23 research outputs found
Zero field spin splitting in AlSb/InAs/AlSb quantum wells induced by surface proximity effects
InAs quantum well heterostructures are of considerable interest for
mesoscopic device applications such as scanning probe and magnetic recording
sensors, which require the channel to be close to the surface. Here we report
on magnetotransport measurements of AlSb/InAs/AlSb Hall bars at a shallow depth
of 20 nm. Analysis of the observed Shubnikov-de Haas oscillations and modeling
show that spin splitting energies in excess of 2.3 meV occur at zero magnetic
field. We conclude that the spin-splitting results from the Rashba effect due
to the band bending in the quantum well. This is caused by substantial electron
transfer from the surface to the quantum well and becomes significant when the
quantum well is located near the surface.Comment: 14 pages, 2 figures. (To be published in APL
長期療養病棟入院の摂食嚥下障害患者における嚥下反射と誤嚥性肺炎の発症率との関連性 : 60日間の前向きコホート研究
Objective: To investigate the association between the Simple Swallowing Provocation Test (SSPT) and the incidence of aspiration pneumonia in patients with dysphagia in long-term care (LTC) wards.
Design: The study design was a prospective cohort study. Participants were followed for 60 days from admission.
Setting: LTC wards.
Participants: Study participants were patients with dysphagia aged ≥65 years who were admitted to LTC wards between August 2018 and August 2019. In total, 39 participants were included in the analysis (N=39; 20 male, 19 female; mean age, 83.8±8.5y). Participants were divided into 2 groups based on SSPT results: normal swallowing reflex (SSPT normal group) and abnormal swallowing reflex (SSPT abnormal group). The covariates were age and sex, primary disease, history of cerebrovascular disease, Glasgow Coma Scale, body mass index, Geriatric Nutritional Risk Index, the Mann Assessment of Swallowing Ability, Food Intake Level Scale, FIM, and Oral Health Assessment Tool.
Interventions: Not applicable.
Main Outcome Measures: The outcome was the incidence of aspiration pneumonia during the first 60 days of hospitalization, and the predictive factor was SSPT: 0.4 mL.
Results: The incidence of aspiration pneumonia was 33.3% in the SSPT normal group and 76.2% in the SSPT abnormal group. The φ coefficient (a measure of association for 2 binary variables) was 0.43, the risk ratio (the ratio of the probability of an outcome in an exposed group to the probability of an outcome in an unexposed group) was 2.29, and the 95% confidence interval was 1.14-4.58 for the SSPT abnormal group.
Conclusions: Our findings suggest that the SSPT provides a valid index for the development of aspiration pneumonia in older patients with dysphagia admitted to LTC wards
Pneumonia Caused by Severe Acute Respiratory Syndrome Coronavirus 2 and Influenza Virus: A Multicenter Comparative Study
Background: Detailed differences in clinical information between severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pneumonia (CP), which is the main phenotype of SARS-CoV-2 disease, and influenza pneumonia (IP) are still unclear. Methods: A prospective, multicenter cohort study was conducted by including patients with CP who were hospitalized between January and June 2020 and a retrospective cohort of patients with IP hospitalized from 2009 to 2020. We compared the clinical presentations and studied the prognostic factors of CP and IP. Results: Compared with the IP group (n = 66), in the multivariate analysis, the CP group (n = 362) had a lower percentage of patients with underlying asthma or chronic obstructive pulmonary disease (P < .01), lower neutrophil-to-lymphocyte ratio (P < .01), lower systolic blood pressure (P < .01), higher diastolic blood pressure (P < .01), lower aspartate aminotransferase level (P < .05), higher serum sodium level (P < .05), and more frequent multilobar infiltrates (P < .05). The diagnostic scoring system based on these findings showed excellent differentiation between CP and IP (area under the receiver operating characteristic curve, 0.889). Moreover, the prognostic predictors were different between CP and IP. Conclusions: Comprehensive differences between CP and IP were revealed, highlighting the need for early differentiation between these 2 pneumonias in clinical settings
A study of the optimization problem on the combination of sectionalizing switches in power grid with quantum annealing
From the perspective of global warming, efficiency improvement of power grids
is a pressing issue. Power grids have many switching devices to control the
flow of electricity. Since there is a slight resistance in the wires and power
consumption is proportional to the square of the current, the value of power
loss on the wires changes depending on the combination of switch values that
change the supply path of the current. The total number of switch combinations
increases exponentially with the number of switches, and various algorithms
have been studied to find the optimal combination of switch values. We propose
a method to capture the switch combination problem in power grids as quadratic
unconstrained binary optimization (QUBO) and derive an evaluation function to
solve it using quantum annealing. The result is registered as a patent P6736787
at Japanese patent office
A Single-Institution Prospective Study To Evaluate the Safety and Efficacy of Real-Time Image-Gated Spot-Scanning Proton Therapy (RGPT) for Prostate Cancer
Purpose: In real-time image-gated spot-scanning proton therapy (RGPT), the dose distribution is distorted by gold fiducial markers placed in the prostate. Distortion can be suppressed by using small markers and more than 2 fields, but additional fields may increase the dose to organs at risk. Therefore, we conducted a prospective study to evaluate the safety and short-term clinical outcome of RGPT for prostate cancer.
Methods and Materials: Based on the previously reported frequency of early adverse events (AE) and the noninferiority margin of 10%, the required number of cases was calculated to be 43 using the one-sample binomial test by the Southwest Oncology Group statistical tools with the one-sided significance level of 2.5% and the power 80%. Patients with localized prostate cancer were enrolled and 3 to 4 pure gold fiducial markers of 1.5-mm diameter were inserted in the prostate. The prescribed dose was 70 Gy(relative biologic effectiveness) in 30 fractions, and treatment was performed with 3 fields from the left, right, and the back, or 4 fields from either side of slightly anterior and posterior oblique fields. The primary endpoint was the frequency of early AE (≥grade 2) and the secondary endpoint was the biochemical relapse-free survival rate and the frequency of late AE.
Results: Forty-five cases were enrolled between 2015 and 2017, and all patients completed the treatment protocol. The median follow-up period was 63.0 months. The frequency of early AE (≥grade 2) was observed in 4 cases (8.9%), therefore the noninferiority was verified. The overall 5-year biochemical relapse-free survival rate was 88.9%. As late AE, grade 2 rectal bleeding was observed in 8 cases (17.8%).
Conclusions: The RGPT for prostate cancer with 1.5-mm markers and 3- or 4- fields was as safe as conventional proton therapy in early AE, and its efficacy was comparable with previous studies
Taxonomic overview of Neogene crocodylians in Myanmar
Although Neogene crocodylians were well documented from Indo-Pakistan, few fossils were known from Southeast Asia, precluding the understanding of their evolutionary and biogeographic history. Here, we describe crocodylians from the Neogene Irrawaddy Formation of central Myanmar and evaluate their taxonomic status. Tebingan, SE of Magway (lower Upper Miocene) yields Gavialis and Crocodylus that differ from the previously known species of each genus, and the Gwebin area, SW of Bagan (Upper Pliocene) produces Crocodylus cf. palaeindicus. Taking into account the materials without provenance data, Neogene crocodylians from Myanmar include at least three gavialids and two Crocodylus that are characterized by different craniomandibular and postcranial features. The body length estimates for the gavialines from Tebingan and an unknown locality in central Myanmar are 7.5 m and 8.6 m, respectively, which exceed the maximum size limit of extant Gavialis gangeticus. Together with the previously reported large taxa, gavialids repeatedly evolved large body sizes in the Neogene of Asia. Gavialis from the Miocene of Myanmar is one of the oldest records of the genus, and its unraised orbital rim suggests that the “telescoped” eyes derived later during the genus evolution. Crocodylus cf. palaeindicus from the Pliocene of Myanmar indicates the species range was extended from western India to Myanmar during the Neogene. The absence of Crocodylus siamensis in the Neogene of India and central Myanmar implies the species originated east of central Myanmar
Taxonomic overview of Neogene crocodylians in Myanmar
Although Neogene crocodylians were well documented from Indo-Pakistan, few fossils were known from Southeast Asia, precluding the understanding of their evolutionary and biogeographic history. Here, we describe crocodylians from the Neogene Irrawaddy Formation of central Myanmar and evaluate their taxonomic status. Tebingan, SE of Magway (lower Upper Miocene) yields Gavialis and Crocodylus that differ from the previously known species of each genus, and the Gwebin area, SW of Bagan (Upper Pliocene) produces Crocodylus cf. palaeindicus. Taking into account the materials without provenance data, Neogene crocodylians from Myanmar include at least three gavialids and two Crocodylus that are characterized by different craniomandibular and postcranial features. The body length estimates for the gavialines from Tebingan and an unknown locality in central Myanmar are 7.5 m and 8.6 m, respectively, which exceed the maximum size limit of extant Gavialis gangeticus. Together with the previously reported large taxa, gavialids repeatedly evolved large body sizes in the Neogene of Asia. Gavialis from the Miocene of Myanmar is one of the oldest records of the genus, and its unraised orbital rim suggests that the “telescoped” eyes derived later during the genus evolution. Crocodylus cf. palaeindicus from the Pliocene of Myanmar indicates the species range was extended from western India to Myanmar during the Neogene. The absence of Crocodylus siamensis in the Neogene of India and central Myanmar implies the species originated east of central Myanmar