Dispersion engineering of highly nonlinear chalcogenide suspended-core fibers

Chalcogenide optical fibers are currently undergoing intensive investigation with the aim of exploiting the excellent glass transmission and nonlinear characteristics in the near- and mid-infrared for several applications. Further enhancement of these properties can be obtained, for a particular application, with optical fibers specifically designed that are capable of providing low effective area together with a properly tailored dispersion, matching the characteristics of the laser sources used to excite nonlinear effects. Suspended-core photonic crystal fibers are ideal candidates for nonlinear applications, providing small-core waveguides with large index contrast and tunable dispersion. In this paper, the dispersion properties of As2S3 suspended-core fibers are numerically analyzed, taking into account, for the first time, all the structural parameters, including the size and the number of the glass bridges. The results show that a proper design of the cladding struts can be exploited to significantly change the fiber properties, altering the maximum value of the dispersion parameter and shifting the zero-dispersion wavelengths over a range of 400 nm

Inner cladding influence on large mode area photonic crystal fiber properties under severe heat load

International audienceThe influence of the size and the air-filling fraction of the inner microstructure on the first HOM confinement in Yb-doped LMA PCFs under different heat load values has been investigated with a full-vector modal solver based on the finite element method, used also to solve the steady-state heat equation. In particular, the air-cladding inner dimension and the air-hole diameter in Symmetry-Free PCFs and Large Pitch Fibers have been modified in order to study which conditions facilitate the coupling between HOM and cladding modes, thus improving the delocalization of the former and making the fiber single-mode behavior more robust

Effect of Adjunct Metformin Treatment in Patients with Type-1 Diabetes and Persistent Inadequate Glycaemic Control. A Randomized Study

Despite intensive insulin treatment, many patients with type-1 diabetes (T1DM) have longstanding inadequate glycaemic control. Metformin is an oral hypoglycaemic agent that improves insulin action in patients with type-2 diabetes. We investigated the effect of a one-year treatment with metformin versus placebo in patients with T1DM and persistent poor glycaemic control.One hundred patients with T1DM, preserved hypoglycaemic awareness and HaemoglobinA(1c) (HbA(1c)) > or = 8.5% during the year before enrolment entered a one-month run-in on placebo treatment. Thereafter, patients were randomized (baseline) to treatment with either metformin (1 g twice daily) or placebo for 12 months (double-masked). Patients continued ongoing insulin therapy and their usual outpatient clinical care. The primary outcome measure was change in HbA(1c) after one year of treatment. At enrolment, mean (standard deviation) HbA(1c) was 9.48% (0.99) for the metformin group (n = 49) and 9.60% (0.86) for the placebo group (n = 51). Mean (95% confidence interval) baseline-adjusted differences after 12 months with metformin (n = 48) versus placebo (n = 50) were: HbA(1c), 0.13% (-0.19; 0.44), p = 0.422; Total daily insulin dose, -5.7 U/day (-8.6; -2.9), p<0.001; body weight, -1.74 kg (-3.32; -0.17), p = 0.030. Minor and overall major hypoglycaemia was not significantly different between treatments. Treatments were well tolerated.In patients with poorly controlled T1DM, adjunct metformin therapy did not provide any improvement of glycaemic control after one year. Nevertheless, adjunct metformin treatment was associated with sustained reductions of insulin dose and body weight. Further investigations into the potential cardiovascular-protective effects of metformin therapy in patients with T1DM are warranted.ClinicalTrials.gov NCT00118937

Do decision support systems influence variation in prescription?

<p>Abstract</p> <p>Background</p> <p>Translating scientific evidence into daily practice is problematic. All kinds of intervention strategies, using educational and/or directive strategies, aimed at modifying behavior, have evolved, but have been found only partially successful. In this article the focus is on (computerized) decision support systems (DSSs). DSSs intervene in physicians' daily routine, as opposed to interventions that aim at influencing knowledge in order to change behavior. We examined whether general practitioners (GPs) are prescribing in accordance with the advice given by the DSS and whether there is less variation in prescription when the DSS is used.</p> <p>Methods</p> <p>Data were used from the Second Dutch National Survey of General Practice (DNSGP2), collected in 2001. A total of 82 diagnoses, 749811 contacts, 133 physicians, and 85 practices was included in the analyses. GPs using the DSS daily were compared to GPs who do not use the DSS. Multilevel analyses were used to analyse the data. Two outcome measures were chosen: whether prescription was in accordance with the advice of the DSS or not, and a measure of concentration, the Herfindahl-Hirschman Index (HHI).</p> <p>Results</p> <p>GPs who use the DSS daily prescribe more according to the advice given in the DSS than GPs who do not use the DSS. Contradictory to our expectation there was no significant difference between the HHIs for both groups: variation in prescription was comparable.</p> <p>Conclusion</p> <p>We studied the use of a DSS for drug prescribing in general practice in the Netherlands. The DSS is based on guidelines developed by the Dutch College of General Practitioners and implemented in the Electronic Medical Systems of the GPs. GPs using the DSS more often prescribe in accordance with the advice given in the DSS compared to GPs not using the DSS. This finding, however, did not mean that variation is lower; variation is the same for GPs using and for GPs not using a DSS. Implications of the study are that DSSs can be used to implement guidelines, but that it should not be expected that variation is limited.</p

Modeling thermo-optic effect in large mode area double cladding photonic crystal fibers

The impact of thermally-induced refractive index changes on the single-mode (SM) properties of large mode area (LMA) photonic crystal fibers are thoroughly investigated by means of a full-vector modal solver with integrated thermal model. Three photonic crystal fiber designs are taken into account, namely the 19-cell core fiber, the large-pitch fiber (LPF) and the distributed modal filtering (DMF) fiber, to assess the effects of the interplay between thermal effects and the high-order mode (HOM) suppression mechanisms exploited in order to obtain effectively SM guiding. The results have shown significant differences in the way the SM regime is changed by the increase of heat load, providing useful hints for the design of LMA fibers for high power lasers

Fitting ideals of class groups in Carlitz–Hayes cyclotomic extensions

We generalize some results of Greither and Popescu to a geometric Galois cover X→Y which appears naturally for example in extensions generated by pn-torsion points of a rank 1 normalized Drinfeld module (i.e. in subextensions of Carlitz–Hayes cyclotomic extensions of global fields of positive characteristic). We obtain a description of the Fitting ideal of class groups (or of their dual) via a formula involving Stickelberger elements and providing a link (similar to the one in [1]) with Goss ζ-function

Symmetry-free Tm-doped photonic crystal fiber with enhanced mode area

Thulium-doped fiber lasers have recently attracted a growing interest because of the possibility to combine emission around 2 $\mu$m with the high beam quality and compactness provided by the fiber medium. A key factor for power scaling of these devices, especially if operation in the short-and ultrashort-pulse regime is desired, is the availability of active fibers capable of joining large effective area and robust single-mode guiding. The strong thermo-optic effect originating from the large quantum defect of Tm ions hinders the possibility to easily find a design with such features, strongly improving the confinement of high-order modes and shrinking the mode area of the fundamental one. In this paper, a rod-type double-cladding photonic crystal fiber with inner cladding properly designed without any mirror symmetry in the cross-section is presented, and its guiding properties are thoroughly analyzed by means of numerical simulations, taking into account the effects of thermally-induced refractive index change. The results have shown that, with a careful choice of the structural parameters, the proposed fiber is capable of ensuring effective high-order mode suppression and effective area up to 3800 2 when operating under heat load of about 300 W/m