Dental Disorders and Salivary Changes in Patients with Laryngopharyngeal Reflux

Background: Laryngopharyngeal reflux (LPR) is a common inflammatory condition of the upper aerodigestive tract tissues related to the effects of gastroduodenal content reflux, characterized by a wide variety of clinical manifestations. The aim of our study was to evaluate the possible association between dental disorders and LRP, focusing on the role of salivary changes. Methods: Patient’s dental status was evaluated according to Schiff Index Sensitivity Scale (SISS), Basic Erosive Wear Examination (BEWE) and Decayed, Missing, and Filled Teeth (DMFT) scores. Reflux-associated symptoms were assessed according to Reflux symptom index (RSI). A qualitative and quantitative examination of saliva was performed. Results: Patients suffering from LPR had a higher incidence of dental disorders, regardless the presence of salivary pepsin, and thus, statistically significant higher scores of RSI (p = 0.0001), SISS (p = 0.001), BEWE (p < 0.001) and VAS (p < 0.001). Moreover, they had lower salivary flow compared with healthy patients. Conclusions: The finding of demineralization and dental caries on intraoral evaluation must raise the suspicion of LRP. Reflux treatments should also be aimed at correcting salivary alterations, in order to preserve the buffering capacity and salivary pH, thus preventing mucosal and dental damage.

Numerical investigation of gold plated single-core photonic crystal fiber-based refractive index sensor

Surface plasmon resonance (SPR)-based single-core photonic crystal fiber (PCF) biosensor is investigated with external gold coating. All the geometrical parameters such as a gold layer, an analyte layer, a lattice period and cladding air holes are optimized to enhance the sensing ability of the sensor by introducing the finite element method. The designed sensor is able to achieve the highest amplitude sensitivity (AS) of 2258.95 RIU[Formula: see text] with an acceptable refractive index sensitivity (RIS) of 6000 nm/RIU over the analyte refractive index (ARI) span of 1.31–1.40. This sensor can detect a slight index alteration in the sensing medium using a resolution of [Formula: see text] and a high figure of merit (FOM) of 79.01. With the enhanced modal behavior with simple geometry, the resulting sensor can be suitable for real-time monitoring in biological, biochemical and bio-imaging applications.

Refractive index sensitivity of Au nanostructures in solution and on the substrate

In this work, we present the synthesis and surface immobilization of Au nanostars, Au nanocubes and Au nanorods for localized surface plasmon resonance (LSPR)-based refractometric sensing applications. Au nanostructures exhibiting LSPR peak positions in 500–900 nm spectral range were prepared by seed-mediated synthesis method. The refractive index (RI) sensitivity of all these nanostructures in the colloidal solution were measured and the sample exhibiting highest sensitivity in each category were immobilized on the glass substrate. The surface immobilized nanostructures were investigated for RI sensing. Au nanostars having LSPR peak position at 767 nm exhibited highest RI sensitivity of 484 nm/RIU in solution and 318 nm/RIU on the substrate. This study gives an outline for selecting the Au nanostructures for developing plasmonic sensing platforms.

Maximizing the Surface Sensitivity of LSPR Biosensors through Plasmon Coupling—Interparticle Gap Optimization for Dimers Using Computational Simulations

The bulk and surface refractive index sensitivities of LSPR biosensors, consisting of coupled plasmonic nanosphere and nano-ellipsoid dimers, were investigated by simulations using the boundary element method (BEM). The enhancement factor, defined as the ratio of plasmon extinction peak shift of multi-particle and single-particle arrangements caused by changes in the refractive index of the environment, was used to quantify the effect of coupling on the increased sensitivity of the dimers. The bulk refractive index sensitivity (RIS) was obtained by changing the dielectric medium surrounding the nanoparticles, while the surface sensitivity was modeled by depositing dielectric layers on the nanoparticle in an increasing thickness. The results show that by optimizing the interparticle gaps for a given layer thickness, up to ~80% of the optical response range of the nanoparticles can be utilized by confining the plasmon field between the particles, which translates into an enhancement of ~3–4 times compared to uncoupled, single particles with the same shape and size. The results also show that in these cases, the surface sensitivity enhancement is significantly higher than the bulk RI sensitivity enhancement (e.g., 3.2 times vs. 1.8 times for nanospheres with a 70 nm diameter), and thus the sensors’ response for molecular interactions is higher than their RIS would indicate. These results underline the importance of plasmonic coupling in the optimization of nanoparticle arrangements for biosensor applications. The interparticle gap should be tailored with respect to the size of the used receptor/target molecules to maximize the molecular sensitivity, and the presented methodology can effectively aid the optimization of fabrication technologies.

Dynamically tunable plasmon-induced transparency effect based on graphene metasurfaces

Plasmon-induced transparency (PIT) is theoretically explored with a graphene metamaterial using finite-difference time-domain numerical simulations and coupled-mode-theory theoretical analysis. In this work, the proposed structure is consisted of one rectangular cavity and three strips to generate the PIT phenomenon. The PIT window can be regulated dynamically by adjusting the Fermi level of the graphene. Importantly, the modulation depth of the amplitude can reach 90.4%. The refractive index sensitivity of the PIT window is also investigated, and the simulation result shows that a sensitivity of 1.335 THz/RIU is achieved. Additionally, when the polarization angle of the incident light is changed gradually from 0˚ to 90˚, the performances of the structure are greatly affected. Finally, the proposed structure is particularly enlightening for the design of dynamically tuned terahertz devices.

Diagnostic Performance of RT-PCR-Based Sample Pooling Strategy for the Detection of SARS-CoV-2

Background: The rapid spread of SARS-CoV-2 has created a shortage of supplies of reagents for its detection throughout the world, especially in Latin America. The pooling of samples consists of combining individual patient samples in a block and analyzing the group as a particular sample. This strategy has been shown to reduce the burden of laboratory material and logistical resources by up to 80%. Therefore, we aimed to evaluate the diagnostic performance of the pool of samples analyzed by RT-PCR to detect SARS-CoV-2.Methods: A cross-sectional study of diagnostic tests was carried out. We individually evaluated 420 samples, and 42 clusters were formed, each one with ten samples. These clusters could contain 0, 1 or 2 positive samples to simulate a positivity of 0, 10 and 20%, respectively. RT-PCR analyzed the groups for the detection of SARS-CoV-2. The area under the ROC curve (AUC), the Youden index, the global and subgroup Sensitivity and specificity were calculated according to their Ct values that were classified as high (H: ≤25), moderate (M: 26-30) and low (L: 31-35) concentration of viral RNA.Results: From a total of 42 pools, 41 (97.6%) obtained the same result as the samples they contained (positive or negative). The AUC for pooling, Youden index, sensitivity, and specificity were 0.98 (95% CI, 0.95-1); 0.97 (95% CI, 0.90-1.03); 96.67% (95% CI; 88.58-100%) and 100% (95% CI; 95.83-100%) respectively. In the stratified analysis of the pools containing samples with CT <31, the Sensitivity was 100% (95% CI; 90-100%), while with the pools containing samples with Ct ≥31, the Sensitivity was 80% (95% CI, 34.94% - 100%). Finally, a median greater than 2.32 (IQR: 1.12 - 3.03) in the Ct was observed in the pools concerning the Ct of the individual samples (p <0.001).Conclusions: The strategy of pooling nasopharyngeal swab samples for analysis by SARS-CoV-2 RT-PCR showed high diagnostic performance.

The Study of Midinfrared Extremely Narrow Dual-Band Absorber Based on a Novel Metamaterial Structure

Due to the problems that the metal pattern layer on the top of the traditional metamaterial structure is easy to be oxidized and easy to fall off, in this paper, a novel semiconductor metamaterial nanostructure composed of a periodic array of GaAs-SiO2 cubes and a gold (Au) film has been proposed. Using FDTD solutions software to prove this metamaterial structure can achieve ultranarrow dual-band, nearly perfect absorption with a maximum absorbance of 99% and a full-width at half-maximum (FWHM) value that is less than 20 nm in the midinfrared region. The refractive index sensitivity is demonstrated by changing the background index and analyzing the absorption performance. It had been proved that this absorber has high sensitivity (2000/RIU and 1300/RIU). Using semiconductor material instead of the metal material of the top pattern layer can effectively inhibit the performance failure of the metamaterial structure caused by metal oxidation. The proposed narrow, dual-band metamaterial absorber shows promising prospects in applications such as infrared detection and imaging.

Sensitive Near-Infrared Refractive Index Sensors Based on D-Shaped Photonic Crystal Fibers

We report a numerical study of D-shaped photonic crystal fiber based plasmonic refractive index sensor with high resolution and sensitivity in the near-infrared region. D-shaped photonic crystal fiber is formed by side polishing one part of photonic crystal fiber. It has a polishing surface where plasmonic gold layer is coated to modulate the resonant wavelength and enhance the refractive index sensitivity. Several D-shaped photonic crystal fiber plasmonic sensors with various distances from the photonic crystal fiber’s core to the polishing surface and gold thicknesses are designed and their characteristics are analyzed by the finite element method. The simulation results indicate that distance from the photonic crystal fiber’s core to the polishing surface causes modifications in the loss intensity, the resonant wavelength, and the refractive index sensitivity of D-shaped photonic crystal fiber plasmonic sensor. Mass production of refractive index sensors were achieved using a simple fabrication process, whereby the D-shaped photonic crystal fiber is grinded where distance from the photonic crystal fiber’s core to the polishing surface is less than one layer thickness and then coated with the gold layer. For the refractive index sensing applications, the maxima theoretical resolution and sensitivity of D-shaped photonic crystal fiber plasmonic sensor reach 2.98 × 10 6refractive index unit and 6,140 nm/refractive index unit in range of 1.30–1.37, respectively. We also report an initial fabrication of the D-shaped photonic crystal fiber following the standard stack-and- draw method to demonstrate the feasibility of the proposed device by using our in-house equipments. The proposed D-shaped photonic crystal fiber plasmonic sensor design in this work would be useful for the development of cheap refractive index sensors with high sensitivity and resolution.