Objective To evaluate the feasibility of the Shikani Optical Stylet （SOS）-guided inmbation through a new Intubafing Laryngeal Airway （ILA） in anticipated difficult airways caused by scar contracture of the face an...Objective To evaluate the feasibility of the Shikani Optical Stylet （SOS）-guided inmbation through a new Intubafing Laryngeal Airway （ILA） in anticipated difficult airways caused by scar contracture of the face and neck. Methods Thirty-three adult patients with anticipated difficult airways undergoing selective faciocervical scar plastic surgery under general anesthesia were enrolled in this study. After anesthesia induction, a size 2.5, 3.5 or 4.5 ILA was inserted. Following good lung ventilation being verified, the SOS preloaded with an endotracheal tube was inserted via the ILA. Once the clear vocal cords came into view under the SOS, the endotracheal tube was advanced through glottis into the trachea. Results The ILA provided an effective airway in all patients, lntubation was successful at the first attempt on 22/33 （66.7%） occasions and at the second attempt on 6/33 （18.2%）. Intubation failed in 5 （15.1%） patients who suffered from severe limitation of head extension due to scar contracture of the neck. These patients＇ tracheas were finally intubated using a fibreoptic bronchoscope via the ILA. Conclusions The SOS-guided intubating method via the ILA is a feasible technique in patients with scar contracture of the face and neck. However, in patients with severe limitation of head extension, the use of SOS cannot be recommended. The SOS can be used as an alternative apparatus when the fibreoptic bronchoscope is not available.展开更多
Based on the Fresnel-Kirchhoff diffraction theory, we build up a Gaussian diffraction model of metal-oxide-type super-resolution near field structure （super-liENS）, which can describe far field optical properties. T...Based on the Fresnel-Kirchhoff diffraction theory, we build up a Gaussian diffraction model of metal-oxide-type super-resolution near field structure （super-liENS）, which can describe far field optical properties. The spectral contrast induced by refractive index and the structural changes in AgOg, PtOx and PdOz thin films, which are the key functional layers in super-RENS, are studied by using this model. Comparison results indicate that the spectral contrast depends intensively on the laser-induced distribution and change of the refractive index in the metal-oxide films. The readout mechanism of the metal-oxide-type super-RENS optical disc is further clarified. This Gaussian diffraction model can be used as a simple and effective method for choosing proper active materials in super-RENS.展开更多
The era of big data has necessitated the use of ultra-high density optical storage devices. Super-resolution near-field structure （super-RENS）, which has successfully surpassed the fundamental optical diffraction li...The era of big data has necessitated the use of ultra-high density optical storage devices. Super-resolution near-field structure （super-RENS）, which has successfully surpassed the fundamental optical diffraction limit, is one of the promising next generation high-density optical storage technologies. This technology combines the traditional super-resolution optical disk with a near-field structure, and has the advantages of structural simplicity, strong practicability, and, more importantly, compatibility with the current optical storage pickup. The mask layer in super-RENS functions as the key to realizing superresolution. Development of suitable materials and stack designs has greatly been improved in the last decade. This paper described several types of super-RENS, such as aperture-type, light scattering center-type, bubble-type, and other types （e.g., WOx and ZnO）, particularly the newly proposed super-RENS technology and research achievements. The paper also reviews the applications of super-RENS in high-density optical data storage in recent years. After analyzing and comparing various types of super-RENS technology, the paper proposes the aperturetype based on the mechanism of nonlinear optics as the most suitable candidate for practical applications in the near future.展开更多
文摘Objective To evaluate the feasibility of the Shikani Optical Stylet （SOS）-guided inmbation through a new Intubafing Laryngeal Airway （ILA） in anticipated difficult airways caused by scar contracture of the face and neck. Methods Thirty-three adult patients with anticipated difficult airways undergoing selective faciocervical scar plastic surgery under general anesthesia were enrolled in this study. After anesthesia induction, a size 2.5, 3.5 or 4.5 ILA was inserted. Following good lung ventilation being verified, the SOS preloaded with an endotracheal tube was inserted via the ILA. Once the clear vocal cords came into view under the SOS, the endotracheal tube was advanced through glottis into the trachea. Results The ILA provided an effective airway in all patients, lntubation was successful at the first attempt on 22/33 （66.7%） occasions and at the second attempt on 6/33 （18.2%）. Intubation failed in 5 （15.1%） patients who suffered from severe limitation of head extension due to scar contracture of the neck. These patients＇ tracheas were finally intubated using a fibreoptic bronchoscope via the ILA. Conclusions The SOS-guided intubating method via the ILA is a feasible technique in patients with scar contracture of the face and neck. However, in patients with severe limitation of head extension, the use of SOS cannot be recommended. The SOS can be used as an alternative apparatus when the fibreoptic bronchoscope is not available.
基金Supported by the National Natural Science Foundation of China under Grant Nos 60207005, 60490290, 60507009, and 50672108 the Science and Technology Committee of Shanghai under Grant No 06DJ14007.
文摘Based on the Fresnel-Kirchhoff diffraction theory, we build up a Gaussian diffraction model of metal-oxide-type super-resolution near field structure （super-liENS）, which can describe far field optical properties. The spectral contrast induced by refractive index and the structural changes in AgOg, PtOx and PdOz thin films, which are the key functional layers in super-RENS, are studied by using this model. Comparison results indicate that the spectral contrast depends intensively on the laser-induced distribution and change of the refractive index in the metal-oxide films. The readout mechanism of the metal-oxide-type super-RENS optical disc is further clarified. This Gaussian diffraction model can be used as a simple and effective method for choosing proper active materials in super-RENS.
基金This work was partially supported by the National Natural Science Foundation of China （Grant Nos. 61137002, 61178059 and 51172253）.
文摘The era of big data has necessitated the use of ultra-high density optical storage devices. Super-resolution near-field structure （super-RENS）, which has successfully surpassed the fundamental optical diffraction limit, is one of the promising next generation high-density optical storage technologies. This technology combines the traditional super-resolution optical disk with a near-field structure, and has the advantages of structural simplicity, strong practicability, and, more importantly, compatibility with the current optical storage pickup. The mask layer in super-RENS functions as the key to realizing superresolution. Development of suitable materials and stack designs has greatly been improved in the last decade. This paper described several types of super-RENS, such as aperture-type, light scattering center-type, bubble-type, and other types （e.g., WOx and ZnO）, particularly the newly proposed super-RENS technology and research achievements. The paper also reviews the applications of super-RENS in high-density optical data storage in recent years. After analyzing and comparing various types of super-RENS technology, the paper proposes the aperturetype based on the mechanism of nonlinear optics as the most suitable candidate for practical applications in the near future.
