Evaluation of contrast visual acuity in patients with retinitis pigmentosa

Kazumi Oomachi1, Kazuha Ogata2, Takeshi Sugawara2, Akira Hagiwara2, Akira Hata1, Shuichi Yamamoto21Department of Public Health; 2Department of Ophthalmology, Chiba University Graduate School of Medicine, Chiba, JapanBackground: The purpose of this study was to determine visual acuity at different contrast levels under photopic and mesopic conditions in patients with retinitis pigmentosa.Methods: Sixty eyes of 31 normal controls, 92 eyes of 52 patients with retinitis pigmentosa without other ocular disorders (RP-1 group), and 20 eyes of 14 patients with retinitis pigmentosa with cataracts and without other ocular disorders (RP-2 group) were studied. Conventional visual acuity was measured using a conventional Landolt ring chart with 100% contrast and luminance of 150 cd/m2. All of the patients with retinitis pigmentosa had a decimal visual acuity better than 1.0. Contrast visual acuity was measured with the same Landolt ring chart with contrasts of 100% and 10% and under photopic (200 cd/m2) and mesopic (10 cd/m2) conditions. Decimal visual acuities were converted to logMAR units for the analyses.Results: The 100% contrast visual acuity and the 10% contrast visual acuity determined under both photopic and mesopic conditions were significantly poorer in both the RP-1 and RP-2 groups than in the controls. The differences between the conventional visual acuity and the 100% contrast visual acuity were significantly greater in the RP-1 and RP-2 groups than in the controls under both photopic and mesopic conditions. The differences between the 100% contrast visual acuity and the 10% contrast visual acuity were not significant among the three groups under photopic and mesopic conditions.Conclusion: Contrast visual acuities were greatly reduced in patients with retinitis pigmentosa with relatively well preserved conventional visual acuity, and the contrast visual acuity was largely influenced by ambient light levels in patients with retinitis pigmentosa. Although a longitudinal study for confirmation has to be performed, our findings indicate that contrast visual acuity is a better test to follow changes in visual function in patients with retinitis pigmentosa.Keywords: retinitis pigmentosa, contrast visual acuity, photopic vision, mesopic visio

Field-Enhanced Kondo Correlations in a Half-Filling Nanotube Dot: Evolution of an SU(N) Fermi-Liquid Fixed Point

We theoretically study an emergent SU(2) symmetry which is suggested by recent magneto-transport measurements, carried out near two electrons filling of a carbon nanotube quantum dot. It emerges in the case where the spin and orbital Zeeman splittings cancel each other out for two of the one-particle dot levels among four. Using the Wilson numerical renormalization group, we show that a crossover from the SU(4) to SU(2) Fermi-liquid behavior occurs at two impurity-electrons filling as magnetic field increases. We also find that the quasiparticles are significantly renormalized as the remaining two one-particle levels move away from the Fermi level and are frozen at high magnetic fields. In order to clarify how the ground state evolves during such a crossover, we also reexamine the SU(N) Kondo singlet state for M impurity-electrons filling in the limit of strong exchange interactions. We show that the nondegenerate Fermi-liquid fixed point of Nozi\`{e}es and Blandin can be described as a bosonic Perron-Frobenius vector for M hard-core bosons, each of which consists of one impurity-electron and one conduction hole. This interpretation can also be applied to the Fermi-liquid fixed-point without the SU(N) symmetry.Comment: 20 pages, 10 figures, Sec.III B. has been revised. J.Phys.Soc.Jpn.in pres

BMI mediates the association between low educational level and higher blood pressure during pregnancy in Japan

BACKGROUND: Research investigating the association between socioeconomic status (SES) and blood pressure (BP) during pregnancy is limited and its underlying pathway is unknown. The aim of this study was to investigate the mediators of the association between educational level as an indicator of the SES and BP in early and mid-pregnancy among Japanese women. METHODS: Nine hundred and twenty-three pregnant women in whom BP was measured before 16 weeks and at 20 weeks of gestation were enrolled in this study. Maternal educational levels were categorized into three groups: high (university or higher), mid (junior college), and low (junior high school, high school, or vocational training school). RESULTS: The low educational group had higher systolic (low vs. high, difference = 2.39 mmHg, 95% confidence interval [CI]: 0.59 to 4.19) and diastolic BP levels (low vs. high, difference = 0.74 mmHg, 95% CI: –0.52 to 1.99) in early pregnancy. However, the same associations were not found after adjustment for pre-pregnancy body mass index (BMI). BP reduction was observed in mid-pregnancy in all three educational groups and there was no association between educational level and pregnancy-induced hypertension. CONCLUSION: In Japanese women, the low educational group showed higher BP during pregnancy than the mid or high educational groups. Pre-pregnancy BMI mediates the association between educational level and BP

Study of the factors related to atrial fibrillation after coronary artery bypass grafting: A search for a marker to predict the occurrence of atrial fibrillation before surgical intervention

ObjectiveAtrial fibrillation after cardiac surgery is a frequent complication. In this study we studied various factors in addition to trying to identify a marker that would predict the potential for atrial fibrillation before surgical intervention to prevent its occurrence.MethodsWe targeted 234 cases in which isolated coronary artery bypass grafting had been performed. The items for study included age, EuroSCORE, and maximum values of creatine phosphokinase–MB, troponin I, and angiotensin II after surgical intervention and preoperative values of atrial natriuretic peptide, brain natriuretic peptide, and C-reactive protein. As fibrotic markers, we measured levels of the sialylated carbohydrate antigen KL-6 in the blood, hyaluronic acid, and pyridinoline cross-linked carboxyterminal telepeptide of type I collagen C. At the time of surgical intervention, a section of the right atrium was extracted, and atrial natriuretic peptide, the sialylated carbohydrate antigen KL-6, hyaluronic acid, and pyridinoline cross-linked telopeptide of type I collagen levels were measured.ResultsAtrial fibrillation was observed in 73 (31.2%) cases, and preoperative factors that showed statistically significant differences in the occurrence of atrial fibrillation included age, EuroSCORE, and preoperative values of atrial natriuretic peptide, angiotensin II, the sialylated carbohydrate antigen KL-6, hyaluronic acid, and pyridinoline cross-linked telopeptide of type I collagen in the blood. As for intraoperative and postoperative factors, statistically significant differences were observed in the postoperative maximum of angiotensin II, atrial natriuretic peptide of the right atrium, the sialylated carbohydrate antigen KL-6, hyaluronic acid, and pyridinoline cross-linked telopeptide of type I collagen levels.ConclusionThe fibrosis of tissue associated with age is believed to be closely related to the occurrence of atrial fibrillation after coronary artery bypass grafting. This study suggests that the preoperative values of atrial natriuretic peptide, angiotensin II, the sialylated carbohydrate antigen KL-6, hyaluronic acid, and pyridinoline cross-linked telopeptide of type I collagen in the blood are useful as a new index for the occurrence of atrial fibrillation after coronary artery bypass grafting

Experimental IgA Nephropathy Induced by Oral Administration of Dextran

Attempts were made to produce experimental IgA nephropathy by oral administration for 18 weeks of dextran having a molecular weight of 10,000, 70,000, and 500,000 to 6-week old female BALB/c mice. It was observed that in three out of eight cases belonging to the group given dextran having a molecular weight of 70,000 and in three out of seven cases belonging to the group given dextran having a molecular weight of 500,000, deposition of IgA on the mesangium was demonstrated by immunofluorescence direct method. Furthermore, deposition of IgG and IgM was observed in not only the groups given dextran but also in the control group, but no significant difference in deposition pattern could be demonstrated between the groups. C3 was observed only in one case belonging to the group given dextran having a molecular weight of 10,000. The serum IgA value showed a higher value in the cases with IgA deposition than in the control group. Serum C3 value was higher in the IgA deposition cases in the group given dextran having a molecular weight of 500,000 than in the control group. These results suggest that it is possible to produce experimental IgA nephropathy by continual oral administration of carbohydrate antigen of bacterial origin and that bacterial infection is involved in the development of IgA nephropathy