Digital control of residual amplitude modulation at the 10 level for ultra-stable lasers.

The stabilization of lasers on ultra-stable optical cavities by the Pound-Drever-Hall (PDH) technique is a widely used method. The PDH method relies on the phase-modulation of the laser, which is usually performed by an electro-optic modulator (EOM). When approaching the 10 fractional frequency stability level, this technology requires an active control of the residual amplitude modulation (RAM) generated by the EOM in order to bring the frequency stability of the laser down to the thermal noise limit of the ultra-stable cavity.

Association of Autofluorescence-Based Detection of the Parathyroid Glands During Total Thyroidectomy With Postoperative Hypocalcemia Risk: Results of the PARAFLUO Multicenter Randomized Clinical Trial.

Importance: Because inadvertent damage of parathyroid glands can lead to postoperative hypocalcemia, their identification and preservation, which can be challenging, are pivotal during total thyroidectomy.

Objective: To determine if intraoperative imaging systems using near-infrared autofluorescence (NIRAF) light to identify parathyroid glands could improve parathyroid preservation and reduce postoperative hypocalcemia.

Design, Setting, And Participants: This randomized clinical trial was conducted from September 2016 to October 2018, with a 6-month follow-up at 3 referral hospitals in France.

Exploring gravity with the MIGA large scale atom interferometer.

We present the MIGA experiment, an underground long baseline atom interferometer to study gravity at large scale. The hybrid atom-laser antenna will use several atom interferometers simultaneously interrogated by the resonant mode of an optical cavity. The instrument will be a demonstrator for gravitational wave detection in a frequency band (100 mHz-1 Hz) not explored by classical ground and space-based observatories, and interesting for potential astrophysical sources.

Observation of Atom-Wave Beats Using a Kerr Modulator for Atom Waves.

A phase modulation puts the atom in a coherent superposition of quantum states with different kinetic energies. We have detected the interference of such modulated waves at the output of our atom interferometer, and we have observed beats at the difference of the modulation frequencies and its harmonics, in good agreement with theory. The phase modulations were produced by a Kerr phase modulator, i.

Note: A passively cooled heat pipe for spectroscopy.

We have developed and characterized a heat pipe for lithium spectroscopy, which is cooled only by air-convection, although its operating temperature is 330 °C: its construction is simple, of moderate cost and it is very reliable. A thermal model proves that heat-pipes without water cooling can be used up to considerably higher temperatures.

Measurement of the He-McKellar-Wilkens topological phase by atom interferometry and test of its independence with atom velocity.

In this Letter, we report a measurement of the He-McKellar-Wilkens (HMW) topological phase by atom interferometry. The experiment is done with our lithium atom interferometer, and in order to suppress the stray effects present in our first experiment, we use optical pumping of the (7)Li atoms in their F=2, m(F)=+2 (or -2) ground state sublevel. In these conditions, the measured phase shift is the sum of the HMW phase and of the Aharonov-Casher phase, which are separated due to their different m(F) dependence.

[An enlarged dismantable anatomical model of the ear by Auzoux: observation and photographical tridimensional reconstruction].

The aim of the study was to determine the accuracy of a 19th century anatomical model of an ear by Auzoux (a French manufacturer). It measured 63 cm in length; 43 cm in width; 37 cm in height. The disassembled parts were studied on the morphological aspect in its whole and after removing of its components: external ear (43 cm x 23 cm x 15 cm), tympanic drum and middle ear ossicles; cochleo-vestibular apparatus.

[Prevalence of antiphospholipid antibodies in Horton's disease and in polymyalgia rheumatica].

Purpose: Antiphospholipid antibodies (APL) are frequently observed in the course of giant cell arteritis and polymyalgia rheumatica. However, their role and relationships with potential ischemic events are still debated.

Methods: To determine the prevalence of APL in relation with ischemic events, 62 patients with giant cell arteritis and/or polymyalgia rheumatica were retrospectively studied.

Elastase derived elastin peptides: putative autoimmune targets in giant cell arteritis.

Objective: Histological analysis of giant cell arteritis (GCA) reveals a granulomatous reaction around the internal elastic lamina. Elastolysis by multinucleated giant cells has also been reported. We investigated elastin derived peptides as putative recall antigens for peripheral blood mononuclear cells (PBMC) from patients with GCA.

[Pure epicarditis after surgical repair of atrial septal defect: a rare form of constrictive pericarditis. Apropos of a case].

The authors report a case of constrictive pericarditis occurring two years after surgical repair of an atrial septal defect in a 37 year-old-man. The diagnosis was made by right heart catheterisation and magnetic resonance imaging. The special feature of this clinical case was the exclusive localisation of the fibrosis on the visceral pericardium or epicarditis.

Early expression of E-selectin, tumor necrosis factor alpha, and mast cell infiltration in the salivary glands of patients with systemic sclerosis.

Objective: To assess the predictive value of early endothelial E-selectin and tumor necrosis factor alpha (TNF alpha) expression, as well as mast cell infiltration, in the subsequent progression to systemic sclerosis (SSc) in patients with Raynaud's phenomenon (RP) and abnormal nailfold capillaroscopic findings.

Methods: Clinical criteria were evaluated, and immunostaining was performed on lip biopsy samples from 22 patients with RP and abnormal capillaroscopic results. None of these patients initially fulfilled the American College of Rheumatology criteria for SSc.

[Initial manifestations and late diagnosis in chronic atrophic polychondritis: apropos of a series of 15 patients].

An auricular or nasal chondritis or a saddle nose deformity are the initial manifestation in half of cases of relapsing polychondritis; the other initial manifestations are various and less evocative; polyarthritis, laryngo-tracheal symptoms, episcleritis which delay the diagnosis. From 15 cases of relapsing polychondritis, the diagnosis time from the first symptom are studied; this one is long, about 3 years and 6 months (from 3 months to 17 years) in 13/15 of the cases even if the first manifestation is typical (external chondritis). In two cases only, the diagnosis was established after the first attack.

[Testicular localization of systemic diseases].

Acute orchitis or a mass in testis usually evokes a neoplasm, a torsion or infectious disease for the clinician. Rarely, a systemic disease is involved. Nevertheless, testicular involvement occurs during vasculitis, Behçet or granulomatous diseases, but is uncommonly the first manifestation.

[Laryngeal stenosis in children. Evaluation of 10 years of treatment].

Over a 10 year period from 1984 to 1994, 98 children underwent curative treatment for sub-glottal stenosis of the larynx at La Timone Hospital in Marseille, France. Eighty-two patients were operated on via an external approach. An endoscopic procedure with the CO2 laser was used in 16 cases.

[Surgical anatomy of the parathyroid glands. Apropos of 200 cases. Practical implications].

An operative procedure aimed at decreasing the risk of post-surgery hypothyroidism was proposed on the basis of parathyroid gland surgical anatomy described from a retrospective study of 200 thyroidectomies performed by the same operator It is almost always possible to visualize 1 or parathyroids during thyroid procedures. This fact makes it possible to reduce the rate of definitive hypoparathyroidism to less than 5% in surgery for invasive cancer of the thyroid and to 1% for non-invasive cancers requiring total thyroidectomy and uni or bilateral mediastinorecurrent curettage.

[Cholesteatoma of the middle ear in children. Apropos of 80 cases and review of the literature].

Cholesteatoma occurs in 10% of cases of chronic otitis in children. In most children, the clinical form is very similar to acquired cholesteatoma in the adult. However, we observed certain clinical variations in our retrospective series of 80 cases seen in our unit over the past 8 years.

[Variations and valve structure of the truncal femoro-popliteal system].

Study of valves is inseparable from that of the main veins in which they are located. While a modal femoro-popliteal system, satellite to the arterial system, is by far the commonest, major variations are seen in approximately 10% of cases. Each main collecting vein has its specificity, according to its width, the course which it follows and whether or not there is a satellite wide calibre artery.