Alexithymia and Inflammatory Bowel Disease: A Systematic Review.

Background: Given the role of alexithymia-as the inability to identify, differentiate, and express emotions-in chronic and immune-mediated illness, this systematic review analyzed the prevalence of alexithymia in patients with inflammatory bowel diseases (IBDs), mainly represented by Crohn's disease (CD) and ulcerative colitis (UC). Methods: Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed throughout this systematic review of the literature published between 2015 and 2020 in indexed sources from PubMed, PsycINFO, Scopus, and Web of Science databases. Search terms for eligible studies were: "Inflammatory bowel disease" AND "Alexithymia" [Titles, Abstract, Keywords]. Inclusion criteria were: articles written and published in English from 2015 and up to April 2020, reporting relevant and empirical data on alexithymia and IBD. Results: The initial search identified 34 indexed scientific publications. After screening, we found that five publications met the established scientific inclusion criteria. Overall, the mean value of alexithymia ranged from 39 to 53.2 [Toronto Alexithymia Scale (TAS-20) score], thus mostly falling in non-clinical range for alexithymia (≤51). Comparisons of alexithymia between patients with UC and CD highlighted that patients with CD showed externally oriented thinking and difficulties identifying feelings to a greater extent. Regarding comparisons with other samples or pathologies, patients with IBD were more alexithymic than healthy controls and less alexithymic than patients with major depressive disorder, but no difference was found when compared with patients with irritable bowel syndrome (IBS). Then, regarding correlations with other variables, alexithymia was positively associated with anxiety and depression, as well as with psychopathological symptoms and somatic complaints. Conclusion: This systematic review suggests that patients with IBD cannot be generally considered alexithymic at a clinically relevant extent. However, their greater alexithymic levels and its associations with psychological variables and somatic distress may suggest a reactivity hypothesis, in which living with IBD may progressively lead to impaired emotion recognition over time. Specifically, the relationship between IBD and IBS should be further explored, paying deeper attention to the clinical psychological functioning of CD, as IBD requires more emotional challenges to patients.

A systematic review on the therapeutic effectiveness of non-invasive brain stimulation for the treatment of anxiety disorders.

The interest in the use of non-invasive brain stimulation for enhancing neural functions and reducing symptoms in anxiety disorders is growing. Based on the DSM-V classification for anxiety disorders, we examined all available research using repetitive transcranial magnetic stimulation (rTMS) and transcranial direct current stimulation (tDCS) for the treatment of specific phobias, social anxiety disorder, panic disorder, agoraphobia, and generalized anxiety disorder. A systematic literature search conducted in PubMed and Google Scholar databases provided 26 results: 12 sham-controlled studies and 15 not sham-controlled studies. With regard to the latter sub-group of studies, 9 were case reports, and 6 open label studies. Overall, our work provides preliminary evidence that both, excitatory stimulation of the left prefrontal cortex and inhibitory stimulation of the right prefrontal cortex can reduce symptom severity in anxiety disorders. The current results are discussed in the light of a model for the treatment for anxiety disorders via non-invasive brain stimulation, which is based on up-/downregulation mechanisms and might serve as guide for future systematic investigations in the field.

Intense, carrier frequency and bandwidth tunable quasi single-cycle pulses from an organic emitter covering the Terahertz frequency gap.

In Terahertz (THz) science, one of the long-standing challenges has been the formation of spectrally dense, single-cycle pulses with tunable duration and spectrum across the frequency range of 0.1-15 THz (THz gap). This frequency band, lying between the electronically and optically accessible spectra hosts important molecular fingerprints and collective modes which cannot be fully controlled by present strong-field THz sources. We present a method that provides powerful single-cycle THz pulses in the THz gap with a stable absolute phase whose duration can be continuously selected between 68 fs and 1100 fs. The loss-free and chirp-free technique is based on optical rectification of a wavelength-tunable pump pulse in the organic emitter HMQ-TMS that allows for tuning of the spectral bandwidth from 1 to more than 7 octaves over the entire THz gap. The presented source tunability of the temporal carrier frequency and spectrum expands the scope of spectrally dense THz sources to time-resolved nonlinear THz spectroscopy in the entire THz gap. This opens new opportunities towards ultrafast coherent control over matter and light.

High efficiency THz generation in DSTMS, DAST and OH1 pumped by Cr:forsterite laser.

We investigated Terahertz generation in organic crystals DSTMS, DAST and OH1 directly pumped by a Cr:forsterite laser at central wavelength of 1.25 µm. This pump laser technology provides a laser-to-THz energy conversion efficiency higher than 3 percent. Phase-matching is demonstrated over a broad 0.1-8 THz frequency range. In our simple setup we achieved hundred µJ pulses in tight focus resulting in electric and magnetic field larger than 10 MV/cm and 3 Tesla.

Generation of 0.9-mJ THz pulses in DSTMS pumped by a Cr:Mg2SiO4 laser.

We report on high-field terahertz transients with 0.9-mJ pulse energy produced in a 400 mm² partitioned organic crystal by optical rectification of a 30-mJ laser pulse centered at 1.25 µm wavelength. The phase-locked single-cycle terahertz pulses cover the hard-to-access low-frequency range between 0.1 and 5 THz and carry peak fields of more than 42 MV/cm and 14 Tesla with the potential to reach over 80 MV/cm by choosing appropriate focusing optics. The scheme based on a Cr:Mg2SiO4 laser offers a high conversion efficiency of 3% using uncooled organic crystal. The collimated pump laser configuration provides excellent terahertz focusing conditions.

Intense sub-two-cycle infrared pulse generation via phase-mismatched cascaded nonlinear interaction in DAST crystal.

Octave-spanning, 12.5 fs, (1.9 cycle) pulses with 115 µJ energy in the short-wavelength mid-infrared spectral range (1-2.5 µm) have been generated via phase-mismatched cascaded nonlinear frequency conversion using organic DAST (4-N, N-dimethylamino-4'-N'-methylstilbazolium tosylate) crystal. Such ultrafast cascading effect is ensured by the interaction of a pump pulse with the exceptionally large effective nonlinearity of the DAST crystal and experiencing nonresonant, strongly phase-mismatched, Kerr-like negative nonlinearity.

Large-amplitude spin dynamics driven by a THz pulse in resonance with an electromagnon.

Multiferroics have attracted strong interest for potential applications where electric fields control magnetic order. The ultimate speed of control via magnetoelectric coupling, however, remains largely unexplored. Here, we report an experiment in which we drove spin dynamics in multiferroic TbMnO3 with an intense few-cycle terahertz (THz) light pulse tuned to resonance with an electromagnon, an electric-dipole active spin excitation. We observed the resulting spin motion using time-resolved resonant soft x-ray diffraction. Our results show that it is possible to directly manipulate atomic-scale magnetic structures with the electric field of light on a sub-picosecond time scale.

Pump pulse width and temperature effects in lithium niobate for efficient THz generation.

We present a study on THz generation in lithium niobate pumped by a powerful and versatile Yb:CaF(2) laser. The unique laser system delivers transform-limited pulses of variable duration (0.38-0.65 ps) with pulse energies up to 15 mJ and center wavelength of 1030 nm. From previous theoretical investigations, it is expected that such laser parameters are ideally suited for efficient THz generation. Here, we present experimental results on both the conversion efficiency and the THz spectral shape for variable pump pulse durations and for different crystal temperatures, down to 25 K. We experimentally verify the optimum pump parameters for the most efficient and broadband THz generation.

High-energy terahertz pulses from organic crystals: DAST and DSTMS pumped at Ti:sapphire wavelength.

High-energy terahertz pulses are produced by optical rectification (OR) in organic crystals 4-dimethylamino-N-methyl-4-stilbazolium tosylate (DAST) and 4-N, N-dimethylamino-4'-N'-methyl-stilbazolium 2,4,6-trimethylbenzenesulfonate (DSTMS) by a Ti:sapphire amplifier system with 0.8 µm central wavelength. The simple scheme provides broadband spectra between 1 and 5 THz, when pumped by a collimated 60 fs near-IR pump pulse, and it is scalable in energy. Fluence-dependent conversion efficiency and damage threshold are reported, as well as optimized OR at visible wavelengths.

Temporal accuracy and variability in the left and right posterior parietal cortex.

Several brain-imaging and lesion studies have suggested a role for the posterior parietal cortex (PPC) in computing interval-timing tasks. PPC also seems to have a key role in modulating visuospatial mechanisms, which are known to affect temporal performance. By applying transcranial direct current stimulation (tDCS) over the left and right PPC, we aimed to modulate timing ability performance in healthy humans performing a cognitively controlled timing task. In two separate experiments we compared time-processing abilities of two groups of healthy adults submitted to anodal, cathodal or sham tDCS over right or left PPC, by employing a supra-second time reproduction task. Cathodal stimulation over the right PPC affected temporal accuracy by leading participants to overestimate time intervals. Moreover, when applied to the left PPC, it reduced variability in reproducing temporal intervals. No effect was reported for anodal stimulation. These results expand current knowledge on the role of the parietal cortex on temporal processing. We provide evidence that the parietal cortex of both hemispheres is involved in temporal processing by acting on distinct components of timing performance such as accuracy and variability.

Deep-ultraviolet picosecond flat-top pulses by chirp-matched sum frequency generation.

Picosecond, flat-top, deep-UV pulses are needed to generate high-brightness electron beams to efficiently drive x-ray free electron lasers. Current metal photocathodes have low efficiency and therefore require high-energy pulses, and the generation of high-energy, flat-top pulses in the deep UV is still challenging. The low efficiencies of both the harmonic generation and deep-UV pulse shapers restrict the accessible pulse energy. Moreover, the acceptance bandwidth of the harmonic generation limits the minimum rise time of the flat-top profile. We present the generation of few-hundred microjoule, picosecond, deep-UV pulses using chirp-matched sum frequency generation. This scheme combined with IR spectral manipulation is a novel approach for deep-UV pulse shaping. It permits flat-top pulses with high energy and fast rise time, highly suited for high-brightness photoelectron beam production.

High-gain harmonic-generation free-electron laser seeded by harmonics generated in gas.

The injection of a seed in a free-electron laser (FEL) amplifier reduces the saturation length and improves the longitudinal coherence. A cascaded FEL, operating in the high-gain harmonic-generation regime, allows us to extend the beneficial effects of the seed to shorter wavelengths. We report on the first operation of a high-gain harmonic-generation free-electron laser, seeded with harmonics generated in gas. The third harmonics of a Ti:sapphire laser, generated in a gas cell, has been amplified and up-converted to its second harmonic (λ(rad)=133 nm) in a FEL cascaded configuration based on a variable number of modulators and radiators. We studied the transition between coherent harmonic generation and superradiant regime, optimizing the laser performances with respect to the number of modulators and radiators.

Self-amplified spontaneous emission free-electron laser with an energy-chirped electron beam and undulator tapering.

We report the first experimental implementation of a method based on simultaneous use of an energy chirp in the electron beam and a tapered undulator, for the generation of ultrashort pulses in a self-amplified spontaneous emission mode free-electron laser (SASE FEL). The experiment, performed at the SPARC FEL test facility, demonstrates the possibility of compensating the nominally detrimental effect of the chirp by a proper taper of the undulator gaps. An increase of more than 1 order of magnitude in the pulse energy is observed in comparison to the untapered case, accompanied by FEL spectra where the typical SASE spiking is suppressed.

Experimental demonstration of emittance compensation with velocity bunching.

In this Letter we report the first experiments aimed at the simultaneous demonstration of the emittance compensation process and velocity bunching in a high brightness electron source, the SPARC photoinjector in INFN-LNF. While a maximum compression ratio up to a factor 14 has been observed, in a particular case of interest a compression factor of 3, yielding a slice current of 120 A with less than 2 microm slice emittance, has been measured. This technique may be crucial in achieving high brightness beams in photoinjectors aiming at optimized performance of short wavelength single-pass free electron lasers or other advanced applications in laser-plasma accelerators.

Multiphoton photoemission from a copper cathode illuminated by ultrashort laser pulses in an RF photoinjector.

In this Letter we report on the use of ultrashort infrared laser pulses to generate a copious amount of electrons by a copper cathode in an rf photoinjector. The charge yield verifies the generalized Fowler-Dubridge theory for multiphoton photoemission. The emission is verified to be prompt using a two pulse autocorrelation technique. The thermal emittance associated with the excess kinetic energy from the emission process is comparable with the one measured using frequency tripled uv laser pulses. In the high field of the rf gun, up to 50 pC of charge can be extracted from the cathode using a 80 fs long, 2 microJ, 800 nm pulse focused to a 140 mum rms spot size. Taking into account the efficiency of harmonic conversion, illuminating a cathode directly with ir laser pulses can be the most efficient way to employ the available laser power.

Simple scheme for ultraviolet time-pulse shaping.

We present a method to generate high-energy flat-top UV laser pulses such as the ones needed to optimally drive high-brightness radio-frequency photoinjectors. In this scheme we believe to be novel, the longitudinal profile of a laser pulse from a Ti:sapphire master oscillator power amplifier system is controlled using a mechanical mask in the Fourier plane of a 4f stretcher located after the harmonic conversion crystals. Such a scheme allows us to overcome many of the difficulties faced by current state-of-the-art pulse-shaping designs. These are in fact based on various versions of preamplifier infrared shapers and hence suffer from the limitations set by the nonlinearities of chirped-pulse amplification and harmonic conversion. Beyond the clear advantages of simplicity and robustness, the proposed solution offers the possibility to deliver a pulse with very short rise and fall times and to freely change the output pulse length. We also note that, after proper calibration between spectral and temporal profiles, the shaper optical setup offers the possibility to retrieve the longitudinal profile of the laser pulse on a shot-to-shot basis.

Direct measurement of the double emittance minimum in the beam dynamics of the sparc high-brightness photoinjector.

In this Letter we report the first experimental observation of the double emittance minimum effect in the beam dynamics of high-brightness electron beam generation by photoinjectors; this effect, as predicted by the theory, is crucial in achieving minimum emittance in photoinjectors aiming at producing electron beams for short wavelength single-pass free electron lasers. The experiment described in this Letter was performed at the SPARC photoinjector site, during the first stage of commissioning of the SPARC project. The experiment was made possible by a newly conceived device, called an emittance meter, which allows a detailed and unprecedented study of the emittance compensation process as the beam propagates along the beam pipe.