Computed tomography detection of stapled interlobar fissure facilitates diagnosing postoperative lobar torsion: A case report

IntroductionAtelectasis of the right middle lobe following right upper lobectomy may result from lobar torsion, bronchial kink, or impacted mucus plug. Although clinical consequence of lobar torsion could be serious, differentiating it from bronchial kink is occasionally challenging.Presentation of caseA 39-year old man with non-small cell lung cancer of cT1aN0M0 stage IA underwent right upper lobectomy. On postoperative day 1, we identified middle lobe atelectasis on the chest X-ray and performed bronchoscopy, which showed an obstruction of the right middle lobe bronchus without mucoid impaction. We injected air using a bronchoscope to the middle lobe, which re-expanded it. However, on postoperative day 2, chest X-ray showed a slightly collapsed and opacified middle lobe. Although enhanced computed tomography showed a patent middle lobe pulmonary artery, we noticed that a staple placed in the horizontal fissure was in contact with the lower lobe, implying the possibility of lobar torsion. Rethoracotomy on postoperative day 2 revealed a 240° clockwise rotation of the congested middle lobe. Therefore, we performed simple detorsion. The patient was discharged 10 days after rethoracotomy without further adverse events.DiscussionIn our case, patency of the pulmonary artery and temporary improvement of the atelectasis using a bronchoscopic aeration maneuver could not rule out the possibility of lobar torsion.ConclusionThe position of the staple placed on the interlobar fissure should be evaluated using computed tomography in postoperative middle lobe atelectasis. If the aeration maneuver for middle lobe atelectasis using bronchoscope fails, rethoracotomy should be considered

Wearable biomedical monitoring system using TextileNet

金沢大学理工研究域電子情報学系We developed and tested a biomedical monitoring system using TextileNet, a flexible conductive garment for wearable computing. TextileNet detects biological signals while simplifying communication and power supply wiring. TextileNet also acts as an electromagnetic interference (EMI) shield, which makes it possible to use simpler amplifiers in the system. Using TextileNet, a huge amount of biological information can be processed simultaneously. © 2006 IEEE

Wearable electromyography measurement system using cable-free network system on conductive fabric

金沢大学大学院自然科学研究科情報システムObjective: To solve the complicated wires and battery maintenance problems in the application of wearable computing for biomedical monitoring, the electromyography (EMG) measurement system using conductive fabric for power supply and electric shield for noise reduction is proposed. Material and methods: The basic cable-free network system using conductive fabric, named as "TextileNet" is developed. The conductive fabric has the function of electric shield for noise reduction in EMG measurement, and it enables the precise EMG measurement with wearable system. Results: The specifications of the developed prototype TextileNet system using wear with conductive fabric were communication speed of 9600 bit/s and power supply of 3 W for each device. The electric shield effect was evaluated for precise EMG measurement, and the shield efficacy of conductive fabric was estimated as high as that of shield room. Conclusions: TextileNet system solves both the problems of complicated wires and battery maintenance in wearable computing systems. Conductive fabric used in TextileNet system is also effective for precise EMG measurement as electric shield. The combination of TextileNet system and EMG measurement device will implement the cable-free, battery-free wearable EMG measurement system. © 2007 Elsevier B.V. All rights reserved

Dynamic lighting sign system for way-finding by people with low vision

金沢大学大学院自然科学研究科情報システムWe developed and proposed a dynamic lighting sign (DLS for short) system for people with poor vision to use to find their way. The DLS system uses a chain of lighting units with LED to indicate the way and is controlled by means of a PC. We implemented the DLS system for helping people to find their way and evaluated it in terms of light-flashing time, spatial interval and colour. We also carried out an experiment to evaluate its effectiveness in helping people find their way. © Springer-Verlag 2004

Influenza A (H3N2) infection followed by anti-signal recognition particle antibody-positive necrotizing myopathy: A case report

A 60-year-old Japanese woman presented with subacute progressive muscle pain and weakness in her proximal extremities. She was diagnosed with influenza A (H3N2) infection a week before the onset of muscle pain. At the time of admission, she exhibited weakness in the proximal muscles of the upper and lower limbs, elevated serum liver enzymes and creatinine kinase, and myoglobinuria. She did not manifest renal failure and cardiac abnormalities, indicating myocarditis.Electromyography revealed myogenic changes, and magnetic resonance imaging of the upper limb showed abnormal signal intensities in the muscles, suggestive of myopathy. Muscle biopsy of the biceps revealed numerous necrotic regeneration fibers and mild inflammatory cell infiltration, suggesting immune-mediated necrotizing myopathy (IMNM). Necrotized muscle cells were positive for human influenza A (H3N2). Autoantibody analysis showed the presence of antibodies against the signal recognition particle (SRP), and the patient was diagnosed with anti-SRP-associated IMNM. She was resistant to intravenous methylprednisolone pulse therapy but recovered after administration of oral systemic corticosteroids and immunoglobulins. We speculate that the influenza A (H3N2)infection might have triggered her IMNM. Thus, IMNM should be considered as a differential diagnosis in patients with proximal muscle weakness that persists after viral infections

Nationwide surveillance of bacterial respiratory pathogens conducted by the surveillance committee of Japanese Society of Chemotherapy, the Japanese Association for Infectious Diseases, and the Japanese Society for Clinical Microbiology in 2010: General view of the pathogens\u27 antibacterial susceptibility

The nationwide surveillance on antimicrobial susceptibility of bacterial respiratory pathogens from patients in Japan, was conducted by Japanese Society of Chemotherapy, Japanese Association for Infectious Diseases and Japanese Society for Clinical Microbiology in 2010.The isolates were collected from clinical specimens obtained from well-diagnosed adult patients with respiratory tract infections during the period from January and April 2010 by three societies. Antimicrobial susceptibility testing was conducted at the central reference laboratory according to the method recommended by Clinical and Laboratory Standard Institutes using maximum 45 antibacterial agents.Susceptibility testing was evaluable with 954 strains (206 Staphylococcus aureus, 189 Streptococcus pneumoniae, 4 Streptococcus pyogenes, 182 Haemophilus influenzae, 74 Moraxella catarrhalis, 139 Klebsiella pneumoniae and 160 Pseudomonas aeruginosa). Ratio of methicillin-resistant S.aureus was as high as 50.5%, and those of penicillin-intermediate and -resistant S.pneumoniae were 1.1% and 0.0%, respectively. Among H.influenzae, 17.6% of them were found to be β-lactamase-non-producing ampicillin (ABPC)-intermediately resistant, 33.5% to be β-lactamase-non-producing ABPC-resistant and 11.0% to be β-lactamase-producing ABPC-resistant strains. Extended spectrum β-lactamase-producing K.pneumoniae and multi-drug resistant P.aeruginosa with metallo β-lactamase were 2.9% and 0.6%, respectively.Continuous national surveillance of antimicrobial susceptibility of respiratory pathogens is crucial in order to monitor changing patterns of susceptibility and to be able to update treatment recommendations on a regular basis

Dissecting One Click Frauds

“One Click Fraud ” is an online confidence scam that has been plaguing an increasing number of Japanese Internet users, in spite of new laws and the mobilization of police task forces. In this scam, the victim clicks on a link presented to them, only to be informed that they just entered a binding contract and are required to pay a registration fee for a service. Even though no money is legally owed, a large number of users prefer to pay up, because of potential embarrassment due to the type of service “requested ” (e.g., pornographic goods). Using public reports of fraudulent websites as a source of data, we analyze over 2,000 reported One Click Frauds incidents. By correlating several attributes (WHOIS data, bank accounts, phone numbers, malware installed...), we discover that a few fraudsters are seemingly responsible for a majority of the scams, and evidence a number of loopholes these miscreants exploit. We further show that, while some of these sites may also be engaging in other illicit activities such as spamming, the connection between different types of scams is much more tenuous than expected. Last, we show that the rise in the number of these frauds is fueled by high expected monetary gains in return for very little risk. The quantitative data obtained gives us an interesting window on the economic dynamics of some online criminal syndicates