Endoscopic Laryngeal Findings in Japanese Patients with Laryngopharyngeal Reflux Symptoms

Objective. To know the characteristics of endoscopic laryngeal and pharyngeal abnormalities in Japanese patients with laryngopharyngeal reflux symptoms (LPRS). Methods. A total of 146 endoscopic images of the larynx and pharynx (60 pairs for the rabeprazole group and 13 pairs for the control group) were presented to 15 otolaryngologists blinded to patient information and were scored according to several variables potentially associated with laryngopharyngeal reflux. The median value of the 15 scores for each item from each image was obtained. The mean pretreatment scores of each item and total score were assessed in both rabeprazole and control groups. In the rabeprazole group, the endoscopic findings before and after the 4-week treatment with rabeprazole were compared. Changes between corresponding duration in the control group were also evaluated. Results. The median and mean pretreatment total score was 3 and 3.02, respectively, from the 73 patients with LPRS. No significant differences were observed before and after treatment in either the rabeprazole or control groups for any item or total score. In 24 patients with a high pretreatment score (total score ≥ 4) from the rabeprazole group, significant decreases in scores for “thick endolaryngeal mucous” (0.54 to 0.17, P = 0.017) and total (4.77 to 3.58, P = 0.0003) were observed after the 4-week treatment

The MAXI Mission on the ISS: Science and Instruments for Monitoring All Sky X-Ray Images

The MAXI (Monitor of All-sky X-ray Image) mission is the first astronomical payload to be installed on the Japanese Experiment Module-Exposed Facility (JEM-EF) on the ISS. It is scheduled for launch in the middle of 2009 to monitor all-sky X-ray objects on every ISS orbit. MAXI will be more powerful than any previous X-ray All Sky Monitor (ASM) payloads, being able to monitor hundreds of AGN. MAXI will provide all sky images of X-ray sources of about 20 mCrab in the energy band of 2-30 keV from observation on one ISS orbit (90 min), about 4.5 mCrab for one day, and about 1 mCrab for one month. A final detectability of MAXI could be 0.2 mCrab for 2 year observations.Comment: 12 pages, 11 figures, accepted for publication in Publications of the Astronomical Society of Japa

Images of colonic real-time tissue sonoelastography correlate with those of colonoscopy and may predict response to therapy in patients with ulcerative colitis

<p>Abstract</p> <p>Background</p> <p>Real-time tissue sonoelastography (EG) is a new non-invasive technique that visualizes differences in tissue strain. We evaluated the usefulness of EG in patients with ulcerative colitis (UC) by investigating the association between EG and colonoscopic findings and disease activity.</p> <p>Methods</p> <p>Thirty-seven UC patients undergoing EG and colonoscopy were invited to enroll. EG findings were classified as normal, homogeneous, random, or hard, and colonoscopic findings as normal, mucosal edema and erosion, punched-out ulcer, and extensive mucosal abrasion. Clinical findings were evaluated using clinical activity index (CAI) scores for each patient at colonoscopy.</p> <p>Results</p> <p>On EG, 10 cases were classified as normal, 11 as homogeneous, 6 as random, and 10 as hard. EG findings showed a significant correlation those of colonoscopy (<it>p </it>< 0.001). Seven of 10 (70%) normal-type patients were in the remission phase, while all 6 random-type patients were in the active phase. Among active-phase patients, 4 of 7 (57%) homogeneous-type patients responded to steroid or leukocytapheresis therapy, while 3 of 6 (50%) random-type patients required treatment with cyclosporine. Three of 10 (30%) hard-type patients required colectomy.</p> <p>Conclusions</p> <p>In this small series, EG findings reflected colonoscopic findings and correlated with disease activity among patients with UC.</p

Magnified single-balloon enteroscopy in the diagnosis of intestinal follicular lymphoma: a case series

The objective of this study was to evaluate the magnified endoscopic findings in the diagnosis of follicular lymphoma in the small intestine in comparison with those of intestinal follicular lymphoma and lymphangiectasia. Four patients with follicular lymphoma and 3 with lymphangiectasia in the small intestine were retrospectively analyzed. A prototype magnifying singleballoon enteroscope was used. The findings of the intestinal follicular lymphoma and lymphangiectasia were retrospectively analyzed to determine the magnified endoscopic findings of follicular lymphoma in the small intestine. Opaque white granules were observed in 3 of the 4 patients with follicular lymphoma. Magnified narrow-band imaging (NBI) of the opaque white granules showed stretched microvessels, which had a diminutive tree-like appearance. The remaining patient had no opaque white granules and only displayed whitish villi. Magnified NBI observation of the whitish villi revealed the absence of marginal villus epithelium, which was confirmed by histology. The magnified NBI enteroscopy revealed the diminutive tree-like appearance on the opaque white granules and the absence of marginal villus epithelium of the whitish villi in intestinal follicular lymphoma. These findings may be useful in diagnosing follicular lymphoma

Optimal use of the Prede POM sky radiometer for aerosol, water vapor, and ozone retrievals

The Prede POM sky radiometer is a filter radiometer deployed worldwide in the SKYNET international network. A new method, called Skyrad pack MRI version 2 (MRI v2), is presented here to retrieve aerosol properties (size distribution, real and imaginary parts of the refractive index, single-scattering albedo, asymmetry factor, lidar ratio, and linear depolarization ratio), water vapor, and ozone column concentrations from the sky radiometer measurements. MRI v2 overcomes two limitations of previous methods (Skyrad pack versions 4.2 and 5, MRI version 1). One is the use of all the wavelengths of 315, 340, 380, 400, 500, 675, 870, 940, 1020, 1627, and 2200 nm if available from the sky radiometers, for example, in POM-02 models. The previous methods cannot use the wavelengths of 315, 940, 1627, and 2200 nm. This enables us to provide improved estimates of the aerosol optical properties, covering almost all the wavelengths of solar radiation. The other is the use of measurements in the principal plane geometry in addition to the solar almucantar plane geometry that is used in the previous versions. Measurements in the principal plane are regularly performed; however, they are currently not exploited despite being useful in the case of small solar zenith angles when the scattering angle distribution for almucantars becomes too small to yield useful information. Moreover, in the inversion algorithm, MRI v2 optimizes the smoothness constraints of the spectral dependencies of the refractive index and size distribution, and it changes the contribution of the diffuse radiances to the cost function according to the aerosol optical depth. This overcomes issues with the estimation of the size distribution and single-scattering albedo in the Skyrad pack version 4.2. The scattering model used here allows for non-spherical particles, improving results for mineral dust and permitting evaluation of the depolarization ratio. An assessment of the retrieval uncertainties using synthetic measurements shows that the best performance is obtained when the aerosol optical depth is larger than 0.2 at 500 nm. Improvements over the Skyrad pack versions 4.2 and 5 are obtained for the retrieved size distribution, imaginary part of the refractive index, single-scattering albedo, and lidar ratio at Tsukuba, Japan, while yielding comparable retrievals of the aerosol optical depth, real part of the refractive index, and asymmetry factor. A radiative closure study using surface solar irradiances from the Baseline Surface Radiation Network and the parameters retrieved from MRI v2 showed consistency, with a positive bias of the simulated global irradiance of about +1 %. Furthermore, the MRI v2 retrievals of the refractive index, single-scattering albedo, asymmetry factor, and size distribution have been found to be in agreement with integrated profiles of aircraft in situ measurements of two Saharan dust events at the Cape Verde archipelago during the Sunphotometer Airborne Validation Experiment in Dust (SAVEX-D) 2015 field campaign