Possible Biological Heterogeneity of Airway Mucus Plugs in a Patient with Asthma.

Background: The presence of mucus plugs in the airway is a severe phenotype in patients with asthma; however, the mechanisms and specific treatments are not fully understood.

Purpose: To clarify the efficacy of biologics and the mechanisms for mucus plug in patients with asthma.

Patients And Methods: A 79-year-old Japanese asthmatic woman with high blood eosinophil and fractional exhaled nitric oxide (FeNO) was pointed massive mucus plugs in airway on chest CT imaging.

Molecular mechanisms and clinical impact of biologic therapies in severe asthma.

Severe asthma is a critical condition for patients with asthma, characterized by frequent exacerbations, decreased pulmonary function, and unstable symptoms related to asthma. Consequently, the administration of systemic corticosteroids, which cause secondary damage because of their adverse effects, is considered. Recently, several types of molecular-targeted biological therapies have become available for patients with severe asthma, and they have a capacity to improve the pathophysiology of severe asthma.

Ag-Catalyzed Cyclization-Intermolecular Sulfinyl Group Transfer Cascade Reactions Enabling Enantioselective Synthesis of 4-Sulfinylisoquinolines.

N-Sulfinylimines derived from ortho-alkynylbenzaldehydes were efficiently converted into the corresponding 4-sulfinylisoquinolines in good to excellent yields. The reaction proceeds via cyclization followed by intermolecular migration of the sulfinyl group from the nitrogen atom to the silver-bound carbon of the resulting cyclized vinylsilver intermediate with the aid of either a counteranion or a nucleophilic species. Moreover, the Ag-catalyzed reaction in the presence of quinidine acetate as a chiral nucleophilic cocatalyst yielded chiral isoquinolines with high enantioselectivities through a dynamic kinetic asymmetric transformation (DYKAT).

The effect of cognitive tasks on reactive stepping in young and older adults.

Background: Divided attention is commonly required in daily life, and to prevent falls, balance must be recovered when a person experiences unexpected perturbations. Previous studies have shown that additional cognitive tasks in postural responses negatively affect automatic postural responses. However, the effect of dual-tasking on reactive stepping performance is still not clearly understood.

Concern about falling is related to threat-induced changes in emotions and postural control in older adults.

Background: Concern about falling is reportedly related to mobility and balance in older adults. While increased concern about falling may be directly related to balance deficits, establishing a causal relationship remains limited. This study aimed to investigate whether concern about falling affects threat-induced changes in emotions and postural control in older adults.