Publications by authors named "Shirai Yasuhiro"

Background: The guidelines recommend anticoagulation management with uninterrupted warfarin or direct thrombin inhibitors (DTIs) during the atrial fibrillation (AF) ablation periprocedural period.

Objectives: To clarify the Japanese real-world latest periprocedural anticoagulation management during AF ablation.

Methods: This multicenter observational study included 6232 consecutive AF patients (68.

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Surface passivation with multifunctional molecules is an effective strategy to mitigate the defect and improve the performance and stability of perovskite solar cells (PSCs). Here, the fabrication of a wide bandgap-PSC is reported with tin perovskite (WB-Sn-HP; bandgap: 1.68 eV), followed by molecular surface passivation using 4-Fluoro-benzohydrazide (F-BHZ).

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Article Synopsis
  • The study investigates the effectiveness of catheter ablation in eliminating idiopathic ventricular arrhythmias from different sites in the heart.
  • It analyzes data from 58 patients and finds that overall, 72% had successful ablation, with different success rates linked to two specific sites: ECS and endo-EAS.
  • Successful ECS ablation is associated with shorter distances to the activation site, while successful endo-EAS ablation is linked to earlier electrical signals and shorter intervals between activation sites.
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  • A study evaluated the safety of four new radiofrequency ablation catheters used for treating atrial fibrillation (AF), analyzing 3,957 procedures to identify outcomes and procedure times.
  • The results showed that while most catheters achieved a 99.5% success rate in isolating pulmonary veins, differences emerged in procedure duration and complications, with QDOT Micro and THERMOCOOL SMARTTOUCH SF demonstrating shorter fluoroscopic times and lower rates of cardiac tamponade compared to TactiFlex and TactiCath.
  • Findings suggest that the type of catheter and mapping system used impacts both safety outcomes and procedural efficiency in real-world applications, with TactiFlex exhibiting the highest risk for complications like cardiac tamponade.
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Developing high-performance and stable Sn-based perovskite solar cells (PSCs) is difficult due to the inherent tendency of Sn oxidation and, the huge energy mismatch between perovskite and Phenyl-C61-butyric acid methyl ester (PCBM), a frequently employed electron transport layer (ETL). This study demonstrates that perovskite surface defects can be passivated and PCBM's electrical properties improved by doping n-type polymer N2200 into PCBM. The doping of PCBM with N2200 results in enhanced band alignment and improved electrical properties of PCBM.

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  • The study compared the efficacy and safety of two cryoballoon systems used for pulmonary vein isolation in patients with atrial fibrillation, involving 2,555 subjects across 19 centers over nearly two years.
  • Results showed that the newer POLARx cryoballoon had a lower touch-up ablation rate compared to the conventional Arctic Front Advance cryoballoon, but also a higher incidence of right phrenic nerve injury (PNI).
  • Specifically, PNI occurred more frequently with POLARx (3.8%) compared to AFA (1.3%), and recovery from PNI was faster using AFA-CB.
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Molecular passivation is a prominent approach for improving the performance and operation stability of halide perovskite solar cells (HPSCs). Herein, we reveal discernible effects of diammonium molecules with either an aryl or alkyl core onto Methylammonium-free perovskites. Piperazine dihydriodide (PZDI), characterized by an alkyl core-electron cloud-rich-NH terminal, proves effective in mitigating surface and bulk defects and modifying surface chemistry or interfacial energy band, ultimately leading to improved carrier extraction.

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Introduction: The major limitation of the current cryoballoon (CB) system is a fixed 28 mm balloon-size. We sought to analyze real-world early experience with novel-sized adjustable CB.

Methods: This multicenter observational study included 140 consecutive atrial fibrillation patients (71 years, 94 men, 86 paroxysmal) who underwent pulmonary vein (PV) isolation using expandable diameter CB capable of ablation at 28 or 31 mm.

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Backgrounds: Catheter ablation for non-paroxysmal atrial fibrillation (non-PAF) remains challenging and more effective strategy has been required to reduce postoperative arrhythmia recurrences. This study aims to investigate the efficacy and safety of a novel extensive ablation strategy for non-PAF, that is based on a combination of cryoballoon (CBA), radiofrequency (RFA), and Marshall-vein ethanol ablations (EA-VOM).

Methods: The study was a single-center, retrospective observational study.

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The left ventricular summit (LVS) is the highest point of the left ventricular epicardium, and ventricular arrhythmias originating from this area accounts for 10% to 15% of idiopathic outflow tract ventricular arrhythmias. Direct epicardial ablation of outflow tract ventricular arrhythmias arising from the LVS is successful only in a minority of patients because of close proximity to the coronary artery or thick epicardial fat. Therefore, alternative strategies should be prioritized before performing epicardial approach.

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Background: Recent studies have found that atrial fibrillation (AF) is a risk factor for cognitive impairment. Brain hypoperfusion is hypothesized as an underlying mechanism of cognitive decline in AF patients.

Objectives: This study sought to assess changes in cerebral blood flow (CBF) and brain volume after catheter ablation of AF.

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When the power conversion efficiency (PCE) of perovskite solar cells (PSCs) rapidly approaches that of commercial solar cells, the stability becomes the most important obstacle for the commercialization of PSCs. Aside from the widely studied slow PCE degradation, the PSCs also show a unique rapid PCE degradation. Although the degradation due to oxygen and humidity can be avoided by encapsulation, that due to bias voltage, light and heat could not be effective suppressed and will lead to considerable degradation.

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Background: This study was aimed to investigate the efficacy of the over-the-wire (OTW) microelectrodes catheter in coronary venous system (CVS) mapping and treatment of outflow tract ventricular arrhythmia (OTVA) arising from the vicinity of the left ventricular summit (LVS).

Methods: Consecutive 62 patients with idiopathic OTVA in whom the OTW microelectrodes catheter was routinely used for CVS mapping were analyzed. CVS mapping was performed for both main trunk (from great cardiac vein to anterior interventricular vein) and branches including the annular branch or septal branch.

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Flexible perovskite solar cells (PSCs) have attracted tremendous attention due to their potential application in portable and wearable electronics. However, the photoelectric conversion efficiency (PCE) of flexible PSCs is still far lower than that of usual rigid PSCs. Moreover, the mechanical stability of flexible PSCs cannot meet the needs of commercial applications because of the cracking of perovskite grains caused by bending stress.

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This study investigated whether Korean children follow the acquisition pattern predicted by the Aspect Hypothesis (Shirai & Andersen, 1995), and the relationship between caretakers' and children's speech. Accordingly, we analyzed a Korean corpus (Ryu-Corpus) on the CHILDES database (MacWhinney, 2000), which comprised longitudinal video-recorded interactions of three Korean children and their caregivers. Results indicate that the children used the past marker -ess principally with telic verbs, consistent with the Aspect Hypothesis.

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Background: The FlexAbility™ SE catheter has a laser-cut 8Fr 4-mm flexible tip irrigated through laser-cut kerfs with a thermocouple 0.3 mm from the distal end. The TactiCath™ SE catheter has an 8Fr 3.

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Sputtered NiO (sp-NiO ) is a preferred hole transporting material for perovskite solar cells because of its hole mobility, ease of manufacturability, good stability, and suitable Fermi level for hole extraction. However, uncontrolled defects in sp-NiO can limit the efficiency of solar cells fabricated with this hole transporting layer. An interfacial layer has been proposed to modify the sp-NiO /perovskite interface, which can contribute to improving the crystallinity of the perovskite film.

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Purpose: The size of the distal electrode and the method of measuring local impedance (LI) are different between the IntellaNav MiFi-OI™ (MiFi-OI) and IntellaNav STABLE POINT™ (SP) catheters. We investigated the impact of these differences on LI, efficacy, and safety of radiofrequency (RF) applications.

Methods: RF applications at a range of powers (30 W, 40 W, and 50 W), contact forces (10 g and 20 g), and durations (10-120 s) were performed in excised porcine hearts (N = 48).

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Background: Atrial anti-tachycardia pacing (A-ATP) of the right atrium (RA) has been shown to decrease the burden of atrial fibrillation (AF) in patients with dual-chamber pacemakers. The aim of this study is to identify the novel predictors of effective A-ATP for terminating AF in patients with AF undergoing catheter ablation.

Methods: This study included 41 consecutive patients undergoing a first ablation procedure for paroxysmal (PAF: = 21) or persistent (PEF: = 20) AF.

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Article Synopsis
  • Identification and analysis of decomposed molecular fragments in halide perovskite solar cells are essential for addressing their stability problems.
  • This study uses advanced imaging techniques to show that the degradation of the perovskite material is influenced by the type of transport layer (TL) used, with issues occurring mainly at the interfaces.
  • Results reveal specific chemical changes during degradation, such as iodine migration and nitrogen diffusion, highlighting the role of different TLs in the stability of HaP solar cells, which can guide future improvements in their performance.
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