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Masahiro Shinoda,1 Shinichiro Ota,1 Yuto Yoshida,1,2 Takatomo Hirouchi,1,2 Kanako Shinada,1 Takashi Sato,1 Miwa Morikawa,1 Naoki Ishii,3 Masaharu Shinkai1 1Department of Respiratory Medicine, Tokyo Shinagawa Hospital, Tokyo, Japan; 2Department of Respiratory Medicine, Toho University Ohashi Medical Center, Tokyo, Japan; 3Department of Gastroenterology, Tokyo Shinagawa Hospital, Tokyo, JapanCorrespondence: Masahiro Shinoda, Department of Respiratory Medicine, Tokyo Shinagawa Hospital, 6-3-22 Higashi-Oi, Shinagawa, Tokyo, 140-8522, Japan, Tel +81-3-3764-0511, Fax +81-3-3764-3415, Email mshinopy@gmail.comIntroduction: Currently, infection control measures for SARS-COV2 are being relaxed, and it is important in daily clinical practice to decide which findings to focus on when managing patients with similar background factors.Methods: We retrospectively evaluated 66 patients who underwent blood tests (complete blood count, blood chemistry tests, and coagulation tests) and thin slice CT between January 1 and May 31, 2020, and performed a propensity score-matched case–control study. Cases and controls were a severe respiratory failure group (non-rebreather mask, nasal high-flow, and positive-pressure ventilation) and a non-severe respiratory failure group, matched at a ratio of 1:3 by propensity scores constructed by age, sex, and medical history. We compared groups for maximum body temperature up to diagnosis, blood test findings, and CT findings in the matched cohort. Two-tailed P-values < 0.05 were considered statistically significant.Results: Nine cases and 27 controls were included in the matched cohort. Significant differences were seen in maximum body temperature up to diagnosis (p=0.0043), the number of shaded lobes (p=0.0434), amount of ground-glass opacity (GGO) in the total lung field (p=0.0071), amounts of GGO (p=0.0001), and consolidation (p=0.0036) in the upper lung field, and pleural effusion (p=0.0117).Conclusion: High fever, the wide distribution of viral pneumonia, and pleural effusion may be prognostic indicators that can be easily measured at diagnosis in COVID-19 patients with similar backgrounds.Keywords: COVID-19, prognosis, fever, ground-glass opacity, consolidation, pleural effusion

Masahiro Shinoda,1 Osamu Hataji,2 Motohiko Miura,3 Masaharu Kinoshita,4 Akira Mizoo,5 Kazunori Tobino,6 Toru Soutome,7 Takanobu Nishi,7 Takeo Ishii,7 Bruce E Miller,8 Ruth Tal-Singer,8 Ryan Tomlinson,8 Taizo Matsuki,7 Paul W Jones,9 Yoko Shibata10 1Department of Respiratory Medicine, Tokyo Shinagawa Hospital, Shinagawa, Tokyo, Japan; 2Respiratory Center, Matsusaka Municipal Hospital, Matsusaka, Mie, Japan; 3Department of Respiratory Medicine, Tohoku Rosai Hospital, Sendai, Miyagi, Japan; 4Department of Respiratory Medicine, Nagata Hospital, Yanagawa, Fukuoka, Japan; 5Department of Pulmonary Medicine Japan, Japan Community Healthcare Organization Tokyo Shinjuku Medical Center, Shinjuku, Tokyo, Japan; 6Department of Respiratory Medicine, Iizuka Hospital, Iizuka, Fukuoka, Japan; 7Japan Medical & Development, GSK K.K, Minato-Ku, Tokyo, Japan; 8GSK Pharma R&D, Collegeville, PA, USA; 9General Medicine, GSK, Brentford, Middlesex, UK; 10Department of Pulmonary Medicine, Fukushima Medical University, Fukushima, JapanCorrespondence: Taizo Matsuki, Value Evidence Outcomes, Japan Medical & Development, GSK K.K, Akasaka Intercity AIR 1-8-1 Akasaka, Minato-Ku, Tokyo, 107-0052, Japan, Tel +81-8036928935, Email taizo.2.matsuki@gsk.comBackground: Telemedicine may help the detection of symptom worsening in patients with chronic obstructive pulmonary disease (COPD), potentially resulting in improved outcomes. This study aimed to determine the feasibility and acceptability of telemedicine among patients with COPD and physicians and facility staff in Japan.Methods: This was a 52-week multicenter, prospective, single-arm, feasibility and acceptability cohort study of Japanese patients ≥ 40 years of age with COPD or asthma-COPD overlap. Participants underwent training to use YaDoc, a telemedicine smartphone App, which included seven daily symptom questions and weekly COPD Assessment Test (CAT) questions. The primary endpoint was participant compliance for required question completion. The secondary endpoint was participant and physician/facility staff acceptability of YaDoc based on questionnaires completed at Week 52. The impact of the Japanese COVID-19 pandemic state of emergency on results was also assessed.Results: Of the 84 participants enrolled (mean age: 68.7 years, 88% male), 72 participants completed the study. Completion was high in the first six months but fell after that. Median (interquartile range [IQR]) compliance for daily questionnaire entry was 66.6% (31.0– 91.8) and 81.0% (45.3– 94.3) for weekly CAT entry. Positive participant responses to the exit questionnaire were highest regarding YaDoc ease of use (83.8%), positive impact on managing health (58.8%), and overall satisfaction (53.8%). Of the 26 physicians and facility staff enrolled, 24 completed the study. Of these, the majority (66.7%) responded positively regarding app facilitation of communication between physicians and participants to manage disease. Compliance was similar before and after the first COVID-19 state of emergency in Japan.Conclusion: Daily telemedicine monitoring is potentially feasible and acceptable to both patients and physicians in the management of COPD. These results may inform potential use of telemedicine in clinical practice and design of future studies.Clinical Trial Registration: JapicCTI-194916.Keywords: Japan, patient-reported outcome measure, feasibility, acceptability, telemonitoring, smartphone

The Large Hadron Collider is intensively used to test hadronic interaction models used in cosmic-ray physics because its maximum (designed) collision energy √s = 14 TeV corresponds to the interaction of a 1017 eV cosmic-ray proton hitting the atmosphere. In this paper various types of forward experiments at the LHC, where the particles relevant to the air shower development are observed, are reviewed. Recent results of a dedicated experiment for precise forward measurement, the LHC forward, are discussed in detail. A future possibility at the LHC, light ion collisions, is also discussed.

The Relativistic Heavy Ion Collider forward experiment is ready to take data in the RHIC Run2017 √s = 510 GeV p-p collisions using the LHCf Arm1 detector. New accelerator data are valuable to verify the Feynman scaling of FX1 production and to study the evolution of the break of scaling in neutron production. Using the transversely polarized proton beam, asymmetric production of forward neutrons is precisely measured. That is useful to understand the fundamental meson exchange in the proton-proton collisions.

The current study was performed to clarify the effects of GHRH treatment on milk production and plasma hormones and metabolites in lactating Japanese Black cows (a beef breed) under negative energy balance (EB). Ten multiparous lactating beef cows were offered a normal-energy diet daily (110% of ME requirements for maintenance and lactation) until 5 d in milk (DIM) to standardize the cows before dietary treatment. From 6 DIM to the final days (63 DIM) of the experiment, the cows were allotted to experimental dietary treatments: 5 cows were offered a diet formulated for 130% [high-energy diet (HED)] and the remaining 5 cows were offered a diet formulated for 80% [low-energy diet (LED)] of ME requirements for maintenance and lactation. In addition, all cows received daily subcutaneous injections of 3 mg of bovine GHRH from 36 to 56 DIM (GHRH treatment period). Differences in BW of HED- and LED-fed cows at 63 DIM were +28.4 and -7.2 kg compared with BW at 6 DIM, and HED- and LED-fed cows were under positive EB (+23.7 MJ/d) and negative EB (-11.6 MJ/d) throughout the experiment period. Treatment with GHRH increased (P < 0.01) the average daily milk yield to 6.2 kg in HED-fed cows compared with a milk yield of 5.3 kg for 7 d before the GHRH treatment period (pretreatment period); LED-fed cows had no increase in milk production from GHRH treatment. Plasma GH, IGF-1, insulin, and glucose concentrations increased (P < 0.05) after GHRH treatment in both HED- and LED-fed cows; GHRH treatment also induced an increase (P < 0.05) in the net area under the curve of plasma insulin after glucose challenge in both HED- and LED-fed cows. Plasma urea N concentrations were decreased (P < 0.05) by GHRH treatment in HED-fed cows, but not in LED-fed cows. Plasma NEFA concentration was unaffected by GHRH treatment in both HED- and LED-fed cows. We conclude that GHRH treatment of lactating Japanese Black cows stimulates endogenous GH and subsequent IGF-1 secretion and might induce an increase in insulin resistance, irrespective of EB; however, compared with lactating dairy cows, both galactopoietic and lipolytic effects of GHRH might be insufficiently exerted under negative EB in lactating beef cows. Key words: beef breed, energy balance, growth hormone, growth hormone-releasing hormone, insulin, lactation

This paper describes a precise numerical technique to compute the limit state exceedance probability of geosynthetic reinforced soil (GRS) slopes with normally distributed backfill and foundation soils by using the low-discrepancy sequence Monte Carlo (LDSMC) and importance sampling with LDSMC (ISLDSMC) methods. The LDSMC and ISLDSMC methods can effectively compute an accurate limit state exceedance probability of GRS slopes with a limited number of simulations. By using importance sampling, random variables can be generated in an expected failure region, thereby enabling enumeration by the Monte Carlo simulation. The failure region can be searched by the conventional first-order reliability method. To increase the computational efficiency, a low-discrepancy sequence, which is a sequence of quasi-random numbers with uniform distribution, is adopted in this study. The numerical simulation in this study revealed that the LDSMC and ISLDSMC methods can effectively compute an accurate limit state exceedance probability of GRS slopes by performing comparatively fewer simulations than the conventional crude Monte Carlo simulation. DOI: 10.1061/(ASCE)1090-0241(2007)133:4(393) CE Database subject headings: Monte Carlo method; Structural reliability; Slope stability; Simulation.