Ultra-low-loss nanofiber Fabry-Perot cavities optimized for cavity quantum electrodynamics.

We demonstrate the fabrication of ultra-low-loss, all-fiber Fabry-Perot cavities that contain a nanofiber section, optimized for cavity quantum electrodynamics. By continuously monitoring the finesse and fiber radius during the fabrication of a nanofiber between two fiber Bragg gratings, we were able to precisely evaluate taper transmission as a function of radius. The resulting cavities have an internal round-trip loss of only 0.31% at a nanofiber waist radius of 207 nm, with a total finesse of 1380, and a maximum expected internal cooperativity of ∼1050 for a cesium atom on the nanofiber surface. Our ability to fabricate such high-finesse nanofiber cavities may open the door for the realization of high-fidelity scalable quantum networks.

Autoimmune arthritis deteriorates bone quantity and quality of periarticular bone in a mouse model of rheumatoid arthritis.

This study showed that autoimmune arthritis induces especially severe osteoporosis in the periarticular region adjacent to inflamed joints, suggesting that arthritis increases the fragility fracture risk near inflamed joints, which is frequently observed in patients with RA. INTRODUCTION: Periarticular osteoporosis near inflamed joints is a hallmark of early rheumatoid arthritis (RA). Here we show that rheumatic inflammation deteriorates the bone quality and bone quantity of periarticular bone, thereby decreasing bone strength and toughness in a mouse model of RA. METHODS: Female BALB/c mice and SKG mice, a mutant mouse model of autoimmune arthritis on the BALB/c background, were used. At 12 weeks of age, BALB/c mice underwent either Sham surgery or bilateral ovariectomy (OVX), and SKG mice underwent intraperitoneal injection of mannan to induce arthritis. Eight weeks later, the mice were killed and the femurs and tibias were subjected to micro-computed tomography, Fourier transform infrared (FTIR) spectroscopic imaging, X-ray diffraction, histology, and mechanical testing. RESULTS: SKG mice developed significant trabecular bone loss in both the distal metaphysis of the femur and the lumbar vertebral body, but the extent of the bone loss was more severe in the distal metaphysis. Neither SKG nor OVX mice exhibited changes in the geometry and matrix properties of the diaphysis of the femur, whereas SKG mice, but not OVX mice, did exhibit changes in these properties in the distal metaphysis of the femur. Bone strength and fracture toughness of the distal metaphysis of the tibia adjacent to the inflamed ankle joint were significantly decreased in SKG mice. CONCLUSIONS: Autoimmune arthritis induces periarticular osteoporosis, characterized by deterioration of cortical bone geometry and quality as well as by trabecular bone loss, leading to severe bone fragility in periarticular bone adjacent to inflamed joints.

Efficacy and safety of osteoporosis medications in a rat model of late-stage chronic kidney disease accompanied by secondary hyperparathyroidism and hyperphosphatemia.

This study showed that bisphosphonate was safe and effective for the treatment of bone disorders in stage 4 chronic kidney disease (CKD) rats. Intermittent teriparatide therapy showed an anabolic action on bone even under secondary hyperparathyroidism conditions without having an adverse effect on mineral metabolism in late-stage CKD. INTRODUCTION: Patients with late-stage CKD are at high risk for fragility fractures. However, there are no consensus on the efficacy and safety of osteoporosis medications for patients with late-stage CKD. In the present study, we aimed to examine the efficacy and safety of alendronate (ALN) and teriparatide (TPD) for treating bone disorder in late-stage CKD with pre-existing secondary hyperparathyroidism using a rat model of CKD. METHODS: Male 10-week-old Sprague-Dawley rats were subjected to a 5/6 nephrectomy or sham surgery and randomized into the following four groups: sham, vehicle (saline subcutaneous (sc) daily), ALN (50 µg/kg sc daily), and TPD (40 µg/kg sc daily). Medications commenced at 24 weeks of age and continued for 4 weeks. Micro-computed tomography, histological analysis, infrared spectroscopic imaging, and serum assays were performed. RESULTS: Nephrectomized rats developed hyperphosphatemia, secondary hyperparathyroidism (SHPT), and high creatinine, equivalent to CKD stage 4 in humans. ALN suppressed the bone turnover and increased the degree of mineralization in cortical bone, resulting in an improvement in the mechanical properties. TPD further increased the bone turnover and significantly increased the degree of mineralization, micro-geometry, and bone volume, resulting in a significant improvement in the mechanical properties. Both ALN and TPD had no adverse effect on renal function and mineral metabolism. CONCLUSIONS: BP is safe and effective for the treatment of bone disorders in stage 4 CKD rats. Intermittent TPD therapy showed an anabolic action on bone even under SHPT conditions without having an adverse effect on mineral metabolism in late-stage CKD.

Occurrence of adverse events caused by valganciclovir as pre-emptive therapy for cytomegalovirus infection after allogeneic stem cell transplantation is reduced by low-dose administration.

BACKGROUND: Pre-emptive therapy with valganciclovir (VGCV) has become the standard therapy for preventing cytomegalovirus (CMV) infection after allogeneic hematopoietic stem cell transplantation (HSCT). The effectiveness of low-dose VGCV (900 mg per day) has been shown to be equal to that of standard-dose VGCV (900 mg twice daily); however, individualized optimal dosing and toxicity of VGCV have not been reported. METHODS: We conducted a retrospective study to evaluate the optimal dose of VGCV as pre-emptive therapy for preventing CMV infection by comparing the frequency of adverse events (AEs) and clinical efficacy in a low-dose VGCV group with those in a standard-dose VGCV group. Thirty-eight patients who were administered VGCV because of CMV antigenemia after HSCT were analyzed. RESULTS: Neutropenia (standard-dose group: 33%, low-dose group: 15%, P = 0.26) and thrombocytopenia (standard-dose group: 39%, low-dose group: 15%, P = 0.14) were frequent AEs of VGCV, and a significantly higher frequency of overall AEs was detected in the standard-dose group than in the low-dose group (P < 0.01). In comparison of dosage based on weight, dosage of VGCV >27 mg/kg was closely related to onset of AEs (P = 0.04). CONCLUSIONS: Low-dose VGCV was not inferior in clinical efficacy, including clearance rate of CMV antigenemia and incidence of consequent CMV disease, to standard-dose VGCV as was previously reported. Initial low-dose VGCV for pre-emptive CMV therapy markedly reduces hematologic toxicity and has clinical efficacy equivalent to that of standard-dose VGCV. It is therefore reasonable for patients, except for noticeably overweight patients, to be given initial low-dose VGCV.

Prospective study of deep vein thrombosis in patients with spinal cord injury not receiving anticoagulant therapy.

STUDY DESIGN: Prospective cross-sectional study. OBJECTIVES: To investigate the timing of deep vein thrombosis (DVT) onset secondary to spinal cord injury without anticoagulant therapies. SETTING: Spinal Cord Injury Center in Hokkaido, Japan. METHODS: Between November 2012 and June 2013, patients with spinal cord injury who were admitted to our hospital within 1 day after the injury and treated surgically within 24 h underwent a neurological examination, leg vein ultrasonography and D-dimer test 1, 3, 7, 14 and 28 days after surgery. All patients received treatment with intermittent pneumatic compression and elastic stockings, but without any anticoagulant. RESULTS: DVT developed in 12 patients (11 men and 1 women), with a mean age of 62.2 years (range, 41-80 years; mean age of total sample, 63.2 years (range, 25-78 years)), all distal to the popliteal vein. DVT occurred more often with a more severe paralysis (66.3%, AIS A and B). The median (± standard error) length of time from the operation to DVT detection was 7.5±2.2 days. The mean D-dimer level upon DVT detection was 14.6±11.8 µg ml(-1), with no significant differences between those who developed DVT and those who did not at any of the time points. CONCLUSION: These results suggest that DVT can develop at the very-acute stage of spinal cord injury and the incidence increases with a more severe paralysis. DVT detection was more reliable with ultrasonography, which should be used with DVT-preventive measures, beginning immediately after the injury, for the management of patients with spinal cord injury.

Hepatitis B virus (HBV) reverse seroconversion (RS) can be prevented even in non-responders to hepatitis B vaccine after allogeneic stem cell transplantation: long-term analysis of intervention in RS with vaccine for patients with previous HBV infection.

BACKGROUND: Reactivation of hepatitis B virus (HBV) infection, reverse seroconversion (RS), is a serious complication after allogeneic stem cell transplantation (alloHSCT). We previously conducted a post-transplant hepatitis B vaccine intervention trial and demonstrated the vaccine efficacy in preventing HBV-RS. This report is an update of the hepatitis B vaccine study. METHODS: In this trial, 21 patients were enrolled and received a standard 3-dose regimen of hepatitis B vaccine after discontinuation of immunosuppressants, whereas 25 transplant recipients with previous HBV infection did not receive the vaccine and served as controls. RESULTS: None of the 21 patients in the vaccine group developed HBV-RS and 12 controls developed HBV-RS in median follow-up periods of 60 months (range 13-245). HBV vaccine resulted in a positive value of hepatitis B surface antibody (HBsAb) titer in 9 patients, while HBsAb remained negative in 12 patients. Presence of a high titer of HBsAb before vaccination was associated with conversion into HBsAb positivity after vaccination. CONCLUSION: These results demonstrated the long-term effects of HBV vaccine for preventing HBV-RS after alloHSCT. Of note, no HBV-RS occurred, even in patients who did not achieve conversion into HBsAb positivity after vaccination.

Clinical impact of cycling the administration of antibiotics for febrile neutropenia in Japanese patients with hematological malignancy.

Despite the availability of newer classes of antibiotics, infection with multi-drug-resistant bacteria is a serious problem. To suppress the appearance of multi-drug-resistant bacteria and to avoid severe infection derived from febrile neutropenia (FN), we conducted cycling the administration of antibiotics for FN in patients with hematological malignancy. The treatment protocol consisted of the administration of four antibiotics each for 3 months in 1 year. The above regimen was repeated for 4 years. A total of 193 patients were registered in the protocol. The mean duration of the administration of cycling antibiotics was 5.9 days (range: 1-16 days). The frequency of FN before the study and during the study was unchanged until the third year, but decreased significantly in the fourth year. The frequency of detection of multi-drug-resistant bacteria in the first year was the same as that before the study was started, but dramatically decreased after the second year. Bacteriological treatment success rates were similar in each trimester and each year. The effective rate was not statistically different in each trimester and each year. We conclude that cycling the administration of antibiotics in patients with FN is useful for suppressing the appearance of multi-drug-resistant bacteria and for obtaining excellent clinical efficacy.

Increased risk of bacterial infection after engraftment in patients treated with allogeneic bone marrow transplantation following reduced-intensity conditioning regimen.

Although bacterial infection is a major cause of death even after reduced-intensity conditioning (RIC) for allogeneic stem cell transplantation (SCT), little is known about the epidemiology and risk factors. The incidence of bacterial infection in 43 patients who received allogeneic bone marrow transplantation (BMT) using a RIC regimen was compared with that in 68 patients who received BMT using a myeloablative conditioning regimen, and risk factors for bacterial infection were identified. Before engraftment, incidences of febrile neutropenia (FN) and documented infections (DI) were significantly decreased in RIC patients (FN: 59.5% vs. 89.6%, P<0.01, DI: 4.8% vs. 17.9%, P<0.01). However, incidence of bacterial infection was significantly increased in RIC patients in the post-engraftment phase (53.8% vs. 11.1%, log-rank, P<0.01). Blood stream was the most frequent focus of infection in both groups. In multivariate analysis, RIC and acute graft-versus-host disease were revealed to be significant risk factors for bacterial infection in this phase. In summary, risk of bacterial infection after engraftment was significantly higher in RIC patients, although infection was decreased before engraftment, and we need to develop a RIC-specific strategy against bacterial infection after RIC SCT.

Minimally invasive surgical treatment for tuberculous spondylodiscitis.

The authors report the cases of 3 patients with tuberculous spondylodiscitis. All patients suffered from severe back or low back pain. Posterolateral endoscopic debridement and irrigation were performed followed by retention of a drainage tube at the affected sites. Additional puncture and drainage were conducted at the same time when extensive cold abscesses were identified around the paravertebral muscle. All patients experienced immediate pain relief postoperatively. This technique is effective for rapid pain relief and in obtaining neurological resolution for patients in the early stages of tuberculous spondylodiscitis and may also be a good method for preventing further vertebral collapse and kyphotic spinal deformity such as Gibbus vertebrae.

Quantitative analyses of anatomical and electrotonic structures of local spiking interneurons by three-dimensional morphometry in crayfish.

We quantitatively investigated the three-dimensional structure of the dendrites of local spiking interneurons using a confocal laser scanning microscope in the terminal abdominal ganglion of crayfish. We also studied their passive membrane properties electrophysiologically using the single-electrode current clamp techniques to analyze their electrotonic structure. All of the local spiking interneurons examined in this study lacked distinctive axonal structure and had a monopolar cell body that was connected with a fine primary process to a thick main segment. Numerous fine secondary processes projected from the main segment in the ganglionic neuropile. The average anatomical length of a secondary process from the main segment to its terminal was 261.9 +/- 15.2 microm. The average input resistance and membrane time constant of local spiking interneurons, obtained from their voltage responses to intracellular injection of step current pulses in the main segment, were 15.2 +/- 1.6 MOmega and 13.9 +/- 1.9 msec, respectively. Calculation of the electrotonic length of dendritic processes based on morphological and physiological data obtained in this study revealed that the average electrotonic length of secondary processes in local spiking interneurons was significantly longer than in local nonspiking interneurons, although both types of local interneurons showed apparently similar anaxonic structure. The steady-state voltage attenuation factors for the secondary processes of local spiking interneurons were significantly greater than those of local nonspiking interneurons in both centrifugal and centripetal directions. The larger electrotonic structure of local spiking interneurons compared to that of nonspiking interneurons appears to be compensated for by their excitable dendritic membrane.

Quantitative analyses of anatomical and electrotonic structures of crayfish nonspiking interneurons by three-dimensional morphometry.

The three-dimensional structure of premotor nonspiking interneurons in the terminal abdominal ganglion of crayfish have been studied quantitatively by using a confocal laser-scanning microscope. Their passive membrane properties have also been studied electrophysiologically to analyze their electrotonic structure. In either one of the two major morphological types, anterolateral (AL) and posterolateral (PL), that are characterized by different locations of cell bodies in the ganglion, the monopolar cell body is connected with a fine primary process to a thick main segment projecting numerous fine secondary processes. These two types of cells share a common dendritic field in the neuropil, showing similar anatomical characteristics of dendrites. Electrotonic analyses based on the present anatomical and physiological measurements have revealed that the steady-state voltage-attenuation factors for the secondary processes were not statistically different between the AL- and PL-type cells. Comparison between the premotor nonspiking interneurons and an identified sensory nonspiking interneuron, which was studied previously, has revealed that voltage attenuation over secondary processes in both the centripetal and the centrifugal directions was significantly greater in the sensory than in the premotor interneurons, although the anatomical length of each secondary process from its terminal to the main segment was not different between them. Differences in the electrotonic structure between sensory and premotor nonspiking interneurons indicate their different modes of synaptic integration in the control of postsynaptic nerve cells.

Cyclosporin A-induced encephalopathy after allogeneic bone marrow transplantation with prevention of graft-versus-host disease by tacrolimus.

A 21-year-old woman with severe aplastic anemia received an allogeneic bone marrow transplant (allo-BMT) from an HLA-matched and ABO-matched sibling donor after conditioning with cyclophosphamide, rabbit ATG (Lymphoglobuline; Aventis-Pharma), and total lymphoid irradiation. She had a long history of cyclosporin A (CsA) therapy before conditioning. She complained of severe headache and convulsions on day 0, and findings on magnetic resonance images suggested CsA-induced encephalopathy. CsA was immediately stopped, and tacrolimus for prevention of graft-versus-host disease (GVHD) was started on day 2. Hematological engraftment was observed on day 14 without serious GVHD. Prompt diagnosis, replacement of immunosuppressive agents, and careful monitoring of serum drug concentrations are thought to have contributed to the patient's good clinical course, since CsA-induced encephalopathy tends to be recurrent but to improve completely without any sequelae.

Successful allogeneic bone marrow transplantation from an HBV-positive donor into an HBV-positive recipient using lamivudine.

A 21-year-old woman with severe aplastic anemia underwent allogeneic bone marrow transplantation from an HLA-identical sibling donor. The patient also had chronic hepatitis B and the donor was an HBV carrier. To decrease HBV and improve hepatic dysfunction before BMT, the patient had received lamivudine for 6 months. After marrow transfusion, administration of lamivudine was continued to inhibit replication of donor-derived HBV. The patient showed hematological engraftment on day 13 without any serious liver dysfunction. Eight months after BMT, she is now alive and well without chronic liver GVHD or reactivation of hepatitis B. HBV-DNA was not detected in the patient's serum. Administration of lamivudine to a BMT recipient with chronic hepatitis B may be a safe and promising way to prevent fatal liver dysfunction in the setting of allogeneic BMT, even in the event of BMT from an HBV-positive donor.

Physiological and morphological characterization of anaxonic non-spiking interneurons in the crayfish motor control system.

Spike activation of the motoneurons innervating uropod muscles in crayfish is controlled by anaxonic interneurons located within the terminal (the 6th abdominal) ganglion. These neurons do not generate spikes either spontaneously at the resting potential level or in response to current injection of either polarity. Yet the change in the membrane potential of these non-spiking interneurons caused an increase or decrease in the discharge frequency of motoneuron spikes, depending upon the direction of the membrane potential change. These non-spiking interneurons within the terminal ganglion presumably integrate various descending command signals and select the adequate information to be gated to the motoneurons.

Neuronal mechanisms underlying the facilitatory control of uropod steering behaviour during treadmill walking in crayfish. I. Antagonistically regulated background excitability of uropod motoneurones

One of the postural reflexes of crayfish, the uropod steering response, is elicited by specific sensory inputs while the animal is walking. It is not elicited, however, by the same inputs when the animal is at rest. To clarify the neuronal mechanisms underlying this facilitatory control of body posture in the active animals, we used intracellular recordings to analyse the synaptic activities of uropod motor system neurones in an unanaesthetized whole-animal preparation. Several uropod motoneurones were found to receive sustained depolarizing inputs during walking, whereas the walking leg motoneurones sampled always showed rhythmic activity. The membrane conductance of the uropod motoneurones increased during the sustained synaptic activity. Premotor nonspiking interneurones showed depolarizing or hyperpolarizing membrane potential changes during walking that were also accompanied by increases in membrane conductance. Some of these interneurones enhanced uropod motoneurone activity, whereas others suppressed it during walking. These results suggest that the background excitability of uropod motoneurones is kept at an intermediate level during walking by the antagonistic inputs from premotor nonspiking interneurones so that the uropod motor system can be responsive to both further excitatory and inhibitory inputs resulting from postural changes.

Neuronal mechanisms underlying the facilitatory control of uropod steering behaviour during treadmill walking in crayfish. II. Modulation Of uropod motoneurone excitation by leg proprioception

The synaptic activities underlying the uropod steering behaviour of crayfish evoked by tilting the substratum beneath the legs have been studied intracellularly in unanaesthetized animals standing or walking on a treadmill. The uropod motoneurones showed little or no synaptic response when the treadmill was tilted while the animal was in a quiescent state and the membrane potential was at its resting value. When the same stimulus was given while the animal was walking or in an active stance on the treadmill, the motoneurones showed transient much-enhanced excitatory or inhibitory responses to tilt, depending on the tilt direction. These responses were superimposed on a sustained level of background excitation so that the spike activity of the motoneurones either increased or decreased. Premotor nonspiking interneurones also showed little or no synaptic response to the tilt stimulus while the animal was resting, but greatly enhanced responses, in either a depolarizing or a hyperpolarizing direction, while the animal was walking or in the active-standing state. The results indicate that the proprioceptor inputs converging onto the uropod motoneurones, either directly or through premotor nonspiking interneurones, are gated not only in the uropod motor system in the terminal abdominal ganglion but also at as yet unidentified sites upstream in anterior ganglia, thus suggesting multiple gate control of the descending proprioceptor pathway.

Sensory control mechanisms of the uropod equilibrium reflex during walking in the crayfish Procambarus clarkii

The temporal characteristics of statocyst and leg proprioceptive inputs to the uropod motor system were investigated in crayfish using behavioural and electromyographic analyses to elucidate their functional roles in the control of the uropod steering response under natural conditions. When the animal, which was suspended in the air without a footboard, was actively extending its abdomen, prolonged stimulation of the statocysts by body rolling elicited a maintained asymmetrical configuration of the bilateral uropods. Prolonged stimulation of the walking legs by footboard tilting with the animal body held in the upright position elicited a transient uropod response. When the treadmill was tilted while the animal was walking on it in the upright position, the uropods showed the same transient response. However, when the animal body was rolled, together with the treadmill, while the animal was walking on it, the uropods showed a transient response which was reversed in direction compared with that observed during body rolling without a footboard. This transient response was abolished by the removal of the statoliths. The results show that the statocysts and leg proprioceptors exert sustained and transient control effects, respectively, on the uropod motor system during walking. It is also suggested that the uropod response to body rolling during walking is controlled primarily by leg proprioceptor signals which result from statocyst-induced changes in the leg position.

Motor pattern changes during central compensation of eyestalk posture after unilateral statolith removal in crayfish.

Electromyographic recording was used to study how the activity of the eyestalk motor system is modified during the recovery of eyestalk posture following unilateral statolith removal in crayfish Procambarus clarkii Girard. Intact animals showed bilaterally balanced activity of the muscle 12 (eyecup-up muscle) in the upright body position. Body rolling caused an increase in the muscle activity on the lowered side and a decrease on the lifted side. Unilateral statolith removal caused imbalance in the bilateral muscle activity in the upright body position: the muscle 12 activity decreased tonically on the operated side and increased on the opposite side. Body rolling of the operated animal caused an increase in the muscle activity from the unbalanced level on the lowered side and a decrease on the lifted side. When the operated animal recovered its original symmetrical posture of eyestalks 14 days after operation, the muscle activity was found on both sides to return to the previous level observed before statolith removal, regardless of the post-operative condition in which the animal was maintained. In those animals that did not recover the original eyestalk posture, the unbalanced activity of bilateral muscles that was caused by unilateral statolith removal remained unchanged. The results indicate that the recovery of eyestalk posture is based on restoration of the original activity balance, rather than on fixation of the operation-induced activity imbalance, among bilaterally homologous sets of muscles in the course of central compensation.

Catalytic determination of silver(I) by extractive flow injection analysis.

A new catalytic method for the determination of silver(I) was developed based on a metal exchange reaction between ethylenediaminetetraacetatomercury(II) (Hg(II)-EDTA) in the aqueous phase and bis(diethyldithiocarbamato)copper(II) (Cu(II)-DDTC) in the organic phase. This exchange reaction (Cu(II)-DDTC(org)+Hg(II)-EDTA-->Hg(II)-DDTC(org)+Cu(II)-EDTA, where org denotes the organic phase) was observed to proceed slowly and the Cu(II)-DDTC complex transferred quantitatively to Hg(II)-complex in the organic phase in the equilibrium state. In this system, silver(I) acts as the catalyst and can be determined by measuring the decrease in the absorbance of the Cu(II)-DDTC complex (lambda(max)=435 nm). The reaction was applied to the extractive flow injection analysis of silver(I). The present method allows the determination of silver(I) at 10(-7) mol dm(-3) level with the sampling frequency of 30 h(-1). The relative standard deviation of 0.28% (n=10) was obtained at 4.0x10(-7) mol dm(-3) of silver(I).

The mechanism of action of piperacillin-analogues in vitro; effect of the carbon number at the N-4 position of 2,3-dioxopiperazine on the outer membrane permeability, stability to beta-lactamase and binding affinity to penicillin-binding proteins.

The relationship between the chemical structure and the mode of action of piperacillin-analogues (PIPC-analogues) against Escherichia coli and Klebsiella pneumoniae were investigated. The antibacterial activity of PIPC-analogues increased with an increase in the number of carbon atoms at the N-4 position of 2,3-dioxopiperazine. Their mode of action is discussed on the basis of the results of studies on outer membrane permeability, stability to beta-lactamase and binding affinity to penicillin-binding proteins (PBPs). The outer membrane permeability and stability to beta-lactamase were hardly affected by the chain length of the alkyl group at the N-4 position. On the other hand, the affinity to PBPs, especially to PBP 3, became stronger with increase of the number of carbon atoms at N-4 position. These results suggest that increased affinity to PBPs is the main reason for the increased antibacterial activity of the PIPC-analogues reported here.