Refractive index sensing in an all-solid twin-core photonic bandgap fiber

We describe a highly sensitive refractive index sensor based on a twin-core coupler in an all-solid photonic bandgap guiding optical fiber. A single hole acts as a microfluidic channel for the analyte, which modifies the coupling between the cores, and avoids the need for selective filling. By operating in the bandgap guiding regime the proposed sensor is capable of measuring refractive indices around that of water, and because the analyte varies the coupling coefficient (i.e., instead of phase matching condition) the device is capable of both high sensitivity and a relatively large dynamic range.8 page(s

Ultrasensitive refractive index sensor based on twin-core photonic bandgap fibers

We have theoretically investigated twin-core all-solid photonic bandgap fibers (PBGFs) for evanescent wave sensing of refractive index within one single microfluidic analyte channel centered between the two cores. The sensor can achieve ultrahigh sensitivity by detecting the change in transmission. We find novel features in the sensing characteristics: the sensitivity is higher at the short wavelength edge of a bandgap than at the long wavelength edge, the effective index of the odd supermode (nodd) is more sensitive to ambient refractive index change compared with that of the even supermode (neven).4 page(s

Fiber design and realization of point-by-point written fiber Bragg gratings in polymer optical fibers

An increasing interest in making sensors based on fiber Bragg gratings (FBGs) written in polymer optical fibers (POFs) has been seen recently. Mostly microstructured POFs (mPOFs) have been chosen for this purpose because they are easier to fabricate compared, for example, to step index fibers and because they allow to tune the guiding parameters by modifying the microstructure. Now a days the only technique used to write gratings in such fibers is the phase mask technique with UV light illumination. Despite the good results that have been obtained, a limited flexibility on the grating design and the very long times required for the writing of FBGs raise some questions about the possibility of exporting POF FBGs and the sensors based on them from the laboratory bench to the mass production market. The possibility of arbitrary design of fiber Bragg gratings and the very short time required to write the gratings make the point-by-point grating writing technique very interesting and would appear to be able to fill this technological gap. On the other end this technique is hardly applicable for microstructured fibers because of the writing beam being scattered by the air-holes. We report on the design and realization of a microstructured polymer optical fiber made of PMMA for direct writ ing of FBGs. The fiber was designed specifically to avoid obstruction of the writing beam by air-holes. The realized fiber has been used to point-by-point write a 5 mm long fourth order FBG with a Bragg wavelength of 1518 nm. The grating was inspected under Differential Interferometric Contrast microscope and the reflection spectrum was measured. This is, to the best of our knowledge, the first FBGs written into a mPOF with the point-by-point technique and also the fastest ever written into a polymer optical fiber, with less than 2.5 seconds needed.7 page(s

Periodic refractive index modifications inscribed in polymer optical fibre by focussed IR femtosecond pulses

Focussed femtosecond laser pulses were used to inscribe a periodic array of modifications in the core of a polymer optical fibre. Structural and refractive-index modifications have been observed at different pulse energies using DIC microscopy

Mode profiling of THz fibers with dynamic aperture near-field imaging

We present terahertz near-field mode profiling of different polymer THz fibers. Images with a resolution below the THz wavelength show the fundamental mode profile and higher order modes appearing at higher frequencies.2 page(s

Label-free biosensing with high sensitivity in dual-core microstructured polymer optical fibers

We present experimentally feasible designs of a dual-core microstructured polymer optical fiber (mPOF), which can act as a highly sensitive, label-free, and selective biosensor. An immobilized antigen sensing layer on the walls of the holes in the mPOF provides the ability to selectively capture antibody biomolecules. The change of the layer thickness of biomolecules can then be detected as a change in the coupling length between the two cores. We compare mPOF structures with 1, 2, and 3 air-holes between the solid cores and show that the sensitivity increases with increasing distance between the cores. Numerical calculations indicate a record sensitivity up to 20 nm/nm (defined as the shift in the resonance wavelength per nm biolayer) at visible wavelengths, where the mPOF has low loss.9 page(s

Providing competency-based family medicine residency training in substance abuse in the new millennium: a model curriculum

<p>Abstract</p> <p>Background</p> <p>This article, developed for the Betty Ford Institute Consensus Conference on Graduate Medical Education (December, 2008), presents a model curriculum for Family Medicine residency training in substance abuse.</p> <p>Methods</p> <p>The authors reviewed reports of past Family Medicine curriculum development efforts, previously-identified barriers to education in high risk substance use, approaches to overcoming these barriers, and current training guidelines of the Accreditation Council for Graduate Medical Education (ACGME) and their Family Medicine Residency Review Committee. A proposed eight-module curriculum was developed, based on substance abuse competencies defined by Project MAINSTREAM and linked to core competencies defined by the ACGME. The curriculum provides basic training in high risk substance use to all residents, while also addressing current training challenges presented by U.S. work hour regulations, increasing international diversity of Family Medicine resident trainees, and emerging new primary care practice models.</p> <p>Results</p> <p>This paper offers a core curriculum, focused on screening, brief intervention and referral to treatment, which can be adapted by residency programs to meet their individual needs. The curriculum encourages direct observation of residents to ensure that core skills are learned and trains residents with several "new skills" that will expand the basket of substance abuse services they will be equipped to provide as they enter practice.</p> <p>Conclusions</p> <p>Broad-based implementation of a comprehensive Family Medicine residency curriculum should increase the ability of family physicians to provide basic substance abuse services in a primary care context. Such efforts should be coupled with faculty development initiatives which ensure that sufficient trained faculty are available to teach these concepts and with efforts by major Family Medicine organizations to implement and enforce residency requirements for substance abuse training.</p

World Health Organization cardiovascular disease risk charts: revised models to estimate risk in 21 global regions

BACKGROUND: To help adapt cardiovascular disease risk prediction approaches to low-income and middle-income countries, WHO has convened an effort to develop, evaluate, and illustrate revised risk models. Here, we report the derivation, validation, and illustration of the revised WHO cardiovascular disease risk prediction charts that have been adapted to the circumstances of 21 global regions. METHODS: In this model revision initiative, we derived 10-year risk prediction models for fatal and non-fatal cardiovascular disease (ie, myocardial infarction and stroke) using individual participant data from the Emerging Risk Factors Collaboration. Models included information on age, smoking status, systolic blood pressure, history of diabetes, and total cholesterol. For derivation, we included participants aged 40-80 years without a known baseline history of cardiovascular disease, who were followed up until the first myocardial infarction, fatal coronary heart disease, or stroke event. We recalibrated models using age-specific and sex-specific incidences and risk factor values available from 21 global regions. For external validation, we analysed individual participant data from studies distinct from those used in model derivation. We illustrated models by analysing data on a further 123 743 individuals from surveys in 79 countries collected with the WHO STEPwise Approach to Surveillance. FINDINGS: Our risk model derivation involved 376 177 individuals from 85 cohorts, and 19 333 incident cardiovascular events recorded during 10 years of follow-up. The derived risk prediction models discriminated well in external validation cohorts (19 cohorts, 1 096 061 individuals, 25 950 cardiovascular disease events), with Harrell's C indices ranging from 0·685 (95% CI 0·629-0·741) to 0·833 (0·783-0·882). For a given risk factor profile, we found substantial variation across global regions in the estimated 10-year predicted risk. For example, estimated cardiovascular disease risk for a 60-year-old male smoker without diabetes and with systolic blood pressure of 140 mm Hg and total cholesterol of 5 mmol/L ranged from 11% in Andean Latin America to 30% in central Asia. When applied to data from 79 countries (mostly low-income and middle-income countries), the proportion of individuals aged 40-64 years estimated to be at greater than 20% risk ranged from less than 1% in Uganda to more than 16% in Egypt. INTERPRETATION: We have derived, calibrated, and validated new WHO risk prediction models to estimate cardiovascular disease risk in 21 Global Burden of Disease regions. The widespread use of these models could enhance the accuracy, practicability, and sustainability of efforts to reduce the burden of cardiovascular disease worldwide. FUNDING: World Health Organization, British Heart Foundation (BHF), BHF Cambridge Centre for Research Excellence, UK Medical Research Council, and National Institute for Health Research

Lawson criterion for ignition exceeded in an inertial fusion experiment

For more than half a century, researchers around the world have been engaged in attempts to achieve fusion ignition as a proof of principle of various fusion concepts. Following the Lawson criterion, an ignited plasma is one where the fusion heating power is high enough to overcome all the physical processes that cool the fusion plasma, creating a positive thermodynamic feedback loop with rapidly increasing temperature. In inertially confined fusion, ignition is a state where the fusion plasma can begin "burn propagation" into surrounding cold fuel, enabling the possibility of high energy gain. While "scientific breakeven" (i.e., unity target gain) has not yet been achieved (here target gain is 0.72, 1.37 MJ of fusion for 1.92 MJ of laser energy), this Letter reports the first controlled fusion experiment, using laser indirect drive, on the National Ignition Facility to produce capsule gain (here 5.8) and reach ignition by nine different formulations of the Lawson criterion