Cardiac sarcoidosis, the complete atrioventricular block of which was completely recovered by intravenous steroid pulse therapy

AbstractAtrioventricular block (AVB) in individuals with cardiac sarcoidosis (CS) is one of the major complications caused by inflammation of the conducting system of the heart, as a sign of worse prognosis. We report the case of a 53-year-old Japanese woman whose electrocardiogram showed complete AVB by the clinical diagnosis of CS. We administered intravenous methylpredonisolone (1g/day) for 3 days. On the second day of steroid pulse therapy, the complete AVB improved to sinus rhythm of 1st degree AVB and complete right bundle branch block. Normal sinus rhythm was then observed after oral steroid therapy. These results suggest that in cases of complete AVB, steroid pulse therapy with a strong anti-inflammatory effect may be recommended first.<Learning objective: This case illustrates a typical case of CS with complete AVB, but the cardiac contraction was normal. In this setting, steroid pulse therapy may be effective when (1) the active inflammation of the conduction system can be suppressed by steroid pulse therapy; (2) the time to start steroid therapy is short enough to recover.

Onset Temperatures for Superconducting Fluctuations in Te-annealed FeTe1−x_{1-x}Sex_x Single Crystals: Evidence for the BCS-BEC Crossover

Recently, the superconductors' community has witnessed an unsettled debate regarding whether iron-based superconductors, in particular FeSe and FeSe$_{1-x}$S$_x$, are in the Bardeen-Cooper-Shrieffer (BCS) - Bose-Einstein condensation (BEC) crossover regime. Nonetheless, one particular system, FeTe$_{1-x}$Se$_x$, has been less investigated in this regard owing to the screening of its intrinsic superconducting properties by the inevitable iron excess. Herein, the onset temperatures for superconducting fluctuations ($T_{scf}$) are investigated by measuring the magnetoresistance (MR) of Te-annealed, high-quality FeTe$_{1-x}$Se$_x$ ($x$ = 0.1, 0.2, 0.3, and 0.4) single crystals. The results reveal very high $T_{scf}$ values for these crystals. Particularly for $x$ = 0.4, $T_{scf}$ reaches approximately 40 K, which is 2.7 times larger than $T_c$. This indicates that the superconductivity of the FeTe$_{1-x}$Se$_x$ system is well within the BCS-BEC crossover regime.Comment: 6 pages, 3 figures, and 1 table. to be published in JPS Conference Proceeding

Value of late gadolinium enhancement by magnetic resonance in patients with cardiac sarcoidosis: characteristic findings and clinical utility

73rd Annual Scientific Meeting of the Japanese Circulation Society 2009年03月 Osak

Randomized Controlled Trial of Two Forms of Self-Management Group Education in Japanese People with Impaired Glucose Tolerance

The aim of this study was to determine the effectiveness of education on diabetes prevention in subjects with impaired glucose tolerance. A total of 100 subjects of impaired glucose tolerance with hemoglobin A1c (HbA1c) levels ≥5.5 to <6.1% were assigned randomly to either support or control groups. All subjects received education in 8 sessions over a 6-month period. The support group consisted of 10 members collaborating with a dietitian or a nurse who learned coping skills by employing a participant-centered approach. Participants in the support group were required to keep a diary that monitored weight, food intake and blood glucose levels, while the control group attended several lectures. Subjects assigned to the support group had a reduction in mean HbA1c levels from 5.77 ± 0.36% at baseline to 5.39 ± 0.24% at the endpoint (p<0.01). Weight, total cholesterol (TC), low-density lipoprotein cholesterol (LDL-C), and triglyceride (TG) levels also decreased (p<0.01) in the support group, whereas subjects in the control group had no observable reduction in these indices. After intervention, participants of the support group had improvements in their 2-h post-meal blood glucose levels. Support group education can be effective for improving glycemic control in participants when carried out in collaboration with educators and other team members

Measurement of a Phase of a Radio Wave Reflected from Rock Salt and Ice Irradiated by an Electron Beam for Detection of Ultra-High-Energy Neutrinos

We have found a radio-wave-reflection effect in rock salt for the detection of ultra-high energy neutrinos which are expected to be generated in Greisen, Zatsepin, and Kuzmin (GZK) processes in the universe. When an UHE neutrino interacts with rock salt or ice as a detection medium, a shower is generated. That shower is formed by hadronic and electromagnetic avalanche processes. The energy of the UHE neutrino shower converts to thermal energy through ionization processes. Consequently, the temperature rises along the shower produced by the UHE neutrino. The refractive index of the medium rises with temperature. The irregularity of the refractive index in the medium leads to a reflection of radio waves. This reflection effect combined with the long attenuation length of radio waves in rock salt and ice would yield a new method to detect UHE neutrinos. We measured the phase of the reflected radio wave under irradiation with an electron beam on ice and rock salt powder. The measured phase showed excellent consistence with the power reflection fraction which was measured directly. A model taking into account the temperature change explained the phase and the amplitude of the reflected wave. Therefore the reflection mechanism was confirmed. The power reflection fraction was compared with that calculated with the Fresnel equations, the ratio between the measured result and that obtained with the Fresnel equations in ice was larger than that of rock salt.Comment: 6 Pages, 5th International Workshop on Acoustic and Radio EeV Neutrino Detection Activitie

Value of late gadolinium enhancement by magnetic resonance in patients with cardiac sarcoidosis: characteristic findings and clinical utility

73rd Annual Scientific Meeting of the Japanese Circulation Society 2009年03月 Osak

Magnetization and transport properties in the superconducting Pr2_{2}Ba4_{4}Cu7_{7}O15−δ_{15-\delta} with metallic double-chain

We have reported the effect of pressure on the magnetization, and transport properties in the nominal composition Pr$_{2}$Ba$_{4}$Cu$_{7}$O$_{15-\delta}$ synthesized by a sol-gel technique. A reduction treatment of the as-sintered sample in vacuum causes higher superconductivity achieving $T_{c,on}=\sim 30$ K for $\delta =0.94$. Application of hydrostatic pressure on the oxygen depleted sample enhances its onset temperature up to 36 K at 1.2 GPa, indicating the nearly optimum doping level of the charge carrier in comparison to the pressure dependence of lower $T_{c}$ samples with $\delta =0.45$. Seebeck coefficient of the superconducting sample shows a metallic conduction, followed by a clear drop below $T_{c,on}$ and is in its temperature dependence below 100 K quite different from that of the non-superconducting one. This finding strongly suggests a dramatic change of the electronic state along the CuO double chain due to the reduction treatment for the appearance of superconductivity .Comment: 5 pages,4 figure