Conversion of supraventricular arrhythmias to sinus rhythm using flecainide

We evaluated the efficacy of flecainide acetate (given intravenously to a maximal dose of2 mg kg−1 and then orally in a dose of 100 mg b.d. or 100 mg t.d.s.) in the conversion to sinus rhythm of 50 patients exhibiting supraventricular arrhythmias (39 with atrial fibrillation, 6 with atrial flutter, 4 with supraventricu tachycardia and onewith supraventricular tachycardia in association with the Wolff—Parkinson—White syndrome). Conversion was achieved in 36 patients (72%) (29 cases with atrial fibrillation, 4 cases with supraventricular tachycardia, 2 cases with atrial flutter and one case with Wolff—Parkinson-White syndrome), over a mean period of 7.4 ± 9 h. The patients in which conversion was achieved had arrhythmias which had been in existence for a shorter time (5.3 ± 9.8 days) than those in which conversion was not achieved (16.7 ± 26.2 days) (P<0.01). The mean dosage of flecainide used to achieve conversion was 2.5 ± 2.36 mg kg−1. Flecainide appears to be an effective agent for the conversion to sinus rhythm of atrial fibrillation and supraventricular tachycardias. Its efficacy in cases of atrial flutter has not yet been demonstrate

X wave radiator implemented with 3D printed metamaterials

A radiator is presented, capable of generating paraxial X waves over a 50% fractional bandwidth (7.5 − 12.5 GHz) in its radiative near field. X waves are localized pulses formed by the superposition of Bessel beams with a common cone angle. Quasiconformal transformation optics, a 2D variant of transformation optics, is employed to find the inhomogeneous, isotropic dielectric constant profile needed to convert the radiation of a monopole into a paraxial Bessel beam. An impedance matching layer is applied to reduce reflections at the air-dielectric interface of the device. The transformation and impedance matching regions are implemented using rotationally symmetric metamaterial unit cells that yield a spatially varying effective dielectric constant. The resulting design is fabricated through 3D printing, by combining parts made from three low-loss dielectric filaments. The device is experimentally measured, and shows good agreement with simulations. Its ability to generate paraxial X waves when excited by a broadband pulse is verified

Material Modelling of Short Fiber Reinforced Thermoplastic for the FEA of a Clinching Test

In modern car body construction, multi-material and hybrid design is used, whereby short fibre reinforced plastics combined with light metals represent an interesting class of work-piece materials. In order to realize modern hybrid construction, suitable joining techniques are therefore required. Clinching represents a cost-effective and easy to implement joining method. In this paper the material modelling of the short fibre reinforced thermoplastic sheets considering the fibre orientation tensor for the FEA of the clinching process is presented

A spherical perfect lens

It has been recently proved that a slab of negative refractive index material acts as a perfect lens in that it makes accessible the sub-wavelength image information contained in the evanescent modes of a source. Here we elaborate on perfect lens solutions to spherical shells of negative refractive material where magnification of the near-field images becomes possible. The negative refractive materials then need to be spatially dispersive with $\epsilon(r) \sim 1/r$ and $\mu(r)\sim 1/r$. We concentrate on lens-like solutions for the extreme near-field limit. Then the conditions for the TM and TE polarized modes become independent of $\mu$ and $\epsilon$ respectively.Comment: Revtex4, 9 pages, 2 figures (eps

Prevention of coronary restenosis by stenting

Balloon angioplasty fails to provide acceptable long-term results for a significant proportion of patients. An intravascular mechanical support, developed with the aim of preventing restenosis and acute closure of diseased arteries after transluminal angioplasty, was implanted in 44 patients (39 male and five female), aged from 35 to 70 years (mean 56 years) with documented restenosis of native coronary artery (41 stents) and bypass grafts (12 stents). In the group of bypass graft patients there was no local restenosis and no major complication. In patients in whom stents were placed in native coronary arteries, the complication rate was higher (two patients died after coronary bypass surgery). One patient died suddenly at home. Except for one patient, in whom a new lesion developed proximally with extension into the stent, no case of restenosis could be observed. Despite the still relatively high complication rate, we feel that stenting may present a rational approach to the unresolved problem of restenosis after coronary angioplast

Conversion of supraventricular arrhythmias to sinus rhythm using flecainide

We evaluated the efficacy of flecainide acetate (given intravenously to a maximal dose of 2 mg kg-1 and then orally in a dose of 100 mg b.d. or 100 mg t.d.s.) in the conversion to sinus rhythm of 50 patients exhibiting supraventricular arrhythmias (39 with atrial fibrillation, 6 with atrial flutter, 4 with supraventricular tachycardia and one with supraventricular tachycardia in association with the Wolff-Parkinson-White syndrome). Conversion was achieved in 36 patients (72%) (29 cases with atrial fibrillation, 4 cases with supraventricular tachycardia, 2 cases with atrial flutter and one case with Wolff-Parkinson-White syndrome), over a mean period of 7.4 +/- 9 h. The patients in which conversion was achieved had arrhythmias which had been in existence for a shorter time (5.3 +/- 9.8 days) than those in which conversion was not achieved (16.7 +/- 26.2 days) (P less than 0.01). The mean dosage of flecainide used to achieve conversion was 2.5 +/- 2.36 mg kg-1. Flecainide appears to be an effective agent for the conversion to sinus rhythm of atrial fibrillation and supraventricular tachycardias. Its efficacy in cases of atrial flutter has not yet been demonstrated

Electrical control over single hole spins in nanowire quantum dots

Single electron spins in semiconductor quantum dots (QDs) are a versatile platform for quantum information processing, however controlling decoherence remains a considerable challenge. Recently, hole spins have emerged as a promising alternative. Holes in III-V semiconductors have unique properties, such as strong spin-orbit interaction and weak coupling to nuclear spins, and therefore have potential for enhanced spin control and longer coherence times. Weaker hyperfine interaction has already been reported in self-assembled quantum dots using quantum optics techniques. However, challenging fabrication has so far kept the promise of hole-spin-based electronic devices out of reach in conventional III-V heterostructures. Here, we report gate-tuneable hole quantum dots formed in InSb nanowires. Using these devices we demonstrate Pauli spin blockade and electrical control of single hole spins. The devices are fully tuneable between hole and electron QDs, enabling direct comparison between the hyperfine interaction strengths, g-factors and spin blockade anisotropies in the two regimes

Near-field examination of perovskite-based superlenses and superlens-enhanced probe-object coupling

A planar slab of negative index material works as a superlens with sub-diffraction-limited imaging resolution, since propagating waves are focused and, moreover, evanescent waves are reconstructed in the image plane. Here, we demonstrate a superlens for electric evanescent fields with low losses using perovskites in the mid-infrared regime. The combination of near-field microscopy with a tunable free-electron laser allows us to address precisely the polariton modes, which are critical for super-resolution imaging. We spectrally study the lateral and vertical distributions of evanescent waves around the image plane of such a lens, and achieve imaging resolution of wavelength/14 at the superlensing wavelength. Interestingly, at certain distances between the probe and sample surface, we observe a maximum of these evanescent fields. Comparisons with numerical simulations indicate that this maximum originates from an enhanced coupling between probe and object, which might be applicable for multifunctional circuits, infrared spectroscopy, and thermal sensors.Comment: 20 pages, 6 figures, published as open access article in Nature Communications (see http://www.nature.com/ncomms/