning mechanisms in ladybird beetles.


Assuntos
Besouros/genética , Evolução Molecular , Fatores de Transcrição GATA/genética , Pigmentação/genética , Animais , Carotenoides/metabolismo , Besouros/crescimento & desenvolvimento , Besouros/metabolismo , Cor , Feminino , Fatores de Transcrição GATA/metabolismo , Genoma de Inseto , Proteínas de Insetos/genética , Proteínas de Insetos/metabolismo , Íntrons , Masculino , Melaninas/metabolismo , Polimorfismo Genético , Pupa/crescimento & desenvolvimento
10.
Sci Rep ; 8(1): 7347, 2018 05 09.
Artigo em Inglês | MEDLINE | ID: mdl-29743649

RESUMO

Iron (Fe) oxides in aerosols are known to absorb sun light and heat the atmosphere. However, the radiative forcing (RF) of light-absorbing aerosols of pyrogenetic Fe oxides is ignored in climate models. For the first time, we use a global chemical transport model and a radiative transfer model to estimate the RF by light-absorbing aerosols of pyrogenetic Fe oxides. The model results suggest that strongly absorbing Fe oxides (magnetite) contribute a RF that is about 10% of the RF due to black carbon (BC) over East Asia. The seasonal average of the RF due to dark Fe-rich mineral particles over East Asia (0.4-1.0 W m-2) is comparable to that over major biomass burning regions. This additional warming effect is amplified over polluted regions where the iron and steel industries have been recently developed. These findings may have important implications for the projection of the climate change, due to the rapid growth in energy consumption of the heavy industry in newly developing countries.

11.
Acta Otolaryngol ; 137(sup565): S53-S59, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28368720

RESUMO

OBJECTIVE: To investigate the positive rate for the Cochlin tomo-protein (CTP: an inner ear-specific protein) detection test among patients with inner ear-related clinical manifestations and evaluate the clinical characteristics of definite perilymphatic fistula (PLF). METHODS: We have performed an ELISA-based CTP detection test using middle ear lavage (MEL) samples from 497 cases of suspected PLF enrolled from 70 clinical centers nationwide between 2014 and 2015. In addition to the CTP-positive rate, audio-vestibular symptoms were compared between CTP-positive and -negative cases. RESULTS: 8-50% of patients in category 1 (trauma, middle and inner ear disease cases), and about 20% of those in categories 2, 3 and 4 (external origin antecedent events, internal origin antecedent events, and without antecedent event, respectively) were positive for CTP. In category 1 cases, the earlier tested samples showed a higher CTP-positive rate, whereas no differences were observed in categories 2, 3 or 4. The characteristic clinical features in the earlier tested cases were nystagmus and fistula sign in CTP test-positive cases in category 1, and streaming water-like tinnitus in those in categories 2, 3 and 4. CONCLUSION: The present study clarified that CTP detection test-positive patients exist at considerable rates among patients with inner ear-related manifestations.


Assuntos
Otopatias/diagnóstico , Proteínas da Matriz Extracelular/análise , Fístula/diagnóstico , Feminino , Humanos , Masculino
12.
Auris Nasus Larynx ; 43(3): 336-9, 2016 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-26386498

RESUMO

We report here a case with unidirectional abnormalities of smooth eye movements without gaze nystagmus. Abnormalities of eye movements were confined to unidirectional (leftward) horizontal pursuit and slow phase of OKN; however, horizontal VOR (slow phase of caloric nystagmus) and saccade were normal, and vertical eye movements were also normal. No lesions were detected in the central nervous system, and any history of drug intake was denied. Although the cause of the unidirectional abnormality in eye movement of this case is still not clear, a congenital origin seems to be the most probable.


Assuntos
Transtornos da Motilidade Ocular/fisiopatologia , Acompanhamento Ocular Uniforme , Adulto , Eletronistagmografia , Humanos , Masculino , Nistagmo Fisiológico/fisiologia , Transtornos da Motilidade Ocular/congênito , Movimentos Sacádicos/fisiologia
13.
J Renin Angiotensin Aldosterone Syst ; 15(4): 509-14, 2014 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-23390190

RESUMO

INTRODUCTION: We have reported that the circadian rhythm of urinary potassium excretion (U(K)V) is determined by the rhythm of urinary sodium excretion (U(Na)V) in patients with chronic kidney disease (CKD). We also reported that treatment with an angiotensin receptor blocker (ARB) increased the U(Na)V during the daytime, and restored the non-dipper blood pressure (BP) rhythm into a dipper pattern. However, the circadian rhythm of U(K)V during ARB treatment has not been reported. MATERIALS AND METHODS: Circadian rhythms of U(Na)V and U(K)V were examined in 44 patients with CKD undergoing treatment with ARB. RESULTS: Whole-day U(Na)V was not altered by ARB whereas whole-day U(K)V decreased. Even during the ARB treatment, the significant relationship persisted between the night/day ratios of U(Na)V and U(K)V (r=0.56, p<0.0001). Whole-day U(K)V/U(Na)V ratio (p=0.0007) and trans-tubular potassium concentration gradient (p=0.002) were attenuated but their night/day ratios remained unchanged. The change in the night/day U(K)V ratio correlated directly with the change in night/day U(Na)V ratio (F=20.4) rather than with the changes in aldosterone, BP or creatinine clearance. CONCLUSIONS: The circadian rhythm of U(K)V was determined by the rhythm of UNaV even during ARB treatment. Changes in the circadian U(K)V rhythm were not determined by aldosterone but by U(Na)V.


Assuntos
Antagonistas de Receptores de Angiotensina/farmacologia , Ritmo Circadiano/efeitos dos fármacos , Potássio/urina , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Sódio/urina
14.
EMBO Rep ; 14(6): 561-7, 2013 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-23609854

RESUMO

Male-specific exaggerated horns are an evolutionary novelty and have diverged rapidly via intrasexual selection. Here, we investigated the function of the conserved sex-determination gene doublesex (dsx) in the Japanese rhinoceros beetle (Trypoxylus dichotomus) using RNA interference (RNAi). Our results show that the sex-specific T. dichotomus dsx isoforms have an antagonistic function for head horn formation and only the male isoform has a role for thoracic horn formation. These results indicate that the novel sex-specific regulation of dsx during horn morphogenesis might have been the key evolutionary developmental event at the transition from sexually monomorphic to sexually dimorphic horns.


Assuntos
Besouros/genética , Evolução Molecular , Genes de Insetos , Cornos/anatomia & histologia , Animais , Besouros/anatomia & histologia , Comportamento Competitivo , Técnicas de Silenciamento de Genes , Proteínas de Insetos/genética , Proteínas de Insetos/metabolismo , Larva/anatomia & histologia , Larva/genética , Masculino , Preferência de Acasalamento Animal , Fenótipo , Isoformas de Proteínas/genética , Isoformas de Proteínas/metabolismo , Interferência de RNA , Caracteres Sexuais
15.
J Hypertens ; 31(6): 1233-8, 2013 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-23511341

RESUMO

OBJECTIVE: The sympathetic nervous system plays an important role in blood pressure regulation even in the early stages of chronic kidney disease (CKD). METHODS: To understand the role of the sympathetic system, we examined the relationship between day/night ratios of both heart rate (HR) and mean arterial pressure (MAP) as well as HR variability (HRV, SD) before and during an 8-week treatment with the angiotensin II receptor blocker (ARB), olmesartan, in 45 patients with CKD. RESULTS: The day/night HR ratio strongly correlated with the day/night MAP ratio before and during ARB treatment. The ratio of [day/night HR ratio] over [day/night MAP ratio] was increased as renal function deteriorated at baseline (r = -0.31, P = 0.04), and it was attenuated (1.10 ±â€Š0.10 to 1.06 ±â€Š0.10; P = 0.04) and became independent of renal function during ARB treatment (r = -0.04, P = 0.8). ARB increased both the day/night HR ratio (1.17 ±â€Š0.09 to 1.21 ±â€Š0.13; P = 0.04) and HRV (10.6 ±â€Š2.9 to 11.7 ±â€Š4.2; P = 0.04), which were lower when baseline renal function deteriorated. CONCLUSION: The present study indicates that there exists a close correlation in circadian rhythms between HR and MAP in CKD. Synchronization between the two rhythms was progressively lost as renal function deteriorated, and ARB partly restored the synchronization. These findings suggest that the sympathetic nervous system is activated as renal function deteriorates, and ARB may suppress its activation.


Assuntos
Antagonistas de Receptores de Angiotensina/farmacologia , Pressão Sanguínea/efeitos dos fármacos , Ritmo Circadiano/efeitos dos fármacos , Frequência Cardíaca/efeitos dos fármacos , Insuficiência Renal Crônica/tratamento farmacológico , Adolescente , Adulto , Idoso , Antagonistas de Receptores de Angiotensina/uso terapêutico , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Adulto Jovem
16.
Clin Nephrol ; 78(3): 169-73, 2012 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-22874104

RESUMO

AIMS: We previously reported in patients with chronic kidney disease (CKD) that the circadian rhythms of blood pressure (BP) and urinary sodium excretion were both impaired into non-dipper pattern as renal function deteriorated. However, the circadian rhythm of urinary potassium excretion has not been studied in relation to renal dysfunction. METHODS: BP and urinary excretion rates of sodium (UNaV) and potassium (UKV) were evaluated for daytime and nighttime to estimate their circadian rhythms in 83 subjects with CKD. RESULTS: As renal function deteriorated, night/day ratios of UNaV and UKV were both increased. Night/day ratio of UKV was positively correlated with night/day ratio of UNaV (r = 0.60, p < 0.0001). Multiple regression analysis (R2 = 0.37, p < 0.0001) revealed that night/day ratio of UKV was determined independently by the night/day ratio of UNaV (r = -0.55, p < 0.0001), rather than renal function or night/day ratio of BP. CONCLUSIONS: Circadian rhythm of natriuresis was regulated by renal function and night/day ratio of BP. On the other hand, the circadian rhythm of urinary potassium excretion was primarily determined by neither renal function nor BP, but was correlated with that of urinary sodium excretion.


Assuntos
Pressão Sanguínea , Ritmo Circadiano , Potássio/urina , Insuficiência Renal Crônica/fisiopatologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Taxa de Filtração Glomerular , Humanos , Masculino , Pessoa de Meia-Idade , Análise Multivariada , Natriurese , Insuficiência Renal Crônica/urina , Sódio/urina , Adulto Jovem
17.
J Renin Angiotensin Aldosterone Syst ; 13(2): 239-43, 2012 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-22333486

RESUMO

INTRODUCTION: It is known that reduced glomerular filtration rate (GFR) is a crucial factor to limit the blood pressure lowering effect of antihypertensives. In the present study, we tested whether the effects of monotherapy with an angiotensin receptor blocker (ARB) to lower proteinuria could be restricted by reduced GFR. MATERIALS AND METHODS: Thirty-five renal patients who had albuminuria more than 30 mg/day, but did not have diabetic nephropathy or nephrotic syndrome, were studied before and during eight weeks of monotherapy with ARB, olmesartan. RESULTS: Blood pressure was lowered from 129 ± 18/79 ± 12 to 116 ± 18/72 ± 12 mmHg (p < 0.0001), while albuminuria was reduced from 614±630 to 343±472 mg/day (p < 0.0001). Albuminuria was inversely correlated with GFR both before and during treatment. Albuminuria reduction was enhanced as plasma renin activity (p = 0.047) and dose of olmesartan were increased (p = 0.04). Although the absolute reduction in proteinuria was not correlated with GFR (p = 0.56), the % reduction was significantly proportional with GFR (p = 0.027). Multiple regression analysis demonstrated that 64% of proteinuria reduction could be explained by baseline levels of albuminuria, GFR and renin activity. CONCLUSIONS: The reduction in proteinuria by olmesartan may be roughly predicted using baseline GFR and other parameters. These findings clarify that the effect of ARB on proteinuria reduction is restricted by reduced GFR.


Assuntos
Antagonistas de Receptores de Angiotensina/uso terapêutico , Imidazóis/uso terapêutico , Proteinúria/tratamento farmacológico , Tetrazóis/uso terapêutico , Adolescente , Adulto , Idoso , Albuminúria/sangue , Albuminúria/tratamento farmacológico , Albuminúria/fisiopatologia , Antagonistas de Receptores de Angiotensina/farmacologia , Pressão Sanguínea/efeitos dos fármacos , Feminino , Taxa de Filtração Glomerular , Humanos , Imidazóis/farmacologia , Masculino , Pessoa de Meia-Idade , Prognóstico , Proteinúria/sangue , Proteinúria/fisiopatologia , Renina/sangue , Tetrazóis/farmacologia , Adulto Jovem
18.
Clin Exp Nephrol ; 16(4): 596-603, 2012 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-22302087

RESUMO

UNLABELLED: BACKGROUND We have previously shown regional differences in the incidence of end-stage renal disease (ESRD)within Japan, which is ethnically homogenous, suggesting that non-genetic factors may contribute to the differences.We examined regional distribution in the incidence of low birth weight (LBW), a surrogate for low nephron number,in our search for an explanation. METHODS: Each year, the Ministry of Health, Labour and Welfare of Japan and the Japanese Society for Dialysis Therapy report the number of LBW babies and patients initiating maintenance dialysis in each prefecture of Japan,respectively. In this study, we calculated the annual incidences of LBW and ESRD in 11 regions of Japan over a 24-year period from 1984 to 2007. RESULTS: There were distinct regional differences in the annual incidences of both LBW and ESRD (p<0.0001).These regional distributions persisted despite consistent increases (p<0.0001) in incidences of both LBW and ESRD during the study period. Compared with the reference group consisting of 3 regions with the lowest LBW incidence, the odds ratios for ESRD (95% confidence interval) of the 5 regions with intermediate LBW incidence and the 3 regions with the highest LBW incidence are 1.09(1.05­1.14) and 1.29 (1.22­1.35), respectively. The annual incidence of LBW was positively correlated with annual incidence of ESRD in their regional distribution across 11 regions (r = 0.66, p = 0.03). CONCLUSIONS: The present study, relating regional distribution between LBW and ESRD dynamics in a nationwide population of Japan, revealed that the marked regional differences in the incidence of ESRD within Japan could be explained by a similar regional distribution in the incidence of LBW.


Assuntos
Recém-Nascido de Baixo Peso , Falência Renal Crônica/epidemiologia , Humanos , Incidência , Recém-Nascido , Japão/epidemiologia , Falência Renal Crônica/etiologia , Falência Renal Crônica/terapia , Diálise Renal/estatística & dados numéricos , Fatores de Risco
19.
Blood Press Monit ; 17(1): 20-3, 2012 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-22218220

RESUMO

OBJECTIVE: We have shown that as renal function deteriorates, the circadian blood pressure (BP) rhythm shifts to a nondipper pattern and the duration until nocturnal BP decline [dipping time (DT)] is prolonged. We investigated whether or not morning hypertension (BP 2 h after awakening >135/85 mmHg) in chronic kidney disease (CKD) was sustained type with a prolonged DT. MATERIALS AND METHODS: Twenty-four-hour BP was monitored in 104 patients with CKD. Fifty-one of 104 participants (group A) did not exhibit morning hypertension. The patients with morning hypertension (group B, n=53) were classified into three groups: group C (n=23), participants who exhibited morning hypertension but did not meet the criteria for the surge or sustained type; group D (n=29), the sustained type (with no night-time BP readings <120/70 mmHg); and group E (n=1), the surge type (systolic BP rises >25 mmHg after awakening). RESULTS: The night/day BP ratio and DT were compared among groups A, C, and D because there was only one participant in group E. Night/day ratio of BP and DT were both significantly higher in group D compared with groups A and C. The prevalence of nondippers tended to be higher in group D compared with the other groups (A, 65%; C, 57%; D, 86%, P=0.09). Creatinine clearance was significantly lower in group D compared with groups A and C. CONCLUSION: Sustained elevation of night-time BP until the early morning and high night/day ratio of BP may contribute to the high frequency of morning hypertension, which is generally the sustained rather than the surge type in CKD.


Assuntos
Ritmo Circadiano/fisiologia , Hipertensão/classificação , Hipertensão/fisiopatologia , Nefropatias/fisiopatologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Pressão Sanguínea/fisiologia , Monitorização Ambulatorial da Pressão Arterial , Doença Crônica , Creatinina/sangue , Feminino , Humanos , Nefropatias/sangue , Masculino , Pessoa de Meia-Idade , Adulto Jovem
20.
J Am Soc Hypertens ; 5(6): 456-62, 2011.
Artigo em Inglês | MEDLINE | ID: mdl-21890446

RESUMO

We reported a remarkable regional difference within Japan in the incidence of end-stage renal disease. Regional differences were also well-known for salt intake, blood pressure (BP), and mortality from stroke, which remains one of the leading causes of death. Noting these regional differences, we examined mutual relationships among salt intake, BP, and stroke mortality in 12 regions of Japan. Data of salt intake, BP, and stroke mortality in 12 regions were collected from National Nutrition Survey (NNS-J), reanalysis of NNS-J, and Vital Statistics of National Population Dynamic Survey (Ministry of Health, Labor and Welfare), respectively. Significant regional differences were found in salt intake (P < .0001), mean arterial BP (P = .0001), and stroke mortality (P < .0001). Although annual changes in these parameters were also significant, their regional differences persisted. Salt intake had positive relationships with both mean arterial BP (r = 0.26, P = .0009) and stroke mortality (r = 0.26, P < .0001) across 12 regions, whereas mean arterial BP was not correlated with stroke mortality. Multiple regression analysis further identified salt intake as an independent factor to increase stroke mortality, but mean arterial BP was not a determinant. Compared with the four regions with lowest salt intake, odds ratios of stroke mortality adjusted by mean arterial BP were 1.04 (95% CI, 1.03-1.06) for the intermediate four regions and 1.25 (95% CI, 1.23-1.27) for the four regions with highest salt intake. These findings suggest that salt intake may have an adverse effect on stroke mortality independently of BP.


Assuntos
Cloreto de Sódio na Dieta/administração & dosagem , Acidente Vascular Cerebral/mortalidade , Pressão Sanguínea/fisiologia , Doenças Cardiovasculares/etiologia , Inquéritos Epidemiológicos , Humanos , Japão/epidemiologia , Fatores de Risco , Cloreto de Sódio na Dieta/efeitos adversos , Acidente Vascular Cerebral/etiologia
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