Effect of Emitted Wavelength and Light Guide Type on Irradiance Discrepancies in Hand-Held Dental Curing Radiometers

The purpose of this study was to determine any discrepancies in the outputs of five commercial dental radiometers and also to evaluate the accuracy of these devices using a laboratory-grade spectroradiometer. The power densities of 12 different curing light sources were repeatedly measured for a total of five times using each radiometer in a random order. The emission spectra of all of the curing light sources were also measured using the spectroradiometer, and the integral value of each spectrum was calculated to determine the genuine power densities, which were then compared to the displayed power densities measured by the dental radiometers. The displayed values of power density were various and were dependent on the brand of radiometer, and this may be because each radiometer has a different wavelength sensitivity. These results cast doubt upon the accuracy of commercially available dental radiometers

Pueraria mirifica, an estrogenic tropical herb, unveiled the severity of Type 1 LQTS caused by KCNQ1-T587M

After taking an estrogen-containing supplement derived from a tropical plant Pueraria mirifica, a 24-year-old woman presented marked QT prolongation and repetitive torsade de pointes. The patient was found to carry a heterozygous KCNQ1-T587M mutation. This is the first report on Pueraria mirifica-related acquired long QT syndrome

pH-dependent Formation of Membranous Cytoplasmic Body-like Structure of Ganglioside GM1/Bis(Monoacylglycero)Phosphate Mixed Membranes

Membrane structures of the mixtures of ganglioside GM1 and endosome specific lipid, bis(monoacylglycero)phosphate (BMP, also known as lysobisphosphatidic acid, LBPA) were examined at various pH conditions by freeze-fracture electron microscopy and small-angle x-ray scattering (SAXS). At pH 8.5 – 6.5, a GM1/BMP (1/1 mol/mol) mixture formed small vesicular aggregates, whereas the mixture formed closely packed lamellar structures under acidic conditions (pH 5.5, 4.6) with the lamellar repeat distance of 8.06 nm. Since BMP alone exhibits a diffuse lamellar structure at a broad range of pH values and GM1 forms a micelle, the present results indicate that both GM1 and BMP are required to produce the closely stacked multilamellar vesicles. These vesicles resemble membranous cytoplasmic bodies (MCB) in cells derived from patients suffering from GM1 gangliosidosis. Similar to GM1 gangliosidosis, cholesterol was trapped in BMP vesicles in GM1- and in a low pH-dependent manner. Studies employing different gangliosides and a GM1 analog suggest the importance of sugar chains and a sialic acid of GM1 in the pH-dependent structural change of GM1/BMP membranes

The first Japanese MDPL case

Mandibular hypoplasia, deafness, progeroid features and lipodystrophy (MDPL) syndrome is a rare autosomal dominant disorder caused by heterozygous POLD1 mutations. To date, 13 patients affected by POLD1 mutation-caused MDPL have been described. We report a clinically undiagnosed 11-year-old male who noted joint contractures at 6 years of age. Targeted exome sequencing identified a known POLD1 mutation [NM_002691.3:c.1812_1814del, p.(Ser605del)] that diagnosed him as the first Japanese/East Asian MDPL case

Risk factors for low adherence to methylphenidate treatment in pediatric patients with attention-deficit/hyperactivity disorder

Poor adherence is a major concern in the treatment of attention-deficit/hyperactivity disorder (ADHD). The objective of this study was to evaluate factors linked to early interruption of and low adherence to treatment with osmotic-release oral system methylphenidate hydrochloride (OROS-MPH) in pediatric patients with ADHD. A total of 1353 young people (age 6–17 years) with a diagnosis of ADHD who newly started OROS-MPH were extracted from the pharmacoepidemiological data of 3 million people in Japan. The cohort was retrospectively surveyed every month for 12 months. Ten possible risk factors were extracted from the data and analyzed by multivariable logistic regression. Sensitivity analysis was conducted to ensure the robustness of the analysis. The results revealed that treatment adherence was generally poor, with a tendency for discontinuation in the early stage. Multivariable logistic regression results showed that adherence is reduced by female sex, lower starting dose, and concomitant atomoxetine or hypnotics. These findings may help clinicians to predict the risk of poor adherence in the early stage of treatment and improve not only patients’ symptoms, but also their quality of life

Expansion Velocity of Ejecta in Tycho's Supernova Remnant Measured by Doppler Broadened X-ray Line Emission

We show that the expansion of ejecta in Tycho's supernova remnant (SNR) is consistent with a spherically symmetric shell, based on Suzaku measurements of the Doppler broadened X-ray emission lines. All the strong K_alpha line emission show broader widths at the center than at the rim, while the centroid energies are constant across the remnant (except for Ca). This is the pattern expected for Doppler broadening due to expansion of the SNR ejecta in a spherical shell. To determine the expansion velocities of the ejecta, we applied a model for each emission line feature having two Gaussian components separately representing red- and blue-shifted gas, and inferred the Doppler velocity difference between these two components directly from the fitted centroid energy difference. Taking into account the effect of projecting a three-dimensional shell to the plane of the detector, we derived average spherical expansion velocities independently for the K_alpha emission of Si, S, Ar, and Fe, and K_beta of Si. We found that the expansion velocities of Si, S, and Ar ejecta of 4700+/-100 km/s are distinctly higher than that obtained from Fe K_alpha emission, 4000+/-300 km/s, which is consistent with segregation of the Fe in the inner ejecta. Combining the observed ejecta velocities with the ejecta proper-motion measurements by Chandra, we derived a distance to the Tycho's SNR of 4+/-1 kpc.Comment: Accepted to Apj, 25 pages, 7 figures, 5 table

Suzaku observation of the giant radio galaxy 3C 326

A Suzaku observation of a giant radio galaxy, 3C 326, which has a physical size of about 2 Mpc, was conducted on 2008 January 19 -- 21. In addition to several X-ray sources, diffuse emission was significantly detected associated with its west lobe, but the east lobe was contaminated by an unidentified X-ray source WARP J1552.4+2007. After careful evaluation of the X-ray and Non X-ray background, the 0.4 -- 7 keV X-ray spectrum of the west lobe is described by a power-law model. The photon index and 1 keV flux density was derived as $1.82_{-0.24}^{+0.26}\pm0.04$ and $19.4_{-3.2}^{+3.3}\pm 3.0$ nJy, respectively, where the first and second errors represent the statistical and systematic ones. The diffuse X-rays were attributed to be inverse Compton radiation by the synchrotron radio electrons scattering off the cosmic microwave background photons. This radio galaxy is the largest among those with lobes detected through inverse Compton X-ray emission. A comparison of the radio to X-ray fluxes yields the energy densities of electron and magnetic field as $u_e = (2.3 \pm 0.3 \pm 0.3) \times 10^{-13}$ ergs/cm3 and $u_m = (1.2_{-0.1}^{+0.2}\pm 0.2) \times 10^{-14}$ ergs/cm3, respectively. The galaxy is suggested to host a low luminosity nucleus with an absorption-corrected 2 -- 10 keV luminosity of $<2 \times 10^{42}$ ergs/s, together with a relatively weak radio core. The energetics in the west lobe of 3C 326 were compared with those of moderate radio galaxies with a size of $\sim 100$ kpc. The west lobe of 3C 326 is confirmed to agree with the correlations for the moderate radio galaxies, $u_e \propto D^{-2.2\pm0.4}$ and $u_m \propto D^{-2.4\pm0.4}$, where $D$ is their total physical size. This implies that the lobes of 3C 326 are still being energized by the jet, despite the current weakness of the nucleus.Comment: 11 pages, 10 figures, 6 tables, Accepted for ApJ (v706 issue