To investigate the impact of peak aortic jet velocity (Vmax) on the prognosis of patients undergoing open surgery for chronic limb threatening ischemia (CLTI).
Between April 2015 and March 2022, 352 ...patients underwent infrainguinal open surgery for CLTI. Patients who met the following exclusion criteria were excluded: subsequent infrainguinal surgeries in the registered period, no record of Vmax, history of aortic valve intervention, and Vmax ≥3.0 m/s (moderate or severe aortic valve stenosis). The remaining patients were dichotomized into 2 groups based on their Vmax values. The Youden index calculated from the receiver operating characteristic curve (ROC) was set as the cutoff value. The 2-year overall survival (OS), calculated using the Kaplan-Meier's method, was compared between the 2 groups. A Cox proportional hazards regression analysis was performed using perioperative factors including Vmax to identify independent predictors separately for dialysis and nondialysis patients and the quantitative relationship between Vmax and OS.
One hundred and ninety-one patients, including 100 dialysis and 91 nondialysis patients, were included in the analysis. The Youden index was 1.7 m/s. The 2-year OS rates of the group with Vmax >1.7 m/s and with Vmax ≤1.7 m/s were 49% and 76% (P = 0.007), respectively, in the dialysis cohort, while they were 71% and 78% (P = 0.680) in the nondialysis cohort, respectively. Multivariate analysis identified Vmax and ejection fraction as independent predictors in the dialysis cohort and the Barthel Index at admission in the nondialysis cohort. There was a stepwise increase in the risk of death in patients with Vmax of ≥1.5 m/s and a significantly higher risk of death in dialysis patients with Vmax >2.5 m/s.
Vmax was a significant independent predictor of all-cause death within 2 years after open surgery for CLTI in dialysis patients but not in patients managed without dialysis.
Spinal cord injury remains a major adverse event of extended thoracic and thoracoabdominal aortic surgical procedures. Preoperative identification of the Adamkiewicz artery and prompt reattachment of ...the targeted intercostal arteries during operation should contribute to preventing spinal cord injury. In this report, we describe a simple and definite identification of the critical intercostal artery during extended descending and thoracoabdominal aortic surgical procedures.
Pulsating auroras (PsAs) are thought to be generated by precipitating electrons scattered by lower‐band chorus (LBC) waves near the magnetic equator. One‐to‐one correlation between the LBC intensity ...and the PsA intensity has been reported. Electrostatic electron cyclotron harmonic (ECH) waves can also scatter electrons. However, direct correlation between ECH and PsA has not been reported yet. In this study, using a coordinated Exploration of energization and Radiation in Geospace (Arase) satellite and ground‐based imager observation, we report that not only LBC but also ECH have correlation with PsA. We estimated the precipitating electron energy by assuming that the time lag when the cross‐correlation coefficient became the highest was travel time of electrons from the modulation region. We found that the estimated energies show reasonable values as the cyclotron resonance energy of each wave.
Plain Language Summary
Pulsating auroras (PsAs), which have quasiperiodic on‐off switching emission, are caused by the intermittent electron precipitation from the magnetosphere. Such electrons are precipitated by wave‐particle interactions. The candidate waves to interact with electrons are lower‐band chorus (LBC) and electrostatic electron cyclotron harmonic (ECH) waves. One‐to‐one correspondence between the LBC wave intensity and the PsA intensity has been reported by previous studies. However, the correlation between ECH and PsA has not been reported yet. In this study, using a coordinated Exploration of energization and Radiation in Geospace (Arase) satellite and ground‐based all‐sky imager observation, we report that not only LBC but also ECH waves have correlation with PsAs.
Key Points
The lower‐band chorus and electrostatic electron cyclotron harmonic wave intensities had correlation with the pulsating auroral intensity
Taking advantage of high sampling rate of the imager, we estimated the energy of precipitating electrons
The energy of precipitating electrons was reasonable compared with the cyclotron resonance energy of each wave
BepiColombo Mio, also known as the Mercury Magnetospheric Orbiter (MMO), is intended to conduct the first detailed study of the magnetic field and environment of the innermost planet, Mercury, ...alongside the Mercury Planetary Orbiter (MPO). This orbiter has five payload groups; the MaGnetic Field Investigation (MGF), the Mercury Plasma Particle Experiment (MPPE), the Plasma Wave Investigation (PWI), the Mercury Sodium Atmosphere Spectral Imager (MSASI), and the Mercury Dust Monitor (MDM). These payloads operate through the Mission Data Processor (MDP) that acts as an integrated system for Hermean environmental studies by the
in situ
observation of charged and energetic neutral particles, magnetic and electric fields, plasma waves, dust, and the remote sensing of radio waves and exospheric emissions. The MDP produces three kinds of coordinated data sets: Survey (L) mode for continuous monitoring, Nominal (M) mode for standard analyses of several hours in length (or more), and Burst (H) mode for analysis based on 4–20-min-interval datasets with the highest cadence. To utilize the limited telemetry bandwidth, nominal- and burst-mode data sets are partially downlinked after selections of data based on L- or L/M-mode data, respectively. Burst-mode data can be taken at preset timings, or by onboard automatic triggering. The MDP functions are implemented and tested on the ground as well as cruising spacecraft; they are responsible for conducting full scientific operations aboard spacecraft.
Hybrid organic–inorganic perovskite solar cells (PSCs) have been regarded as the most promising next-generation photovoltaics (PVs) because of their potential for low-cost fabrication and advances in ...their development. Superior quality of the photoactive perovskite layer is a main factor for further increasing the PV performance of the organic–inorganic perovskite solar cells (PSCs). Herein, we successfully obtained perovskite with a high crystallinity and large grain size by utilizing excess PbI2 and SSGP technique and demonstrated a superior PV performance of normal-architecture planar PSCs. The SSGP PSCs with the highest fill factor (FF) reported thus far (83.4%) to our knowledge were obtained without sacrificing other PV parameters. Moreover, a high efficiency of 21.3% (21.6%) with a high FF of 80.0% (81.2%) in forward (reverse) scan was achieved. The unencapsulated SSGP PSCs showed robust continuous light-soaking and thermal stability under harsh characterization conditions. Additionally, we achieved a high efficiency of 20.1% with a negligible hysteresis on the large active area SSGP PSCs (∼1 cm2). The optical properties, efficient carrier extraction, and reduction of recombination loss of the SSGP perovskite significantly contribute to the high PV performance and robust stability of SSGP PSCs.
Charge recombination dynamics inside a Cs0.05FA0.80MA0.15PbI2.75Br0.25 perovskite film were studied by employing picosecond-microsecond transient absorption spectroscopy. A wide range of excitation ...intensity from 0.18 to 127 μJ cm-2 revealed two different charge recombination mechanisms. The charge recombination occurs in the 1st order with the excitation intensity of <2 μJ cm-2, while with the higher excitation intensity of >2 μJ cm-2, the recombination occurs in the addition of the 2nd order. The analysis of the 1st order reactions revealed that trap states with at least 3 different potential levels exist in the Cs0.05FA0.80MA0.15PbI2.75Br0.25 perovskite film. From the transition of the reaction order from the 1st to the 2nd, the trap density inside the perovskite film is evaluated to be 1 x 1017 cm-3.
Photocatalytic hydrogen peroxide (H2O2) by oxygen and phosphorus co-doped graphitic carbon nitride (C3N4) with cobalt phosphate (CoP) cocatalyst is investigated. The photocatalyst powder of CoP-C3N4 ...1:n, n = 0–4, n is the weight ratio of cyanuric acid added) was synthesized by melamine cyanurate template method. Characterization of the catalyst was performed by X-ray diffraction analysis, and scanning electron microscopy, X-ray photoemission spectra, and fluorescence decay spectra. Oxygen doping was performed by the melamine and cyanuric acid template method, followed by phosphorus doping of the C3N4 backbone by the introduction of CoP. Co-doping of O and P atom facilitated charge transfer on the C3N4 backbone, while CoP facilitated charge separation at the C3N4 interface. The CoP-C3N4 (1:4) photocatalyst increased H2O2 production rate by 293 % compared to that of the cyanuric acid-free photocatalyst and also achieved the photocatalytic oxygen evolution from water. These results indicate that O,P co-doped CoP-C3N4 can perform sacrificial agent-free hydrogen peroxide under visible light irradiation.
Display omitted
•O,P-co-doped CoP-C3N4 increased H2O2 production is investigated first time.•The addition of cyanuric acid promoted the doping of phosphorus into C3N4 structure.•Hydrogen peroxide synthesis under sacrificial agent-free and visible light.•The O,P-co-doped CoP-C3N4 increased H2O2 production rate as high as 293 %.
The hypothalamus, limbic system, and brainstem play an important role in the regulation of instinctive behavior. Many kinds of hypothalamic neuropeptides, such as orexin, ghrelin, neuropeptide Y, ...melanin‐concentrating hormone, pituitary adenylate cyclase‐activating polypeptide, corticotropin‐releasing hormone, and diazepam‐binding inhibitor‐derived peptides, including the octadecaneuropeptide, have been implicated in the regulation of appetite and energy homeostasis in various models, including rodents and goldfish. Several of these neuropeptides also influence locomotor or psychomotor activity in rats and mice. The aim of this paper is to review the current knowledge on the psychophysiological effects of neuropeptides involved in the regulation of food intake in fish, and to examine their significance from a comparative point of view.
Intrahepatic cholangiocarcinoma (ICC) is a malignant epithelial neoplasm composed of cells resembling cholangiocytes that line the intrahepatic bile ducts in portal areas of the hepatic lobule. ...Although ICC has been defined as a tumor arising from cholangiocyte transformation, recent evidence from genetic lineage-tracing experiments has indicated that hepatocytes can be a cellular origin of ICC by directly changing their fate to that of biliary lineage cells. Notch signaling has been identified as an essential factor for hepatocyte conversion into biliary lineage cells at the onset of ICC. However, the mechanisms underlying Notch signal activation in hepatocytes remain unclear. Here, using a mouse model of ICC, we found that hepatic macrophages called Kupffer cells transiently congregate around the central veins in the liver and express the Notch ligand Jagged-1 coincident with Notch activation in pericentral hepatocytes. Depletion of Kupffer cells prevents the Notch-mediated cell-fate conversion of hepatocytes to biliary lineage cells, inducing hepatocyte apoptosis and increasing mortality in mice. These findings will be useful for uncovering the pathogenic mechanism of ICC and developing prevenient and therapeutic strategies for this refractory disease.
PDF
