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The clinical characteristics of male patients with pulmonary Mycobacterium avium complex disease have not been clearly defined. We aimed to clarify the clinical characteristics of male patients with pulmonary Mycobacterium avium complex disease compared with female patients.
We retrospectively reviewed the medical records of patients with pulmonary Mycobacterium avium complex disease who visited the outpatient clinic of the Shinshu University Hospital between 2003 and 2016 and compared the clinical characteristics of male and female patients.
A total of 234 patients with pulmonary Mycobacterium avium complex disease were identified (68 men and 166 women). Male patients were significantly older than female patients. Blood examination results showed that the lymphocyte count, total protein level and albumin level were significantly lower in men than in women. Chest imaging findings were broadly categorised into the fibrocavitary and nodular bronchiectasis types. There were no significant differences in chest imaging findings and the time from diagnosis to disease exacerbation between men and women.
During the study period, the incidence of the nodular bronchiectasis type of pulmonary Mycobacterium avium complex disease in male patients increased compared with previous reports. Men had no difference in time to exacerbation compared with women.
To identify the predictive and prognostic factors associated with ampicillin-resistant enterococcal bacteraemia, we retrospectively reviewed demographic, microbiological and clinical data of patients attending the Kyoto University Hospital, Japan, between 2009 and 2015. Logistic regression and Cox regression analyses were performed to determine the predictive and prognostic factors, respectively. In total, 235 episodes of enterococcal bacteraemia were identified. As ampicillin susceptibility was uniform for Enterococcus faecalis isolates and almost all ampicillin-resistant isolates were E. faecium, bacteraemia due to these species was investigated separately. E. faecalis and E. faecium accounted for 41.7% (98/235) and 48.1% (113/235) of the isolates, respectively and 91.2% of all E. faecium were ampicillin resistant. Nosocomial E. faecium bacteraemia acquisition (odds ratio (OR), 13.6; 95% confidence intervals, 3.16–58.3) was associated with ampicillin-resistant isolates. Bacteraemia from an unknown source (hazard ratio (HR), 2.91; 95% CI 1.36–6.21) and an increased Pitt bacteraemia score (PBS) (HR, 1.36; 95% CI 1.21–1.52) were associated with 30-day mortality in E. faecium infections. Likewise, bacteraemia from an unknown source (HR, 4.17; 95% CI 1.25–13.9) and increased PBS (HR, 1.27; 95% CI 1.09–1.48) were associated with 30-day mortality in patients with E. faecalis bacteraemia. The empirical therapeutic administration of glycopeptides is recommended for patients with bacteraemia from an unknown source in whom severe E. faecium bacteraemia is suspected.
Microcavity exciton-polaritons are interacting Bose particles which are confined in a two-dimensional (2D) system suitable for studying coherence properties in an inherently nonequilibrium condition. A primary question of interest here is whether a true long-range order exists among the 2D exciton-polaritons in a driven open system. We give an overview of theoretical and experimental works concerning this question, and we summarize the current understanding of coherence properties in the context of Berezinskii-Kosterlitz-Thouless transition.
Strange but striking phenomena, which are accessed by advanced experimental techniques, become a fuel to stimulate both experimental and theoretical research. Experimentalists concoct new tools for sophisticated measurements, and theorists establish models in order to explain the surprising observation, ultimately expanding our knowledge boundary. A classic example of the seed to the knowledge expansion is the feature of abnormally high heat conductivity in liquid helium reported by Kapitza and Allen's group, who used cryogenic liquefaction techniques in 1938 [1, 2]. It is a precursor to a “resistance-less flow” a new phase of matter, coined as superfluidity in the He-II phase. Immediately after this discovery, London conceived a brilliant insight between superfluidity and Bose-Einstein condensation (BEC) of noninteracting ideal Bose gases , which has led to establish the concept of coherence as off-diagonal long-range order emerging in the exotic states of matter. Since then, it is one of the core themes in equilibrium Bose systems to elucidate the intimate link of superfluidity and BEC in natural and artificial materials, where dimensionality and interaction play a crucial role in determining the system phase.
Let us consider the noninteracting ideal Bose gases whose particle number N is fixed in a three-dimensional box with a volume V. According to the Bose-Einstein statistics, the average occupation number Ni in the state i with energy is given by with the chemical potential and a temperature parameter (Boltzmann constant kB and temperature T). For the positive real number of is restricted to be smaller than, and the ground-state particle number N0 diverges as approaches the lowest energy. Its thermodynamic phase transition refers to BEC, in which the macroscopic occupation in the ground state is represented by the classical field operator, where is the particle density and is the phase.
Insufficient nutrition during the perinatal period causes structural alterations in humans and experimental animals, leading to increased vulnerability to diseases in later life. Japanese quail, Coturnix japonica, in which partial (8–10%) egg white was withdrawn (EwW) from eggs before incubation had lower birth weights than controls (CTs). EwW birds also had reduced hatching rates, smaller glomeruli and lower embryo weight. In EwW embryos, the surface condensate area containing mesenchymal cells was larger, suggesting that delayed but active nephrogenesis takes place. In mature EwW quail, the number of glomeruli in the cortical region (mm2) was significantly lower (CT 34.7±1.4, EwW 21.0±1.2); capillary loops showed focal ballooning, and mesangial areas were distinctly expanded. Immunoreactive cell junction proteins, N-cadherin and podocin, and slit diaphragms were clearly seen. With aging, the mesangial area and glomerular size continued to increase and were significantly larger in EwW quail, suggesting compensatory hypertrophy. Furthermore, apoptosis measured by terminal deoxynucleotidyl transferase-mediated dUTP-biotin nick-end labeling analysis was higher in EwWs than in CTs on embryonic day 15 and postnatal day 4 (D4). Similarly, plasma glucocorticoid (corticosterone) was higher (P<0.01) on D4 in EwW quail. These results suggest that although nephrogenic activity is high in low-nutrition quail during the perinatal period, delayed development and increased apoptosis may result in a lower number of mature nephrons. Damaged or incompletely mature mesangium may trigger glomerular injury, leading in later life to nephrosclerosis. The present study shows that birds serve as a model for ‘fetal programming,’ which appears to have evolved phylogenetically early.
To verify the effectiveness and safety of the addition of adipose-derived regenerative cells to autologous fat injection therapy.
Unilateral vocal fold paralysis models were made by cutting the right recurrent laryngeal nerve in two pigs. At day 30, 0.5 ml adipose-derived regenerative cells mixed with 1 ml autologous fat was injected into the right vocal fold of one pig, with the other receiving 0.5 ml Ringer's solution mixed with 1 ml autologous fat. At day 120, fibrescopy, laser Doppler flowmeter, computed tomography, vocal function evaluation and histological assessment were conducted.
Although histological assessment revealed atrophy of the thyroarytenoid muscle fibre in both pigs, there was remarkable hypertrophy of the thyroarytenoid muscle fibre in the area surrounding the adipose-derived regenerative cells injection site.
The addition of a high concentration of adipose-derived regenerative cells to autologous fat injection therapy has the potential to improve the treatment outcome for unilateral vocal fold paralysis.
The effects of WO3 doping in 4,4’-bis-9-carbozyl biphenyl (CBP) were studied through detailed electrical device characterization. A series of hole-only devices have been fabricated, where the doping level was varied from 10-40mol% and the doped CBP thickness was varied from 5-40 nm. It was found that, to achieve effective doping for improved hole injection and transport, the doping level should be greater than 20mol% and the doped layer should be at least 10 nm thick. It was also found that an energy barrier exists at the doped and undoped CBP interface, resulting in an additional voltage drop. This finding was explained by a large downward shift of the Fermi level in WO3-doped CBP, which causes band bending and depletion at the interface. Finally, simplified green phosphorescent organic light-emitting diodes (OLEDs) with CBP as the hole transport and host material were fabricated. With a WO3-doped hole transport layer, the OLEDs attained brightness above 105 cd/m2 at 20 mA/cm2, and exhibited an improved reliability under constant-current stressing as compared to undoped OLEDs.
Organic thin-film transistors (OTFTs) are the most promising candidates for flexible electronics owing to their flexible structures, the simplicity of processing large-area devices, and excellent compatibility with flexible substrates. To date, many studies have been reported that have aimed at developing a wide range of plastic electronics such as flexible displays, sensors. In this paper, we discuss our recent work, focusing on OTFT arrays and their application to flexible display. An active-matrix (AM) backplane using a low-temperature cross-linkable olefin-type polymer as the gatedielectric and an air-stable DNTT as the organic semiconductor (OSC) was successfully fabricated on a plastic substrate. The short-channel TFT array exhibited a high hole mobility of over 0.5 cm2/Vs, a low subthreshold slope of 0.31, and excellent environmental and operational stability. A 5-inch flexible OLED display exhibited a high luminescence of over 300 cd/m2 by driving of the DNTT-based OTFTs. Solution-processed OTFTs are also attracting considerable attention owing to both their simple manufacturing process and excellent transistor performance. We present a simple patterning process for a solution-processable OSC that can be used to develop a high-mobility short-channel TFT array. The OSC film was directly patterned on the confined active channel region by a simple lamination coating technique and the resulting TFTs showed a high mobility of up to 1.3 cm2/Vs. In the final section, we report on eco-friendly paper-based organic TFT array. A transparent cellulose nanofibers paper was firstly applied to a flexible substrate for the TFT backplane. A solution-processed TFT on the transparent paper exhibited a high mobility exceeding 1 cm2/Vs, good air stability, and excellent mechanical stability.
We carried out large–scale (4 × 2 degree) CO multi–line observations toward the central molecular zone (CMZ) in the Galactic center (GC) with the NANTEN2 4m telescope and mapped several diffuse molecular features located at relatively high Galactic latitudes above 0°.6. These high–latitude features are composed of diffuse molecular halo gas and molecular filaments according to their morphological aspects. Their high velocities and high intensity ratios between 12CO J = (2−1) and J = (1−0) clearly indicate their location in the GC, and their total mass amount to ∼10% of that of the CMZ. We discuss that magnetic field is a possible mechanism of these high–latitude molecular features lifting up toward high galactic latitude.
Sustained friction drag reduction and heat transfer augmentation are simultaneously achieved in a fully developed channel flow where the averaged transport equations and wall boundary conditions for momentum and heat have identical form. Zero-net-mass-flux wall blowing and suction is assumed as a control input and its spatio-temporal distribution is determined based on optimal control theory. When the root-mean-square value of the control input is 5 % of the bulk mean velocity, the friction drag is decreased by 24 % from the uncontrolled value, whereas the heat transfer is more than doubled. Optimizations with different amplitudes of the control input and different Reynolds numbers reveal that the optimal control inputs commonly exhibit the property of a downstream travelling wave, whose wavelength is ∼250 in wall units and phase velocity is ∼30 % of the bulk mean velocity. Detailed analyses of the controlled velocity and thermal fields show that the travelling wave input contributes to dissimilar heat transfer enhancement through two distinct mechanisms, i.e. direct modification of the coherent velocity and thermal fields and an indirect effect on the random fields. The present results show that the divergence-free velocity vector and the conservative scalar are essentially different, and this is a key to achieving dissimilar heat transfer enhancement in turbulent shear flows.
A human immunodeficiency virus-1 (HIV-1)-positive male undergoing antiretroviral therapy was diagnosed with an axillary lymph node abscess caused by Corynebacterium ulcerans, and an environmental survey revealed that the patient's cat as the source of infection.
Low birth weight was associated with cardiometabolic diseases in adult age. Insulin-like growth factor-1 (IGF-1) has a crucial role in fetal growth and also associates with cardiometabolic risks in adults. Therefore, we elucidated the association between IGF-1 level and serum lipids in cord blood of preterm infants. The subjects were 41 consecutive, healthy preterm neonates (27 male, 14 female) born at <37-week gestational age, including 10 small for gestational age (SGA) infants (<10th percentile). IGF-1 levels and serum lipids were measured in cord blood, and high-density lipoprotein cholesterol (HDLC), low-density lipoprotein cholesterol (LDLC) and very low-density lipoprotein triglyceride (VLDLTG) levels were determined by HPLC method. SGA infants had lower IGF-1 (13.1 ± 5.3 ng/ml), total cholesterol (TC) (55.0 ± 14.8), LDLC (21.6 ± 8.3) and HDLC (26.3 ± 11.3) levels, and higher VLDLTG levels (19.0 ± 12.7 mg/dl) than in appropriate for gestational age (AGA) infants (53.6 ± 25.6, 83.4 ± 18.9, 36.6 ± 11.1, 38.5 ± 11.6, 8.1 ± 7.0, respectively). In simple regression analyses, log IGF-1 correlated positively with birth weight (r = 0.721, P < 0.001), TC (r = 0.636, P < 0.001), LDLC (r = 0.453, P = 0.006), and HDLC levels (r = 0.648, P < 0.001), and negatively with log TG (r = −0.484, P = 0.002) and log VLDL-TG (r = −0.393, P = 0.018). Multiple regression analyses demonstrated that IGF-1 was an independent predictor of TC, HDLC and TG levels after the gestational age and birth weight were taken into account. In preterm SGA infants, cord blood lipids profile altered with the concomitant decrease in IGF-1 level.