Studi Sistem Akustik Pada Gereja Katolik Santa Maria Tak Bercela Surabaya

The church is a building that has an image of God\u27s glory so that through space design elements, sacred atmosphere can formone through acoustics. The church has an unique acoustic because the church has two activities, namely speech and music. Santa Maria Tak Bercela Catholic Church Surabaya adjacent to Santa Clara School Surabaya, which at certain hours of the atmosphere will be very crowded church. With the help of Sound Level Meter, the background noise is known and the power of the sound source at this church. Reverberation time is calculated by manually sabine and computerize using program Autodeks Ecotect Analysis 2011. Having in mindthe results of the calculation of reverberation time in the field was 0.79-0.88 seconds, the church should be optimized with the goal of achieving the optimum reverberation time is 1. 4 seconds and the sound proofing leaks, by using materials such as insulation yumen board, glasswoll, acrylic, curtains, glass in sealant, rubber on the doors and closing the door hole

Diagnostic accuracy of narrow-band imaging and pit pattern analysis significantly improved for less-experienced endoscopists after an expanded training program

Background: Previous reports assessing diagnostic skill using narrow-band imaging (NBI) and pit pattern analysis for colorectal polyps involved only highly experienced endoscopists. Objective: To evaluate diagnostic skills of less-experienced endoscopists (LEE group) for. differentiation of diminutive colorectal polyps by using NBI and pit pattern analysis with and without magnification after an expanded training program. Design: Prospective study. Patients: This study involved 32 patients with 44 colorectal polyps (27 adenomas and 17 hyperplastic polyps) of 5 mm that were identified and analyzed by using conventional colonoscopy as well as non-magnification and magnification NBI and chromoendoscopy followed by endoscopic removal for histopathological analysis. Intervention: Before a training course, 220 endoscopic images were distributed in randomized order to residents with no prior endoscopy experience (NEE group) and to the LEE group, who had performed colonoscopies for more than 5 years but had never used NBI. The 220 images were also distributed to highly experienced endoscopists (HEE group) who had routinely used NBI for more than 5 years. The images were distributed to the NEE and LEE groups again after a training class. Magnification NBI and chromoendoscopy images were assessed by using the Sano and Kudo classification systems, respectively. Main Outcome Measurements: Diagnostic accuracy and interobserver agreement for each endoscopic modality in each group. Results: Diagnostic accuracy was significantly higher, and kappa (kappa) values improved in the LEE group for NBI with high magnification after expanded training. Diagnostic accuracy and kappa values when using high-magnification NBI were highest among endoscopic techniques for the LEE group after such training and the HEE group (accuracy 90% vs 93%; kappa = 0.79 vs 0.85, respectively). Limitations: Study involved only polyps of <= 5 mm. Conclusion: Using high-magnification NBI increased the differential diagnostic skill of the LEE group after expanded training so that it was equivalent to that of the HEE group

Antimicrobial Ointments and Methicillin-Resistant Staphylococcus aureus USA300

We tested 259 methicillin-resistant Staphylococcus aureus isolates and 2 USA300 ATCC type strains for susceptibility to bacitracin and neomycin contained in over-the-counter antibacterial ointments. Resistance to both bacitracin and neomycin was found only in USA300. The use of over-the counter antimicrobial drugs may select for the USA300 clone

Detectability of colorectal neoplasia with fluorine-18-2-fluoro-2-deoxy-D-glucose positron emission tomography and computed tomography (FDG-PET/CT)

The purpose of this study was to analyze the detectability of colorectal neoplasia with fluorine-18-2-fluoro-2-deoxy-d-glucose positron emission tomography/computed tomography (FDG-PET/CT). Data for a total of 492 patients who had undergone both PET/CT and colonoscopy were analyzed. After the findings of PET/CT and colonoscopy were determined independently, the results were compared in each of the six colonic sites examined in all patients. The efficacy of PET/CT was determined using colonoscopic examination as the gold standard. In all, 270 colorectal lesions 5 mm or more in size, including 70 pathologically confirmed malignant lesions, were found in 172 patients by colonoscopy. The sensitivity and specificity of PET/CT for detecting any of the colorectal lesions were 36 and 98%, respectively. For detecting lesions 11 mm or larger, the sensitivity was increased to 85%, with the specificity remaining consistent (97%). Moreover, the sensitivity for tumors 21 mm or larger was 96% (48/50). Tumors with malignant or high-grade pathology were likely to be positive with PET/CT. A size of 10 mm or smaller [odds ratio (OR) 44.14, 95% confidence interval (95% CI) 11.44-221.67] and flat morphology (OR 7.78, 95% CI 1.79-36.25) were significant factors that were associated with false-negative cases on PET/CT. The sensitivity of PET/CT for detecting colorectal lesions is acceptable, showing size- and pathology-dependence, suggesting, for the most part, that clinically relevant lesions are detectable with PET/CT. However, when considering PET/CT for screening purposes caution must be exercised because there are cases of false-negative results

DNA Methylation of Colon Mucosa in Ulcerative Colitis Patients: Correlation with Inflammatory Status

Background: Although DNA methylation of colonic mucosa in ulcerative colitis (UC) has been suggested, the majority of published reports indicate the correlation between methylation of colon mucosa and occurrence of UC-related dysplasia or cancer without considering the mucosal inflammatory status. The aim of this study was to verify whether mucosal inflammation-specific DNA methylation occurs in the colon of UC. Methods: Of 15 gene loci initially screened, six loci (ABCB1, CDH1. ESR1, GDNF, HPP1, and MYOD1) methylated in colon mucosa of UC were analyzed according to inflammatory status using samples from 28 surgically resected UC patients. Results: Four of six regions (CDH1, GDNF, HPP1, and MYOD1) were more highly methylated in the active inflamed mucosa than in the quiescent mucosa in each UC patient (P = 0.003, 0.0002, 0.02, and 0.048, respectively). In addition, when the methylation status of all samples taken from examined patients was stratified according to inflammatory status, methylation of CDHI and GDNF loci was significantly higher in active inflamed mucosa than in quiescent mucosa (P = 0.045 and 0.002, respectively). Multiple linear regression analysis revealed that active inflammation was an independent factor of methylation for CDHI and GDNF. DNA methyltransferase 1 and 3b were highly expressed in colon epithelial cells with active mucosa] inflammation, suggesting their involvement in inflammation-dependent methylation. Conclusions: Methylation in colonic mucosa of UC was correlated with mucosal inflammatory status, suggesting the involvement of methylation due to chronic active inflammation in UC carcinogenesis

京都府舞鶴湾の鉛を中心とした重金属汚染実態調査(2)～二枚貝を用いた現地調査と移植試験～

Heavy matals (Pb, Cd, Cu, Zn and Hg) were determined in blue mussel (Mytilus galloprovincialis), short-necked clam (Ruditapes philippinarum) and oyster (Crassostrea gigas) collected from Maizuru Bay, a semi-enclosed marine inlet of the Japan Sea in 2008, in order to elucidate their contamination levels and distribution. The highest Pb concerntrations in blue mussels, short-necked clams and oysters, 9.4±2.4, 229, 8.4±7.1μg/g wet, respectively, were detected in samples from the lead battery recycle factory basin. These three bivalve species can be used as sentimental organisms to moniter Pb contamination in coastal waters. Some evaluates are inferior level applied to the environmental index and food-safety standard. Lead concentrations in blue mussels transplanted to near the factory were increased definitely. In this study, we were able to do comprehensive evaluation by using three kinds of bioindicator

京都府舞鶴湾の鉛を中心とした重金属汚染実態調査(3)～底泥調査と陸上土壌調査～

Heavy metal concentrations (Pb, Cd, Mn, Ni, Zn and Hg) from surface sediment and those in every 2cm segment of the core sample from Maizuru Bay were examined in 2008. The highest Pb concentration. (2,884μg/g dry) in surface sediment was detected from the sample near the lead battery recycle factory. This concentration was inferior level applied to the environmental index in Norway. It is possible to estimate the times when release of Pb began in this area from the profile of Pb in sediment core. The concentration of Pb in the top of 5cm was clearly higher than in the other lower part of sediment layers. The Pb concentrations in land soil around th lead battery recycle factory not only under the sea but also on the land. It was proved that some antipollution steps which have been taken were not enough

京都府舞鶴湾内の重金属汚染実態調査ー鉛汚染の現状把握を中心にー

Heavy metals (Pb, Cd, Cu, Mn, Ni and Zn) were determined in surface sediment, mussel (Mytilus galloprovincialis) and short-necked clam (Ruditapes philippinarum) collected from Maizuru Bay, a semi-enclosed marine inlet of the Japan Sea, in 2007 in order to elucidate their contamination levels and distribution. The highest Pb concentrations in sediments, mussels and short-necked clams, 8716μg/g dry, 131±56μg/g wet, 579±459μg/g wet, respectively, were detected in samples from the lead battery recycle factory basin. These evaluates are the most inferior level applied to the environmental index and food-safety standard. Relatively higher Cu. Mn and Ni concentrations were noted in the sediment samples from the factory basin. Considering these results, the ability of lead highly concentrated in surface sediment, mussel and short-necked clam poses a direct threat to the marine ecosystem and mankind. Continuous monitoring and investigations on the effect of Pb are especially needed in Maizuru Bay

京都府舞鶴湾の鉛を中心とした重金属汚染実態調査4ー2009年度調査結果と総括ー

Lead concentrations were determined in sediment, blue mussel (Mytilus galloprovincialis), seafood, selttling particles, atmospheric deposition, collected from Maizuru Bay, a semi-enclosed marine inlet of the Japan Sea in 2009, in order to elucidate lead contamination levels and distribution. Higher lead concentrations in sediment (824-4, 592ug/g dry) were detected in samples at 200m far from the pollution source. The highest lead concentration in settling particles (1,347ug/g dry) was detected in samples at 60m far from the pollution source. Lead concentrations in blue mussels transplanted from mon-polluted area to polluted area were increased definitely in 2 weeks,lead was not detected in the edible parts of 18 fishes and 2 shellfishes collected in Maizuru Bay. Extremely high lead pollution was kept in about 100m area from the pollution source. Reserch results from 2007-2009 on the lead pollution in Maizuru Bay were summarized