Caught in the Act: A Recurrent Tamponade After Coronary Artery Bypass Grafting With Culprit Lesion Identified on Computed Tomography Angiogram.

Delayed cardiac tamponade after cardiac surgery is a rare complication with significant diagnostic challenges. The recurrence of cardiac tamponade physiology after initial intervention creates another degree of difficulty in the management of already medically complex patients. We present the case of a 65-year-old male who underwent four-vessel coronary artery bypass grafting that was complicated by the delayed presentation of cardiac tamponade requiring mediastinal exploration. Following this he developed a recurrence of cardiac tamponade with bleeding from a vein graft identified on multiphase spiral computed tomography angiography.

A study on motion reduction for suspended platforms used in gravitational wave detectors.

We report a reduction in motion for suspended seismic-isolation platforms in a gravitational wave detector prototype facility. We sense the distance between two seismic-isolation platforms with a suspension platform interferometer and the angular motion with two optical levers. Feedback control loops reduce the length changes between two platforms separated by [Formula: see text] to [Formula: see text] at [Formula: see text], and the angular motion of each platform is reduced to [Formula: see text] at [Formula: see text]. As a result, the length fluctuations in a suspended optical resonator on top of the platforms is reduced by three orders of magnitude. This result is of direct relevance to gravitational wave detectors that use similar suspended optics and seismic isolation platforms.

Congenital intravascular abdominal aortic band initially thought to be a metallic foreign body: Characterization using microanatomical CT reconstruction technique.

We present a patient with the initial misdiagnosis of a metallic foreign body in the abdominal aorta. Computed tomographic angiography utilizing microanatomical reconstruction technique revealed the structure to instead be a partially calcified abdominal aortic congenital fibrous band. Most congenital fibrous bands spanning the aortic lumen are proximal within the aorta and are thought to be supportive structures of the aortic valve leaflets. Congenital fibrous bands distal to the sinotubular junction are quite rare.

Intraarticular extravasation, an unusual complication of computed tomographic angiography performed with intraosseous needle intravenous access.

Off label use of intraosseous needles (IONs) for contrast media (CM) injection during computed tomographic angiography (CTA) has been reported in small case series and isolated case reports. Presently, complications specific to this novel indication are essentially unknown. In this communication, we report an extravasation of CM from the intramedullary space of the humerus into the glenohumeral joint space during an ION injection of CM during a CTA of the head, neck, and chest. Although clinically insignificant in this case, a more severe intraarticular extravasation could have had both short or long term adverse sequelae. Practitioners of CTA should be aware of this potential complication.

Prospects for Detecting Gravitational Waves at 5 Hz with Ground-Based Detectors.

We propose an upgrade to Advanced LIGO (aLIGO), named LIGO-LF, that focuses on improving the sensitivity in the 5-30 Hz low-frequency band, and we explore the upgrade's astrophysical applications. We present a comprehensive study of the detector's technical noises and show that with technologies currently under development, such as interferometrically sensed seismometers and balanced-homodyne readout, LIGO-LF can reach the fundamental limits set by quantum and thermal noises down to 5 Hz. These technologies are also directly applicable to the future generation of detectors. We go on to consider this upgrade's implications for the astrophysical output of an aLIGO-like detector. A single LIGO-LF can detect mergers of stellar-mass black holes (BHs) out to a redshift of z≃6 and would be sensitive to intermediate-mass black holes up to 2000 M_{⊙}. The detection rate of merging BHs will increase by a factor of 18 compared to aLIGO. Additionally, for a given source the chirp mass and total mass can be constrained 2 times better than aLIGO and the effective spin 3-5 times better than aLIGO. Furthermore, LIGO-LF enables the localization of coalescing binary neutron stars with an uncertainty solid angle 10 times smaller than that of aLIGO at 30 Hz and 4 times smaller when the entire signal is used. LIGO-LF also significantly enhances the probability of detecting other astrophysical phenomena including the tidal excitation of neutron star r modes and the gravitational memory effects.

Contributed Review: A review of compact interferometers.

Compact interferometers, called phasemeters, make it possible to operate over a large range while ensuring a high resolution. Such performance is required for the stabilization of large instruments dedicated to experimental physics such as gravitational wave detectors. This paper aims at presenting the working principle of the different types of phasemeters developed in the literature. These devices can be classified into two categories: homodyne and heterodyne interferometers. Improvement of resolution and accuracy has been studied for both devices. Resolution is related to the noise sources that are added to the signal. Accuracy corresponds to distortion of the phase measured with respect to the real phase, called non-linearity. The solutions proposed to improve the device resolution and accuracy are discussed based on a comparison of the reached resolutions and of the residual non-linearities.

Imaging the solitary pulmonary nodule.

The development of widespread lung cancer screening programs has the potential to dramatically increase the number of thoracic computed tomography (CT) examinations performed annually in the United States, resulting in a greater number of newly detected, indeterminate solitary pulmonary nodules (SPNs). Additional imaging studies, such as fluorodeoxyglucose F 18 (FDG)-positron emission tomography (PET), have been shown to provide valuable information in the assessment of indeterminate SPNs. Newer technologies, such as contrast-enhanced dual-energy chest CT and FDG-PET/CT, also have the potential to facilitate diagnosis of potentially malignant SPNs.

Laser link acquisition demonstration for the GRACE Follow-On mission.

We experimentally demonstrate an inter-satellite laser link acquisition scheme for GRACE Follow-On. In this strategy, dedicated acquisition sensors are not required-instead we use the photodetectors and signal processing hardware already required for science operation. To establish the laser link, a search over five degrees of freedom must be conducted (± 3 mrad in pitch/yaw for each laser beam, and ± 1 GHz for the frequency difference between the two lasers). This search is combined with a FFT-based peak detection algorithm run on each satellite to find the heterodyne beat note resulting when the two beams are interfered. We experimentally demonstrate the two stages of our acquisition strategy: a ± 3 mrad commissioning scan and a ± 300 µrad reacquisition scan. The commissioning scan enables each beam to be pointed at the other satellite to within 142 µrad of its best alignment point with a frequency difference between lasers of less than 20 MHz. Scanning over the 4 alignment degrees of freedom in our commissioning scan takes 214 seconds, and when combined with sweeping the laser frequency difference at a rate of 88 kHz/s, the entire commissioning sequence completes within 6.3 hours. The reacquisition sequence takes 7 seconds to complete, and optimizes the alignment between beams to allow a smooth transition to differential wavefront sensing-based auto-alignment.

Biotribological study of large diameter ceramic-on-CFR-PEEK hip joint including fluid uptake, wear and frictional heating.

A novel material combination of a large diameter Biolox(®) Delta zirconia-toughened-alumina (ZTA) head and a pitch-based carbon fibre reinforced poly ether-ether-ketone (CFR-PEEK) MOTIS(®) cup has been studied. The acetabular cups were inclined at three angles and tested using Durham Hip Simulators. The different inclination angles used did not have a significant effect on the wear rates (ANOVA, p = 0.646). Averaged over all cups, the wear rates were calculated to be 0.551 ± 0.115 mm(3)/10(6) cycles and 0.493 ± 0.107 mm(3)/10(6) cycles taking into account two types of soak controls; loaded at room temperature and unloaded at 37 °C respectively. Averaged across all femoral heads, the wear rate was 0.243 ± 0.031 mm(3)/10(6) cycles. The temperature change of the lubricant caused by the frictional heat was measured in situ. Friction factors measured using the Durham Friction Simulator were lower for the worn CFR-PEEK cups compared with unworn. This correlated with the decreased surface roughness. Even though relatively high friction was observed in these hemispherical hard-on-soft bearings, the wear rate is encouragingly low.

Backscatter tolerant squeezed light source for advanced gravitational-wave detectors.

We report on the performance of a dual-wavelength resonant, traveling-wave optical parametric oscillator to generate squeezed light for application in advanced gravitational-wave interferometers. Shot noise suppression of 8.6±0.8 dB was measured across the detection band of interest to Advanced LIGO, and controlled squeezing measured over 5900 s. Our results also demonstrate that the traveling-wave design has excellent intracavity backscattered light suppression of 47 dB and incident backscattered light suppression of 41 dB, which is a crucial design issue for application in advanced interferometers.

Sensing and control in dual-recycling laser interferometer gravitational-wave detectors.

We introduce length-sensing and control schemes for the dual-recycled cavity-enhanced Michelson interferometer configuration proposed for the Advanced Laser Interferometer Gravitational Wave Observatory (LIGO). We discuss the principles of this scheme and show methods that allow sensing and control signals to be derived. Experimental verification was carried out in three benchtop experiments that are introduced. We present the implications of the results from these experiments for Advanced LIGO and other future interferometric gravitational-wave detectors.

Power-recycled Michelson interferometer with resonant sideband extraction.

We present a system for the control and signal extraction of a power-recycled Michelson interferometer with resonant sideband extraction. This control system is capable of locking four degrees of freedom to a fixed point while locking the signal cavity to an arbitrary detuned point. One of the strengths of this system is that it can quickly change the instrument's frequency response without disrupting continuous operation. We report on an experimental implementation of this control system on a benchtop prototype and present broadband measurements of the prototype's frequency response for a range of signal cavity detunings.