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Consistency between the endoscopic Kyoto classification and pathological updated Sydney system for gastritis: A cross-sectional study.

BackgroundTwo methods are used to evaluate gastritis: the updated Sydney system (USS) with pathology and Kyoto classification, a new endoscopy‐based diagnostic criterion for which evidence is accumulating. However, the consistency of their results is unclear. This study investigated the consistency of their results.MethodsPatients who underwent esophagogastroduodenoscopy and were evaluated for Helicobacter pylori infection for the first time were eligible. The association between corpus and antral USS scores (neutrophil activity, chronic inflammation, atrophy, and intestinal metaplasia) and Kyoto classification scores (atrophy, intestinal metaplasia, enlarged folds, nodularity, and diffuse redness) was assessed.ResultsSeven‐hundred‐seventeen patients (mean age, 49.2 years; female sex, 57.9%; 450 H. pylori ‐positive and 267 H. pylori ‐negative patients) were enrolled. All endoscopic gastritis cases in the Kyoto classification were associated with high corpus and antral USS scores for neutrophil activity and chronic inflammation. A subanalysis was performed for H. pylori ‐positive patients. Regarding atrophy and intestinal metaplasia, endoscopic findings were associated with USS scores. Enlarged folds, nodularity, and diffuse redness were associated with high corpus USS scores for neutrophil activity and chronic inflammation, but with low antral USS scores for atrophy and intestinal metaplasia. The Kyoto classification scores were also associated with the pathological topographic distribution of neutrophil activity and intestinal metaplasia.ConclusionsAmong H. pylori ‐positive individuals, endoscopic and pathological diagnoses were consistent with atrophy and intestinal metaplasia. Enlarged folds, nodularity, and diffuse redness were associated with pathological inflammation (neutrophil activity and chronic inflammation) of the corpus; however, they were inversely associated with pathological atrophy and intestinal metaplasia. The endoscopy‐based Kyoto classification of gastritis partially reflects pathology.

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ブータン王国パロ県の農村集落チュバ及びアツォにおける伝統住居の屋内平面空間構成に関する研究

The original lifestyles in traditional Bhutanese houses are at risk of disappearance due to ongoing rapid modernization. This study aims to understand the spatial organization inside traditional Bhutanese houses through an empirical survey in Paro, Western Bhutan, on the uses of rooms and their names in local Dzongkha language. The research objects were seven traditional houses located in two communities, Chuba and Atsuo, located about seven kilometers north of the urban area of Paro, which is the second-largest city in the western part of the Kingdom of Bhutan. An on-site survey was carried out in the two villages to record the local Dzongkha name and the use of each room. In addition, the basic patterns of spatial organization and the use of each room/space were clarified and classified, and the following information on the characteristics of traditional houses in Atsuo and Chuba was ascertained. 1) The spatial arrangement of the traditional houses is different on each floor. The first floor is a non-residential space, which used to function as a barn for livestock and is now used for purposes such as storage. The living space is above this floor, and the top floor is a drying and storage space for the harvest. 2) The basic spatial organization of the main floor is, in order from the entrance, an intermediate space (Bako in Dzongkha), a living room (Youkha), and the Buddhist family chapel (Choshom) with an inner altar room (Tshamko). The main floor of three-story buildings is on the second level and that of four-story buildings is on the third level. 3) Common among the houses is the fact that the living room (Youkha) sees the most diversity in use and is regarded as the central space of life activities, while the Buddhist family chapel (Choshom) is the spiritual center of the house. The window side in the living room (Youkha) is the primary place for the view, sun and wind, and traditionally had precedence. The layout of the Buddhist family chapel, in which two rooms are joined together with the outer sanctum placed at the room entrance side and the inner sanctum placed at the far end, indicates its significance and high sanctity. 4) The ways of recognizing spaces find their expressions in local Dzongkha names, which differ from room names in English, thus reflecting the difference between cultures. Some names in Dzongkha (e.g., Bako, Youchu and Jabyong) express the placement of the space in the overall spatial organization rather than the room functions, as is the case in English. Also, Dzongkha room names for storage areas differ according to what is stored (e.g., Phung for food storage, Mithu for rice storage and Satao for fodder storage). These spaces/rooms do not have exact English translations, and it would be irrelevant to apply existing English room names to them. This should be noted for understanding the spatial organization, actual use and original characteristics of each room/space in traditional Bhutanese houses, which fostered Bhutanese people for a long time and engrave wisdoms on how to and what is to live in harmony with the environment.

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SARIM PLUS—sample return of comet 67P/CG and of interstellar matter

The Stardust mission returned cometary, interplanetary and (probably) interstellar dust in 2006 to Earth that have been analysed in Earth laboratories worldwide. Results of this mission have changed our view and knowledge on the early solar nebula. The Rosetta mission is on its way to land on comet 67P/Churyumov-Gerasimenko and will investigate for the first time in great detail the comet nucleus and its environment starting in 2014. Additional astronomy and planetary space missions will further contribute to our understanding of dust generation, evolution and destruction in interstellar and interplanetary space and provide constraints on solar system formation and processes that led to the origin of life on Earth. One of these missions, SARIM-PLUS, will provide a unique perspective by measuring interplanetary and interstellar dust with high accuracy and sensitivity in our inner solar system between 1 and 2 AU. SARIM-PLUS employs latest in-situ techniques for a full characterisation of individual micrometeoroids (flux, mass, charge, trajectory, composition) and collects and returns these samples to Earth for a detailed analysis. The opportunity to visit again the target comet of the Rosetta mission 67P/Churyumov-Gerasimeenternko, and to investigate its dusty environment six years after Rosetta with complementary methods is unique and strongly enhances and supports the scientific exploration of this target and the entire Rosetta mission. Launch opportunities are in 2020 with a backup window starting early 2026. The comet encounter occurs in September 2021 and the reentry takes place in early 2024. An encounter speed of 6 km/s ensures comparable results to the Stardust mission.

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