Integrated optical source of polarization entangled photons at 1310 nm

We report the realization of a new polarization entangled photon-pair source based on a titanium-indiffused waveguide integrated on periodically poled lithium niobate pumped by a CW laser at $655 nm$. The paired photons are emitted at the telecom wavelength of $1310 nm$ within a bandwidth of $0.7 nm$. The quantum properties of the pairs are measured using a two-photon coalescence experiment showing a visibility of 85%. The evaluated source brightness, on the order of $10^5$ pairs $s^{-1} GHz^{-1} mW^{-1}$, associated with its compactness and reliability, demonstrates the source's high potential for long-distance quantum communication.Comment: There is a typing mistake in the previous version in the visibility equation. This mistake doesn't change the result

Analysis of Elliptically Polarized Maximally Entangled States for Bell Inequality Tests

When elliptically polarized maximally entangled states are considered, i.e., states having a non random phase factor between the two bipartite polarization components, the standard settings used for optimal violation of Bell inequalities are no longer adapted. One way to retrieve the maximal amount of violation is to compensate for this phase while keeping the standard Bell inequality analysis settings. We propose in this paper a general theoretical approach that allows determining and adjusting the phase of elliptically polarized maximally entangled states in order to optimize the violation of Bell inequalities. The formalism is also applied to several suggested experimental phase compensation schemes. In order to emphasize the simplicity and relevance of our approach, we also describe an experimental implementation using a standard Soleil-Babinet phase compensator. This device is employed to correct the phase that appears in the maximally entangled state generated from a type-II nonlinear photon-pair source after the photons are created and distributed over fiber channels.Comment: 8 page

Predictors of Successful Decannulation Using a Tracheostomy Retainer in Patients with Prolonged Weaning and Persisting Respiratory Failure

Background: For percutaneously tracheostomized patients with prolonged weaning and persisting respiratory failure, the adequate time point for safe decannulation and switch to noninvasive ventilation is an important clinical issue. Objectives: We aimed to evaluate the usefulness of a tracheostomy retainer (TR) and the predictors of successful decannulation. Methods: We studied 166 of 384 patients with prolonged weaning in whom a TR was inserted into a tracheostoma. Patients were analyzed with regard to successful decannulation and characterized by blood gas values, the duration of previous spontaneous breathing, Simplified Acute Physiology Score (SAPS) and laboratory parameters. Results: In 47 patients (28.3%) recannulation was necessary, mostly due to respiratory decompensation and aspiration. Overall, 80.6% of the patients could be liberated from a tracheostomy with the help of a TR. The need for recannulation was associated with a shorter duration of spontaneous breathing within the last 24/48 h (p < 0.01 each), lower arterial oxygen tension (p = 0.025), greater age (p = 0.025), and a higher creatinine level (p = 0.003) and SAPS (p < 0.001). The risk for recannulation was 9.5% when patients breathed spontaneously for 19-24 h within the 24 h prior to decannulation, but 75.0% when patients breathed for only 0-6 h without ventilatory support (p < 0.001). According to ROC analysis, the SAPS best predicted successful decannulation {[}AUC 0.725 (95% CI: 0.634-0.815), p < 0.001]. Recannulated patients had longer durations of intubation (p = 0.046), tracheostomy (p = 0.003) and hospital stay (p < 0.001). Conclusion: In percutaneously tracheostomized patients with prolonged weaning, the use of a TR seems to facilitate and improve the weaning process considerably. The duration of spontaneous breathing prior to decannulation, age and oxygenation describe the risk for recannulation in these patients. Copyright (c) 2012 S. Karger AG, Base

The use of full-setting non-invasive ventilation in the home care of people with amyotrophic lateral sclerosis-motor neuron disease with end-stage respiratory muscle failure: a case series

<p>Abstract</p> <p>Introduction</p> <p>Little has been written about the use of non-invasive ventilation in the home care of amyotrophic lateral sclerosis-motor neuron disease patients with end-stage respiratory muscle failure. Nocturnal use of non-invasive ventilation has been reported to improve daytime blood gases but continuous non-invasive ventilation dependence has not been studied in this regard. There continues to be great variation by country, economics, physician interest and experience, local concepts of palliation, hospice requirements, and resources available for home care. We report a case series of home-based amyotrophic lateral sclerosis-motor neuron disease patients who refused tracheostomy and advanced non-invasive ventilation to full-setting, while maintaining normal alveolar ventilation and oxygenation in the course of the disease. Since this topic has been presented in only one center in the United States and nowhere else, it is appropriate to demonstrate that this can be done in other countries as well.</p> <p>Case presentation</p> <p>We present here the cases of three Caucasian patients (a 51-year-old Caucasian man, a 45-year-old Caucasian woman and a 57-year-old Caucasian woman) with amyotrophic lateral sclerosis who developed continuous non-invasive ventilation dependence for 15 to 27 months without major complications and were able to maintain normal CO₂and pulse oxyhemoglobin saturation despite a non-measurable vital capacity. All patients were wheelchair-dependent and receiving riluzole 50 mg twice a day. Patient one developed mild-to-moderate bulbar-innervated muscle weakness. He refused tracheostomy but accepted percutaneous gastrostomy. Patient two had two lung infections, acute bronchitis and pneumonia, which were treated with antibiotics and cough assistance at home. Patient three had three chest infections (bronchitis and pneumonias) and asthmatic episodes treated with antibiotics, bronchodilators and cough assistance at home. All patients had normal speech while receiving positive pressure; they died suddenly and with normal oxygen saturation.</p> <p>Conclusions</p> <p>Although warned that prognosis was poor as vital capacity diminished, our patients survived without invasive airway tubes and despite non-measurable vital capacity. No patient opted for tracheostomy. Our patients demonstrate the feasibility of resorting to full-setting non-invasive management to prolong survival, optimizing wellness and management at home, and the chance to die peacefully.</p

Currents issues in cardiorespiratory care of patients with post-polio syndrome

ABSTRACT Post-polio syndrome (PPS) is a condition that affects polio survivors years after recovery from an initial acute attack of the poliomyelitis virus. Most often, polio survivors experience a gradual new weakening in muscles that were previously affected by the polio infection. The actual incidence of cardiovascular diseases (CVDs) in individuals suffering from PPS is not known. However, there is a reason to suspect that individuals with PPS might be at increased risk. Method A search for papers was made in the databases Bireme, Scielo and Pubmed with the following keywords: post polio syndrome, cardiorespiratory and rehabilitation in English, French and Spanish languages. Although we targeted only seek current studies on the topic in question, only the relevant (double-blind, randomized-controlled and consensus articles) were considered. Results and Discussion Certain features of PPS such as generalized fatigue, generalized and specific muscle weakness, joint and/or muscle pain may result in physical inactivity deconditioning obesity and dyslipidemia. Respiratory difficulties are common and may result in hypoxemia. Conclusion Only when evaluated and treated promptly, somE patients can obtain the full benefits of the use of respiratory muscles aids as far as quality of life is concerned

Distribution and abundance of carangid larvae in the southeastern Brazilian Bight during 1975-1981

Distribution and abundance of the carangid larvae collected during ten survey cruises in the southeastern Brazilian Bight were analyzed. Trachurus lathami was the most abundant species in the surveyed area with 58.54 % of total carangids taken, followed by Chloroscombrus chrysurus with 15.22 % and Decapteruspunctatus with 12.17 %. Larvae of T lathami and D. punctatus were found all over the continental shelf while the distribution of C. chrysurus larvae was limited to the coastal region. Most of the species occurred all year-around but remarkably during spring and summer. This intensive spawning period of most carangid species seems to be related to the seasonal variation of the hydrographie structure of the southeastern coast of Brazil.No presente trabalho estudaram-se a distribuição e a abundância de larvas de peixes da família Carangidae da costa sudeste do Brasil, entre Cabo Frio (23ºS) e Cabo de Santa Marta Grande (29ºS). As amostras foram coletadas com rede Bongô (malhagens de 0,505 mm e 0,333mm) em arrastos oblíquos, durante dez cruzeiros oceanográficos com o N/Oc. "Prof.W.Besnard", do Instituto Oceanográfico da USP e com N/Oc. "Cruz dei Sur", da PDP-SUDEPE. Foram identificados cinco táxons ao nível de espécie (Trachurus lathami, Chloroscombrus chrysurus, Decapterus punctatus, Selene setapinnis e Selene vomer), além de quatro ao nível de gênero (Oligoplites, Caranx, Serioia e Trachinotus). A espécie mais abundante foi T lathami (58,44% do total de larvas da família Carangidae), seguida por C. chrysurus (15,22%) e D. punctatus (12,17%). T. lathami e D. punctatus apresentaram distribuição ampla por toda a região nerítica, enquanto que C. chrysurus restringiu-se apenas às regiões mais próximas da costa. As larvas de carangídeos foram encontradas durante todas as épocas do ano, mas na primavera e no verão observou-se a maior abundância, o que caracteriza maior intensidade de desova durante estas estações. Esse período de pico de desova relaciona-se, aparentemente, à variação da estrutura hidrográfica da região

SUR UNE PETITE COLLECTION DE LARVES DE TÉLÉOSTÉENS RÉCOLTÉE AU LARGE DU BRÉSIL (CAMPAGNE « CALYPSO » 1962)

International audienc

SUR UNE PETITE COLLECTION DE LARVES DE TÉLÉOSTÉENS RÉCOLTÉE AU LARGE DU BRÉSIL (CAMPAGNE « CALYPSO » 1962)

International audienc