Jian Ming Li | PubMed Health

PubMed2004

Multispeed rewritable optical-recording method with an initialization-free phase-change disk.

A new method of multispeed rewritable optical recording is presented. An initialization-free phase-change optical disk is proposed as a candidate for multispeed rewritable optical recording. The simulated results of the initialization-free disk at different linear velocities show that the cooling rate increases from approximately 18.69% to 37.96%. A model that combines the crystallization acceleration effect due to the additional layers and the rapid cooling rate due to the initialization-free disk structure is proposed as the physical mechanism of the multispeed recording method with an initialization-free disk. The dynamic optical-recording properties of the initialization-free DVD-RAM disk at different recording speeds shows that the initialization-free phase-change optical-recording disk is compatible with a broad range of recording speeds from 3.49 to 12.21 m/s.

Journal Article↗

PubMed2003

Comparison of automatic and patient-activated arrhythmia recordings by implantable loop recorders in the evaluation of syncope.

The implantable loop recorder (ILR) has become an important tool for evaluating patients with recurrent syncope. Second generation ILRs have the ability to record events either automatically (auto activated) or by manual activation (patient activated). In an attempt to evaluate the relative utility of the auto-activation feature, this study stratified ILR events based on a grading system designed to classify detected arrhythmias in terms of the likelihood that they provide a diagnostic basis for syncope. Data from 50 patients (27 men, mean age 64 +/- 22 years) who underwent ILR implantation for investigation of recurrent syncope were assessed. The arrhythmia syncope grading system used 5 levels, ranging from grade 0 (rhythm recorded during syncope) to grade IV (rhythm unlikely to provide a diagnostic basis for syncope). Thirty-six patients (72%) demonstrated > or =1 auto-activated or patient-activated recording during a follow-up of 14.3 +/- 7.9 months. Of the total of 529 recordings, 223 (194 after auto activation [86.9%]) from 30 patients showed a rhythm abnormality. Auto activation was more effective for documenting arrhythmias that were recorded during syncope or those with highest probability of providing a syncope diagnosis (grade 0 or I arrhythmias: auto activated, 19 patients, patient activated, 3 patients). Times from ILR implantation to first grade 0 and grade I arrhythmias were 13.4 and 7.8 months, respectively. The ILR auto-activation feature proved effective in providing a high probability basis for syncope (196 arrhythmia recordings [87.1%] in 27 patients) and enhanced the diagnostic effectiveness of the device compared with patient activation alone (29 arrhythmia recordings [12.9%] in 6 patients).

Arrhythmias, Cardiac↗