[A fundamental proposal to establish an investigative system for medical accidents].

For more than a decade, numerous disputes over medical errors and other safety issues in the healthcare system have occurred and attracted growing interest from society. As a result, through the Model Project for the Investigation of Death Associated with Medical Practice, the Outline Proposal of the Measure to Establish an Investigative Commission on Medical Accidents was proposed by the Japanese Ministry of Health, Labour and Welfare. However, this measure was not finalized. The course of the controversies involved has various implications. The Project Committee of the Japan Medical Association proposed the fundamental viewpoints to establish an exploratory system for medical accidents and to change the stressful medical environment for both physicians and patients based on the principle of the occupational autonomy of physicians.

Surface functionalization chemistries on highly sensitive silica-based sensor chips.

The surfaces of silica-based sensor chips, designed for evanescent-field-coupled waveguide-mode sensors, were functionalized using various surface chemistries. The immobilization of molecular entities on the functionalized silica surfaces was monitored using various microscopic techniques (scanning electron, fluorescence, and atomic force microscopies). Further, gold nanoparticle-based signal enhancement analyses were performed with protein conjugation on different functionalized surfaces using a waveguide-mode sensor. Based on these analyses, the sensor surfaces modified with glutaraldehyde (Glu) and carbonyldiimidazole were found to be good for molecules of different sizes. In addition, it can be inferred that the Glu-modified surface may be suitable for small molecules with diameters around 5 nm owing to its surface roughness. The modified surface with carbonyldiimidazole is suitable for the direct immobilization of larger molecules especially for biomolecular assemblies without intermediate chemical modifications.

Two-color sum frequency generation study of poly(9,9-dioctylfluorene)/electrode interfaces.

The air/PFO and the buried electrode/PFO interfaces have been investigated by two-color SFG spectroscopy. Due to the interface confinement effects, the planes of PFO rings are nearly parallel to the surface plane, and the optical band gaps become smaller at the interfaces than those of the bulk.

NMR studies of structure and dynamics of liquid molecules confined in extended nanospaces.

We fabricated an NMR cell equipped with 10-100 nm scale spaces on a glass substrate (called extended nanospaces), and investigated molecular structure and dynamics of water confined in the extended nanospaces by (1)H NMR chemical shift (delta(H)) and (1)H and (2)H NMR spin-lattice relaxation rate ((1)H- and (2)H-1/T(1)), (1)H NMR spin-spin relaxation rate ((1)H-1/T(2)), and (1)H NMR rotating-frame spin-lattice relaxation rate ((1)H-1/T(1rho)) measurements of H(2)O and (2)H(2)O. The delta(H) and (1)H- and (2)H-1/T(1) results showed that size-confinement produces slower translational motions and higher proton mobility of water, but does not affect the hydrogen-bonding structure and rotational motions. Such unique phenomena appeared in the space size of 40 to 800 nm. However, the (1)H-1/T(1) value at 40 nm was still different from that in 4 nm porous nanomaterial, because translational and rotational motions were inhibited for H(2)O molecules in the nanomaterial. By examining temperature- and deuterium-dependence of the (1)H-1/T(1) values, the molecular translational motions of the confined water were found to be controlled by protonic diffusion invoking a proton hopping pathway between adjacent water rather than hydrodynamic translational diffusion. Furthermore, we clarified that proton exchange between adjacent water molecules in extended nanospaces could be enhanced by the chemical exchange of protons between water and SiOH groups on glass surfaces, ( identical with SiO(-)...H(+)...H(2)O) + H(2)O --> triple bond SiO(-) + (H(3)O(+) + H(2)O) --> triple bond SiO(-) + (H(2)O + H(3)O(+)), based on (1)H-1/T(2) measurements. An enhancement of proton exchange rate of water due to the reduction of space sizes was verified from the results of (1)H-1/T(1rho) values, and the rate of water in the 100 nm sized spaces is larger by a factor of more than ten from that of bulk water. Such size-confinement effects were distinctly observed for hydrogen-bond solvents with strong proton-donating ability, while they did not appear for aprotic and nonpolar solvent cases. Based on these NMR results, we suggested that an intermediate phase, in which protons migrate through a hydrogen-bonding network and the water molecules are loosely coupled within 50 nm from the surface, exists mainly in extended nanospaces. This model could be supported by a three-phase theory based on the weight average of three phases invoking the bulk, adsorbed, and intermediate phases.

Fabrication of steady junctions consisting of alpha,omega-bis(thioacetate) oligo(p-phenylene vinylene)s in nanogap electrodes.

For obtaining molecular devices using metal-molecule-metal junctions, it is necessary to fabricate a steady conductive bridge-structure; that is stable chemical bonds need to be established from a single conductive molecule to two facing electrodes. In the present paper, we show that the steadiness of a conductive bridge-structure depends on the molecular structure of the bridge molecule for nanogap junctions using three types of modified oligo(phenylene vinylene)s (OPVs): alpha,omega-bis(thioacetate) oligo(phenylene vinylene) (OPV1), alpha,omega-bis(methylthioacetate) oligo(phenylene vinylene) (OPV2), and OPV2 consisting of ethoxy side chains (OPV3). We examined the change in resistance between the molecule-bridged junction and a bare junction in each of the experimental Au-OPV-Au junctions to confirm whether molecules formed steady bridges. Herein, the outcomes of whether molecules formed steady bridges were defined in terms of three types of result; successful, possible and failure. We define the ratio of the number of successful junctions to the total number of experimental junctions as successful rate. A 60% successful rate for OPV3 was higher than for the other two molecules whose successful rates were estimated to be approximately 10%. We propose that conjugated molecules consisting of methylthioacetate termini and short alkoxy side chains are well suited for fabricating a steady conductive bridge-structure between two facing electrodes.

Surface potential switching by metal ion complexation/decomplexation using bipyridinethiolate monolayers on gold.

Surface potential switching on gold(111) surfaces is induced by complexation/decomplexation reactions of a bipyridine (BP) derivative and palladium(II) chloride, as observed by Kelvin probe force microscopy (KFM). On the basis of the theoretical predictions, a 4-(5-phenylethynyl-2,2'-bipyridine-5'-yl-ethynyl)benzenethiol (PhBP) derivative was synthesized and used as an active monolayer to catch transition metal ions. By using the microcontact printing (CP) technique, micron-size patterned PhBP monolayers, which act as effective hosts to coordinate palladium(II) chloride, were prepared on gold(111) surfaces. The KFM signal decreases by complexation of the Pd(II) chloride in PhBP monolayers and is recovered by removal of Pd ions using an ethylenediamine solution, as confirmed by X-ray photoelectron spectroscopy. This process is reversible, indicating that the surface potential switching is realized by complexation/decomplexation of Pd(II). A CP PhBP monolayer, when it detects the target palladium ion, shows sensitivity for the picomolar level detection judged from surface potential changes in KFM measurements. The dipole moment estimated by the surface potentials is much smaller than the calculated value, indicating that mechanisms for the reduction of the surface dipole moment exist in real monolayers prepared by the CP method.

Estradiol benzoate for preventing pregnancy in mismated dogs.

We investigated the use of a single treatment of estradiol benzoate (E2B) to prevent pregnancy in mismated dogs, including effects of dose, side effects, and mechanism of action. We used 74 female beagles aged 1-10 year. A single treatment of E2B (0.025, 0.05, 0.10, or 0.20 mg/kg; 10 dogs/dose) given 2 days after mating (5 days after ovulation) resulted in pregnancy rates of 70, 50, 10, and 0%, respectively, whereas pregnancy rate was 100% in 5 untreated (control) dogs. There were no side effects in dogs given E2B, regardless of dose. To clarify the mechanism of prevention of pregnancy, we investigated embryonic descent in the uterine tube and embryonic degeneration after treatment with 0.025 or 0.20 mg/kg of E2B; treatment delayed embryonic descent in the uterine tube and increased the incidence of embryonic degeneration. In conclusion, a single treatment of 0.020 mg/kg of E2B given 2 days after mating effectively and safely prevented pregnancy in dogs.

Conductive probe AFM measurements of conjugated molecular wires.

The electrical conduction of self-assembled monolayers (SAMs) made from conjugated molecules was measured using conductive probe atomic force microscopy (CP-AFM), with a focus on the molecular structural effect on conduction. First, the electrical conduction of SAMs made from phenylene oligomer SAMs was measured. The resistances through the monolayers increased exponentially with an increase in molecular length and the decay constants of transconductance beta were about 0.45 to 0.61 A(-1) measured at lower bias region. We further investigated the influence of applied load on the resistances. The resistances through terphenyl SAMs increased with an increase in the applied load up to 14 nN. Second, using an insertion technique into insulating alkanethiol SAMs, the electrical conduction of single conjugated terphenyl methanethiol and oligo(para-phenylenevinylene) (OPV) molecules embedded into insulating alkanethiol SAMs were measured. Electrical currents through these single molecules of OPVs were estimated to be larger than those through single terphenyl molecules, suggesting that the OPV structure can increase the electrical conduction of single molecules. Third, apparent negative differential resistance (NDR) was observed at higher bias measurements of SAMs. The appearance of NDR might be related to roughness of SAM surface, because apparent NDR was often observed on rough surfaces. In any case, the tip-molecule contact condition strongly affected carrier transport through metal tip/SAM/metal junction.