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Antarctic Radiosonde Observations Reduce Uncertainties and Errors in Reanalyses and Forecasts over the Southern Ocean:An Extreme Cyclone Case

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Advances in Atmospheric Sciences 2020年第5期37卷 431-440页

作者： Kazutoshi SATO Jun INOUE Akira YAMAZAKI Naohiko HIRASAWA konosuke sugiura Kyohei YAMADA Kitami Institute of Technology Kitami 090-8507Japan Application Laboratory Japan Agency for Marine-Earth Science and TechnologyYokohama 236-0001Japan National Institute of Polar Research Tachikawa 190-8518Japan SOKENDAI(Graduate University for Advanced Studies) Hayama 240-0193Japan University of Toyama Toyama 930-8555Japan

Cyclones with strong winds can make the Southern Ocean and the Antarctic a dangerous environment.Accurate weather forecasts are essential for safe shipping in the Southern Ocean and observational and logistical operations at Antarctic research stations.This study investigated the impact of additional radiosonde observations from Research Vessel"Shirase"over the Southern Ocean and Dome Fuji Station in Antarctica on reanalysis data and forecast experiments using an ensemble data assimilation system comprising the Atmospheric General Circulation Model for the Earth Simulator and the Local Ensemble Transform Kalman Filter Experimental Ensemble Reanalysis,version 2.A 63-member ensemble forecast experiment was conducted focusing on an unusually strong Antarctic cyclonic event.Reanalysis data with(observing system experiment)and without(control)additional radiosonde data were used as initial values.The observing system experiment correctly captured the central pressure of the cyclone,which led to the reliable prediction of the strong winds and moisture transport near the coast.Conversely,the control experiment predicted lower wind speeds because it failed to forecast the central pressure of the cyclone adequately.Differences were found in cyclone predictions of operational forecast systems with and without assimilation of radiosonde observations from Dome Fuji Station.

关键词： radiosonde data assimilation TIGGE Antarctica weather forecast

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Comparison of decompression tubes with metallic stents for the management of right-sided malignant colonic obstruction

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World Journal of Gastroenterology 2019年第16期25卷 1975-1985页

作者： Yoshiyuki Suzuki konosuke Moritani Yuki Seo Takayuki Takahashi Department of Surgery Ashikaga Red Cross HospitalTochigi 326-0843Japan

BACKGROUND Emergency surgical resection is a standard treatment for right-sided malignant colonic obstruction; however, the procedure is associated with high rates of mortality and morbidity. Although a bridge to surgery can be created to obviate the need for emergency surgery, its effects on long-term outcomes and the most practical management strategies for right-sided malignant colonic obstruction remain unclear.AIM To determine the appropriate management approach for right-sided malignant colonic obstruction.METHODS Forty patients with right-sided malignant colonic obstruction who underwent curative resection from January 2007 to April 2017 were included in the study.We compared the perioperative and long-term outcomes of patients who received bridges to surgery established using decompression tubes and those created using self-expandable metallic stents(SEMS). The primary outcome was the overall survival duration(OS) and the secondary endpoints were the diseasefree survival(DFS) duration and the preoperative and postoperative morbidity rates. Analysis was performed on an intention-to-treat basis.RESULTS There were 21 patients in the decompression tube group and 19 in the SEMS group. There were no significant differences in the perioperative morbidity rates of the two groups. The OS rate was significantly higher in the decompression tube group than in the SEMS group(5-year OS rate; decompression tube 79.5%,SEMS 32%, P = 0.043). Multivariate analysis revealed that the bridge to surgery using a decompression tube was significantly associated with the OS(hazard ratio, 17.41; P = 0.004). The 3-year DFS rate was significantly higher in thedecompression tube group than in the SEMS group(68.9% vs 45.9%; log-rank test,P = 0.032). A propensity score–adjusted analysis also demonstrated that the prognosis was significantly better in the decompression tube group than in the SEMS group.CONCLUSION The bridge to surgery using trans-nasal and trans-anal decompression tubes for right-sided malignant colonic obstruction is saf

关键词： Right-sided colon cancer Large bowel obstruction Self-expandable metallic stent Trans-anal tube Trans-nasal tube

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Follow-up outcomes in patients with negative initial colon capsule endoscopy findings

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World Journal of Gastrointestinal Endoscopy 2021年第10期13卷 502-509页

作者： konosuke Nakaji Mitsutaka Kumamoto Mikiko Yodozawa Kazuki Okahara Shigeo Suzumura Yukinori Nakae Endoscopy Center Aishinkai Nakae HospitalWakayama-shi 640-8461WakayamaJapan Internal Medicine Japanese Red Cross Urakawa HospitalHigashichochinomiUrakawagun Urakawacho 057-0007HokkaidoJapan

BACKGROUND Colon capsule endoscopy(CCE),which became clinically applicable in 2006,is a simple and noninvasive procedure to evaluate colonic diseases;the accuracy of second-generation CCE,introduced in 2009,has dramatically improved.Currently,CCE is used as an alternative method for colorectal cancer screening,as well as for evaluating the mucosal lesions of inflammatory bowel disease,in cases where performing colonoscopy(CS)is difficult.However,the outcomes of CCE are uncertain.AIM To investigate the outcomes of Japanese patients with negative findings(no polyps or colorectal cancer)on initial CCE.METHODS This retrospective,single-center study was conducted at the Endoscopic Center at Aishinkai Nakae Hospital.This study included patients who underwent continuous CCE between November 2013 and August 2019,that exhibited no evidence of polyps or colorectal cancer at the initial CCE,and could be followed up using either the fecal immunochemical test(FIT),CS,or CCE.The observational period,follow-up method,presence or absence of polyps and colorectal cancer,pathological diagnosis,and number of colorectal cancer deaths were evaluated.RESULTS Thirty-one patients(mean age,60.4±15.6 years;range,28–84 years;14 men and 17 women)were enrolled in this study.The reasons for performing the first CCE were screening in 12,a positive FIT in six,lower abdominal pain in nine,diarrhea in two,and anemia in two patients.The mean total water volume at the time of examination was 3460±602 mL(2250–4800 mL),and a total CS was performed in 28 patients(90%).The degree of cleanliness was excellent in 15 patients and good in 16,and no poor cases were observed.No adverse events,such as retention or capsule aspiration,were observed in any of the patients.The mean follow-up period was 3.1±1.5 years(range,0.3–5.5 years).Follow-up included FIT in nine,CS in 20,and CCE in four patients(including duplicate patients).The FIT was positive in two patients,while CS revealed five polyp lesions(three in the ascending colon,one in the transverse colon,and

关键词： Colon capsule endoscopy Negative findings Observation Colorectal polyps Colorectal cancer Colorectal cancer death

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Castor oil as booster for colon capsule endoscopy preparation reduction: A prospective pilot study and patient questionnaire

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World Journal of Gastrointestinal Pharmacology and Therapeutics 2021年第4期12卷 79-89页

作者： Kota Takashima Yoriaki Komeda Toshiharu Sakurai Sho Masaki Tomoyuki Nagai Shigenaga Matsui Satoru Hagiwara Mamoru Takenaka Naoshi Nishida Hiroshi Kashida konosuke Nakaji Tomohiro Watanabe Masatoshi Kudo Department of Gastroenterology and Hepatology Kindai University Faculty of MedicineOsaka 589-8511Japan Division of Gastroenterology Department of Internal MedicineEndoscopy CenterAishinkai Nakae HospitalWakayama-Shi 640-8461Japan

BACKGROUND Preparation for colon capsule endoscopy(CCE)requires a large liquid laxative volume for capsule excretion,which compromises the procedure's tolerability.AIM To assess the safety and utility of castor oil-boosted bowel preparation.METHODS This prospective cohort study including 20 patients(age range,16-80 years;six men and 14 women)suspected of having colorectal disease was conducted at Kindai University Hospital from September 2017 to August 2019.All patients underwent CCE because of the following inclusion criteria:previous incomplete colonoscopy in other facility(n=20),history of abdominal surgery(n=7),or organ abnormalities such as multiple diverticulum(n=4)and adhesion after surgery(n=6).The exclusion criteria were as follows:Dysphagia,history of allergic reactions to the drugs used in this study(magnesium citrate,polyethylene glycol,metoclopramide,and castor oil),possibility of pregnancy,possibility of bowel obstruction or stenosis based on symptoms,or scheduled magnetic resonance imaging within 2 wk after CCE.The primary outcome was the capsule excretion rate within the battery life,as evaluated by the total large bowel observation rate,large bowel transit time,and bowel creasing level using a fivegrade scale in different colorectal segments.The secondary outcomes were complications,colorectal lesion detection rates,and patients’tolerability.RESULTS The castor oil-based regimen was implemented in 17 patients.Three patients cancelled CCE because they could tolerate castor oil,but not liquid laxatives.The capsule excretion rate within the battery life was 88%(15/17).The mean large bowel transit time was 236 min.Approximately 70%of patients had satisfactory colon cleansing levels.CCE detected colon polyps(14/17,82%)and colonic diverticulum(4/12,33%).The sensitivity,specificity,and diagnostic accuracy rates for detecting colorectal polyps(size≥6 mm)were 76.9%,75.0%,and 76.4%,respectively.The sensitivity,specificity,and diagnostic accuracy rates for detection of diverticulum were 100%each.Twelve patie

关键词： Bowel preparation regimen Castor oil Colon capsule endoscopy Colonoscopy Colorectal diseases Prospective study

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