Language Used by Health Care Professionals to Describe Dying at an Acute Care Hospital.

Context: Clinicians often rely on documentation to relay information, and this remains the mainstay of interprofessional communication regarding patient care. However, there has been scant research focused on clinicians' documentation of dying in hospital and how this is communicated to other team members in patient charting.

Objectives: To understand the language used to describe the deterioration and death of patients in an acute academic tertiary care center and to identify whether patient diagnoses or palliative care (PC) involvement was associated with clearer descriptions of this process.

All-solid all-chalcogenide microstructured optical fiber.

The realization of an all-solid microstructured optical fiber based on chalcogenide glasses was achieved. The fiber presents As(2)S(3) inclusions selected as low refractive index material (n = 2.4) embedded in a As(38)Se(62) glass matrix (n = 2.

Mid-infrared supercontinuum generation in As2S3-silica "nano-spike" step-index waveguide.

Efficient generation of a broad-band mid-infrared supercontinuum spectrum is reported in an arsenic trisulphide waveguide embedded in silica. A chalcogenide "nano-spike", designed to transform the incident light adiabatically into the fundamental mode of a 2-mm-long uniform section 1 µm in diameter, is used to achieve high launch efficiencies. The nano-spike is fully encapsulated in a fused silica cladding, protecting it from the environment.

Linewidth-narrowing and intensity noise reduction of the 2nd order Stokes component of a low threshold Brillouin laser made of Ge10As22Se68 chalcogenide fiber.

A compact second-order Stokes Brillouin fiber laser made of microstructured chalcogenide fiber is reported for the first time. This laser required very low pump power for Stokes conversion: 6 mW for first order lasing and only 30 mW for second order lasing with nonresonant pumping. We also show linewidth-narrowing as well as intensity noise reduction for both the 1st and 2nd order Stokes component when compared to that of the pump source.

Wavelength conversion in a highly nonlinear chalcogenide microstructured fiber.

We report on all-optical wavelength conversion of a 56 Gb/s differential quadrature phase shift keying signal and a 42.7 Gb/s on-off keying signal. Wavelength conversion is based on four-wave mixing effect in a 1 m long highly nonlinear GeAsSe chalcogenide fiber.