We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.
To save content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about saving content to .
To save content items to your Kindle, first ensure no-reply@cambridge.org
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about saving to your Kindle.
Note you can select to save to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
To determine the characteristics of acute phase nystagmus in patients with cerebellar lesions, and to identify a useful indicator for differentiating central lesions from peripheral lesions.
Methods:
Acute phase nystagmus and the appearance of neurological symptoms were retrospectively investigated in 11 patients with cerebellar stroke.
Results:
At the initial visit, there were no patients with vertical nystagmus, direction-changing gaze evoked nystagmus or pure rotatory nystagmus. There were four cases with no nystagmus and seven cases with horizontal nystagmus at the initial visit. There were no neurological symptoms, except for vertigo and hearing loss, in any cases at the initial visit. The direction and type of nystagmus changed with time, and neurological symptoms other than vertigo appeared subsequently to admission.
Conclusion:
It is important to observe the changes in nystagmus and other neurological findings for the differential diagnosis of central lesions.
To evaluate the effectiveness of tympanostomy tube placement in controlling symptoms of intractable Ménière's disease.
Methods:
Fifteen patients with intractable Ménière's disease underwent tympanostomy tube placement in the affected ear. Post-operative changes in vertigo attacks and hearing level were recorded, and were evaluated according to American Academy of Otolaryngology–Head and Neck Surgery criteria.
Results:
At 12 months after treatment, 3 patients (20 per cent) showed complete control of vertigo, 7 (47 per cent) showed substantial control and 2 (13 per cent) showed limited control; 3 patients (20 per cent) required other treatment. At 24 months after treatment, 7 patients (47 per cent) showed complete control of vertigo, 3 (20 per cent) showed substantial control and 1 (7 per cent) showed limited control; 1 patient required other treatment 15 months after tympanostomy tube placement.
Conclusion:
There is no definite pathophysiological explanation for the effect of tympanostomy tube placement in reducing vertigo attacks. This treatment is not effective for all patients with intractable Ménière's disease. However, tympanostomy tube placement might be an additional surgical therapeutic option to consider prior to contemplating other, more invasive treatments.
Using American bullfrog models under normal conditions and under vestibular dysfunction, we investigated whether mechanical vibration applied to the ear could induce otoconial dislodgement.
Methods:
Vibration was applied to the labyrinth of the bullfrog using a surgical drill. The time required for the otoconia to dislodge from the utricular macula was measured. Vestibular dysfunction models were created and the dislodgement time was compared with the normal models. The morphology of the utricular macula was also investigated.
Results:
In the normal models, the average time for otoconial dislodgement to occur was 7 min and 36 s; in the vestibular dysfunction models, it was 2 min and 11 s. Pathological investigation revealed that the sensory hairs of the utricle were reduced in number and that the sensory cells became atrophic in the vestibular dysfunction models.
Conclusion:
The otoconia of the utricle were dislodged into the semicircular canal after applying vibration. The time to dislodgement was significantly shorter in the vestibular dysfunction models than in the normal models; the utricular macula sustained significant morphological damage.
Recently, the issue of sustainable resource management has been increasingly recognized.Economic growth of human activity is associated with a rapid rise in the use of resourcesin our economy, and society has a potential environmental impact. The UNEP InternationalResource Panel (IRP) pointed out the importance of decoupling resource use and negativeenvironmental impacts from economic activity (UNEP IRP 2011). In order tooptimize the material cycles and increase resource efficiency, material flow analysis(MFA) is a powerful tool to understand the resource consumption and material cycle in thenational economy. In this study, we present the results of global material flow analysisof nickel, which is one of the important resources for reducing energy use andCO2 emission inour society, and discuss the importance and possibility of controlling its resourcelogistics. This study also introduces the challenge of identifying the land-use changes innickel mining sites by a remote-sensing technique, and knowledge to increase the resourceefficiency in metal recycling based on the metallurgical thermodynamic approach. Theresults indicated the importance of recovery of nickel in recycling policies forend-of-life (EoL) vehicles and constructions. Improvement in EoL sorting technologies andimplementation of designs for recycling/disassembly at the manufacturing phase are needed.Possible solutions include development of sorting processes for steel scrap andintroduction of easier methods for identifying the composition of secondary resources.Recovery of steel scrap with a high alloy content will reduce primary inputs of alloyingelements and contribute to more efficient resource use.
To examine the clinical features, age and gender distribution of patients, treatment methods, and outcomes of benign paroxysmal positional vertigo.
Methods:
This paper reports a review of 357 patients treated for this condition at a single institution over a duration of 5 years. Patients with posterior canal benign paroxysmal positional vertigo were divided into two groups: one group underwent the Epley manoeuvre and the other received medication. The lateral canal canalolithiasis patients were also divided into two groups: one underwent the Lempert manoeuvre and the other received medication. Lastly, the lateral canal cupulolithiasis patients were treated with medication and non-specific physical techniques.
Results and conclusion:
For patients with posterior canal benign paroxysmal positional vertigo, resolution time was significantly shorter in the Epley manoeuvre group than in the medication group. For the lateral canal canalolithiasis patients, resolution time was significantly shorter in the Lempert manoeuvre group than in the medication group. Resolution time was significantly longer in the lateral canal cupulolithiasis patients than in the other patients. The average age of patients increased with the number of recurrences, as did predominance in females. Average age and rate of sensorineural hearing loss were significantly higher in patients with intractable benign paroxysmal positional vertigo compared with those in the curable benign paroxysmal positional vertigo group.
To evaluate the effectiveness of a brief suicide management training programme for Japanese medical residents compared with the usual lecture on suicidality.
Methods.
In this multi-center, clustered randomized controlled trial, the intervention group attended a structured suicide management programme and the control group, the usual lecture on depression and suicidality. The primary outcome was the difference in residents' cumulative competency score to manage suicidal persons from baseline (T0) to 1 month after the intervention (T2), determined using the Suicide Intervention Response Inventory (SIRI-1) score, at individual level.
Results.
Analysis of 114 residents (intervention group n = 65, control group n = 49) assigned to two clusters in each group revealed no change in SIRI-1 score from T0 to T2 or immediately after the intervention (T1) between the two groups. As a secondary analysis, discrepancy in judgement between the participants and Japanese suicidologists was examined immediately after the intervention in the adjusted model, with a mean difference in score of 9.98 (95% confidence interval: 4.39–15.56; p = 0.001).
Conclusions.
The structured programme was not proven to improve competency in suicide management when measured by the SIRI-1 score. Further elaboration of the programme and valid measurement of its outcome would be needed to show the program's effectiveness.
To investigate what kinds of stimuli are effective in detaching otoconia from the cupula in three experimental models of cupulolithiasis.
Methods:
Three experimental models of cupulolithiasis were prepared using bullfrog labyrinths. Three kinds of stimuli were applied to the experimental models. In experiment one (gravity), the labyrinth preparation was placed so that the cupula-to-crista axis was in the horizontal plane with the canal side in the downward position. In experiment two (sinusoidal oscillation), the labyrinth preparation was placed 3 cm from the rotational centre of a turntable, which was sinusoidally rotated with a rotational cycle of 1 Hz and a rotational angle of 30°. In experiment three (vibration), mechanical vibration was applied to the surface of the bony capsule around the labyrinth using a surgical drill.
Results:
In experiments one, two and three, the otoconial mass was respectively detached in 2 out of 10 labyrinth preparations, none of the labyrinth preparations, and all of the labyrinth preparations.
Conclusion:
Vibration was the most effective stimulus for detaching the otoconia from the cupula in these experimental models of cupulolithiasis.
El blefaroespasmo, el parpadeo involuntario e incontrolable, inducido por neurolépticos puede interferir, cuando es grave, la capacidad para caminar, conducir o trabajar. Sin embargo, la incidencia de blefaroespasmo o síndrome de Meige (distonía blefaroespasmoromandibular) asociado con los antipsicóticos atípicos es infrecuente. Por el contrario, la sustitución por clozapina u olanzapina se ha considerado como una opción de tratamiento del blefaroespasmo inducido por otros neurolépticos, Que sepamos, no había informes de blefaroespasmo inducido por olanzapina, sino algunas descripciones de blefaroespasmo asociado con risperidona. Describimos aquí el caso de un varón joven al que se diagnosticó esquizofrenia que había desarrollado un blefaroespasmo después de nueve meses de terapia de olanzapina (10 mg/día), y su desaparición después de la interrupción de los neurolépticos.
This study compares the management performance of timber production among three management systems in Nepal: private forestry, community forestry with collective management, and community forestry with centralized management. While collective management relies entirely on community labor for the whole management, centralized management uses community labor for the protection of forests and hired labor for silvicultural operations, for example weeding, pruning, and thinning. We found that collective community management is less costly for the protection of planted trees but allocates less labor for the management of trees than private management. We also found that centralized management of natural forests leads to higher revenue and profit than collective management. These findings support the hypothesis that, while collective management is more efficient than private management for the protection of trees due to effective mutual supervision, profit-seeking private management or centralized management is more efficient than collective management for silvicultural operations due to superior work incentives. This study, however, failed to compare efficiency of private and centralized management.
Adhesion strength in sputter-deposited Cu thin films on various types of barrier layers was investigated by scratch test. The barrier layers were Ta1-xNx with varied nitrogen concentration of 0, 0.2, 0.3, and 0.5. Microstructure observation by TEM indicated that each layer consists of mixed phases of β;-Ta, bcc-TaN0.1, hexagonal-TaN, and fcc-TaN, depending on the nitrogen concentration. A sulfur- containing amorphous phase was also present discontinuously at the Cu/barrier interfaces in all samples. Scratch test showed that delamination occurred at the Cu/barrier interface and that the overall adhesion strength increased with increasing the nitrogen concentration. A good correlation was found between the measured adhesion strength and the composing phases in the barrier layer.
Interferon-gamma (IFN-γ) has a crucial role for host defence against parasite infection. It is not clear, however, how IFN-γ affects the parasite-infected host cells. The effect of IFN-γ on Neospora caninum-infected cells was investigated in murine fibroblasts and canine kidney cells in vitro. In the presence of IFN-γ, the viability of the infected host cell was decreased and apoptotic cell death occurred, as analysed by DNA stainings with propidium iodide and a terminal deoxynucleotidyltransferase-mediated dUTP-biotin nick end labelling (TUNEL) and DNA fragmentation. The percentage of apoptotic cells depended on the dose of IFN-γ. Flow cytometric analysis indicated a significant increase of FasL expression on the IFN-γ-treated cells following N. caninum infection. Moreover, IFN-γ treatment down-regulated Bcl-2 expression in the cells cultured with N. caninum while parasite infection up-regulated Bcl-2 expression. The present study suggests that the IFN-γ induced increases of FasL expression and down-regulated Bcl-2 expression in N. caninum-infected cells are associated with apoptosis in vitro.
A series of experiments were performed to explore the growth of InN by Molecular Beam Epitaxy (MBE). The growth conditions were optimized based on the study of RHEED during growth and InN dissociation experiments. Characterization of the InN thin films were performed by various techniques such as TEM and XRD.
A series of experiments were performed to explore the growth of InN by Molecular Beam Epitaxy (MBE). The growth conditions were optimized based on the study of RHEED during growth and InN dissociation experiments. Characterization of the InN thin films were performed by various techniques such as TEM and XRD.
Solid charge transfer (CT) complexes of C60 with TSeC1-TTF, EDT-TTF, EOET-TTF, and TDAP (1, 3, 6, 8-tetrakis(dimethylamino)pyrene) were newly prepared. All the obtained black crystals were proved to be neutral despite of their rather strong electron donor ability. Lattice parameters of them except for EOET-TTF complex were determined together with those of HMTTeF·C60, which had been reported with different values. Rubidium doping under a mild condition was examined on the complexes of TDAP, EOET-TTF, HMTTeF, BEDT-TTF, hydroquinone and ferrocene to search for the superconductors of new crystal and electronic structures. Among them, the rubidium-doped ferrocene complex easily showed an apparent superconducting signal in SQUID magnetization measurements. The doping effect on these CT complexes is compared to that on OMTTF complex.
AuCd alloy is a typical martensitic alloy. The crystal structural of the ζ2' (trogonal) martensite was recently determined and the analysis indicated the possibility of phonon softening. Despite a large absorption coefficient of Cd phonon softening was actually observed by using an isotope 114Cd. In the present study, precise x-ray scattering studies were performed with a rotating anode x-ray source and synchrotron radiation at Photon Factory in KEK, using small crystals. The structure factors of the parent phase and the diffraction profiles along <110> direction were measured with four circle diffractometers. The structure factors decrease when approaching the transformation temperature. Superstructure reflections were observed prior to the onset of the transformation. They are very weak and rather sharp and appear at q = (1/3,1/3,0) within the experimental error, i. e. at the commensurate position.
Growth kinetics on non-singular surfaces were studied by Monte Carlo simulations. In contrast to the growth on singular and vicinal surfaces, the sticking coefficient on the non-singular surfaces was found to decrease with increase of the surface roughness. Simulations of annealing processes showed that surface diffusion of atoms leads to a stationary surface roughness, which is explained by multiple configurations having the lowest energy in the non-singular surface.