Objective: Coronary heart disease (CHD) is a common and frequent disease with a long and incurable course, and the quality of life of patients is severely reduced. This study was to develop and validate a quality of life scale for patients with CHD based on the Chinese context. Methods: The scale QLICD-CHD (V2.0) was developed based on the QLICD-CHD (V1.0), using a programmed decision procedures. Based on the data measuring QoL 3 times before and after treatments from 189 patients with CHD, the psychometric properties of the scale were evaluated with respect to validity, reliability and responsiveness employing correlation analysis, multi-trait scaling analysis, structural equation modeling, t-test and also G-study and D-study of generalizability theory analysis. The SF-36 scale was used as the criterion to evaluate the criterion-related validity. Paired t tests were conducted to evaluate the responsiveness on each domain/facet as well as the total of the scale, with Standardized Response Mean (SRM) being calculated. Results: The QLICD-CHD (V2.0) has been developed with 42 items in 4 domains. The Cronbach's α of the general module, the specific module and the total scale were 0.91, 0.92 and 0.91 respectively. The overall score and the test-retest reliability coefficients in all domains are higher than 0.60, except for the specific module. Correlation and factor analysis confirmed good construct validity and criterion-related validity. After treatments, the overall score and score of all domains have statistically significant changes (P<0.01). The SRM of domain-level score ranges from 0.27 to 0.50. Generalizability Theory further confirm the reliability of the scale through more accurate variance component studies. Conclusion: The QLICD-CHD (V2.0) could be used as a useful instrument in assessing QoL for patients with CHD, with good psychometric properties.
Dissipative Kerr-soliton combs are laser pulses regularly sustained by a localized solitary wave on top of a continuous-wave background inside a nonlinear resonator. Usually, the intrinsic interactions between the background light and solitons are weak and localized. Here, we demonstrate a strong interaction between the generated soliton comb and the background light in a Brillouin-Kerr microcomb system. This strong interaction enables the generation of a monostable single-soliton microcomb on a silicon chip. Also, new phenomena related to soliton physics including solitons hopping between different states as well as controlling the formations of the soliton states by the pump power, are observed owing to such strong interaction. Utilizing this monostable single-soliton microcomb, we achieve the 100% deterministic turnkey operation successfully without any feedback controls. Importantly, it allows to output turnkey ultra-low-noise microwave signals using a free-running pump.
We theoretically study the Raman-induced self-frequency shift of dissipative Kerr soliton in silica optical resonators by taking into consideration the Boson peak. We find that the Boson peak will greatly increase the soliton self-frequency shift and contribute even more than the shift induced by the Lorentzian response for certain pulse durations. We also show that the revised Raman shock time is associated with the pulse width even for a relatively long pulse. Moreover, we demonstrate that the background continuous wave decreases the self-frequency shift of the soliton via the interference with the soliton. Our theoretical and simulated results display excellent agreement with the previous experimental values in the silica-based Kerr-soliton microcomb.
We realize a chip-based Brillouin microlaser with remarkable features of high power and low noise using a microtoroid resonator. Our Brillouin microlaser is able to output a power of up to 126â mW with a fundamental linewidth down to 245â mHz. Additionally, in the course of Brillouin lasing we observe an intriguing power saturation-like effect, which can be attributed to complex thermo-optic-effect-induced mode mismatch between the pump and Brillouin modes. To have a quantitative understanding of this phenomenon, we develop a model by simultaneously considering Brillouin lasing and the thermo-optic effect occurring in the microcavity. Of importance, our theoretical results match well with experimentally measured data.
Rotator cuff (RC) attaches to humerus across a triphasic yet continuous tissue zones (bone-fibrocartilage-tendon), termed "enthesis". Regrettably, rapid and functional enthesis regeneration is challenging after RC tear. The existing grafts bioengineered for RC repair are insufficient, as they were engineered by a scaffold that did not mimic normal enthesis in morphology, composition, and tensile property, meanwhile cannot simultaneously stimulate the formation of bone-fibrocartilage-tendon tissues. Herein, an optimized decellularization approach based on a vacuum aspiration device (VAD) was developed to fabricate a book-shaped decellularized enthesis matrix (O-BDEM). Then, three recombinant growth factors (CBP-GFs) capable of binding collagen were synthesized by fusing a collagen-binding peptide (CBP) into the N-terminal of BMP-2, TGF-ß3, or GDF-7, and zone-specifically tethered to the collagen of O-BDEM to fabricate a novel scaffold (CBP-GFs/O-BDEM) satisfying the above-mentioned requirements. After ensuring the low immunogenicity of CBP-GFs/O-BDEM by a novel single-cell mass cytometry in a mouse model, we interleaved urine-derived stem cell-sheets into this CBP-GFs/O-BDEM to bioengineer an enthesis-like graft. Its high-performance on regenerating enthesis was determined in a canine model. These findings indicate this CBP-GFs/O-BDEM may be an excellent scaffold for constructing enthesis-like graft to patch large/massive RC tears, and provide breakthroughs in fabricating graded interfacial tissue.
We demonstrate a new, to the best of our knowledge, kind of self-pulsation in a microcavity Brillouin laser. This specific self-pulsation is generated by the interplay between the Brillouin lasing and the thermo-optic effect in an optical microcavity. Intriguingly, the self-pulsation behaviors are simultaneously present in both forward input pump and backward Brillouin lasing emission. By developing a coupled-mode theory, our numerical simulations display an excellent agreement with the experimental results.
Optical frequency combs (OFCs) are essential in precision metrology, spectroscopy, distance measurement, and optical communications. Significant advances have been made recently in achieving micro-OFC devices based on parametric frequency conversion or electro-optic phase modulation. Here, we demonstrate a new kind of microcomb using a cavity optomechanical system with giant oscillation amplitude. We observe both optical and microwave frequency combs in a microtoroid resonator, which feature a flat OFC with 938 comb lines and a repetition rate as low as 50.22 MHz, as well as a flat microwave frequency comb with 867 comb lines. To generate such giant oscillation amplitude, we excite an overcoupled optical mode with a large blue detuning that is assisted with the thermo-optic nonlinearity. A new type of nonlinear oscillation, induced by competition between the optomechanical oscillation and thermo-optic nonlinearity, is also observed.
By generating a Brillouin laser in an optical microresonator, we realize a soliton Kerr microcomb through exciting the Kerr frequency comb using the generated Brillouin laser in the same cavity. The intracavity Brillouin laser pumping scheme enables us to access the soliton states with a blue-detuned input pump. Because of the ultranarrow linewidth and the low-noise properties of the generated Brillouin laser, the observed soliton microcomb exhibits narrow-linewidth comb lines and stable repetition rate. Also, we demonstrate a low-noise microwave signal with phase noise of -49 dBc/Hz at 10 Hz, -130 dBc/Hz at 10 kHz, and -149 dBc/Hz at 1 MHz offsets for a 10.43 GHz carrier with only a free-running input pump. The easy operation of the Brillouin-Kerr soliton microcomb with excellent performance makes our scheme promising for practical applications.
BACKGROUND: Functional and rapid enthesis regeneration remains a challenge after arthroscopic rotator cuff (RC) repair. Tissue-engineering a large-size biomimetic scaffold may be an adjuvant strategy to improve this clinical dilemma. Herein, we developed an optimized protocol to decellularize large-size enthesis as scaffolds for augmenting RC tear. METHODS: A novel vacuum aspiration system (VAS) was set up, which can provide a negative pressure to suck out cellular substances from tissue blocks without using chemical detergents. Large-size enthesis tissue specimens were harvested from canine infraspinatus tendon (IT) insertion, and then decellularized with an optimized protocol [freeze-thaw processing followed by nuclease digestion and phosphate buffer saline (PBS) rinsing in the custom-designed VAS], or a conventional protocol (freeze-thaw processing followed by nuclease digestion and PBS rinsing), thus fabricating two kinds of acellular enthesis matrix (AEM), namely C-AEM and O-AEM. After that, the C-AEM and O-AEM were comparatively evaluated from the aspect of their physicochemical and biological properties. RESULTS: Physiochemically, the O-AEM preserved the morphologies, ingredients, and tensile properties much better than the C-AEM. Biologically, in vitro studies demonstrated that both C-AEM and O-AEM show no cytotoxicity and low immunogenicity, which could promote stem cells attachment and proliferation. Interestingly, O-AEM showed better region-specific inducibility on the interacted stem cell down osteogenic, chondrogenic and tenogenic lineages compared with C-AEM. Additionally, using a canine IT repair model, the injured enthesis patched with O-AEM showed a significant improvement compared with the injured enthesis patched with C-AEM or direct suture histologically. CONCLUSIONS: The proposed VAS may help us fabricate large-size AEM with good physicochemical and biological properties, and this AEM may have potential clinical applications in patching large/massive RC tear.
