Sex differences in musculoskeletal injury epidemiology and subsequent loss of tactical readiness during Marine Corps Officer Candidates School.

INTRODUCTION: The US Marine Corps (USMC) Officer Candidates School (OCS) is a 10-week training course for Marine Officer Candidates (MOCs). OCS training is rigorous and demanding, which results in a high risk of musculoskeletal injuries (MSIs). The objective of this analysis was to describe MSIs among women and men during the USMC OCS at Quantico, Virginia, from September 2020 to November 2021. METHODS: This prospective cohort study assessed MSIs that occurred among 736 MOCs (women: 17.8% of sample, men: 82.2%). Data for the study were derived from routinely collected injury data by athletic trainers and physical therapists embedded within the training units. Injury incidence, event at the time of injury occurrence, anatomic location, injury type and disposition following injury were described. Fisher's exact tests were used to compare proportions of injured women and men. RESULTS: The cumulative injury incidence was higher among women (39.7%) compared with men (23.1%, p<0.001). When specific events associated with injuries were reported, most frequent events were the obstacle course (women: 20.9% of injuries, men: 12.9%) and the conditioning hike (women: 11.6%, men: 6.9%). Most injures affected the lower body (women: 67.4%, men: 70.8%). The most frequent body part injured was the lower leg (18.6%) in women and the knee (23.3%) in men. The most frequent injury type was strain (women: 39.5%, men: 24.3%), followed by sprain (women: 16.3%, men: 14.9%). A greater percentage of female (92.3%) compared with male MOCs (69.3%; p<0.001) were assigned light duty status following MSIs. CONCLUSIONS: Mitigation of injuries during OCS events such as the obstacle course and the conditioning hike needs further investigation. The high risk of overuse lower leg injuries among women and the higher incidence of injuries among women compared with men underscore the need for further investigation of modifiable sex-specific injury risk factors.

Strain and temperature measurement discrimination with forward Brillouin scattering in optical fibers.

A novel method that enables simultaneous and discriminative measurement of strain and temperature using one single optical fiber is presented. The method is based on the properties of transverse acoustic mode resonances (TAMRs) of the optical fiber. In particular, it is based on the different sensitivity to temperature and strain that exhibit the radial modes R0,m and a family of torsional-radial modes denoted as T R2,m(1). We show that the resonance frequencies of both types of resonances shift linearly with temperature and strain, but at different rates. By the combined use of the different sensitivities of the two families of TAMRs, we experimentally demonstrate discriminative measurements of strain and temperature. A detection limit of strain and temperature better than 25 µÎµ and 0.2 °C is achieved.

High accuracy measurement of Poisson's ratio of optical fibers and its temperature dependence using forward-stimulated Brillouin scattering.

Transverse acoustic mode resonances enable a high accuracy determination of Poisson's ratio and elastic properties of optical fibers. An all-optical pump and probe technique is used for efficient excitation and accurate characterization of both, radial and torsional-radial acoustic resonances of optical fibers. Simple and precise algebraic expressions for the frequencies of high order acoustic resonances are derived, enabling a rigorous analysis of the experimental data using standard least squares fitting. Following this approach, the determination of Poisson's ratio does not require the measurement of any physical length, but only frequency measurements are required. An accuracy better than 1 ‰ is achieved. The dependence of the fiber Poisson's ratio with temperature is also determined experimentally.

Measurement of phase and group refractive indices and dispersion of thermo-optic and strain-optic coeffients of optical fibers using weak fiber Bragg gratings.

In this work we report on the measurement, with record accuracy, of the absolute modal effective refraction index (phase index) of single-mode optical fibers by using Bragg gratings. We also demonstrate a new method to measure the group index of the fibers from the grating's Bragg wavelength. We present as well the characterization of the thermo-optic and strain-optic coefficients as a function of the wavelength; the values we have obtained are the closest to those of pristine fiber measured with gratings technology so far. The phase index is measured with a set of gratings in the wavelength ranges from 1509 to 1563 nm, and the group index is obtained from the wavelength dependence of the phase index. Very weak gratings with reflectivity down to 10-3 have been used in order to minimize the perturbation of the pristine fiber. Results are presented at a temperature of 22°C and zero strain after preliminary calibration of the thermo-optic and strain-optic coefficients as a function of the wavelength. Accuracies better than 3×10-5 and 7×10-4 have been achieved for the phase and group indices, respectively. It is also shown that the main source of error relates to the uncertainty in pitch of the phase masks used for grating inscription. The technique is useful for testing different kinds of fibers including telecommunication, amplifying, and polarization maintaining.

Permanence time in the herd and milk production of Holstein cows with up to five successive extended lactations.

A total of 1338 high-yielding cows with five lactations from a large well-managed commercial dairy operation in a hot environment of northern Mexico were used to evaluate milk yield and reproductive performance of cows undergoing unplanned extended lactations (EL; > 450 days). The null hypothesis that cumulative milk yield during five consecutive lactations is the same in cows not having unplanned EL and cows with several EL was tested. All EL resulted from cows failing to become pregnant with ≥ 4 services. Cows were allocated to 1 of 6 groups according to the number of EL (EL0 for cows with no EL to EL5 for cows with 5 EL). Cumulative milk yield was highest (P < 0.01) for EL5 cows (95,499 kg) and lowest for EL0 cows (56,236 kg). Likewise, cumulative days in milk were greatest (P < 0.01) in EL5 (2968 days) and lowest in EL0 (1857 days) cows. Mean milk yield per lactation increased linearly with the increase in the number of extended lactations with a maximum of 19,099 kg of milk/lactation for EL5 cows. Mean daily milk yield/productive life was lowest (P < 0.01) for EL0 (30.2 kg) and highest for EL5 (32.1 kg). The percentage of days in milk relative to days from birth to the end of the fifth lactation was highest for EL5 (78.1%) and lowest for EL0 (59.6%), with EL2 to EL4 cows intermediate. Length of calving interval was longest (P < 0.01) for EL5 (24.7 months) and shortest for EL0 (15.5 months) cows. It was concluded that it is worthwhile maintaining high-yielding cows incapable to conceive before 230 days in milk because they did conceive again and produced considerable amounts of milk during their productive life, which substantially prolonged their permanence time in the herd.

Point-of-care lung ultrasound predicts in-hospital mortality in acute heart failure.

BACKGROUND: B-lines have been associated with adverse clinical outcomes in patients with heart failure (HF) when found at hospital discharge or during outpatient visits. Whether lung ultrasound (LUS) assessed B-lines may predict in-hospital mortality in patients with acute HF is still undetermined. AIM: To evaluate the association between B-lines on admission and in-hospital mortality among patients admitted with acute HF. METHODS: Hand-held LUS was used to examine patients with acute HF. LUS was performed in eight chest zones with a pocket ultrasound device and analyzed offline. The association between B-lines and in-hospital mortality was assessed using Cox regression models. RESULTS: We included 62 patients with median age 56 years, 69.4% men, and median left ventricle ejection fraction 25%. The sum of B-lines ranged from 0 to 53 (median 6.5). An optimal receiver operating characteristic-determined cut-off of ≥19 B-lines demonstrated a sensitivity of 57% and a specificity of 86% (area under the curve 0.788) for in-hospital mortality. The incremental prognostic value of LUS when compared with lung crackles or peripheral edema by integrated discrimination improvement was 12.96% (95% CI: 7.0-18.8, P = 0.02). Patients with ≥19 B-lines had a 4-fold higher risk of in-hospital mortality (HR 4.38; 95% CI: 1.37-13.95, P < 0.01). CONCLUSION: In patients admitted with acute HF, point-of-care LUS measurements of pulmonary congestion (B-lines) are associated with in-hospital mortality.

Efficient interrogation method of forward Brillouin scattering in optical fibers using a narrow bandwidth long-period grating.

A new technique, to the best of our knowledge, for the characterization of the effective refractive index modulation in optical fibers due to transverse acoustic mode resonances excited by electrostriction is reported. The resonances excited by an optical pulse are probed by a narrow bandwidth long-period grating (LPG) inscribed in the fiber, which is interrogated by a continuous wave (CW) beam. The LPG used in this experiment has a narrow bandwidth and high sensitivity to small mode index perturbations, allowing the measurement of index variations from below 10-9 to 10-6. Radial and torsional-radial acoustic modes were characterized up to 1.1 GHz. The linewidth of resonances was found to be much shorter than in previous reports in which long fiber lengths are typically required, obtaining Q factors as high as 5000.

Single-mode Bragg gratings in tapered few-mode and multimode fibers.

We propose the implementation of fiber Bragg gratings in tapered few-mode and multimode fibers to accomplish single-mode operation by reducing the core diameter, while preserving the core-cladding structure. The gratings present a single reflection band, and the device shows low insertion losses after the taper fabrication and the fiber Bragg gratings inscription. The excitation of high-order odd modes in the core of the fiber has been identified as the main loss mechanism; it can be prevented by means of symmetric illumination of the fibers. We also demonstrate the excitation of high-order cladding modes (cladding-air modes) along the taper transitions; these modes can be removed without a significant increment of the insertion loss.

Presence of Newcastle disease viruses of sub-genotypes Vc and VIn in backyard chickens and in apparently healthy wild birds from Mexico in 2017.

Virulent Newcastle disease viruses (NDV) have been present in Mexico since 1946, and recently, multiple outbreaks have been reported in the country. Here, we characterized eleven NDV isolated from apparently healthy wild birds and backyard chickens in three different locations of Jalisco, Mexico in 2017. Total RNA from NDV was reverse-transcribed, and 1285 nucleotides, which includes 3/4 of the fusion gene, was amplified and sequenced using a long-read MinION sequencing method. The sequences were 99.99-100% identical to the corresponding region obtained using the Illumina MiSeq. Phylogenetic analysis using MinION sequences demonstrated that nine virulent NDV from wild birds belonged to sub-genotypes Vc and VIn, and two backyard chicken isolates were of sub-genotype Vc. The sub-genotype Vc viruses had nucleotide sequence identity that ranged from 97.7 to 98% to a virus of the same sub-genotype isolated from a chicken in Mexico in 2010. Three viruses from pigeons had 96.3-98.7% nucleotide identity to sub-genotype VIn pigeon viruses, commonly referred to as pigeon paramyxovirus, isolated in the USA during 2000-2016. This study demonstrates that viruses of sub-genotype Vc are still present in Mexico, and the detection of this sub-genotype in both chickens and wild birds suggests that transmission among these species may represent a biosecurity risk. This is the first detection and complete genome sequencing of genotype VI NDV from Mexico. In addition, the utilization of an optimized long-read sequencing method for rapid virulence and genotype identification using the Oxford nanopore MinION system is demonstrated.

Measurement of UV-induced absorption and scattering losses in photosensitive fibers.

UV-assisted fabrication of gratings using photosensitive fibers is a well-established technique, based on the UV-induced permanent modification of the refractive index of the fiber material. As a result, the absorption coefficient is also changed. Here, we exploit the thermal sensitivity of whispering gallery mode resonances of the fiber itself to measure the profile of the heating along an irradiated fiber versus the input power and for different UV radiation intensities. Our technique allows discriminating between the absorption and scattering contributions to the overall losses, by comparing the results obtained with our technique with direct transmission measurements. Different photosensitive fibers are characterized by means of this technique. Nonuniform UV irradiation of photosensitive fibers can be characterized with this technique.

Fabrication of long period fiber gratings of subnanometric bandwidth.

This Letter reports on the fabrication of long period fiber gratings having subnanometric bandwidths in the 1500 nm spectral region. Large gratings have been photo inscribed in a high NA fiber; the grating pitch and the order of the HE cladding mode are optimized to produce gratings with a large number of periods and prevent the coupling to TE, TM, or EH modes. Resonances with a FWHM of 0.83 and 0.68 nm have been achieved for gratings 15 and 20 cm long, respectively; the free spectral range between the transmission notches is 125 nm. The polarization effects and the sensitivity of the gratings to temperature and to strain variations are presented as well.

Acute and chronic malnutrition and their predictors in children aged 0-5 years in São Tomé: a cross-sectional, population-based study.

OBJECTIVE: Undernutrition is an important cause of morbidity and mortality in infants and children worldwide. The aim of this study was to evaluate the nutritional status and their predictors in children from 0 to 5 years of age in São Tomé. STUDY DESIGN: A cross-sectional study was conducted in São Tomé Island. METHODS: A total of 1285 individuals were enrolled between January and May 2011. Children were measured, and height for age (HAZ), weight for height (WHZ) and body mass index (BAZ) Z-score were computed. Global acute undernutrition is defined as weight for height <-1 Z-score (wasting < -2 Z-scores) and global chronic undernutrition as length/height for age <-1 Z-score (stunting < -2 Z-scores). Relevant information was collected from individual health bulletins, namely gestational age and birth weight, as well as weight at 6, 12, 18 and 24 months for all individual above these ages. Mothers were invited to answer a specific questionnaire. RESULTS: A high percentage of global acute undernutrition (30.9% in <24 months and 21.9% in ≥24 months) and global chronic undernutrition (32.5% in <24 months and 41.1% in ≥24 months) was observed. Appropriate birth weight for gestational age (AGA) is significantly associated with lower odds for both acute (OR 0.485 [95% CI 0.299-0.785]) and chronic undernutrition (OR 0.427 [95% CI 0.270-0.675]) in children >12 months. Weight gain above 0.67 Z-score in the first semester of life was strongly related to lower odds for both acute (OR 0.109 [95% CI 0.040-0.291]) and chronic undernutrition (OR 0.379 [95% CI 0.187-0.770]) in children >12 months of age. Similarly, mother's education seems to protect against acute (>12 months: OR 0.448 [95% CI 0.244-0.825]; >24 months: OR 0.186 [95% CI 0.064-0.540]) and chronic undernutrition (>12 months: OR 0.389 [95% CI 0.232-0.653]; >24 months: OR 0.324 [95% CI 0.171-0.625]). All logistic regressions were adjusted for all children (gender, age, gestational age, birth weight, breastfeeding, begin consumption alcohol), mothers (age, height, body mass index, educational level, number of previous pregnancies, smoking during pregnancy, alcohol consumption during pregnancy) and household (number of siblings and persons at home) variables included in the protocol. CONCLUSIONS: Birth weight, nutritional status, and the mother's education and weight gain particularly in the first year of life were important factors protecting against undernutrition during infancy and childhood. These results emphasize the importance of women's nutrition and of adequate birth weight and particularly weight gain during the first year of life in order to prevent wasting and stunting in childhood.

Influência da adubação fosfatada sobre o crescimento do camapu (Physalis angulata L. ) / Influence of phosphorus fertilization over the growth of the camapu (Physalis angulata L. )

RESUMO A espécie Physalis angulata L., pertencente à família Solanaceae, tem despontado como uma planta extremamente promissora para uso medicinal, em razão da produção do composto fisalina. No entanto, aspectos importantes do seu cultivo ainda permanecem pouco conhecidos. Assim, objetivou-se avaliar a influencia do fósforo para o seu crescimento. O experimento foi conduzido em Latossolo Amarelo de textura média, submetido a três doses de P: 8, 16 e 64 mg kg-1 de P. Usou-se um delineamento experimental inteiramente casualizado. Foram realizadas duas colheitas: aos 30 e 42 dias após o plantio. Verificou-se que as plantas cultivadas sob deficiência (8 mg kg-1 de P no solo) apresentaram 26,3 folhas, enquanto as cultivadas com a maior dose (64 mg kg-1 de P no solo) produziram 80,17 folhas. Aumento semelhante (201%) foi obtido para a área foliar, cujos valores variaram de 436,4 cm2a 1.313,9 cm2. Sob deficiência, a produção da massa seca total foi de apenas 1,72g, enquanto para a dose de 64 mg kg-1 de P no solo esse valor foi de 7,58g, significando um aumento de 340%. Plantas cultivadas com 8 mg kg-1 de P no solo não apresentaram flores ou frutos; já para o tratamento em que se utilizou 64 mg kg-1 de P no solo, o início do florescimento antecedeu ao das plantas cultivadas com 16 mg kg-1 de P no solo. A razão de área foliar e a área foliar específica foram maiores para as plantas cultivadas sob deficiência, enquanto a taxa de crescimento relativo e a taxa assimilatória líquida não foram estatisticamente influenciadas. Conclui-se que a deficiência de P no solo pode comprometer sobremaneira o crescimento das plantas de Physalis. Além disso, como a deficiência de P reduziu sensivelmente a produção de folhas, órgão responsável pela produção da fisalina, também é possível concluir que a deficiência de P pode, mesmo que indiretamente, reduzir a concentração desse importante composto na planta.

ABSTRACT The specie Physalis angulata L., who belongs to the Solanaceae family, has stand out as an extremely promising plant in terms of medical use, due to the production of the physalin compound. However, important aspects of its production still remain unknown. Thus the objective of this work was to assess the influence of phosphorus for the growth of these species. The experiment was performed with three doses of P (8, 16 e 64 mg kg-1 de P), in a completely randomized experimental design. Two harvests were performed: at 30 and 42 days after planting. The deficiency of P reduced the number of leaves and leaf area. The total dry matter (DM), as well as a MS from all parts of the plant, was significantly higher for plants grown under the highest levels of phosphorus. Plants grown with 8 mg P kg-1 showed no flowers or fruit; but, for the treatment which used 64 mg of P kg-1 the beginning of flowering happened before than with the plants grown with 16mg. The ratio of the leaf area and the specific leaf area were higher for plants grown under stress, while the values of the relative growth rate and the net assimilatory rate were not statistically influenced. We conclude that the deficiency of P in soil may considerably affect the growth of Physalis plants. Moreover, since the deficiency of P significantly reduced the leaf production, which is responsible for creating the physalin, it is also possible to conclude that P deficiency may, even indirectly, reduce the concentration of this important compound in the plant.

Measurement of temperature profile induced by the optical signal in fiber Bragg gratings using whispering-gallery modes.

The temperature sensitivity of whispering-gallery mode resonances of an optical fiber is exploited to measure thermal effects induced by an optical signal of moderate power along a fiber Bragg gating (FBG). The UV inscription technique used for the fabrication of FBG introduces a permanent change in the absorption coefficient of the fiber; thus, thermal effects are expected. The resonance wavelength shift of whispering-gallery modes provides information about the temperature change in the fiber, point to point. We present the experimental characterization of the thermal effects in FBG as a function of the wavelength and the power of the launched optical signal through the grating.

Phase recovery by using optical fiber dispersion.

We propose a simple and fast procedure to retrieve the phase profile of arbitrary light pulses. It combines a first experimental stage, followed by a one-step numerical stage. To this end, it is necessary to perform a Fresnel transform, which is obtained just by propagating the light pulses through an optical fiber. We experimentally test this proposal recovering the phase profile in the light pulses provided by a passively mode-locked laser. The proposal is then compared with a temporal variation of the Gerchberg-Saxton recursive algorithm, which is specially modified for this purpose.

Long-cavity all-fiber ring laser actively mode locked with an in-fiber bandpass acousto-optic modulator.

We demonstrate low-frequency active mode locking of an erbium-doped all-fiber ring laser. As the mode locker, we used a new in-fiber bandpass acousto-optic modulator showing 74% modulation depth, 3.7 dB power insertion losses, 4.5 nm of optical bandwidth, and 20 dB of nonresonant light suppression. The laser generates 330 ps mode-locked pulses over a 10 ns pedestal, at a 1.538 MHz frequency, with 130 mW of pump power.

Tunable narrowband fiber laser with feedback based on whispering gallery mode resonances of a cylindrical microresonator.

Narrowband filtering based on whispering gallery modes of a slightly tapered cylindrical optical microresonator was used to implement a tunable narrowband erbium-doped fiber laser. The laser can be set to emit a single longitudinal cavity mode (single frequency), although the laser cavity is a few meters long. In the single-frequency regime the laser can emit a maximum power of 0.380 mW with a linewidth <35 kHz and a signal-to-noise ratio exceeding 50 dB. Tunability is achieved by sliding the excitation point along the microcylinder. A tuning range of 1.16 nm is demonstrated.

Photonic fractional Fourier transformer with a single dispersive device.

In this work we used the temporal analog of spatial Fresnel diffraction to design a temporal fractional Fourier transformer with a single dispersive device, in this way avoiding the use of quadratic phase modulators. We demonstrate that a single dispersive passive device inherently provides the fractional Fourier transform of an incident optical pulse. The relationships linking the fractional Fourier transform order and scaling factor with the dispersion parameters are derived. We first provide some numerical results in order to prove the validity of our proposal, using a fiber Bragg grating as the dispersive device. Next, we experimentally demonstrate the feasibility of this proposal by using a spool of a standard optical fiber as the dispersive device.

All-fiber noninterferometric narrow-transmission-bandpass filter.

In-fiber mode engineering based on the combination of Bragg and long-period gratings (LPGs) permits the implementation of noninterferometric transmission filters with narrow passbands using standard single-mode fiber. The design of the bandpass filter is based on the coupling between propagating and counterpropagating cladding modes in two fiber Bragg gratings. A LPG located between the Bragg gratings transfers power from the input fundamental mode to a specific cladding mode and recouples the filtered signal to the output fundamental mode. The filter produces a series of narrow passbands of about 30 pm linewidth with a maximum transmittance above 60%, 20 dB isolation, and passband separation of about 1 nm, each corresponding to the contribution of a different cladding mode.

"Photonic lantern" spectral filters in multi-core Fiber.

Fiber Bragg gratings are written across all 120 single-mode cores of a multi-core optical Fiber. The Fiber is interfaced to multimode ports by tapering it within a depressed-index glass jacket. The result is a compact multimode "photonic lantern" filter with astrophotonic applications. The tapered structure is also an effective mode scrambler.