Neonatal sepsis (NS) is an important cause of mortality in newborns and life-threatening disorder in infants. The meta-analysis was performed to investigate the diagnosis value of tumor necrosis factor-α (TNF-α) test in NS. Our collectible studies were searched from PUBMED, EMBASE, and the Cochrane Library between March 1994 and August 2013. Accordingly, 347 studies were collected totally, in which 15 articles and 23 trials were selected to study the NS in our meta-analysis. The TNF-α test showed moderate accuracy of the diagnosis of NS both in early-onset neonatal sepsis (sensitivity = 0.66, specificity = 0.76, Q∗ = 0.74) and in late-onset neonatal sepsis (sensitivity = 0.68, specificity = 0.89, Q∗ = 0.87). We also found the northern hemisphere group in the test has higher sensitivity (0.84) and specificity (0.83). A diagnostic OR analysis found that the study population may be the major reason for the heterogeneity. Accordingly, we suggest that TNF-α is also a valuable marker in the diagnosis of NS.
Neonatal sepsis (NS), a common disorder for humans, is recognized as a leading global public health challenge. This meta-analysis was performed to assess the accuracy of the serum amyloid A (SAA) test for diagnosing NS. The studies that evaluated the SAA test as a diagnotic marker were searched in Pubmed, EMBASE, the Cochrane Library, and Google Network between January 1996 and June 2013. A total of nine studies including 823 neonates were included in our meta-analysis. Quality of each study was evaluated by the quality assessment of diagnostic accuracy studies tool (QUADAS). The SAA test showed moderate accuracy in the diagnosis of NS both at the first suspicion of sepsis and 8–96 h after the sepsis onset, both with Q* = 0.91, which is similar to the PCT and CRP tests for the diagnosis of NS in the same period. Heterogeneity between studies was also explained by cut-off point, SAA assay, and age of included neonates. On the basis of our meta-analysis, therefore, SAA could be promising and meaningful in the diagnosis of NS.
Gain and loss balanced parity-time (PT) inversion symmetry has been achieved across multiple platforms including acoustics, electronics, and photonics. Tunable subwavelength asymmetric transmission based on PT symmetry breaking has attracted great interest. However, due to the diffraction limit, the geometric size of an optical PT symmetric system is much larger than the resonant wavelength, which limits the device miniaturization. Here, we theoretically studied a subwavelength optical PT symmetry breaking nanocircuit based on the similarity between a plasmonic system and an RLC circuit. Firstly, the asymmetric coupling of an input signal is observed by varying the coupling strength and gain-loss ratio between the nanocircuits. Furthermore, a subwavelength modulator is proposed by modulating the gain of the amplified nanocircuit. Notably, the modulation effect near the exceptional point is remarkable. Finally, we introduce a four-level atomic model modified by the Pauli exclusion principle to simulate the nonlinear dynamics of a PT symmetry broken laser. The asymmetric emission of a coherent laser is realized by full-wave simulation with a contrast of about 50. This subwavelength optical nanocircuit with broken PT symmetry is of great significance for realizing directional guided light, modulator and asymmetric-emission laser at subwavelength scales.
Plasmonic nanostructures provide a new way to improve nonlinear optical effects. As a mode of surface plasmons (SP), localized SPs can highly localize and enhance electromagnetic fields within a subwavelength volume. In this work, we developed a one-dimensional V-groove Ag nanograting. Through simulation, we realized triple-resonance enhanced four-wave mixing (FWM), in which both the excitation and signal waves are in resonance with LSPRs modified by propagating SPs, and can perfectly overlap with each other in each single nanogroove. Compared with that from a flat Ag plate, the FWM enhancement factor can be over six orders of magnitude. Next, we filled the Ag V-groove with nonlinear polymer 2-methoxy-5-(2-ethylhexyloxy)-1,4-phenylenevinylene and further improved the enhancement factor to eight orders of magnitude, together with a conversion efficiency of 1.02 × 10 − 2 . Finally, by changing the water filling ratio, the FWM signal is tuned over 180 nm, while keeping the enhancement factor over seven orders of magnitude.
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