Measurements of neutrino oscillation parameters from the T2K experiment using 3.6×1021 protons on target

The T2K experiment presents new measurements of neutrino oscillation parameters using 19.7 ( 16.3 ) × 10 20 protons on target (POT) in (anti-)neutrino mode at the far detector (FD). Compared to the previous analysis, an additional 4.7 × 10 20 POT neutrino data was collected at the FD. Significant improvements were made to the analysis methodology, with the near-detector analysis introducing new selections and using more than double the data. Additionally, this is the first T2K oscillation analysis to use NA61/SHINE data on a replica of the T2K target to tune the neutrino flux model, and the neutrino interaction model was improved to include new nuclear effects and calculations. Frequentist and Bayesian analyses are presented, including results on sin 2 θ 13 and the impact of priors on the δ CP measurement. Both analyses prefer the normal mass ordering and upper octant of sin 2 θ 23 with a nearly maximally CP-violating phase. Assuming the normal ordering and using the constraint on sin 2 θ 13 from reactors, sin 2 θ 23 = 0 . 561 - 0.032 + 0.021 using Feldman-Cousins corrected intervals, and Δ m 32 2 = 2 . 494 - 0.058 + 0.041 × 10 - 3 eV 2 using constant Δ χ 2 intervals. The CP-violating phase is constrained to δ CP = - 1 . 97 - 0.70 + 0.97 using Feldman-Cousins corrected intervals, and δ CP = 0 , π is excluded at more than 90% confidence level. A Jarlskog invariant of zero is excluded at more than 2 σ credible level using a flat prior in δ CP , and just below 2 σ using a flat prior in sin δ CP . When the external constraint on sin 2 θ 13 is removed, sin 2 θ 13 = 28 . 0 - 6.5 + 2.8 × 10 - 3 , in agreement with measurements from reactor experiments. These results are consistent with previous T2K analyses.

Yb-fiber-pumped, high-beam-quality, idler-resonant mid-infrared picosecond optical parametric oscillator

We report an Yb-fiber-pumped picosecond optical parametric oscillator (OPO) delivering high average power in excellent beam quality throughout the mid-infrared (mid-IR). Using MgO:PPLN as the nonlinear crystal and configured as a singly-resonant oscillator in the mid-IR idler wave, the OPO provides up to 3.5 W average power in high spatial quality with M2<1.8 across a continuous tuning range of 4028-2198 nm, with M²<1.5 at 4000 nm. It can also deliver as much as 4.3 W of signal power in an output beam with M2<1.4 across 1446-2062 nm. The extracted idler exhibits a passive power stability better than 0.46% rms over 1 hour across the entire mid-IR tuning range. We have also investigated OPO cavity length detuning behavior about the zero-group-velocity-mismatch crossing point and its effects on output power.

Diabetes distress and its clinical determinants in patients with type II diabetes

AIM

The present study aimed to determine the status of diabetes distress and its clinical determinants in type II diabetes patients.

METHODS

This descriptive-analytical study was performed on 220 patients with t diabetes referred to Diabetes Clinic of Imam Khomeini Hospital in Ardabil, Iran. The samples were selected using convenience sampling method. Data collection tools included demographic and disease form and Diabetes Mellitus Scale (DDS). Data analysis was performed using SPSS software version 22 via descriptive (frequency, mean, standard deviation) and inferential statistics (compare means, Pearson correlation coefficient and stepwise multiple regression).

RESULTS

The average duration of diabetes was 7.64 (SD = 4.68) years. 63.7% of the patients had moderate to severe diabetes-related distress. Emotional burden dimension had the highest score among the subscales of diabetes distress. In addition, there was a correlation between positive family history (p = 0.017), duration of diabetes (p = 0.028) and type of treatment (p = 0.47) and diabetes distress. HemoglobinA1C levels, body mass index and triglyceride were the major predictors of diabetes distress.

CONCLUSIONS

Considering the high prevalence of diabetes distress in patients with type II diabetes, it seems that paying attention to clinical predictors of distress and screening of patients with diabetes is a reasonable and accessible method for health care providers and patients to improve their disease management.

Picosecond difference-frequency-generation in orientation-patterned gallium phosphide

We report the generation of tunable high-repetition-rate picosecond radiation in the mid-infrared using the new quasi-phase-matched nonlinear material of orientation-patterned gallium phosphide (OP-GaP). The source is realized by single-pass difference-frequency-generation (DFG) between the output signal of a picosecond optical parametric oscillator (OPO) tunable across 1609-1637 nm with input pump pulses at 1064 nm in OP-GaP, resulting in tunable radiation across 3040-3132 nm. Using a 40-mm-long crystal, we have generated up to 57 mW of DFG average power at ~80 MHz repetition rate for a pump power of 5 W and signal power of 0.9 W, with >30 mW over >50% of the tuning range. The DFG source exhibits a passive power stability better than 3.2% rms over 1 hour in good spatial beam quality. To the best of our knowledge, this is the first picosecond frequency conversion source based on OP-GaP.

Continuous-wave, single-pass, single-frequency second-harmonic-generation at 266 nm based on birefringent-multicrystal scheme

We report the implementation of a compact cascaded multicrystal scheme based on birefringent crystals in critical phase-matching, for the generation of continuous-wave (cw) radiation in the deep ultraviolet (UV). The approach comprises a cascade of 4 single-pass second-harmonic-generation (SHG) stages in β-BaB₂O₄ (BBO) pumped by a single-frequency cw green source at 532 nm. A deep-UV cw output power of 37.7 mW at 266 nm has been obtained with a high passive power stability of 0.12% rms over more than 4 hours. Characterization and optimization of the system in each stage has been systematically performed. Angular phase-matching acceptance bandwidth under tight focusing in BBO, and spectral properties of the deep-UV radiation, have been studied. Theoretical calculations for SHG in the cascaded scheme based on birefringent phase-matching have been performed, and enhancement in UV power compared to single-stage single-pass scheme are studied. Theoretical comparison of BBO with other potential crystals for deep-UV generation in cascaded multicrystal scheme is also presented.

Fiber-laser-based, green-pumped, picosecond optical parametric oscillator using fan-out grating PPKTP

We report a stable, Yb-fiber-laser-based, green-pumped, picosecond optical parametric oscillator (OPO) for the near-infrared based on periodically poled potassium titanyl phosphate (PPKTP) nonlinear crystal, using fan-out grating design and operating near room temperature. The OPO is continuously tunable across 726-955 nm in the signal and 1201-1998 nm in the idler, resulting in a total signal plus idler wavelength coverage of 1026 nm by grating tuning at a fixed temperature. The device generates up to 580 mW of average power in the signal at 765 nm and 300 mW in the idler at 1338 nm, with an overall extraction efficiency of up to 52% and a pump depletion >76%. The extracted signal at 765 nm and idler at 1746 nm exhibit excellent passive power stability better than 0.5% and 0.8% rms, respectively, over 1 h with good beam quality in TEM₀₀ mode profile. The output signal pulses have a Gaussian temporal duration of 13.2 ps, with a FWHM spectral bandwidth of 3.4 nm at 79.5 MHz repetition rate. Power scaling limitations of the OPO due to the material properties of PPKTP are studied.

Post-reperfusion Syndrome and Outcome Variables after Orthotopic Liver Transplantation

BACKGROUND

Post-reperfusion syndrome (PRS) is an important complication during liver transplantation.

OBJECTIVE

We studied the occurrence and severity of PRS in patients who underwent orthotopic liver transplantation (OLT) to investigate how PRS was correlated to clinical variables and outcomes.

METHODS

We retrospectively recorded intra- and peri-operative data for 184 adult patients who received cadaveric OLT during a 3-year period from 2005 to 2008. Patients were divided into two groups according to the severity of PRS: Group 1 (mild or no PRS) comprised 152 patients; and group 2 (significant PRS) consisted of 32 patients.

RESULTS

There were no significant differences in demographic and pre-operative data between groups. Group 2 had more total blood loss than group 1 (p=0.036), especially after reperfusion (p=0.023). Group 2 required more packed red cell transfusions (p=0.005), more fresh frozen plasma (p=0.003) and more platelets (p=0.043) than group 1. Fibrinolysis was more frequent in group 2 (p=0.004). Hospital stay in group 2 was significantly longer than in group 1 (p=0.034), but the frequencies of other outcomes including infection, retransplantation, dialysis, rejection and extended donor criteria did not differ significantly between groups.

CONCLUSIONS

Bleeding, blood transfusion and fibrinolysis occurred more often in the group of severe PRS after reperfusion. Although postoperative complications like rejection, infection and the dialysis rate were not significantly different in the two groups, hospital stay was more prolonged in the group with severe PRS.

Anti-infectives-induced adverse drug reactions in hospitalized patients

OBJECTIVES

To assess the rate and seriousness of adverse drug reactions (ADRs) attributable to anti-infective agents in hospitalized patients; to estimate the likelihood of experiencing anti-infectives-induced ADRs at different length of drug usage in the hospital; to compare different classes of anti-infectives in inducing ADRs; to determine the impact of age and sex on anti-infectives-induced ADRs.

DESIGN

Prospective cohort study.

PARTICIPANTS

Patients admitted to the infectious diseases department at a university teaching hospital, on Sunday to Wednesday, over a 9 months period, who received at least one anti-infective agent were eligible to enter the study.

MAIN OUTCOME MEASURES

Any suspected noxious and untoward medical events, including laboratory tests abnormalities following anti-infective therapy.

METHODS

All patients admitted have received at least one anti-infective drug. Anti-infective agents induced ADRs were detected by interviewing patients and daily chart review. The seriousness, causality, and type of reactions were classified based on World Health Organization (WHO) definitions. Chi-square analysis was performed to assess the influence of sex and age on occurring ADRs. Both Kaplan-Meier and life table method were used to estimate the time to occur the ADR in anti-infective users. To compare the estimated risk of ADRs induced by different classes of anti-infectives, odds ratios were estimated. In all classes of anti-infectives, the odds ratio of each class was estimated with regard to anti-tuberculosis agents, which had the highest prevalence of ADRs.

RESULTS

During the study period, 460 patients were entered the study. During the same period, 38 ADRs were recognized of which 20 (42%) were serious. The most recognized ADRs were suspected to be induced by anti-tuberculosis agents (29.8%). However in comparing with anti-tuberculosis agents, anti-fungal agents were associated with the highest ADR rate (odds ratio [OR], 4.21; 95% confidence interval [CI], 1.41-1.256) whereas cephalosporines were associated with the lowest rate, (OR, 0.1; 95%CI, 0.04-0.26). The survival analysis shows that the likelihood of experiencing an ADR was increased at first 14 days of drug therapy. Also Chi-square analysis shows that greater risk of anti-infectives-induced ADRs was observed in women.

CONCLUSION

The rate of ADRs induced by anti-infective agents in this study was 8.2%. This is higher than a standard (5%) which has been reported in other studies. This study also shows that some of the classes of anti-infective agents like anti-fungals need more attention.