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1.
Nature ; 625(7994): 264-269, 2024 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-38093009

RESUMEN

Spin nematic is a magnetic analogue of classical liquid crystals, a fourth state of matter exhibiting characteristics of both liquid and solid1,2. Particularly intriguing is a valence-bond spin nematic3-5, in which spins are quantum entangled to form a multipolar order without breaking time-reversal symmetry, but its unambiguous experimental realization remains elusive. Here we establish a spin nematic phase in the square-lattice iridate Sr2IrO4, which approximately realizes a pseudospin one-half Heisenberg antiferromagnet in the strong spin-orbit coupling limit6-9. Upon cooling, the transition into the spin nematic phase at TC ≈ 263 K is marked by a divergence in the static spin quadrupole susceptibility extracted from our Raman spectra and concomitant emergence of a collective mode associated with the spontaneous breaking of rotational symmetries. The quadrupolar order persists in the antiferromagnetic phase below TN ≈ 230 K and becomes directly observable through its interference with the antiferromagnetic order in resonant X-ray diffraction, which allows us to uniquely determine its spatial structure. Further, we find using resonant inelastic X-ray scattering a complete breakdown of coherent magnon excitations at short-wavelength scales, suggesting a many-body quantum entanglement in the antiferromagnetic state10,11. Taken together, our results reveal a quantum order underlying the Néel antiferromagnet that is widely believed to be intimately connected to the mechanism of high-temperature superconductivity12,13.

2.
Nature ; 603(7901): 421-426, 2022 03.
Artículo en Inglés | MEDLINE | ID: mdl-35296842

RESUMEN

Engineering quantum states through light-matter interaction has created a paradigm in condensed-matter physics. A representative example is the Floquet-Bloch state, which is generated by time-periodically driving the Bloch wavefunctions in crystals. Previous attempts to realize such states in condensed-matter systems have been limited by the transient nature of the Floquet states produced by optical pulses1-3, which masks the universal properties of non-equilibrium physics. Here we report the generation of steady Floquet-Andreev states in graphene Josephson junctions by continuous microwave application and direct measurement of their spectra by superconducting tunnelling spectroscopy. We present quantitative analysis of the spectral characteristics of the Floquet-Andreev states while varying the phase difference of the superconductors, the temperature, the microwave frequency and the power. The oscillations of the Floquet-Andreev-state spectrum with phase difference agreed with our theoretical calculations. Moreover, we confirmed the steady nature of the Floquet-Andreev states by establishing a sum rule of tunnelling conductance4, and analysed the spectral density of Floquet states depending on Floquet interaction strength. This study provides a basis for understanding and engineering non-equilibrium quantum states in nanodevices.

3.
Curr Issues Mol Biol ; 46(4): 2871-2883, 2024 Mar 26.
Artículo en Inglés | MEDLINE | ID: mdl-38666910

RESUMEN

Alzheimer's disease (AD) is a chronic neurodegenerative disease that causes cognitive impairment. Neuroinflammation induced by activated microglia exacerbates AD. Regulatory T cells (Tregs) play roles in limiting neuroinflammation by converting microglial polarization. Therefore, adoptive Treg therapy is considered an attractive option for neurodegenerative disorders. However, the mechanism underlying Treg therapy via microglial modulation is not fully understood. In this study, we sought to determine whether adoptively transferred Tregs were effective when microglia proliferation was inhibited by using GW2580, which is an inhibitor of CSF1R. We found that inhibition of microglial proliferation during Treg transfer did not alter the therapeutic effects of Tregs on cognitive deficits and the accumulation of Aß and pTAU in 3xTg-AD mice. The expression of pro- and anti-inflammatory markers in the hippocampus of 3xTg mice showed that GW2580 did not affect the inhibition of neuroinflammation by Treg transfer. Additionally, adoptively transferred Tregs were commonly detected in the brain on day 7 after transfer and their levels decreased slowly over 100 days. Our findings suggest that adoptively transferred Tregs can survive longer than 100 days in the brain, suppressing microglial activation and thus alleviating AD pathology. The present study provides valuable evidence to support the prolonged efficacy of adoptive Treg therapy in AD.

4.
Phys Rev Lett ; 132(22): 226301, 2024 May 31.
Artículo en Inglés | MEDLINE | ID: mdl-38877917

RESUMEN

We demonstrate that the mode number of Andreev bound states in bilayer graphene Josephson junctions can be modulated by controlling the superconducting coherence length in situ. By exploiting the quadratic band dispersion of bilayer graphene, we control the Fermi velocity and thus the coherence length via the application of electrostatic gating. Tunneling spectroscopy of the Andreev bound states reveals a crossover from short to long Josephson junction regimes as we approach the charge neutral point of the bilayer graphene. Furthermore, analysis of different mode numbers of the Andreev energy spectrum allows us to estimate the phase-dependent Josephson current quantitatively. Our Letter provides a new way for studying multimode Andreev levels by tuning the Fermi velocity.

5.
Phys Chem Chem Phys ; 26(15): 11597-11603, 2024 Apr 17.
Artículo en Inglés | MEDLINE | ID: mdl-38536050

RESUMEN

We studied the chemisorption of silicon tetrachloride (SiCl4) on the NH2/NH-terminated silicon nitride slab model using density functional theory (DFT) for atomic layer deposition (ALD) of silicon nitride. Initially, two reaction pathways were compared, forming HCl or NH3+Cl- as a byproduct. The NH3+Cl- complex formation was more exothermic than the HCl formation, with an activation energy of 0.26 eV. The -NH2* reaction sites are restored by desorption of HCl from the NH3+Cl- complexes at elevated temperatures of 205 °C or higher. Next, three sequential ligand exchange reactions forming Si-N bonds were modeled and simulated. The reaction energies became progressively less exothermic as the reaction progressed, from -1.31 eV to -0.30 eV to 0.98 eV, due to the stretching of Si-N bonds and the distortion of the N-Si-N bond angles. Also, the activation energies for the second and third reactions were 2.17 eV and 1.55 eV, respectively, significantly higher than the 0.26 eV of the first reaction, mainly due to the additional dissociation of the N-H bond. The third Si-N bond formation is unfavorable due to the endothermic reaction and higher activation energy. Therefore, the chemisorbed species would be -SiCl2* when the surface is exposed to SiCl4.

7.
Phys Chem Chem Phys ; 25(33): 22250-22257, 2023 Aug 23.
Artículo en Inglés | MEDLINE | ID: mdl-37577845

RESUMEN

Tetrakis(dimethylamino)-titanium (TDMAT, Ti(NMe2)4) has been used for the low-temperature atomic layer deposition (ALD) process of titanium oxide (TiO2) films. In this study, the chemisorption of TDMAT on a titanium oxide surface using a slab model was simulated by density functional theory (DFT) calculation. We calculated the activation energy for the chemisorption and predicted the final chemisorbed species. A TiO2 slab model was constructed with the optimized number of -OH surface groups. Three serial ligand exchange reactions between a TDMAT molecule and the TiO2 slab were exothermic with low activation energies of 0.16-0.46 eV, which can explain the low processing temperatures of the ALD TiO2 processes. Our DFT calculation showed that three NMe2 ligands of TDMAT would be released and the surface species of -TiNMe2 would be formed, which is in good agreement with the experimental observation in the literature.

8.
Phys Chem Chem Phys ; 25(5): 3890-3899, 2023 Feb 01.
Artículo en Inglés | MEDLINE | ID: mdl-36647706

RESUMEN

Selective etching of silicon oxide (SiO2) against silicon (Si) using anhydrous hydrogen fluoride (HF) vapor has been used for semiconductor device fabrication. We studied the underlying mechanism of the selective etching by density functional theory (DFT) calculation. We constructed surface slab models of SiO2 or Si with different degrees of fluorination and simulated the four steps of fluorination. The calculations show relatively low activation energies of 0.72-0.79 eV for the four steps of fluorination of SiO2, which are close to ∼0.69 eV observed in the experiment. The four-membered ring structure of -Si-O-H-F- in all transition states stabilized the system, resulting in relatively low activation energies. Thus, continuous etching of SiO2 by HF is plausible at near-room temperature. In contrast, the fluorinations of Si showed relatively high activation energies ranging from 1.22 to 1.56 eV due to the less stable transition state geometries. Thus, negligible etching of silicon by HF is expected by the near-room temperature process. Our calculation results explain well the experimental observation of the selective etching of SiO2 against Si by HF vapor.

9.
J Prosthet Dent ; 130(2): 265.e1-265.e7, 2023 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-37353410

RESUMEN

STATEMENT OF PROBLEM: Studies on the effects of postprocessing conditions on the physical properties, degree of conversion (DC), and biocompatibility of denture bases produced by digital light processing are lacking. PURPOSE: The purpose of this in vitro study was to evaluate the effects of the atmosphere during postpolymerization and of postpolymerization time on the flexural strength, Vickers hardness, DC, cytotoxicity, and residual monomer content of denture bases. MATERIAL AND METHODS: Six different groups of bar- and disk-shaped specimens from the denture base resin were produced, considering 2 different atmospheres (air and nitrogen) and 3 different postpolymerization times (5, 10, and 20 minutes). To determine the physical properties, the flexural strength and Vickers hardness were measured. Fourier transform infrared spectrometry was used to calculate DC. Cytotoxicity was assessed from the effect on human gingival fibroblasts. The residual monomer content was determined by using high-performance liquid chromatography. Based on the normality test by the Shapiro-Wilk method, a nonparametric factorial analysis of variances was conducted (α=.05). RESULTS: A significant interaction was detected between the atmosphere and postpolymerization time for hardness (P<.001) but no interaction for strength, DC, or cytotoxicity (P=.826, P=.786, and P=.563, respectively). Hardness was significantly affected by the postpolymerization time in the groups with the nitrogen atmosphere (P<.001). DC was significantly affected by the atmosphere (P=.012), whereas strength and cytotoxicity were not (P=.500 and P=.299, respectively). Cytotoxicity was significantly affected by the postpolymerization time (P<.001), but strength and DC were not (P=.482 and P=.167, respectively). Residual monomers were not detected after ≥10-minute postpolymerization time. CONCLUSIONS: The atmosphere significantly affected hardness and DC, whereas the postpolymerization time significantly affected hardness, DC, cytotoxicity, and residual monomer content. Denture bases produced in a nitrogen atmosphere and with the 10-minute postpolymerization time showed sufficient hardness, DC, and no cytotoxicity.


Asunto(s)
Resinas Acrílicas , Bases para Dentadura , Humanos , Resinas Acrílicas/química , Docilidad , Ensayo de Materiales , Resistencia Flexional , Dureza , Propiedades de Superficie
10.
Antonie Van Leeuwenhoek ; 115(12): 1379-1392, 2022 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-36239838

RESUMEN

Plastic waste has a negative impact on marine ecosystems and the quantity of this source of anthropogenic pollution continues to increase. Several studies have investigated plastic biodegradation using various microorganisms. In this study, we isolated fungi from polyethylene terephthalate (PET) waste on Korean seacoasts and evaluated their ability to degrade plastic by comparing the diameters of the clear zones they formed on polycaprolactone (PCL) agar. We isolated 262 strains from 47 plastic waste sources and identified 108 fungal species via molecular methods. The PCL agar assay revealed that 87 species presented with varying degrees of PCL degradation capacity. Among them, certain fungal species were strong PCL degraders. The present study demonstrated the possibility that some fungi inhabiting plastic could potentially degrade it in the marine environment. We believe that the discoveries made herein lay theoretical and practical foundations for the development of novel bioremediation systems for marine plastispheres and help mitigate the environmental pollution issues related to plastic wastes.


Asunto(s)
Ecosistema , Plásticos , Agar , Biodegradación Ambiental , Hongos/genética
11.
Sensors (Basel) ; 22(9)2022 Apr 20.
Artículo en Inglés | MEDLINE | ID: mdl-35590844

RESUMEN

Skeleton data, which is often used in the HCI field, is a data structure that can efficiently express human poses and gestures because it consists of 3D positions of joints. The advancement of RGB-D sensors, such as Kinect sensors, enabled the easy capture of skeleton data from depth or RGB images. However, when tracking a target with a single sensor, there is an occlusion problem causing the quality of invisible joints to be randomly degraded. As a result, multiple sensors should be used to reliably track a target in all directions over a wide range. In this paper, we proposed a new method for combining multiple inaccurate skeleton data sets obtained from multiple sensors that capture a target from different angles into a single accurate skeleton data. The proposed algorithm uses density-based spatial clustering of applications with noise (DBSCAN) to prevent noise-added inaccurate joint candidates from participating in the merging process. After merging with the inlier candidates, we used Kalman filter to denoise the tremble error of the joint's movement. We evaluated the proposed algorithm's performance using the best view as the ground truth. In addition, the results of different sizes for the DBSCAN searching area were analyzed. By applying the proposed algorithm, the joint position accuracy of the merged skeleton improved as the number of sensors increased. Furthermore, highest performance was shown when the searching area of DBSCAN was 10 cm.


Asunto(s)
Algoritmos , Sistema Musculoesquelético , Humanos , Movimiento , Esqueleto
12.
Sensors (Basel) ; 23(1)2022 Dec 26.
Artículo en Inglés | MEDLINE | ID: mdl-36616844

RESUMEN

The identification of attention deficit hyperactivity disorder (ADHD) in children, which is increasing every year worldwide, is very important for early diagnosis and treatment. However, since ADHD is not a simple disease that can be diagnosed with a simple test, doctors require a large period of time and substantial effort for accurate diagnosis and treatment. Currently, ADHD classification studies using various datasets and machine learning or deep learning algorithms are actively being conducted for the screening diagnosis of ADHD. However, there has been no study of ADHD classification using only skeleton data. It was hypothesized that the main symptoms of ADHD, such as distraction, hyperactivity, and impulsivity, could be differentiated through skeleton data. Thus, we devised a game system for the screening and diagnosis of children's ADHD and acquired children's skeleton data using five Azure Kinect units equipped with depth sensors, while the game was being played. The game for screening diagnosis involves a robot first travelling on a specific path, after which the child must remember the path the robot took and then follow it. The skeleton data used in this study were divided into two categories: standby data, obtained when a child waits while the robot demonstrates the path; and game data, obtained when a child plays the game. The acquired data were classified using the RNN series of GRU, RNN, and LSTM algorithms; a bidirectional layer; and a weighted cross-entropy loss function. Among these, an LSTM algorithm using a bidirectional layer and a weighted cross-entropy loss function obtained a classification accuracy of 97.82%.


Asunto(s)
Trastorno por Déficit de Atención con Hiperactividad , Aprendizaje Profundo , Sistema Musculoesquelético , Humanos , Niño , Trastorno por Déficit de Atención con Hiperactividad/diagnóstico , Trastorno por Déficit de Atención con Hiperactividad/terapia , Esqueleto
13.
Sensors (Basel) ; 23(1)2022 Dec 27.
Artículo en Inglés | MEDLINE | ID: mdl-36616875

RESUMEN

Although attention deficit hyperactivity disorder (ADHD) in children is rising worldwide, fewer studies have focused on screening than on the treatment of ADHD. Most previous similar ADHD classification studies classified only ADHD and normal classes. However, medical professionals believe that better distinguishing the ADHD-RISK class will assist them socially and medically. We created a projection-based game in which we can see stimuli and responses to better understand children's abnormal behavior. The developed screening game is divided into 11 stages. Children play five games. Each game is divided into waiting and game stages; thus, 10 stages are created, and the additional waiting stage includes an explanation stage where the robot waits while explaining the first game. Herein, we classified normal, ADHD-RISK, and ADHD using skeleton data obtained through games for ADHD screening of children and a bidirectional long short-term memory-based deep learning model. We verified the importance of each stage by passing the feature for each stage through the channel attention layer. Consequently, the final classification accuracy of the three classes was 98.15% using bi-directional LSTM with channel attention model. Additionally, the attention scores obtained through the channel attention layer indicated that the data in the latter part of the game are heavily involved in learning the ADHD-RISK case. These results imply that for ADHD-RISK, the game is repeated, and children's attention decreases as they progress to the second half.


Asunto(s)
Trastorno por Déficit de Atención con Hiperactividad , Aprendizaje Profundo , Problema de Conducta , Robótica , Juegos de Video , Humanos , Niño , Trastorno por Déficit de Atención con Hiperactividad/diagnóstico , Trastorno por Déficit de Atención con Hiperactividad/terapia
14.
Nano Lett ; 21(24): 10469-10477, 2021 Dec 22.
Artículo en Inglés | MEDLINE | ID: mdl-34881903

RESUMEN

Stacking two-dimensional van der Waals (vdW) materials rotated with respect to each other show versatility for studying exotic quantum phenomena. In particular, anisotropic layered materials have great potential for such twistronics applications, providing high tunability. Here, we report anisotropic superconducting order parameters in twisted Bi2Sr2CaCu2O8+x (Bi-2212) vdW junctions with an atomically clean vdW interface, achieved using the microcleave-and-stack technique. The vdW junctions with twist angles of 0° and 90° showed the maximum Josephson coupling, comparable to that of intrinsic Josephson junctions. As the twist angle approaches 45°, Josephson coupling is suppressed, and eventually disappears at 45°. The observed twist angle dependence of the Josephson coupling can be explained quantitatively by theoretical calculation with the d-wave superconducting order parameter of Bi-2212 and finite tunneling incoherence of the junction. Our results revealed the anisotropic nature of Bi-2212 and provided a novel fabrication technique for vdW-based twistronics platforms compatible with air-sensitive vdW materials.

15.
BMC Oral Health ; 22(1): 611, 2022 12 15.
Artículo en Inglés | MEDLINE | ID: mdl-36522725

RESUMEN

BACKGROUND: Studies on the antifungal activity, flexural strength, Vickers hardness, and intaglio surface trueness of three-dimensionally printed (3DP) denture bases with microencapsulated phytochemicals with respect to changes in post-polymerization time (PPT) are lacking. METHODS: Specimens of various shapes and dimensions were fabricated with a 3DP denture base resin mixed with 5 wt% phytoncide-filled microcapsules. Each specimen was subjected to different PPT protocols of 5, 10, 20, and 30 min. Specimens without microcapsules with 5-min PPT were used as the negative control group. Cell colonies were counted to evaluate antifungal activity. Three-point bending and Vickers hardness tests were performed to measure the flexural strengths and hardness of the specimens. Fourier-transform infrared spectrometry was used to inspect the degree of conversion (DC). The intaglio surface trueness was measured using root-mean-square estimates calculated by superimposition analysis. A non-parametric Kruskal-Wallis test or one-way analysis of variance was performed (α = 0.05). RESULTS: The specimens with microcapsules and 10-min PPT showed the highest antifungal activity among the tested groups. Compared with the positive control group (5-min PPT), the specimens with PPTs of 10 min or longer showed significantly higher mean flexural strength, higher DC, greater hardness, and better trueness (all, P < 0.05). Except for the difference in antifungal activity, no statistically significant differences were detected between the specimens subjected to 10-, 20-, and 30-min PPT. CONCLUSION: The 3DP denture base filled with microencapsulated phytoncide showed different antifungal activity and physical properties on changing PPT. The 3DP denture base containing phytoncide-filled microcapsules at 5 wt% concentration and subjected to 10-min PPT exhibited sufficient antifungal activity as well as mechanical properties and accuracy within clinical acceptance.


Asunto(s)
Antifúngicos , Bases para Dentadura , Humanos , Antifúngicos/farmacología , Polimerizacion , Cápsulas , Propiedades de Superficie , Impresión Tridimensional , Fitoquímicos , Ensayo de Materiales
16.
Phys Rev Lett ; 126(1): 016402, 2021 Jan 08.
Artículo en Inglés | MEDLINE | ID: mdl-33480785

RESUMEN

We construct new many-body invariants for 2D Chern and 3D chiral hinge insulators characterizing quantized pumping of bulk dipole and quadrupole moments. The many-body invariants are written entirely in terms of many-body ground state wave functions on a torus geometry with twisted boundary conditions and a set of unitary operators. We present a number of supporting arguments for the invariants via topological field theory interpretation, adiabatic pumping argument, and direct mapping to free-fermion band indices. Therefore, the invariants explicitly encircle several different pillars of theoretical descriptions of topological phases. Furthermore, our many-body invariants are written in forms which can be directly employed in various numerics including the exact diagonalization and the density-matrix renormalization group simulations. We finally confirm our invariants by numerical computations including an infinite density-matrix renormalization group on quasi-one-dimensional systems.

17.
Sensors (Basel) ; 21(20)2021 Oct 18.
Artículo en Inglés | MEDLINE | ID: mdl-34696115

RESUMEN

This paper addresses ground target tracking (GTT) for airborne radar. Digital terrain elevation data (DTED) are widely used for GTT as prior information under the premise that ground targets are constrained on terrain. Existing works fuse DTED to a tracking filter in a way that adopts only the assumption that the position of the target is constrained on the terrain. However, by kinematics, it is natural that the velocity of the moving ground target is constrained as well. Furthermore, DTED provides neither continuous nor accurate measurement of terrain elevation. To overcome such limitations, we propose a novel soft terrain constraint and a constraint-aided particle filter. To resolve the difficulties in applying the DTED to the GTT, first, we reconstruct the ground-truth terrain elevation using a Gaussian process and treat DTED as a noisy observation of it. Then, terrain constraint is formulated as joint soft constraints of position and velocity. Finally, we derive a Soft Terrain Constrained Particle Filter (STC-PF) that propagates particles while approximately satisfying the terrain constraint in the prediction step. In the numerical simulations, STC-PF outperforms the Smoothly Constrained Kalman Filter (SCKF) in terms of tracking performance because SCKF can only incorporate hard constraints.

18.
Langmuir ; 34(23): 6660-6669, 2018 06 12.
Artículo en Inglés | MEDLINE | ID: mdl-29768003

RESUMEN

We report the catalyzed atomic layer deposition (ALD) of silicon oxide using Si2Cl6, H2O, and various alkylamines. The density functional theory (DFT) calculations using the periodic slab model of the SiO2 surface were performed for the selection of alternative Lewis base catalysts with high catalytic activities. During the first half-reaction, the catalysts with less steric hindrance such as pyridine would be more effective than bulky alkylamines despite lower nucleophilicity. On the other hand, during the second half-reaction, the catalysts with a high nucleophilicity such as triethylamine (Et3N) would be more efficient because the steric hindrance is less critical. The in situ process monitoring shows that the calculated atomic charge is a good indicator for expecting the catalyst activity in the ALD reaction. The use of Et3N in the second half-reaction was essential to improving the growth rate as well as the step coverage of the film because the Et3N-catalyzed process deposited a SiO2 film with a step coverage of 98% that is better than 93% of the pyridine-catalyzed process. The adsorption of pyridine, ammonia (NH3), or trimethylamine (Me3N) salts was more favorable than that of Et3N, n-Pr3N, or iPr3N salts. Therefore, Et3N was expected to incorporate less amine salts in the film as compared to pyridine, and the compositional analyses confirmed that the concentrations of Cl and N by the Et3N-catalyzed process were significantly lower than those by the pyridine-catalyzed process.

19.
Biomed Microdevices ; 19(4): 86, 2017 Sep 19.
Artículo en Inglés | MEDLINE | ID: mdl-28929363

RESUMEN

A novel cell-stimulation system was fabricated using 10 × 29 piezoelectric micromachined ultrasonic transducer (pMUT) arrays for targeted ultrasonic cell stimulation. Both the diameter of a single pMUT element and the edge-to-edge gap were 120 µm, and the size of a pMUT array was 2.27 × 6.84 mm, to be placed at the bottom of a Transwell. The measured resonance frequency of a single pMUT element was 1.48 ± 0.13 MHz and the measured acoustic intensity of the pMUT array was 0.15 ± 0.03 MPa at 1 mm away from the transducer. A pMUT array was mounted on a print circuit board (PCB), which was designed in accordance with the size of a 12-well Transwell. The Transwell was placed on the PCB and wire bonding was performed to electrically connect the PCB and pMUT arrays. After wiring, the PCB and pMUT arrays were coated with 2.6-µm thick parylene-C to ensure biocompatibility and waterproofing. PC12 cells were used for ultrasonic cell stimulation tests to examine the proposed all-in-one low-intensity pulsed ultrasound stimulation system. Various stimulation times and duty cycles were used simultaneously for cell proliferation in a confined cell culture environment. All stimulation groups showed increased cell proliferation rates, in the range 138-166%, versus the proliferation rate of the control group.


Asunto(s)
Técnicas de Cultivo de Célula/instrumentación , Proliferación Celular , Ondas Ultrasónicas , Animales , Técnicas de Cultivo de Célula/métodos , Células PC12 , Ratas
20.
Bioengineering (Basel) ; 11(6)2024 Jun 05.
Artículo en Inglés | MEDLINE | ID: mdl-38927806

RESUMEN

The aim of this study was to assess the usefulness of an attachable video laryngoscope (AVL) by attaching a camera and a monitor to a conventional Macintosh laryngoscope (CML). Normal and tongue edema airway scenarios were simulated using a manikin. Twenty physicians performed tracheal intubations using CML, AVL, Pentax Airwayscope® (AWS), and McGrath MAC® (MAC) in each scenario. Ten physicians who had clinical experience in using tracheal intubation were designated as the skilled group, and another ten physicians who were affiliated with other departments and had little clinical experience using tracheal intubation were designated as the unskilled group. The time required for intubation and the success rate were recorded. The degree of difficulty of use and glottic view assessment were scored by participants. All 20 participants successfully completed the study. There was no difference in tracheal intubation success rate and intubation time in the normal airway scenario in both skilled and unskilled groups. In the experienced group, AWS had the highest success rate (100%) in the tongue edema airway scenario, followed by AVL (60%), MAC (60%), and CML (10%) (p = 0.001). The time required to intubate using AWS was significantly shorter than that with AVL (10.2 s vs. 19.2 s) or MAC (10.2 s vs. 20.4 s, p = 0.007). The difficulty of using AVL was significantly lower than that of CML (7.8 vs. 2.8; p < 0.001). For the experienced group, AVL was interpreted as being inferior to AWS but better than MAC. Similarly, in the unskilled group, AVL had a similar success rate and tracheal intubation time as MAC in the tongue edema scenario, but this was not statistically significant. The difficulty of using AVL was significantly lower than that of CML (8.8 vs. 3.3; p < 0.001). AVL may be an alternative for VL.

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