Erratum: Observation of Magnetic Proximity Effect Using Resonant Optical Spectroscopy of an Electrically Tunable MoSe_{2}/CrBr_{3} Heterostructure [Phys. Rev. Lett. 124, 197401 (2020)]

This corrects the article DOI: 10.1103/PhysRevLett.124.197401.

Polariton Electric-Field Sensor

We experimentally demonstrate a dipolar polariton based electric-field sensor. We tune and optimize the sensitivity of the sensor by varying the dipole moment of polaritons. We show polariton interactions play an important role in determining the conditions for optimal electric-field sensing, and achieve a sensitivity of 0.12   V m^{-1} Hz^{-0.5}. Finally, we apply the sensor to illustrate that excitation of polaritons modifies the electric field in a spatial region much larger than the optical excitation spot.

Spin Reversal of a Quantum Hall Ferromagnet at a Landau Level Crossing

When Landau levels (LLs) become degenerate near the Fermi energy in the quantum Hall regime, interaction effects can drastically modify the electronic ground state. We study the quantum Hall ferromagnet formed in a two-dimensional hole gas around the LL filling factor ν=1 in the vicinity of a LL crossing in the heave-hole valence band. Cavity spectroscopy in the strong-coupling regime allows us to optically extract the spin polarization of the two-dimensional hole gas. By analyzing this polarization as a function of hole density and magnetic field, we observe a spin flip of the ferromagnet. Furthermore, the depolarization away from ν=1 accelerates close to the LL crossing. This is indicative of an increase in the size of skyrmion excitations as the effective Zeeman energy vanishes at the LL crossing.

Observation of Magnetic Proximity Effect Using Resonant Optical Spectroscopy of an Electrically Tunable MoSe_{2}/CrBr_{3} Heterostructure

van der Waals heterostructures combining two-dimensional magnetic and semiconducting layers constitute a promising platform for interfacing magnetism, electronics, and optics. Here, we use resonant optical reflection spectroscopy to observe the magnetic proximity effect in a gate-tunable MoSe_{2}/CrBr_{3} heterostructure. The high quality of the interface leads to a giant zero-field splitting of the K and K^{'} valley excitons in MoSe_{2}, equivalent to an external magnetic field of 12 T, with a weak but distinct electric field dependence that hints at potential for electrical control of magnetization. The magnetic proximity effect allows us to use resonant optical spectroscopy to fully characterize the CrBr_{3} magnet, determining the easy-axis coercive field, the magnetic anisotropy energy, and critical exponents associated with spin susceptibility and magnetization.

Interaction-Induced Shubnikov-de Haas Oscillations in Optical Conductivity of Monolayer MoSe_{2}

We report polarization-resolved resonant reflection spectroscopy of a charge-tunable atomically thin valley semiconductor hosting tightly bound excitons coupled to a dilute system of fully spin- and valley-polarized holes in the presence of a strong magnetic field. We find that exciton-hole interactions manifest themselves in hole-density dependent, Shubnikov-de Haas-like oscillations in the energy and line broadening of the excitonic resonances. These oscillations are evidenced to be precisely correlated with the occupation of Landau levels, thus demonstrating that strong interactions between the excitons and Landau-quantized itinerant carriers enable optical investigation of quantum-Hall physics in transition metal dichalcogenides.

Nonlinear optics in the fractional quantum Hall regime

Engineering strong interactions between optical photons is a challenge for quantum science. Polaritonics, which is based on the strong coupling of photons to atomic or electronic excitations in an optical resonator, has emerged as a promising approach to address this challenge, paving the way for applications such as photonic gates for quantum information processing¹ and photonic quantum materials for the investigation of strongly correlated driven-dissipative systems^2,3. Recent experiments have demonstrated the onset of quantum correlations in exciton-polariton systems^4,5, showing that strong polariton blockade⁶-the prevention of resonant injection of additional polaritons in a well delimited region by the presence of a single polariton-could be achieved if interactions were an order of magnitude stronger. Here we report time-resolved four-wave-mixing experiments on a two-dimensional electron system embedded in an optical cavity⁷, demonstrating that polariton-polariton interactions are strongly enhanced when the electrons are initially in the fractional quantum Hall regime. Our experiments indicate that, in addition to strong correlations in the electronic ground state, exciton-electron interactions leading to the formation of polaron-polaritons^8-11 have a key role in enhancing the nonlinear optical response of the system. Our findings could facilitate the realization of strongly interacting photonic systems, and suggest that nonlinear optical measurements could provide information about fractional quantum Hall states that is not accessible through their linear optical response.

Interactions and Magnetotransport through Spin-Valley Coupled Landau Levels in Monolayer MoS_{2}

The strong spin-orbit coupling and the broken inversion symmetry in monolayer transition metal dichalcogenides results in spin-valley coupled band structures. Such a band structure leads to novel applications in the fields of electronics and optoelectronics. Density functional theory calculations as well as optical experiments have focused on spin-valley coupling in the valence band. Here we present magnetotransport experiments on high-quality n-type monolayer molybdenum disulphide (MoS_{2}) samples, displaying highly resolved Shubnikov-de Haas oscillations at magnetic fields as low as 2 T. We find the effective mass 0.7m_{e}, about twice as large as theoretically predicted and almost independent of magnetic field and carrier density. We further detect the occupation of the second spin-orbit split band at an energy of about 15 meV, i.e., about a factor of 5 larger than predicted. In addition, we demonstrate an intricate Landau level spectrum arising from a complex interplay between a density-dependent Zeeman splitting and spin- and valley-split Landau levels. These observations, enabled by the high electronic quality of our samples, testify to the importance of interaction effects in the conduction band of monolayer MoS_{2}.

Enhanced Interactions between Dipolar Polaritons

Nonperturbative coupling between cavity photons and excitons leads to the formation of hybrid light-matter excitations, termed polaritons. In structures where photon absorption leads to the creation of excitons with aligned permanent dipoles, the elementary excitations, termed dipolar polaritons, are expected to exhibit enhanced interactions. Here, we report a substantial increase in interaction strength between dipolar polaritons as the size of the dipole is increased by tuning the applied gate voltage. To this end, we use coupled quantum well structures embedded inside a microcavity where coherent electron tunneling between the wells creates the excitonic dipole. Modifications of the interaction strength are characterized by measuring the changes in the reflected light intensity when polaritons are driven with a resonant laser. The factor of 6.5 increase in the interaction-strength-to-linewidth ratio that we obtain indicates that dipolar polaritons could constitute an important step towards a demonstration of the polariton blockade effect, and thereby to form the building blocks of many-body states of light.

Polaron Polaritons in the Integer and Fractional Quantum Hall Regimes

Elementary quasiparticles in a two-dimensional electron system can be described as exciton polarons since electron-exciton interactions ensures dressing of excitons by Fermi-sea electron-hole pair excitations. A relevant open question is the modification of this description when the electrons occupy flat bands and electron-electron interactions become prominent. Here, we perform cavity spectroscopy of a two-dimensional electron system in the strong coupling regime, where polariton resonances carry signatures of strongly correlated quantum Hall phases. By measuring the evolution of the polariton splitting under an external magnetic field, we demonstrate the modification of polaron dressing that we associate with filling factor dependent electron-exciton interactions.

Impact of specimen adequacy on the assessment of renal allograft biopsy specimens

The Banff classification was introduced to achieve uniformity in the assessment of renal allograft biopsies. The primary aim of this study was to evaluate the impact of specimen adequacy on the Banff classification. All renal allograft biopsies obtained between July 2010 and June 2012 for suspicion of acute rejection were included. Pre-biopsy clinical data on suspected diagnosis and time from renal transplantation were provided to a nephropathologist who was blinded to the original pathological report. Second pathological readings were compared with the original to assess agreement stratified by specimen adequacy. Cohen's kappa test and Fisher's exact test were used for statistical analyses. Forty-nine specimens were reviewed. Among these specimens, 81.6% were classified as adequate, 6.12% as minimal, and 12.24% as unsatisfactory. The agreement analysis among the first and second readings revealed a kappa value of 0.97. Full agreement between readings was found in 75% of the adequate specimens, 66.7 and 50% for minimal and unsatisfactory specimens, respectively. There was no agreement between readings in 5% of the adequate specimens and 16.7% of the unsatisfactory specimens. For the entire sample full agreement was found in 71.4%, partial agreement in 20.4% and no agreement in 8.2% of the specimens. Statistical analysis using Fisher's exact test yielded a P value above 0.25 showing that - probably due to small sample size - the results were not statistically significant. Specimen adequacy may be a determinant of a diagnostic agreement in renal allograft specimen assessment. While additional studies including larger case numbers are required to further delineate the impact of specimen adequacy on the reliability of histopathological assessments, specimen quality must be considered during clinical decision making while dealing with biopsy reports based on minimal or unsatisfactory specimens.

Photoactivated biological processes as quantum measurements

We outline a framework for describing photoactivated biological reactions as generalized quantum measurements of external fields, for which the biological system takes on the role of a quantum meter. By using general arguments regarding the Hamiltonian that describes the measurement interaction, we identify the cases where it is essential for a complex chemical or biological system to exhibit nonequilibrium quantum coherent dynamics in order to achieve the requisite functionality. We illustrate the analysis by considering measurement of the solar radiation field in photosynthesis and measurement of the earth's magnetic field in avian magnetoreception.

Dynamic nuclear spin polarization in the resonant laser excitation of an InGaAs quantum dot

Resonant optical excitation of lowest-energy excitonic transitions in self-assembled quantum dots leads to nuclear spin polarization that is qualitatively different from the well-known optical orientation phenomena. By carrying out a comprehensive set of experiments, we demonstrate that nuclear spin polarization manifests itself in quantum dots subjected to finite external magnetic field as locking of the higher energy Zeeman transition to the driving laser field, as well as the avoidance of the resonance condition for the lower energy Zeeman branch. We interpret our findings on the basis of dynamic nuclear spin polarization originating from noncollinear hyperfine interaction and find excellent agreement between experiment and theory. Our results provide evidence for the significance of noncollinear hyperfine processes not only for nuclear spin diffusion and decay, but also for buildup dynamics of nuclear spin polarization in a coupled electron-nuclear spin system.

Optical amplification using raman transitions between spin-singlet and spin-triplet states of a pair of coupled in-GaAs quantum dots

We report the observation of steady-state optical amplification in Raman transitions between the lowest-energy spin states of a single quantum-dot molecule. Absorption and resonance fluorescence experiments demonstrate that the entangled two-electron singlet and triplet states have electric-dipole coupling to a common optically excited state. Fast spin relaxation ensures optical gain on the triplet transition when the singlet transition is driven resonantly. By embedding the quantum-dot molecule in a cavity of modest quality factor, a solid-state single-emitter laser can be realized.

Many-body dynamics of exciton creation in a quantum dot by optical absorption: a quantum quench towards Kondo correlations

We study a quantum quench for a semiconductor quantum dot coupled to a fermionic reservoir, induced by the sudden creation of an exciton via optical absorption. The subsequent emergence of correlations between spin degrees of freedom of dot and reservoir, culminating in the Kondo effect, can be read off from the absorption line shape and understood in terms of the three fixed points of the single-impurity Anderson model. At low temperatures the line shape is dominated by a power-law singularity, with an exponent that depends on gate voltage and, in a universal, asymmetric fashion, on magnetic field, indicative of a tunable Anderson orthogonality catastrophe.

Nuclear spin cooling using Overhauser-field selective coherent population trapping

We show that a quantum interference effect in optical absorption from two electronic spin states of a solid-state emitter can be used to prepare the surrounding environment of nuclear spins in well-defined states, thereby suppressing electronic spin dephasing. The coupled electron-nuclei system evolves into a coherent population trapping state by optical-excitation-induced nuclear-spin diffusion for a broad range of initial optical detunings. The spectroscopic signature of this evolution where the single-electron strongly modifies its environment is a drastic broadening of the dark resonance in optical absorption experiments. The large difference in electronic and nuclear time scales allows us to verify the preparation of nuclear spins in the desired state.

Anomalous Hanle effect due to optically created transverse overhauser field in single InAs/GaAs quantum dots

We report on experimental observations of an anomalous Hanle effect in individual self-assembled InAs/GaAs quantum dots. A sizable electron spin polarization photocreated under constant illumination is maintained in transverse magnetic fields as high as approximately 1 T, up to a critical field where it abruptly collapses. These striking anomalies of the Hanle curve point to a novel mechanism of dynamic nuclear spin polarization giving rise to an effective magnetic field generated perpendicular to the optically injected electron spin polarization. This transverse Overhauser field, confirmed by the cancellation of electron Zeeman splitting below the critical field, is likely to be a consequence of the strong inhomogeneous quadrupolar interactions typical for strained quantum dots.

Optically tunable spontaneous Raman fluorescence from a single self-assembled InGaAs quantum dot

We report the observation of all-optically tunable Raman fluorescence from a single quantum dot. The Raman photons are produced in an optically driven Lambda system defined by subjecting the single electron charged quantum dot to a magnetic field in Voigt geometry. Detuning the driving laser from resonance, we tune the frequency of the Raman photons by about 2.5 GHz. The number of scattered photons and the linewidth of the Raman photons are investigated as a function of detuning. The study presented here could form the basis of a new technique for investigating spin-bath interactions in the solid state.

Fermionized photons in an array of driven dissipative nonlinear cavities

We theoretically investigate the optical response of a one-dimensional array of strongly nonlinear optical microcavities. When the optical nonlinearity is much larger than both losses and intercavity tunnel coupling, the nonequilibrium steady state of the system is reminiscent of a strongly correlated Tonks-Girardeau gas of impenetrable bosons. Signatures of strong correlations are identified in the transmission spectrum of the system, as well as in the intensity correlations of the transmitted light. Possible experimental implementations in state-of-the-art solid-state devices are discussed.

Strong electron-hole exchange in coherently coupled quantum dots

We have investigated few-body states in vertically stacked quantum dots. Because of a small interdot tunneling rate, the coupling in our system is in a previously unexplored regime where electron-hole exchange plays a prominent role. By tuning the gate bias, we are able to turn this coupling off and study a complementary regime where total electron spin is a good quantum number. The use of differential transmission allows us to obtain unambiguous signatures of the interplay between electron and hole-spin interactions. Small tunnel coupling also enables us to demonstrate all-optical charge sensing, where a conditional exciton energy shift in one dot identifies the charging state of the coupled partner.

Single photon absorption by a single quantum emitter

We show that a three-level lambda quantum emitter with equal spontaneous emission rates on both optically active transitions can absorb an incident single-photon pulse with a probability approaching unity, provided that the focused light profile matches that of the emitter dipole emission. Even with realistic focusing geometries, our results could find applications in long-distance entanglement of spin qubits.

Strong extinction of a far-field laser beam by a single quantum dot

Through the utilization of index-matched GaAs immersion lens techniques, we demonstrate a record extinction (12%) of a far-field focused laser beam by a single InAs/GaAs quantum dot. This contrast level enables us to report for the first time resonant laser transmission spectroscopy on a single InAs/GaAs quantum dot without the need for phase-sensitive lock-in detection.

Dynamics of quantum dot nuclear spin polarization controlled by a single electron

We present measurements of the buildup and decay of nuclear spin polarization in a single semiconductor quantum dot. Our experiment shows that we polarize the nuclei in a few milliseconds, while their decay dynamics depends drastically on external parameters. We show that a single electron can very efficiently depolarize nuclear spins in milliseconds whereas in the absence of the electron the nuclear spin lifetime is on the scale of seconds. This lifetime is further enhanced by 1-2 orders of magnitude by quenching the nonsecular nuclear dipole-dipole interactions with a magnetic field of 1 mT.

Knight-field-enabled nuclear spin polarization in single quantum dots

We demonstrate dynamical nuclear-spin polarization in the absence of an external magnetic field by resonant circularly polarized optical excitation of a single electron or hole charged quantum dot. Optical pumping of the electron spin induces an effective inhomogeneous magnetic (Knight) field that determines the direction along which nuclear spins could polarize and enables nuclear-spin cooling by suppressing depolarization induced by nuclear dipole-dipole interactions. Our experiments constitute a first step towards a quantum measurement of the Overhauser field.

Quantum-Dot Spin-State Preparation with Near-Unity Fidelity

We have demonstrated laser cooling of a single electron spin trapped in a semiconductor quantum dot. Optical coupling of electronic spin states was achieved using resonant excitation of the charged quantum dot (trion) transitions along with the heavy-light hole mixing, which leads to weak yet finite rates for spin-flip Raman scattering. With this mechanism, the electron spin can be cooled from 4.2 to 0.020 kelvin, as confirmed by the strength of the induced Pauli blockade of the trion absorption. Within the framework of quantum information processing, this corresponds to a spin-state preparation with a fidelity exceeding 99.8%.

Enhancement of electron spin coherence by optical preparation of nuclear spins

We study a large ensemble of nuclear spins interacting with a single electron spin in a quantum dot under optical excitation and photon detection. At the two-photon resonance between the two electron-spin states, the detection of light scattering from the intermediate exciton state acts as a weak quantum measurement of the effective magnetic (Overhauser) field due to the nuclear spins. In a coherent population trapping state without light scattering, the nuclear state is projected into an eigenstate of the Overhauser field operator, and electron decoherence due to nuclear spins is suppressed: We show that this limit can be approached by adapting the driving frequencies when a photon is detected. We use a Lindblad equation to describe the driven system under photon emission and detection. Numerically, we find an increase of the electron coherence time from 5 to 500 ns after a preparation time of 10 micros.

The Prognostic Importance of Prostate-Specific Antigen in Monitoring Patients Undergoing Maximum Androgen Blockade for Metastatic Prostate Cancer

The changes in serum prostate-specific antigen (PSA) concentrations can be used as a prognostic factor in patients undergoing maximum androgen blockade for metastatic prostate cancer.

Materials and methods

One hundred and forty-nine patients followed-up in our department were classified into four groups based on PSA changes. Group 1, those with a normalization of PSA levels within the 1st 3 months; group 2, those with a normalization of PSA levels between months 3 and 6; group 3, those with a reduction in PSA levels, but not reaching the normal range; group 4, those with no reduction in PSA levels. The gleason scores and the number of bone metastases were also compared between the groups.

Results

The time to progression was significantly delayed in group 1 (mean: 23.3 months) compared to that of group 2 (mean: 16.9 months) (p<0.02). The time to progression in group 3 (mean: 8.45 months) was significantly shorter compared to groups 1 and 2 (p<0.001). In addition, in patients with gleason scores 5–7 (grade 2) and gleason scores >7 (grade 3) and in group 1, the time to progression (mean: 21.2 months) was significantly delayed compared to those with the same gleason scores but in group 2 (mean: 13.4 months) (p<0.001).

Conclusion

The reduction in PSA levels is more important than gleason scores in determining the time to progression. Early normalization of PSA levels delays the time to progression, and when combined with gleason scores, PSA is an important prognostic factor in predicting the success of the therapy.

Optically bright quantum dots in single Nanowires

We fabricate and demonstrate optically active quantum dots embedded in single nanowires. Observation of photon antibunching proves the zero dimensionality of these heterostructures that can be epitaxially grown on various substrates, including silicon. We show that the nanowire dots are intense single photon sources, typically an order of magnitude brighter than self-assembled quantum dots. Due to control over their composition, size, and position, nanowire dots are ideal building blocks for fully controlled quantum dot molecules.

Deterministic coupling of single quantum dots to single nanocavity modes

We demonstrate a deterministic approach to the implementation of solid-state cavity quantum electrodynamics (QED) systems based on a precise spatial and spectral overlap between a single self-assembled quantum dot and a photonic crystal membrane nanocavity. By fine-tuning nanocavity modes with a high quality factor into resonance with any given quantum dot exciton, we observed clear signatures of cavity QED (such as the Purcell effect) in all fabricated structures. This approach removes the major hindrances that had limited the application of solid-state cavity QED and enables the realization of experiments previously proposed in the context of quantum information processing.

Controlling a mesoscopic spin environment by quantum bit manipulation

We present a unified description of cooling and manipulation of a mesoscopic bath of nuclear spins via coupling to a single quantum system of electronic spin (quantum bit). We show that a bath cooled by the quantum bit rapidly saturates. Although the resulting saturated states of the spin bath ("dark states") generally have low degrees of polarization and purity, their symmetry properties make them a valuable resource for the coherent manipulation of quantum bits. Specifically, we demonstrate that the dark states of nuclear ensembles can be used to coherently control the system-bath interaction and to provide a robust, long-lived quantum memory for qubit states.

Optical pumping of quantum-dot nuclear spins

Hyperfine interactions with randomly oriented nuclear spins present a fundamental decoherence mechanism for electron spin in a quantum dot, that can be suppressed by polarizing the nuclear spins. Here, we analyze an all-optical scheme that uses hyperfine interactions to implement laser cooling of quantum-dot nuclear spins. The limitation imposed on spin cooling by the dark states for collective spin relaxation can be overcome by modulating the electron wave function.

High efficiency photon counting using stored light

We propose a method that can, in principle, achieve nearly ideal photon counting, by combining the techniques of photonic quantum memory and ion-trap quantum-state measurements. After mapping the quantum state of a propagating light pulse onto metastable collective excitations of a trapped cold atomic gas, it is possible to monitor the resonance fluorescence induced by an additional laser field that couples only to the metastable excited state. Even with a photon collection/detection efficiency as low as 10%, it is possible to achieve photon counting with efficiency exceeding 99%.

QRS axis in isolated perimembranous ventricular septal defect and influences of morphological factors on QRS axis

To detect the frequency of left axis deviation (LAD) in isolated perimembranous ventricular septal defects (VSD) we retrospectively analyzed electrocardiograms of 59 patients, aged 8 months to 15 years. Patients were grouped into those having ventricular septal aneurysm (VSA) formation (n:20) and those who did not have VSA (n:39). Patients with VSA were then stratified into 2 groups according to the presence of left ventricular-to-right atrial (LV-RA) shunt. Four hundred healthy children served as the control group. We found that 12 (20.3%) of 59 patients with isolated perimembranous VSD had a LAD. Five of 6 patients with perimembranous outlet VSD and 6 with perimembranous inlet VSD had abnormal LAD with a qR pattern in I and aVL and rS in aVF. Abnormal LAD was more prevalent in patients with VSA (40%) than without VSA (7.7%) (P <.01). We also found that mild right ventricular hypertrophy (RVH) with the rsR' or rSR' pattern in V1 was more frequent in patients with VSA, especially those who had LV-RA shunt. However, we could not find significant difference between patients with or without LV-RA shunt for the incidence of abnormal LAD and mild RVH. Localization of perimembranous VSD was not found to have an effect on frequency of abnormal LAD and mild RVH in this patient group. In patients with clinical findings of VSD, the existence of abnormal LAD especially if it is associated with mild RVH, should raise the possibility of perimembranous VSD with VSA formation.

Stimulated scattering of indirect excitons in coupled quantum wells: signature of a degenerate Bose-gas of excitons

We observe and analyze strongly nonlinear photoluminescence kinetics of indirect excitons in GaAs/AlGaAs coupled quantum wells at low bath temperatures, > or = 50 mK. The long recombination lifetime of indirect excitons promotes accumulation of these Bose particles in the lowest energy states and allows the photoexcited excitons to cool down to temperatures where the dilute 2D gas of indirect excitons becomes statistically degenerate. Our main result--a strong enhancement of the exciton scattering rate to the low-energy states with increasing concentration of the indirect excitons--reveals bosonic stimulation of exciton scattering, which is a signature of a degenerate Bose-gas of excitons.

Isolated recurrent pericarditis in a patient with familial Mediterranean fever

Familial Mediterranean fever (FMF) should be kept in mind in the differential diagnosis of recurrent pericarditis and mutation analysis should be considered, especially in patients of Mediterranean origin.

A quantum dot single-photon turnstile device

Quantum communication relies on the availability of light pulses with strong quantum correlations among photons. An example of such an optical source is a single-photon pulse with a vanishing probability for detecting two or more photons. Using pulsed laser excitation of a single quantum dot, a single-photon turnstile device that generates a train of single-photon pulses was demonstrated. For a spectrally isolated quantum dot, nearly 100% of the excitation pulses lead to emission of a single photon, yielding an ideal single-photon source.

The use of self-expanding metallic urethral stents in the treatment of recurrent bulbar urethral strictures: long-term results

OBJECTIVE

To evaluate the effectiveness and long-term results of using a self-expanding metallic urethral stent (Urolumetrade mark, American Medical Systems, Minnetonka, MI, USA) to treat recurrent bulbar urethral strictures.

PATIENTS AND METHODS

Between 1990 and 1999, 65 stents were placed in 60 men (mean age 45.2 years, range 20-71) with a urethral stricture (mostly caused by trauma and present for a mean of 4.3 years, range 0.16-26) and who had previously undergone different unsuccessful treatments.

RESULTS

During a mean (range) follow-up of 3.8 (1-9) years the strictures in 52 of the 60 patients (87%) were treated successfully. All patients initially had postvoid dribbling incontinence, but this resolved in most within one week; 19 patients remain incontinent.

CONCLUSION

The Urolume is a cost-effective alternative to other treatments for recurrent bulbar urethral strictures of whatever cause.

Echocardiographic, morphologic, and geometric variations of the left ventricular outflow tract: possible role in the pathogenesis of discrete subaortic stenosis

Although the clinical features and natural course of discrete subaortic stenosis (DSS) are well defined, the etiology remains speculative. The purpose of this study was to identify the echocardiographic, morphologic, and geometric variations of the left ventricular outflow tract associated with DSS in children and to determine whether these variations have a role in the pathogenesis of DSS. The aortoseptal angle (ASA), mitral-aortic valve separation (MAS), and the size of the aortic annulus were determined in two groups of children. Group 1 comprised 11 patients with isolated DSS, who were compared with an age- and body surface area- (BSA) matched healthy children (Group 1A, n: 20). Group 2 comprised 10 patients with DSS and ventricular septal defect (VSD). Group 2 was compared with an age- and BSA-matched patients with isolated perimembranous VSD (Group 2A, n: 22). Measurements were carried out from previously recorded echocardiographic studies. The ASA was steeper (119.3 +/- 6.1 degrees vs 137.5 +/- 5.6 degrees , p < 0.001), and the MAS was wider (6.1 +/- 1.6 vs 3.2 +/- 0.7 mm, p < 0.001) in patients with isolated DSS than in healthy control subjects. Similar differences were found between patients in Group 2 and Group 2A; the ASA was steeper (122.2 +/- 6.5 degrees vs 141.3 +/- 5.0 degrees, p < 0.001), and the MAS was wider (5.8 +/- 1.5 vs 3.8 +/- 1.1 mm, p < 0.001). The size of the aortic annulus was not different among the four study groups. Although the MAS was significantly wider in patients with DSS, there was significant overlap in MAS between patients and controls. However, if an ASA < or = 130 degrees was chosen as a predictive variable, it was found to be a highly sensitive, specific, and positive predictive marker for the development of DSS. This study demonstrates that DSS is associated with a steeper ASA, and a wider MAS, in patients with or without associated VSD. These morphologic abnormalities, especially a steeper ASA, may be risk factors for the development of DSS.

Nonlinear optics and quantum entanglement of ultraslow single photons

Two light pulses propagating with slow group velocities in a coherently prepared atomic gas exhibit dissipation-free nonlinear coupling of an unprecedented strength. This enables a single-photon pulse to coherently control or manipulate the quantum state of the other. Processes of this kind result in generation of entangled states of radiation field and open up new prospectives for quantum information processing.

QT/corrected QT (QTc) intervals and QT/QTc dispersions in children with chronic renal failure

We aimed to examine QT/corrected QT (QTc) intervals, QT/QTc dispersions (QTD/QTcD) and also the effect of different clinical and laboratory variables on these parameters in children with chronic renal failure. Serum biochemistry, 12-lead electrocardiogram, telecardiogram, and echocardiography were performed in 50 children with chronic renal failure (23 female and 27 male; aged 12.3+/-3.6 years, range 5 to 20 years). None of them had symptoms related to arrhythmias. When compared with a control group (372 children, aged 7 to 18 years, mean 12.4+/-2.6) patients with chronic renal failure had greater QT/QTc intervals and QT/QTc dispersion values (Patient: QT = 360.9+/-53.3; QTc = 438.5+/-33.2; QTD = 42.4+/-20.8; QTcD = 57.5+/-23.8;

CONTROL

QT = 325.9+/-24.1; QTc = 398.7+/-19.7; QTD = 29.9+/-10.2; QTcD = 47.3+/-16.6; P<0.01). QT, QTc, and QTcD values were significantly greater in patients who had renal failure duration longer than 2 years. Patients who had impaired left ventricular systolic function on echocardiogram had greater QTc, QTD, and QTcD values. It was found that sex, cardiomegaly on chest X-ray, and left ventricular hypertrophy on echocardiogram were not related to these parameters. It is concluded that, impaired cardiac systolic function and longer renal failure duration are related to an increase in QT, QTc, QTD, and QTcD values and hence these variables may be risk factors for ventricular arrhythmias in uremic patients.

Plasma endothelin-1 levels in patients with left-to-right shunt with or without pulmonary hypertension

The aim of this study was to evaluate the role of endothelin-1 (ET-1) in pathophysiology of pulmonary hypertension (PH) secondary to congenital heart disease with left-to-right shunt. Twenty-three children (12 male, 11 female) aged 0.58-13 years were enrolled the study. Blood samples were drawn from superior vena cava, right atrium, right ventricle, pulmonary artery and pulmonary wedge or pulmonary vein during cardiac catheterization. Plasma ET-1 levels were assayed by ELISA. Patients were divided into two groups according to the presence or absence of PH. Plasma ET-1 levels of the study group were compared to the peripheral venous and arterial ET-1 levels of 11 healthy infants and children (aged 0.75-13 years). Plasma ET-1 levels in patients with left-to-right shunt were found significantly higher than those of controls. However, plasma ET-1 levels were similar between the two groups of the patients. Pulmonary venous ET-1 levels were higher than the levels of superior vena cava, this suggested an increased production of ET-1 in pulmonary vascular bed in patients with PH. No correlations were found between plasma ET-1 levels and pulmonary arterial pressure, pulmonary vascular resistance and pulmonary blood flow in the patients. Plasma ET-1 levels of the patients with left-to-right shunt were increased independently from pulmonary arterial pressure and pulmonary vascular resistance. This increase was related to the production of ET-1 in pulmonary vascular bed in patients with PH. ET-1 could not be found to be directly related to the development of PH in the patients with left-to-right shunt.

Quantitation of Doppler color flow jet areas for mitral regurgitation in children: angiographic correlation

Eighteen patients with chronic isolated rheumatic mitral regurgitation aged between 7 and 19 years (mean age +/-SD, 12.69+/-3.47 years) were analyzed with color Doppler imaging. Sixteen patients were performed cardiac catheterization within 24 h. Jets were classified as eccentric and central. Regurgitant jet area and its ratio to left atrial area and body surface area were measured by Doppler color flow imaging. Regurgitant volume and regurgitant fractions were calculated with angiography. There was a good correlation between regurgitant jet area and angiographic grade of mitral regurgitation (P<0.01). The correlation between regurgitant jet area/left atrial area ratios and angiographic grade of mitral regurgitation was limited (P<0.01). There was excellent correlation between regurgitant jet area/body surface area and angiographic regurgitant fraction (r = 0.85; P<0.001). There was also a good correlation between regurgitant jet area and regurgitant fraction (r = 0.82; P<0.001). However, the relation of regurgitant jet area/left atrial area to regurgitant fraction was weak (r = 0.72; P<0.01). In conclusion, the measurement of regurgitant fraction and its ratios to left atrial area and body surface area by color Doppler flow imaging can predict the angiographic severity in children who have even eccentric regurgitant jets.

Dispersion of QT and QTc interval in healthy children, and effects of sinus arrhythmia on QT dispersion

OBJECTIVE

To determine the normal values of QT and QTc dispersion and the effects of sinus arrhythmia on QT dispersion in healthy children.

PATIENTS AND SETTING

The study was carried out in a university hospital on 372 local schoolchildren (200 male, 172 female), aged seven to 18 years.

METHODS

The QT and preceding RR intervals of at least one sinus beat were measured manually in a range of nine to 12 leads on standard 12 lead surface ECGs. The corrected QT interval was computed by the method of Bazett. Dispersion of QT and QTc were defined as (1) the difference between the maximum and minimum QT and QTc intervals occurring in any of the 12 leads (QTD and QTcD), (2) the standard deviation of the QT and QTc interval in the measurable leads (QT-SD and QTc-SD).

RESULTS

There was no significant difference in QT, QTc, and RR dispersion between girls and boys. Overall 53% of children had sinus arrhythmia. Although QTD and QT-SD were not affected by sinus arrhythmia, both QTcD and QTc-SD were significantly greater in children with sinus arrhythmia than in those without (QTcD: 52.9 (17.4) v 40.9 (13.1); QTc-SD: 17.5 (5.9) v 13.2 (4.0); p < 0.001).

CONCLUSIONS

As calculation of QTc dispersion is affected by sinus arrhythmia, which is common in childhood, we suggest that QT dispersion should not be corrected for heart rate in children.

High-speed properties of a phase-modulation scheme based on electromagnetically induced transparency

Recently a cross-phase modulation scheme that yields giant Kerr nonlinearities by use of an electromagnetically induced transparency (EIT) was proposed [Schmidt and Imamoglu, Opt. Lett. 21, 1936 (1996)]. We analyze the high-speed properties of this scheme for short-pulse propagation. We discuss the relevant losses in this system and show that for short pulses one-photon losses are dominant. We demonstrate that over the entire bandwidth the attainable phase shift in an EIT scheme with a quasi-cw coupling field is orders of magnitude higher than in a conventional three-level scheme or in EIT schemes, in which matched pulses are used to create the transparency.