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1.
Opt Express ; 32(7): 12520-12527, 2024 Mar 25.
Artigo em Inglês | MEDLINE | ID: mdl-38571072

RESUMO

We demonstrate high-output-power and high-efficiency operation of 1.3-µm-wavelength InP-based photonic-crystal surface-emitting lasers (PCSELs). By introducing a metal reflector and adjusting the phase of the reflected light via optimization of the thickness of the p-InP cladding layer, we successfully achieve an output power of approximately 400 mW with the slope efficiency of 0.4 W/A and the wall-plug efficiency of 20% under CW conditions. In addition, this PCSEL exhibits a narrow circular beam with a divergence angle below 1.6° even at high output powers under CW conditions at temperatures from 15°C to 50°C. We have also demonstrated an output power of over 12 W under pulsed conditions at room temperature.

2.
Opt Express ; 31(16): 26842-26853, 2023 Jul 31.
Artigo em Inglês | MEDLINE | ID: mdl-37710534

RESUMO

Ultracompact mode multiplexers based on mosaic structure for various wavelength bands designed by Bayesian technique are investigated. C-, O-, and C + O band, TE0-TE1 2-mode multiplexers can be designed with the same footprint, by only changing the mosaic-pattern, showing the great flexibility of mosaic-based devices. Bayesian direct binary search method is used for the design, and it is demonstrated that the Bayesian technique is superior to conventional design method in terms of the best-structure search for the same number of iterations. The designed devices are fabricated for Si-waveguide platform, and the proof-of-concept results are obtained. These results indicate that the mosaic-based devices are promising candidates for future compact optical transceivers.

3.
Entropy (Basel) ; 25(6)2023 Jun 11.
Artigo em Inglês | MEDLINE | ID: mdl-37372265

RESUMO

The utilization of databases such as IoT has progressed, and understanding how to protect the privacy of data is an important issue. As pioneering work, in 1983, Yamamoto assumed the source (database), which consists of public information and private information, and found theoretical limits (first-order rate analysis) among the coding rate, utility and privacy for the decoder in two special cases. In this paper, we consider a more general case based on the work by Shinohara and Yagi in 2022. Introducing a measure of privacy for the encoder, we investigate the following two problems: The first problem is the first-order rate analysis among the coding rate, utility, privacy for the decoder, and privacy for the encoder, in which utility is measured by the expected distortion or the excess-distortion probability. The second task is establishing the strong converse theorem for utility-privacy trade-offs, in which utility is measured by the excess-distortion probability. These results may lead to a more refined analysis such as the second-order rate analysis.

4.
Entropy (Basel) ; 25(10)2023 Oct 19.
Artigo em Inglês | MEDLINE | ID: mdl-37895587

RESUMO

We introduce the problem of variable-length (VL) source resolvability, in which a given target probability distribution is approximated by encoding a VL uniform random number, and the asymptotically minimum average length rate of the uniform random number, called the VL resolvability, is investigated. We first analyze the VL resolvability with the variational distance as an approximation measure. Next, we investigate the case under the divergence as an approximation measure. When the asymptotically exact approximation is required, it is shown that the resolvability under two kinds of approximation measures coincides. We then extend the analysis to the case of channel resolvability, where the target distribution is the output distribution via a general channel due to a fixed general source as an input. The obtained characterization of channel resolvability is fully general in the sense that, when the channel is just an identity mapping, it reduces to general formulas for source resolvability. We also analyze the second-order VL resolvability.

5.
Opt Express ; 30(16): 29539-29545, 2022 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-36299127

RESUMO

We demonstrate high-power continuous-wave (CW) lasing oscillation of 1.3-µm wavelength InP-based photonic-crystal surface-emitting lasers (PCSELs). Single-mode operation with an output power of over 100 mW, a side-mode suppression ratio (SMSR) of over 50 dB, and a narrow single-lobe beam with a divergence angle of below 1.2° are successfully achieved by using a double-lattice photonic crystal structure consisting of high-aspect-ratio deep air holes. The double lattice is designed to enhance both the in-plane optical feedback and the surface radiation effects in the photonic crystal. The coupling coefficients for 180 ∘, +90 ∘, and -90 ∘ diffractions are estimated from the measurements of the photonic band structure as κ1D = 417 cm-1, κ2D+ = 135 cm-1, and κ2D- = 65 cm-1, respectively. The stable single-mode, high-beam-quality operation is attributed to these large coupling coefficients introduced by the asymmetric double-lattice structure.

6.
Entropy (Basel) ; 24(5)2022 Apr 30.
Artigo em Inglês | MEDLINE | ID: mdl-35626520

RESUMO

We consider a binary classification problem for a test sequence to determine from which source the sequence is generated. The system classifies the test sequence based on empirically observed (training) sequences obtained from unknown sources P1 and P2. We analyze the asymptotic fundamental limits of statistical classification for sources with multiple subclasses. We investigate the first- and second-order maximum error exponents under the constraint that the type-I error probability for all pairs of distributions decays exponentially fast and the type-II error probability is upper bounded by a small constant. In this paper, we first give a classifier which achieves the asymptotically maximum error exponent in the class of deterministic classifiers for sources with multiple subclasses, and then provide a characterization of the first-order error exponent. We next provide a characterization of the second-order error exponent in the case where only P2 has multiple subclasses but P1 does not. We generalize our results to classification in the case that P1 and P2 are a stationary and memoryless source and a mixed memoryless source with general mixture, respectively.

7.
Opt Lett ; 46(10): 2312-2315, 2021 May 15.
Artigo em Inglês | MEDLINE | ID: mdl-33988571

RESUMO

A Kerr-lens mode-locked (KLM) thin-disk laser with Yb:LuAG ceramic was demonstrated. Yb:LuAG ceramic is an attractive material for high-power lasers due to its high thermal conductivity and large emission cross section. The highest output power of 17 W with a pulse duration of 130 fs was achieved. Moreover, the pulse duration of 88 fs was also obtained with a high-Q factor cavity. To the best of our knowledge, this is the first demonstration of a KLM thin-disk laser based on Yb:LuAG, including both ceramic and single crystal. The results show the usefulness of ceramic thin disks for high-power ultrashort pulse laser sources.

8.
J Orthop Sci ; 26(4): 555-559, 2021 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32800525

RESUMO

BACKGROUND: Postoperative SSI is a common and potentially serious complication in spine surgery. Seasonal variation occurs in rates of nosocomial infection, with higher rates found in the summer, during which hot, humid conditions may be optimal for proliferation of bacteria. This might also influence the rate of SSI. The purpose of the study was to examine seasonal variation in SSI after PLIF/TLIF surgery, including relationships with experience of surgeons and causal organisms. METHODS: Cases with SSI after PLIF/TLIF surgery at 10 facilities between January 1, 2012, and December 31, 2014 were retrieved from a database. Infection was defined based on CDC guidelines for SSIs. Patients were followed for at least two years after surgery. Surgeries were examined in spring (April-June), summer (July-September), autumn (October-December), and winter (January-March). Seasonal variation and other factors with a potential association with SSIs were evaluated. RESULTS: A total of 1174 patients (607 males, 567 females) who underwent PLIF/TLIF surgery were identified. The operations were PLIF (n = 667), TLIF (n = 443), MIS-PLIF (n = 27), and MIS-TLIF (n = 37). The total SSI rate for the 2-year period was 2.5% (29/1174), and the 2-year average SSI rates for surgeries in each season were spring, 2.6% (7/266); summer, 3.9% (13/335); fall, 1.3% (4/302); winter, 1.8% (5/271). The SSI rate was significantly higher in summer than non-summer (3.9% vs. 1.9%, p < 0.05). SSIs were caused by a variety of pathogens, including Gram-positive cocci, and Staphylococcus aureus was the most common pathogenic organism to cause SSI. CONCLUSION: Seasonality should be taken into account in strategies for SSI prevention, with particular attention on mitigation of increased temperature and humidity in the summer and on infection caused by Gram-positive cocci and S. aureus.


Assuntos
Vértebras Lombares , Fusão Vertebral , Feminino , Humanos , Incidência , Masculino , Procedimentos Cirúrgicos Minimamente Invasivos , Estações do Ano , Infecção da Ferida Cirúrgica/epidemiologia
9.
Entropy (Basel) ; 23(8)2021 Aug 15.
Artigo em Inglês | MEDLINE | ID: mdl-34441189

RESUMO

In the present paper, we investigate the fundamental trade-off of identification, secret-key, storage, and privacy-leakage rates in biometric identification systems for remote or hidden Gaussian sources. We use a technique of converting the system to one where the data flow is in one-way direction to derive the capacity region of these rates. Also, we provide numerical calculations of three different examples for the system. The numerical results imply that it seems hard to achieve both high secret-key and small privacy-leakage rates simultaneously.

10.
Opt Express ; 28(13): 19772-19782, 2020 Jun 22.
Artigo em Inglês | MEDLINE | ID: mdl-32672247

RESUMO

We demonstrate low-loss and broadband light transition from III-V functional layers to a Si platform via two-stage adiabatic-crossing coupler waveguides. A 900-µm-long and 2.7-µm-thick III-V film waveguide consisting of a GaInAsP core and InP cladding layers is transferred onto an air-cladding Si photonic chip by the µ-transfer printing (µ-TP) method. An average optical coupling loss per joint of 1.26 dB is obtained in C + L telecommunication bands (1530-1635 nm). The correlation between alignment offset and measured optical coupling loss is discussed with the frequency distribution of µ-TP samples. We also performed a photoluminescence measurement to investigate the material properties in the GaInAsP layer to see if they are distorted by the strong bending stress produced during the pick-up and print steps of the µ-TP process. The peak intensity reduction of 80-90% and a wavelength shift of 0-5 nm (blue shift) were observed after the process. The series of fundamental studies presented here, which combine multiple analyses, contribute to improving our understanding of III-V/Si photonic integration by µ-TP.

11.
Opt Express ; 28(24): 35483-35489, 2020 Nov 23.
Artigo em Inglês | MEDLINE | ID: mdl-33379661

RESUMO

We report on electrically driven InP-based photonic-crystal surface-emitting lasers (PCSELs), which possess a deep-air-hole photonic crystal (PC) structure underneath an active region formed by metal-organic vapor-phase-epitaxial (MOVPE) regrowth. Single-mode continuous-wave (CW) lasing operation in 1.3-µm wavelength is successfully achieved at a temperature of 15°C. It is shown that the enhancement of lateral growth during the MOVPE regrowth process of air holes enables the formation of deep air holes with an atomically flat and thin overlayer, whose thickness is less than 100 nm. A threshold current of 120 mA (threshold current density = 0.68 kA/cm2) is obtained in a device with a diameter of 150 µm. A doughnut-like far-field pattern with the narrow beam divergence of less than 1° is observed. Strong optical confinement in the PC structure is revealed from measurements of the photonic band structure, and this strong optical confinement leads to the single-mode CW lasing operation with a low threshold current density.

12.
Cancer Sci ; 110(2): 674-685, 2019 02.
Artigo em Inglês | MEDLINE | ID: mdl-30548114

RESUMO

L-Type amino acid transporter 1 (LAT1) disulfide linked to CD98 heavy chain (hc) is highly expressed in most cancer cells, but weakly expressed in normal cells. In the present study, we developed novel anti-LAT1 mAbs and showed internalization activity, inhibitory effects of amino acid uptake and cell growth and antibody-dependent cellular cytotoxicity, as well as in vivo antitumor effects in athymic mice. Furthermore, we examined the reactivity of mAbs with LAT1 of Macaca fascicularis to evaluate possible side-effects of antihuman LAT1 mAbs in clinical trials. Antihuman LAT1 mAbs reacted with ACHN human and MK.P3 macaca kidney-derived cells, and this reactivity was significantly decreased by siRNAs against LAT1. Macaca LAT1 cDNA was cloned from MK.P3, and only two amino acid differences between human and macaca LAT1 were seen. RH7777 rat hepatoma and HEK293 human embryonic kidney cells expressing macaca LAT1 were established as stable transfectants, and antihuman LAT1 mAbs were equivalently reactive against transfectants expressing human or macaca LAT1. Dual (high and low) avidity modes were detected in transfectants expressing macaca LAT1, MK.P3, ACHN and HCT116 human colon cancer cells, and KA values were increased by anti-CD98hc mAb, suggesting anti-LAT1 mAbs detect an epitope on LAT1-CD98hc complexes on the cell surface. Based on these results, LAT1 may be a promising anticancer target and Macaca fascicularis can be used in preclinical studies with antihuman LAT1 mAbs.


Assuntos
Anticorpos Monoclonais/farmacologia , Transportador 1 de Aminoácidos Neutros Grandes/metabolismo , Células A549 , Aminoácidos/metabolismo , Animais , Linhagem Celular , Linhagem Celular Tumoral , Proliferação de Células/efeitos dos fármacos , Células HCT116 , Células HEK293 , Haplorrinos , Células HeLa , Humanos , Macaca fascicularis , Camundongos , Camundongos Nus , Ratos , Ratos Endogâmicos F344
13.
J Nat Prod ; 82(10): 2754-2760, 2019 10 25.
Artigo em Inglês | MEDLINE | ID: mdl-31596079

RESUMO

Six new prenylated acylphloroglucinols with menthane moieties, hypascyrins A-E (1-5) and ent-hyphenrone J (6), together with four known analogues, were isolated from Hypericum ascyron roots. Detailed spectroscopic data analyses resulted in the assignment of their structures. The absolute configuration of 1 was deduced by experimental and calculated ECD data, while those of 2-6 were assigned by ECD data analyses as well as chemical conversions. Hypascyrins A (1), C (3), and E (5) and ent-hyphenrone J (6) exhibited antimicrobial activity against MRSA (MIC50 values of 4.0, 8.0, 2.0, and 4.0 µM, respectively) and Bacillus subtilis (MIC values of 4.0, 4.0, 2.0, and 4.0 µM, respectively).


Assuntos
Anti-Infecciosos/isolamento & purificação , Hypericum/química , Fenóis/isolamento & purificação , Anti-Infecciosos/química , Anti-Infecciosos/farmacologia , Bacillus subtilis/efeitos dos fármacos , Staphylococcus aureus Resistente à Meticilina/efeitos dos fármacos , Fenóis/química , Fenóis/farmacologia , Floroglucinol/química , Floroglucinol/isolamento & purificação , Raízes de Plantas/química , Prenilação
14.
Biol Pharm Bull ; 42(6): 929-936, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31155589

RESUMO

Bisphosphonates (BPs) containing nitrogen (N-BPs) exhibit far stronger anti-bone-resorptive effects than non-N-BPs. However, repeated administration of N-BPs causes osteonecrosis selectively in jawbones. As BPs accumulate in large amounts within inflamed bones, any N-BP released from the pool accumulated within jawbones might directly act on cells in the surrounding soft-tissues and induce inflammation or necrosis. Here, we examined the local and systemic effects of zoledronate (the most potent N-BP with the highest incidence of jawbone-necrosis) on inflammatory cytokines in mice. Locally within ear-pinnas: (i) zoledronate induced long-lasting accumulation of interleuikin-1ß (IL-1ß) and IL-18, but not tumor necrosis factor-α (TNF-α), (ii) zoledronate and lipopolysaccharide (LPS, a cell-wall component of Gram-negative bacteria) mutually augmented the productions of IL-1ß, IL-18, and TNF-α, and (iii) oxidronate (a toxic non-N-BP) by itself produced not only IL-1ß and IL-18, but also TNF-α. In systemic experiments using intraperitoneal injection of zoledronate and/or LPS, (i) zoledronate by itself increased none of the above cytokines in serum, and (ii) in mice pretreated (3 d before) with zoledronate, the LPS-induced increases in serum IL-1ß and IL-18 were greatly augmented with a delayed slight TNF-α augmentation. These results, together with previous ones, suggest that (a) pro-IL-1ß and pro-IL-18 accumulate within cells in soft-tissues exposed to N-BPs, and infection may augment not only their production, but also the release of their mature forms, (b) IL-1ß and IL-18 (possibly together with TNF-α) may play important roles in N-BP-induced inflammation and/or necrosis, and (c) mechanisms underlying the cytotoxic effects of BPs may differ between N-BPs and non-N-BPs.


Assuntos
Conservadores da Densidade Óssea/farmacologia , Pavilhão Auricular/efeitos dos fármacos , Interleucina-18/metabolismo , Interleucina-1beta/metabolismo , Fator de Necrose Tumoral alfa/metabolismo , Ácido Zoledrônico/farmacologia , Animais , Pavilhão Auricular/metabolismo , Lipopolissacarídeos/farmacologia , Camundongos Endogâmicos BALB C
15.
Cancer Sci ; 109(10): 3171-3182, 2018 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-30058195

RESUMO

Although cancer metastasis is associated with poor prognosis, the mechanisms of this event, especially via lymphatic vessels, remain unclear. Lymphatic vessel endothelial hyaluronan receptor 1 (LYVE-1) is expressed on lymphatic vessel endothelium and is considered to be a specific marker of lymphatic vessels, but it is unknown how LYVE-1 is involved in the growth and metastasis of cancer cells. We produced rat monoclonal antibodies (mAb) recognizing the extracellular domain of mouse LYVE-1, and investigated the roles of LYVE-1 in tumor formation and metastasis. The mAb 38M and 64R were selected from hybridoma clones created by cell fusion between spleen cells of rats immunized with RH7777 rat hepatoma cells expressing green fluorescent protein (GFP)-fused mouse LYVE-1 proteins and mouse myeloma cells. Two mAb reacted with RH7777 and HEK293F human embryonic kidney cells expressing GFP-fused mouse LYVE-1 proteins in a GFP expression-dependent manner, and each recognized a distinct epitope. On immunohistology, the 38M mAb specifically stained lymphatic vessels in several mouse tissues. In the wound healing assay, the 64R mAb inhibited cell migration of HEK293F cells expressing LYVE-1 and mouse lymphatic endothelial cells (LEC), as well as tube formation by LEC. Furthermore, this mAb inhibited primary tumor formation and metastasis to lymph nodes in metastatic MDA-MB-231 xenograft models. This shows that LYVE-1 is involved in primary tumor formation and metastasis, and it may be a promising molecular target for cancer therapy.


Assuntos
Anticorpos Monoclonais/farmacologia , Glicoproteínas/antagonistas & inibidores , Receptores de Hialuronatos/antagonistas & inibidores , Linfonodos/patologia , Neoplasias/patologia , Animais , Anticorpos Monoclonais/uso terapêutico , Linhagem Celular Tumoral , Movimento Celular/efeitos dos fármacos , Células Endoteliais/patologia , Feminino , Glicoproteínas/metabolismo , Células HEK293 , Humanos , Receptores de Hialuronatos/metabolismo , Hibridomas , Metástase Linfática , Masculino , Proteínas de Membrana Transportadoras , Camundongos , Camundongos Endogâmicos BALB C , Camundongos Nus , Camundongos SCID , Neoplasias/tratamento farmacológico , Ratos , Ensaios Antitumorais Modelo de Xenoenxerto
16.
Opt Lett ; 43(21): 5451-5454, 2018 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-30383029

RESUMO

In this Letter, we demonstrate, to the best of our knowledge, the first Kerr-lens mode-locked (KLM) ceramic thin-disk laser. Ceramic laser gain media have many advantages for a high-power laser such as high fracture toughness, size scalability, low cost, and short time fabrication. By using the Yb:Lu2O3 ceramic thin disk, the pulse duration of 98 fs with the output power of 3.7 W was demonstrated. The shortest pulse duration was 86 fs with the decreased output power of 0.36 W. From our results, it was proven that a KLM thin-disk laser with ceramic gain media can become a new option for high-power, sub-100 fs pulse laser sources.

17.
Eur Spine J ; 27(8): 1972-1980, 2018 08.
Artigo em Inglês | MEDLINE | ID: mdl-29423887

RESUMO

PURPOSE: Posterior lumbar interbody fusion (PLIF)/transforaminal lumbar interbody fusion (TLIF) can have complications that require reoperation. The goal of the study was to identify risk factors for reoperation within 2 years after PLIF/TLIF. METHODS: A retrospective analysis of a prospective multicenter database was performed for patients who underwent PLIF/TLIF. A total of 1363 patients (689 males and 674 females) were identified, with an average age of 65.9 years old. Comorbidities, perioperative ASA grade, and operative factors were compared between patients with and without reoperation. Risk factors for reoperation were identified in multivariate logistic analysis. RESULTS: There were 38 reoperations within 2 years after PLIF/TLIF (2.8%). The original surgical procedures were open PLIF (n = 26), open TLIF (n = 10), and minimally invasive surgery (n = 2). Reoperation was due to adjacent segment degeneration (ASD) (n = 10), surgical site infection (SSI) (n = 9), screw misplacement (n = 6), postoperative epidural hematoma (n = 6), pseudoarthrosis (n = 4), and cage protrusion (n = 3). Number of levels fused and dural tear were significantly associated with reoperation. In analysis of complications requiring reoperation, SSI was related to diabetes mellitus and dural tear, and postoperative epidural hematoma was related to fusion of two or more levels, EBL, and operation time. In multivariate logistic regression, fusion of two or more levels (HR 2.19) was significantly associated with reoperation. CONCLUSION: Surgical invasiveness, as reflected by number of fused levels, operation time, EBL and dural tear, was associated with reoperation. Fusion of two or more levels is a strong risk factor for reoperation within 2 years after initial PLIF/TLIF. These slides can be retrieved under Electronic Supplementary Material.


Assuntos
Vértebras Lombares/cirurgia , Fusão Vertebral/métodos , Adulto , Idoso , Parafusos Ósseos , Feminino , Hematoma Epidural Espinal/etiologia , Humanos , Masculino , Pessoa de Meia-Idade , Procedimentos Cirúrgicos Minimamente Invasivos/efeitos adversos , Procedimentos Cirúrgicos Minimamente Invasivos/métodos , Duração da Cirurgia , Estudos Prospectivos , Pseudoartrose/etiologia , Reoperação/métodos , Estudos Retrospectivos , Fatores de Risco , Fusão Vertebral/efeitos adversos
18.
Cell Tissue Res ; 367(2): 297-309, 2017 02.
Artigo em Inglês | MEDLINE | ID: mdl-27817114

RESUMO

We previously reported that the injection of nitrogen-containing bisphosphonate (NBP) induced the site of erythropoiesis to shift from the bone marrow (BM) to the spleen. Our previous study established a severely anemic mouse model that was treated with a combination of NBP with phenylhydrazine (PHZ), which induced newly discovered hematopoietic organs in the omentum. No reports have shown that new hematopoietic organs form under any condition. We characterized the structures and factors related to the formation of these new organs. Splenectomized mice were treated with NBP to inhibit erythropoiesis in the BM and then injected with PHZ to induce hemolytic anemia. The mice showed severe anemia and wine-colored structures appeared in the omentum. Some hematopoietic cells, including megakaryocytes, and well-developed sinuses were observed in these structures. Numerous TER119-positive erythroblasts were located with cells positive for PCNA, a cell proliferation marker. C-kit-positive cells were detected and mRNAs related to hematopoiesis were expressed in these structures. Moreover, TER119-positive erythroblasts emerged and formed clusters and hematopoiesis-related factors were detected in the omentum of mice treated with NBP and PHZ. The levels of G-CSF in the serum and hematopoietic progenitor cells (HPCs) in the peripheral blood were increased upon treatment with both NBP and PHZ. These results suggest that the induced hematopoietic structures act as the sites of erythropoiesis and that NBP-induced G-CSF production causes HPC mobilization, homing and colonization in the omentum because they constitutively express some factors, including SDF-1; thus, the newly discovered hematopoietic structure in this study might be formed.


Assuntos
Anemia/patologia , Difosfonatos/farmacologia , Fator Estimulador de Colônias de Granulócitos/biossíntese , Células-Tronco Hematopoéticas/citologia , Nitrogênio/farmacologia , Omento/patologia , Anemia/sangue , Animais , Células da Medula Óssea/citologia , Células da Medula Óssea/efeitos dos fármacos , Células da Medula Óssea/metabolismo , Ensaio de Unidades Formadoras de Colônias , Modelos Animais de Doenças , Feminino , Imunofluorescência , Fator Estimulador de Colônias de Granulócitos/sangue , Células-Tronco Hematopoéticas/ultraestrutura , Imuno-Histoquímica , Camundongos Endogâmicos BALB C , RNA Mensageiro/genética , RNA Mensageiro/metabolismo
19.
Nagoya J Med Sci ; 79(4): 459-466, 2017 11.
Artigo em Inglês | MEDLINE | ID: mdl-29238102

RESUMO

A retrospective study was performed to examine the efficacy of intraoperative monitoring of the external anal sphincter (EAS) muscle-evoked potential after a transcranial muscle-action potential (Tc-MsEP) in spinal cord surgery, and to evaluate alarm points for EAS waveform deterioration related to postoperative bowel bladder disorder (BBD). BBD is caused by damage to the hypogastric, pelvic, and pudendal nerves and leads to a significant reduction in quality of life. Intraoperative Tc-MsEP monitoring using the EAS is common to prevent neurological deficit, but the relationship of BBD with intraoperative monitoring of the EAS has not been examined. Waveform derivation from the EAS using a plug-type surface electrode was investigated in 123 spine surgeries in which Tc-MsEP was recorded intraoperatively outside the anal sphincter. An acceptable baseline waveform from the EAS was detected in 105 of the 123 cases (85.3%). Preoperative BBD was present in 16 cases, postoperative BBD occurred in 8 cases, and intraoperative waveform deterioration from the EAS was detected in 25 cases. The derivation rate was significantly lower in cases with preoperative BBD compared to those without BBD (62.5% vs. 88.9%, p<0.01). Waveform deterioration from the EAS had a sensitivity of 100%, specificity of 93.0%, positive predictive value of 50%, and negative predictive value of 100% for detection of postoperative BBD. All postoperative BBD was detected with an EAS amplitude decrease to <30% of baseline. Therefore, in spine surgery, a Tc-MsEP intraoperative EAS amplitude decrease to <30% of the control waveform may be useful for prediction of postoperative BBD.


Assuntos
Doenças da Bexiga Urinária/prevenção & controle , Doenças da Bexiga Urinária/cirurgia , Bexiga Urinária/cirurgia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Canal Anal , Criança , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Monitorização Intraoperatória , Período Pós-Operatório , Adulto Jovem
20.
Opt Lett ; 41(19): 4570-4573, 2016 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-27749883

RESUMO

Yb:LuAG is a promising gain medium for high-power lasers due to its high thermal conductivity and large emission cross section. Although narrowband gain media such as Yb:LuAG are not considered to be suitable for the generation of sub-100 fs pulses, we have achieved generation of 91 fs pulses with Yb:LuAG ceramic by the Kerr-lens mode-locking (KLM) technique. The obtained average power, pulse energy, and peak power were 1.64 W, 20.0 nJ, and 220 kW, respectively. These are, to the best of our knowledge, the first demonstration of KLM and the new records based on both Yb:LuAG ceramic and single crystal.

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