Port wine stains (PWS) are the most common vascular malformation of the skin, occurring in 0.3% to 0.5% of the population. Noninvasive laser irradiation with flashlamp-pumped pulsed dye lasers (selective photothermolysis) currently comprises the gold standard treatment of PWS; however, the majority of PWS fail to clear completely after selective photothermolysis. In this review, the clinically used PWS treatment modalities (pulsed dye lasers, alexandrite lasers, neodymium:yttrium-aluminum-garnet lasers, and intense pulsed light) and techniques (combination approaches, multiple passes, and epidermal cooling) are discussed. Retrospective analysis of clinical studies published between 1990 and 2011 was performed to determine therapeutic efficacies for each clinically used modality/technique. In addition, factors that have resulted in the high degree of therapeutic recalcitrance are identified, and emerging experimental treatment strategies are addressed, including the use of photodynamic therapy, immunomodulators, angiogenesis inhibitors, hypobaric pressure, and site-specific pharmaco-laser therapy.
The most common method to generate optic cavitation involves the focusing of short-pulsed lasers in a transparent liquid media. In this work, we review a novel method of optic cavitation that uses low power CW lasers incident in highly absorbing liquids. This novel method of cavitation is called thermocavitation. Light absorbed heats up the liquid beyond its boiling temperature (spinodal limit) in a time span of microseconds to milliseconds (depending on the optical intensity). Once the liquid is heated up to its spinodal limit (∼300 °C for pure water), the superheated water becomes unstable to random density fluctuations and an explosive phase transition to vapor takes place producing a fast-expanding vapor bubble. Eventually, the bubble collapses emitting a strong shock-wave. The bubble is always attached to the surface taking a semi-spherical shape, in contrast to that produced by pulsed lasers in transparent liquids, where the bubble is produced at the focal point. Using high speed video (105 frames/s), we study the bubble’s dynamic behavior. Finally, we show that heat diffusion determines the water superheated volume and, therefore, the amplitude of the shock wave. A full experimental characterization of thermocavitation is described.
These findings demonstrate that cartilage can be reshaped through the process we have described as "electroforming" by generating intrinsic differences in charge separation with negligible heat production.
Sprayed areas and heat extraction efficiencies produced by current commercial nozzles may be significantly modified by varying the distance between the nozzle and the sprayed surface.
Splashing is a phenomenon often observed during liquid droplet impact onto a solid surface. The threshold of splashing is known to be related to droplet size, impact velocity, and physical properties of the liquid, but the mechanisms that initiate splashing are not understood completely. In accordance with the Kelvin-Helmholtz (K-H) instability analysis, recent studies have shown that ambient gas density has a significant effect on the threshold and trajectory of splashing. In this study, the effects of droplet velocity, impact angle, and ambient gas pressure (or density) on the threshold of splashing and the motion of the ambient gas surrounding the droplet were examined. Experimental observations of splashing were carried out with a droplet of 1.7 mm in diameter, while varying droplet velocity, impact angle, and ambient pressure. An empirical correlation was derived using our and other published data to determine the threshold of splashing based on the aforementioned parameters. Also, a numerical simulation using the volume of fluid method was carried out to calculate the gas velocities surrounding the droplet during impact. The results of this model gave supportive evidence that K-H instability is a suitable instability theory that helps explain the splash phenomenon with consideration of the gas motion surrounding the droplet.
Although epidermal melanin content has been quantified non-invasively using visible reflectance spectroscopy (VRS), there is currently no way to determine melanin distribution in the epidermis. We have developed a photoacoustic probe that uses a Q-switched, frequency-doubled Nd:YAG (neodymium, yttrium, aluminum, garnet) laser operating at 532 nm to generate acoustic pulses in skin in vivo. The probe contained a piezoelectric element that detected photoacoustic waves that were then analyzed for epidermal melanin content using a photoacoustic melanin index (PAMI). Melanin content was compared between results of photoacoustics and VRS. Spectra from human skin were fitted to a model based on diffusion theory that included parameters for epidermal thickness, melanin content, hair color and density, and dermal blood content. Ten human subjects with skin phototypes I-VI were tested using the photoacoustic probe and VRS. A plot of PAMI v. VRS showed a good linear fit with r2=0.85. Photoacoustic and VRS measurements are shown for a human subject with vitiligo, indicating that melanin was almost completely absent. We present preliminary modeling for photoacoustic probe design and analysis necessary for depth profiling of epidermal melanin.
Welding of ceramics is a key missing component in modern manufacturing. Current methods cannot join ceramics in proximity to temperature-sensitive materials like polymers and electronic components. We introduce an ultrafast pulsed laser welding approach that relies on focusing light on interfaces to ensure an optical interaction volume in ceramics to stimulate nonlinear absorption processes, causing localized melting rather than ablation. The key is the interplay between linear and nonlinear optical properties and laser energy–material coupling. The welded ceramic assemblies hold high vacuum and have shear strengths comparable to metal-to-ceramic diffusion bonds. Laser welding can make ceramics integral components in devices for harsh environments as well as in optoelectronic and/or electronic packages needing visible-radio frequency transparency.
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