Cool core disturbed: Observational evidence for coexistence of sub-sonic sloshing gas and stripped shock-heated gas around the core of RX J1347.5-1145

RXJ1347.5-1145 (z = 0.451) is one of the most luminous X-ray galaxy clusters, which hosts a prominent cool core and exhibits a signature of a major merger. We present the first direct observational evidence for sub-sonic nature of sloshing motion of the cool core. We find that a residual X-ray image from the Chandra X-ray Observatory after removing the global emission shows a clear dipolar pattern characteristic of gas sloshing, whereas we find no significant residual in the Sunyaev-Zel'dovich effect (SZE) image from the Atacama Large Millimeter/submillimeter Array (ALMA). We estimate the equation of state of perturbations in the gas from the X-ray and SZE residual images. The inferred velocity is 420 +310 -420 km s-1, which is much lower than the adiabatic sound speed of the intracluster medium in the core. We thus conclude that the perturbation is nearly isobaric, and gas sloshing motion is consistent with being in pressure equilibrium. Next, we report evidence for gas stripping of an infalling subcluster, which likely shock-heats gas to high temperature well in excess of 20 keV. Using mass distribution inferred from strong lensing images of the Hubble Space Telescope (HST), we find that the mass peak is located away from the peak position of stripped gas with statistical significance of > 5{\sigma}. Unlike for the gas sloshing, the velocity inferred from the equation of state of the excess hot gas is comparable to the adiabatic sound speed expected for the 20 keV intracluster medium. All of the results support that the southeast substructure is created by a merger. On the other hand, the positional offset between the mass and the gas limits the self-interaction cross section of dark matter to be less than 3.7 h-1 cm2 g-1 (95% CL).Comment: 18 pages, 10 figures, accepted for publication in Ap

An Incarcerated Colon Inguinal Hernia That Perforated into the Scrotum and Exhibited an Air-Fluid Level

There are few reports of a transverse colon inguinal hernia; furthermore, an inguinal hernia perforating the scrotum is rare. Here we report the case of a 79-year-old man who died after developing an incarcerated colon inguinal hernia that perforated the scrotum and exhibited an air-fluid level. The patient was referred to our hospital in November 2011 with a complaint of inability to move. Physical examination revealed an abnormally enlarged left scrotum and cold extremities. He reported a history of gastric cancer that was surgically treated more than 30 years ago. His white blood cell count and C-reactive protein level were elevated. Abdominal and inguinal computed tomography revealed that his transverse colon was incarcerated in the left inguinal canal. Free air and air-fluid level were observed around the transverse colon, suggestive of a perforation. The patient and his family refused any surgical intervention; therefore, he was treated with sultamicillin tosilate hydrate and cefotiam hydrochloride. However, he succumbed to panperitonitis 19 days after admission. The findings from this case indicate that the transverse colon can perforate into an inguinal hernia sac

A stochastic model of Echinococcus multilocularis transmission in Hokkaido, Japan, focusing on the infection process

Echinococcus multilocularis causes human alveolar echinococcus. In Japan, high prevalence of E. multilocularis among the fox population has been reported throughout Hokkaido. Accordingly, control measures, such as fox hunting and the distribution of bait containing Praziquantel, have been conducted. This study developed a transmission model for individuals in the fox population and included a stochastic infection process to assess the prevalence of E. multilocularis. To make our model realistic, we used the worm burden for each individual in the fox population. We assumed that the worm burden depends on the number of protoscoleces in a predated vole and the number of infection experiences. We carried out stochastic simulations with 1,000 trials for the situations of Koshimizu and Sapporo, Hokkaido, Japan. The distribution of the worm burden among foxes obtained using the model agreed with dissection data. The simulation indicates that a careful choice of season is necessary for an effective distribution of Praziquantel-containing bait. A stochastic model for E. multilocularis, which can assess the range of the prevalence in the fox population, would be helpful in analyzing their complex life-cycle and also in designing control strategies.</p

Pressure-induced superconductivity in AgxBi2-xSe3

We investigated the pressure dependence of electric transport and crystal structure of Ag-doped Bi2Se3. In the sample prepared by Ag doping of Bi2Se3, the Bi atom was partially replaced by Ag, i.e., Ag0.05Bi1.95Se3. X-ray diffraction patterns of Ag0.05Bi1.95Se3 measured at 0–30 GPa showed three different structural phases, with rhombohedral, monoclinic, and tetragonal structures forming in turn as pressure increased, and structural phase transitions at 8.8 and 24 GPa. Ag0.05Bi1.95Se3 showed no superconductivity down to 2.0 K at 0 GPa, but under pressure, superconductivity suddenly appeared at 11 GPa. The magnetic field (H) dependence of the superconducting transition temperature Tc was measured at 11 and 20.5 GPa, in order to investigate whether the pressure-induced superconducting phase is explained by either p-wave polar model or s-wave model

Protocol for a multicentre, prospective observational study of elective neck dissection for clinically node-negative oral tongue squamous cell carcinoma (END-TC study)

Introduction: In early-stage oral tongue squamous cell carcinoma (OTSCC), elective neck dissection (END) is recommended when occult lymph node metastasis is suspected; however, there is no unanimous consensus on the risks and benefits of END in such cases. The management of clinically node-negative (cN0) OTSCC remains controversial. This study, therefore, aimed to evaluate the efficacy of END and its impact on the quality of life (QoL) of patients with cN0 OTSCC. Methods and analysis: This is a prospective, multicentre, nonrandomised observational study. The choice of whether to perform END at the same time as resection of the primary tumour is based on institutional policy and patient preference. The primary endpoint of this study is 3-year overall survival. The secondary endpoint are 3-year disease-specific survival, 3-year relapse-free survival and the impact on patient QoL. Propensity score-matching analysis will be performed to reduce selection bias. Ethics and dissemination: This study was approved by the Clinical Research Review Board of the Nagasaki University. The protocol of this study was registered at the University Hospital Medical Information Network Clinical Trials Registry. The datasets generated during the current study will be available from the corresponding author on reasonable request. The results will be disseminated internationally, through scientific and professional conferences and in peer-reviewed medical journals

GER合併の喘息で加療を受けていた症例に関する一考察

Gastroesophageal reflux（GER）with sliding hernia can cause chronic cough or bronchial asthma. In late years，these reports of pulmonary disease with GERD（gastroesophageal reflux disease）are increasing in Asia. We experienced older aged woman with bronchial athma complicated with GERD. However increasing reports of asthma with GERD，the cause of brobchoconstriction complicated with sliding hernia is stil unclear. Previous researchers found a significantly higher incidence rate for GERD in those with a previous diagnosis of asthma than in controls，indicating that patients with asthma were 1.8 times more likely to evelop GERD than those without asthma. In this study，we reviewed the association between gastro-esophageal reflux disease and sthma

Protocol for a multicentre, prospective observational study of elective neck dissection for clinically node-negative oral tongue squamous cell carcinoma (END-TC study)

Introduction In early-stage oral tongue squamous cell carcinoma (OTSCC), elective neck dissection (END) is recommended when occult lymph node metastasis issuspected; however, there is no unanimous consensus on the risks and benefits of END in such cases. The management of clinically node-negative (cN0) OTSCCremains controversial. This study, therefore, aimed to evaluate the efficacy of END and its impact on the quality of life (QoL) of patients with cN0 OTSCC.Methods and analysis This is a prospective, multicentre, nonrandomised observational study. The choice of whether to perform END at the same time as resection of the primary tumour is based on institutional policy and patient preference. The primary endpoint of this study is 3-year overall survival. The secondary endpoints are3-year disease-specific survival, 3-year relapse-free survival and the impact on patient QoL. Propensity score-matching analysis will be performed to reduce selection bias.Ethics and dissemination This study was approved by the Clinical Research Review Board of the Nagasaki University. The protocol of this study was registered at the University Hospital Medical Information Network Clinical Trials Registry. The datasets generated during the current study will be available from the correspondingauthor on reasonable request. The results will be disseminated internationally, through scientific and professional conferences and in peer-reviewed medical journals