Pulsed Frequency Shifted Feedback Laser for Accurate Long Distance Measurements: Beat Order Determination

Long-distance measurements (10 m - 1000 m) with an accuracy of 10-7 is a challenge for many applications. We show that it is achievable with Frequency Shifted Feedback (FSF) laser interferometry technique, provided that the determination of the radio frequency beat order be made without ambiguity and on a time scale compatible with atmospheric applications. Using the pulsed-FSF laser that we developed for laser guide star application, we propose and test, up to 240 m, a simple method for measuring the beat order in real time. The moving-comb and Yatsenko models are also discussed. The first of these models fails to interpret our long-distance interferometry results. We show that the accuracy of long-distance measurements depends primarily on the stabilization of the acoustic frequency of the modulator

The French version of the HSCL-25 has now been validated for use in primary care

Background The Hopkins Symptom Checklist in 25 items (HSCL-25) helps to assess anxiety and depression in Primary Care. Anxiety and depression show considerable overlap in primary care. This self-administrated questionnaire is valid, reliable and ergonomic in the original US version. We have translated it into French. The aim of this study was to estimate the test characteristics of the HSCL-25, in its French version (F-HSCL-25), by comparing it to the Present State Examination-9 French version (F-PSE-9) and by determining its internal validity and dimensions. Method Outpatients from three French General Practice settings (rural, semi-rural and urban) were recruited: approximately 20,000 outpatients among 17 GPs. Two groups were formed: F-HSCL-25 ≥1.75 and F-HSCL-25 1.75 was considered to indicate a clinically relevant level of symptoms of depression and anxiety. In order to obtain two balanced groups, a different method of randomization was chosen for each group. The F-PSE-9 was randomly administered to 1 in 2 patients in the F-HSCL-25 ≥1.75 group, and to 1 in 16 in the (much larger) F-HSCL-25 <1.75 group. The diagnostic performance was assessed and the test results obtained from both groups were compared with their F-PSE-9 results. Results Of the 1126 patients who completed the F-HCL-25, 886 joined the F-HSCL-25 <1.75 group and 240 the F-HSCL-25 ≥1.75 group. The overall prevalence of depression, using the F-HSCL-25, was 21% in these medical practices. The diagnostic performance of the F-HSCL-25 versus the F-PSE-9, the external criteria were as follows: Positive Predictive Value (PPV) 69.8%, Negative Predictive Value (NPV) 87%; Sensitivity 59.1%, and Specificity 91.4%. The Principal Component Analysis showed that F-HSCL-25 is a one-dimensional tool (anxiety and depression dimensions combined) with a Cronbach Alpha of 0.93. Conclusion The F-HSCL-25 is an appropriate diagnostic tool for anxiety and depression in primary care in France due to its high specificity and high NPV. The HSCL-25 scale has a high eigenvalue. This pilot study will be extended throughout Europe; however, preliminary evidence suggests that the HSCL-25 is a reliable and suitable diagnostic tool for primary care

Rotating Odd-Parity Lorentz Invariance Test in Electrodynamics

We report the first operation of a rotating odd-parity Lorentz Invariance test in electrodynamics using a microwave Mach-Zehnder interferometer with permeable material in one arm. The experiment sets a direct bound to $\kappa_{tr}$ of $-0.3\pm 3\times10^{-7}$. Using new power recycled waveguide interferometer techniques (with the highest spectral resolution ever achieved of $2\times10^{-11} rad/\sqrt{Hz}$) we show an improvement of several orders of magnitude is attainable in the future

The Fourth Positive System of Carbon Monoxide in the Hubble Space Telescope Spectra of Comets

The rich structure of the Fourth Positive System (A-X) of carbon monoxide accounts for many of the spectral features seen in long slit HST-STIS observations of comets 153P/Ikeya-Zhang, C/2001 Q4 (NEAT), and C/2000 WM1 (LINEAR), as well as in the HST-GHRS spectrum of comet C/1996 B2 Hyakutake. A detailed CO fluorescence model is developed to derive the CO abundances in these comets by simultaneously fitting all of the observed A-X bands. The model includes the latest values for the oscillator strengths and state parameters, and accounts for optical depth effects due to line overlap and self-absorption. The model fits yield radial profiles of CO column density that are consistent with a predominantly native source for all the comets observed by STIS. The derived CO abundances relative to water in these comets span a wide range, from 0.44% for C/2000 WM1 (LINEAR), 7.2% for 153P/Ikeya-Zhang, 8.8% for C/2001 Q4 (NEAT) to 20.9% for C/1996 B2 (Hyakutake). The subtraction of the CO spectral features using this model leads to the first identification of a molecular hydrogen line pumped by solar HI Lyman-beta longward of 1200A in the spectrum of comet 153P/Ikeya-Zhang. (Abridged)Comment: 12 pages, 11 figures, ApJ accepte

Say it in Croatian - Croatian translation of the EGPRN definition of Multimorbidity using a Delphi consensus technique

Patients coming to their family physician (FP) usually have more than one condition or problem. Multimorbidity as well as dealing with it, is challenging for FPs even as a mere concept. The World Health Organization (WHO) has simply defined multimorbidity as two or more chronic conditions existing in one patient. However, this definition seems inadequate for a holistic approach to patient care within Family Medicine. Using systematic literature review the European General Practitioners Research Network (EGPRN) developed a comprehensive definition of multimorbidity. For practical and wider use, this definition had to be translated into other languages, including Croatian. Here presented is the Croatian translation of this comprehensive definition using a Delphi consensus procedure for Forward/Backward translation. 23 expert FPs fluent in English were asked to rank the translation from 1 (absolutely disagreeable) to 9 (fully agreeable) and to explain each score under 7. It was previously defined that consensus would be reached when 70 % of the scores are above 6. Finally, a backward translation from Croatian into English was undertaken and approved by the authors of the English definition. Consensus was reached after the first Delphi round with 100% of the scores above 6; therefore the Croatian translation was immediately accepted. The authors of the English definition accepted the backward translation. A comprehensive definition of multimorbidity is now available in English and Croatian, as well as other European languages which will surely make further implications for clinicians, researchers or policy makers

Nine forward–backward translations of the Hopkins symptom checklist-25 with cultural checks

Introduction: The Hopkins Symptom Checklist-25 (HSCL-25) is an effective, reliable, and ergonomic tool that can be used for depression diagnosis and monitoring in daily practice. To allow its broad use by family practice physicians (FPs), it was translated from English into nine European languages (Greek, Polish, Bulgarian, Croatian, Catalan, Galician, Spanish, Italian, and French) and the translation homogeneity was confirmed. This study describes this process. Methods: First, two translators (an academic translator and an FP researcher) were recruited for the forward translation (FT). A panel of English-speaking FPs that included at least 15 experts (researchers, teachers, and practitioners) was organized in each country to finalize the FT using a Delphi procedure. Results: One or two Delphi procedure rounds were sufficient for each translation. Then, a different translator, who did not know the original version of the HSCL-25, performed a backward translation in English. An expert panel of linguists compared the two English versions. Differences were listed and a multicultural consensus group determined whether they were due to linguistic problems or to cultural differences. All versions underwent cultural check. Conclusion: All nine translations were finalized without altering the original meaning

Methods Used in Economic Evaluations of Chronic Kidney Disease Testing — A Systematic Review

Background: The prevalence of chronic kidney disease (CKD) is high in general populations around the world. Targeted testing and screening for CKD are often conducted to help identify individuals that may benefit from treatment to ameliorate or prevent their disease progression. Aims: This systematic review examines the methods used in economic evaluations of testing and screening in CKD, with a particular focus on whether test accuracy has been considered, and how analysis has incorporated issues that may be important to the patient, such as the impact of testing on quality of life and the costs they incur. Methods: Articles that described model-based economic evaluations of patient testing interventions focused on CKD were identified through the searching of electronic databases and the hand searching of the bibliographies of the included studies. Results: The initial electronic searches identified 2,671 papers of which 21 were included in the final review. Eighteen studies focused on proteinuria, three evaluated glomerular filtration rate testing and one included both tests. The full impact of inaccurate test results was frequently not considered in economic evaluations in this setting as a societal perspective was rarely adopted. The impact of false positive tests on patients in terms of the costs incurred in re-attending for repeat testing, and the anxiety associated with a positive test was almost always overlooked. In one study where the impact of a false positive test on patient quality of life was examined in sensitivity analysis, it had a significant impact on the conclusions drawn from the model. Conclusion: Future economic evaluations of kidney function testing should examine testing and monitoring pathways from the perspective of patients, to ensure that issues that are important to patients, such as the possibility of inaccurate test results, are properly considered in the analysis

Drying colloidal systems: laboratory models for a wide range of applications

The drying of complex fluids provides a powerful insight into phenomena that take place on time and length scales not normally accessible. An important feature of complex fluids, colloidal dispersions and polymer solutions is their high sensitivity to weak external actions. Thus, the drying of complex fluids involves a large number of physical and chemical processes. The scope of this review is the capacity to tune such systems to reproduce and explore specific properties in a physics laboratory. A wide variety of systems are presented, ranging from functional coatings, food science, cosmetology, medical diagnostics and forensics to geophysics and art

Extracorporeal Membrane Oxygenation for Severe Acute Respiratory Distress Syndrome associated with COVID-19: An Emulated Target Trial Analysis.

RATIONALE: Whether COVID patients may benefit from extracorporeal membrane oxygenation (ECMO) compared with conventional invasive mechanical ventilation (IMV) remains unknown. OBJECTIVES: To estimate the effect of ECMO on 90-Day mortality vs IMV only Methods: Among 4,244 critically ill adult patients with COVID-19 included in a multicenter cohort study, we emulated a target trial comparing the treatment strategies of initiating ECMO vs. no ECMO within 7 days of IMV in patients with severe acute respiratory distress syndrome (PaO2/FiO2 <80 or PaCO2 ≥60 mmHg). We controlled for confounding using a multivariable Cox model based on predefined variables. MAIN RESULTS: 1,235 patients met the full eligibility criteria for the emulated trial, among whom 164 patients initiated ECMO. The ECMO strategy had a higher survival probability at Day-7 from the onset of eligibility criteria (87% vs 83%, risk difference: 4%, 95% CI 0;9%) which decreased during follow-up (survival at Day-90: 63% vs 65%, risk difference: -2%, 95% CI -10;5%). However, ECMO was associated with higher survival when performed in high-volume ECMO centers or in regions where a specific ECMO network organization was set up to handle high demand, and when initiated within the first 4 days of MV and in profoundly hypoxemic patients. CONCLUSIONS: In an emulated trial based on a nationwide COVID-19 cohort, we found differential survival over time of an ECMO compared with a no-ECMO strategy. However, ECMO was consistently associated with better outcomes when performed in high-volume centers and in regions with ECMO capacities specifically organized to handle high demand. This article is open access and distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License 4.0 (http://creativecommons.org/licenses/by-nc-nd/4.0/)

Étude observationnelle de la prescription d’un traitement anti-ostéoporotique chez les résidentes âgées institutionnalisées dans 12 EHPAD de la ville de Brest ayant un antécédent de fracture de l’extrémité supérieure du fémur

Introduction : l’ostéoporose fracturaire est une pathologie fréquente, touchant préférentiellement les personnes âgées. Les recommandations actuelles préconisent l’utilisation de bisphosphonates chez les personnes ayant un antécédent de fracture sévère. L’objectif de cette étude était d’observer la prescription de bisphosphonates chez les résidentes âgées institutionnalisées atteintes d’ostéoporose fracturaire avec fracture de l’extrémité supérieure du fémur.Méthodes : nous avons inclus les résidentes des EHPAD Brestois ayant un antécédent de fracture de l’extrémité supérieure du fémur et ne présentant pas de contre-indication à la prescription de bisphosphonates. Le critère de jugement principal était la prescription de bisphosphonate au moment de l’étude. La prescription de vitamine D a également été évaluée. Nous avons recherché si la prescription de bisphosphonates variait en fonction des données recueillies.Résultats : 9,3% des résidentes étaient effectivement traitées par un bisphosphonate. 68,0% recevaient une supplémentation en vitamine D. Les résidentes qui chutaient à répétition recevaient statistiquement moins de bisphosphonates. Le score GIR moyen était statistiquement plus élevé chez les résidentes qui recevaient des bisphosphonates.Conclusion : il existe une sous-prescription ou underuse des bisphosphonates dans la prise en charge de l’ostéoporose fracturaire chez les résidentes âgées institutionnalisées ayant un antécédent de fracture de l’extrémité supérieure du fémur. La prescription d’un bisphosphonate par voie parentérale pourrait être une solution à cet underuse. Une prise en charge systématique de l’ostéoporose dans les suites immédiates d’une fracture sévèrepourrait augmenter la fréquence de prescription de bisphosphonates