Functioning and Vision-Related Quality of Life in Severe Peripheral Field Loss due to Retinitis Pigmentosa: A Qualitative Study

Vision impairment and blindness are associated with disability and decreased social participation and independence. While vision rehabilitation may improve patients’ functional abilities, there is scarce data regarding the effectiveness of rehabilitation for patients with severe peripheral field loss (PFL). In order to evaluate rehabilitation strategies for individuals with severe PFL, a valid and reliable instrument to measure vision-dependent functioning and vision-related quality of life is needed. Accordingly, this qualitative study was the first phase in developing a patient-reported outcome (PRO) measure tailored to this population. Individuals with retinitis pigmentosa (RP) were recruited from the Kellogg Eye Center and the Association for the Blind and Visually Impaired. The study sample included 17 participants (53% female, mean age 48); median presenting visual acuity and Pelli-Robson contrast sensitivity were 20/40 and 1.2 log contrast sensitivity, respectively. The maximum horizontal extent of the Goldmann visual field was 11° in the better-seeing eye. Study participants completed a semi-structured qualitative interview, and two quality of life questionnaires. Interviews were recorded, transcribed and coded by two independent coders. Thematic analysis of the interview codes identified six vision-related quality of life themes across all RP participants: activity limitations, driving, emotional well-being, reading, mobility and social function. These themes will serve in the development of a PRO specific to severe PFL, which will facilitate evaluation and eventual evolution of low vision rehabilitation for patients with severe PFL

Oscillatory surface dichroism of an insulating topological insulator Bi2Te2Se

Using circular dichroism-angle resolved photoemission spectroscopy (CD-ARPES), we report a study of the effect of angular momentum transfer between polarized photons and topological surface states on the surface of highly bulk insulating topological insulator Bi2Te2Se. The photoelectron dichroism is found to be strongly modulated by the frequency of the helical photons including a dramatic sign-flip. Our results suggest that the observed dichroism and its sign-flip are consequences of strong coupling between the photon field and the spin-orbit nature of the Dirac modes on the surface. Our studies reveal the intrinsic dichroic behavior of topological surface states and point toward the potential utility of bulk insulating topological insulators in device applications.Comment: 5 pages, 4 figure

Orbital character of O 2p unoccupied states near the Fermi level in CrO2

The orbital character, orientation, and magnetic polarization of the O 2$p$ unoccupied states near the Fermi level ($E_F$) in CrO$_2$ was determined using polarization-dependent X-ray absorption spectroscopy (XAS) and X-ray magnetic circular dichroism (XMCD) from high-quality, single-crystal films. A sharp peak observed just above $E_F$ is excited only by the electric field vector ($\bf E$) normal to the tetragonal $c$-axis, characteristic of a narrow band ($\approx$ 0.7 eV bandwidth) constituted from O 2$p$ orbitals perpendicular to $c$ (O 2$p_y$) hybridized with Cr 3$d_{xz-yz}$ $t_{2g}$ states. By comparison with band-structure and configuration-interaction (CI) cluster calculations our results support a model of CrO$_2$ as a half-metallic ferromagnet with large exchange-splitting energy ($\Delta_{exch-split}$ $\approx$ 3.0 eV) and substantial correlation effects.Comment: 4 pages, 3 figures, accepted for publication in Phys. Rev. B Rapid Com

Dose-response relationship between arsenic exposure and the serum enzymes for liver function tests in the individuals exposed to arsenic: a cross sectional study in Bangladesh

<p>Abstract</p> <p>Background</p> <p>Chronic arsenic exposure has been shown to cause liver damage. However, serum hepatic enzyme activity as recognized on liver function tests (LFTs) showing a dose-response relationship with arsenic exposure has not yet been clearly documented. The aim of our study was to investigate the dose-response relationship between arsenic exposure and major serum enzyme marker activity associated with LFTs in the population living in arsenic-endemic areas in Bangladesh.</p> <p>Methods</p> <p>A total of 200 residents living in arsenic-endemic areas in Bangladesh were selected as study subjects. Arsenic concentrations in the drinking water, hair and nails were measured by Inductively Coupled Plasma Mass Spectroscopy (ICP-MS). The study subjects were stratified into quartile groups as follows, based on concentrations of arsenic in the drinking water, as well as in subjects' hair and nails: lowest, low, medium and high. The serum hepatic enzyme activities of alkaline phosphatase (ALP), aspartate transaminase (AST) and alanine transaminase (ALT) were then assayed.</p> <p>Results</p> <p>Arsenic concentrations in the subjects' hair and nails were positively correlated with arsenic levels in the drinking water. As regards the exposure-response relationship with arsenic in the drinking water, the respective activities of ALP, AST and ALT were found to be significantly increased in the high-exposure groups compared to the lowest-exposure groups before and after adjustments were made for different covariates. With internal exposure markers (arsenic in hair and nails), the ALP, AST and ALT activity profiles assumed a similar shape of dose-response relationship, with very few differences seen in the higher groups compared to the lowest group, most likely due to the temporalities of exposure metrics.</p> <p>Conclusions</p> <p>The present study demonstrated that arsenic concentrations in the drinking water were strongly correlated with arsenic concentrations in the subjects' hair and nails. Further, this study revealed a novel exposure- and dose- response relationship between arsenic exposure metrics and serum hepatic enzyme activity. Elevated serum hepatic enzyme activities in the higher exposure gradients provided new insights into arsenic-induced liver toxicity that might be helpful for the early prognosis of arsenic-induced liver diseases.</p

Highly Asynchronous and Asymmetric Cleavage Divisions Accompany Early Transcriptional Activity in Pre-Blastula Medaka Embryos

In the initial phase of development of fish embryos, a prominent and critical event is the midblastula transition (MBT). Before MBT cell cycle is rapid, highly synchronous and zygotic gene transcription is turned off. Only during MBT the cell cycle desynchronizes and transcription is activated. Multiple mechanisms, primarily the nucleocytoplasmic ratio, are supposed to control MBT activation. Unexpectedly, we find in the small teleost fish medaka (Oryzias latipes) that at very early stages, well before midblastula, cell division becomes asynchronous and cell volumes diverge. Furthermore, zygotic transcription is extensively activated already after the 64-cell stage. Thus, at least in medaka, the transition from maternal to zygotic transcription is uncoupled from the midblastula stage and not solely controlled by the nucleocytoplasmic ratio