Abstract
We report on the X-ray spectral analysis and time evolution of GRS 1739−278 during its 2014 outburst, based on MAXI/GSC and Swift/XRT observations. Over the course of the outburst, a ...transition from the low/hard state to the high/soft state and then back to the low/hard state was seen. During the high/soft state, the innermost disk temperature mildly decreased, while the innermost radius estimated with the multi-color disk model remained constant at ∼18 (D/8.5 kpc)(cos i/cos 30°)−1/2 km, where D is the source distance and i is the inclination of observation. This small innermost radius of the accretion disk suggests that the central object is more likely to be a Kerr black hole rather than a Schwardzschild black hole. Applying a relativistic disk emission model to the high/soft state spectra, a mass upper limit of 18.3 M⊙ was obtained based on the inclination limit i < 60° for an assumed distance of 8.5 kpc. Using the empirical relation of the transition luminosity to the Eddington limit, the mass is constrained to 4.0–18.3 M⊙ for the same distance. The mass can be further constrained to be no larger than 9.5 M⊙ by adopting the constraints based on the fits to the NuSTAR spectra with relativistically blurred disk reflection models (Miller et al. 2015, ApJ, 799, L6).
We report on the X-ray spectral analysis and time evolution of GRS 1739\(-\)278 during its 2014 outburst based on MAXI/GSC and Swift/XRT observations. Over the course of the outburst, a transition ...from the low/hard state to the high/soft state and then back to the low/hard state was seen. During the high/soft state, the innermost disk temperature mildly decreased, while the innermost radius estimated with the multi-color disk model remained constant at \(\sim18\ (\frac{D}{8.5\ \mathrm{kpc}}) \ {(\frac{\cos i}{\cos 30^{\circ}})}^{-1/2}\) km, where \(D\) is the source distance and \(i\) is the inclination of observation. This small innermost radius of the accretion disk suggests that the central object is more likely to be a Kerr black hole rather than a Schwardzschild black hole. Applying a relativistic disk emission model to the high/soft state spectra, a mass upper limit of \(18.3\ \mathrm{M_{\odot}}\) was obtained based on the inclination limit \(i<60^{\circ}\) for an assumed distance of 8.5 kpc. Using the empirical relation of the transition luminosity to the Eddington limit, the mass is constrained to \(4.0-18.3\ \mathrm{M_{\odot}}\) for the same distance. The mass can be further constrained to be no larger than \(9.5\ \mathrm{M_{\odot}}\) by adopting the constraints based on the fits to the NuSTAR spectra with relativistically blurred disk reflection models (Miller et al. 2015).
Bone metabolism is regulated by the cooperative activity between bone-forming osteoblasts and bone-resorbing osteoclasts. However, the mechanisms mediating the switch between the osteoblastic and ...osteoclastic phases have not been fully elucidated. Here, we identify a specific subset of mature osteoblast-derived extracellular vesicles that inhibit bone formation and enhance osteoclastogenesis. Intravital imaging reveals that mature osteoblasts secrete and capture extracellular vesicles, referred to as small osteoblast vesicles (SOVs). Co-culture experiments demonstrate that SOVs suppress osteoblast differentiation and enhance the expression of receptor activator of NF-κB ligand, thereby inducing osteoclast differentiation. We also elucidate that the SOV-enriched microRNA miR-143 inhibits Runt-related transcription factor 2, a master regulator of osteoblastogenesis, by targeting the mRNA expression of its dimerization partner, core-binding factor β. In summary, we identify SOVs as a mode of cell-to-cell communication, controlling the dynamic transition from bone-forming to bone-resorbing phases in vivo.
Osteoclastic bone resorption and osteoblastic bone formation/replenishment are closely coupled in bone metabolism. Anabolic parathyroid hormone (PTH), which is commonly used for treating ...osteoporosis, shifts the balance from osteoclastic to osteoblastic, although it is unclear how these cells are coordinately regulated by PTH. Here, we identify a serine protease inhibitor, secretory leukocyte protease inhibitor (SLPI), as a critical mediator that is involved in the PTH-mediated shift to the osteoblastic phase. Slpi is highly upregulated in osteoblasts by PTH, while genetic ablation of Slpi severely impairs PTH-induced bone formation. Slpi induction in osteoblasts enhances its differentiation, and increases osteoblast-osteoclast contact, thereby suppressing osteoclastic function. Intravital bone imaging reveals that the PTH-mediated association between osteoblasts and osteoclasts is disrupted in the absence of SLPI. Collectively, these results demonstrate that SLPI regulates the communication between osteoblasts and osteoclasts to promote PTH-induced bone anabolism.
The Acheulean technological tradition, characterized by a large (>10 cm) flake-based component, represents a significant technological advance over the Oldowan. Although stone tool assemblages ...attributed to the Acheulean have been reported from as early as circa 1.6–1.75 Ma, the characteristics of these earliest occurrences and comparisons with later assemblages have not been reported in detail. Here, we provide a newly established chronometric calibration for the Acheulean assemblages of the Konso Formation, southern Ethiopia, which span the time period ∼1.75 to <1.0 Ma. The earliest Konso Acheulean is chronologically indistinguishable from the assemblage recently published as the world’s earliest with an age of ∼1.75 Ma at Kokiselei, west of Lake Turkana, Kenya. This Konso assemblage is characterized by a combination of large picks and crude bifaces/unifaces made predominantly on large flake blanks. An increase in the number of flake scars was observed within the Konso Formation handaxe assemblages through time, but this was less so with picks. The Konso evidence suggests that both picks and handaxes were essential components of the Acheulean from its initial stages and that the two probably differed in function. The temporal refinement seen, especially in the handaxe forms at Konso, implies enhanced function through time, perhaps in processing carcasses with long and stable cutting edges. The documentation of the earliest Acheulean at ∼1.75 Ma in both northern Kenya and southern Ethiopia suggests that behavioral novelties were being established in a regional scale at that time, paralleling the emergence of Homo erectus- like hominid morphology.
Background
The 8th edition of the American Joint Committee on Cancer (AJCC) TNM staging system provided a specific ‘ypTNM’ stage grouping for patients with esophageal cancer.
Objective
This study ...aimed to evaluate the clinical utility of the AJCC 8th edition ypTNM stage grouping for patients with esophageal squamous cell carcinoma (ESCC).
Methods
We enrolled 152 patients with ESCC who underwent surgery after neoadjuvant cisplatin plus 5-fluorouracil (CF) therapy between June 2005 and December 2011. ypStage was evaluated according to the AJCC 7th and 8th editions. Predictive performance for disease-specific survival (DSS) and overall survival (OS) was compared between both editions. The prognostic significance of ypTNM stage grouping was evaluated using univariate and multivariate analyses.
Results
Revision of the AJCC 7th edition to the 8th edition was associated with a change in ypStage in 96 patients (63.2%). The AJCC 8th edition revealed a better predictive performance than the 7th edition in terms of DSS (Akaike’s information criterion AIC 499 vs. 513; Bayesian information criterion BIC 505 versus 519; concordance index C-index 0.725 versus 0.679) and OS (AIC 662 vs. 674; BIC 669 vs. 681; C-index 0.662 vs. 0.622). On univariate and multivariate analyses, ypStage in the 8th edition was an independent prognostic factor for both DSS and OS.
Conclusions
ypTNM stage grouping in the AJCC 8th edition provided a better predictive performance for DSS and OS than that in the 7th edition. ypStage in the 8th edition was the most reliable prognostic factor for ESCC patients who underwent surgery after neoadjuvant CF therapy.
This study presents the results from the Tropospheric Chemistry Reanalysis version 2 (TCR-2) for the period 2005–2018 at 1.1∘ horizontal resolution obtained from the assimilation of multiple updated ...satellite measurements of ozone, CO, NO2, HNO3, and SO2 from the OMI, SCIAMACHY, GOME-2, TES, MLS, and MOPITT satellite instruments. The reanalysis calculation was conducted using a global chemical transport model MIROC-CHASER and an ensemble Kalman filter technique that optimizes both chemical concentrations of various species and emissions of several precursors, which was efficient for the correction of the entire tropospheric profile of various species and its year-to-year variations. Comparisons against independent aircraft, satellite, and ozonesonde observations demonstrate the quality of the reanalysis fields for numerous key species on regional and global scales, as well as for seasonal, yearly, and decadal scales, from the surface to the lower stratosphere. The multi-constituent data assimilation brought the model vertical profiles and interhemispheric gradient of OH closer to observational estimates, which was important in improving the description of the oxidation capacity of the atmosphere and thus vertical profiles of various species. The evaluation results demonstrate the capability of the chemical reanalysis to improve understanding of the processes controlling variations in atmospheric composition, including long-term changes in near-surface air quality and emissions. The estimated emissions can be employed for the elucidation of detailed distributions of the anthropogenic and biomass burning emissions of co-emitted species (NOx, CO, SO2) in all major regions, as well as their seasonal and decadal variabilities. The data sets are available at https://doi.org/10.25966/9qgv-fe81 (Miyazaki et al., 2019a).
Background/Purpose
In the present study we aimed to prospectively assess the current prevalence and risk factors of nonalcoholic fatty liver disease (NAFLD) after total pancreatectomy (TP).
Methods
...Between August 2015 and December 2017, we prospectively collected data from 68 Japanese centers on 148 consecutive patients who underwent TP whose computed tomography (CT) attenuation values were evaluated for 12 months. We defined post‐TP NAFLD as a liver parenchyma CT value of less than 40 Hounsfield units (HU). Data on perioperative variables were retrieved from all patients and evaluated using univariate and multivariate analyses to identify the perioperative risk factors of NAFLD.
Results
In this prospective cohort study, supplementation of pancreatic exocrine enzymes was provided to all 148 patients, and 97% of them were treated with high‐titer pancrelipase (median dosage: 1800 mg) postoperatively. Indeed, 29 patients (19.6%) developed NAFLD within a year after TP. Multivariate analysis revealed that female sex (P = .002), higher body mass index (BMI) (P = .001), and postoperative diarrhea (P = .038) were independent risk factors for post‐TP NAFLD. However, post‐TP NAFLD ameliorated in 11 patients (37.9%) at 12 months after surgery.
Conclusions
Among patients with risk factors such as female sex, higher BMI, and postoperative diarrhea, attention should be paid to the occurrence of NAFLD after TP.
Kato and colleagues prospectively assessed the prevalence and risk factors of nonalcoholic fatty liver disease after total pancreatectomy. Among 148 patients, 29 (19.6%) developed nonalcoholic fatty liver disease within a year after total pancreatectomy. Multivariate analysis identified female sex, higher body mass index, and postoperative diarrhea as independent risk factors.
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