Myocarditis and myasthenia gravis by combined nivolumab and ipilimumab immunotherapy for renal cell carcinoma: A case report of successful management.

Ipilimumab plus nivolumab (Ipi/Nivo) has revolutionized advanced renal cell carcinoma (RCC) treatment. However, it encompassed fatal immune-related adverse events (irAEs). Myocarditis with concomitant myasthenia gravis (MG) has a mortality rate of 50%, and a high dose of methylprednisolone (mPSL) should be administered with careful attention to MG exacerbation.

Basis of self-organized proportion regulation resulting from local contacts.

One of the fundamental problems in biology concerns the method by which a cluster of organisms can regulate the proportion of individuals that perform various roles or modes as if each individual is aware of the overall situation without a leader. In various species, a specific ratio exists at multiple levels, from the process of cell differentiation in multicellular organisms to the situation of social dilemma in a group of human beings. This study determines a common basis for regulating collective behavior that is realized by a series of local contacts between individuals.

Self-assembly of like-charged nanoparticles into Voronoi diagrams.

The self-assembly of nanoscopic building blocks into higher order macroscopic patterns is one possible approach for the bottom-up fabrication of complex functional systems. Macroscopic pattern formation, in general, is determined by the reaction and diffusion of ions and molecules. In some cases macroscopic patterns emerge from diffusion and interactions existing between nanoscopic or microscopic building blocks.

Maze solving using fatty acid chemistry.

This study demonstrates that the Marangoni flow in a channel network can solve maze problems such as exploring and visualizing the shortest path and finding all possible solutions in a parallel fashion. The Marangoni flow is generated by the pH gradient in a maze filled with an alkaline solution of a fatty acid by introducing a hydrogel block soaked with an acid at the exit. The pH gradient changes the protonation rate of fatty acid molecules, which translates into the surface tension gradient at the liquid-air interface through the maze.

The advantage of mucus for adhesive locomotion in gastropods.

For many gastropods, locomotion is driven by a succession of periodic muscular waves (contractions and relaxations) moving along the foot. The force generated by these waves is coupled to the substratum by a thin layer of pedal mucus. Gastropod pedal mucus has unusual physical properties: the mucus is a viscoelastic solid at small deformation and shows a sharp yield point; then, at greater strains, the mucus is a viscous liquid, although it will recover its solidity if allowed to heal for a certain period.