Aims Hepatocellular carcinoma (HCC) can still occur in hepatitis C virus (HCV) patients who have achieved a sustained virologic response (SVR), which remains an important clinical issue in the direct‐acting antivirals era. The current study investigated the clinical utility of the aMAP score (consisting of age, male, albumin–bilirubin, and platelets) for predicting HCC occurrence in HCV patients achieving an SVR by direct‐acting antivirals. Methods A total of 1113 HCV patients without HCC history, all of whom achieved an SVR, were enrolled for clinical comparisons. Results Hepatocellular carcinoma was recorded in 50 patients during a median follow‐up period of 3.7 years. The aMAP score was significantly higher in the HCC occurrence group than in the HCC‐free group (53 vs. 47, p < 0.001). According to risk stratification based on aMAP score, the cumulative incidence of HCC occurrence for the low‐, medium‐, and high‐risk groups was 0.14%, 4.49%, and 9.89%, respectively, at 1 year and 1.56%, 6.87%, and 16.17%, respectively, at 3 years (low vs. medium, low vs. high, and medium vs. high: all p < 0.01). Cox proportional hazard analysis confirmed aMAP ≥ 50 (hazard ratio [HR]: 2.78, p = 0.014), age≥ 70 years (HR: 2.41, p = 0.028), ALT ≥ 17 U/L (HR: 2.14, p < 0.001), and AFP ≥ 10 ng/mL (HR: 2.89, p = 0.005) as independent risk factors of HCC occurrence. Interestingly, all but one patient (99.5%) with aMAP less than 40 was HCC‐free following an SVR. Conclusion The aMAP score could have clinical utility for predicting HCC occurrence in HCV patients achieving an SVR.
The Longman’s beaked whale (Indopacetus pacificus) is one of the rarest cetaceans worldwide. Since it was first described as its own species in 1926, they have been observed alive at sea on several occasions, and less than 20 strandings have been reported worldwide to date. Thus, basic information regarding this species, such as the maximum size of adult individuals or body length at birth, remains unknown. In this study, the external appearance and DNA analysis of a female Longman’s beaked whale stranded on Miyako Island, Okinawa, Japan, are reported. The external appearance of the specimen matched the features of the Longman’s beaked whale presented in previous studies. The mitochondrial DNA control-region sequences obtained from the specimen also matched the reference sequences of the species deposited in GenBank. Based on these features, the specimen was confirmed as a Longman’s beaked whale. The specimen was estimated to be neonate because of its body length (235 cm) and the clear several fetal folds observed on its body surface. To the best of our knowledge, this is the first report of a confirmed new born neonate of Longman’s beaked whale in the world.
Humpback whales in the western North Pacific are considered endangered due to their small population size and lack of information. Although previous studies have reported interchanges between regions within a population, the relationship between the geographic regions of a population in Japan is poorly understood. Using 3,532 fluke photo IDs of unique individuals obtained from four areas in Japan: Hokkaido, six IDs (2009–2019); Ogasawara, 1,477 IDs, from two organizations (1) Everlasting nature of Asia (1987–2020) and (2) Ogasawara Whale Watching Association, (1990–2020); Amami, 373 IDs (1992–1994, 2005–2016); Okinawa, 1,676 IDs (1990–2018), interchanges were analyzed. The ID matchings were conducted using an automated system with an 80.9% matching accuracy. Interchange and within-region return indices were also calculated. As a result, number of matches and interchange indices follow locations, Hokkaido-Okinawa (3, 0.31), Amami-Ogasawara (36, 0.06), Amami-Okinawa (222, 0.37), and Okinawa-Ogasawara (225, 0.08), respectively. Interchange indices among Japanese areas were much higher than the indices between Ogasawara/Okinawa and Hawaii (0.01) and Mexico (0.00) reported in previous studies, indicating that the Japanese regions are utilized by the same population. At the same time, the frequency of interchanges among the three breeding areas vary, and the high within-region return indices in respective breeding areas suggest the site fidelity of the whales in each area at some level. These results indicate the existence of several groups within the population which are possibly be divided into at least two groups based on geographical features: one tend to utilize Ogasawara and the Mariana Archipelago; the other utilize Amami, Okinawa, and the Philippines, migrating along the Ryukyu and Philippine Trench. The matching results also suggest that Hokkaido is possibly be utilized as a corridor between northern feeding areas and southern breeding areas at least by individuals migrating to Okinawa area.
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