Antiphospholipid antibodies and the risk of adverse pregnancy outcomes in patients with systemic lupus erythematosus: a systematic review and meta-analysis.

OBJECTIVE: This article aims to evaluate the magnitude of adverse pregnancy outcomes (APOs) risks associated with different antiphospholipid antibody (aPL) profiles in women with systemic lupus erythematosus (SLE). METHODS: Multiple databases were investigated to identify articles that explored the relationship between aPLs and APOs in SLE patients. A random effects model was used for calculating pooled odds ratios (OR). Stata version 15.0 was utilized to conduct the meta-analysis. RESULTS: There were 5234 patients involved in 30 studies. Overall aPL was linked to an increased incidence of any kind of APOs, fetal loss, and preterm birth. Any kind of APOs and preterm delivery were more common in patients with lupus anticoagulant (LA) positive. Anticardiolipin antibody (aCL) was associated with an increased risk of any kind of APOs and fetal loss. The association between aCL-IgM and fetal loss was also significant. Patients with anti-beta2-glycoprotein1 antibody (antiß2GP1) positivity had an increased risk of fetal loss. CONCLUSIONS: Both LA and aCL were risk factors of APOs in patients with SLE. Not only ACL, particularly aCL-IgM, but antiß2GP1 were associated with an increased risk of fetal loss, while LA appeared to indicate the risk of preterm birth.PROSPERO (CRD42023388122).

Efficacy and safety of acupuncture therapy combined with conventional pharmacotherapy in the treatment of systemic lupus erythematosus: A systematic review and meta-analysis.

BACKGROUND: Currently, the mainstream treatments for systemic lupus erythematosus (SLE) are based on glucocorticoids and immunosuppressants, which are known to have considerable adverse effects. This meta-analysis is aimed at confirming the efficacy and safety of acupuncture therapy in combination with traditional medications in the treatment of SLE. METHODS: Multiple databases were searched for randomized controlled trials using acupuncture therapy in combination with conventional pharmacotherapy for the treatment of SLE, from the establishment of the database to March 2023. Study selection, data collection, as well as quality assessment were conducted by 2 reviewers independently. RevMan 5.4 and Stata 17 software were used for Meta-analysis. RESULTS: Seven eligible studies involving 514 patients with SLE were included. Meta-analysis demonstrated that in SLE patients, extra treatment with acupuncture was superior to drug therapy alone in improving the overall response rate (RR = 1.20, 95% confidence intervals [1.11, 1.29], P < .00001, heterogeneity P = .69, I2 = 0%) and regulating immunological indicators (C3, C4, IgG, T lymphocyte subpopulation, IL-6, ds-DNA, ESR) while reducing TCM symptom scores, the SLE Disease Activity Index (SLEDAI) and the incidence of adverse events on treatment (P ≤ 0.05). Additionally, it was able to reduce BUN, Scr and 24 hours urine protein, suggesting that acupuncture treatment had a protective effect on the kidneys. CONCLUSIONS: Acupuncture therapy combined with conventional pharmacotherapy is an efficient and safe way in the treatment of SLE. However, the conclusions drawn from this meta-analysis have some limitations due to the small number and uneven quality of the included studies, leading to heterogeneity and bias. Thus more relevant high-quality randomized controlled trials are needed for further evaluation in the future.

Stress-induced birefringence and fabrication of in-fiber polarization devices by controlled femtosecond laser irradiations.

Optical birefringence was created in a single-mode fiber by introducing a series of symmetric cuboid stress rods on both sides of the fiber core along the fiber axis using a femtosecond laser. The stress-induced birefringence was estimated to be 2.4 × 10(-4) at the wavelength of 1550 nm. By adding the desired numbers of stressed rods, an in-fiber quarter waveplate was fabricated with a insertion loss of 0.19 dB. The stress-induced birefringence was further explored to fabricate in-fiber polarizers based on the polarization-dependent long-period fiber grating (LPFG) structure. A polarization extinction ratio of more than 20 dB was observed at the resonant wavelength of 1523.9 nm. The in-fiber polarization devices may be useful in optical communications and fiber optic sensing applications.

Fiber-Optic-Based Micro-Probe Using Hexagonal 1-in-6 Fiber Configuration for Intracellular Single-Cell pH Measurement.

Single-cell research is essential for understanding cell heterogeneity, cell differentiation, and carcinogenesis, among other important cellular processes. New techniques for intracellular pH monitoring are urgently needed to gain new insights into single-cell responses to external stimuli. In this study, fiber-optic reflection-based pH micro (µ)-probes (tip diameter: 500-3000 nm) were designed and fabricated using a novel hexagonal 1-in-6 fiber configuration. An organic-modified silicate (OrMoSils) sol-gel doped with a pH-sensitive dye, 2',7'-bis(2-carboxyethyl)-5-(and-6)-carboxyfluorescein (BCECF), were coated onto the probe sensing tip for pH detection. These probes enabled neutral pH monitoring and quasi-real-time data acquisition (response time: 20 ± 5 s). The fluorescence signals of the newly developed probes were found to correlate linearly with pH (R(2) = 0.9869 when coupling laser power was at 8.2 mW) within a biologically relevant pH range (6.18-7.80). The pH resolution was 0.038 pH unit. The miniaturized probes were validated in single human lung cancer A549 cells to demonstrate applicability in single-cell experiments. In summary, novel pH µ-probes with excellent resolution and response times within a biologically relevant pH range were developed, and they can be used for measuring pH changes in single cells.

Integrated Chemical Vapor Sensor Based on Thin Wall Capillary Coupled Porous Glass Microsphere Optical Resonator.

A miniaturized chemical vapor sensor probe was developed using a porous glass microsphere (PGM) as the alignment-free optical microresonator. The porous microsphere was placed inside a thin wall silica capillary tube that was fusion-spliced to an optical fiber. The whispering gallery modes (WGMs) of the microsphere were excited by the evanescent field of the light propagating inside the capillary thin wall. Adsorption of chemical vapor molecules into the pores led to a refractive index change of the PGM and thus the resonance wavelength shift of the WGMs. To facilitate the in-taking of chemical vapor molecules into the PGM, a micro window was opened at the backend of the capillary tube using femtosecond laser micromachining. Ethanol vapor was used to demonstrate the probe for chemical vapor sensing. With a miniaturized size, integrated structure and reflection mode of operation, the proposed probe may find useful in many practical applications such as environmental monitoring and biomedical sensing.

Reflection-mode micro-spherical fiber-optic probes for in vitro real-time and single-cell level pH sensing.

pH sensing at the single-cell level without negatively affecting living cells is very important but still a remaining issue in the biomedical studies. A 70 µm reflection-mode fiber-optic micro-pH sensor was designed and fabricated by dip-coating thin layer of organically modified aerogel onto a tapered spherical probe head. A pH sensitive fluorescent dye 2', 7'-Bis (2-carbonylethyl)-5(6)-carboxyfluorescein (BCECF) was employed and covalently bonded within the aerogel networks. By tuning the alkoxide mixing ratio and adjusting hexamethyldisilazane (HMDS) priming procedure, the sensor can be optimized to have high stability and pH sensing ability. The in vitro real-time sensing capability was then demonstrated in a simple spectroscopic way, and showed linear measurement responses with a pH resolution up to an average of 0.049 pH unit within a narrow, but biological meaningful pH range of 6.12-7.81. Its novel characterizations of high spatial resolution, reflection mode operation, fast response and high stability, great linear response within biological meaningful pH range and high pH resolutions, make this novel pH probe a very cost-effective tool for chemical/biological sensing, especially within the single cell level research field.

All-in-fiber optofluidic sensor fabricated by femtosecond laser assisted chemical etching.

An all-in-fiber prototype optofluidic device was fabricated by femtosecond laser irradiation and subsequent selective chemical wet etching. Horizontal and vertical microchannels can be flexibly created into an optical fiber to form a fluidic cavity with inlets/outlets. The fluidic cavity also functions as an optical Fabry-Perot cavity in which the filled liquid can be probed. The assembly-free microdevice exhibited a fringe visibility of 20 dB and was demonstrated for measurement of the refractive index of the filling liquids. The proposed all-in-fiber optofluidic micro device is attractive for chemical and biomedical sensing because it is flexible in design, simple to fabricate, mechanically robust, and miniaturized in size.

Reflection based Extraordinary Optical Transmission Fiber Optic Probe for Refractive Index Sensing.

Fiber optic probes for chemical sensing based on the extraordinary optical transmission (EOT) phenomenon are designed and fabricated by perforating subwavelength hole arrays on the gold film coated optical fiber endface. The device exhibits a red shift in response to the surrounding refractive index increases with high sensitivity, enabling a reflection-based refractive index sensor with a compact and simple configuration. By choosing the period of hole arrays, the sensor can be designed to operate in the near infrared telecommunication wavelength range, where the abundant source and detectors are available for easy instrumentation. The new sensor probe is demonstrated for refractive index measurement using refractive index matching fluids. The sensitivity reaches 573 nm/RIU in the 1.333~1.430 refractive index range.

Fiber pigtailed thin wall capillary coupler for excitation of microsphere WGM resonator.

In this paper, we demonstrate a fiber pigtailed thin wall capillary coupler for excitation of Whispering Gallery Modes (WGMs) of microsphere resonators. The coupler is made by fusion-splicing an optical fiber with a capillary tube and consequently etching the capillary wall to a thickness of a few microns. Light is coupled through the peripheral contact between inserted microsphere and the etched capillary wall. The coupling efficiency as a function of the wall thickness was studied experimentally. WGM resonance with a Q-factor of 1.14 × 10(4) was observed using a borosilicate glass microsphere with a diameter of 71 µm. The coupler operates in the reflection mode and provides a robust mechanical support to the microsphere resonator. It is expected that the new coupler may find broad applications in sensors, optical filters and lasers.

Fiber inline Michelson interferometer fabricated by a femtosecond laser.

A fiber inline Michelson interferometer was fabricated by micromachining a step structure at the tip of a single-mode optical fiber using a femtosecond laser. The step structure splits the fiber core into two reflection paths and produces an interference signal. A fringe visibility of 18 dB was achieved. Temperature sensing up to 1000°C was demonstrated using the fabricated assembly-free device.

Polymer optical fiber for large strain measurement based on multimode interference.

This Letter reports a polymer optical fiber (POF) based large strain sensor based on the multimode interference (MMI) theory for the application of structural health monitoring. A section of POFs is sandwiched between two silica single mode fibers to construct a single-mode-multimode-single-mode structure that produces a MMI spectrum. The strain sensing mechanism of the device was investigated and experimentally verified. A large dynamic range of 2×10(4) µÎµ (2%) and a detection limit of 33 µÎµ have been demonstrated.

Optical microresonator based on hollow sphere with porous wall for chemical sensing.

A porous-wall hollow glass microsphere (PW-HGM) was investigated as an optical resonator for chemical vapor sensing. A single mode optical fiber taper was used to interrogate the microresonator. Adsorption of chemical molecules into the nanosized pores induced a refractive index change of the thin wall and thus a shift in its resonance spectrum. The PW-HGM resonator had shown higher vapor detection sensitivity in comparison with a solid microsphere under similar test conditions.

Modified watershed technique and post-processing for segmentation of skin lesions in dermoscopy images.

In previous research, a watershed-based algorithm was shown to be useful for automatic lesion segmentation in dermoscopy images, and was tested on a set of 100 benign and malignant melanoma images with the average of three sets of dermatologist-drawn borders used as the ground truth, resulting in an overall error of 15.98%. In this study, to reduce the border detection errors, a neural network classifier was utilized to improve the first-pass watershed segmentation; a novel "edge object value (EOV) threshold" method was used to remove large light blobs near the lesion boundary; and a noise removal procedure was applied to reduce the peninsula-shaped false-positive areas. As a result, an overall error of 11.09% was achieved.

Watershed segmentation of dermoscopy images using a watershed technique.

BACKGROUND/PURPOSE: Automatic lesion segmentation is an important part of computer-based image analysis of pigmented skin lesions. In this research, a watershed algorithm is developed and investigated for adequacy of skin lesion segmentation in dermoscopy images. METHODS: Hair, black border and vignette removal methods are introduced as preprocessing steps. The flooding variant of the watershed segmentation algorithm was implemented with novel features adapted to this domain. An outer bounding box, determined by a difference function derived from horizontal and vertical projection functions, is added to estimate the lesion area, and the lesion area error is reduced by a linear estimation function. As a post-processing step, a second-order B-Spline smoothing method is introduced to smooth the watershed border. RESULTS: Using the average of three sets of dermatologist-drawn borders as the ground truth, an overall error of 15.98% was obtained using the watershed technique. CONCLUSION: The implementation of the flooding variant of the watershed algorithm presented here allows satisfactory automatic segmentation of pigmented skin lesions.

Fluorescence-based Quantitative Analysis for mRNA in RT-PCR Process.

A DNA fragment that forms the template of a specific mRNA can be synthesized by reverse transcription PCR. In due number of cycle, the concentration of PCR product increases proportionally to that of the template cDNA, i.e., the corresponding mRNA in RT. Since the fluorescence quantum yield of ethidium bromide greatly increased when it was inserted into the DNA double helix, the extend of expression of mRNA can be calculated by determining the fluorescence intensity under selected excitation and emission wavelengths of PCR cDNA after a proper number of PCR cycle.