Mesenchymal stem cells for kidney transplantation

Published online: July 24, 2014The long term consequence of immunosuppressive therapy in kidney transplantation has prompted investigation of alternative means to modify the immune response to the allograft. Cell based therapies are potentially attractive as they may provide a long lasting immunomodulatory effect, may repair tissues and reduce the necessity to take immunosuppressive drug therapy. Of the current cell therapies, mesenchymal stem cells have now been trialled in small numbers of human kidney transplantation with apparent safety and potential efficacy. Many issues however need to be resolved before these cells will become mainstays of transplant immunosuppression including ex vivo modification to enhance immunomodulatory properties, cell number, route and frequency of administration as well as cellular source of origin.Bron Lett, Kisha N Sivanathan, P Toby Coate

Instability Heating of Sympathetically-Cooled Ions in a Linear Paul Trap

Sympathetic laser cooling of ions stored within a linear-geometry, radio frequency, electric-quadrupole trap has been investigated using computational and theoretical techniques. The simulation, which allows 5 sample ions to interact with 35 laser-cooled atomic ions, revealed an instability heating mechanism, which can prevent ions below a certain critical mass from being sympathetically cooled. This critical mass can however be varied by changing the trapping field parameters thus allowing ions with a very large range of masses to be sympathetically cooled using a single ion species. A theoretical explanation of this instability heating mechanism is presented which predicts that the cooling-heating boundary in trapping parameter space is a line of constant $q_u$ (ion trap stability coefficient), a result supported by the computational results. The threshold value of $q_u$ depends on the masses of the interacting ions. A functional form of this dependence is given

Quantum and Semiclassical Calculations of Cold Atom Collisions in Light Fields

We derive and apply an optical Bloch equation (OBE) model for describing collisions of ground and excited laser cooled alkali atoms in the presence of near-resonant light. Typically these collisions lead to loss of atoms from traps. We compare the results obtained with a quantum mechanical complex potential treatment, semiclassical Landau-Zener models with decay, and a quantum time-dependent Monte-Carlo wave packet (MCWP) calculation. We formulate the OBE method in both adiabatic and diabatic representations. We calculate the laser intensity dependence of collision probabilities and find that the adiabatic OBE results agree quantitatively with those of the MCWP calculation, and qualitatively with the semiclassical Landau-Zener model with delayed decay, but that the complex potential method or the traditional Landau-Zener model fail in the saturation limit.Comment: 21 pages, RevTex, 7 eps figures embedded using psfig, see also http://www.physics.helsinki.fi/~kasuomin

An occupational therapy intervention for residents with stroke related disabilities in UK care homes (OTCH): cluster randomised controlled trial

Objective To evaluate the clinical efficacy of an established programme of occupational therapy in maintaining functional activity and reducing further health risks from inactivity in care home residents living with stroke sequelae. Design Pragmatic, parallel group, cluster randomised controlled trial. Setting 228 care homes (>10 beds each), both with and without the provision of nursing care, local to 11 trial administrative centres across the United Kingdom. Participants 1042 care home residents with a history of stroke or transient ischaemic attack, including those with language and cognitive impairments, not receiving end of life care. 114 homes (n=568 residents, 64% from homes providing nursing care) were allocated to the intervention arm and 114 homes (n=474 residents, 65% from homes providing nursing care) to standard care (control arm). Participating care homes were randomised between May 2010 and March 2012. Intervention Targeted three month programme of occupational therapy, delivered by qualified occupational therapists and assistants, involving patient centred goal setting, education of care home staff, and adaptations to the environment. Main outcome measures Primary outcome at the participant level: scores on the Barthel index of activities of daily living at three months post-randomisation. Secondary outcome measures at the participant level: Barthel index scores at six and 12 months post-randomisation, and scores on the Rivermead mobility index, geriatric depression scale-15, and EuroQol EQ-5D-3L questionnaire, at all time points. Results 64% of the participants were women and 93% were white, with a mean age of 82.9 years. Baseline characteristics were similar between groups for all measures, personal characteristics, and diagnostic tests. Overall, 2538 occupational therapy visits were made to 498 participants in the intervention arm (mean 5.1 visits per participant). No adverse events attributable to the intervention were recorded. 162 (11%) died before the primary outcome time point, and 313 (30%) died over the 12 months of the trial. The primary outcome measure did not differ significantly between the treatment arms. The adjusted mean difference in Barthel index score at three months was 0.19 points higher in the intervention arm (95% confidence interval −0.33 to 0.70, P=0.48). Secondary outcome measures also showed no significant differences at all time points. Conclusions This large phase III study provided no evidence of benefit for the provision of a routine occupational therapy service, including staff training, for care home residents living with stroke related disabilities. The established three month individualised course of occupational therapy targeting stroke related disabilities did not have an impact on measures of functional activity, mobility, mood, or health related quality of life, at all observational time points. Providing and targeting ameliorative care in this clinically complex population requires alternative strategies

Photoassociation of sodium in a Bose-Einstein condensate

We report on the formation of ultra-cold Na$_2$ molecules using single-photon photoassociation of a Bose-Einstein condensate. The photoassociation rate, linewidth and light shift of the J=1, $v=135$ vibrational level of the \mterm{A}{1}{+}{u} molecular bound state have been measured. We find that the photoassociation rate constant increases linearly with intensity, even where it is predicted that many-body effects might limit the rate. Our observations are everywhere in good agreement with a two-body theory having no free parameters.Comment: Fixes to the figures and references. Just the normal human stupidity type stuff, nothing Earth-shatterin

Theory of an optical dipole trap for cold atoms

The theory of an atom dipole trap composed of a focused, far red-detuned, trapping laser beam, and a pair of red-detuned, counterpropagating, cooling beams is developed for the simplest realistic multilevel dipole interaction scheme based on a model of a (3+5)-level atom. The description of atomic motion in the trap is based on the quantum kinetic equations for the atomic density matrix and the reduced quasiclassical kinetic equation for atomic distribution function. It is shown that when the detuning of the trapping field is much larger than the detuning of the cooling field, and with low saturation, the one-photon absorption (emission) processes responsible for the trapping potential can be well separated from the two-photon processes responsible for sub-Doppler cooling atoms in the trap. Two conditions are derived that are necessary and sufficient for stable atomic trapping. The conditions show that stable atomic trapping in the optical dipole trap can be achieved when the trapping field has no effect on the two-photon cooling process and when the cooling field does not change the structure of the trapping potential but changes only the numerical value of the trapping potential well. It is concluded that the separation of the trapping and cooling processes in a pure optical dipole trap allows one to cool trapped atoms down to a minimum temperature close to the recoil temperature, keeping simultaneously a deep potential well

All Optical Formation of an Atomic Bose-Einstein Condensate

We have created a Bose-Einstein condensate of 87Rb atoms directly in an optical trap. We employ a quasi-electrostatic dipole force trap formed by two crossed CO_2 laser beams. Loading directly from a sub-doppler laser-cooled cloud of atoms results in initial phase space densities of ~1/200. Evaporatively cooling through the BEC transition is achieved by lowering the power in the trapping beams over ~ 2 s. The resulting condensates are F=1 spinors with 3.5 x 10^4 atoms distributed between the m_F = (-1,0,1) states.Comment: 4 pages, 4 figures, to appear in Phys. Rev. Let

Quantum Logic Gates in Optical Lattices

We propose a new system for implementing quantum logic gates: neutral atoms trapped in a very far-off-resonance optical lattice. Pairs of atoms are made to occupy the same well by varying the polarization of the trapping lasers, and then a near-resonant electric dipole is induced by an auxiliary laser. A controlled-NOT can be implemented by conditioning the target atomic resonance on a resolvable level shift induced by the control atom. Atoms interact only during logical operations, thereby suppressing decoherence.Comment: Revised version, To appear in Phys. Rev. Lett. Three separate postscript figure