Brief Questioning by Nursing Staffs before Endoscopic Examination May Not Always Pick Up Clinical Symptoms of Endoscopic Reflux Esophagitis

The clinical features of patients reflux esophagitis without any symptoms have not been clearly demonstrated. This study evaluated the clinical features of patients with endoscopy-positive reflux esophagitis, who did not complain of symptoms, as detected by brief questioning by nursing staffs. Eight thousand and thirty-one patients not taking medication for gastrointestinal disease, were briefly asked about the presence of heartburn, dysphagia, odynophagia and acid regurgitation by nursing staffs before endoscopy for assessment of esophagitis utilizing the Los Angeles Classification. Endoscopically, 1199 (14.9%) patients were classified as positive for reflux esophagitis. The endoscope positive subjects who complain heartburn were 539/1199 (45.0%).The endoscope positive subjects who do not complain symptoms were 465 in 1199 positive reflux esophagitis (38.8%). We compared endoscopic positive subjects without any complain by brief question by nursing staffs to endoscopic positive subjects with heartburn. Male gender, no obesity, absence of hiatus hernia, and low-grade esophagitis were associated with endoscopy-positive patients who do not complain of symptoms. The results of this study indicated correct detection of clinical symptoms of reflux esophagitis might be not easy with brief questioning by nursing staffs before endoscopic examination

Loops versus Matrices - The nonperturbative aspects of noncritical string

The nonperturbative aspects of string theory are explored for non-critical string in two distinct formulations: loop equations and matrix models. The effects corresponding to D-brane in these formulations are especially investigated in detail. It is shown that matrix models can universally yield a definite value of the chemical potential for an instanton while loop equations can not. This implies that string theory may not be nonperturbatively formulated solely in terms of closed strings.Comment: 58 pages, 3 figures, PTPTeX, published versio

Obesity and Gastrointestinal Diseases

The prevalence of obesity in the Japanese population has been increasing dramatically in step with the Westernization of lifestyles and food ways. Our study demonstrated significant associations between obesity and a number of gastrointestinal disorders in a large sample population in Japan. We demonstrated that reflux esophagitis and hiatal hernia were strongly related to obesity (BMI > 25) in the Japanese. In particular, obesity with young male was a high risk for these diseases. On the other hand, it has been reported that obesity is also associated with Barrett’s esophagus and colorectal adenoma; however, obesity was not a risk factor for these diseases in our study. The difference of ethnicity of our subjects may partly explain why we found no data to implicate obesity as a risk factor for Barrett’s esophagus. Arterial sclerosis associated with advanced age and hyperglycemia was accompanied by an increased risk of colorectal adenoma

University Management, Present and Future : how and by whom? : Proceedings of the 39th R.I.H.E. Annual Study Meeting (Nov. 17-18, 2011)

はしがき 山本眞一 i 研究員集会の趣旨 iii 基調講演 　大学経営 : 課題,組織,人材 金子 元久 1 　これからの人材育成とマネジメント : プロフェッショナルとしての大学職員 太田肇 19 　国立大学改革は道半ば 黒木登志夫 29 　第39回研究員集会の基調講演の概要とコメント 大膳司 41 大学・大学院教育と人材養成 　大学経営人材としての職員の役割 両角亜希子 49 　立命館の改革と職員の役割 : 私立大学のアドミニストレーターに期待されるもの 森島 朋三 65 　セッション2 : 大学経営人材の現状と課題 : 実態調査の結果から 山本眞一 79 　研究員集会2日目の司会を担当して : 第39回研究員集会の感想 村澤昌崇 89 討論 　セッション3 : 大学職員から大学教員の問題へ 阿曽沼明裕 91 　大学経営・ガバナンス改革の行方 : セッション3 : ディスカッションを司会して 大場淳 95 　これからの大学経営 : 誰がどのような役割を担うのか 大森不二雄 97 研究員集会の概要 10