A pediatric case of pancreaticobiliary maljunction demonstrated by endoscopic ultrasonography

AbstractPancreaticobiliary maljunction (PBM) is a congenital anomaly defined as a junction of the pancreatic and bile ducts located outside the duodenal wall, usually forming a markedly long common channel. Diagnosis of PBM in children is usually made by magnetic resonance cholangiopancreatography (MRCP) or endoscopic retrograde cholangiopancreatography (ERCP). Endoscopic ultrasonography (EUS) is a high-resolution imaging modality and a well-established diagnostic tool in adults with pancreaticobiliary (PB) disease. There are several articles which report the value of EUS in the diagnosis and evaluation of PBM in adults, but there are no reports of PBM demonstrated by EUS in children. Here, we present a case of PBM in a pediatric patient that was clearly demonstrated by EUS. EUS can be used as a second line examination modality for demonstrating PBM in pediatric patients in whom first line examinations, such as MRCP or ERCP, cannot be carried out or have not been conclusive

Association between hand-grip strength and depressive symptoms: Locomotive Syndrome and Health Outcomes in Aizu Cohort Study (LOHAS).

First published online: February 21, 2015no study has examined the longitudinal association between hand-grip strength and mental health, such as depressive symptoms

Enhancement of Sensitivity on Miniaturized Thin-film Magnetoimpedance with Ellipsoidal Element

AbstractWe tried to control the distribution of the demagnetizing field inside magnetoimpedance elements fabricated using thin-film to gain higher sensitivity. Elements with quasi-ellipsoidal shape were adopted to modify the demagnetizing field distribution, because it is well known that the demagnetizing field is expected to be uniform in an ellipsoid. The larger impedance change and higher sensitivity were obtained in the ellipsoidal elements compared to those of the conventional rectangular elements. The observed results were analyzed by the calculations on the basis of the distribution of the demagnetizing field and the impedance profile without demagnetizing effect. The calculations well explained the experimental results: the improvement of sensitivity and the performance for the ellipsoidal elements is attributed to the uniform distribution of demagnetizing field. The experimental results demonstrate a potential and the calculation results contribute to optimum design, for a miniaturization of magnetoimpedance element in order to keep the higher sensitivity

A diagnostic support tool for lumbar spinal stenosis: a self-administered, self-reported history questionnaire

<p>Abstract</p> <p>Background</p> <p>There is no validated gold-standard diagnostic support tool for LSS, and therefore an accurate diagnosis depends on clinical assessment. Assessment of the diagnostic value of the history of the patient requires an evaluation of the differences and overlap of symptoms of the radicular and cauda equina types; however, no tool is available for evaluation of the LSS category. We attempted to develop a self-administered, self-reported history questionnaire as a diagnostic support tool for LSS using a clinical epidemiological approach. The aim of the present study was to use this tool to assess the diagnostic value of the history of the patient for categorization of LSS.</p> <p>Methods</p> <p>The initial derivation study included 137 patients with LSS and 97 with lumbar disc herniation who successfully recovered following surgical treatment. The LSS patients were categorized into radicular and cauda equina types based on history, physical examinations, and MRI. Predictive factors for overlapping symptoms between the two types and for cauda equina symptoms in LSS were derived by univariate analysis. A self-administered, self-reported history questionnaire (SSHQ) was developed based on these findings. A prospective derivation study was then performed in a series of 115 patients with LSS who completed the SSHQ before surgery. All these patients recovered following surgical treatment. The sensitivity of the SSHQ was calculated and clinical prediction rules for LSS were developed. A validation study was subsequently performed on 250 outpatients who complained of lower back pain with or without leg symptoms. The sensitivity and specificity of the SSHQ were calculated, and the test-retest reliability over two weeks was investigated in 217 patients whose symptoms remained unchanged.</p> <p>Results</p> <p>The key predictive factors for overlapping symptoms between the two categories of LSS were age > 50, lower-extremity pain or numbness, increased pain when walking, increased pain when standing, and relief of symptoms on bending forward (odds ratio ≥ 2, p < 0.05). The key predictive factors for cauda equina type symptoms were numbness around the buttocks, walking almost causes urination, a burning sensation around the buttocks, numbness in the soles of both feet, numbness in both legs, and numbness without pain (odds ratio ≥ 2, p < 0.05). The sensitivity and specificity of the SSHQ were 84% and 78%, respectively, in the validation data set. The area under the receiver operating characteristic curve was 0.797 in the derivation set and 0.782 in the validation data set. In the test-retest analysis, the intraclass correlation coefficient for the first and second tests was 85%.</p> <p>Conclusion</p> <p>A new self-administered, self-reported history questionnaire was developed successfully as a diagnostic support tool for LSS.</p

Fermi Surface reconstruction in the CDW state of CeTe3 observed by photoemission

CeTe3 is a layered compound where an incommensurate Charge Density Wave (CDW) opens a large gap (400 meV) in optimally nested regions of the Fermi Surface (FS), whereas other sections with poorer nesting remain ungapped. Through Angle-Resolved Photoemission, we identify bands backfolded according to the CDW periodicity. They define FS pockets formed by the intersection of the original FS and its CDW replica. Such pockets illustrate very directly the role of nesting in the CDW formation but they could not be detected so far in a CDW system. We address the reasons for the weak intensity of the folded bands, by comparing different foldings coexisting in CeTe3

Functional expression of the eukaryotic proton pump rhodopsin OmR2 in Escherichia coli and its photochemical characterization

Microbial rhodopsins are photoswitchable seven-transmembrane proteins that are widely distributed in three domains of life, archaea, bacteria and eukarya. Rhodopsins allow the transport of protons outwardly across the membrane and are indispensable for light-energy conversion in microorganisms. Archaeal and bacterial proton pump rhodopsins have been characterized using an Escherichia coli expression system because that enables the rapid production of large amounts of recombinant proteins, whereas no success has been reported for eukaryotic rhodopsins. Here, we report a phylogenetically distinct eukaryotic rhodopsin from the dinoflagellate Oxyrrhis marina (O. marina rhodopsin-2, OmR2) that can be expressed in E. coli cells. E. coli cells harboring the OmR2 gene showed an outward proton-pumping activity, indicating its functional expression. Spectroscopic characterization of the purified OmR2 protein revealed several features as follows: (1) an absorption maximum at 533 nm with all-trans retinal chromophore, (2) the possession of the deprotonated counterion (pK(a)=3.0) of the protonated Schiff base and (3) a rapid photocycle through several distinct photointermediates. Those features are similar to those of known eukaryotic proton pump rhodopsins. Our successful characterization of OmR2 expressed in E. coli cells could build a basis for understanding and utilizing eukaryotic rhodopsins

The Bus Transit System: Its Underutilized Potential

The bus system represents the most widely used transit mode. Upgraded bus services, primarily those which have partially or fully separated rights-of-way, represent a very cost effective method to improve the balance between automobile and transit. Many measures for improving bus services were introduced since 1970. However, many of these improvements were not maintained: buses were gradually returned to operations in mixed traffic. The report examines the quality of bus services in various cities in North America and worldwide and analyzes the reasons for the phenomenon of “backsliding” or disappearance of bus transit priority measures

Single-cell dynamics of pannexin-1-facilitated programmed ATP loss during apoptosis

死にゆく細胞のATP濃度変化を詳細に可視化することに成功 --積極的にATP濃度を下げる因子を明らかに--. 京都大学プレスリリース. 2020-10-22.ATP is essential for all living cells. However, how dead cells lose ATP has not been well investigated. In this study, we developed new FRET biosensors for dual imaging of intracellular ATP level and caspase-3 activity in single apoptotic cultured human cells. We show that the cytosolic ATP level starts to decrease immediately after the activation of caspase-3, and this process is completed typically within 2 hr. The ATP decrease was facilitated by caspase-dependent cleavage of the plasma membrane channel pannexin-1, indicating that the intracellular decrease of the apoptotic cell is a ‘programmed’ process. Apoptotic cells deficient of pannexin-1 sustained the ability to produce ATP through glycolysis and to consume ATP, and did not stop wasting glucose much longer period than normal apoptotic cells. Thus, the pannexin-1 plays a role in arresting the metabolic activity of dead apoptotic cells, most likely through facilitating the loss of intracellular ATP