Reliability and validity of the Japanese version of the Glasgow Edinburgh Throat Scale (GETS-J): Use for a symptom scale of globus sensation.

OBJECTIVE: Globus sensation, a feeling of lump or something stuck in the throat, could be caused by structural, functional, and psychogenic diseases. Due to a possible multifactorial nature of the disease, neither diagnosing test battery nor standard treatment for globus sensation has been established. Therefore, a questionnaire to accurately identify globus patients and evaluate the severity of the disease is desired. Glasgow Edinburgh Throat Scale (GETS) is a 10-item questionnaire about the throat symptoms consisting of three subscales relating to dysphagia, globus sensation, and pain/swelling in the throat. It was reported that globus patients marked high scores specifically for the globus scale among three scales, indicating that GETS can be used as a valid symptom scale for globus sensation. Aims of this study were to translate GETS into Japanese and to test its reliability and validity. METHODS: Fifty-five patients complaining of globus sensation without abnormal endoscopic and CT findings were enrolled into the study. They were asked to answer the questions of GETS translated into Japanese (GETS-J). Reliability (internal consistency) of the questionnaire was tested using Cronbach's coefficient alpha. To test the validity, principal components analysis was used to identify the factorial structure of the questionnaire and GETS-J data were compared with those reported in the original GETS. Contribution of psychiatric comorbidities to globus sensation was also investigated by examining the correlation between Hospital Anxiety and Depression Scale (HADS) and GETS-J. RESULTS: Reliability of the questionnaire examined by the Cronbach's coefficient alpha was satisfactory and all higher than 0.75. Principal components analysis identified following three questions as the globus scale: Q1, Feeling something stuck in the throat; Q5, Throat closing off; Q9, Want to swallow all the time. Somatic distress, i.e., patients' reaction to throat symptoms, was significantly correlated with globus scale (r=0.680). Anxiety component of HADS was significantly correlated with somatic distress but not with globus scale. These results were consistent with those of the original GETS except for the replacement of Q3 (discomfort/irritation in the throat) to Q5 (throat closing off) for globus scale in GETS-J. CONCLUSION: Translation of GETS into Japanese showed high reliability and validity, suggesting that translation and cross-cultural adaptation were not problematic. High correlation of globus scale of GETS-J with somatic distress indicated that GETS-J could be a useful questionnaire to identify the globus patients and evaluate the severity of the disease. Anxiety may complicate the somatic distress in patients with globus sensation.

Mode demultiplexer using angularly multiplexed volume holograms.

This study proposes a volume holographic demultiplexer (VHDM) for extracting the spatial modes excited in a multimode fiber. A unique feature of the demultiplexer is that it can separate a number of multiplexed modes output from a fiber in different directions by using multi-recorded holograms without beam splitters, which results in a simple configuration as compared with that using phase plates instead of holograms. In this study, an experiment is conducted to demonstrate the basic operations for three LP mode groups to confirm the performance of the proposed VHDM and to estimate the signal-to-crosstalk noise ratio (SNR). As a result, an SNR of greater than 20 dB is obtained.

Holographic diversity interferometry for optical storage.

This study proposes holographic diversity interferometry (HDI), a system that combines information from spatially dispersed plural image sensors to reconstruct complex amplitude distributions of light signals. HDI can be used to generate four holographic interference fringes having different phases, thus enabling optical phase detection in a single measurement. Unlike conventional phase-shifting digital holography, this system does not require piezoelectric elements and phase shift arrays. In order to confirm the effectiveness of HDI, we generated optical signals having multilevel phases and amplitudes by using two SLMs and performed an experiment for detection and demodulation with HDI.

Recording schedule for partially coherent hologram multiplexing in a photorefractive medium.

The exposure schedule for partially coherent hologram multiplexing, in which data pages are multiplexed by multiple signal beams and a single reference beam, is investigated in detail for the case of a pi/2 phase-shifted photorefractive medium. We found that the optimum recording schedule for partially coherent multiplexing cannot be determined by the classical recording schedule theory because of time-constant errors induced by partially coherent interaction between a reference beam and self-diffraction signal beams. To overcome the issue, we derive a modified recursion equation that accounts for the time-constant errors, and we also propose a novel iterative recording-schedule correction algorism for finding the optimum solution. In the calculation with hologram multiplicity of 30 and photorefractive coupling strength of 3.0, we could successfully obtain a flat diffraction-efficiency profile after the second recursion.

Nondestructive readout of a photorefractive hologram by phase-conjugate copying in a one-crystal configuration.

We propose a novel phase-conjugate copying method for nondestructive readout of a volatile photorefractive hologram. In the one-crystal configuration, two holographic memories and a mutually pumped phase conjugator (MPPC) are formed within a single photorefractive crystal, instead of using multiple crystals. Two memories share the same hologram and complement each other in refreshing the hologram. A MPPC suppresses fanning noise and automatically aligns the wavefront of the reference and readout beams. We found the optimum configuration to achieve nondestructive readout from calculations and geometric consideration. In the experiments with a BaTiO(3) crystal, a continuous readout of 20 times longer than the recording time was achieved.

Immune cell recruitment following acoustic trauma.

Acoustic trauma induces cochlear inflammation. We hypothesized that chemokines are involved in the recruitment of leukocytes as part of a wound healing response. The cochleas of NIH-Swiss mice, exposed to octave-band noise (8-16 kHz, at 118 dB) for 2h, were examined after the termination of exposure. Leukocytes were identified immunohistochemically with antibodies to CD45 and F4/80. Gene array analysis followed by RT-PCR was performed on cochlear tissue to identify up-regulation of chemokine and adhesion molecule mRNA. The expression of the adhesion molecule ICAM-1 was also investigated immunohistochemically. Few CD45- or F4/80-positive leukocytes were observed in the non-exposed cochlea. Following acoustic trauma however, the number of CD45-positive cells was dramatically increased especially after 2 and 4 days, after which time the numbers decreased. F4/80-positive cells also increased in number over the course of a week. Gene array analysis indicated increased expression of monocyte chemoattractant protein 5 (MCP-5), monocyte chemoattractant protein 1 (MCP-1), macrophage inflammatory protein-1beta (MIP-1beta) and ICAM-1. RT-PCR, performed using primers for the individual mRNA sequences, confirmed the increased expression of MCP-1, MCP-5, MIP-1beta, and ICAM-1 relative to non-exposed mice. In the normal cochlea, ICAM-1 immunohistochemical expression was observed in venules, spiral ligament fibrocytes and in endosteal cells of the scala tympani. Expression increased to include more of the spiral ligament and endosteal cells after acoustic trauma. A cochlear inflammatory response is initiated in response to acoustic trauma and involves the recruitment of circulating leukocytes to the inner ear.