Optimised XUV holography using spatially shaped high harmonic beams

A phase-only spatial light modulator is used to generate multiple infrared foci, the positions and intensities of which can be controlled programmably, allowing the generation and control of multiple high harmonic beams. Using two such high harmonic beams Fourier transform holography is performed with separate illumination of the object and reference pinhole, making optimal use of the available photon flux. This technique provides new opportunities for imaging at extreme ultraviolet wavelengths

A prospective study of the impact of serial troponin measurements on the diagnosis of myocardial infarction and hospital and six-month mortality in patients admitted to ICU with non-cardiac diagnoses.

INTRODUCTION: Troponin T (cTnT) elevation is common in patients in the Intensive Care Unit (ICU) and associated with morbidity and mortality. Our aim was to determine the epidemiology of raised cTnT levels and contemporaneous electrocardiogram (ECG) changes suggesting myocardial infarction (MI) in ICU patients admitted for non-cardiac reasons. METHODS: cTnT and ECGs were recorded daily during week 1 and on alternate days during week 2 until discharge from ICU or death. ECGs were interpreted independently for the presence of ischaemic changes. Patients were classified into four groups: (i) definite MI (cTnT ≥15 ng/L and contemporaneous changes of MI on ECG), (ii) possible MI (cTnT ≥15 ng/L and contemporaneous ischaemic changes on ECG), (iii) troponin rise alone (cTnT ≥15 ng/L), or (iv) normal. Medical notes were screened independently by two ICU clinicians for evidence that the clinical teams had considered a cardiac event. RESULTS: Data from 144 patients were analysed (42% female; mean age 61.9 (SD 16.9)). A total of 121 patients (84%) had at least one cTnT level ≥15 ng/L. A total of 20 patients (14%) had a definite MI, 27% had a possible MI, 43% had a cTNT rise without contemporaneous ECG changes, and 16% had no cTNT rise. ICU, hospital and 180-day mortality was significantly higher in patients with a definite or possible MI. CONCLUSIONS: The majority of critically ill patients (84%) had a cTnT rise and 41% met criteria for a possible or definite MI of whom only 20% were recognised clinically. Mortality up to 180 days was higher in patients with a cTnT rise

Spatially resolved common-path high-order harmonic interferometry

In this letter we report on interference between high harmonic emission from two longitudinally separated sources driven by the same laser pulse. Compared with previous implementations of in-line interferometry we demonstrate that by analysing the spatially-resolved harmonic signal as a function of longitudinal separation quantum trajectory-dependent interference can be identified. The inline geometry demonstrated here offers a high degree of stability, since both harmonic sources are generated from the same driving pulse, as opposed to pulse replicas, which has typically been the case in other interferometric schemes. The inherent synchronization and high timing stability afforded by this approach offers a new route for the measurement and timing of ultrafast processes

Prevention of acute kidney injury and protection of renal function in the intensive care unit

Acute renal failure on the intensive care unit is associated with significant mortality and morbidity. To determine recommendations for the prevention of acute kidney injury (AKI), focusing on the role of potential preventative maneuvers including volume expansion, diuretics, use of inotropes, vasopressors/vasodilators, hormonal interventions, nutrition, and extracorporeal techniques. A systematic search of the literature was performed for studies using these potential protective agents in adult patients at risk for acute renal failure/kidney injury between 1966 and 2009. The following clinical conditions were considered: major surgery, critical illness, sepsis, shock, and use of potentially nephrotoxic drugs and radiocontrast media. Where possible the following endpoints were extracted: creatinine clearance, glomerular filtration rate, increase in serum creatinine, urine output, and markers of tubular injury. Clinical endpoints included the need for renal replacement therapy, length of stay, and mortality. Studies are graded according to the international Grades of Recommendation, Assessment, Development, and Evaluation (GRADE) group system Several measures are recommended, though none carries grade 1A. We recommend prompt resuscitation of the circulation with special attention to providing adequate hydration whilst avoiding high-molecular-weight hydroxy-ethyl starch (HES) preparations, maintaining adequate blood pressure using vasopressors in vasodilatory shock. We suggest using vasopressors in vasodilatory hypotension, specific vasodilators under strict hemodynamic control, sodium bicarbonate for emergency procedures administering contrast media, and periprocedural hemofiltration in severe chronic renal insufficiency undergoing coronary intervention

Post-ruminal supplementation of exogenous polysaccharide-degrading enzymes

International audienc

Improving the resolution obtained in lensless imaging with spatially shaped high-order harmonics

The resolution obtained with coherent diffractive imaging (CDI) is limited by a number of factors, one of which is the transverse coherence of the illuminating beam. For a successful reconstruction, it is accepted that the illuminating beam should have a lateral coherence length of at least twice the largest linear dimension of the sampl

Increasing the brightness of harmonic XUV radiation with spatially-tailored driver beams

Bright high harmonic sources can be produced by loosely focussing high peak power laser pulses to exploit the quadratic scaling of flux with driver spot size at the expense of a larger experimental footprint. Here, we present a method for increasing the brightness of a harmonic source (while maintaining a compact experimental geometry) by spatially shaping the transverse focal intensity distribution of a driving laser from a Gaussian to supergaussian. Using a phase-only spatial light modulator we increase the size and order of the supergaussian focal profiles, thereby increasing the number of harmonic emitters more efficiently than possible with Gaussian beams. This provides the benefits of a loose focussing geometry, yielding a five-fold increase in harmonic brightness, whilst maintaining a constant experimental footprint. This technique can readily be applied to existing high harmonic systems, opening new opportunities for applications requiring bright, compact sources of coherent short wavelength radiation