Comparisons in Postoperative Endoscopic Findings and Postoperative Weight Change Between Delta-Shaped Anastomosis and Circular-Stapled Anastomosis in Laparoscopy-Assisted Distal Gastrectomy With B-I Reconstruction.

Background: Laparoscopy-assisted distal gastrectomy (LADG) with Billroth I (B-I) reconstruction is frequently performed for gastric cancer. However, the difference between the circular stapler technique (CS) and delta-shaped anastomosis (DA) remains unclear, especially regarding the postoperative endoscopic physiological findings.

Methods: Three hundred and one patients including 150 CS patients and 151 DA patients during LADG with B-I reconstruction between 2013 and 2019 at Saitama Medical University International Medical Center were chosen as study subjects.

Study on the Brill transition of polyamide 6 with different crystal forms using low- and high-frequency Raman spectroscopy.

Polyamide 6 (PA6) in its α and γ-forms was studied from 30 to 220 °C using Raman spectroscopy in the low- and high-wavenumber regions. Quantum chemical calculations were employed to assist with band assignments. In the low-wavenumber region, a peak at approximately 100 cm, attributable to a mixed mode of methylene lateral motion and amide group stretching, was observed.

Abdominal hemorrhage and vascular fragility associated with neurofibromatosis type 1.

We report a case of recurrent abdominal bleeding associated with vascular fragility in a 67-year-old woman with neurofibromatosis type 1 (NF-1). Computed tomography (CT) scan revealed hemorrhagic ascites and a pseudoaneurysm of the sigmoid colon artery, which was suspected to be the source of bleeding. Emergency laparotomy confirmed extremely fragile vessels, requiring repeated surgeries for recurrent bleeding.

Active withdrawal of corticosteroids using tocilizumab and its association with autoantibody profiles in relapsed Takayasu arteritis: a multicentre, single-arm, prospective study (the Ab-TAK study).

Objectives: The feasibility of corticosteroid withdrawal (CW) for Takayasu arteritis (TAK) remains uncertain. Two autoantibodies (Abs) are identified against endothelial protein C receptor (EPCR) and scavenger receptor class B type 1 (SR-BI) in TAK, determining its three subgroups. This study aimed to evaluate CW using tocilizumab (TCZ) and its association with the Ab profile.

Synthesis and Chemical Structure of the Cyclic Heptapeptide Stylissamide H.

We investigated the chemical structures and conformational isomers of the cyclic heptapeptides stylissamide H and euryjanicin A isolated from marine sources. Despite sharing the same molecular structure, stylissamide H and euryjanicin A exhibit different conformational isomers in solution and solid states. The main difference arises from the configurations of the two Pro residues.

Accuracy Evaluation of Dose Warping Using Deformable Image Registration in Carbon Ion Therapy.

Purpose: The study's purpose was to use a simple geometry phantom to validate the deformable image registration (DIR) accuracy and dose warping accuracy in carbon ion radiotherapy (CIRT) and to provide an index for dosimetry in CIRT.

Materials And Methods: We used geometric and anatomical phantoms provided by AAPM TG-132. The DIRs of 3 different settings were performed between reference and translational images for each phantom.

Raman and ATR-FTIR unmask crystallinity changes and carboxylate group and vinyl group accumulation in natural weathering polypropylene microplastics.

Naturally weathered polypropylene (NWPP) samples are useful for investigating the effects of various degradation factors that cannot be obtained in artificial laboratory experiments. In this study, NWPP samples were extracted from beach sediments (Ashiya, Hyogo, Japan). Raman and attenuated total reflection (ATR)-Fourier-transform infrared (FTIR) spectroscopies were used to analyze variations in the composition, crystallinity, orientation, and degradation of NWPP microplastics.

Emergence of Chirality in an Optically Active Two-Dimensional Crystal with a Spiral Surface Pattern.

Some one-dimensional (1D) crystals containing a screw dislocation along their longer axis exhibit a helical twist due to lattice strain. These chiral structures have been thoroughly investigated by using transmission electron microscopy. However, whether two-dimensional (2D) crystals with a spiral surface pattern, presumably containing a screw dislocation, are structurally chiral remains unclear because their internal structures are not visible.

Impact of polypharmacy on clinical outcomes in patients with advanced heart failure undergoing cardiac resynchronization therapy.

Background: The prevalence rates of heart failure (HF) and hyperpolypharmacy have increased with the aging population. While a negative impact of hyperpolypharmacy on HF clinical outcomes has already been reported, the effects of hyperpolypharmacy on patients with advanced HF with reduced ejection fraction (HFrEF) undergoing cardiac resynchronization therapy (CRT) remain unclear.

Methods: We retrospectively evaluated data from 147 patients with advanced HFrEF who underwent CRT between March 2004 and June 2020.

Simultaneous Ring-Opening and Dehydrogenation of Diarylethene Induced by Tunneling Electrons.

Understanding the reversible transformation between two isomeric states of organic molecules under external stimulation is essential for advancing single-molecule device development. Photochromic diarylethene (DAE) derivatives are promising candidates for single molecular switching elements. This study investigates the single-molecule reactions of the closed-form isomer of a DAE derivative on Cu(111) using scanning tunneling microscopy (STM).

Correction: Association between nutritional level, menstrual-related symptoms, and mental health in female medical students.

[This corrects the article DOI: 10.1371/journal.pone.

Construction of a Vibrational Circular Dichroism Instrument Equipped With a Thermoelectrically Cooled Detector for Prolonged Measurements.

A vibrational circular dichroism (VCD) instrument having a thermoelectrically cooled detector (denoted as a TEC unit) was constructed in this study. An electronic device, instead of liquid nitrogen, was employed in the instrument to cool the detector. The feasibility of the system was examined by recording the VCD spectra of liquid pinenes and insect wings.

Feasibility of long-range telesurgical robotic radical gastrectomy in a live porcine model.

Background: Telesurgery has been made increasingly possible with the advancements in robotic surgical platforms and network connectivity. However, long-distance transnational complex robotic surgeries such as gastrectomy have yet to be attempted.

Methods: Multiple transnational network connections by Science Innovation Network (SINET), Japan Gigabit Network (JGN), and Arterial Research and Education Network in Asia-Pacific (ARENA-PAC) were established and tested by multiple surgeons in a dry box model.

High-Resolution TG-TOFMS Coupled with Principal Component Analysis and Kendrick Mass Defect Analysis: Elucidation of Molecular-Scale Degradation Behavior of Glass Fiber Reinforced Polypropylene during Thermo-Oxidative Degradation.

This study presents a novel approach that combines thermogravimetric analysis with time-of-flight mass spectrometry (TG-TOFMS), principal component analysis (PCA), and Kendrick mass defect (KMD) analysis─referred to as TG-PCA-KMD─to investigate molecular-scale structural changes and quantitatively assess the progression of thermo-oxidative degradation in glass fiber reinforced polypropylene (GF/PP). TG-TOFMS enables the simultaneous and sensitive detection of both structural changes due to thermo-oxidative degradation and compositional changes in the filler and matrix. PCA and KMD analysis are crucial for identifying specific ion series derived from the degraded PP matrix in the high-resolution mass spectra obtained through TG-TOFMS.

Proline enhances the hepatic induction of lipogenic gene expression in male hepatic fasn reporter mice.

Hepatic de novo lipogenesis (DNL) is increased by both carbohydrate intake and protein consumption. In hepatic fat synthesis, a key role is played by the induction of the hepatic expression of lipogenic genes, including Fasn, Scd1, and Srebf1. Regarding carbohydrate intake, increased blood glucose and insulin levels promote the expression of hepatic lipogenic genes.

Multiple Near-Infrared Chromisms of a Heteromerous Overcrowded Ethylene with Large Permanent Dipole Moment.

An overcrowded ethylene composed of electron-donating anion, naphthoxide, and electron-accepting cation, acridinium, has been synthesized. It is in equilibrium between a folded conformer having a smaller permanent dipole moment with visible light absorption and a twisted conformer having a larger permanent dipole moment with NIR light absorption. The overcrowded ethylene shows multiple NIR chromisms, such as solvatochromism, thermochromism, mechanochromism, vapochromism, halochromism, and amphoteric electrochromisms, which are caused by the conformational change between folded and twisted conformers or by controlling the energy difference between the HOMO of the donor moiety and the LUMO of the acceptor moiety.

Brain Abnormalities During Self-Referential Task in Subthreshold Depression: A Near-Infrared Spectroscopy Study.

Background and aim Subthreshold depression is a potential risk factor for major depressive disorder. Although the neurobiological mechanism underlying major depressive disorder is well-established, the mechanism underlying subthreshold depression has not yet been fully elucidated. We investigated the characteristics of brain abnormalities in participants with subthreshold depression using near-infrared spectroscopy (NIRS) owing to its portability.

Raman Spectroscopic Analysis of Molecular Structure and Mechanical Properties of Hypophosphatasia Primary Tooth.

Mild hypophosphatasia (HPP) can be difficult to distinguish from other bone disorders in the absence of typical symptoms such as the premature loss of primary teeth. Therefore, this study aimed to analyze the crystallinity of hydroxyapatite (HAp) and the three-dimensional structure of collagen in HPP teeth at the molecular level and to search for new biomarkers of HPP. Raman spectroscopy was used to investigate the molecular structure, composition, and mechanical properties of primary teeth from healthy individuals and patients with HPP.

Importance of EQA/PT for the detection of genetic variants in comprehensive cancer genome testing.

Comprehensive genomic profiling (CGP) is increasingly used as a clinical laboratory test and being applied to cancer treatment; however, standardization and external quality assessments (EQA) have not been fully developed. This study performed cost-effective EQA and proficiency tests (PT) for CGP testing among multiple institutions those belong to the EQA working group of Japan Association for Clinical Laboratory Science (JACLS). This study revealed that preanalytical processes, such as derived nucleic acids (NA) extraction from formalin fixed paraffine embedded (FFPE) samples, are critical.

Swarm navigation of cyborg-insects in unknown obstructed soft terrain.

Cyborg insects refer to hybrid robots that integrate living insects with miniature electronic controllers to enable robotic-like programmable control. These creatures exhibit advantages over conventional robots in adaption to complex terrain and sustained energy efficiency. Nevertheless, there is a lack of literature on the control of multi-cyborg systems.

Rectal Gas-Induced Dose Changes in Carbon Ion Radiation Therapy for Prostate Cancer: An In Silico Study.

Purpose: This study aims to determine dosimetric influence of rectal gas in carbon ion radiation therapy (CIRT) for prostate cancer and to establish a procedure for removal rectal gas in clinical scenarios.

Materials And Methods: We analyzed 18 prostate cancer cases with bulky rectal gas. The dose distribution was recalculated on computed tomography (CT) with bulky rectal gas (gasCT) after creating the initial plan on a CT without bulky rectal gas, and the doses were transformed using a displacement vector field.

Deep learning-based histopathological assessment of tubulo-interstitial injury in chronic kidney diseases.

Background: Chronic kidney disease (CKD) causes progressive and irreversible damage to the kidneys. Renal biopsies are essential for diagnosing the etiology and prognosis of CKD, while accurate quantification of tubulo-interstitial injuries from whole slide images (WSIs) of renal biopsy specimens is challenging with visual inspection alone.

Methods: We develop a deep learning-based method named DLRS to quantify interstitial fibrosis and inflammatory cell infiltration as tubulo-interstitial injury scores, from WSIs of renal biopsy specimens.

Synchronization of brain activity associated with eye contact: comparison of face-to-face and online communication.

Online meetings have become increasingly prevalent, especially during the coronavirus disease 2019 pandemic. Although they offer convenience and effectiveness in various contexts, there is a pertinent question about whether they truly replicate the richness of in-person communication. This study delves into the distinctions between online and face-to-face interactions, with a particular focus on the synchronization of brain activity.

Prognostic Impact of Preoperative Left Ventricular Systolic Dysfunction in Older Adult Patients With Gastric Cancer.

Background/aim: The effect of left ventricular systolic dysfunction (LVSD), a risk factor for postoperative mortality, in older adult patients with gastric cancer has not been fully elucidated. This study aimed to evaluate the impact of low preoperative left ventricular ejection fraction (EF) on short- and long-term outcomes in older adult patients with gastric cancer.

Patients And Methods: This retrospective study enrolled 237 older adult patients with gastric cancer (≥75 years old) who underwent preoperative echocardiography and curative gastrectomy.