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CIZA J1358.9−4750 is a nearby galaxy cluster in the early phase of a major merger. The two-dimensional temperature map using XMM-Newton EPIC-PN observation confirms the existence of a high-temperature region, which we call the “hot region,” in the “bridge region” connecting the two clusters. The ∼500 kpc wide region between the south-east and north-west boundaries also has higher pseudo-pressure compared to the unshocked regions, suggesting the existence of two shocks. The southern shock front is clearly visible in the X-ray surface brightness image and has already been reported by Kato et al. (2015, PASJ, 67, 71). The northern one, on the other hand, is newly discovered. To evaluate their Mach number, we constructed a three-dimensional toy merger model with overlapping shocked and unshocked components in the line of sight. The unshocked and pre-shock intracluster medium (ICM) conditions are estimated based on those outside the interacting bridge region, assuming point symmetry. The hot-region spectra are modeled with two-temperature thermal components, assuming that the shocked condition follows the Rankin–Hugoniot relation with the pre-shock condition. As a result, the shocked region is estimated to have a line-of-sight depth of ∼1 Mpc with a Mach number of ∼1.3 in the south-east shock and ∼1.7 in the north-west shock. The age of the shock waves is estimated to be ∼260 Myr. This three-dimensional merger model is consistent with the Sunyaev–Zel’dovich signal obtained using the Planck observation within the cosmic microwave background fluctuations. The total flow of the kinetic energy of the ICM through the south-east shock was estimated to be ∼2.2 × 1042 erg s−1. Assuming that $10\%$ of this energy is converted into ICM turbulence, the line–of–sight velocity dispersion is calculated to be ∼200 km s−1, which is basically resolvable via upcoming high spectral resolution observations.

This report presents a new method to characterize the inappropriate positioning of dosimeters based on the dose equivalent Hp(10). The Hp(10) values of medical workers were measured monthly for 12 mo using two personal dosimeters. Using the ratio between the values of Hp(10) recorded from dosimeters worn over and under protective aprons [Hp(10) over and Hp(10) under , respectively], 670 pairs of dosimeter readings were categorized into a proper use group [Hp(10) over /Hp(10) under ≥ 5] and a misuse group [Hp(10) over /Hp(10) under5]. Following personal interviews, the readings in the misuse group were classified into the following six subgroups: "reversed," "sometimes reversed," "both under," "both over," "without apron," and "not specified." Ultimately, the scatter plot of "Hp(10) over - Hp(10) under " vs. Hp(10) over was identified as the most promising tool for clarifying the misuse patterns of dosimeters, as individual readings were mapped to the locations of the corresponding subgroups in the obtained graphs. Our results are expected to facilitate efficient and accurate usage of dosimeters by medical workers.

Peony root is an important herbal drug used as an antispasmodic analgesic. To evaluate peony roots with different botanical origin, producing areas, and post-harvest processing, 1H NMR-based metabolomics analysis was employed. Five types of monoterpenoids, including albiflorin (4), paeoniflorin (6), and sulfonated paeoniflorin (25), and six other compounds, including 1,2,3,4,6-penta-O-galloyl-β-d-glucose (18), benzoic acid (21), gallic acid (22), and sucrose (26) were detected in the extracts of peony root samples. Among them, compounds 4, 6, 18, and total monoterpenoids including 21 were quantified by quantitative 1H NMR (qHNMR). Compound 25 was detected in 1H NMR spectra of sulfur-fumigated white peony root (WPR) extracts indicating that 1H NMR was a fast and effective method for identifying sulfur-fumigated WPR. The content of 26, the main factor affecting extract yield, increased significantly in peony root after low-temperature storage for one month, whereas that in WPR did not increase due to the boiling treatment after harvesting. We investigated the impact of preprocessing methods to such analysis for NMR data from commercial samples, resulting that the data matrix transformed from qHNMR spectra and normalized to internal standard were optimum for multivariate analysis. The multivariate analysis demonstrated that among commercial samples derived from P. lactiflora, peony root samples in Japanese market (PR) had high contents of 18 and 22, and red peony root (RPR) samples had high content of monoterpenoids represented by 6; and among RPR samples, those derived from P. veitchii showed higher contents of 18 and 22 than those from P. lactiflora. The 1H NMR-based metabolomics method coupled with qHNMR was useful for evaluation of peony root and would be applicable for other crude drugs.

Study Design: Cross-sectional study.Purpose: We aimed to quantitatively assess bone marrow edema (BME) on magnetic resonance imaging (MRI) for patients with degenerative lumbar diseases.Overview of Literature: BME adjacent to a sclerotic endplate of the lumbar spine, detected using T2-weighted fat-saturated MRI, is closely associated with low back pain in patients with degenerative lumbar diseases. However, currently, there no quantitative evaluation methods for BME adjacent to the vertebral endplate.Methods: Patients with degenerative lumbar diseases, whose MRIs detected BME, were enrolled. On a T2-weighted fat-saturated MRI, BME appeared as a high-intensity region adjacent to the vertebral endplate. We calculated the contrast ratios (CRs) of BME and normal bone marrow using the signal intensities of BME, normal bone marrow, and the spinal cord. On computed tomography, we calculated Hounsfield unit (HU) values in the same area as BME, the sclerotic endplate, and normal bone marrow to assess bone density.Results: There were 16 men and 14 women, with an average age of 73.5 years. The mean CRs of BME and normal bone marrow were −0.015±0.056 and −0.407±0.023, respectively. BME’s CR was significantly higher than that of normal bone marrow (pp

We present a detailed analysis of the velocity structure of the Virgo cluster using {\it XMM-Newton} observations. Using a novel technique which uses uses the Cu K$\alpha$ instrumental line to calibrate the EPIC-pn energy scale, we are able to obtain velocity measurements with uncertainties down to $\Delta v \sim 100$ km/s. We created 2D projected maps for the velocity, temperature, metallicity, density, pressure and entropy with an spatial resolution of 0.25$'$. We have found that in the innermost gas there is a high velocity structure, most likely indicating the presence of an outflow from the AGN while our analysis of the cluster cool core using RGS data indicates that the velocity of the gas agrees with the M87 optical redshift. An overall gradient in the velocity is seen, with larger values as we move away from the cluster core. The hot gas located within the western radio flow is redshifted, moving with a velocity $\sim 331$ km/s while the hot gas located within the eastern radio flow is blueshifted, with a velocity $\sim 258$ km/s, suggesting the presence of backflows. Our results reveal the effects of both AGN outflows and gas sloshing, in the complex velocity field of the Virgo cluster., Comment: 19 pages, 21 figures; This paper is part of a series on the ICM velocity structure using XMM-Newton observations. Related series papers: arXiv:2203.12635, arXiv:2303.17556

Lesch-Nyhan syndrome (LNS) is characterized by frequent oral self-mutilation (OSM). Although various treatments have been suggested, our limited knowledge regarding the exact pathogenic mechanism of self-mutilation in LNS makes it difficult to manage self-injurious behavior and there is a need for novel treatments. Herein, we describe the case of a 11-year-old boy with LNS and OSM who was conservatively treated using S-adenosylmethionine (SAM) and a mouthguard. This resulted in significant improvement in OSM, and the patient remains stable at 16 years old. This case demonstrates that combination treatment with SAM and a mouthguard should be considered for the management of OSM in LNS, as it can maintain the functionality and health of the oral cavity and improve a patient’s quality of life.

Increases in aging populations have raised the number of patients with cervical spinal cord injury (SCI) without fractures due to compression of the cervical spinal cord. In such patients, it is necessary to clarify whether SCI or cervical compressive myelopathy (CCM) is the cause of disability after trauma. This study aimed to clarify the differences in magnetic resonance imaging (MRI) features between SCI and CCM. Overall, 60 SCI patients and 60 CCM patients with intramedullary high-intensity lesions on T2-weighted MRI were included in this study. The longitudinal lengths of the intramedullary T2 high-intensity lesions were measured using sagittal MRI sections. Snake-eye appearance on axial sections was assessed as a characteristic finding of CCM. The T2 values of the high-intensity lesions and normal spinal cords at the first thoracic vertebra level were measured, and the contrast ratio was calculated using these values. The longitudinal length of T2 high-intensity lesions was significantly longer in SCI patients than in CCM patients. Snake-eye appearance was found in 26 of the 60 CCM patients, but not in SCI patients. On both the sagittal and axial images, the contrast ratio was significantly higher in the SCI group than in the CCM group. Based on these results, a diagnostic scale was created. This scale made it possible to distinguish between SCI and CCM with approximately 90% accuracy.

Aims Meniscal injuries are common and often induce knee pain requiring surgical intervention. To develop effective strategies for meniscus regeneration, we hypothesized that a minced meniscus embedded in an atelocollagen gel, a firm gel-like material, may enhance meniscus regeneration through cell migration and proliferation in the gel. Hence, the objective of this study was to investigate cell migration and proliferation in atelocollagen gels seeded with autologous meniscus fragments in vitro and examine the therapeutic potential of this combination in an in vivo rabbit model of massive meniscus defect. Methods A total of 34 Japanese white rabbits (divided into defect and atelocollagen groups) were used to produce the massive meniscus defect model through a medial patellar approach. Cell migration and proliferation were evaluated using immunohistochemistry. Furthermore, histological evaluation of the sections was performed, and a modified Pauli’s scoring system was used for the quantitative evaluation of the regenerated meniscus. Results In vitro immunohistochemistry revealed that the meniscus cells migrated from the minced meniscus and proliferated in the gel. Furthermore, histological analysis suggested that the minced meniscus embedded in the atelocollagen gel produced tissue resembling the native meniscus in vivo. The minced meniscus group also had a higher Pauli’s score compared to the defect and atelocollagen groups. Conclusion Our data show that cells in minced meniscus can proliferate, and that implantation of the minced meniscus within atelocollagen induces meniscus regeneration, thus suggesting a novel therapeutic alternative for meniscus tears. Cite this article: Bone Joint Res 2021;10(4):269–276.

[Background] Owing to the increase in the older population and the increased life span, the number of patients with oral multiple primary carcinomas will increase. Predicting the second and third carcinoma clinically is difficult, and the presence of second or third carcinomas is a factor that determines the prognosis of oral carcinoma. In this study, we examined the clinical features of oral multiple primary carcinomas treated in our department. [Methods] We retrospectively reviewed the medical records of patients with oral squamous cell carcinoma who underwent radical treatment at and were followed by the Department of Oral and Maxillofacial Surgery, Tottori University Hospital from January 2003 to October 2017. [Results] This study included 261 patients: 241 patients had oral single primary carcinoma and 20 patients had oral multiple primary carcinomas. Oral multiple primary carcinomas showed female predilection and occurred more frequently in the lower gingiva and significantly less frequently in the tongue (P < 0.01). Oral multiple primary carcinomas showed a significantly higher recurrence rate (P < 0.01). The 5-year overall survival of oral single primary carcinoma patients was 88.0% compared with 95% for oral multiple primary carcinomas, with no significant difference (log rank test, P = 0.54). However, the 15-year survival rate dropped to 28.1% in oral multiple primary carcinomas. The cumulative disease incidence rates of metachronous second primary carcinoma from first carcinoma at 5 years and 10 years were 3.45% and 5.36%, respectively. [Conclusion] Oral multiple primary carcinomas rarely occur in the tongue. The 5-year survival rate showed no difference between single and multiple carcinoma patients, but over longer observation, the prognosis of multiple carcinoma was poor owing to a high recurrence rate. Because of the high recurrence rate and risk of further metachronous carcinoma in oral multiple primary carcinomas, longer-term follow-up is required.

Study Design: Prospective cohort study.Purpose: To quantitatively evaluate bone marrow edema (BME) in the pedicle on magnetic resonance imaging (MRI) for adolescent athlete patients with spondylolysis.Overview of Literature: Spondylolysis, a stress fracture of the pars interarticularis, is a common occurrence in adolescent athletes with low back pain. T2-weighed fat-saturated MRI is reportedly useful for the detection of BME in the pedicle in the early stage of spondylolysis; however, to our knowledge, the quantitative assessment of BME in spondylolysis has not been reported.Methods: Adolescent athletes with spondylolysis, including those with symptoms of low back pain, were enrolled. The sporting activity of the patients was restricted, and a hard brace was attached to the spine. The BME range of interest was taken on T2-weighed fat-saturated MRI, and the signal intensity (SI) of the BME (SIedema) was measured. The contrast ratio (CR) between the SI of the BME and SI of the spinal cord (SIcord) was calculated per the following formulae: CRedema=(SIedema–SIcord)/(SIedema+SIcord). The CR of the normal pedicle was measured as a control per the following formulae: CRcontrol=(SIcontrol–SIcord)/(SIcontrol+SIcord).Results: The study enrolled 32 men and one woman; the mean patient age was 15.2 years (range, 12–18 years). The average CR of the edema and normal pedicle at the first visit was 0.506 (range, 0.097–0.804) and 0.137 (range, -0.741 to 0.572), respectively. The CR of the edema was significantly higher as compared to that of the normal pedicle (p

We analyzed the cell characteristics, neuroprotective, and transplantation effects of human cranial bone-derived mesenchymal stem cells (hcMSCs) in ischemic stroke model rats compared with human iliac bone-derived mesenchymal stem cells (hiMSCs). The expressions of brain-derived neurotrophic factor (BDNF) and vascular endothelial growth factor (VEGF ) as neurotrophic factors were analyzed in both MSCs. hiMSCs or hcMSCs were intravenously administered into ischemic stroke model rats at 3 or 24 h after middle cerebral artery occlusion (MCAO) and neurological function was evaluated. The survival rate of neuroblastoma × glioma hybrid cells (NG108-15) after 3 or 24 h oxidative or inflammatory stress and the neuroprotective effects of hiMSCs or hcMSCs-conditioned medium (CM) on 3 or 24 h oxidative or inflammatory stress-exposed NG108-15 cells were analyzed. The expressions of BDNF and VEGF were higher in hcMSCs than in hiMSCs. hcMSCs transplantation at 3 h after MCAO resulted in significant functional recovery compared with that in the hiMSCs or control group. The survival rate of stress-exposed NG108-15 was lower after 24 h stress than after 3 h stress. The survival rates of NG108-15 cells cultured with hcMSCs-CM after 3 h oxidative or inflammatory stress were significantly higher than in the control group. Our results suggest that hcMSCs transplantation in the early stage of ischemic stroke suppresses the damage of residual nerve cells and leads to functional recovery through the strong expressions of neurotrophic factors. This is the first report demonstrating a functional recovery effect after ischemic stroke following hcMSCs transplantation.

Intervertebral disc degeneration is assessed clinically by magnetic resonance imaging (MRI). Although some quantitative evaluation methods for MRI under special imaging conditions have been reported, they are widely and generally difficult to use. The aim of this study is to determine if intervertebral disc degeneration can be assessed using the ratio of MRI T2 values of the disc to the spinal cord T2 values.Signal ratio was calculated using the T2 signal intensity of the disc and the spinal cord on MRI under common conditions for a new assessment of disc degeneration. T2-weighted images of 100 patients undergoing MRI twice within a year under different imaging conditions, 1.5 T or less and 3.0 T, were used for the assessment. The T2 signal intensity was measured at the center of the discs at L2-3, L3-4, L4-5, L5-S1 and the spinal cord at T12 level. Signal ratio was calculated using these T2 signal intensity values. The ratio of the difference between the first and second values to the mean of the first and second values was calculated to confirm the equivalence of MRI assessments of disc degeneration in the same patient under different imaging conditions.The equivalence of values between the first MRI and the second MRI in the signal ratio was significantly higher than that in the T2 signal intensity. In addition, the signal ratio was negatively correlated with age and were significantly associated with Pfirrmann grade.By using the signal ratio, disc degeneration can be evaluated by MRI even under different imaging conditions.

XRISM is an X-ray astronomical mission by the JAXA, NASA, ESA and other international participants, that is planned for launch in 2022 (Japanese fiscal year), to quickly restore high-resolution X-ray spectroscopy of astrophysical objects. To enhance the scientific outputs of the mission, the Science Operations Team (SOT) is structured independently from the instrument teams and the Mission Operations Team. The responsibilities of the SOT are divided into four categories: 1) guest observer program and data distributions, 2) distribution of analysis software and the calibration database, 3) guest observer support activities, and 4) performance verification and optimization activities. As the first step, lessons on the science operations learned from past Japanese X-ray missions are reviewed, and 15 kinds of lessons are identified. Among them, a) the importance of early preparation of the operations from the ground stage, b) construction of an independent team for science operations separate from the instrument development, and c) operations with well-defined duties by appointed members are recognized as key lessons. Then, the team structure and the task division between the mission and science operations are defined; the tasks are shared among Japan, US, and Europe and are performed by three centers, the SOC, SDC, and ESAC, respectively. The SOC is designed to perform tasks close to the spacecraft operations, such as spacecraft planning, quick-look health checks, pre-pipeline processing, etc., and the SDC covers tasks regarding data calibration processing, maintenance of analysis tools, etc. The data-archive and user-support activities are covered both by the SOC and SDC. Finally, the science-operations tasks and tools are defined and prepared before launch., Comment: 42 pages, 7 figures, 8 table, Accepted for Publication in JATIS (SPIE)

A surgical ciliated cyst, also referred as a locally aggressive lesion, stems from a prior surgery several years later as a delayed complication. It is reported that the cyst develops after orthognathic surgery. A 25-year-old man who had undergone Le Fort I osteotomy and bilateral intraoral vertical osteotomy of the mandible as treatment for jaw deformities in 2013 was referred to our hospital because of a swelling on the right side of the hard palate. Radiography and cone-beam computed tomography examinations revealed a unilocular cystic lesion in the right maxillary alveolus. All the teeth in the maxillary right quadrant were vital to electric pulp testing. Aspiration with an 18-gauge needle extracted rust-colored mucoid fluid. The lesion was diagnosed to be a maxillary cyst. Under general anesthesia, we removed the osteotomy fixation plates and excised the lesion. Histopathological examination revealed a cyst comprising cellular fibrous connective tissue, mainly lined by stratified squamous epithelium; however, the regions of focal pseudostratified columnar and ciliated epithelium were also present. Surgical ciliated cyst was diagnosed on the basis of histopathological, clinical, and radiographical findings. Although surgical ciliated cysts have sparsely been reported after orthognathic surgery, an increased awareness of such possibility is required to avoid delays in diagnosis. This lesion should always be a part of differential diagnosis of symptomatic patients who, in the past, have undergone antral or maxillary orthognathic surgery.

Purpose The aim of this study was to compare the tumor conspicuity on actual measured diffusion-weighted images (aDWIs) and computed DWI (cDWI) of human breast tumors and to examine, by use of a phantom, whether cDWI improves their conspicuity. Materials and methods We acquired DWIs (b-value 0, 700, 1400, 2100, 2800, and 3500 s/mm2) of 148 women with breast tumors. cDWIs with b-values of 1400, 2100, 2800, and 3500 s/mm2 were calculated from aDWI scans where b = 0 and 700 s/mm2; the tumor signal-to-noise ratio (SNR) was compared at each b-value. We also subjected a phantom harboring a breast tumor and mammary glands to DWI. For reference we used two models. The model with b = 0, 1000, 1500, 2000, 2500, and 3000 s/mm2 was our multiple b-value model. In the single b-value model, we applied b = 0 and 1000 s/mm2 and changed the number of excitations (NEX). cDWIs were generated at b = 0 and 1000 and used to compare the SNR, the contrast ratio (CR), and the contrast-to-noise ratio (CNR). Results In the phantom study, the CNR of cDWI generated from high SNR images obtained at lower b-values and a high NEX was outperformed aDWI. However, the CR and CNR on cDWI obtained using the same scanning parameters were inferior to aDWI scans. Similarly, in the clinical study, breast tumor conspicuity was worse on high b-value cDWIs than aDWIs. Conclusion To improve tumor conspicuity on cDWI, the quality of the source images must be improved. It may easily cause inferior conspicuity to aDWIs if high b-value cDWIs were generated from insufficient SNR images.

Vertebral endplate lesion (EPL) caused by severe disc degeneration is associated with low back pain. However, there is no suitable animal model to elucidate the pathophysiology of EPL. This study aimed to develop a rat model of EPL and evaluate rat behavior and imaging and histological findings.The L4-5 intervertebral discs of Sprague-Dawley rats were transperitoneally removed, except for the outer annulus fibrosus and cartilage endplate, in the EPL group. The L4-5 discs were not removed and simply exposed in the sham group. Changes around the vertebral endplate on magnetic resonance imaging (MRI) and computed tomography (CT) were evaluated. Additionally, pain-related behavioral and histological assessments were performed.In the EPL group, a low-signal area around the vertebral endplate was observed on T1-weighted and T2-weighted fat-saturated MRI at 8 weeks or later after surgery. In the same group, CT showed osteosclerosis around the vertebral endplate at 12 weeks after surgery. The sham group did not show abnormal imaging features on the MRI and CT. Behavioral evaluation showed that the EPL group had a significantly longer grooming time than the sham group. Conversely, the 12-week postoperative locomotion time and the 1- and 12-week postoperative standing times were significantly shorter in the EPL group than in the sham group. Histological evaluation showed a high degree of vertebral endplate degeneration and an increased number of osteoclasts and proportion of nerve fibers expressing calcitonin gene-related peptide in the EPL group compared to those in the sham group.Our rat EPL model showed pain-related behavioral patterns and an increased expression of pain-related neuropeptide. This model could contribute to the study of the pathophysiology of EPL and will help in the treatment of low back pain in the future.

We attempted to conduct an intraspecific analysis of 30 peony cultivars in Japan and to authenticate five herbal medicine samples derived from Paeoniae Radix by polymorphism analysis of the TEOSINTE BRANCHED1, CYCLOIDEA, and PCF (TCP) gene region. We focused on cultivar-dependent differences in leaf margin undulation and analyzed the sequence of the related TCP gene region. As a result, we found that the nucleotide sequences of 29 cultivars of Paeonia lactiflora except 'America' exhibit interspecific variations compared with the nucleotide sequences of Paeonia suffruticosa and Paeonia tenuifolia. Therefore, in the dendrogram constructed on the basis of the sequence similarity in the TCP gene region, the 29 cultivars of P. lactiflora were separated from P. suffruticosa, P. tenuifolia, and 'America', and clustered into three subgroups. There were 16 variations containing heterogenous DNA sequences within P. lactiflora species, and two characteristic variations in subgroup I. Some P. lactiflora cultivars showed the same nucleotide sequence in the TCP gene region, whereas the five herbal medicine samples showed different sequences, although all of them could be authenticated. The results suggest that Paeoniae Radix in the Japanese crude drug market can be authenticated by analysis of the TCP gene region.

The XRISM is the astronomical mission to perform the high-resolution X-ray spectroscopy of astrophysical objects using the micro-calorimeter array. In order to enhance the scientific outputs of the mission, the science operations team (SOT) is structured with responsibilities of the spacecraft planning, data processing and distributions, development and maintenance of analyses software and calibration database, and users’ supports. The operation concepts are established based on lessons learned from past X-ray missions. The SOT consists of the Science Operations Center at JAXA and the Science Data Center at NASA. Details of science operations plan and preparation status on SOC are summarized.

The X-Ray Imaging and Spectroscopy Mission, XRISM, is scheduled to launch in 2022, with the goal of building on the brief successes of the ASTRO-H (Hitomi) mission, and recovering the prime science objective to solve outstanding astrophysical questions using high resolution X-ray spectroscopy. The XRISM Science Operations Team (SOT), consists of the JAXA-led Science Operations Center (SOC) and NASA-led Science Data Center (SDC) that work together to optimize the scientific output from the Resolve high-resolution spectrometer and the Xtend wide-field imager through planning and scheduling observations, processing and distribution of data, development and distribution of software tools and the calibration database (CaldB), user support, and support of ground and in-flight calibration. Here, we summarize the roles and responsibilities of the SDC, and the current status and future plans, covering scheduling software, software and CalDB production and release, data transmission and processing pipeline, and simulation and other post-pipeline analysis tools. Resolve poses particular challenges due to its unprecedented combination of high spectral resolution and throughput, broad spectral coverage, and relatively small field-of-view and large pixel-size; and, we highlight those challenges.