47 results on '"Rotenberg, N."'
Search Results
2. OC21.05: Assessing racial disparities in sonographic detection of endometrial cancer.
- Author
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Miguel, C., Barlow, S., Smith, P., Atrio, J., Rotenberg, N., Sekandari, N., Wu, H., Dar, P., and Rotenberg, O.
- Subjects
ENDOMETRIAL cancer ,RACIAL inequality ,POPULATION geography ,TELEVISION program ratings ,BLACK women - Abstract
This article, titled "OC21.05: Assessing racial disparities in sonographic detection of endometrial cancer," compares the effectiveness of different methods (transvaginal sonogram, sonohysterogram, and endometrial aspiration) in detecting endometrial cancer or hyperplasia (ECH) between black and non-black women. The study included 1,840 women over the age of 50 who underwent endometrial evaluation. The results showed that there were no significant racial disparities in the detection rates of ECH between black and non-black women. However, the completion rate of transvaginal sonograms was lower in black women compared to non-black women, with fibroids negatively impacting the likelihood of completion. [Extracted from the article]
- Published
- 2024
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3. Deterministic positioning of nanophotonic waveguides around single self-assembled quantum dots.
- Author
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Pregnolato, T., Chu, X.-L., Schröder, T., Schott, R., Wieck, A. D., Ludwig, A., Lodahl, P., and Rotenberg, N.
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QUANTUM dots ,ELECTRIC fields ,DIPOLE moments ,NANOFABRICATION ,OTOACOUSTIC emissions ,INDIUM gallium arsenide ,WAVEGUIDES - Abstract
The capability to embed self-assembled quantum dots (QDs) at predefined positions in nanophotonic structures is key to the development of complex quantum-photonic architectures. Here, we demonstrate that QDs can be deterministically positioned in nanophotonic waveguides by pre-locating QDs relative to a global reference frame using micro-photoluminescence (μPL) spectroscopy. After nanofabrication, μPL images reveal misalignments between the central axis of the waveguide and the embedded QD of only (9 ± 46) nm and (1 ± 33) nm for QDs embedded in undoped and doped membranes, respectively. A priori knowledge of the QD positions allows us to study the spectral changes introduced by nanofabrication. We record average spectral shifts ranging from 0.1 nm to 1.1 nm, indicating that the fabrication-induced shifts can generally be compensated by electrical or thermal tuning of the QDs. Finally, we quantify the effects of the nanofabrication on the polarizability, the permanent dipole moment, and the emission frequency at vanishing electric field of different QD charge states, finding that these changes are constant down to QD-surface separations of only 70 nm. Consequently, our approach deterministically integrates QDs into nanophotonic waveguides whose light-fields contain nanoscale structure and whose group index varies at the nanometer level. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
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4. OC11.04: *Performance of ultrasound in high‐grade endometrial cancer diagnosis and associated sonographic characteristics.
- Author
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Jalai, C., Doulaveris, G., Rotenberg, N., Orfanelli, T., Dar, P., and Rotenberg, O.
- Abstract
To evaluate the performance of transvaginal sonogram (TVS), sonohysterogram (SIS) and endometrial aspiration (EA) in detecting type 2 (T2) endometrial cancers (EC), compared to type 1 (T1) EC. Conclusions TVS, SIS and EA had excellent T2EC detection rates which were similar or better than for T1EC. Methods failure rates: T1EC - TVS 6.6%, SIS 1.6%, EA 1.6%; T2EC - TVS 17.9%, SIS 0.0%, EA 7.1%. [Extracted from the article]
- Published
- 2022
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5. OC10.03: Simultaneous endometrial aspiration and sonohysterography performance as one step screening paradigm for postmenopausal bleeding.
- Author
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Rotenberg, O., Doulaveris, G., Sekandari, N., Rotenberg, N., Meller, D., and Dar, P.
- Abstract
SEAS performance was calculated for both current ECH and for all ECH cases (including ECH that developed > 1 year after SEAS). Conclusions TVS, SIS and SEAS had excellent sensitivity and NPP for current ECH, but SA performed best overall. Evaluate Simultaneous Endometrial Aspiration and Sonohysterography (SEAS) as a method of detecting Endometrial Cancer and Hyperplasia (ECH) in Postmenopausal Bleeding (PMB). [Extracted from the article]
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- 2022
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6. Triggering extreme events at the nanoscale in photonic seas.
- Author
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Liu, C., van der Wel, R. E. C., Rotenberg, N., Kuipers, L., Krauss, T. F., Di Falco, A., and Fratalocchi, A.
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NANOELECTRONICS ,PHOTONICS ,HURRICANES ,TSUNAMIS ,LIGHT propagation ,DEGREES of freedom - Abstract
Hurricanes, tsunamis, rogue waves and tornadoes are rare natural phenomena that embed an exceptionally large amount of energy, which appears and quickly disappears in a probabilistic fashion. This makes them difficult to predict and hard to generate on demand. Here we demonstrate that we can trigger the onset of rare events akin to rogue waves controllably, and systematically use their generation to break the diffraction limit of light propagation. We illustrate this phenomenon in the case of a random field, where energy oscillates among incoherent degrees of freedom. Despite the low energy carried by each wave, we illustrate how to control a mechanism of spontaneous synchronization, which constructively builds up the spectral energy available in the whole bandwidth of the field into giant structures, whose statistics is predictable. The larger the frequency bandwidth of the random field, the larger the amplitude of rare events that are built up by this mechanism. Our system is composed of an integrated optical resonator, realized on a photonic crystal chip. Through near-field imaging experiments, we record confined rogue waves characterized by a spatial localization of 206 nm and with an ultrashort duration of 163 fs at a wavelength of 1.55 μm. Such localized energy patterns are formed in a deterministic dielectric structure that does not require nonlinear properties. [ABSTRACT FROM AUTHOR]
- Published
- 2015
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7. Mapping nanoscale light fields.
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Rotenberg, N. and Kuipers, L.
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- *
NANOPHOTONICS , *OPTICAL microscopes , *ELECTROMAGNETIC fields , *WAVELENGTHS , *OPTICAL apertures , *NANOSTRUCTURES - Abstract
The control of light fields on subwavelength scales in nanophotonic structures has become ubiquitous, driven by both curiosity and a multitude of applications in fields ranging from biosensing to quantum optics. Mapping these fields in detail is crucial, as theoretical modelling is far from trivial and highly dependent on nanoscale geometry. Recent developments of nanoscale field mapping, particularly with near-field microscopy, have not only led to a vastly increased resolution, but have also resulted in increased functionality. The phase and amplitude of different vector components of both the electric and magnetic fields are now accessible, as is the ultrafast temporal or spectral evolution of propagating pulses in nanostructures. In this Review we assess the current state-of-the-art of subwavelength light mapping, highlighting the new science and nanostructures that have subsequently become accessible. [ABSTRACT FROM AUTHOR]
- Published
- 2014
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8. Simultaneous measurement of nanoscale electric and magnetic optical fields.
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le Feber, B., Rotenberg, N., Beggs, D. M., and Kuipers, L.
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QUANTUM optics , *PHOTOVOLTAIC power generation , *TELECOMMUNICATION , *ELECTRIC fields , *NANOSTRUCTURES , *MAGNETIC fields - Abstract
Control of light-matter interactions at the nanoscale has advanced fields such as quantum optics, photovoltaics and telecommunications. These advances are driven by an improved understanding of the nanoscale behaviour of light, enabled by direct observations of the local electric fields near photonic nanostructures. With the advent of metamaterials that respond to the magnetic component of light, schemes have been developed to measure the nanoscale magnetic field. However, these structures interact not only with the magnetic field, but also with the electric field of light. Here, we demonstrate the essential simultaneous detection of both electric and magnetic fields with subwavelength resolution. By explaining our measurements through reciprocal considerations, we create a route towards designing probes sensitive to specific desired combinations of electric and magnetic field components. Simultaneous access to nanoscale electric and magnetic fields will pave the way for new designs of optical nanostructures and metamaterials. [ABSTRACT FROM AUTHOR]
- Published
- 2014
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9. Magnetic and electric response of single subwavelength holes.
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Rotenberg, N., Krijger, T. L., le Feber, B., Spasenović, M., Javier García de Abajo, F., and Kuipers, L.
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POLARIZABILITY (Electricity) , *SIGNAL processing , *GOLD films , *PLASMONS (Physics) , *QUASIPARTICLES - Abstract
We use polarization-resolved near-field measurements, in conjunction with electromagnetic theory, to separate and quantify the electric and magnetic optical response of subwavelength holes in thick gold films. Using 1550 nm light, we determine the amplitudes of the electric and magnetic polarizabilities of holes with diameters ranging from 600 to 1000 nm. Additionally, we study the scattered field distributions that arise from the interactions of the holes with surface plasmon polaritons, and show that forward-backward scattering ratios as high as 2.5 : 1 are possible. Our study provides experimental access and theoretical understanding of the full electromagnetic polarizability that describes the optical response of metallic holes at telecom wavelengths, which is a prototypical structure in currently explored optical signal processing and sensing devices. [ABSTRACT FROM AUTHOR]
- Published
- 2013
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10. Plasmon Scattering from Single Subwavelength Holes.
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Rotenberg, N., Spasenović, M., Krijger, T. L., le Feber, B., de Abajo, F. J. García, and Kuipers, L.
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PLASMONS (Physics) , *SCATTERING (Physics) , *WAVELENGTHS , *ELECTRIC fields , *SURFACES (Physics) , *GOLD films , *POLARITONS - Abstract
We map the complex electric fields associated with the scattering of surface plasmon polaritons by single subwavelength holes of different sizes in thick gold films. We identify and quantify the different modes associated with this event, including a radial surface wave with an angularly isotropic amplitude. This wave is shown to arise from the out-of-plane electric dipole induced in the hole, and we quantify the corresponding polarizability, which is in excellent agreement with electromagnetic theory. Time-resolved measurements reveal a time delay of 38 ± 18 fs between the surface plasmon polariton and the radial wave, which we attribute to the interaction with a broad hole resonance. [ABSTRACT FROM AUTHOR]
- Published
- 2012
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11. Exploiting long-ranged order in quasiperiodic structures for broadband plasmonic excitation.
- Author
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le Feber, B., Cesario, J., Zeijlemaker, H., Rotenberg, N., and Kuipers, L.
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SPECTRUM analysis ,RESONANCE ,METALLIC films ,EXCITON theory ,WAVELENGTHS - Abstract
A comparison of transmission spectra from periodic, quasiperiodic, and randomly spaced slit arrays in thick gold films reveals resonant plasmonic excitations that arise solely due to the long-range order of the quasiperiodic structures. Specifically, first-order plasmonic resonances at the air-gold interface of the quasiperiodic arrays are identified at a broader range of wavelengths than those observed from periodic structures with the same average slit distance. Thus, a quasiperiodic plasmonic coupler that couples both visible and near-infrared light to surface plasmon polaritons is designed and demonstrated. [ABSTRACT FROM AUTHOR]
- Published
- 2011
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12. S.03.03 Prediction and prevention of postnatal depression
- Author
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Bloch, M., Rotenberg, N., Koren, D., and Klein, E.
- Published
- 2007
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13. Calculation of S-values for head and brain structures from a constructed voxelized phantom for positron-emitting radionuclides.
- Author
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Reynoso-Mejía, C.A., Kerik-Rotenberg, N., and Moranchel, M.
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RADIOISOTOPES , *BRAIN , *MONTE Carlo method , *POSITRONS , *ABSORBED dose , *HEAD , *POSITRON emission - Abstract
Stylized and voxelized phantoms have been used to estimate S-values for positron-emitting radionuclides. However, there is a lack of computational phantoms that include head and brain structures of importance for neuroimaging studies, such as brain PET-CT. The aim of this work was to construct a multi-resolution whole-body phantom for Monte Carlo simulations in MCNP code that includes a complete set of head and brain structures. The International Commission on Radiological Protection (ICRP-110) male reference phantom and the Zubal head phantom were used to construct the ICRP-HEAD phantom. This multi-resolution phantom was used to calculate self-absorbed fractions (SAFs) and S-values for seven positron-emitting radionuclides used in PET neuroimaging (C-11, O-15, F-18, Cu-64, I-124, Ga-68, and Y-86). S-values calculated in this work were compared with two head/brain phantoms previously published: the stylized MIRD-15 phantom and the tomographic VIP-Man phantom. The voxel resolution of the phantom resulted well suited for Monte Carlo simulations in MCNP6.2 code. For the same target and source structure, the highest auto absorbed S-values were produced by O-15 and Ga-68, while for different target and source structures, Y-86 produced the highest S-values. The lowest S-values were produced by Cu-64. Comparison of S-values with those calculated from the MIRD-15 phantom showed significant differences, while a better agreement was found with those calculated from the VIP-Man phantom. The S-values obtained in this work could help to improve the accuracy of absorbed dose in brain and head structures for positron-emitting radionuclides used in PET neuroimaging. • A multi-resolution whole-body phantom was constructed in MCNP code that include a complete set of head and brain structures. • A voxel phantom was constructed based on the ICRP-110 adult male reference phantom and on the Zubal head phantom. • Self-absorbed fractions (self-AFs) and S-values were calculated for seven positron-emitting radionuclides. • The constructed ICRP-head phantom provides a more accurate representation of the head and brain structures. [ABSTRACT FROM AUTHOR]
- Published
- 2020
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14. Nanophotonic control of circular dipole emission.
- Author
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le Feber, B., Rotenberg, N., and Kuipers, L.
- Published
- 2015
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15. Corrigendum: Simultaneous measurement of nanoscale electric and magnetic optical fields.
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le Feber, B., Rotenberg, N., Beggs, D. M., and Kuipers, L.
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NANOSTRUCTURED materials , *ELECTRIC field strength , *MAGNETIC field measurements - Abstract
A correction to the article "Simultaneous Measurement of Nanoscale Electric and Magnetic Optical Fields," that was published in the December 15, 2013 issue is presented.
- Published
- 2014
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16. Erratum: 'Exploiting long-ranged order in quasiperiodic structures for broadband plasmonic excitation' [Appl. Phys. Lett. 98, 201108 (2011)].
- Author
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Feber, B. le, Cesario, J., Zeijlemaker, H., Rotenberg, N., and Kuipers, L.
- Subjects
PLASMONS (Physics) - Published
- 2011
- Full Text
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17. Combining Ultrasonography and Endometrial Aspiration as a One-Stop Screening for Endometrial Neoplasia.
- Author
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Rotenberg O, Doulaveris G, Goldberg GL, Renz M, Whitney K, Dar L, Rotenberg N, Wu H, Van den Bosch T, and Dar P
- Abstract
Objective: To assess the performance of simultaneous endometrial aspiration and sonohysterography to screen for endometrial cancer or hyperplasia in women aged 50 years or older., Methods: We conducted a prospective study from February 2014 to October 2020 at the ultrasound unit of a large urban academic medical center. The study included 1,635 women aged 50 years or older referred for endometrial evaluation, with follow-up through January 2021. Participants underwent saline infusion sonohysterography combined with ultrasound-guided endometrial aspiration. The primary outcome measured was a diagnosis of endometrial cancer or hyperplasia within 1 year from screening. The diagnostic accuracy of the combined evaluation method, including sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV), was assessed., Results: Of 1,170 women who completed the study protocol, 82 (7.0%) had endometrial cancer and 42 (3.6%) had endometrial hyperplasia. Of all patients who developed cancer during the follow-up period, 85.5% were diagnosed within 1 year after evaluation. The application of simultaneous endometrial aspiration and sonohysterography together demonstrated a sensitivity of 99.1%, specificity of 24.9%, PPV of 11.8%, and NPV of 99.6%. Using a theoretical sequential approach, assuming an endometrial aspiration is performed only in patients determined to be high risk by sonohysterography, demonstrated a sensitivity of 93.4%, specificity of 99.9%, PPV of 99.0%, and NPV of 99.3%., Conclusion: Simultaneous endometrial aspiration and sonohysterography is an effective one-stop outpatient screening tool for detecting endometrial cancer and hyperplasia in women aged 50 years or older. With the integration of two screening modalities into a single procedure, simultaneous endometrial aspiration and sonohysterography may overcome the limitations inherent in each of the currently recommended methods individually, potentially improving patient prognosis and streamlining the diagnostic process., Competing Interests: Financial Disclosure Haotian Wu disclosed receiving payments from Montefiore. The other authors did not report any potential conflicts of interest., (Copyright © 2024 The Author(s). Published by Wolters Kluwer Health, Inc.)
- Published
- 2024
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18. Engineered TIMP2 with narrow MMP-9 specificity is an effective inhibitor of invasion and proliferation of triple negative breast cancer cells.
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Rotenberg N, Feldman M, Shirian J, Hockla A, Radisky ES, and Shifman JM
- Abstract
Matrix metalloproteinases (MMPs) are a family of endopeptidases that degrade extracellular matrix (ECM) proteins, functioning in various physiological processes such as tissue remodeling, embryogenesis, and morphogenesis. Dysregulation of these enzymes is linked to multiple diseases. Specific inhibition of particular MMPs is crucial for anti-MMP drug development as some MMPs have shown anti-disease properties. In this study, we aimed to design a highly specific inhibitor of MMP-9, that plays a crucial role in cell invasion and metastasis, using tissue inhibitor of metalloproteinases 2 (TIMP2), an endogenous broad-family MMP inhibitor, as a prototype. In our earlier work, we were able to narrow down the specificity of the N-terminal domain of TIMP2 (N-TIMP2) toward MMP-9, yet at the expense of lowering its affinity to MMP-9. In this study, a library of N-TIMP2 mutants based on previous design with randomized additional positions was sorted for binding to MMP-9 using yeast surface display. Two selected N-TIMP2 mutants were expressed, purified and their inhibitory activity against a panel of MMPs was measured. The best engineered N-TIMP2 mutant (REY) exhibited a 2-fold higher affinity to MMP-9 compared to that of the WT N-TIMP2, and 6- to 1.1x10
4 -fold increase in binding specificity toward MMP-9 compared to five alternative MMPs. Moreover, REY demonstrated a significant increase in inhibition of cell invasion and proliferation compared to the WT N-TIMP2 in MDA-MB-231 breast cancer cells. Therefore, our engineered N-TIMP2 mutant emerges as a promising candidate for future therapeutic development, offering precise targeting of MMP-9 in MMP-9-driven diseases., Competing Interests: Conflict of Interest The authors declare that they have no conflicts of interest with the contents of this article, (Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved.)- Published
- 2024
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19. Elastic shape analysis for unsupervised clustering of left atrial appendage geometries in atrial fibrillation patients.
- Author
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Ahmad Z, Yin M, Sukurdeep Y, Rotenberg N, Kholmovski E, and Trayanova NA
- Abstract
Morphological variations in the left atrial appendage (LAA) are associated with different levels of ischemic stroke risk for patients with atrial fibrillation (AF). Studying LAA morphology can elucidate mechanisms behind this association and lead to the development of advanced stroke risk stratification tools. However, current categorical descriptions of LAA morphologies are qualitative and inconsistent across studies, which impedes advancements in our understanding of stroke pathogenesis in AF. To mitigate these issues, we introduce a quantitative pipeline that combines elastic shape analysis with unsupervised learning for the categorization of LAA morphology in AF patients. As part of our pipeline, we compute pairwise elastic distances between LAA meshes from a cohort of 20 AF patients, and leverage these distances to cluster our shape data. We demonstrate that our method clusters LAA morphologies based on distinctive shape features, overcoming the innate inconsistencies of current LAA categorization systems, and paving the way for improved stroke risk metrics using objective LAA shape groups.
- Published
- 2024
20. Improving Circulation Half-Life of Therapeutic Candidate N-TIMP2 by Unfolded Peptide Extension.
- Author
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Shirian J, Hockla A, Gleba JJ, Coban M, Rotenberg N, Strik LM, Alasonyalilar Demirer A, Pawlush ML, Copland JA, Radisky ES, and Shifman JM
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- Animals, Half-Life, Mice, Humans, Peptides chemistry, Peptides pharmacology, Matrix Metalloproteinase Inhibitors pharmacology, Matrix Metalloproteinase Inhibitors chemistry, Protein Unfolding drug effects, Tissue Inhibitor of Metalloproteinase-2 metabolism, Tissue Inhibitor of Metalloproteinase-2 genetics, Tissue Inhibitor of Metalloproteinase-2 chemistry, Matrix Metalloproteinase 9 metabolism, Matrix Metalloproteinase 9 genetics
- Abstract
Matrix metalloproteinases (MMPs) are significant drivers of many diseases, including cancer, and are established targets for drug development. Tissue inhibitors of metalloproteinases (TIMPs) are endogenous MMP inhibitors and are being pursued for the development of anti-MMP therapeutics. TIMPs possess many attractive properties for drug candidates, such as complete MMP inhibition, low toxicity, low immunogenicity, and high tissue permeability. However, a major challenge with TIMPs is their rapid clearance from the bloodstream due to their small size. This study explores a method for extending the plasma half-life of the N-terminal domain of TIMP2 (N-TIMP2) by appending it with a long, intrinsically unfolded tail containing Pro, Ala, and Thr (PATylation). We designed and produced two PATylated N-TIMP2 constructs with tail lengths of 100 and 200 amino acids (N-TIMP2-PAT
100 and N-TIMP2-PAT200 ). Both constructs demonstrated higher apparent molecular weights and retained high inhibitory activity against MMP-9. N-TIMP2-PAT200 significantly increased plasma half-life in mice compared to the non-PATylated variant, enhancing its therapeutic potential. PATylation offers distinct advantages for half-life extension, such as fully genetic encoding, monodispersion, and biodegradability. It can be easily applied to N-TIMP2 variants engineered for high affinity and selectivity toward individual MMPs, creating promising candidates for drug development against MMP-related diseases., Competing Interests: The authors declare no conflicts of interest.- Published
- 2024
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21. The Cotard Delusion in a Patient With Neuropsychiatric Systemic Lupus Erythematosus: The Challenges of Autoimmune Psychosis.
- Author
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García-Sarreón A, Escamilla-Ramírez A, Martínez-López Y, García-Esparza KA, Kerik-Rotenberg N, and Ramírez-Bermúdez J
- Subjects
- Humans, Female, Adult, Psychotic Disorders etiology, Psychotic Disorders complications, Psychotic Disorders psychology, Psychotic Disorders immunology, Cognitive Dysfunction etiology, Cognitive Dysfunction psychology, Positron Emission Tomography Computed Tomography, Lupus Vasculitis, Central Nervous System complications, Lupus Vasculitis, Central Nervous System psychology, Delusions etiology, Delusions psychology
- Abstract
The clinical features of neuropsychiatric systemic lupus erythematosus (NPSLE) are heterogeneous. Furthermore, therapeutic decision-making for NPSLE depends on the recognition of clinical syndromes that have not been sufficiently studied. This report describes the case of a 36-year-old woman with NPSLE who exhibited severe cognitive dysfunction and affective psychosis with persistent nihilistic delusions such as those described in the Cotard delusion. The patient insisted for several months that she was already dead. CSF analysis showed elevated levels of anti-ribosomal P antibodies and a positive determination of oligoclonal bands. Additionally, 18F -FDG PET/CT imaging revealed severe bilateral frontal hypermetabolism suggestive of brain inflammation and occipital hypometabolism. Results from the Systematic Lupus Erythematosus Disease Activity Index 2000 and the Systemic Lupus Erythematosus Disease Activity Score were consistent with an active state of the immunological disease. We then determined by an algorithm that this neuropsychiatric event could be attributed to the activity of the underlying immunological disease. Despite immunosuppressive and symptomatic treatment, only a partial improvement in cognition was achieved. The psychopathological features of the Cotard delusion remained unchanged 4 months after onset. However, we observed rapid remission of affective psychosis and significant improvement in cognition following electroconvulsive therapy. Subsequent follow-up examinations showed a sustained remission. This case describes a protracted form of the Cotard delusion, the diagnostic challenges that arise in the context of SLE, and treatment dilemmas that necessitate collaboration between neurology, psychiatry, and rheumatology., Competing Interests: The authors declare no conflicts of interest., (Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.)
- Published
- 2024
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22. Direct observation of a few-photon phase shift induced by a single quantum emitter in a waveguide.
- Author
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Staunstrup MJR, Tiranov A, Wang Y, Scholz S, Wieck AD, Ludwig A, Midolo L, Rotenberg N, Lodahl P, and Le Jeannic H
- Abstract
Realizing a sensitive photon-number-dependent phase shift on a light beam is required both in classical and quantum photonics. It may lead to new applications for classical and quantum photonics machine learning or pave the way for realizing photon-photon gate operations. Nonlinear phase-shifts require efficient light-matter interaction, and recently quantum dots coupled to nanophotonic devices have enabled near-deterministic single-photon coupling. We experimentally realize an optical phase shift of 0.19π ± 0.03 radians ( ≈ 34 degrees) using a weak coherent state interacting with a single quantum dot in a planar nanophotonic waveguide. The phase shift is probed by interferometric measurements of the light scattered from the quantum dot in the waveguide. The process is nonlinear in power, the saturation at the single-photon level and compatible with scalable photonic integrated circuitry. The work may open new prospects for realizing high-efficiency optical switching or be applied for proof-of-concept quantum machine learning or quantum simulation demonstrations., (© 2024. The Author(s).)
- Published
- 2024
- Full Text
- View/download PDF
23. Mirror-Image Random Nonstandard Peptide Integrated Discovery (MI-RaPID) Technology Yields Highly Stable and Selective Macrocyclic Peptide Inhibitors for Matrix Metallopeptidase 7.
- Author
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Metanis N, Ghareeb H, Li CY, Shenoy A, Rotenberg N, Shifman JM, Katoh T, Sagi I, and Suga H
- Abstract
Matrix metallopeptidase 7 (MMP7) plays a crucial role in cancer metastasis and progression, making it an attractive target for therapeutic development. However, the development of selective MMP7 inhibitors is challenging due to the conservation of active sites across various matrix metalloproteinases (MMPs). Here, we have developed mirror-image random nonstandard peptides integrated discovery (MI-RaPID) technology to discover innate protease-resistant macrocyclic peptides that specifically bind to and inhibit human MMP7. One identified macrocyclic peptide against D-MMP7, termed D20, was synthesized in its mirror-image form, D'20, consisting of 12 D-amino acids, one cyclic b-amino acid, and a thioether bond. Notably, it potently inhibited MMP7 with an IC50 value of 90 nM, and showed excellent selectivity over other MMPs with similar substrate specificity. Moreover, D'20 inhibited the migration of pancreatic cell line CFPAC-1, but had no effect on the cell proliferation and viability. D'20 exhibited excellent stability in human serum, as well as in simulated gastric and intestinal fluids. This study highlights that MI-RaPID technology can serve as a powerful tool to develop in vivo stable macrocyclic peptides for therapeutic applications., (© 2024 Wiley‐VCH GmbH.)
- Published
- 2024
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24. Reconfigurable quantum photonic circuits based on quantum dots.
- Author
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McCaw A, Ewaniuk J, Shastri BJ, and Rotenberg N
- Abstract
Quantum photonic integrated circuits, composed of linear-optical elements, offer an efficient way for encoding and processing quantum information on-chip. At their core, these circuits rely on reconfigurable phase shifters, typically constructed from classical components such as thermo- or electro-optical materials, while quantum solid-state emitters such as quantum dots are limited to acting as single-photon sources. Here, we demonstrate the potential of quantum dots as reconfigurable phase shifters. We use numerical models based on established literature parameters to show that circuits utilizing these emitters enable high-fidelity operation and are scalable. Despite the inherent imperfections associated with quantum dots, such as imperfect coupling, dephasing, or spectral diffusion, we show that circuits based on these emitters may be optimized such that these do not significantly impact the unitary infidelity. Specifically, they do not increase the infidelity by more than 0.001 in circuits with up to 10 modes, compared to those affected only by standard nanophotonic losses and routing errors. For example, we achieve fidelities of 0.9998 in quantum-dot-based circuits enacting controlled-phase and - not gates without any redundancies. These findings demonstrate the feasibility of quantum emitter-driven quantum information processing and pave the way for cryogenically-compatible, fast, and low-loss reconfigurable quantum photonic circuits., Competing Interests: Conflict of interest: Authors state no conflict of interest., (© 2024 the author(s), published by De Gruyter, Berlin/Boston.)
- Published
- 2024
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25. Independent Electrical Control of Two Quantum Dots Coupled through a Photonic-Crystal Waveguide.
- Author
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Chu XL, Papon C, Bart N, Wieck AD, Ludwig A, Midolo L, Rotenberg N, and Lodahl P
- Abstract
Efficient light-matter interaction at the single-photon level is of fundamental importance in emerging photonic quantum technology. A fundamental challenge is addressing multiple quantum emitters at once, as intrinsic inhomogeneities of solid-state platforms require individual tuning of each emitter. We present the realization of two semiconductor quantum dot emitters that are efficiently coupled to a photonic-crystal waveguide and individually controllable by applying a local electric Stark field. We present resonant transmission and fluorescence spectra in order to probe the coupling of the two emitters to the waveguide. We exploit the single-photon stream from one quantum dot to perform spectroscopy on the second quantum dot positioned 16 μm away in the waveguide. Furthermore, power-dependent resonant transmission measurements reveal signatures of coherent coupling between the emitters. Our work provides a scalable route to realizing multiemitter collective coupling, which has inherently been missing for solid-state deterministic photon emitters.
- Published
- 2023
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26. Integrated Whispering-Gallery-Mode Resonator for Solid-State Coherent Quantum Photonics.
- Author
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Brooks A, Chu XL, Liu Z, Schott R, Ludwig A, Wieck AD, Midolo L, Lodahl P, and Rotenberg N
- Abstract
Tailored photonics cavities enhance light-matter interactions, ultimately enabling a fully coherent quantum interface. Here, we report an integrated microdisk cavity containing self-assembled quantum dots to coherently route photons between different access waveguides. We measure a Purcell factor of F
exp = 6.9 ± 0.9 for a cavity quality factor of about 10,000, allowing us to observe clear signatures of coherent scattering of photons by the quantum dots. We show how this integrated system can coherently reroute photons between the drop and bus ports and how this routing is controlled by detuning the quantum dot and resonator or through the strength of the excitation beam, where a critical photon number less than one photon per lifetime is required. We discuss the strengths and limitations of this approach, focusing on how the coherent scattering and single-photon nonlinearity can be used to increase the efficiency of quantum devices such as routers or Bell-state analyzers.- Published
- 2021
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27. Experimental Reconstruction of the Few-Photon Nonlinear Scattering Matrix from a Single Quantum Dot in a Nanophotonic Waveguide.
- Author
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Le Jeannic H, Ramos T, Simonsen SF, Pregnolato T, Liu Z, Schott R, Wieck AD, Ludwig A, Rotenberg N, García-Ripoll JJ, and Lodahl P
- Abstract
Coherent photon-emitter interfaces offer a way to mediate efficient nonlinear photon-photon interactions, much needed for quantum information processing. Here we experimentally study the case of a two-level emitter, a quantum dot, coupled to a single optical mode in a nanophotonic waveguide. We carry out few-photon transport experiments and record the statistics of the light to reconstruct the scattering matrix elements of one- and two-photon components. This provides direct insight to the complex nonlinear photon interaction that contains rich many-body physics.
- Published
- 2021
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28. 68Ga-DOTATOC-PET/CT-guided resection of a primary intraosseous meningioma: technical note.
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Guinto-Nishimura GY, Gómez-Amador JL, Kerik-Rotenberg N, Uribe-Pacheco R, Sangrador-Deitos MV, and Martínez-Manrique JJ
- Subjects
- Humans, Neoplasm Recurrence, Local, Octreotide analogs & derivatives, Organometallic Compounds, Positron Emission Tomography Computed Tomography, Positron-Emission Tomography, Tomography, X-Ray Computed, Meningeal Neoplasms diagnostic imaging, Meningeal Neoplasms surgery, Meningioma diagnostic imaging, Meningioma surgery
- Abstract
Primary intraosseous meningiomas (PIMs) are rare tumors that present with a variable radiological appearance and a clinical behavior that is considerably different from that of intracranial meningiomas. Treatment of PIMs consists of complete resection, which may be difficult to achieve due to the lack of clear tumor margins on conventional imaging studies. PET/CT using 68Ga-DOTA-conjugated peptides has been used for the diagnosis and treatment planning of different types of meningiomas due to these tracers' affinity to somatostatin receptors, which are found in most meningiomas. However, this imaging modality's use as an intraoperative adjunct has not been reported for PIMs. In this technical note, the authors describe a [68Ga-DOTA0-Tyr3]octreotide (68Ga-DOTATOC)-PET/CT-guided resection of a PIM. In this case, the area of increased uptake in the 68Ga-DOTATOC-PET/CT study extended well beyond the tumor margins identified on MRI. The patient's pathology report confirmed the presence of tumor cells within peripheral bone, which macroscopically appeared normal. The authors propose 68Ga-DOTATOC-PET/CT as a valuable adjunct in the surgical management of PIMs and offer a reasonable justification for its use based on current evidence. Its use for intraoperative image guidance may aid neurosurgeons in achieving a complete resection, thus minimizing the risk of recurrence of this complex pathological entity.
- Published
- 2021
- Full Text
- View/download PDF
29. "Reply: Methodological and Ethical Concerns in the Study of AntiNMDA Encephalitis With Positron Emission Tomography".
- Author
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Kerik-Rotenberg N, Diaz-Meneses I, Hernandez-Ramirez R, Muñoz-Casillas R, Reynoso-Mejia C, Aguilar-Palomeque C, Flores-Rivera J, Espinola-Nadurille M, and Ramirez-Bermudez J
- Published
- 2020
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30. A Metabolic Brain Pattern Associated With Anti-N-Methyl-D-Aspartate Receptor Encephalitis.
- Author
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Kerik-Rotenberg N, Diaz-Meneses I, Hernandez-Ramirez R, Muñoz-Casillas R, Reynoso-Mejia CA, Flores-Rivera J, Espinola-Nadurille M, Ramirez-Bermudez J, and Aguilar-Palomeque C
- Subjects
- Adolescent, Adult, Anti-N-Methyl-D-Aspartate Receptor Encephalitis metabolism, Anti-N-Methyl-D-Aspartate Receptor Encephalitis physiopathology, Aphasia physiopathology, Brain metabolism, Brain physiopathology, Catatonia physiopathology, Cerebellum diagnostic imaging, Cerebellum metabolism, Cerebral Cortex diagnostic imaging, Cerebral Cortex metabolism, Delirium physiopathology, Electroencephalography, Female, Fluorodeoxyglucose F18, Hallucinations physiopathology, Humans, Lethargy physiopathology, Magnetic Resonance Imaging, Male, Memory Disorders physiopathology, Memory, Short-Term, Middle Aged, Movement Disorders physiopathology, Occipital Lobe diagnostic imaging, Occipital Lobe metabolism, Parietal Lobe diagnostic imaging, Parietal Lobe metabolism, Positron-Emission Tomography, Radiopharmaceuticals, Temporal Lobe diagnostic imaging, Temporal Lobe metabolism, Young Adult, Anti-N-Methyl-D-Aspartate Receptor Encephalitis diagnostic imaging, Brain diagnostic imaging
- Abstract
Background: Anti-N-methyl-D-aspartate (NMDA) receptor encephalitis causes substantial neurological disability. Autoantibodies causing encephalitis directed against the neuronal cell surface or synapse are of diagnostic importance giving the possibility of successful immunotherapy., Objective: In this study, we aim to provide supporting evidence that brain 18F-FDG-PET may be helpful in identifying likely patterns of regional brain glucose metabolism., Methods: Thirty-three patients (18 men and 15 women; age range of 17-55 y) with positive NMDA receptor antibody encephalitis that underwent an 18F-FDG-PET imaging examination were prospectively selected and compared with a reference group of 14 brain 18F-FDG-PET scans from healthy volunteers using voxel-based statistical analysis. Clusters of hyper- and hypo-metabolism were reported for the whole sample of patients (FWE-corrected P < 0.05), and uncorrected at P < 0.005 for a group of relapsed patients., Results: Mixed metabolic patterns (focal/bilateral hypermetabolism in the temporal lobe, insula, and cerebellum; associated with severe bilateral hypometabolism in the occipital and parietal lobes) were found., Conclusions: Our findings suggest that 18F-FDG-PET should be included as an imaging tool when assessing affected patients in the clinical workup to rule out anti-NMDA encephalitis and help determine the most effective treatment., (Copyright © 2019 Academy of Consultation-Liaison Psychiatry. Published by Elsevier Inc. All rights reserved.)
- Published
- 2020
- Full Text
- View/download PDF
31. Quantum Optics with Near-Lifetime-Limited Quantum-Dot Transitions in a Nanophotonic Waveguide.
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Thyrrestrup H, Kiršanskė G, Le Jeannic H, Pregnolato T, Zhai L, Raahauge L, Midolo L, Rotenberg N, Javadi A, Schott R, Wieck AD, Ludwig A, Löbl MC, Söllner I, Warburton RJ, and Lodahl P
- Abstract
Establishing a highly efficient photon-emitter interface where the intrinsic linewidth broadening is limited solely by spontaneous emission is a key step in quantum optics. It opens a pathway to coherent light-matter interaction for, e.g., the generation of highly indistinguishable photons, few-photon optical nonlinearities, and photon-emitter quantum gates. However, residual broadening mechanisms are ubiquitous and need to be combated. For solid-state emitters charge and nuclear spin noise are of importance, and the influence of photonic nanostructures on the broadening has not been clarified. We present near-lifetime-limited linewidths for quantum dots embedded in nanophotonic waveguides through a resonant transmission experiment. It is found that the scattering of single photons from the quantum dot can be obtained with an extinction of 66 ± 4%, which is limited by the coupling of the quantum dot to the nanostructure rather than the linewidth broadening. This is obtained by embedding the quantum dot in an electrically contacted nanophotonic membrane. A clear pathway to obtaining even larger single-photon extinction is laid out; i.e., the approach enables a fully deterministic and coherent photon-emitter interface in the solid state that is operated at optical frequencies.
- Published
- 2018
- Full Text
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32. Chip-Based All-Optical Control of Single Molecules Coherently Coupled to a Nanoguide.
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Türschmann P, Rotenberg N, Renger J, Harder I, Lohse O, Utikal T, Götzinger S, and Sandoghdar V
- Abstract
The feasibility of many proposals in nanoquantum-optics depends on the efficient coupling of photons to individual quantum emitters, the possibility to control this interaction on demand, and the scalability of the experimental platform. To address these issues, we report on chip-based systems made of one-dimensional subwavelength dielectric waveguides (nanoguides) and polycyclic aromatic hydrocarbon molecules. We discuss the design and fabrication requirements, present data on extinction spectroscopy of single molecules coupled to a nanoguide mode, and show how an external optical beam can switch the propagation of light via a nonlinear optical process. The presented architecture paves the way for the investigation of many-body phenomena and polaritonic states and can be readily extended to more complex geometries for the realization of quantum integrated photonic circuits.
- Published
- 2017
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33. Core-Shell Plasmonic Nanohelices.
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Kosters D, de Hoogh A, Zeijlemaker H, Acar H, Rotenberg N, and Kuipers L
- Abstract
We introduce core-shell plasmonic nanohelices, highly tunable structures that have a different response in the visible for circularly polarized light of opposite handedness. The glass core of the helices is fabricated using electron beam induced deposition and the pure gold shell is subsequently sputter coated. Optical measurements allow us to explore the chiral nature of the nanohelices, where differences in the response to circularly polarized light of opposite handedness result in a dissymmetry factor of 0.86, more than twice of what has been previously reported. Both experiments and subsequent numerical simulations demonstrate the extreme tunability of the core-shell structures, where nanometer changes to the geometry can lead to drastic changes of the optical responses. This tunability, combined with the large differential transmission, make core-shell plasmonic nanohelices a powerful nanophotonic tool for, for example, (bio)sensing applications.
- Published
- 2017
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- View/download PDF
34. Small slot waveguide rings for on-chip quantum optical circuits.
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Rotenberg N, Türschmann P, Haakh HR, Martin-Cano D, Götzinger S, and Sandoghdar V
- Abstract
Nanophotonic interfaces between single emitters and light promise to enable new quantum optical technologies. Here, we use a combination of finite element simulations and analytic quantum theory to investigate the interaction of various quantum emitters with slot-waveguide rings. We predict that for rings with radii as small as 1.44 μm, with a Q-factor of 27,900, near-unity emitter-waveguide coupling efficiencies and emission enhancements on the order of 1300 can be achieved. By tuning the ring geometry or introducing losses, we show that realistic emitter-ring systems can be made to be either weakly or strongly coupled, so that we can observe Rabi oscillations in the decay dynamics even for micron-sized rings. Moreover, we demonstrate that slot waveguide rings can be used to directionally couple emission, again with near-unity efficiency. Our results pave the way for integrated solid-state quantum circuits involving various emitters.
- Published
- 2017
- Full Text
- View/download PDF
35. Harmonics Generation by Surface Plasmon Polaritons on Single Nanowires.
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de Hoogh A, Opheij A, Wulf M, Rotenberg N, and Kuipers L
- Abstract
We present experimental observations of visible wavelength second- and third-harmonic generation on single plasmonic nanowires of variable widths. We identify that near-infrared surface plasmon polaritons, which are guided along the nanowire, act as the source of the harmonics generation. We discuss the underlying mechanism of this nonlinear process, using a combination of spatially resolved measurements and numerical simulations to show that the visible harmonics are generated via a combination of both local and propagating plasmonic modes. Our results provide the first demonstration of nanoscale nonlinear optics with guided, propagating plasmonic modes on a lithographically defined chip, opening up new routes toward integrated optical circuits for information processing.
- Published
- 2016
- Full Text
- View/download PDF
36. Modal symmetries at the nanoscale: a route toward a complete vectorial near-field mapping.
- Author
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le Feber B, Rotenberg N, van Oosten D, and Kuipers L
- Abstract
We use symmetry considerations to understand and unravel near-field measurements, ultimately showing that we can spatially map three distinct fields using only two detectors. As an example, we create 2D field maps of the out-of-plane magnetic field and two in-plane fields for a silicon ridge waveguide. Furthermore, we are able to identify and remove polarization mixing of less than 1/30 of our experimental signals. Since symmetries are prevalent in nanophotonic structures and their near-fields, our method can have an impact on many future near-field measurements.
- Published
- 2014
- Full Text
- View/download PDF
37. Ultracompact (3 μm) silicon slow-light optical modulator.
- Author
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Opheij A, Rotenberg N, Beggs DM, Rey IH, Krauss TF, and Kuipers L
- Abstract
Wavelength-scale optical modulators are essential building blocks for future on-chip optical interconnects. Any modulator design is a trade-off between bandwidth, size and fabrication complexity, size being particularly important as it determines capacitance and actuation energy. Here, we demonstrate an interesting alternative that is only 3 μm long, only uses silicon on insulator (SOI) material and accommodates several nanometres of optical bandwidth at 1550 nm. The device is based on a photonic crystal waveguide: by combining the refractive index shift with slow-light enhanced absorption induced by free-carrier injection, we achieve an operation bandwidth that significantly exceeds the shift of the bandedge. We compare a 3 μm and an 80 μm long modulator and surprisingly, the shorter device outperforms the longer one. Despite its small size, the device achieves an optical bandwidth as broad as 7 nm for an extinction ratio of 10 dB, and modulation times ranging between 500 ps and 100 ps.
- Published
- 2013
- Full Text
- View/download PDF
38. Resonant coupling from a new angle: coherent control through geometry.
- Author
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Rotenberg N, Beggs DM, Sipe JE, and Kuipers L
- Subjects
- Computer Simulation, Equipment Design, Equipment Failure Analysis, Light, Scattering, Radiation, Models, Theoretical, Refractometry instrumentation, Refractometry methods, Surface Plasmon Resonance instrumentation, Surface Plasmon Resonance methods
- Abstract
We demonstrate that interference of absorption pathways can be used to control resonant coupling of light to guided modes in a manner analogous to quantum coherent control or electronically induced transparency. We illustrate the control of resonant coupling that interference affords using a plasmonic test system where tuning the phase of a grating is sufficient to vary the transfer of energy into the surface plasmon polariton by a factor of over 10(6). We show that such a structure could function as a one-way coupler, and present a simple explanation for the underlying physics.
- Published
- 2013
- Full Text
- View/download PDF
39. Unravelling nonlinear spectral evolution using nanoscale photonic near-field point-to-point measurements.
- Author
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Wulf M, Beggs DM, Rotenberg N, and Kuipers L
- Subjects
- Light, Models, Theoretical, Nonlinear Dynamics, Photons, Scattering, Radiation, Crystallization, Nanotechnology
- Abstract
We demonstrate nanoscale photonic point-to-point measurements characterizing a single component inside an all-optical signal-processing chip. We perform spectrally resolved near-field scanning optical microscopy on ultrashort pulses propagating inside a slow light photonic crystal waveguide, which is part of a composite sample. A power study reveals a reshaping of the pulse's spectral density, which we model using the nonlinear Schrödinger equation. With the model, we are able to identify the various physical processes governing the nonlinear pulse propagation. Finally, we contrast the near-field measurements with transmission measurements of the complete composite sample to elucidate the importance of gaining local information about the evolution of the spectral density.
- Published
- 2013
- Full Text
- View/download PDF
40. Ultrafast tunable optical delay line based on indirect photonic transitions.
- Author
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Beggs DM, Rey IH, Kampfrath T, Rotenberg N, Kuipers L, and Krauss TF
- Abstract
We introduce the concept of an indirect photonic transition and demonstrate its use in a dynamic delay line to alter the group velocity of an optical pulse. Operating on an ultrafast time scale, we show continuously tunable delays of up to 20 ps, using a slow light photonic crystal waveguide only 300 μm in length. Our approach is flexible, in that individual pulses in a pulse stream can be controlled independently, which we demonstrate by operating on pulses separated by just 30 ps. The two-step indirect transition is demonstrated here with a 30% conversion efficiency.
- Published
- 2012
- Full Text
- View/download PDF
41. All-optical ultrafast control of beaming through a single sub-wavelength aperture in a metal film.
- Author
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Swillam MA, Rotenberg N, and van Driel HM
- Abstract
We propose an ultrafast all-optical technique to control and beam the light emerging from a sub-wavelength slit in a planar gold film by exciting a transient grating in the area around the slit. A FDTD model is used to show how excitation of surface plasmon polaritons by the grating governs the beaming process. Both the grating and the beaming effect are shown to decay on a picosecond time-scale. An on-off contrast of 5 dB is obtained for the beaming, with a divergence angle of only 2.4 degrees., (© 2011 Optical Society of America)
- Published
- 2011
- Full Text
- View/download PDF
42. Ultrafast silicon-based active plasmonics at telecom wavelengths.
- Author
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Caspers JN, Rotenberg N, and van Driel HM
- Subjects
- Equipment Design, Equipment Failure Analysis, Refractometry instrumentation, Silicon chemistry, Surface Plasmon Resonance instrumentation, Telecommunications instrumentation
- Abstract
Using a gold/silicon grating coupler and modulating the silicon dielectric constant with 775 nm, 800 fs pump pulses we demonstrate an ultrafast spectral shift to a surface plasmon polariton coupling resonance for 1300-1700 nm probe pulses. With a modest pump fluence of 2.2 mJ cm(-2) the pump-induced free carriers shift the resonance by more than its width, with recovery occurring in 103 ps due to surface recombination.
- Published
- 2010
- Full Text
- View/download PDF
43. Ultrafast all-optical coupling of light to surface plasmon polaritons on plain metal surfaces.
- Author
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Rotenberg N, Betz M, and van Driel HM
- Abstract
We propose and demonstrate an ultrafast all-optical method to couple light to surface plasmon polaritons on planar gold films. By interfering two 150 fs, 810 nm pulses we excite a transient grating in the temperature of the free electrons of the metal, resulting in a grating in the dielectric function, and leading to a 1 ps launch window for plasmonic excitation. We use pump-probe experiments to identify these ultrashort plasmonic excitations between 520 and 570 nm.
- Published
- 2010
- Full Text
- View/download PDF
44. Ultrafast control of grating-assisted light coupling to surface plasmons.
- Author
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Rotenberg N, Betz M, and van Driel HM
- Abstract
We demonstrate subpicosecond control over the coupling of free-space radiation to surface-plasmon polaritons using 830 and 500 nm period gold gratings. Thermal changes to the electron distribution following irradiation by 100 fs, 810 nm pulses produce a shift of the 570 nm plasmon resonance by approximately 0.75 nm with reflectivity change up to 6% and decay time of approximately 1 ps.
- Published
- 2008
- Full Text
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45. Risk factors for early postpartum depressive symptoms.
- Author
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Bloch M, Rotenberg N, Koren D, and Klein E
- Subjects
- Adult, Comorbidity, Depression, Postpartum diagnosis, Depression, Postpartum epidemiology, Female, Humans, Logistic Models, Postnatal Care, Retrospective Studies, Risk Factors, Surveys and Questionnaires, Depression, Postpartum etiology, Mood Disorders epidemiology, Pregnancy psychology, Pregnancy Complications, Premenstrual Syndrome epidemiology
- Abstract
Objective: Postpartum depressive disorders are common and symptoms may appear as early as the first 2 weeks postpartum. Data regarding hormone-related risk factors for depressive symptoms occurring in the very early postpartum period are scarce and may be of importance in identifying serious postpartum illness. We examined the association between the reported history of psychiatric symptoms of possible hormonal etiology and very early postpartum depressive symptoms., Methods: All women (n= 1,800) in a general hospital maternity ward were assessed during the first 3 days after parturition for potential risk factors for postpartum depressive disorders by a self-reported questionnaire and for present mood symptoms (Edinburgh Postnatal Depression Scale, EPDS). The associations between potential risk factors and postpartum depressive symptoms were analysed., Results: The incidence of women with an EPDS >or=10 was 6.8% (88/1,286). Significant risk factors for early postpartum depressive symptoms were a history of mental illness including past postpartum depression (PPD), premenstrual dysphoric disorder (PMDD), and mood symptoms during the third trimester., Conclusion: In accordance with other studies, a history of depression was found to be a risk factor for early postpartum mood symptoms. An association was also found between some risk factors of possible hormone-related etiology such as PMDD and third trimester mood symptoms and early postpartum mood symptoms. As such, early postpartum symptoms may indicate vulnerability to subsequent PPD; it may be of importance to assess these risk factors and mood immediately after parturition. A prospective study is needed to determine which of these risk factors is associated with progression to PPD and which resolves as the blues.
- Published
- 2006
- Full Text
- View/download PDF
46. Risk factors associated with the development of postpartum mood disorders.
- Author
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Bloch M, Rotenberg N, Koren D, and Klein E
- Subjects
- Adult, Comorbidity, Cross-Sectional Studies, Depression, Postpartum diagnosis, Depression, Postpartum psychology, Depressive Disorder, Major diagnosis, Depressive Disorder, Major epidemiology, Depressive Disorder, Major psychology, Female, Humans, Interview, Psychological, Interviews as Topic, Israel, Personality Inventory, Premenstrual Syndrome diagnosis, Premenstrual Syndrome epidemiology, Premenstrual Syndrome psychology, Prospective Studies, Recurrence, Regression Analysis, Risk Factors, Statistics as Topic, Depression, Postpartum epidemiology
- Abstract
Background: Various factors have been reported to be associated with the development of postpartum mood disorders. The relationship between postpartum mood disorders and putatively hormone-related phenomena such as premenstrual dysphoric disorder (PMDD) is unclear. This study attempts to determine whether such mood phenomena are risk factors for postpartum mood disorders., Methods: Postpartum women (n=1800) were assessed for risk factors for postpartum mood disorders during the first 2-4 days after parturition. Of these, 133 were defined as "high risk" and 109 as "low risk" according to fixed criteria. A structured phone diagnostic interview was performed at 6-8 weeks postpartum to assess for the presence of postpartum depression or the blues., Results: Premenstrual dysphoric disorder (PMDD), mood symptoms during the first 2-4 days postpartum, a past history of depression and mood symptoms during past oral contraceptive use, were found to be significant risk factors for postpartum mood disorders. Women at high risk for postpartum mood disorders had a 9.3-, 1.5-, 1.6- and 2.6-fold increase in risk for major depression, minor depression, the blues and adjustment disorder respectively compared to women at low risk., Limitations: While the study design is prospective, it is limited by the retrospective assessment of risk factors., Conclusions: This study provides preliminary evidence that putatively hormone-related phenomena such as PMDD are related to the occurrence of postpartum mood disorders. The results go some way to support the hypothesis that the etiology for postpartum mood disorders may be related to differential hormonal sensitivity. Such risk factors should be included in any assessment of the risk for these disorders.
- Published
- 2005
- Full Text
- View/download PDF
47. Parenting stress, infant emotion regulation, maternal sensitivity, and the cognitive development of triplets: a model for parent and child influences in a unique ecology.
- Author
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Feldman R, Eidelman AI, and Rotenberg N
- Subjects
- Adult, Female, Health Status, Humans, Infant, Infant, Newborn, Male, Risk Factors, Social Support, Surveys and Questionnaires, Symbolism, Affect, Child Development, Cognition, Concept Formation, Infant Behavior psychology, Maternal Behavior psychology, Mothers psychology, Parent-Child Relations, Parenting psychology, Self Efficacy, Social Environment, Stress, Psychological psychology
- Abstract
To examine the development of triplets, 23 sets of triplets were matched with 23 sets of twins and 23 singletons (N=138). Maternal sensitivity was observed at newborn, 3, 6, and 12 months, and infants' cognitive and symbolic skills at 1 year. Triplets received lower maternal sensitivity across infancy and exhibited poorer cognitive competencies compared with singletons and twins. The most medically compromised triplet showed the lowest regulation, received lower maternal sensitivity, and demonstrated the weakest outcomes compared with siblings. Structural modeling charted three levels of influence on cognitive outcomes: direct, indirect, and contextual. The triplet ecology provides a context for assessing the relations among infant inborn dispositions, the rearing environment, and the role of exclusive parenting in development.
- Published
- 2004
- Full Text
- View/download PDF
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