PP095. Guideline-based development of quality indicators for hypertensive diseases in pregnancy

INTRODUCTION

Hypertensive disorders in pregnancy are one of the main causes of maternal morbidity and mortality. Internationally, several organizations have developed clinical guidelines to assist professionals and to supply patients with the best possible care. To improve the care for this group of patients, insight into the application of clinical guidelines in daily practice is needed. Valid quality indicators are necessary to estimate actual guideline adherence. In this study, we developed a set of valid guidelines based quality indicators for hypertensive diseases in pregnancy.

OBJECTIVES

None.

METHODS

A systematic RAND-modified Delphi method was used to develop a set of quality indicators based on evidence-based guidelines and the literature, about hypertension and pregnancy. Experts' opinions were used to select the indicators regarding specific criteria such as efficacy, level of health gain and potential for care improvement.

RESULTS

A representative set of 14 quality indicators was selected from 48 initial guideline recommendations. Indicators concerned both professional performance and organisation of care for patients with hypertension in pregnancy.

CONCLUSION

This study describes the systematic, stepwise method used to develop quality indicators that can be used to monitor care for hypertensive diseases in pregnancy.

From single particle to superfluid excitations in a dissipative polariton gas

Using an angle-resolved heterodyne four-wave-mixing technique, we probe the low momentum excitation spectrum of a coherent polariton gas. The experimental results are well captured by the Bogoliubov transformation which describes the transition from single particle excitations of a normal fluid to soundlike excitations of a superfluid. In a dense coherent polariton gas, we find all the characteristics of a Bogoliubov transformation, i.e., the positive and negative energy branch with respect to the polariton gas energy at rest, soundlike shapes for the excitations dispersion, intensity, and linewidth ratio between the two branches in agreement with the theory. The influence of the nonequilibrium character of the polariton gas is shown by a careful analysis of its dispersion.

Polariton condensation in a one-dimensional disordered potential

We study the coherence and density modulation of a nonequilibrium exciton-polariton condensate in a one-dimensional valley with disorder. By means of interferometric measurements we evidence a modulation of the first-order coherence function and we relate it to a disorder-induced modulation of the condensate density, that increases as the pump power is increased. The nonmonotonic spatial coherence function is found to be the result of the strong nonequilibrium character of the one-dimensional system, in the presence of disorder.

Probing the dynamics of spontaneous quantum vortices in polariton superfluids

The experimental investigation of spontaneously created vortices is of utmost importance for the understanding of quantum phase transitions towards a superfluid phase, especially for two-dimensional systems that are expected to be governed by the Berezinski-Kosterlitz-Thouless physics. By means of time-resolved near-field interferometry we track the path of such vortices, created at random locations in an exciton-polariton condensate under pulsed nonresonant excitation, to their final pinning positions imposed by the stationary disorder. We formulate a theoretical model that successfully reproduces the experimental observations.

Coherent oscillations in an exciton-polariton Josephson junction

We report on the observation of spontaneous coherent oscillations in a microcavity polariton bosonic Josephson junction. Condensation of exciton polaritons here takes place under incoherent excitation in a double potential well naturally formed in the disorder. Coherent oscillations set on at an excitation power well above the condensation threshold. The time resolved population and phase dynamics reveal the analogy with the ac Josephson effect. A theoretical two-mode model describes the observed effects, explaining how the different realizations of the pulsed experiment can be in phase.

Polariton condensation in dynamic acoustic lattices

We demonstrate that the tunable potential introduced by a surface acoustic wave on a homogeneous polariton condensate leads to fragmentation of the condensate into an array of wires which move with the acoustic velocity. Reduction of the spatial coherence of the condensate emission along the surface acoustic wave direction is attributed to the suppression of coupling between the spatially modulated condensates. Interparticle interactions observed at high polariton densities screen the acoustic potential, partially reversing its effect on spatial coherence.

Multistability of a coherent spin ensemble in a semiconductor microcavity

Coherent manipulation of spin ensembles is a key issue in the development of spintronics. In particular, multivalued spin switching may lead to new schemes of logic gating and memories. This phenomenon has been studied with atom vapours 30 years ago, but is still awaited in the solid state. Here, we demonstrate spin multistability with microcavity polaritons in a trap. Owing to the spinor nature of these light-matter quasiparticles and to the anisotropy of their interactions, we can optically control the spin state of a single confined level by tuning the excitation power, frequency and polarization. First, we realize high-efficiency power-dependent polarization switching. Then, at constant excitation power, we evidence polarization hysteresis and determine the conditions for realizing multivalued spin switching. Finally, we demonstrate an unexpected regime, where our system behaves as a high-contrast spin trigger. These results open new pathways to the development of advanced spintronics devices and to the realization of multivalued logic circuits.

Dynamics of long-range ordering in an exciton-polariton condensate

We report on time-resolved measurements of the first order spatial coherence in an exciton-polariton Bose-Einstein condensate. Long-range spatial coherence is found to set in right at the onset of stimulated scattering, on a picosecond time scale. The coherence reaches its maximum value after the population and decays slowly, staying up to a few hundred picoseconds. This behavior can be qualitatively reproduced, using a stochastic classical field model describing interaction between the polariton condensate and the exciton reservoir within a disordered potential.