Treatment outcomes and overactive bladder symptoms after midurethral sling in female patients with or without various neurological diseases.

AIMS: We investigated surgical outcomes and changes of overactive bladder (OAB) symptoms after midurethral sling in female stress urinary incontinence (SUI) patients with or without neurological disease (ND) without spinal cord injury. METHODS: Patients who underwent midurethral sling for SUI between January 2009 and December 2018 were reviewed. Postoperative changes in OAB symptoms (de novo occurrence or resolution) within 1 year were compared in each preoperative symptom subset with a 1:1 matched analysis between non-neurological disease (NND) and ND group. RESULTS: A total of 855 patients (median follow-up: 49.8 months; mean age: 57.9 ± 9.3 years) were included. Successful SUI correction was achieved in 95.0% of NND and 93.7% of ND patients (p = .440). Among 797 patients (711 NND and 86 ND) without remnant SUI, 227 had SUI only, 198 had SUI with urgency, and 372 had mixed urinary incontinence (MUI) preoperatively. The ND patients tended to be older (62.8 ± 9.2 vs. 57.2 ± 9.0 years) and had higher proportions of diabetes (24.4% vs. 8.0%), hypertension (47.7% vs. 26.7%), and MUI (64.0% vs. 44.6%) than NND patients (p < .001, respectively). After matching age, diabetes, and hypertension, the incidence of de novo OAB was higher in ND patients (SUI only; 21.1% vs. 5.3%; p < .001) while resolution rates of urgency urinary incontinence (UUI) were similar (MUI; 57.7% vs. 53.9%; p = .414). CONCLUSIONS: Success rates of midurethral sling and resolution of UUI were comparable between NND and ND patients. In patients with neurological conditions, de novo OAB symptoms were more likely to develop.

A role for the CD38 rs3796863 polymorphism in alcohol and monetary reward: evidence from CD38 knockout mice and alcohol self-administration, [11C]-raclopride binding, and functional MRI in humans.

Background: Cluster of differentiation 38 (CD38) is a transmembrane protein expressed in dopaminergic reward pathways in the brain, including the nucleus accumbens (NAc). The GG genotype of a common single nucleotide polymorphism (SNP) within CD38, rs3796863, is associated with increased social reward.Objective: Examine whether CD38 rs3796863 and Cd38 knockout (KO) are associated with reward-related neural and behavioral phenotypes.Methods: Data from four independent human studies were used to test whether rs3796863 genotype is associated with: (1) intravenous alcohol self-administration (n = 64, 30 females), (2) alcohol-stimulated dopamine (DA) release measured using 11C-raclopride positron emission tomography (n = 22 men), (3) ventral striatum (VS) response to positive feedback measured using a card guessing functional magnetic resonance imaging (fMRI) paradigm (n = 531, 276 females), and (4) resting state functional connectivity (rsfc) of the VS (n = 51, 26 females). In a fifth study, we used a mouse model to examine whether cd38 knockout influences stimulated DA release in the NAc core and dorsal striatum using fast-scanning cyclic voltammetry.Results: Relative to T allele carriers, G homozygotes at rs3796863 within CD38 were characterized by greater alcohol self-administration, alcohol-stimulated dopamine release, VS response to positive feedback, and rsfc between the VS and anterior cingulate cortex. High-frequency stimulation reduced DA release among Cd38 KO mice had reduced dopamine release in the NAc.Conclusion: Converging evidence suggests that CD38 rs3796863 genotype may increase DA-related reward response and alcohol consumption.

Reproducing the hierarchy of disorder for Morpho-inspired, broad-angle color reflection.

The scales of Morpho butterflies are covered with intricate, hierarchical ridge structures that produce a bright, blue reflection that remains stable across wide viewing angles. This effect has been researched extensively, and much understanding has been achieved using modeling that has focused on the positional disorder among the identical, multilayered ridges as the critical factor for producing angular independent color. Realizing such positional disorder of identical nanostructures is difficult, which in turn has limited experimental verification of different physical mechanisms that have been proposed. In this paper, we suggest an alternative model of inter-structural disorder that can achieve the same broad-angle color reflection, and is applicable to wafer-scale fabrication using conventional thin film technologies. Fabrication of a thin film that produces pure, stable blue across a viewing angle of more than 120 ° is demonstrated, together with a robust, conformal color coating.

Magnetoresponsive Photonic Microspheres with Structural Color Gradient.

Photonic Janus particles are created by alternately sputtering silica and titania on microspheres in order to obtain a structural color gradient. In addition, the microspheres are rendered magnetoresponsive. The Janus microspheres with optical and magnetic anisotropy enable on-demand control over orientation and structural color through manipulation of an external magnetic field, thereby being useful as active color pigments for reflection-mode displays.

Stable, Free-space Optical Trapping and Manipulation of Sub-micron Particles in an Integrated Microfluidic Chip.

We demonstrate stable, free-space optical trapping and manipulation in an integrated microfluidic chip using counter-propagating beams. An inverted ridge-type waveguide made of SU8 is cut across by an open trench. The design of the waveguide provides low propagation losses and small divergence of the trapping beam upon emergence from the facet, and the trench designed to be deeper and wider than the optical mode enables full utilization of the optical power with an automatic alignment for counter-propagating beams in a trap volume away from all surfaces. After integration with polydimethylsiloxane (PDMS) microfluidic channel for particle delivery, 0.65 µm and 1 µm diameter polystyrene beads were trapped in free space in the trench, and manipulated to an arbitrary position between the waveguides with a resolution of < 100 nm. Comparison with numerical simulations confirm stable trapping of sub-micron particles, with a 10 kBT threshold power of less than 1 mW and a stiffness that can be 1 order of magnitude larger than that of comparable fiber-based trapping methods.

Remote sensing of pressure inside deformable microchannels using light scattering in Scotch tape.

We present a simple but effective method to measure the pressure inside a deformable microchannel using laser scattering in a translucent Scotch tape. Our idea exploits the fact that the speckle pattern generated by a turbid layer is sensitive to the changes in the optical wavefront of an impinging beam. A change in the internal pressure of a channel deforms the elastic channel, which can be detected by measuring the speckle patterns of a coherent laser beam that has passed through the channel and the Scotch tape. We demonstrate that with a proper calibration, internal pressure can be remotely sensed with the resolution of 0.1 kPa within a pressure range of 0-3 kPa after calibration.

Ultra sub-wavelength surface plasmon confinement using air-gap, sub-wavelength ring resonator arrays.

Arrays of sub-wavelength, sub-10 nm air-gap plasmonic ring resonators are fabricated using nanoimprinting. In near infra-red (NIR) range, the resonator supports a single dipole mode which is excited and identified via simple normal illumination and explored through transmission measurements. By controlling both lateral and vertical confinement via a metal edge, the mode volume is successfully reduced down to 1.3 × 10(-5) λ0(3). The advantage of such mode confinement is demonstrated by applying the resonators biosensing. Using bovine serum albumin (BSA) molecules, a dramatic enhancement of surface sensitivity up to 69 nm/nm is achieved as the modal height approaches the thickness of the adsorbed molecule layers.

Fast and bright spontaneous emission of Er(3+) ions in metallic nanocavity.

By confining light in a small cavity, the spontaneous emission rate of an emitter can be controlled via the Purcell effect. However, while Purcell factors as large as ∼10,000 have been predicted, actual reported values were in the range of about 10-30 only, leaving a huge gap between theory and experiment. Here we report on enhanced 1.54-µm emission from Er(3+) ions placed in a very small metallic cavity. Using a cavity designed to enhance the overall Purcell effect instead of a particular component, and by systematically investigating its photonic properties, we demonstrate an unambiguous Purcell factor that is as high as 170 at room temperature. We also observe >90 times increase in the far-field radiant flux, indicating that as much as 55% of electromagnetic energy that was initially supplied to Er(3+) ions in the cavity escape safely into the free space in just one to two optical cycles.

Disorder and broad-angle iridescence from Morpho-inspired structures.

The ordered, lamellae-structured ridges on the wing scales of Morpho butterflies give rise to their striking blue iridescence by multilayer interference and grating diffraction. At the same time, the random offsets among the ridges broaden the directional multilayer reflection peaks and the grating diffraction peaks that the color appears the same at various viewing angles, contrary to the very definition of iridescence. While the overall process is well understood, there has been little investigation into confirming the roles of each factor due to the difficulty of controllably reproducing such complex structures. Here we use a combination of self-assembly, selective etching, and directional deposition to fabricate Morpho-inspired structure with controlled random offsets. We find that while random offsets are necessary, it alone is not sufficient to produce the broad-angle reflection of Morpho butterflies. We identify diffraction as a critical factor for the bright, anisotropic broadening of the reflection peak of Morpho butterflies to a solid angle of 0.23 sr, and suggest random macroscopic surface curvature as a practical alternative, with an isotropic broad reflection peak whose solid angle can reach 0.11 sr at an incident angle of 60°.

Plasmonic waveguide ring resonators with 4 nm air gap and λ0(2)/15,000 mode-area fabricated using photolithography.

Plasmonic air-gap disk resonators with 3.5 µm diameter and a 4 nm thick, 40 nm wide air gap for a mode area of only λ0(2)/15,000 were fabricated using photolithography only. The resonant modes were clearly identified using tapered fiber coupling method at the resonant wavelengths of 1280-1620 nm. We also demonstrate the advantage of the air-gap structure by using the resonators as label-free biosensors with a sensitivity of 1.6 THz/nm.

Altered brain metabolism in vestibular migraine: comparison of interictal and ictal findings.

BACKGROUND: Vestibular symptoms/signs frequently coexist with migraine, but the mechanisms of migraine-related vestibular dysfunction remain to be elucidated. This study aimed to determine altered brain metabolism in vestibular migraine. METHODS: Two patients with vestibular migraine underwent (18)F-fluorodeoxy glucose (FDG) positron-emission tomography (PET) during and between attacks of vestibular migraine in addition to detailed neurotological evaluation. We analyzed the regional brain metabolism of the patients in comparison with that of age-matched healthy controls in each patient. We also compared ictal with interictal FDG PET using a subtraction method. RESULTS: During the attacks, both patients showed an activation of the bilateral cerebellum and frontal cortices, and deactivation of the bilateral posterior parietal and occipitotemporal areas. One patient also showed hypermetabolism in the dorsal pons and midbrain, right posterior insula, and right temporal cortex while the other patient had an additional activation of the left temporal cortex. Compared with interictal images, ictal PET showed increased metabolism in the bilateral cerebellum, frontal cortices, temporal cortex, posterior insula, and thalami. CONCLUSION: During the attacks of vestibular migraine, the increased metabolism in the temporo-parieto-insular areas and bilateral thalami indicates activation of the vestibulo-thalamo-cortical pathway, and decreased metabolism in the occipital cortex may represent reciprocal inhibition between the visual and vestibular systems.

Hedgehog agonist therapy corrects structural and cognitive deficits in a Down syndrome mouse model.

Down syndrome (DS) is among the most frequent genetic causes of intellectual disability, and ameliorating this deficit is a major goal in support of people with trisomy 21. The Ts65Dn mouse recapitulates some major brain structural and behavioral phenotypes of DS, including reduced size and cellularity of the cerebellum and learning deficits associated with the hippocampus. We show that a single treatment of newborn mice with the Sonic hedgehog pathway agonist SAG 1.1 (SAG) results in normal cerebellar morphology in adults. Further, SAG treatment at birth rescued phenotypes associated with hippocampal deficits that occur in untreated adult Ts65Dn mice. This treatment resulted in behavioral improvements and normalized performance in the Morris water maze task for learning and memory. SAG treatment also produced physiological effects and partially rescued both N-methyl-d-aspartate (NMDA) receptor-dependent synaptic plasticity and NMDA/AMPA receptor ratio, physiological measures associated with memory. These outcomes confirm an important role for the hedgehog pathway in cerebellar development and raise the possibility for its direct influence in hippocampal function. The positive results from this approach suggest a possible direction for therapeutic intervention to improve cognitive function for this population.

Range and stability of structural colors generated by Morpho-inspired color reflectors.

The range and stability of structural colors generated by Morpho-inspired color reflectors are investigated. We find that despite the internal randomness of such structures that gives rise to their Morpho-like angle-independent iridescence, their colors under ambient lighting condition can be predicted by simple transfer-matrix calculations of corresponding planar multilayer structures. By calculating the possible range of colors generated by multilayers of different structures and material combinations using such transfer-matrix methods, we find that low-refractive index multilayers with intrastructure absorption, such as the melanin-containing chitin/air multilayer structure from the Morpho butterflies, can provide not only the most pure structural colors with the largest color gamut, but also the highest stability of color against variations in multilayer structure.

Flexible, angle-independent, structural color reflectors inspired by morpho butterfly wings.

Thin-film color reflectors inspired by Morpho butterflies are fabricated. Using a combination of directional deposition, silica microspheres with a wide size distribution, and a PDMS (polydimethylsiloxane) encasing, a large, flexible reflector is created that actually provides better angle-independent color characteristics than Morpho butterflies and which can even be bent and folded freely without losing its Morpho-mimetic photonic properties.

Cocaine supersensitivity and enhanced motivation for reward in mice lacking dopamine D2 autoreceptors.

Dopamine (DA) D2 receptors expressed in DA neurons (D2 autoreceptors) exert a negative feedback regulation that reduces DA neuron firing, DA synthesis and DA release. As D2 receptors are mostly expressed in postsynaptic neurons, pharmacological and genetic approaches have been unable to definitively address the in vivo contribution of D2 autoreceptors to DA-mediated behaviors. We found that midbrain DA neurons from mice deficient in D2 autoreceptors (Drd2(loxP/loxP); Dat(+/IRES-cre), referred to as autoDrd2KO mice) lacked DA-mediated somatodendritic synaptic responses and inhibition of DA release. AutoDrd2KO mice displayed elevated DA synthesis and release, hyperlocomotion and supersensitivity to the psychomotor effects of cocaine. The mice also exhibited increased place preference for cocaine and enhanced motivation for food reward. Our results highlight the importance of D2 autoreceptors in the regulation of DA neurotransmission and demonstrate that D2 autoreceptors are important for normal motor function, food-seeking behavior, and sensitivity to the locomotor and rewarding properties of cocaine.

Population inversion and low cooperative upconversion in Er-doped silicon-rich silicon nitride waveguide.

Single-mode, strip-loaded silicon-rich silicon nitride (SRSN) waveguide with 11 at.% excess Si and 1.7×10(20) cm(-3) Er was fabricated and characterized. By using a 350 nm thick SRSN:Er core layer and a 850 nm wide SiO2 strip, a high core-mode overlap of 0.85 and low transmission loss of 2.9 dB/cm is achieved. Population inversion of 0.73-0.75, close to the theoretical maximum, is estimated to have been achieved via 1480 nm resonant pumping, indicating that nearly all doped Er in SRSN are optically active. Analysis of the pump power dependence of Er3+ luminescence intensity and lifetime indicate that the Er cooperative upconversion coefficient in SRSN:Er is as low as 2.1×10(-18) cm3/sec.

Mode junction photonics with a symmetry-breaking arrangement of mode-orthogonal heterostructures.

Junction structures provide the foundation of digital electronics and spintronics today. An equivalent, a photonic junction to achieve systematic and drastic control of photon flow is currently missing, but is mandatory for serious all-optical signal processing. Here we propose a photonic junction built upon mode-orthogonal hetero-structures, as a fundamental structural unit for photonic integrated circuits. Controlling the optical potential of mode-orthogonal junctions, the flow of photons can be dynamically manipulated, to complete the correspondence to the electronic junction structures. Of the possible applications, we provide examples of a photonic junction diode and a multi-junction half-adder, with exceptional performance metrics. Highly directional (41dB), nearly unity throughput, ultra-low threshold-power, high quality signal regeneration at 200Gb/s, and all-optic logic operations are successfully derived with the self-induced, bi-level dynamic mode-conversion process across the junction.

Label-free optical biosensing using a horizontal air-slot SiNx microdisk resonator.

We demonstrate label-free optical biosensing using a horizontal air-slotted silicon-rich silicon nitride (SiNx) microdisk resonator. Due to the strong confinement of light in the air-slot, a large resonance shift of 6.2 nm is observed upon reaction of the biotin-functionalized disk with a streptavidin solution with concentration of 2.5 µg/ml. Assuming a linear relationship between resonance shift and streptavidin concentration, we estimate the sensitivity to be 2.5 ± 0.2 nm/(µg/ml). Comparing this value with surface sensitivity of 5.7 nm/nm calculated using FDTD simulations, a detection limit of 30 ± 2 ng/ml, is extrapolated.

Cooperative upconversion and optical gain in ion-beam sputter-deposited Er(x)Y(2-x)SiO(5) waveguides.

Single-phase, polycrystalline Er(x)Y(2-x)SiO(5) thin films were deposited by reactive ion-beam sputter deposition and rapid thermal annealing. Due to the crystalline nature, the silicate thin films provide peak Er(3+) emission cross-section of 0.9 +/- 0.02 x 10(-20) cm(2) that is higher than that in silica. Optical gain, with near 60% inversion, is achieved via optical pumping of a single-mode, ridge-type waveguide with the silicate core with an Er concentration of 1.7 x 10(20) cm(-3). Analysis of pump-power dependence of the optical gain and spontaneous emission intensity of Er(3+) indicate that the gain is limited by cooperative upconversion process, whose coefficient is determined to be (8 +/- 3) x 10(-17) cm(3)/sec.

A silicon nitride microdisk resonator with a40-nm-thin horizontal air slot.

We design and fabricate pedestal-type, 15 microm diameter silicon nitride microdisk resonators on Si chip with horizontal air-slot using selective wet etching between Si, SiO2, and SiNx. As the slot structure is determined by deposition process, air slots that are as thin as 40 nm and as deep as 5 microm with ultra-smooth slot surfaces can easily be fabricated with photolithography only. Fundamental TM-like slot mode in which the E-field is greatly enhanced within slot was observed with an intrinsic Q factor of approximately 34,000 (lambdares=1523.7 nm) and energy overlap in slot region of 21.6%.