Advanced terahertz refractive index sensor in all-dielectric metasurface utilizing second order toroidal quasi-BIC modes for biochemical environments.

We present a novel design for an all-dielectric metasurface ultra-sensitive refractive index (RI) sensor, characterized by a high-quality factor (Qf) and figure of merit (FOM). This design incorporates two high-order toroidal modes, including electric toroidal quadrupole ([Formula: see text]​) and magnetic toroidal quadrupole ([Formula: see text]​) based on quasi­bound states in the continuum (q-BIC) resonances. Our findings demonstrate the feasibility of switching between [Formula: see text] and [Formula: see text]​ through various symmetry-breaking mechanisms. To excite these high-order toroidal modes, we explored several symmetry-breaking strategies, including complex structural designs, symmetry disruption, and variations in the incident wave angle. Symmetry breaking in the structure induces new modes in the transmission spectrum, which are highly advantageous for sensing applications due to the presence of dark modes. The designed metasurface exhibits the capability to sense a broad range of RI in diverse environments, particularly in biochemical fields. Sensitivity (S) is significantly enhanced by the excitation of new resonance modes and adjustments in the incidence angle, increasing from 217 GHz/RIU in a symmetrical structure to 512.3 GHz/RIU for [Formula: see text]​. The FOM improves from 197 RIU 1 to 8538 RIU- 1 for [Formula: see text]​ and 152,395 RIU- 1 for [Formula: see text]​. Additionally, the Qf rises from 872 to 17,983 and 921,351 for [Formula: see text]​ and [Formula: see text]​, respectively.

Simple bioelectrical microsensor: oocyte quality prediction via membrane electrophysiological characterization.

Oocyte selection is a crucial step of assisted reproductive treatment. The most common approach relies on the embryologist experience which is inevitably prone to human error. One potential approach could be the use of an electrical-based approach as an ameliorative alternative. Here, we developed a simple electrical microsensor to characterize mouse oocytes. The sensor is designed similarly to embryo culture dishes and is familiar to embryologists. Different microelectrode models were simulated for oocyte cells and a more sensitive model was determined. The final microsensor was fabricated. A differential measuring technique was proposed based on the cell presence/absence. We predicted oocyte quality by using three electrical characteristics, oocyte radii, and zona thicknesses, and also these predictions were compared with an embryologist evaluation. The evaluation of the oocyte membrane capacitance, as an electrophysiological characteristic, was found to be a more reliable method for predicting oocytes with fertilization and blastocyst formation success competence. It achieved 94% and 58% prediction accuracies, respectively, surpassing other methods and yielding lower errors. This groundbreaking research represents the first of its kind in this field and we hope that this will be a step towards improving the accuracy of the treatment.

Whole-body magnetic resonance neurography in patients with chronic inflammatory demyelinating polyneuropathy.

INTRODUCTION/AIMS: Whole-body magnetic resonance neurography (MRN) is an imaging modality that shows peripheral nerve signal change in patients with chronic inflammatory demyelinating polyneuropathy (CIDP). We aimed to explore the diagnostic potential of whole-body MRN and its potential as a monitoring tool after immunotherapy in treatment-naïve CIDP patients. METHODS: Whole-body MRN using coronal 3-dimensional short tau inversion recovery (STIR) sampling perfection with application-optimized contrasts by using different flip angle evolution (SPACE) techniques was performed in patients being investigated for CIDP and in healthy controls. Baseline clinical neuropathy scales and electrophysiologic parameters were collected, and MRN findings were compared before and after CIDP treatment. RESULTS: We found highly concordant symmetrical thickening and increased T2 signal intensities in the brachial/lumbosacral plexus, femoral, or sciatic nerves in five of the eight patients with a final diagnosis of CIDP and none of the healthy controls. There were no treatment-related imaging changes in five patients with CIDP who completed a follow-up study. Diffuse, symmetrical thickening, and increased T2 signal in root, plexus, and peripheral nerves were found in two patients ultimately excluded due to a diagnosis of polyneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy, skin changes (POEMS) syndrome in addition to signal changes in the muscles, bony lesions, organomegaly, and lymphadenopathy. DISCUSSION: Whole-body MRN imaging shows promise in detecting abnormalities in proximal nerve segments in patients with CIDP. Future studies evaluating the role of MRN in assessing treatment response should consider follow-up scans after treatment durations of more than 4 months.

New nanostructure perovskite-based light-emitting diode with superior light extraction efficiency enhancement.

The external quantum efficiency (EQE) of a perovskite-based light-emitting diode (PELED) is a key indicator, comprising the internal quantum efficiency (IQE) and light extraction efficiency (LEE). Currently, enhancing EQE faces a major challenge in optimizing LEE. This study introduces an innovative structure to boost LEE, exploring various influencing parameters. The transition from a planar to a domical architecture leverages factors like the waveguiding effect, resulting in a remarkable tenfold increase in LEE, from 6 to 59%. Additionally, investigations into factors affecting LEE, such as altering dipole orientation, material-substrate contact angle, and layer thickness, reveal the potential for further improvement. The optimized structure attains an impressive LEE value of 74%.

Refractive index sensor based on fano-magnetic toroidal quadrupole resonance enabled by bound state in the continuum in all-dielectric metasurface.

For the first time, an all-dielectric metasurface ultra-sensitive refractive index (RI) sensor with very high quality factor (QF) and figure of merit (FOM), with Fano-magnetic toroidal quadrupole (MTQ) resonance enabled by bound state in continuum (BIC) in terahertz (THz) region was designed. Furthermore, the MTQ resonance in the THz due to a distortion of symmetry-protected bound states in the continuum in the designed structure was investigated. Also, to achieve the dark mode, a combination of three methods including (i) breaking the symmetry, (ii) design of complex structures, and (iii) changing the incident angle was utilized. The broken symmetry in the structure caused a new mode to be excited, which is suitable for sensing applications. The designed metasurface was able to sense a wide range of RI in MTQ resonance, where its properties were improved for the value of sensitivity (S) from 217 GHz/RIU to 625 GHz/RIU, for FOM from 197 RIU-1 to 2.21 × 106 RIU-1 and for QF from 872 to 5.7 × 106.

Design of Single-Mode Single-Polarization Large-Mode-Area Multicore Fibers.

In laser science and industry, considerable effort is directed toward designing fibers for fiber laser and fiber amplifier applications, each of which offers a particular advantage over the others. Evanescently coupled multicore fibers, however, have been studied less extensively due to the relatively small mode area in the single-mode regime. Here, by proposing a new structure with stress-applying parts in a 37-core fiber and optimizing this structure through a comprehensive framework, we present 21 solutions characterized by large-mode-area and high beam quality in the single-mode, single-polarization regime. Different fiber designs are optimal for different output parameters. In one design, the mode area can significantly increase to above 880 µm2, which is comparable with that of photonic-crystal fibers. Moreover, besides the single-mode operation, the beam quality factor (M2 factor) of the fundamental mode is considered an output parameter in the bent state and is improved up to 1.05 in another design. A comprehensive tolerance analysis is then performed to assess the performance of the designs under deviations from normal conditions. Moreover, in spite of the shifts in the loss of modes, the proposed high beam quality LMA fibers maintain single-polarization, single-mode operation across a wide range of core pitches, bending orientation angles, and bending radius deviations. Our results highlight the potential of multicore fibers for the efficient operation of fiber lasers and amplifiers.

Morphological investigation and 3D simulation of plasmonic nanostructures to improve the efficiency of perovskite solar cells.

The light absorption process is a key factor in improving the performance of perovskite solar cells (PSCs). Using arrays of metal nanostructures on semiconductors such as perovskite (CH3NH3PbI3), the amount of light absorption in these layers is significantly increased. Metal nanostructures have been considered for their ability to excite plasmons (collective oscillations of free electrons). Noble metal nanoparticles placed inside solar cells, by increasing the scattering of the incident light, effectively increase the optical absorption inside PSCs; this in turn increases the electric current generated in the photovoltaic device. In this work, by calculating the cross-sectional area of dispersion and absorption on gold (Au) nanoparticles, the effects of the position of nanoparticles in the active layer (AL) and their morphology on the increase of absorption within the PSC are investigated. The optimal position of the plasmonic nanoparticle was obtained in the middle of the AL using a three-dimensional simulation method. Then, three different morphologies of nano-sphere, nano-star and nano-cubes were investigated, where the short-circuit currents (Jsc) for these three nanostructures were obtained equal to 19.01, 18.66 and 20.03 mA/cm2, respectively. In our study, the best morphology of the nanostructure according to the Jsc value was related to the nano-cube, in which the device power conversion efficiency was equal to 16.20%, which is about 15% better than the PSC with the planar architecture.

Marcus Theory and Tunneling Method for the Electron Transfer Rate Analysis in Quantum Dot Sensitized Solar Cells in the Presence of Blocking Layer.

In this research study, the effects of different parameters on the electron transfer rate from three quantum dots (QDs), CdSe, CdS, and CdTe, on three metal oxides (MOs), TiO2, SnO2, and SnO2, in quantum-dot-sensitized solar cells (QDSSCs) with porous structures in the presence of four types of blocking layers, ZnS, ZnO, TiO2, and Al2O3, are modeled and simulated using the Marcus theory and tunneling between two spheres for the first time. Here, the studied parameters include the change in the type and thickness of the blocking layer, the diameter of the QD, and the temperature effect. To model the effect of the blocking layer on the QD, the effective sphere method is used, and by applying it into the Marcus theory equation and the tunneling method, the electron transfer rate is calculated and analyzed. The obtained results in a wide range of temperatures of 250-400 °K demonstrate that, based on the composition of the MO-QD, the increase in the temperature could reduce or increase the electron transfer rate, and the change in the QD diameter could exacerbate the effects of the temperature. In addition, the results show which type and thickness of the blocking layer can achieve the highest electron transfer rate. In order to test the accuracy of the simulation method, we calculate the electron transfer rate in the presence of a blocking layer for a reported sample of a QDSSC manufacturing work, which was obtained with an error of ~3%. The results can be used to better interpret the experimental observations and to assist with the design and selection of the appropriate combination of MO-QD in the presence of a blocking layer effect.

Design of optimized photonic-structure and analysis of adding a SiO2 layer on the parallel CH3NH3PbI3/CH3NH3SnI3 perovskite solar cells.

So far, remarkable achievements have been obtained by optimizing the device architecture and modeling of solar cells is a precious and very effective way to comprehend a better description of the physical mechanisms in solar cells. As a result, this study has inspected two-dimensional simulation of perovskite solar cells (PSCs) to achieve a precise model. The solution which has been employed is based on the finite element method (FEM). First, the periodically light trapping (LT) structure has been replaced with a planar structure. Due to that, the power conversion efficiency (PCE) of PSC was obtained at 14.85%. Then, the effect of adding an SiO2 layer to the LT structure as an anti-reflector layer was investigated. Moreover, increasing the PCE of these types of solar cells, a new structure including a layer of CH3NH3SnI3 as an absorber layer was added to the structure of PSCs in this study, which resulted in 25.63 mA/cm2 short circuit current (Jsc), 0.96 V open circuit voltage (Voc), and 20.48% PCE.

Oocyte quality evaluation: a review of engineering approaches toward clinical challenges.

Although assisted reproductive technology has been very successful for the treatment of infertility, its steps are still dependent on direct human opinion. An important step of assisted reproductive treatments in lab for women is choosing an oocyte that has a better quality. This step would predict which oocyte has developmental competence leading to healthy baby. Observation of the oocyte morphological quality indicators under microscope by an embryologist is the most common evaluation method of oocyte quality. Such subjective method which relies on embryologist's experience may vary and leads to misdiagnosis. An alternative solution to eliminate human misjudging in traditional methods and overcome the limitations of them is always using engineering-based procedure. In this review article, we deeply study and categorize engineering-based methods applied for the evaluation of oocyte quality. Then, the challenges in laboratories and clinics settings move forward with translational medicine perspective in mind for all those methods which had been studied were discussed. Finally, a standardized process was presented, which may help improving and focusing the research in this field. Moreover, effective suggestion techniques were introduced that are expected they would be complementary methods to accelerate future researches. The aim of this review was to create a new prospect with the engineering approaches to evaluate oocyte quality and we hope this would help infertile couples to get a baby.

Clinical and Molecular Findings of Autosomal Recessive Spastic Ataxia of Charlevoix Saguenay: an Iranian Case Series Expanding the Genetic and Neuroimaging Spectra.

Autosomal recessive spastic ataxia of Charlevoix Saguenay (ARSACS) is now increasingly identified from all countries over the world, possibly rendering it one of the most common autosomal recessive ataxias. Here, we selected patients harboring SACS variants, the causative gene for ARSACS, in a large cohort of 137 patients with early-onset ataxia recruited from May 2019 to May 2021 and were referred to the ataxia clinic. Genetic studies were performed for 111 out of 137 patients (81%) which led to a diagnostic rate of 72.9% (81 out of 111 cases). Ten patients with the molecular diagnosis of ARSACS were identified. We investigated the phenotypic and imaging spectra of all confirmed patients with ARSACS. We also estimated the frequency of ARSACS in this cohort and described their clinical and genetic findings including seven novel variants as well as novel neuroimaging findings. While the classic clinical triad of ARSACS is progressive cerebellar ataxia, spasticity, and sensorimotor polyneuropathy, it is not a constant feature in all patients. Sensorimotor axonal-demyelinating neuropathy was detected in all of our patients, but spasticity and extensor plantar reflex were absent in 50% (5/10). In all patients, brain magnetic resonance imaging (MRI) showed symmetric linear hypointensities in the pons (pontine stripes) and anterior superior cerebellar atrophy as well as a hyperintense rim around the thalami (thalamic rim). Although infratentorial arachnoid cyst has been reported in ARSACS earlier, we report anterior temporal arachnoid cyst in two patients for the first time, indicating that arachnoid cyst may be an associated imaging feature of ARSACS. We also extended molecular spectrum of ARSACS by presenting 8 pathogenic and one variant of unknown significance (VUS) sequence variants, which 7 of them have not been reported previously. MetaDome server confirmed that the identified VUS variant was in the intolerant regions of sacsin protein encoded by SACS.

Fibroblast Growth Factor-2 Levels are Elevated in The Serum of Patients with Multiple Sclerosis

BACKGROUND: Various factors contribute to the pathogenesis of Multiple Sclerosis (MS), one of which is Fibroblast Growth Factor 2 (FGF2). The function of FGF2 is pleiotropic. The investigation of the role of this factor in the myelination has produced conflicting results. OBJECTIVE: To investigate the serum levels of FGF2 in patients with MS. SUBJECTS AND METHODS: Eighty patients with MS and eighty healthy volunteers with no history of inflammation or demyelinating disorders were included, and serum samples were collected to evaluate serum levels of FGF2 using the ELISA technique. Both groups had the same age and gender distribution. For analysis, the Mann-Whitney U test was used. RESULTS: Patients with MS had considerably greater serum FGF2 levels than the control group (p = 0.005). There was no difference between the FGF2 level in men and women. CONCLUSION: Our data indicate that FGF2 levels may be related to the susceptibility of Iranian patients with MS. Further studies are required to analyze the involvement of FGF2 in enhancing the inflammatory process in MS.

The correlation of the serum level of L-carnitine with disease severity in patients with Amyotrophic lateral sclerosis.

BACKGROUND: The relationship between reserve of L-carnitine and severity in patients with Amyotrophic lateral sclerosis (ALS) is not studied sufficiently. We decided to measure the serum levels of L-carnitine in patients and the relationship with ALS severity. METHOD: This cross-sectional study evaluated the serum levels of L-carnitine in 30 patients with ALS (total-case) divided into two groups included 15 patients in the Oral-Fed (OF) group and 15 patients in the Enteral-Fed (EF) group, compared with 15 healthy people matched in age and sex in the control group. We measured the body mass index (BMI), daily intake of L-carnitine, amyotrophic lateral sclerosis functional rating scale (ALSFRS), and serum L-carnitine level in all participants and compared among groups. RESULTS: Serum L-carnitine (p < 0.001) and BMI (p = 0.03) were significantly lower in the total-case group compared to the control group. Alternatively, the serum level of L-carnitine (p = 0.001), ALSFRS (p < 0.001), BMI (p = 0.007), and dietary L-carnitine intake (p = 0.002) were significantly higher in OF group compared with EF. Higher serum L-carnitine levels were associated with a higher score of ALSFRS (ß = 0.46, P = 0.01) in the total-case group. CONCLUSION: Our study's results showed that serum levels of L-carnitine were lower in patients with ALS in comparison to healthy people. Also, the lower serum level of L-carnitine was associated with the higher severity of the disease.

Telephone consultation for myasthenia gravis care during the COVID-19 pandemic: Assessment of a novel virtual myasthenia gravis index.

INTRODUCTION/AIMS: The aim of the study was to determine the association between the virtual Myasthenia Gravis Impairment Index (vMGII) with other patient-reported outcomes (PROs) of myasthenia gravis (MG) and its usefulness in telephone consultations with MG patients. METHODS: This was a retrospective case series in which vMGII score along with virtual Single Simple Question (vSSQ), virtual Patient-Acceptable Symptom State PASS (vPASS) response, and patient disease status based on Myathenia Gravis Foundation of America postintervention status were collected during telephone consultation along with the MGII, SSQ, and PASS responses during the preceding in-person clinic visits. RESULTS: In 214 patients, the mean difference of vMGII between the vPASS "Yes" and "No" groups was -14.2 ± 1.4 (95% confidence interval, -16.9 to -11.3; P < .001) with mean vMGII for vPASS "Yes" group being 6.4 ± 7.7 and vPASS "No" being 20.5 ± 11.5. A vMGII of 11.5 or higher predicted vPASS "yes" response with a sensitivity of 78.7% and specificity of 81.4%. A strong negative correlation was found between the vMGII and vSSQ (r = -.667; P < .001). The mean vMGII was 0.48 ± 1.42 for patients in remission, and 9.31 ± 10.93 for improved, 9.32 ± 8.79 for stable, and 22.58 ± 14.04 for worsened groups (P < .001). These associations were the same as those obtained during the preceding in-person clinic visit and the direction of change in MGII scores also indicated change in disease status. DISCUSSION: vMGII is an effective measure to assess an MG patient's disease status in telephone consultations and relates well with other PRO measures. The vMGII remains reliable for assessing MG disease status even with removal of the physical examination component.

Persian adaptation of Edinburgh Cognitive and Behavioural Screen (ECAS).

Objectives: To adapt the Edinburgh Cognitive and Behavioral screen (ECAS) English version into Persian. Methods: The ECAS test was adapted and implemented to 30 ALS patients and 31 healthy volunteers in Tehran, Iran. The ECAS results were compared to MoCA and ALS-FRS-r, the other standard tools to determine whether the translated version is reliable and valid in the new language. In addition, the patients' caregivers were interviewed for behavioral and psychiatric changes. Results: The Persian version of ECAS revealed high internal consistency (α = 0.791), alongside the strong correlation of ECAS and its subscales with MoCA and ALS-FRS. Moreover, Persian ECAS discriminated against the patients and the healthy population well. Sensitivity analysis revealed promising results of Persian ECAS with an area under the curve of 0.871 in ROC curve analysis. Cognitive impairment was observed in 43.33% of patients. Conclusion: The Persian version of the ECAS, exclusively designed for the Iranian population, is the first screening tool to assess multiple neuropsychological functions, which provides a rapid and inclusive screen of cognitive and behavioral impairments specifically in ALS patients.

Central nervous system manifestations in COVID-19 patients: A systematic review and meta-analysis.

BACKGROUND: At the end of December 2019, a novel respiratory infection, initially reported in China, known as COVID-19 initially reported in China, and later known as COVID-19, led to a global pandemic. Despite many studies reporting respiratory infections as the primary manifestations of this illness, an increasing number of investigations have focused on the central nervous system (CNS) manifestations in COVID-19. In this study, we aimed to evaluate the CNS presentations in COVID-19 patients in an attempt to identify the common CNS features and provide a better overview to tackle this new pandemic. METHODS: In this systematic review and meta-analysis, we searched PubMed, Web of Science, Ovid, EMBASE, Scopus, and Google Scholar. Included studies were publications that reported the CNS features between 1 January 2020 and 20 April 2020. The data of selected studies were screened and extracted independently by four reviewers. Extracted data analyzed by using STATA statistical software. The study protocol registered with PROSPERO (CRD42020184456). RESULTS: Of 2,353 retrieved studies, we selected 64 studies with 11,687 patients after screening. Most of the studies were conducted in China (58 studies). The most common CNS symptom of COVID-19 was headache (8.69%, 95%CI: 6.76%-10.82%), dizziness (5.94%, 95%CI: 3.66%-8.22%), and impaired consciousness (1.90%, 95%CI: 1.0%-2.79%). CONCLUSIONS: The growing number of studies has reported COVID-19, CNS presentations as remarkable manifestations that happen. Hence, understanding the CNS characteristics of COVID-19 can help us for better diagnosis and ultimately prevention of worse outcomes.

Numerical study of a highly efficient light trapping nanostructure of perovskite solar cell on a textured silicon substrate.

In this paper, a nanostructured perovskite solar cell (PSC) on a textured silicon substrate is examined, and its performance is analyzed. First, its configuration and the simulated unit cell are discussed, and its fabrication method is explained. In this proposed structure, poly-dimethylsiloxane (PDMS) is used instead of glass. It is shown that the use of PDMS dramatically reduces the reflection from the cell surface. Furthermore, the light absorption is found to be greatly increased due to the light trapping and plasmonic enhancement of the electric field in the active layer. Then, three different structures, are compared with the main proposed structure in terms of absorption, considering the imperfect fabrication conditions and the characteristics of the built PSC. The findings show that in the worst fabrication conditions considered structure (FCCS), short-circuit current density (Jsc) is 22.28 mA/cm2, which is 27% higher than that of the planar structure with a value of 17.51 mA/cm2. As a result, the efficiencies of these FCCSs are significant as well. In the main proposed structure, the power conversion efficiency (PCE) is observed to be improved by 32%, from 13.86% for the planar structure to 18.29%.

Efficiency enhancement of perovskite solar cells by designing GeSe nanowires in the structure of the adsorbent layer.

In this paper, coupled optical and electrical simulations of perovskite solar cells (PSCs) are performed to optimize their basis output parameters and obtain the best power conversion efficiency (PCE) based on both the light absorption and carrier transport mechanisms. Due to the limitations of perovskite absorption in longer wavelengths, we used an extra photo-active material of GeSe with a narrower bandgap and a broader absorbing spectrum to increase the efficiency of the PSC. To prevent carrier transmission disorder that exists in the planar structure with two absorbing materials, GeSe was inserted into the main active layer in the form of nanowires (NWs). As a result, it improved the carrier transfer and open-circuit voltage (Voc ) in addition to the short-circuit current density (Jsc ). The behavior of PSC with different sizes of GeSe NWs at the same density was investigated to determine the appropriate size of NWs and achieve the highest PCE. In the optimal structure with 50 nm diameter NWs, Jsc and PCE of the cell are 22.96 mA cm-2 and 18.97%, which are improvements of 39% and 50%, respectively, compared to the planar structure studied at the beginning of the paper.

High-performance perovskite solar cell using photonic-plasmonic nanostructure.

In this paper, a coupled optical-electrical modeling method is applied to simulate perovskite solar cells (PSCs) to find ways to improve light absorption by the active layer and ensure that the generated carriers are collected effectively. Initially, a planar structure of the PSC is investigated and its optical losses are determined. To reduce the losses and enhance collection efficiency, a convex light-trapping configuration of PSC is used and the impacts of these nanostructures on all parts of the cell are investigated. In this convex nanostructured PSC, the power conversion efficiency (PCE) is found to be increased when the thickness of the absorbing layer remained unchanged. Then, a plasmonic reflector is applied to trap light inside the perovskite. In this structure, by scattering light through the surface plasmon resonance (SPR) effect of the Au back-contact, the electromagnetic field is found to concentrate in the active layer. This results in increased perovskite absorption and, consequently, a high current density of the cell. In the final structure, which is the integration of these two structures, optical losses are found to be greatly diminished and the short-circuit current density (Jsc) is increased from 18.63 mA/cm2 for the planar structure to 23.5 mA/cm2 for the proposed structure. Due to the increased Jsc and open-circuit voltage (Voc) caused by the improved carrier collection, the PCE increases from 14.62 to 19.54%.