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

Fatigue, reduced sleep quality and restless legs syndrome in Charcot-Marie-Tooth disease: a web-based survey

To investigate the prevalence of fatigue, daytime sleepiness, reduced sleep quality, and restless legs syndrome (RLS) in a large cohort of patients with Charcot-Marie-Tooth disease (CMT) and their impact on health-related quality of life (HRQoL). Participants of a web-based survey answered the Epworth Sleepiness Scale, the Pittsburgh Sleep Quality Index, the Multidimensional Fatigue Inventory, and, if the diagnostic criteria of RLS were met, the International RLS Severity Scale. Diagnosis of RLS was affirmed in screen-positive patients by means of a standardized telephone interview. HRQoL was assessed by using the SF-36 questionnaire. Age- and sex-matched control subjects were recruited from waiting relatives of surgical outpatients. 227 adult self-reported CMT patients answered the above questionnaires, 42.9% were male, and 57.1% were female. Age ranged from 18 to 78 years. Compared to controls (n = 234), CMT patients reported significantly higher fatigue, a higher extent and prevalence of daytime sleepiness and worse sleep quality. Prevalence of RLS was 18.1% in CMT patients and 5.6% in controls (p = 0.001). RLS severity was correlated with worse sleep quality and reduced HRQoL. Women with CMT were affected more often and more severely by RLS than male patients. With regard to fatigue, sleep quality, daytime sleepiness, RLS prevalence, RLS severity, and HRQoL, we did not find significant differences between genetically distinct subtypes of CMT. HRQoL is reduced in CMT patients which may be due to fatigue, sleep-related symptoms, and RLS in particular. Since causative treatment for CMT is not available, sleep-related symptoms should be recognized and treated in order to improve quality of life

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

Non-suicidal self-injury, suicide ideation, and past suicide attempts: Comparison between transgender and gender diverse veterans and non-veterans

BACKGROUND: Transgender and gender diverse (TGD) individuals, especially veterans, experience elevated rates of non-suicidal self-injury (NSSI) and suicide related behaviors compared to gender majority individuals. Research has yet to compare TGD veterans to non-veterans or look at correlates of NSSI and related behaviors to suicide related outcomes. This study examines prevalence and suicide related correlates of NSSI among TGD veterans and TGD non-veterans. METHOD: Data analyzed in the were part of the Trans Lifeline Mental Health Survey. Both TGD veterans (N = 313) and non-veterans (N = 3,972) completed an online, cross-sectional survey that included self-report measures of NSSI, suicidal ideation (SI), and suicidal attempt (SA) along with lifetime hospitalization and avoidance of care due to NSSI. RESULTS: Results of this paper indicate that prevalence of NSSI, SI, and SA are elevated in both the TGD veterans and non-veteran subpopulations. Further, veterans compared to non-veterans have a lower prevalence of NSSI but higher prevalence of hospitalization when self-harm is inflicted, reflecting more healthcare utilization or increased severity of NSSI episodes. Additionally, veterans were less likely to avoid care due to NSSI. Further, veteran status seemed to be a protective factor against demographic differences that increased rates of NSSI history in non-veteran TGD individuals. LIMITATIONS: The limitations of this study include its cross-sectional study design, one question assessing SA, and few TGD male veterans. CONCLUSION: NSSI is an important risk factor in future suicide related outcome such as SI and SA. Further, differences in healthcare utilization among TGD veterans and non-veterans are apparent