Efficacy of Continuous Intrathecal Infusion Trialing with a Mixture of Fentanyl and Bupivacaine in Chronic Low Back Pain Patients.

Intrathecal trialing is used as a screening prognostic measure prior to intrathecal drug delivery system implant. The purpose of this study was to determine the efficacy of a continuous intrathecal infusion of an admixture of bupivacaine and fentanyl in patients with chronic low back pain. Patients with refractory chronic low back pain in the setting of previous lumbar spine surgery and/or chronic vertebral compression fracture(s) were enrolled in a randomized double blind cross-over study comparing saline infusion to infusion of a solution containing bupivacaine combined with low-dose fentanyl over a 14-18 hour period. The primary outcome measure was the change in pain intensity at the end of the screening trial. Patients who experienced significant pain reduction from either infusion relative to baseline pain were offered a permanent implant. In total, 36 patients were enrolled, with 31 patients trialed and 25 implanted. At the end of the screening trial, pain scores, at rest or with activity, decreased appreciably in both groups; however, significantly better improvements occurred in the fentanyl/bupivacaine group compared to saline both with activity and at rest (P = .016 and .006, respectively). Treatment order appeared to affect outcome with saline demonstrating a placebo response. At 12 months following implant, primary and secondary outcome measures continued to be significantly reduced from baseline. Continuous intrathecal delivery of a combination of zlow-dose fentanyl with bupivacaine is superior to saline in screening intrathecal trialing for back pain reduction. With longer term delivery, a sustained reduction of chronic low back pain was also observed.

The Kirkendall Effect for Engineering Oxygen Vacancy of Hollow Co3 O4 Nanoparticles toward High-Performance Portable Zinc-Air Batteries.

Structure and defect control are widely accepted effective strategies to manipulate the activity and stability of catalysts. On a freestanding hierarchically porous carbon microstructure, the tuning of oxygen vacancy in the embedded hollow cobaltosic oxide (Co3 O4 ) nanoparticles is demonstrated through the regulation of nanoscale Kirkendall effect. Starting with the embedded cobalt nanoparticles, the concentration of oxygen-vacancy defect can vary with the degree of Kirkendall oxidation, thus regulating the number of active sites and the catalytic performances. The optimized freestanding catalyst shows among the smallest reversible oxygen overpotential of 0.74 V for catalyzing oxygen reduction/evolution reactions in 0.1 m KOH. Moreover, the catalyst shows promise for substitution of noble metals to boost cathodic oxygen reactions in portable zinc-air batteries. This work provides a strategy to explore catalysts with controllable vacancy defects and desired nano-/microstructures.

Angle- and position-insensitive electrically tunable absorption in graphene by epsilon-near-zero effect.

We propose an electrically tunable absorber based on epsilon-near-zero (ENZ) effect of graphene embedded in a nanocavity, which is composed of metal grating and substrate. Due to strong surface-normal electric field confined in ENZ graphene in the proposed structure, greatly enhanced light absorption (~80%) is achieved in an ultrathin graphene monolayer. By electrically controlling the Fermi-level of graphene, a sharp peak absorption wavelength is tuned over a wide range. The proposed device can work as an optical modulator or a tunable absorption filter, which has a unique feature of incident angle insensitiveness owing to the ENZ effect and magnetic dipole resonance. Moreover, existence of a significantly dominant electric field and its uniformity make the device performance independent of the position of the graphene layer in the nanocavity, which provides great fabrication tolerance.

A graphene-assisted all-pass filter for a tunable terahertz transmissive modulator with near-perfect absorption.

We proposed an all-pass filter based perfect absorber scheme which also can function as a highly efficient transmissive modulator. We theoretically analyzed the proposed scheme using the temporal coupled mode theory and showed that near-perfect absorption could be achieved with practically modest deviation from the critical coupling condition. We also demonstrated the feasibility of the proposed scheme in a grating-based all-pass filter device with a variable loss implemented by two separate graphene layers, achieving an absorption of ~99.8% and a transmission modulation depth of ~70 dB in a terahertz frequency range. We also numerically investigated the tunability of the designed device.

A proposal of a perfect graphene absorber with enhanced design and fabrication tolerance.

We propose a novel device structure for the perfect absorption of a one-sided lightwavve illumination, which consists of a high-contrast grating (HCG) and an evanescently coupled slab with an absorbing medium (graphene). The operation principle and design process of the proposed structure are analyzed using the coupled mode theory (CMT), which is confirmed by the rigorous coupled wave analysis (RCWA). According to the CMT analysis, in the design of the proposed perfect absorber, the HCG, functioning as a broadband reflector, and the lossy slab structure can be optimized separately. In addition, we have more design parameters than conditions to satisfy; that is, we have more than enough degrees of freedom in the device design. This significantly relieves the complexity of the perfect absorber design. Moreover, in the proposed perfect absorber, most of the incident wave is confined in the slab region with strong field enhancement, so that the absorption performance is very tolerant to the variation of the design parameters near the optimal values for the perfect absorption. It has been demonstrated numerically that absorption spectrum tuning over a wider wavelength range of ~300 nm is possible, keeping significantly high maximum absorption (>95%). It is also shown that the proposed perfect absorber outperforms the previously proposed scheme in all aspects.

Purification and Dissolution of Carbon Nanotube Fibers Spun from the Floating Catalyst Method.

In this study, we apply a simple but effective oxidative purification method to purify carbon nanotube (CNT) fibers synthesized via a floating catalyst technique. After the purification treatment, the resulting CNT fibers exhibited significant improvements in mechanical and electrical properties with an increase in strength, Young's modulus, and electrical conductivity by approximately 81, 230, and 100%, respectively. With the successful dissolution of the CNT fibers in superacid, an extensional viscosity method could be applied to measure the aspect ratio of the CNTs constituting the fibers, whereas high-purity CNT thin films could be produced with a low resistance of 720 Ω/sq at a transmittance of 85%. This work suggests that the oxidative purification approach and dissolution process are promising methods to improve the purity and performance of CNT macroscopic structures.

Tunable Wide-Angle Tunneling in Graphene-Assisted Frustrated Total Internal Reflection.

Electrically tunable permittivity of graphene provides an excellent tool in photonic device design. Many previous works on graphene-based photonic devices relied on variable absorption in graphene, which is naturally small in the optical region, and resonant structures to enhance it. Here we proposed a novel scheme to control evanescent coupling strength by inserting two graphene layers to a frustrated total internal reflection (FTIR) configuration. The resulting structure behaves in a drastically different way from the original FTIR: optical transmission though the structure can be electrically controlled from ~10(-5) to ~1 with little dependency on angle of incidence. This unique feature stems from the fact that the permittivity of doped graphene can be close to zero at a certain photon energy. The electrical controllability of evanescent coupling strength can enable novel design of optical devices. As a proof-of-concept, we designed a waveguide-type optical modulator of a novel operation principle: transmission modulation depends on the electrically controlled existence of a guided-mode of the waveguide, not the variation of the ohmic loss of graphene, resulting in a low insertion loss and a small device footprint.

Post-Treatments for Multifunctional Property Enhancement of Carbon Nanotube Fibers from the Floating Catalyst Method.

We investigated the effects of the synthesis conditions and condensation processes on the chemical compositions and multifunctional performance of the directly spun carbon nanotube (CNT) fibers. On the basis of the optimized synthesis conditions, a two-step post-treatment technique which involved acidification and epoxy infiltration was also developed to further enhance their mechanical and electrical properties. As a result, their tensile strength and Young's modulus increased remarkably by 177% and 325%, respectively, while their electrical conductivity also reached 8235 S/cm. This work may provide a general strategy for the postprocessing optimization of the directly spun CNT fibers. The treated CNT fibers with superior properties are promising for a wide range of applications, such as structural reinforcements and lightweight electric cables.

Continuous Carbon Nanotube-Based Fibers and Films for Applications Requiring Enhanced Heat Dissipation.

The production of continuous carbon nanotube (CNT) fibers and films has paved the way to leverage the superior properties of individual carbon nanotubes for novel macroscale applications such as electronic cables and multifunctional composites. In this manuscript, we synthesize fibers and films from CNT aerogels that are continuously grown by floating catalyst chemical vapor deposition (FCCVD) and measure thermal conductivity and natural convective heat transfer coefficient from the fiber and film. To probe the mechanisms of heat transfer, we develop a new, robust, steady-state thermal characterization technique that enables measurement of the intrinsic fiber thermal conductivity and the convective heat transfer coefficient from the fiber to the surrounding air. The thermal conductivity of the as-prepared fiber ranges from 4.7 ± 0.3 to 28.0 ± 2.4 W m(-1) K(-1) and depends on fiber volume fraction and diameter. A simple nitric acid treatment increases the thermal conductivity by as much as a factor of ∼3 for the fibers and ∼6.7 for the thin films. These acid-treated CNT materials demonstrate specific thermal conductivities significantly higher than common metals with the same absolute thermal conductivity, which means they are comparatively lightweight, thermally conductive fibers and films. Beyond thermal conductivity, the acid treatment enhances electrical conductivity by a factor of ∼2.3. Further, the measured convective heat transfer coefficients range from 25 to 200 W m(-2) K(-1) for all fibers, which is higher than expected for macroscale materials and demonstrates the impact of the nanoscale CNT features on convective heat losses from the fibers. The measured thermal and electrical performance demonstrates the promise for using these fibers and films in macroscale applications requiring effective heat dissipation.