RESUMO
BACKGROUND: A streamlined and effective renal biopsy technique is essential for all nephrologists, particularly those who are less experienced, such as residents. Herein, we report the efficacy of a Straightforward and Immediate ultrasound-guided kidney biopsy using a Guide Needle (SIGN) technique, which allows operators to insert a biopsy gun through a guide needle placed into the fascia of the posterior abdominal wall. METHODS: A retrospective cross-sectional study was conducted at a nephrology training institution to compare the time spent on the procedure and the number of glomeruli obtained between a group using the SIGN (n = 81) and a group using the conventional ultrasound-guided kidney biopsy technique with a needle guide device (n = 143). RESULTS: The median procedure time in the SIGN group (2 min, interquartile range [IQR]: 1-3 min) was significantly shorter than that in the conventional group (3 min, IQR: 2-4 min) (P < 0.001). Multivariable linear regression and logistic regression analyses adjusted for covariates, including operators (board-certificated nephrologists or nephrology residents), showed that the use of the SIGN technique was independently associated with a high number of glomeruli obtained and a procedure time above 2 min as the median value (odds ratio: 0.17, 95% confidence interval CI 0.09-0.34). The prevalence of complications was comparable between the two groups (P = 0.681). CONCLUSION: The SIGN technique reduces the procedure time and obtains adequate biopsy tissue regardless of the operator's experience. SIGN can be applied in nephrology training programs and used as a standard biopsy technique.
RESUMO
Terahertz flat optics is a design concept for replacing conventional three-dimensional bulky optical components with two-dimensional ultra-thin optical components. However, high refractive index materials suitable for flat optics are frequently subject to high Fresnel reflections due to the cumbersome control of the relative permeability it requires. Here we experimentally demonstrate a reflectionless metasurface with a high refractive index of 5.88 + j1.57, extremely low reflectance of 1.3%, high relative permittivity of 6.73 + j0.85, and the high relative permeability of 5.03 + j2.11 at 2.97 THz. The super-fine ink-jet printer using silver paste ink fabricates the metasurface consisting of 80,036 pairs of cut metal wires on both the front and back of a 5 µm-thick polyimide film. The findings also demonstrate that weak conductors as well as good conductors can be used in the design of reflectionless metasurfaces with a high refractive index in the terahertz waveband. The presented metasurface can offer an accessible platform for terahertz flat optics in 6G (beyond 5G) wireless communications and imaging.
RESUMO
Refraction in materials is a fundamental phenomenon in optics and is a factor in the manipulation of light, such as wavefront shaping and beam control. However, conventional optical lenses incorporated in numerous optical sources are made of naturally occurring materials, and material properties predetermine the lens performance. For the development of terahertz flat optics, we experimentally demonstrate a gradient-refractive-index (GRIN) collimating metalens made of our original reflectionless metasurface with an extremely high refractive index, above 10 at 0.312 THz. The planar collimating metalens converts wide-angle radiation from a resonant tunneling diode (RTD) to a collimated plane wave and enhances the directivity of a single RTD 4.2 times. We also demonstrate directional angle control of terahertz waves by moving the metalens in parallel with the incoming wave. The metalens can be simply integrated with a variety of terahertz continuous-wave (CW) sources for 6G (beyond 5G) wireless communications and imaging in future advanced applications. Flat optics based on high refractive index metasurfaces rather than naturally occurring materials can offer an accessible platform for optical devices with unprecedented functionalities.
RESUMO
Manipulation of electromagnetic waves from radio to visible wavelengths could lead to technology to investigate unexplored wavebands. However, flexible control of terahertz waves is difficult, because few naturally occurring, appropriate materials and sophisticated optical components exist. We propose a 2.28-µm (0.02λ) ultra-thin terahertz metasurface collimator with a high directivity of 4.6 times (6.6 dB) consisting of 339 pairs of meta-atoms compared with a single terahertz continuous-wave source. The metasurface exhibits an extremely high refractive index of 15.0 and a low reflectance of 15.5% at 3.0 THz, and with Fresnel reflections for naturally occurring dielectric materials with high refractive indices avoided. This metasurface collimator should facilitate ground-breaking applications such as arbitrary phase converters, solid immersion lenses, and cloaking.
RESUMO
The entropic and energetic elasticities of natural rubber with a nanomatrix structure are investigated by measuring the viscoelastic properties of deproteinized natural rubber (DPNR)-graft-polystyrene (PS). A nanomatrix structure is formed by graft copolymerization of styrene onto the surface of natural rubber particles, followed by coagulation. The morphology of the nanomatrix structure is observed with transmission electron microscopy. Natural rubber particles with about 1 µm diameter are well dispersed in a nanomatrix of PS. The horizontal shift factor (aT) and vertical shift factor (bT) are determined by superposition to create a master curve according to the time-temperature superposition principle. The positive slope of DPNR appears in the plot of bT versus temperature, suggesting that entropic elasticity occurs. In contrast, the slopes of DPNR-graft-PS are negative at lower temperatures but positive at higher temperatures. The negative slope, which suggests entropic elasticity, may be attributed to the formation of a nanomatrix structure. Natural rubber with a nanomatrix structure realizes both energetic elasticity and entropic elasticity.