On the asymptotic evolution of finite energy Airy wave functions.

In general, there is an inverse relation between the degree of localization of a wave function of a certain class and its transform representation dictated by the scaling property of the Fourier transform. We report that in the case of finite energy Airy wave packets a simultaneous increase in their localization in the direct and transform domains can be obtained as the apodization parameter is varied. One consequence of this is that the far-field diffraction rate of a finite energy Airy beam decreases as the beam localization at the launch plane increases.

Widely varying giant Goos-Hänchen shifts from Airy beams at nonlinear interfaces.

We present a numerical study of the giant Goos-Hänchen shifts (GHSs) obtained from an Airy beam impinging on a nonlinear interface. To avoid any angular restriction associated with the paraxial approximation, the analysis is based on the nonlinear Helmholtz equation. We report the existence of nonstandard nonlinear GHSs displaying an extreme sensitivity to the input intensity and the existence of multiple critical values.

Spatiotemporal dispersion and wave envelopes with relativistic and pseudorelativistic characteristics.

A generic nonparaxial model for pulse envelopes is presented. Classic Schrödinger-type descriptions of wave propagation have their origins in slowly-varying envelopes combined with a Galilean boost to the local time frame. By abandoning these two simplifications, a picture of pulse evolution emerges in which frame-of-reference considerations and space-time transformations take center stage.

Giant Goos-Hänchen shifts and radiation-induced trapping of Helmholtz solitons at nonlinear interfaces.

Giant Goos-Hänchen shifts and radiation-induced trapping are studied at the planar boundary separating two focusing Kerr media within the framework of the Helmholtz theory. The analysis, valid for all angles of incidence, reveals that interfaces exhibiting linear external refraction can also accommodate both phenomena. Numerical evidence of these effects is provided, based on analytical predictions derived from a generalized Snell's law.

Dark solitons at nonlinear interfaces.

The refraction of dark solitons at a planar boundary separating two defocusing Kerr media is simulated and analyzed, for the first time (to our knowledge). Analysis is based on the nonlinear Helmholtz equation and is thus valid for any angle of incidence. A new law, governing refraction of black solitons, is combined with one describing bright soliton refraction to yield a generalized Snell's law whose validity is verified numerically.

Excess-noise dependence on intracavity aperture shape.

In lasers with nonorthogonal eigenmodes the excess-noise factor K can be large, especially in unstable-cavity lasers with hard-edged intracavity apertures. To the best of our knowledge, we report the first detailed study of the dependence of K on aperture shape. Calculations and measurements of K for unstable-cavity lasers with variable-size apertures of triangular, square, pentagonal, hexagonal, octagonal, and rhomboid symmetries are summarized.

Neither antioxidants nor COX-2 inhibition protect against esophageal inflammation in an experimental model of severe reflux.

Background: Reflux-induced injury and oxidative stress result in esophageal inflammation and the potential for progression to intestinal metaplasia and adenocarcinoma. Proton-pump inhibitors represent the standard medical approach, but anti-inflammatories and antioxidants offer novel therapeutic possibilities.

Materials And Methods: Six weeks after an esophagojejunostomy reflux procedure, female Wistar rats (n = 100) were randomized to receive either an antioxidant (vitamin C, 8 mg or 28 mg/day), a cyclooxygenase-2 (COX-2) inhibitor (rofecoxib, 1 mg/day), or no therapy.

Neither antioxidants nor COX-2 inhibition protect against esophageal inflammation in an experimental model of severe reflux.

Background: Reflux-induced injury and oxidative stress result in esophageal inflammation and the potential for progression to intestinal metaplasia and adenocarcinoma. Proton-pump inhibitors represent the standard medical approach, but anti-inflammatories and antioxidants offer novel therapeutic possibilities.

Materials And Methods: Six weeks after an esophagojejunostomy reflux procedure, female Wistar rats (n = 100) were randomized to receive either an antioxidant (vitamin C, 8 mg or 28 mg/day), a cyclooxygenase-2 (COX-2) inhibitor (rofecoxib, 1 mg/day), or no therapy.

Helmholtz solitons at nonlinear interfaces.

Reflection and refraction of spatial solitons at dielectric interfaces, accommodating arbitrarily angles of incidence, is studied. Analysis is based on Helmholtz soliton theory, which eliminates the angular restriction associated with the paraxial approximation. A novel generalization of Snell's law is discovered that is valid for collimated light beams and the entire angular domain.

Helmholtz-Manakov solitons.

A different spatial soliton-bearing wave equation is introduced, the Helmholtz-Manakov (HM) equation, for describing the evolution of broad multicomponent self-trapped beams in Kerr-type media. By omitting the slowly varying envelope approximation, the HM equation can describe accurately vector solitons propagating and interacting at arbitrarily large angles with respect to the reference direction. The HM equation is solved using Hirota's method, yielding four different classes of Helmholtz soliton that are vector generalizations of their scalar counterparts.

Fresnel diffraction and fractal patterns from polygonal apertures.

Two compact analytical descriptions of Fresnel diffraction patterns from polygonal apertures under uniform illumination are detailed. In particular, a simple expression for the diffracted field from constituent edges is derived. These results have fundamental importance as well as specific applications, and they promise new physical insights into diffraction-related phenomena.

Spatial Kerr soliton collisions at arbitrary angles.

The theory of spatial Kerr solitons is extended to colliding beams that are neither almost-exactly copropagating nor almost-exactly counterpropagating. Our new Helmholtz formalism yields results that are consistent with the inherent symmetry of the collision process and that are not predicted by existing paraxial descriptions. Full numerical and approximate analytical results are presented.

Comparative assessment of two indices of drug induced permeability changes in the perfused rat intestine.

In the present study, two indices of acute intestinal permeability changes were investigated as measurements of drug induced intestinal damage. The first method was based on 14C-polyethylene glycol (PEG) 4000 permeability assessment and the second was based on histological evaluation of the intestine. The test compounds were ibuprofen, ketoprofen and naproxen and the alanine, glycine and phenylalanine amide derivatives of ibuprofen.

Proinflammatory cytokine and nuclear factor kappa-B expression along the inflammation-metaplasia-dysplasia-adenocarcinoma sequence in the esophagus.

Background: The incidence of esophageal adenocarcinoma has increased significantly in the western world over the last 20 yr. Most cases arise in a background of chronic gastroesophageal reflux, and specialized intestinal metaplasia in Barrett's esophagus is frequently an antecedent phenotype or evident in association with adenocarcinoma. The molecular events that characterize the pathway from inflammation to metaplasia to dysplasia and adenocarcinoma are poorly understood.

Spontaneous optical fractal pattern formation.

We report, for the first time, spontaneous nonlinear optical spatial fractals. The proposed generic mechanism employs intrinsic nonlinear dynamics both to generate an initial pattern seed and to fill out structure across decades of spatial scale. We demonstrate this in one of the simplest of nonlinear optical systems, composed of a Kerr slice and a single-feedback mirror.

Passive immunisation of hamsters against Clostridium difficile infection using antibodies to surface layer proteins.

Clostridium difficile is a major cause of antibiotic-associated diarrhoea and the primary cause of pseudomembraneous colitis in hospitalised patients. We assessed the protective effect of anti-surface layer protein (SLP) antibodies on C. difficile infection in a lethal hamster challenge model.

Detection of a tyrosine phosphatase LAR on intestinal epithelial cells and intraepithelial lymphocytes in the human duodenum.

Studies of tyrosine phosphorylation in the human duodenum have indicated that proliferating cells in the middle portion of the duodenal crypt were devoid of this feature, suggesting that tyrosine kinase activation is not a dominant factor in crypt cell proliferation, and that consequently tyrosine phosphatase activity may be a more critical factor in crypt cell development. We investigated the expression of the leukocyte common antigen-related receptor (LAR) family of tyrosine phosphatases. A flow cytometry system was used to examine cells from the surface, mid-portion, and lower part of the crypt.

Distinct MHC class I and II alleles are associated with hepatitis C viral clearance, originating from a single source.

The role of cytotoxic T lymphocyte responses, restricted by human leukocyte antigen (HLA) class I alleles, is recognized as highly significant in the successful clearance of hepatitis C virus (HCV). The frequency of class I alleles in females inoculated with HCV genotype 1b from a single source was examined for an association with outcome. Class I typing was performed using polymerase chain reaction sequence-specific primers in 227 female subjects: 141 had chronic infection and 86 had viral clearance.

Factors influencing the development of Barrett's epithelium in the esophageal remnant postesophagectomy.

Background: Barrett's esophagus results from chronic reflux of both acid and bile. Reflux of gastric and duodenal contents is facilitated through the denervated stomach following esophagectomy, but the development of Barrett's changes in this model and the relationship to gastric and esophageal physiology is poorly understood.

Aims: To document the development of new Barrett's changes, i.

Transvenous liver biopsy via the femoral vein.

Aim: To study the safety, effectiveness and diagnostic value of transvenous forceps biopsy of the liver in 54 patients with coagulopathy, gross ascites or morbid obesity and suspected liver disease in whom percutaneous liver biopsy was contraindicated.

Material And Methods: Forceps biopsy of the liver via the femoral vein was attempted in 54 adult patients with advanced liver disease of unknown aetiology who had coagulation disorders (41 cases), gross ascites (11 cases) or morbid obesity (two cases). In each patient two to six biopsies (average four) were taken using a radial jaw forceps inserted via the right or left femoral vein.

Helmholtz dark solitons.

A general dark-soliton solution of the Helmholtz equation (with defocusing Kerr nonlinearity) that has on- and off-axis, gray and black, paraxial and Helmholtz solitons as particular solutions, is reported. Modifications to soliton transverse velocity, width, phase period, and existence conditions are derived and explained in geometrical terms. Simulations verify analytical predictions and also demonstrate spontaneous formation of Helmholtz solitons and transparency of their interactions.

Management of multiple burn casualties in a high volume ED without a verified burn unit.

The objective of the study was to evaluate the effectiveness of triage, treatment, and transfer interventions on multiple burn casualties managed in a high volume ED that does not have a verified in-hospital burn unit. The charts of 11 male patients injured in a 1999 foundry explosion and brought to Baystate Medical Center (BMC), a level I trauma center, were reviewed. All patients sustained deep partial and full thickness burns.

Randomized comparison of unfractionated heparin with corticosteroids in severe active inflammatory bowel disease.

Background: Heparin therapy may be effective in steroid resistant inflammatory bowel disease.

Aim: A randomized pilot study, to compare unfractionated heparin as a first-line therapy with corticosteroids in colonic inflammatory bowel disease.

Methods: Twenty patients with severe inflammatory bowel disease (ulcerative colitis, n=17; Crohn's colitis, n=3) were randomized to either intravenous heparin for 5 days, followed by subcutaneous heparin for 5 weeks (n=8), or high-dose intravenous hydrocortisone for 5 days followed by oral prednisolone 40 mg daily, reducing by 5 mg per day each week (n=12).

The MHC is a major determinant of viral status, but not fibrotic stage, in individuals infected with hepatitis C.

Background & Aims: In hepatitis C infection, several studies have examined the role of the major histocompatibility complex (MHC) in determining outcome, with variable results. To clarify the importance of MHC, we examined class II DR and DQ antigens in a homogenous cohort of women exposed to hepatitis C genotype 1b from a single inoculum.

Methods: Of 243 participants, 95 had spontaneous viral clearance and 148 are chronically infected.

Guided versus blind liver biopsy for chronic hepatitis C: clinical benefits and costs.

Background/aims: Our objectives were: (1) to assess the clinical benefits and costs of performing ultrasound-guided liver biopsy with an automated needle compared to blind biopsy with a conventional Trucut needle in patients with chronic hepatitis C; (2) to compare the histological yield of automated needles with Trucut needles.

Methods: We prospectively studied 166 patients with hepatitis C virus who underwent either ultrasound-guided biopsy using automated ASAP needles or blind biopsy using conventional Trucut needles. Both groups were matched for age, sex, cirrhosis, needle gauge and operator experience.