Site-Selective Spectroscopy And Crystal-Field Analysis For Nd3+ In Strontium Fluorovanadate

Site‐selective spectroscopy reveals that Nd3+ ions occupy more than 40 different crystal‐field environments in Sr5(VO4)3F. Preferential energy transfer to the site responsible for 1 μm lasing occurs but becomes less complete with increasing temperature. The 4I and 4F3/2 Stark levels of the lasing site have been determined and an analysis of the crystal field performed. From the crystal‐field fitting parameters Bkq, a calculated energy‐level spectrum is determined up to 17 500 cm−1 with a rms deviation from the available experimental levels of 6 cm−1

Spectroscopic Characteristics Of Nd3+-Doped Strontium Fluorovanadate And Their Relationship To Laser Performance

High slope efficiency and low threshold laser performance have been achieved for both long pulsed and cw operation at 1.065 μm in Nd3+‐doped strontium fluorovanadate crystal, Nd3+:Sr5(VO4)3F, when pumped by narrow band pulsed Cr:LiSAF and cw Ti:sapphire lasers. However, there are inequivalent Nd3+ sites in the crystal. The absorption of Nd3+ ions in secondary sites, sites other than the site which contributes to lasing, may reduce the pumping efficiency and, consequently, the lasing efficiency. Strong concentration quenching of the Nd3+ 4F3/2 state was also observed reducing the quantum efficiency of the laser transition from this state

Aorto-ventricular tunnel

Aorto-ventricular tunnel is a congenital, extracardiac channel which connects the ascending aorta above the sinutubular junction to the cavity of the left, or (less commonly) right ventricle. The exact incidence is unknown, estimates ranging from 0.5% of fetal cardiac malformations to less than 0.1% of congenitally malformed hearts in clinico-pathological series. Approximately 130 cases have been reported in the literature, about twice as many cases in males as in females. Associated defects, usually involving the proximal coronary arteries, or the aortic or pulmonary valves, are present in nearly half the cases. Occasional patients present with an asymptomatic heart murmur and cardiac enlargement, but most suffer heart failure in the first year of life. The etiology of aorto-ventricular tunnel is uncertain. It appears to result from a combination of maldevelopment of the cushions which give rise to the pulmonary and aortic roots, and abnormal separation of these structures. Echocardiography is the diagnostic investigation of choice. Antenatal diagnosis by fetal echocardiography is reliable after 18 weeks gestation. Aorto-ventricular tunnel must be distinguished from other lesions which cause rapid run-off of blood from the aorta and produce cardiac failure. Optimal management of symptomatic aorto-ventricular tunnel consists of diagnosis by echocardiography, complimented with cardiac catheterization as needed to elucidate coronary arterial origins or associated defects, and prompt surgical repair. Observation of the exceedingly rare, asymptomatic patient with a small tunnel may be justified by occasional spontaneous closure. All patients require life-long follow-up for recurrence of the tunnel, aortic valve incompetence, left ventricular function, and aneurysmal enlargement of the ascending aorta

Appropriateness of Coronary Artery Bypass Graft Surgery Performed in Northern New England

ObjectivesThe goal of this study was to assess the concordance between the American College of Cardiology (ACC) and the American Heart Association (AHA) 2004 Guideline Update for Coronary Artery Bypass Graft Surgery and actual clinical practice.BackgroundThere is substantial geographic variability in the population-based rates of coronary artery bypass graft (CABG) procedures, and in recent years, there have been several public concerns about unnecessary cardiac care. The actual rate of inappropriate cardiac procedures is unknown.MethodsWe evaluated 4,684 consecutive isolated coronary artery bypass graft procedures performed in 2004 and 2005 in northern New England. Our regional registry data were used to categorize patients into clinical subgroups. Detailed clinical criteria were then used to categorize procedures within these subgroups as class I (useful and effective), class IIa (evidence favors usefulness), class IIb (evidence less well established), and class III (not useful or effective).ResultsAmong these 4,684 procedures, we were able to classify 99.6% (n = 4,665). The majority of procedures were class I (87.7%). Class II procedures totaled 10.9%. The remaining 1.4% of procedures were class III.ConclusionsIn this regional study, we found that 98.6% of CABG procedures that could be classified were considered to be appropriate. In these data, actual clinical practice closely follows the recommendations of the 2004 ACC/AHA guidelines for CABG surgery