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Based on a physical model of a trumpet’s functioning, the numerical continuation approach is used to construct the model’s bifurcation diagram, which depends on the instrument’s acoustic characteristics and the musician’s parameters. In this article, we first identify 10 descriptors that account for the main characteristics of each bifurcation diagram. It is first shown that these descriptors can be used to classify four professional trumpets with a recognition rate close to 100%. The XGBoost algorithm is used for this purpose. Secondly, we evaluate the ability of different classical machine learning algorithms to predict the values of the 10 descriptors given the acoustic characteristics of a trumpet and the value of the musician’s parameters. The best surrogate model is obtained using the LassoLars method, trained on a dataset of 12,000 bifurcation diagrams calculated by numerical continuation. Training takes just 2 min, and real-time predictions are accurate, with an error of approximately 1%. A software interface has been developed to enable trumpet designers to predict the values of the descriptors for a trumpet being designed, without any knowledge of physics or nonlinear dynamics.

Hepatocellular carcinoma (HCC) is a typical hyper-vascular tumor, so the understanding the mechanisms of angiogenesis in HCC is very important for its treatment. However, the influence of the exosomes secreted from HCC cells (HCC-exosomes) on angiogenesis remains poorly understood. We herein examined the effects of the exosomes secreted from HepG2 cells (HepG2-exosomes) on the lumen formation of human umbilical vein endothelial cells (HUVECs) by the imaging of angiogenesis. The degree of lumen formation of HUVECs was dependent on the number of HepG2-exosomes. The HepG2-exosomes expressed NKG2D, an activating receptor for immune cells, and HSP70, a stress-induced heat shock protein associated with angiogenesis through the vascular endothelial growth factor (VEGF) receptor. In addition, the HepG2-exosomes contained several microRNAs (miRNAs) reported to exist in the serum of HCC patients. These results suggest that the HCC-exosomes play an important role in angiogenesis. Further studies on the function of HCC-exosomes may provide a new target for HCC treatment.

The Osaka Bay is situated at a seismically active region north of the Median Tectonic Line and east of Awaji Island in western Japan, known as part of the Kinki Triangle and the Niigata–Kobe Tectonic Zone. Dense distribution of active faults and high geodetic strain rates characterize the region, posing a major seismic hazard potential to the coastal and metropolitan areas of the Kansai region. To investigate the shallow structure and recent deformation history of active faults in the Osaka Bay, we acquired 15 high-resolution seismic profiles using a Mini-GI airgun and a Boomer as active sources, together with multi-beam bathymetry data across the Osaka Bay Fault. Our seismic sections image a ~ 0.1 to 3.7 km-wide asymmetric anticline forelimb above the Osaka Bay Fault at shallow depths, coupled with a ~ 2.6 km-wide syncline to the west, and a broad, ~ 11 km-wide syncline in the footwall to the east. The synclinal axial surface at shallow depths measured in this study ranges 75°–89°. We observe the vertical displacement of the Osaka Bay Fault increasing northwards along strike. The sediment thickness on the hanging wall, however, is variable, modified by non-tectonic processes such as by tidal currents, affecting the geometry of growth strata. The most recent deformation by the Osaka Bay Fault reaches to near the seafloor by active folding, with large vertical offsets of 8–14 m over the last ~ 11 ka, and 5–11 m over the last ~ 5 ka. By combining with previously reported borehole age data, the average uplift rate on the Osaka Bay Fault is estimated to be ~ 1.0 to 1.7 m/ka during the Latest Pleistocene to Holocene. The inferred slip of the Osaka Bay Fault during the Holocene is likely to account for > 5% of the regional geodetic strain accumulation within the Kinki Triangle. Further studies to evaluate the Holocene slip rates of regional faults are necessary to assess the seismic hazards and the internal strain budgets within the Kinki Triangle and the Niigata–Kobe Tectonic Zone.

Aim The optimal arterial partial pressure of carbon dioxide (PaCO2) for patients undergoing extracorporeal cardiopulmonary resuscitation (ECPR) remains unknown. We aimed to investigate the association between post‐resuscitation PaCO2 and neurological outcomes. Methods This retrospective cohort study analyzed data from the Study of Advanced Life Support for Ventricular Fibrillation with Extracorporeal Circulation in Japan, a multicenter registry study across 36 hospitals in Japan, including patients with out‐of‐hospital cardiac arrest (OHCA) admitted to intensive care units (ICU) after ECPR between 2013 and 2018. Good PaCO2 management status was defined as a PaCO2 value of 35–45 mmHg. We classified patients into four groups (poor–poor, poor–good, good–poor, and good–good) according to their PaCO2 management status upon admission at the ICU and the following day. The primary outcome was a favorable neurological outcome, defined as cerebral performance category 1 or 2, 30 days after cardiac arrest. The secondary outcome was survival 30 days after cardiac arrest. Results We classified 885 eligible patients into poor–poor (n = 361), poor–good (n = 231), good–poor (n = 155), and good–good (n = 138) groups. No significant association was observed between PaCO2 management and favorable 30‐day neurological outcomes. Compared with the poor–poor group, the poor–good, good–poor, and good–good groups had adjusted odds ratios of 0.87 (95% confidence interval, 0.52–1.44), 1.17 (0.65–2.05), and 0.95 (0.51–1.73), respectively. The 30‐day survival rates among the four groups did not differ significantly. Conclusion PaCO2 values were not significantly associated with 30‐day neurological outcomes or survival of patients with OHCA after ECPR. Analysis of 885 patients from SAVE‐J II database in Japan revealed no significant associations between PaCO2 values and 30‐day neurological outcomes or survival of patients who underwent extracorporeal cardiopulmonary resuscitation for out‐of‐hospital cardiac arrest.

We report a method that we have devised in which a secure subcutaneous tunnel is prepared during the placement of an indwelling central venous reservoir in the forearm. Subjects included 69 cases in which a procedure for implanting an indwelling reservoir in the forearm was performed between June 2006 and May 2007. For the subcutaneous tunnel, a 22-G Cathelin needle was advanced from the puncture site, turning toward the subcutaneous pocket side to the deep subcutaneous area. A 14-G Surflo IV catheter was then advanced along the 22-G Cathelin needle from the subcutaneous pocket. With the tip of the 14-G Surflo IV catheter emerging above the skin at the puncture site, the inner needle of the 14-G Surflo IV catheter and the 22-G Cathelin needle were removed. The catheter was passed through the outer 14-G Surflo IV catheter to emerge on the subcutaneous pocket site, then the outer needle of the Surflo catheter was also removed, and a connection to the port was made to create the subcutaneous tunnel. In all 69 cases, the subcutaneous tunnel in the forearm of the nondominant arm was successfully created within a short period of time (100% success rate). No problems were observed due to slack in the catheter until removal of the sutures 1 week later and for 3 months after treatment. With this method, we believe that a subcutaneous tunnel can be prepared in which the contained catheter has minimal freedom of movement, and which minimizes any damage induced by slack in the catheter within the subcutaneous tunnel.