Striated composite layers of silica and hafnia offering advantageous properties for short-pulse optical coatings.

Monolayers containing subnanometer striations of silica and hafnia to form composite materials at varying ratios are explored as a method to develop high-index dielectric layers with increased laser-induced-damage thresholds (LIDTs). These layers can then be used in multilayer dielectric coatings for short-pulse, high-peak-power laser applications, particularly in regions of the highest electric-field intensity. Fabrication is achieved by means of exposure to two different evaporant vapor plumes, where local exposure to each plume is controlled via shielding to prevent simultaneous exposure. The LIDT of the resulting layers has been evaluated at 1053 nm with 600-fs pulses. The results indicate that such hafnia/silica layers exhibit LIDTs similar to silica for a refractive index of ≤1.65. These results suggest that the use of these layers in locations subjected to high electric-field intensity within multilayer dielectric coatings may significantly improve the LIDT, with this deposition process providing particular benefit for scaling to large-aperture, high-fluence components.

Performance characterization of freeform finished surfaces of potassium dihydrogen phosphate using fluid jet polishing with a nonaqueous slurry.

Potassium dihydrogen phosphate (KDP) and its deuterated analog (DKDP) are unique nonlinear optical materials for high power laser systems. They are used widely for frequency conversion and polarization control by virtue of the ability to grow optical-quality crystals at apertures suitable for fusion-class laser systems. Existing methods for freeform figuring of KDP/DKDP optics do not produce surfaces with sufficient laser-induced-damage thresholds (LIDT's) for operation in the ultraviolet portion of high-peak-power laser systems. In this work, we investigate fluid jet polishing (FJP) using a nonaqueous slurry as a sub-aperture finishing method for producing freeform KDP surfaces. This method was used to selectively polish surface areas to different depths on the same substrate with removals ranging from 0.16 µm to 5.13 µm. The finished surfaces demonstrated a slight increase in roughness as the removal depth increased along with a small number of fracture pits. Laser damage testing with 351 nm, 1 ns pulses demonstrated excellent surface damage thresholds, with the highest values in areas devoid of fracture pits. This work demonstrates, for the first time, a method that enables fabrication of a waveplate that provides tailored polarization randomization that can be scaled to meter-sized optics. Furthermore, this method is based on FJP technology that incorporates a nonaqueous slurry specially designed for use with KDP. This novel nonaqueous FJP process can be also used for figuring other types of materials that exhibit similar challenging inherent properties such as softness, brittleness, water-solubility, and temperature sensitivity.

Multiparameter laser performance characterization of liquid crystals for polarization control devices in the nanosecond regime.

Interactions of liquid crystals (LC's) with polarized light have been studied widely and have spawned numerous device applications, including the fabrication of optical elements for high-power and large-aperture laser systems. Currently, little is known about both the effect of incident polarization state on laser-induced-damage threshold (LIDT) and laser-induced functional threshold (LIFT) behavior at sub-LIDT fluences under multipulse irradiation conditions. This work reports on the first study of the nanosecond-pulsed LIDT's dependence on incident polarization for several optical devices employing oriented nematic and chiral-nematic LC's oriented by surface alignment layers. Accelerated lifetime testing was also performed to characterize the ability of these devices to maintain their functional performance under multipulse irradiation as a function of the laser fluence at both 1053 nm and 351 nm. Results show that the LIDT varies as a function of input polarization by 30-80% within the same device, while the multipulse LIFT (which can differ from the nominal LIDT) depends on irradiation conditions such as laser fluence and wavelength.

Femtosecond laser damage of germanium from near- to mid-infrared wavelengths.

Femtosecond laser-induced damage and ablation (fs-LIDA) is a rich field in extreme non-perturbative nonlinear optics with wide ranging applications, including laser micro- and nano-machining, waveguide writing, and eye surgery. Our understanding of fs-LIDA, however, is limited mostly to visible and near-infrared wavelengths. In this work, we systematically study single-shot, fs-laser ablation (fs-LIA) of single-crystal germanium from near- to mid-infrared wavelengths, and compare the fs-LIA wavelength scaling with two widely used models. We show that these models are inadequate, particularly at mid-infrared wavelengths. Instead, a hybrid model is proposed involving Keldysh ionization rates, a constant free-carrier density threshold, and multi-band effects, which yields good agreement with experimental observations. Aspects of this model may be applied to understanding other strong-field non-perturbative phenomena in solids.

Few-cycle pulse laser induced damage threshold determination of ultra-broadband optics.

A systematic study of few-cycle pulse laser induced damage threshold (LIDT) determination was performed for commercially-available ultra-broadband optics, (i.e. chirped mirrors, silver mirrors, beamsplitters, etc.) in vacuum and in air, for single and multi-pulse regime (S-on-1). Multi-pulse damage morphology at fluences below the single-pulse LIDT was studied in order to investigate the mechanisms leading to the onset of damage. Stark morphological contrast was observed between multi-pulse damage sites formed in air versus those in vacuum. One effect of vacuum testing compared to air included suppression of laser-induced periodic surface structures (LIPSS) formation, possibly influenced by a reduced presence of damage debris. Another effect of vacuum was occasional lowering of LIDT, which appears to be due to the stress-strain performance of the coating design during laser irradiation and under the external stress of vacuum ambience. A fused silica substrate is also examined, and a non-LIPSS nanostructuring is observed on the surface. Possible mechanisms are discussed.

Mixed impact of Xpert(®) MTB/RIF on tuberculosis diagnosis in Cambodia.

SETTING: National Tuberculosis (TB) Program sites in northwest Cambodia. OBJECTIVE: To evaluate the impact of Xpert(®) MTB/RIF at point of care (POC) as compared to non-POC sites on the diagnostic evaluation of people living with the human immunodeficiency virus (PLHIV) with TB symptoms and patients with possible multidrug-resistant (MDR) TB. DESIGN: Observational cohort of patients undergoing routine diagnostic evaluation for TB following the rollout of Xpert. RESULTS: Between October 2011 and June 2013, 431 of 822 (52%) PLHIV with TB symptoms and 240/493 (49%) patients with possible MDR-TB underwent Xpert. Xpert was more likely to be performed when available as POC. A smaller proportion of PLHIV at POC sites were diagnosed with TB than at non-POC sites; however, at POC sites, a higher proportion of those diagnosed with TB were bacteriologically positive. There was poor agreement between Xpert and other tests such as smear microscopy and culture. Overall, the evaluation of patients with possible MDR-TB increased following Xpert rollout, yet for patients confirmed as having drug resistance on drug susceptibility testing, only 46% had rifampin resistance that would be identified with Xpert. CONCLUSION: Although utilization of Xpert was low, it may have contributed to an increase in evaluations for possible MDR-TB and a decline in empiric treatment for PLHIV when available as POC.

Contexte : Sites du Programme National contre la Tuberculose (TB) dans le nord-ouest du Cambodge.Objectif : Evaluer l'impact du Xpert® MTB/RIF dans des sites où il est réalisé sur place (POC) comparés aux autres sites sur le diagnostic des personnes vivant avec le VIH (PVVIH) et ayant des symptômes de TB ainsi que des patients présumées de TB multirésistante (MDR).Schéma : Cohorte d'observation de patients bénéficiant d'une évaluation diagnostique de routine pour la TB après le lancement de l'Xpert.Résultats : Entre octobre 2011 et juin 2013, 431/822 (52%) PVVIH ayant des symptômes de TB et 240/493 (49%) patients avec suspicion de TB-MDR ont eu un test Xpert. L'Xpert a été réalisé plus souvent lorsqu'il était disponible en POC. Une plus faible proportion de PVVIH a eu un diagnostic de TB dans les sites POC que dans les sites non-POC ; cependant, dans les sites POC, une proportion plus élevée des patients ayant eu un diagnostic de TB a eu une bactériologie positive. L'accord entre l'Xpert et les autres tests (par exemple la microscopie de frottis ou la culture) a été médiocre. Dans l'ensemble, l'évaluation des patients présumées de TB-MDR a augmenté après le lancement de l'Xpert, mais parmi les patients ayant eu une pharmacorésistance confirmée par test de pharmacosensibilité, seulement 46% ont eu une résistance à la rifampicine qui aurait été identifiée par Xpert.Conclusion : Même si l'utilisation de l'Xpert a été faible, l'Xpert pourrait avoir contribué à une augmentation de l'évaluation des suspicions de TB-MDR et à un déclin du traitement empirique des PVVIH quand il est disponible sur place.

Marco de referencia: Los centros del Programa Nacional contra la Tuberculosis en el noroeste de Camboya.Objetivo: Evaluar la repercusión de la práctica de la prueba Xpert® MTB/RIF en el lugar de la consulta, en comparación con la realización de la prueba en otro centro, sobre la evaluación diagnóstica de las personas aquejadas de infección por el virus de la inmunodeficiencia humana (PVVIH) que presentan síntomas de tuberculosis (TB) y de los pacientes con presunción de TB multidrogorresistente (TB-MDR).Método: Fue este un estudio observacional de cohortes de pacientes en curso de evaluación diagnóstica corriente de la TB, después de la introducción de la prueba Xpert.Resultados: De octubre del 2011 a junio del 2013 se practicó la prueba Xpert a 431 de los 822 PVVIH que presentaban síntomas de TB (52%) y a 240 de los 493 pacientes con presunción de TB-MDR (49%). La probabilidad de realizar la prueba Xpert fue mayor cuando esta se podía practicar en el lugar de la consulta. La proporción de PVVIH en quienes se diagnosticó TB en los centros que practicaban localmente la prueba Xpert fue menor que en los demás centros; sin embargo, en los centros que contaban con la prueba fue más alta la proporción de casos de TB confirmados bacteriológicamente. Se observó una baja concordancia entre los resultados de la prueba Xpert y las otras pruebas (la baciloscopia y el cultivo). En general, tras el despliegue de la prueba molecular se investigó un mayor número de pacientes con presunción de TB-MDR; sin embargo, de los pacientes en quienes se confirmó la farmacorresistencia mediante pruebas de sensibilidad solo un 46% presentaba resistencia a rifampicina, que podía detectar la prueba Xpert.Conclusión: Si bien la utilización de la prueba Xpert fue muy limitada, su disponibilidad contribuyó a la investigación de más casos con presunción de TB-MDR y a una disminución del tratamiento empírico de las PPVIH, cuando la prueba Xpert se practicaba en el lugar de la consulta.

Laser induced periodic surface structure formation in germanium by strong field mid IR laser solid interaction at oblique incidence.

Laser induced periodic surface structures (LIPSS or ripples) were generated on single crystal germanium after irradiation with multiple 3 µm femtosecond laser pulses at a 45° angle of incidence. High and low spatial frequency LIPSS (HSFL and LSFL, respectively) were observed for both s- and p-polarized light. The measured LSFL period for p-polarized light was consistent with the currently established LIPSS origination model of coupling between surface plasmon polaritons (SPP) and the incident laser pulses. A vector model of SPP coupling is introduced to explain the formation of s-polarized LSFL away from the center of the damage spot. Additionally, a new method is proposed to determine the SPP propagation length from the decay in ripple depth. This is used along with the measured LSFL period to estimate the average electron density and Drude collision time of the laser-excited surface. Finally, full-wave electromagnetic simulations are used to corroborate these results while simultaneously offering insight into the nature of LSFL formation.

Intermittent tuberculosis treatment for patients with isoniazid intolerance or drug resistance.

SETTING: Twenty tuberculosis (TB) clinics in the United States and Canada. OBJECTIVE: To evaluate the efficacy and safety of a 6-month intermittent regimen of rifampin (RMP), pyrazinamide (PZA) and ethambutol (EMB) in human immunodeficiency virus (HIV) negative patients with culture-confirmed pulmonary or extra-pulmonary tuberculosis and either isoniazid (INH) resistance or INH intolerance. DESIGN: Patients were enrolled in a single-arm clinical trial to receive intermittent dosing after at least 14 initial daily doses of RMP+PZA+EMB. Treatment was continued twice (BIW) or thrice weekly (TIW) per physician/patient preference for a total of 6 months, with 2 years of follow-up for relapse after treatment. RESULTS: From 1999 to 2004, 98 patients were enrolled, 78 with reported INH resistance and 20 with INH intolerance. BIW dosing was used in 77 and TIW in 21. Study treatment was completed in 73 (74%). Reasons for discontinuation were hepatic adverse events (n= 12), other adverse effects (n= 3) and other reasons (n= 10). Failure (n= 1) and relapse (n= 2) occurred in 3 (3.5%, 95%CI 1.2-9.8) of 86 patients eligible for efficacy analysis, all occurring in patients with cavitary, acid-fast bacilli smear-positive pulmonary TB. CONCLUSIONS: Intermittent RMP+PZA+EMB appears to be effective in HIV-negative patients, but the regimen is poorly tolerated, possibly due to the prolonged use of PZA. Alternative regimens of lower toxicity are needed.