Discrimination of areas infected with coffee leaf rust using a vegetation index

Coffee leaf rust is for the coffee industry potentially one of the causes of a sustainability crisis. Currently, on-site disease detection is the only effective method to fell coffee trees for prevention of the infection. However, accurate infection detection over wide areas is difficult when conducted by ground surveys. Here, we examine the application of a remote sensing method. The Normalized Difference Vegetation Index (NDVI) values of coffee farms were computed using satellite images and compared with the results of the ground truth. We found that the standard deviation of the NDVI value (σ_NDVI) in damaged farms increases as the average NDVI value decreases. This fact implies that the disease progresses in-homogeneously inside a damaged area. In the present analysis, up to 94.1% of the damaged farms were discriminated by combining the NDVI and σ_NDVI thresholds when 75.0% of the damaged farms had NDVI values under 0.732 and σ_NDVI over 0.044. Our monitoring method enabled us to take early-stage countermeasures against the infection, and it could be applied to other vegetation diseases.     

Rupture of Flexor Tendons After Arthrodesis of the Basal Joint of the Thumb

We report a case of rupture of the flexor tendons to the index finger after arthrodesis of the basal joint of the thumb. The tendons ruptured as a result of the Kirschner wires having penetrated in the carpal tunnel. This unusual complication was treated by tendon graft of the palmaris longus tendon.     

The correlation between toe flexor strength and performance-based measures of physical fitness in the elderly

[Purpose] To examine the correlation between toe flexor strength (TFS) and physical fitness performance measurements and their gender differences in the elderly. [Participants and Methods] Japanese males (n=50) and females (n=121), aged 65–88 years, participated in this study. We measured TFS, handgrip strength (HGS), knee extensor strength (KES), sit-and-reach distance (SR), and functional reach (FR). [Results] The female participants had significantly lower TFS, KES, and HGS than the male participants; however, the female participants had a significantly higher SR than that the male participants. FR was not significantly different between males and females. In males, TFS was significantly correlated with HGS, KES, SR, and FR. In females, TFS had correlations with HGS, KES, and FR; however, no correlation with SR was found. We could observe these correlations even after adjustment for age and body weight. [Conclusion] Elderly male had higher TFS than elderly females. In addition, TFS was correlated with all the physical fitness measurements in the male participants and all the measurements except for SR in the female participants. Gender and aging may explain the inconsistent results between SR and other physical fitness performance measurements.Key words: Toe grip, Aging, Physical fitness     

Genital pyoderma gangrenosum: Report of two cases and published work review of Japanese cases

Pyoderma gangrenosum is an ulcerative skin disorder showing characteristic non‐infectious ulcers and affects the lower extremities in approximately 70% of cases. Pyoderma gangrenosum is commonly associated with systemic diseases such as inflammatory bowel disease, rheumatoid arthritis and hematological malignancies. Herein, we report two cases of Japanese patients diagnosed with genital pyoderma gangrenosum. Case 1 was a 74‐year‐old woman without associated systemic complications, whose skin lesion resembled a squamous cell carcinoma and was limited to the vulva. Case 2 is an 89‐year‐old man, who suffered from myelodysplastic syndrome and acute myeloid leukemia, and presented with penile and leg ulcers mimicking pressure sores. Both cases responded well to systemic steroids. We review 13 genital pyoderma gangrenosum cases (76.9% male; aged 30–89 years) from 1996 to 2012 in Japan, including 11 previously reported cases and the present study's two cases. Four of the 13 genital pyoderma gangrenosum cases had associated systemic diseases and their skin lesions spread to the extragenital areas. Eight of the remaining nine genitalia‐localized pyoderma gangrenosum cases had no associated systemic diseases. In conclusion, genital pyoderma gangrenosum is rare and may be misdiagnosed. It should therefore be considered in cases of refractory genital ulcers. In addition, genitalia‐localized pyoderma gangrenosum tends to be without systemic complications.