PuraStat as secondary therapy for hemostasis in Mallory-Weiss syndrome with oral antithrombotic medication.

Mallory-Weiss syndrome (MWS) is a common cause of gastroesophageal bleeding. Vomiting increases intra-abdominal and intra-esophageal pressures, causing hyperextension of the esophagogastric junction and laceration. Most affected patients respond well to conservative treatment; however, those with active bleeding require endoscopic intervention.

Clinical factors to predict changes of esophagogastric varices after sustained viral response with direct-acting antiviral therapy.

Background: The clinical course of esophagogastric varices (EGV) after sustained virological response (SVR) with direct-acting antiviral (DAA) therapy has not been clearly elucidated. The predictors for the worsening/improvement of EGV after SVR with DAA therapy were investigated.

Methods: Of the cirrhosis patients who achieved SVR with DAA therapy, 328 patients who underwent endoscopic examinations both before and after DAA therapy were enrolled.

Simple new clinical score to predict hepatocellular carcinoma after sustained viral response with direct-acting antivirals.

The time point of the most precise predictor of hepatocellular carcinoma (HCC) development after viral eradication with direct-acting antiviral (DAA) therapy is unclear. In this study we developed a scoring system that can accurately predict the occurrence of HCC using data from the optimal time point. A total of 1683 chronic hepatitis C patients without HCC who achieved sustained virological response (SVR) with DAA therapy were split into a training set (999 patients) and a validation set (684 patients).

Collective plasmonic resonances enhance the photoluminescence of rare-earth nanocrystal films processed by ultrafast annealing.

Herein, we demonstrate that rapid thermal annealing allows achieving close-to-one photoluminescence quantum yield while preserving the transparency of rare-earth nanocrystal films, which further enables their integration with nanophotonics. The combination with periodic arrays of aluminum nanodisks that support collective plasmonic resonances leads to enhanced directional emission.

Why does 2-(2-aminoethylamino)ethanol have superior CO separation performance to monoethanolamine? A computational study.

Our computational reaction analysis shows that 2-(2-aminoethylamino)ethanol (AEEA) has superior performance to monoethanolamine for CO separation, in terms of its ability to sorb CO by its primary amine and desorb CO by its secondary amine.

Role of a rapid response system and code status discussion as determinants of prognosis for critical inpatients: An observational study in a Japanese urban hospital.

Rapid response systems (RRS) have been introduced worldwide to reduce unpredicted in-hospital cardiac arrest (IHCA) and in-hospital mortality. The role of advance care planning (ACP) in the management of critical patients has not yet been fully determined in Japan.We retrospectively assessed the characteristics of all inpatients with unpredicted IHCA in our hospital between 2016 and 2018.

Acceleration of rises in the level of rivers induced by rising air temperatures in a cold climate.

The effects of climate change on water discharge in rivers in cold climates were investigated. To quantify the impacts of air temperature rises on the promotion of snowmelt and associated acceleration of a rise in the level of a river, 10 rivers on Hokkaido, northwestern Japan were chosen. Available data of daily water discharge for more than half a century by the Ministry of Land, Infrastructure, Transport and Tourism (MLIT) were correlated with air temperatures observed at the 8 weather stations operated by the Japan Meteorological Agency (JMA).

[A case of amebic colitis that developed after corticosteroid therapy in which perforation occurred during metronidazole treatment].

Although amebiasis is usually asymptomatic, fulminant amebic colitis is associated with a high mortality rate. Here, we report the case of a patient with amebic colitis in which bowel perforation occurred despite treatment with metronidazole. A man in his 70s underwent steroid pulse therapy to treat serious acute hepatitis A.

Effects of clay in a sandy soil on saturated/unsaturated pore water flow and dissolved chloride transport from road salt applications.

Saturated/unsaturated pore water flow induced by rainwater infiltration in a soil column composed of a mixture of Toyoura sand and a small amount of clay (kaolin minerals) and the rinsing rate (mass transfer) of dissolved NaCl accumulated in the pore system from previous road salt application were investigated by experiments and simulations. Experiments were conducted with variable kaolin minerals mass contents (mixing ratios) in the soil columns. Measured saturated hydraulic conductivity (K) diminished with increased clay contents, i.

Oxygen uptake prediction in rivers and streams: A stochastic approach.

Dissolved oxygen fluctuations in a river over a short period of time were assumed to be caused by the microbial growth dynamics, and a stochastic model was built for oxygen uptake. As a case study, biochemical oxygen demand (BOD) was measured in water from the Ura River, Oita River, and Otozu River flowing through the urban district of Oita, Japan. Water samples were taken from each river and partitioned into BOD bottles.

Phototaxis of Propsilocerus akamusi (Diptera: Chironomidae) From a Shallow Eutrophic Lake in Response to Led Lamps.

A study on the attraction of adult Propsilocerus akamusi midges to different-colored light traps was carried out from October 21 to November 15, 2013. The 6 colored lights used in light-emitting diode (LED) lamps were white, green, red, blue, amber, and ultraviolet (UV). The UV lamp attracted the most P.

Non-linear effects on solute transfer between flowing water and a sediment bed.

A previously developed model of periodic pore water flow in space and time, and associated solute transport in a stream bed of fine sand is extended to coarse sand and fine gravel. The pore water flow immediately below the sediment/water interface becomes intermittently a non-Darcy flow. The periodic pressure and velocity fluctuations considered are induced by near-bed coherent turbulent motions in the stream flow; they penetrate from the sediment/water interface into the sediment pore system and are described by a wave number (χ) and a period (T) that are given as functions of the shear velocity (U(∗)) between the flowing water and the sediment bed.

Survey of overactive bladder symptoms influencing bother before and after treatment with tamsulosin hydrochloride in Japanese patients with benign prostatic hyperplasia.

Objective: To evaluate the relation between bother and overactive bladder (OAB) symptoms in patients with benign prostatic hyperplasia (BPH) patients using questionnaires: the BPH Impact Index (BII) and the OAB symptom score (OABSS). Annoyance from BPH usually provides the basis for a patient's decision to seek medical treatment. However, a study investigating the bother caused by OAB symptoms in patients with BPH and OAB has not been fully conducted.

Oxygen consumption by a sediment bed for stagnant water: comparison to SOD with fluid flow.

A model of sedimentary oxygen demand (SOD) for stagnant water in a lake or a reservoir is presented. For the purposes of this paper, stagnant water is defined as the bottom layer of stratified water columns in relatively unproductive systems that are underlain by silt and sand-dominated sediments with low-organic carbon (C) and nitrogen (N). The modeling results are compared to those with fluid flow to investigate how flow over the sediment surface raises SOD compared to stagnant water, depending on flow velocity and biochemical activity in the sediment.

Sedimentary microbial oxygen demand for laminar flow over a sediment bed of finite length.

Dead organic material accumulated on the bed of a lake, reservoir or wetland often provides the substrate for substantial microbial activity as well as chemical processes that withdraw dissolved oxygen (DO) from the water column. A model to estimate the actual DO profile and the "sedimentary oxygen demand (SOD)" must specify the rate of microbial or chemical activity in the sediment as well as the diffusive supply of DO from the water column through the diffusive boundary layer into the sediment. Most previous experimental and field studies have considered this problem with the assumptions that the diffusive boundary layer is (a) turbulent and (b) fully developed.

Diffusive boundary layer development above a sediment-water interface.

A model to estimate the entry length to a fully developed diffusive boundary layer above a sediment bed, such as those found in lakes, reservoirs, rivers, and estuaries, is presented. The model is used to determine how the length of a sediment bed in mass-transfer experiments influences the measured vertical diffusive flux at the sediment-water interface. A nondimensional local mass flux is introduced in the form of a Sherwood number (Sh) and expressed as a function of both the distance from the leading edge of the sediment bed (x) and the Schmidt number (Sc).

Unsteady diffusional mass transfer at the sediment/water interface: Theory and significance for SOD measurement.

Dissolved oxygen uptake at a sediment/water interface (SOD) is controlled by mass transport and/or biochemical reactions in two adjacent boundary layers: the diffusive boundary layer delta(D) in the water and the penetration depth delta in the sediment. Either one of those boundary layers or both can be controlling. The transition from sediment control to water control is a function of shear velocity at the sediment/water interface (U(*)) and biochemical activity rate (micro(0)) in the sediment.