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This study aimed to quantitatively investigate airborne particle load in the operating room during endoscopic or microscopic epitympanectomy or mastoidectomy.
Method
In the transcanal endoscopic ear surgery group, drilling was performed underwater. A particle counter was used to measure the particle load before, during and after drilling during transcanal endoscopic ear surgery or microscopic ear surgery. The device counted the numbers of airborne particles of 0.3, 0.5 or 1.0 μm in diameter.
Results
The particle load during drilling was significantly higher in the microscopic ear surgery group (n = 5) than in the transcanal endoscopic ear surgery group (n = 11) for all particle sizes (p < 0.01). In the transcanal endoscopic ear surgery group, no significant differences among the particle load observed before, during and after drilling were seen for any of the particle sizes.
Conclusion
Bone dissection carries a lower risk of airborne infection if it is performed using the endoscopic underwater drilling technique.
The neutral beam (NB) fast ion confinement in the Large Helical Device (LHD) is studied for several full field ($B_{t}\sim 2.75~\text{T}$) magnetic configurations by a combination of neutron measurement and simulations. To investigate the NB fast ion confinement, we have performed a series of short-pulse NB injection experiments. The experiment results are analysed by the integrated code TASK3D-a. From this investigation, the effective particle diffusion coefficients of the tangential and perpendicular NBs are approximately $D^{\text{eff}}\sim 0.1~\text{m}^{2}~\text{s}^{-1}$ and $D^{\text{eff}}\sim 1~\text{m}^{2}~\text{s}^{-1}$ in the standard configuration. It is clarified that the NB fast ion confinement improves when the plasmas are shifted inward. Moreover, it is also found that the simulation, which considers the deuteron dilution effect due to the presence of impurity ions, can describe a neutron emission rate consistent with the measurement.
Measurements in the infrared wavelength domain allow direct assessment of the physical state and energy balance of cool matter in space, enabling the detailed study of the processes that govern the formation and evolution of stars and planetary systems in galaxies over cosmic time. Previous infrared missions revealed a great deal about the obscured Universe, but were hampered by limited sensitivity.
SPICA takes the next step in infrared observational capability by combining a large 2.5-meter diameter telescope, cooled to below 8 K, with instruments employing ultra-sensitive detectors. A combination of passive cooling and mechanical coolers will be used to cool both the telescope and the instruments. With mechanical coolers the mission lifetime is not limited by the supply of cryogen. With the combination of low telescope background and instruments with state-of-the-art detectors SPICA provides a huge advance on the capabilities of previous missions.
SPICA instruments offer spectral resolving power ranging from R ~50 through 11 000 in the 17–230 μm domain and R ~28.000 spectroscopy between 12 and 18 μm. SPICA will provide efficient 30–37 μm broad band mapping, and small field spectroscopic and polarimetric imaging at 100, 200 and 350 μm. SPICA will provide infrared spectroscopy with an unprecedented sensitivity of ~5 × 10−20 W m−2 (5σ/1 h)—over two orders of magnitude improvement over what earlier missions. This exceptional performance leap, will open entirely new domains in infrared astronomy; galaxy evolution and metal production over cosmic time, dust formation and evolution from very early epochs onwards, the formation history of planetary systems.
To assess the diagnostic role of mean platelet volume in tonsillitis with and without peritonsillar abscess.
Methods
Mean platelet volume and other laboratory data were retrospectively investigated.
Results
Mean platelet volume was significantly lower in the tonsillitis group (7.8 per cent ± 0.7 per cent) than in the control group (8.7 per cent ± 0.6 per cent; p < 0.0001), and it was significantly lower in the abscess group (7.5 per cent ± 0.6 per cent) than in the no abscess group (8.0 per cent ± 0.7 per cent; p = 0.0277). White blood cell counts and C-reactive protein levels were not significantly different between patients with an abscess and those without. The mean platelet volume cut-off values for the diagnosis of tonsillitis and peritonsillar abscess were 7.95 fl and 7.75 fl, respectively.
Conclusion
Our results suggest that a decreased mean platelet volume is associated with the development and severity of tonsillitis. This finding provides useful diagnostic information for physicians treating patients with tonsillitis.
Higher-Order Spectra (HOS) are used to characterise the nonlinear aeroelastic behaviour of a plunging and pitching 2-degree-of-freedom aerofoil system by diagnosing structural and/or aerodynamic nonlinearities via the nonlinear spectral content of the computed displacement signals. The nonlinear aeroelastic predictions are obtained from high-fidelity viscous fluid-structure interaction simulations. The power spectral, bi-spectral and tri-spectral densities are used to provide insight into the functional form of both freeplay and inviscid/viscous aerodynamic nonlinearities with the system displaying both low- and high-amplitude Limit Cycle Oscillation (LCO). It is shown that in the absence of aerodynamic nonlinearity (low-amplitude LCO) the system is characterised by cubic phase coupling only. Furthermore, when the amplitude of the oscillations becomes large, aerodynamic nonlinearities become prevalent and are characterised by quadratic phase coupling. Physical insights into the nonlinearities are provided in the form of phase-plane diagrams, pressure coefficient distributions and Mach number flowfield contours.
A fully coherent free electron laser (FEL) seeded with a higher-order harmonic (HH) pulse from high-order harmonic generation (HHG) is successfully operated for a sufficiently prolonged time in pilot user experiments by using a timing drift feedback. For HHG-seeded FELs, the seeding laser pulses have to be synchronized with electron bunches. Despite seeded FELs being non-chaotic light sources in principle, external laser-seeded FELs are often unstable in practice because of a timing jitter and a drift between the seeding laser pulses and the accelerated electron bunches. Accordingly, we constructed a relative arrival-timing monitor based on non-invasive electro-optic sampling (EOS). The EOS monitor made uninterrupted shot-to-shot monitoring possible even during the seeded FEL operation. The EOS system was then used for arrival-timing feedback with an adjustability of 100 fs for continual operation of the HHG-seeded FEL. Using the EOS-based beam drift controlling system, the HHG-seeded FEL was operated over half a day with an effective hit rate of 20%–30%. The output pulse energy was $20~{\rm\mu}\text{J}$ at the 61.2 nm wavelength. Towards seeded FELs in the water window region, we investigated our upgrade plan to seed high-power FELs with HH photon energy of 30–100 eV and lase at shorter wavelengths of up to 2 nm through high-gain harmonic generation (HGHG) at the energy-upgraded SPring-8 Compact SASE Source (SCSS) accelerator. We studied a benefit as well as the feasibility of the next HHG-seeded FEL machine with single-stage HGHG with tunability of a lasing wavelength.
Streptococcal toxic shock syndrome (STSS) is a severe invasive infection characterized by the sudden onset of shock, multi-organ failure, and high mortality. In Japan, appropriate notification measures based on the Infectious Disease Control law are mandatory for cases of STSS caused by β-haemolytic streptococcus. STSS is mainly caused by group A streptococcus (GAS). Although an average of 60–70 cases of GAS-induced STSS are reported annually, 143 cases were recorded in 2011. To determine the reason behind this marked increase, we characterized the emm genotype of 249 GAS isolates from STSS patients in Japan from 2010 to 2012 and performed antimicrobial susceptibility testing. The predominant genotype was found to be emm1, followed by emm89, emm12, emm28, emm3, and emm90. These six genotypes constituted more than 90% of the STSS isolates. The number of emm1, emm89, emm12, and emm28 isolates increased concomitantly with the increase in the total number of STSS cases. In particular, the number of mefA-positive emm1 isolates has escalated since 2011. Thus, the increase in the incidence of STSS can be attributed to an increase in the number of cases associated with specific genotypes.
We investigated electronic structure of one-dimensional biradical molecular chain which is constructed by exploiting the covalency between organic molecules of a diphenyl derivative of s-indacenodiphenalene (Ph2-IDPL). To control the crystallinity, we used gas deposition method. Ultraviolet photoelectron spectroscopy (UPS) revealed developed band structure with wide dispersion of the one-dimensional biradical molecular chain.
Monitor of All-sky X-ray Image (MAXI) on board International Space Station is capable ofobserving gamma-ray bursts (GRBs) and sending notices of GRBs or other transient events,using real time connection to the ground. MAXI observed 32 GRBs or short X-ray transientsas of the end of September 2012. Among them, eleven events were simultaneously detected byother satellites. The observed rate of the MAXI GRBs is about one event per month. Thisrate is comparable to a past observation with larger effective area and larger field ofview. The fact indicates that MAXI has better sensitivity to observe GRBs because of lowbackground. The distribution of the spectral hardness of MAXI GRBs is similar to theresults of a past instrument, which is sensitive to similar energy range.
An increasing number of transnasal endoscopic surgical procedures are being performed, and these procedures are now also utilised in the management of malignant sinonasal tumours. This study aimed to evaluate the outcome of endoscopic resection of sinonasal malignancies, with or without chemotherapy and radiotherapy.
Methods:
Between 2000 and 2009, six patients with sinonasal malignancies (diagnosed on pre-operative biopsy) underwent endoscopic resection at our hospital. The histopathological diagnoses varied and included squamous cell carcinoma, olfactory neuroblastoma, chordoma, extramedullary plasmacytoma and haemangiopericytoma.
Results:
Surgical resection was combined with chemotherapy and/or radiotherapy in four cases. The mean follow-up period was 43 months. One patient suffered local recurrence of chordoma, 84 months after the first operation, but this was successfully treated with proton beam radiotherapy.
Conclusion:
These results suggest that endoscopic resection may be a valid alternative to conventional resection in selected cases of malignant sinonasal tumour.
We present VLBI maps of the 6.7 GHz methanol maser emission in 32 sources obtained using the Japanese VLBI Network (JVN) and the East-Asian VLBI Network (EAVN). All of the observed sources provide new VLBI maps, and the spatial morphologies have been classified into five categories similar to the results obtained from European VLBI Network observations (Bartkiewicz et al. 2009). The 32 methanol sources are being monitored to measure the relative proper motions of the methanol maser spots.
A total of 6346 swine sera collected at an abattoir in the city of Obihiro, Hokkaido during the years 1978–87 were tested for the presence of antibodies to swine and human influenza viruses. A high incidence of antibody to A/New Jersey/8/76 (swine type H1N1) virus was observed throughout the 10 years except for the occasional month and a single long period of 15 months. Antibodies to human H3N2 virus in swine appeared to be related to the epidemics of human influenza which occurred in the study area during the years 1980–3, but unrelated to the epidemics during the years 1984–7. A large number of swine were found to be antibody positive to a human H1N1 virus during the period April to June 1964, and a smaller number, during the period November 1986 to June 1987. Both were in relation to human influenza epidemics. However, there were long periods where human H1N1 antibodies in swine could not be found.
The first occurrence of swine influenza in Japan was recognized in 1977, when it was presumed that the disease was introduced via imported swine (Shibata elal. 1978). Further outbreaks of swine influenza and a high prevalence of antibody to the virus in Japanese swine populations have been reported by several workers (Yamane, Sukeno & Ishida, 1978; Sugimura elal. 1981; Ogawa elal. 1983). An outbreak of influenza virus infection due to an H3N2 strain was previously seen in a herd of swine in Osaka, Japan (Sugimura etal. 1975). Later the co-existence of swine (H1N1) and human (H3N2) influenza viruses was confirmed by serological and virological studies on Japanese swine populations (Onta et al. 1978; Sugimura et al. 1980; Arikawa et al. 1982). In a previous report (Miwa et al. 1986), we suggested that the swine became infected with a human H1N1 virus as piglets during an epidemic of influenza which occurred in the human population at the same time. The present study was undertaken to evaluate the changes in the prevalence of antibodies against swine and human influenza viruses in Japanese swine during the past 10 years.
A total of 1799 swine sera collected in Toyama prefecture in the central part of Japan during the years 1978–82 were tested for antibody against swine influenza virus (SIV), A/New Jersey/8/76 (H1N1). A high prevalence of antibody was observed in the years after the severe epizootic of SI, 34·5% in 1979 and 51·7% in 1982. In other years, the percentages of positive sera were low and ranged from 1·7 to 12·4%. Regional variations were seen in relation to a small scale epizootic. No antibody to SIV was detected in any of the sera collected during the warm season. In the following dry and cold winter, however, a severe epizootic occurred among the swine populations.
An outbreak of psittacosis related to a bird park occurred in Matsue City, Shimane Prefecture, Japan, during winter 2001. Seventeen cases of psittacosis (12 visitors, three staff, and two student interns) were confirmed. A cohort study was conducted among the park staff and students to determine the risk factors for the development of acute serologically confirmed psittacosis (SCP) infection. Being ‘bird staff’ had an increased risk of SCP infection (RR 3·96, 95% CI 1·48–10·58). Entering the staff building, where ill birds were maintained without proper isolation, was also associated with an increased risk of SCP infection (RR 3·61, 95% CI 1·03–12·6). Isolation of ill birds and quarantine measures were found to be insufficient. Dehumidifiers and a high-pressure water spray under a closed ventilation environment may have raised the concentration of Chlamydophila psittaci in the hothouses. Bird park staff and visitors should be educated about psittacosis.
This study aimed to investigate the validity of adjusting computed tomography thresholds in order to replicate a temporal bone model suitable for dissection training and education.
Materials and methods:
A simulated three-dimensional model of a human temporal bone was prototyped using selective laser sintering. The powder layers were laser-fused, based on detailed computed tomography data, and accumulated to create a three-dimensional structure. The computed tomography threshold value of the stapes was modified on standard triangular language file in order to replicate the stapes. The intensity value was determined to select the fluid lumen of the inner ear and the bone surface, in order to replicate the inner ear.
Results:
The model could be shaved, using surgical instruments, in the same manner as during real surgery. The stapes could be reproduced, making this model even more realistic than a previous version. The inner ear was recreated, along with the surrounding bony wall and the ossicles.
Conclusion:
This model facilitates dissection training and easy understanding of the relation between the labyrinth and the surrounding structures.
Glossopharyngeal nerve paralysis caused by varicella zoster virus reactivation is rare. We present a case of glossopharyngeal zoster confirmed by direct immunofluorescence staining for virus antigens. A 35-year-old man presented with right-sided, severe swallowing pain and dysgeusia. Physical examination showed a loss of ipsilateral gag reflex. White spots on the posterior wall of the right pyriform sinus were seen by laryngofibroscopy, and a loss of taste on the right posterior part of the tongue was confirmed by gustometry using the filter paper disc method. The varicella zoster virus antigen was revealed by direct immunofluorescence staining by fluorescein isothiocyanate labelled mouse monoclonal antibody specific for varicella zoster virus glycoprotein, using samples obtained from the mucosal lesion by abrasion with a cotton swab. The patient was treated by intravenous administration of acyclovir. His throat pain and dysgeusia completely resolved. We discuss the advantages of direct immunofluorescence staining for varicella zoster virus antigen for the diagnosis of glossopharyngeal zoster.
In stably stratified flow over a three-dimensional hill, we can define a dividing streamline that separates those streamlines that pass around the hill from those that pass over the hill. The height Hs of this dividing streamline can be estimated by Sheppard's simple energy argument; fluid parcels originating far upstream of a hill at an elevation above Hs have sufficient kinetic energy to rise over the top, whereas those below Hs must pass around the sides. This prediction provides the basis for analysing an extensive range of laboratory observations and measurements of stably stratified flow over a variety of shapes and orientations of hills and with different upwind density and velocity profiles. For symmetric hills and small upwind shear, Sheppard's expression provides a good estimate for Hs. For highly asymmetric flow and/or in the presence of strong upwind shear, the expression provides a lower limit for Hs. As the hills become more nearly two-dimensional, these experiments become less well defined because steady-state conditions take progressively longer to be established. The results of new studies are presented here of the development of the unsteady flow upwind of two-dimensional hills in a finite-length towing tank. These measurements suggest that a very long tank would be required for steady-state conditions to be established upstream of long ridges with or without small gaps and cast doubt upon the validity of previous laboratory studies.