Control of Relative Positions of Electron-Donor and Electron-Acceptor Molecules in Charge-Transfer Complexes for Luminescent Property Modulation.

Charge-transfer complexes can exhibit various physical properties that depend on the relative positions of electron-donor and electron-acceptor molecules. Several studies have investigated the relationship between the relative positions of electron-donor and electron-acceptor molecules and their luminescence properties. However, elucidating the correlation between the relative positions and detailed luminescence processes without changing the molecular structures has not been explored. Herein, we report control of the relative position based on charge-assisted hydrogen bonds between sulfo and amino groups and on alkylamines' steric factors, and report concomitant modulation of the luminescent properties. Six charge-transfer complexes were prepared from anthracene-2,6-disulfonic acid and 1,2,4,5-tetracyanobenzene as electron-donor and electron-acceptor molecules, and various alkylamines. Different alkylamines' steric factors drastically and precisely changed the relative positions of the electron-donor and electron-acceptor molecules without changing their molecular structures. Consequently, the six crystals exhibited maximum emission wavelengths from 543 to 624 nm and different luminescence processes.

Management of intraventricular hemorrhage in preterm infants with low birth weight.

The management of posthemorrhagic hydrocephalus is difficult and not well standardized. We evaluated our management protocol for infants with intraventricular and/or periventricular hemorrhage (IVH and PVH, respectively). There were four deaths and two significant treatment-related complications in our series. We also observed two cases of isolated ventricle in patients treated with reservoir placement. After evaluating our series, we modified our protocol from reservoir placement to either cerebrospinal fluid (CSF) drainage or ventriculosubgaleal shunt directly. We will reevaluate this new protocol in the near future.

Effects of interview on mood status of pregnant women with high-risk delivery.

BACKGROUND: Expectant mothers at high risk for preterm labor admitted to the Mother and Child Health Centers (MCH) often have psychological problems and mood disturbances. The purpose of the present study was to evaluate the effects of an interview by health professionals on their mood status. METHODS: Participants consisted of 52 women admitted to the MCH of Kansai Medical University (KMU) hospital and who had delivered between December 2006 and September 2007. Interview sessions by health professionals consisting of a neonatologist and a clinical psychologist, termed 'KMU baby doctor-team interview', were held once a week. During the interview the neonatologist discussed the physiology of preterm infants and treatment for the possible complications while the clinical psychologist listened to the expectant mothers talk about their anxieties or complaints and responded to their requests as much as possible. To investigate their mood status objectively, the participants were asked to complete the Japanese version of the Profile of Mood States (POMS) before and after the first session. RESULTS: On admission, more than 20% of participants ranging from 19 to 42 years of age had mood disturbances in Tension-Anxiety, Depression-Dejection, and Vigor categorized by POMS. The average score for Depression-Dejection, however, significantly improved after the first interview sessions. CONCLUSIONS: Mood disturbances were observed in a considerable number of expectant mothers at high risk for preterm labor. Interviews by health professionals consisting of a neonatologist and a clinical psychologist may alter their mood status.

Cerebral blood flow monitoring using a novel laser Doppler flowmeter in asphyxiated infants.

BACKGROUND: The aim of the present study was to investigate the role of early changes in cerebral blood flow (CBF) predicting the severity of neurological outcome in asphyxiated infants. METHOD: Serial monitoring of CBF was performed using a newly developed laser Doppler flowmeter (LDF) in parallel with conventional hemodynamic monitoring, such as mean arterial blood pressure (mABP) or heart rate (HR) in 11 asphyxiated infants (five infants with neurological sequelae and six infants without sequelae) during the first 4 days of life. Psychomotor development was followed up to 20 months. RESULTS: No differences in average CBF, mABP, average HR, or Apgar scores were found between infants with neurological sequelae and those without (P > 0.1). Significant difference was found only in average stability index during the first 48 h of life (SI48), defined as a coefficient of variation of CBF during the corresponding period (P= 0.04). An SI48 > or = 0.24 had positive predictive value of 100% for neurological sequelae while that <0.24 had a negative predictive value of 66.7%. CONCLUSION: SI48, an average stability index of CBF during the first 48 h of life, can be a useful index to predict neurological outcome in asphyxiated infants.

Pentalogy of Cantrell with a double-outlet right ventricle: 3.5-year follow-up in a prenatally diagnosed patient.

Pentalogy of Cantrell is a rare congenital defect associated with five ventral midline anomalies and high mortality. An obstetric sonogram revealed a fetus with a body wall defect suggesting a diagnosis of this condition. Soon after birth, the infant underwent a closure of the upper abdominal wall defect followed by the successful repair of double-outlet right ventricle and pulmonary valve stenosis at the age of 5 months. The patient is currently alive and well 3.5 years after surgery. It is concluded that a deliberate therapeutic strategy based on the intrauterine diagnosis may alter the natural history of this devastating disorder.