This observation may help to explain the excessive response often seen during gonadotrophin administration in women with PCOS. We believe that a quantification study of the vascular flow, including the VI, FI, and VFI of the entire ovarian stroma using 3D power Doppler, is more accurate than the previously reported quantification analysis using 2D imaging, and may be a new parameter to assist in the ultrasound diagnosis of PCOS.
Metasurface operating in the transmission scheme has shown a promising scenario for flat optics applications. Nevertheless, the inherently low working efficiency of transmissive plasmonic metasurfaces at optical frequencies severely hinders them from future technology development. This work reports on a hybrid plasmonic meta‐atom (HPMA) with a simple fabrication and cost‐effective single‐lithographic process featuring a toroidal‐assisted generalized Huygens’ source with a state‐of‐the‐art circular polarization conversion efficiency beyond 50%. The HPMA representsa new upper limit for transmission efficiency in the near‐infrared. The high transmission is realized via balanced multipoles of different orders including toroidal dipole that satisfies the generalized Kerker condition. The introduction of toroidal dipole provides an additional degree of freedom to tailor the wave interference and radiation symmetry rather than the use of a conventional electric and magnetic multipolar coupling. In addition, two high‐performance metasurfaces by combining the HPMAs with the geometric phase method are highlighted. The highly‐transmissive beam deflection metasurface and plasmonic metalens respectively yield anomalous refraction with 38.2% optical efficiency and 46.56% focusing efficiency, both experimentally showing a record transmission level. The findings may open new ways to design highly‐efficient plasmonic metasurfaces and to take one step forward to facilitate nearly optimal and practical nanophotonic devices.
Successful pregnancy in a patient with congenital cervical atresia is a great challenge for assisted reproductive techniques and reproductive medicine. We report a case of successful pregnancy by transmyometrial and transtubal embryo transfer simultaneously after in-vitro fertilization (IVF) in a 33 year-old patient with congenital cervical atresia diagnosed at the age of 18 years. The patient had experienced cyclic abdominal pain and amenorrhoea since she was 13 years old. She had had two unsuccessful attempts to create a new uterovaginal canal in another hospital. At the age of 32 years, she was referred to our unit and had a successful pregnancy after transmyometrial and transtubal embryo transfer. Caesarean section was performed at 36 weeks gestation due to progressive pre-eclampsia and gestational diabetes. A healthy male baby weighing 2812 g was safely delivered. Uterovaginal canalization with amniotic membrane for the covering of the neo-endocervical wall was performed during Caesarean section. Normal menstrual outflow and symptomatic relief have continued for 5 months after the operation. To the best of our knowledge, this is the first reported case of successful pregnancy by transmyometrial and transtubal embryo transfer as well as uterovaginal canalization performed during Caesarean section in a patient with congenital cervical atresia.
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