Universal charts for optical difference frequency generation in the terahertz domain

We present a universal and rigorous approach to study difference frequency generation in the terahertz domain, keeping the number of degrees of freedom to a minimum, through the definition of a suitable figure of merit. The proposed method relies on suitably normalized charts, that enable to predict the optical-to-terahertz conversion efficiency of any system based on wave propagation in quadratic nonlinear materials. The predictions of our approach are found to be in good agreement with the best experimental results reported to date, enabling also to estimate the d22 nonlinear coefficient of high quality GaSe.Comment: 3 pages in 2 columns format, 3 figures. GaSe analysis has been corrected. Fig. 3 has been replace

The role of nonlinear optical absorption in narrow-band difference frequency terahertz-wave generation

We present a general analysis of the influence of nonlinear optical absorption on terahertz generation via optical difference frequency generation, when reaching for the quantum conversion efficiency limit. By casting the equations governing the process in a suitably normalized form, including either two-photon- or three-photon-absorption terms, we have been able to plot universal charts for phase matched optical-to-terahertz conversion for different values of the nonlinear absorption coefficients. We apply our analysis to some experiments reported to date, in order to understand to what extent multiphoton absorption could have played a role and also to predict the maximum achievable conversion efficiency at higher peak pump intensities.Comment: 16 pages, 2 figures. Some correction and some explanation adde

Exploiting the optical quadratic nonlinearity of zincblende semiconductors for guided-wave terahertz generation: a material comparison

We present a detailed analysis and comparison of dielectric waveguides made of CdTe, GaP, GaAs and InP for modal phase matched optical difference frequency generation (DFG) in the terahertz domain. From the form of the DFG equations, we derived the definition of a very general figure of merit (FOM). In turn, this FOM enabled us to compare different configurations, by taking into account linear and nonlinear susceptibility dispersion, terahertz absorption, and a rigorous evaluation of the waveguide modes properties. The most efficient waveguides found with this procedure are predicted to approach the quantum efficiency limit with input optical power in the order of kWs.Comment: 8 pages in two columns format, 6 figures, 2 Table

Glycosaminoglycan diversity in marine sponge extracellular matrix

Aim of this paper is to report on a screening on sponge ECM glycosaminoglycan (GAG) diversity. To investigate the heterogeneity of sponge extracellular sulphated glycans, we determined their content and distribution in some Mediterranean and Caribbean species. To focus on biological and morpho-functional roles of these molecules in the sponge ECM some selected species were considered as models to investigate the topographic distribution of GAGs in sponge body according with the different architecture of specialized regions

Eliciting the Demand for Long Term Care Coverage: A Discrete Choice Modelling Analysis

We evaluate the demand for long term care (LTC) insurance prospects in a stated preference context, by means of the results of a choice experiment carried out on a representative sample of the Emilia-Romagna population. Choice modelling techniques have not been used yet for studying the demand for LTC services. In this paper these methods are first of all used in order to assess the relative importance of the characteristics which define some hypothetical insurance programmes and to elicit the willingness to pay for some LTC coverage prospects. Moreover, thanks to the application of a nested logit specification with partial degeneracy, we are able to model the determinants of the preference for status quo situations where no systematic cover for LTC exists. On the basis of this empirical model, we test for the effects of a series of socio-demographic variables as well as personal and household health state indicators

Colorectal Cancer Stage at Diagnosis Before vs During the COVID-19 Pandemic in Italy

IMPORTANCE Delays in screening programs and the reluctance of patients to seek medical attention because of the outbreak of SARS-CoV-2 could be associated with the risk of more advanced colorectal cancers at diagnosis. OBJECTIVE To evaluate whether the SARS-CoV-2 pandemic was associated with more advanced oncologic stage and change in clinical presentation for patients with colorectal cancer. DESIGN, SETTING, AND PARTICIPANTS This retrospective, multicenter cohort study included all 17 938 adult patients who underwent surgery for colorectal cancer from March 1, 2020, to December 31, 2021 (pandemic period), and from January 1, 2018, to February 29, 2020 (prepandemic period), in 81 participating centers in Italy, including tertiary centers and community hospitals. Follow-up was 30 days from surgery. EXPOSURES Any type of surgical procedure for colorectal cancer, including explorative surgery, palliative procedures, and atypical or segmental resections. MAIN OUTCOMES AND MEASURES The primary outcome was advanced stage of colorectal cancer at diagnosis. Secondary outcomes were distant metastasis, T4 stage, aggressive biology (defined as cancer with at least 1 of the following characteristics: signet ring cells, mucinous tumor, budding, lymphovascular invasion, perineural invasion, and lymphangitis), stenotic lesion, emergency surgery, and palliative surgery. The independent association between the pandemic period and the outcomes was assessed using multivariate random-effects logistic regression, with hospital as the cluster variable. RESULTS A total of 17 938 patients (10 007 men [55.8%]; mean [SD] age, 70.6 [12.2] years) underwent surgery for colorectal cancer: 7796 (43.5%) during the pandemic period and 10 142 (56.5%) during the prepandemic period. Logistic regression indicated that the pandemic period was significantly associated with an increased rate of advanced-stage colorectal cancer (odds ratio [OR], 1.07; 95%CI, 1.01-1.13; P = .03), aggressive biology (OR, 1.32; 95%CI, 1.15-1.53; P < .001), and stenotic lesions (OR, 1.15; 95%CI, 1.01-1.31; P = .03). CONCLUSIONS AND RELEVANCE This cohort study suggests a significant association between the SARS-CoV-2 pandemic and the risk of a more advanced oncologic stage at diagnosis among patients undergoing surgery for colorectal cancer and might indicate a potential reduction of survival for these patients

Outcomes of elective liver surgery worldwide: a global, prospective, multicenter, cross-sectional study

Background: The outcomes of liver surgery worldwide remain unknown. The true population-based outcomes are likely different to those vastly reported that reflect the activity of highly specialized academic centers. The aim of this study was to measure the true worldwide practice of liver surgery and associated outcomes by recruiting from centers across the globe. The geographic distribution of liver surgery activity and complexity was also evaluated to further understand variations in outcomes. Methods: LiverGroup.org was an international, prospective, multicenter, cross-sectional study following the Global Surgery Collaborative Snapshot Research approach with a 3-month prospective, consecutive patient enrollment within January–December 2019. Each patient was followed up for 90 days postoperatively. All patients undergoing liver surgery at their respective centers were eligible for study inclusion. Basic demographics, patient and operation characteristics were collected. Morbidity was recorded according to the Clavien–Dindo Classification of Surgical Complications. Country-based and hospital-based data were collected, including the Human Development Index (HDI). (NCT03768141). Results: A total of 2159 patients were included from six continents. Surgery was performed for cancer in 1785 (83%) patients. Of all patients, 912 (42%) experienced a postoperative complication of any severity, while the major complication rate was 16% (341/2159). The overall 90-day mortality rate after liver surgery was 3.8% (82/2,159). The overall failure to rescue rate was 11% (82/ 722) ranging from 5 to 35% among the higher and lower HDI groups, respectively. Conclusions: This is the first to our knowledge global surgery study specifically designed and conducted for specialized liver surgery. The authors identified failure to rescue as a significant potentially modifiable factor for mortality after liver surgery, mostly related to lower Human Development Index countries. Members of the LiverGroup.org network could now work together to develop quality improvement collaboratives