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An extraordinary resolution down to 50 microns is demonstrated for the first time for bulk ultrasonics, using novel micro-fabricated metamaterial lenses. The development and performance of the silicon-based Fabry-Perot type metalenses with an array of 10 micrometre square holes are discussed. Challenges in wave reception are addressed by a custom-developed micro-focal laser with a sub-micron spot size and an innovative experimental set-up together with physics based signal processing. The results provide a pathway for material diagnostics at greater depths with high resolution using micro-metalens-enhanced ultrasound as an alternative to expensive and radiation prone electromagnetic techniques.
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BACKGROUND: Caffeine is available in an ampoule, used via parenteral and enteral routes in preterm neonates to treat apnea of prematurity (AOP) in neonates of gestational age ≥ 35-40 weeks. A longer duration of therapy has a higher risk of medication non-adherence due to higher costs and inappropriate dosage forms. Pharmaceutically compounded oral caffeine (PCC) could be an appropriate alternate dosage form. The researchers aimed to determine the impact of PCC on medication-related factors influencing medication adherence (MA) and the frequency of hospital readmission with apnea (HRA) in preterm neonates. METHODS: We conducted a single-center quasi-experimental study for this quality improvement project using PCC among the preterm neonates admitted in a tertiary care level-III NICU at the Aga Khan University Hospital Karachi, Pakistan, received caffeine therapy, and survived at discharge. The researchers compared pre-PCC data (April-December 2017) with post-PCC data (April-Dec 2018) each for nine months, with three months intervals (January-March 2018) of PCC formulation and implementation phase. The study was conducted according to the SQUIRE2.0 guidelines. The Data were collated on factors influencing MA, including the cost of therapy, medication refill rates, and parental complaints as primary outcome measures. The Risk factors of HRA were included as secondary outcomes. RESULTS: After PCC implementation cost of therapy was reduced significantly from Rs. 97000.0 (729.0 USD) to Rs. 24500.0 (185.0 USD) (p<0.001), significantly higher (p<0.001) number of patients completed remaining refills (77.6% pre-phase vs 97.5% post-phase). The number of parental complaints about cost, ampoule usage, medication drawing issue, wastage, inappropriate dosage form, and longer duration of therapy reduced significantly in post-phase. HRA reduced from 25% to 6.6% (p<0.001). Post-implementation of PCC (RR 0.14; 95% CI: 0.07-0.27) was a significant independent risk factor for reducing HRA using a multivariate analysis model. Longer duration of caffeine therapy after discharge (RR 1.05; 95% CI: 1.04-1.04), those who were born in multiple births (RR 1.15; 95% CI: 1.15-1.15), and those who had higher number of siblings were other significant independent risk factors for HRA. CONCLUSIONS: PCC dispensation in the appropriate dosage form at discharge effectively reduced cost, non-adherence to therapy, and risk of hospital readmissions. This neonatal clinical and compounding pharmacist-led model can be replicated in other resource-limiting setting.
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Apneia , Cafeína , Recém-Nascido , Humanos , Lactente , Cafeína/uso terapêutico , Apneia/tratamento farmacológico , Readmissão do Paciente , Idade Gestacional , Adesão à MedicaçãoRESUMO
Hyperlenses for ultrasonic imaging in nondestructive evaluation and non-invasive diagnostics have not been widely discussed, likely due to the lack of understanding on their performance, as well as challenges with reception of the elastic wavefield past fine features. This paper discusses the development and application of a cylindrical hyperlens that can magnify subwavelength features and achieve super-resolution in the far-field. A radially symmetric structure composed of alternating metal and water layers is used to demonstrate the hyperlens. Numerical simulations are used to study the performance of cylindrical hyperlenses with regard to their geometrical parameters in imaging defects separated by a subwavelength distance, gaining insight into their construction for the ultrasonic domain. An elegant extension of the concept of cylindrical hyperlens to flat face hyperlens is also discussed, paving the way for a wider practical implementation of the technique. The paper also presents a novel waveguide-based reception technique that uses a conventional ultrasonic transducer as receiver to capture waves exiting from each fin of the hyperlens discretely. A metallic hyperlens is then custom-fabricated, and used to demonstrate for the first time, a super-resolved image with 5X magnification in the ultrasonic domain. The proposed hyperlens and the reception technique are among the first demonstrations in the ultrasonic domain, and well-suited for practical inspections. The results have important implications for higher resolution ultrasonic imaging in industrial and biomedical applications.
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Metais , Transdutores , Ultrassonografia/métodosRESUMO
Understanding of ultrafast spin dynamics is crucial for future spintronic applications. In particular, the role of non-thermal electrons needs further investigation in order to gain a fundamental understanding of photoinduced demagnetization and remagnetization on a femtosecond time scale. We experimentally demonstrate that non-thermal electrons existing in the very early phase of the photoinduced demagnetization process play a key role in governing the overall ultrafast spin dynamics behavior. We simultaneously measured the time-resolved reflectivity (TR-R) and the magneto-optical Kerr effect (TR-MOKE) for a Co/Pt multilayer film. By using an extended three-temperature model (E3TM), the quantitative analysis, including non-thermal electron energy transfer into the subsystem (thermal electron, lattice, and spin), reveals that energy flow from non-thermal electrons plays a decisive role in determining the type I and II photoinduced spin dynamics behavior. Our finding proposes a new mechanism for understanding ultrafast remagnetization dynamics.
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In recent years several methods for reducing the burden of experimentation for obtaining Probability of Detection (PoD) curves have been proposed, especially involving the use of numerical simulation. In particular, there is much interest in being able to estimate the PoD capabilities of a given NDE method, target embodiment and material, provided this is known for some canonical material for the same combination of method/embodiment. Ultrasonic experiments on materials with low signal to noise ratio (SNR) are often difficult and time consuming since the higher signal noise causes serious complications. Set in this context, this paper proposes an approach for transferring PoD curves among materials with different SNR values. The classical transfer function PoD approach is based on the hypothesis that the ratio of signals in related quadrants is equal, which requires large datasets for multiple quadrants. The approach proposed here directly deals with SNR instead of the ratio of signals, and thus requires only the experimental data of the parent application. The new approach is illustrated through example cases involving the prediction of PoD curves for ultrasonic inspection of an aluminium plate using the empirical PoD data for the same in austenitic stainless steel and mild steel. The approach is also demonstrated in each of the possible combinations among these three materials.
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This paper examines the feasibility of using Bayesian synthesis to reduce the number of experimental cases and trials required for generation of probability of detection (PoD) curves. A Bayesian framework is developed for the data-level combination of experimental and simulated datasets, in the context of the inspection of back-wall breaking notches in metallic samples by bulk ultrasonic shear waves. PoD curves generated using the proposed approach, where results from a reduced number of experimental defect cases and trials are used in combination with simulated datasets, are shown to compare well with those from the conventional approach using a large number of experiments. Finally, the framework is also shown to be versatile for generating PoD curves for complex defects (illustrated through the example of an inclined notch) using simulations for canonical defects (vertical notches).