A novel system that continuously visualizes and analyzes respiratory sounds to promptly evaluate upper airway abnormalities: a pilot study.

Although respiratory sounds are useful indicators for evaluating abnormalities of the upper airway and lungs, the accuracy of their evaluation may be limited. The continuous evaluation and visualization of respiratory sounds has so far been impossible. To resolve these problems, we developed a novel continuous visualization system for assessing respiratory sounds. Our novel system was used to evaluate respiratory abnormalities in two patients. The results were not known until later. The first patient was a 23-year-old man with chronic granulomatous disease and persistent anorexia. During his hospital stay, he exhibited a consciousness disorder, bradypnea, and hypercapnia requiring tracheal intubation. After the administration of muscle relaxant, he suddenly developed acute airway stenosis. Because we could not intubate and ventilate, we performed cricothyroidotomy. Subsequent review of our novel system revealed mild stridor before the onset of acute airway stenosis, which had not been recognized clinically. The second patient was a 74-year-old woman who had been intubated several days earlier for tracheal burn injury, and was extubated after alleviation of her laryngeal edema. After extubation, she gradually developed inspiratory stridor. We re-intubated her after diagnosing post-extubation laryngeal edema. Subsequent review of our novel system revealed serially increased stridor after the extubation, at an earlier time than was recognized by healthcare providers. This unique continuous monitoring and visualization system for respiratory sounds could be an objective tool for improving patient safety regarding airway complications.

Trapping waves with terahertz metamaterial absorber based on isotropic Mie resonators.

Quasi-monodisperse dielectric particles organized in a periodic hexagonal network on an aluminum surface are exploited numerically and experimentally as a single-layered near-perfect absorber in the terahertz regime. Of particular interest are titanium dioxide (TiO(2)) microspheres because of their large dielectric permittivity and isotropic shape leading to Mie resonances with insensitive polarization. Absorption higher than 80% at normal incidence covering two distinct ranges of frequencies is demonstrated experimentally. Furthermore, the performance of the metamaterial absorber is kept over a wide range of incident angles.

Ultrafast optical control of group delay of narrow-band terahertz waves.

We experimentally demonstrate control over the group delay of narrow-band (quasi continuous wave) terahertz (THz) pulses with constant amplitude based on optical switching of a metasurface characteristic. The near-field coupling between resonant modes of a complementary split ring resonator pair and a rectangular slit show an electromagnetically induced transparency-like (EIT-like) spectral shape in the reflection spectrum of a metasurface. This coupling induces group delay of a narrow-band THz pulse around the resonant frequency of the EIT-like spectrum. By irradiating the metasurface with an optical excitation pulse, the metasurface becomes mirror-like and thus the incident narrow-band THz pulse is reflected without a delay. Remarkably, if we select the appropriate excitation power, only the group delay of the narrow-band THz pulse can be switched while the amplitude is maintained before and after optical excitation.