Graphene-assisted control of coupling between optical waveguides

The unique properties of optical waveguides electrically controlled by means of graphene layers are investigated. We demonstrate that, thanks to tunable losses induced by graphene layers, a careful design of silicon on silica ridge waveguides can be used to explore passive PT-symmetry breaking in directional couplers. We prove that the exceptional point of the system can be probed by varying the applied voltage and we thus propose very compact photonic structures which can be exploited to control coupling between waveguides and to tailor discrete diffraction in arrays

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Novel bidirectional propagation method for quadratic nonlinear multilayers

A bidirectional beam propagation method, able to describe light propagation in multilayered structures with second-order nonlinearities, is proposed. The developed numerical scheme is then applied for the modeling of second harmonic generation in periodic structures