Perfluoropolyether-incorporated polyurethane with enhanced antibacterial and anti-adhesive activities for combating catheter-induced infection.

To avoid the undesired bacterial attachment on polyurethane-based biomedical devices, we designed a class of novel perfluoropolyether-incorporated polyurethanes (PFPU) containing different contents of perfluoropolyether (PFPE) segments. After blending with Ag nanoparticles (AgNPs), a series of bifunctional PFPU/AgNPs composites with bactericidal and anti-adhesion abilities were obtained and correspondingly made into PFPU/AgNPs films (PFPU/Ag-F) using a simple solvent-casting method. Due to its highest hydrophobicity and suitable mechanical properties, PFPU8/Ag-F containing 8 mol% of PFPE content was chosen as the optimized one for the next antibacterial assessment. The PFPU8/Ag-F can effectively deactivate over 99.9% of Staphylococcus aureus (S. aureus) and Escherichia coli (E. coli) cells at 106 CFU mL-1 within 30 min. Furthermore, the PFPU8/AgNPs composite was used as painting material to form a protective coating for the commercial polyurethane (PU) catheter. The as-prepared PFPU8/Ag coating exhibits high resistance to bacterial adhesion in a continuous-flow artificial urine model in an 8 day exposure. Therefore, it can be expected that the proposed PFPE-containing films and coatings can effectively prevent bacterial colonization and biofilm formation on catheters or other implants, thereby reducing the risk of postoperative catheter-induced infection.

Bridging optical fiber communication and underwater wireless optical communication via third harmonic generation.

In this paper, we propose an optical module, consisting of an Erbium/Ytterbium co-doped fiber amplifier (EYDFA) and a cascaded periodically poled lithium niobate (cascaded-PPLN), to bridge the conventional telecommunication and the emerging underwater wireless optical communication (UWOC). Compared with using two discrete crystals to achieve the third harmonic generation (THG), using a cascaded crystal simplifies the optical system. Under a fundamental power of 5 W at 1550 nm, we have generated an optical power of 6.54 mW at 516 nm, corresponding to a conversion efficiency of 0.1308%. Furthermore, we added a 5-km single-mode fiber (SMF) before the EYDFA, and by adjusting the seed laser power, we successfully maintained the efficiency of the THG process and the output power of the green light. Afterwards, the nonlinearity of the THG process is analyzed, and a simplified nonlinear pre-compensation method has been proposed to tailor the 4-pulse amplitude modulation (PAM4) signals. In such case, the bit error rate (BER) of the modified PAM4 (m-PAM4) can reduce by 69.3% at a data rate of 12 Gbps. Finally, we demonstrate the practicality of our proposed system by achieving a 7-m UWOC transmission in a water tank at a data rate of 13.46 Gbps in an optical dark room. This result demonstrates the feasibility of the hybrid fiber/UWOC system, highlighting its potential for practical implementation.

90-m/560-Mbps underwater wireless optical communication utilizing subband multiple-mode full permutation CAP combined with an SNR-weighted detector and multi-channel DFE.

In this paper, a joint signal processing scheme including a subband multiple-mode full permutation carrierless amplitude phase modulation (SMMP-CAP), signal-to-noise ratio weighted detector (SNR-WD), and multi-channel decision feedback equalizer (MC-DFE) is proposed to mitigate the bandwidth limitation of a high-speed long-reach underwater wireless optical communication (UWOC) system. Referring to the trellis coded modulation (TCM) subset division strategy, 16 quadrature amplitude modulation (QAM) mapping set is divided into four 4-QAM mapping subsets by SMMP-CAP scheme. An SNR-WD and an MC-DFE are employed to enhance the demodulation effect of this system in a fading channel. In a laboratory experiment, the minimal required received optical powers (ROPs) for data rates of 480 Mbps, 600 Mbps, and 720 Mbps, at hard-decision forward error correction (HD-FEC) threshold of 3.80 × 10-3, are -32.7 dBm, -31.3 dBm, and -25.5 dBm, respectively. Moreover, the proposed system successfully achieves a data rate of 560 Mbps in a swimming pool with a transmission distance up to 90 m and a total attenuation measured to be 54.64 dB. To the best of our knowledge, this is the first time to demonstrate a high-speed, long-distance UWOC system by employing an SMMP-CAP scheme.

Combining PD-1 or PD-L1 inhibitors with chemotherapy is a good strategy for the treatment of extensive small cell lung cancer: A retrospective analysis of clinical studies.

Objectives: To provide an updated systematic review and meta-analysis of published randomized controlled trials (RCTs) of the efficacy and safety of programmed cell death 1 (PD-1)/programmed cell death ligand 1 (PD-L1) inhibitors combined with chemotherapy versus chemotherapy alone in the treatment of extensive-stage small-cell lung cancer (ES-SCLC). Methods: PubMed, Web of Science, Embase, Clinicaltrials and the Cochrane Library were systematically searched to extract RCTs concerning the efficacy and safety of PD-1/PD-L1 inhibitors combined with chemotherapy versus chemotherapy alone in the treatment of ES-SCLC from the time of database inception to October 31, 2022. The literature was independently selected, information was extracted and the risk of bias of the RCTs was evaluated according to the inclusion and exclusion criteria. Stata14.0 was used for the meta-analysis. Results: Six studies involving 2,600 patients were included in the analysis. The results of the meta-analysis showed that the combination of PD-1/PD-L1 inhibitors significantly improved the OS (HR: 0.73, 95% CI: 0.66-0.80; P<0.0001), prolonged PFS (HR: 0.66,95% CI: 0.55-0.79; P<0.0001) and did not increase overall incidence of treatment-related adverse events (TRAEs) (RR: 1.03, 95% CI: 0.97-1.09; P=0.330) in ES-SCLC patients compared with chemotherapy alone. The subgroup analysis found that patients with negative PD-L1 expression (< 1%) benefited in OS, whereas patients with positive PD-L1 expression (≥1%) had no statistically significant difference in OS. There was a statistically significant difference in PFS between PD-L1-negative (< 1%) and PD-L1-positive (≥1%) patients. The addition of a PD-1 inhibitor or PD-L1 inhibitor to the chemotherapy regimen can improve OS and prolong PFS in patients with ES-SCLC. Conclusions: PD-1/PD-L1 inhibitors combination chemotherapy significantly improves PFS and OS in ES-SCLC patients without increasing the overall incidence of TRAEs.

9.14-Mbps 64-PPM UWOC system based on a directly modulated MOPA with pre-pulse shaping and a high-sensitivity PMT with analog demodulation.

A pulsed fiber master oscillator power amplifier (MOPA), which is combined with second harmonic generation (SHG) and modulated by directly changing the current of the low-power seed laser, is designed in this paper to overcome the 'green gap' of semiconductor lasers and the difficulty of obtaining high-power and wide-bandwidth driving circuits. To decrease the guard slot and increase the data rate of a high-order pulse position modulation (PPM) system, pre-pulse shaping (PPS) is utilized to decrease the fluctuation of pulse power, which is caused by the gain dynamics of multi-order amplification of the MOPA, from 55.6% to 27.5% for 25-ns pulses and from 22.4% to 16.7% for 10-ns pulses, respectively. Moreover, an analog PPM demodulation method is proposed to mitigate the nonlinear effect caused by space charge limitations at dynodes of a photomultiplier tube (PMT) and increase the robustness of the system. In an optical darkroom, a 99-m 64-PPM UWOC transmission, of which the measured link loss is around 13.16 attenuation length (AL), is realized in a water tank with a data rate of 9.14 Mbps. The average received optical power ranges from -60.87 to -52.51 dBm, corresponding to a bit error rate (BER) range of 1.93 × 10-4 to 2.3 × 10-3. To further prove the reliability of the proposed system, we implement a 65-m UWOC experiment with the same data rate at a BER of 3.42 × 10-4 in a 50-m standard swimming pool. The maximum link loss is measured to be 15 AL.

Partially pruned DNN coupled with parallel Monte-Carlo algorithm for path loss prediction in underwater wireless optical channels.

In this paper, we propose a new approach to solve the radiative transfer equation (RTE) and determine the path loss for line-of-sight (LOS) propagation with laser diode sources in underwater wireless optical channels, which severely suffers from attenuation due to inevitable absorption and scattering. The scheme is based on an effective combination of Monte-Carlo (MC) simulation employed for dataset generation and a partially pruned deep neural network (PPDNN) utilized to predict the received optical power. First, a parallel MC algorithm is newly introduced and applied to speed up the dataset-generation process. Compared with the conventional single-step MC, the dataset-generation time of the parallel MC can be reduced by at least 95%. Meanwhile, a deep neural network (DNN) is partially pruned to acquire a compact structure and adopted to predict the path loss in three typical water types. The simulation results yield that the mean square errors (MSEs) between the predictive and the reference ones are all lower than 0.2, while the sparsity of the original DNN's weights can be appropriately increased to 0.9, 0.7, and 0.5 for clear water, coastal water, and harbor water, respectively. Finally, the occupied storage space of the original DNN can be dramatically compressed by at least 40% with a small performance penalty. In view of this, the received optical power under certain parameters could be instantly obtained by employing the proposed PPDNN, which can effectively help design underwater wireless optical communication systems in future work.

Demonstration of a 2 × 2 MIMO-UWOC system with large spot against air bubbles.

In order to reduce turbulence-induced scintillation and deal with alignment problems, a 2×2 multiple-input multiple-output (MIMO) underwater wireless optical communication (UWOC) system is proposed and experimentally demonstrated. With help of the large divergence angle of light beams and large field of view (FOV) of the detectors, the effect of high-density air bubbles is greatly eliminated. Simulation and experimental results confirm that, in most intensity-modulation/direct-detection (IM/DD) MIMO-UWOC systems, the repetition coding (RC) scheme performs better than the space-time block coding (STBC) scheme. In a 50 m swimming pool, the maximum horizontal offset can reach 97.9 cm, which is 421% and 192% higher than that of STBC multiple-input single-output (MISO) and RC-MISO/STBC-MIMO schemes, respectively. With a data rate of 233 Mbps and a transmission distance of 50 m, the large detection range can meet a variety of underwater wireless communication requirements. The experiment indicates that, when the difference in the transmission distance between the two optical signals is higher than 1 m, the bit error rate (BER) of the RC scheme increases sharply, while the BER of the STBC scheme is stable. The MIMO coding scheme needs to be selected according to the actual application environment.

Tunable peak power square-wave pulse based on an all-PM thulium-doped mode-locked fiber laser.

Nanosecond dissipative soliton resonance pulse is a demonstration of an all polarization-maintaining (PM) thulium-doped fiber laser in a nonlinear amplifying loop mirror (NALM)-based figure-eight configuration. Each loop of the apparatus includes a controllable power amplifier. With increased amplifier power, pulse width broadens linearly from 3.6 to 13.5 ns, and maximum single pulse energy can reach 27.5 nJ. Interestingly, the output peak power presents two completely opposite proportional effects in terms of the variation of settings for two amplifiers, respectively. The experimental results show that the NALM loop plays an important role for tunable pulse duration, and the unidirectional ring part makes a significant contribution for power scaling.