Niobium-tantalum oxide as a material platform for linear and nonlinear integrated photonics.

Here we realize the first reported integrated photonic devices fabricated using sputtered niobium-tantalum oxide films. Sputtered niobium-tantalum oxide films are highly promising for integrated photonics as they are scalable to high volume manufacturing, possess high refractive index, and are transparent in the ultraviolet through near infrared wavelength range. At a wavelength near 1550 nm, we observe propagation losses as low as 0.47 dB/cm in waveguides and ring resonators with resonator quality factors as high as 860,000. We also characterize the nonlinear performance of these films and find a Kerr coefficient (n2) of 1.2 ( ± 0.2) × 10-18 m2/W. With this high Kerr coefficient we demonstrate optical parametric oscillation in a ring resonator and supercontinuum generation in a waveguide.

Investigating the potential of a prematurely aged immune phenotype in severely injured patients as predictor of risk of sepsis.

BACKGROUND: Traumatic injury elicits a hyperinflammatory response and remodelling of the immune system leading to immuneparesis. This study aimed to evaluate whether traumatic injury results in a state of prematurely aged immune phenotype to relate this to clinical outcomes and a greater risk of developing additional morbidities post-injury. METHODS AND FINDINGS: Blood samples were collected from 57 critically injured patients with a mean Injury Severity Score (ISS) of 26 (range 15-75 years), mean age of 39.67 years (range 20-84 years), and 80.7% males, at days 3, 14, 28 and 60 post-hospital admission. 55 healthy controls (HC), mean age 40.57 years (range 20-85 years), 89.7% males were also recruited. The phenotype and frequency of adaptive immune cells were used to calculate the IMM-AGE score, an indicator of the degree of phenotypic ageing of the immune system. IMM-AGE was elevated in trauma patients at an early timepoint (day 3) in comparison with healthy controls (p < 0.001), driven by an increase in senescent CD8 T cells (p < 0.0001), memory CD8 T cells (p < 0.0001) and regulatory T cells (p < 0.0001) and a reduction in naïve CD8 T cells (p < 0.001) and overall T cell lymphopenia (p < 0 .0001). These changes persisted to day 60. Furthermore, the IMM-AGE scores were significantly higher in trauma patients (mean score 0.72) that developed sepsis (p = 0.05) in comparison with those (mean score 0.61) that did not. CONCLUSIONS: The profoundly altered peripheral adaptive immune compartment after critical injury can be used as a potential biomarker to identify individuals at a high risk of developing sepsis and this state of prematurely aged immune phenotype in biologically young individuals persists for up to two months post-hospitalisation, compromising the host immune response to infections. Reversing this aged immune system is likely to have a beneficial impact on short- and longer-term outcomes of trauma survivors.

Kilohertz frame rate snapshot hyperspectral imaging of metal reactive materials.

We demonstrate a kilohertz frame rate snapshot hyperspectral imaging system suitable for high-speed imaging, which we name snapshot hyperspectral imager for emission and reactions (SHEAR). This system splits the sensor of a single high-speed camera to simultaneously capture a conventional image and a spectrally sheared response of the scene under study. Given the small, point-source-like nature of burning metal micro-particles, the spectral response of the species is captured without the need for a slit, as is needed in conventional imaging spectrometers. We pair robust image registration techniques with sparse reconstruction algorithms to computationally disentangle overlapping spectra associated with many burning particles over the course of a combustion experiment. As a proof-of-concept experiment, representative physical vapor deposited Al:Zr composite particles are ignited, and their burn evolution is recorded at a frame rate of 2 kHz using this method. We demonstrate operation over two distinct wavelength ranges spanning hundreds of nanometers in wavelength and with sub-nanometer resolution. We are able to track hundreds of individual Al:Zr particles in a single high-speed video, providing ample statistics of burn time, temperature, and AlO emission timing in a high-throughput method. The demonstrated technology is high-throughput, flexible in wavelength, inexpensive, and relatively easy to implement, and provides a much needed tool for in situ composite metal fuel diagnostics.

Optical coherence tomography using physical domain data compression to achieve MHz A-scan rates.

The three-dimensional volumetric imaging capability of optical coherence tomography (OCT) leads to the generation of large amounts of data, which necessitates high speed acquisition followed by high dimensional image processing and visualization. This signal acquisition and processing pipeline demands high A-scan rates on the front end, which has driven researchers to push A-scan acquisition rates into the MHz regime. To this end, the optical time-stretch approach uses a mode locked laser (MLL) source, dispersion in optical fiber, and a single analog-to-digital converter (ADC) to achieve multi-MHz A-scan rates. While enabling impressive performance this Nyquist sampling approach is ultimately constrained by the sampling rate and bandwidth of the ADC. Additionally such an approach generates massive amounts of data. Here we present a compressed sensing (CS) OCT system that uses a MLL, electro-optic modulation, and optical dispersion to implement data compression in the physical domain and rapidly acquire real-time compressed measurements of the OCT signals. Compression in the analog domain prior to digitization allows for the use of lower bandwidth ADCs, which reduces cost and decreases the required data capacity of the sampling interface. By leveraging a compressive A-scan optical sampling approach and the joint sparsity of C-scan data we demonstrate 14.4-MHz to 144-MHz A-scan acquisition speeds using a sub-Nyquist 1.44 Gsample/sec ADC sampling rate. Furthermore we evaluate the impact of data compression and resulting imaging speed on image quality.

Secure communications using nonlinear silicon photonic keys.

We present a secure communication system constructed using pairs of nonlinear photonic physical unclonable functions (PUFs) that harness physical chaos in integrated silicon micro-cavities. Compared to a large, electronically stored one-time pad, our method provisions large amounts of information within the intrinsically complex nanostructure of the micro-cavities. By probing a micro-cavity with a rapid sequence of spectrally-encoded ultrafast optical pulses and measuring the lightwave responses, we experimentally demonstrate the ability to extract 2.4 Gb of key material from a single micro-cavity device. Subsequently, in a secure communication experiment with pairs of devices, we achieve bit error rates below 10-5 at code rates of up to 0.1. The PUFs' responses are never transmitted over the channel or stored in digital memory, thus enhancing the security of the system. Additionally, the micro-cavity PUFs are extremely small, inexpensive, robust, and fully compatible with telecommunications infrastructure, components, and electronic fabrication. This approach can serve one-time pad or public key exchange applications where high security is required.

The cortisol stress response induced by surgery: A systematic review and meta-analysis.

OBJECTIVE: Surgery is a stressor that can be categorized by duration and severity and induces a systemic stress response that includes increased adrenal cortisol production. However, the precise impact of surgical stress on the cortisol response remains to be defined. DESIGN: We performed a systematic review and meta-analysis to assess the cortisol stress response induced by surgery and to stratify this response according to different parameters. METHODS: We conducted a comprehensive search in several databases from 1990 to 2016. Pairs of reviewers independently selected studies, extracted data and evaluated the risk of bias. Cortisol concentrations were standardized, pooled in meta-analysis and plotted over time. RESULTS: We included 71 studies reporting peri-operative serum cortisol measurements in 2953 patients. The cortisol response differed substantially between moderately/highly invasive and minimally invasive surgical procedures. Minimally invasive procedures did not show a peri-operative cortisol peak, whereas more invasive surgeries caused a cortisol surge that was more pronounced in older subjects, women and patients undergoing open surgery and general anaesthesia. The duration of the procedure and the use of etomidate for induction of anaesthesia did not affect the cortisol response. CONCLUSIONS: The peri-operative cortisol stress response is dynamic and influenced by patient-specific, surgical and anaesthetic features. However, the available evidence is derived from highly heterogeneous studies, with only two of 71 studies measuring cortisol by mass spectrometry, which currently prevents a precise and reproducible definition of this response.

Widefield compressive multiphoton microscopy.

A single-pixel compressively sensed architecture is exploited to simultaneously achieve a 10× reduction in acquired data compared with the Nyquist rate, while alleviating limitations faced by conventional widefield temporal focusing microscopes due to scattering of the fluorescence signal. Additionally, we demonstrate an adaptive sampling scheme that further improves the compression and speed of our approach.

High-speed all-optical Haar wavelet transform for real-time image compression.

We present a high-speed single pixel flow imager based on an all-optical Haar wavelet transform of moving objects. Spectrally-encoded wavelet measurement patterns are produced by chirp processing of broad-bandwidth mode-locked laser pulses. A complete wavelet pattern set serially illuminates the object via a spectral disperser. This high-rate structured illumination transforms the scene into a set of sparse coefficients. We show that complex scenes can be compressed to less than 30% of their Nyquist rate by thresholding and storing the most significant wavelet coefficients. Moreover by employing temporal multiplexing of the patterns we are able to achieve pixel rates in excess of 360 MPixels/s.

Silicon photonic physical unclonable function.

Physical unclonable functions (PUFs) serve as a hardware source of private information that cannot be duplicated and have applications in hardware integrity and information security. Here we demonstrate a photonic PUF based on ultrafast nonlinear optical interactions in a chaotic silicon micro-cavity. The device is probed with a spectrally-encoded ultrashort optical pulse, which nonlinearly interacts with the micro-cavity. This interaction produces a highly complex and unpredictable, yet deterministic, ultrafast response that can serve as a unique "fingerprint" of the cavity and as a source of private information for the device's holder. Experimentally, we extract 17.1-kbit binary keys from six different photonic PUF designs and demonstrate the uniqueness and reproducibility of these keys. Furthermore, we experimentally test exact copies of the six photonic PUFs and demonstrate their unclonability due to unavoidable fabrication variations.

Wavelength multicasting through four-wave mixing with an optical comb source.

Based on four-wave mixing (FWM) with an optical comb source (OCS), we experimentally demonstrate 26-way or 15-way wavelength multicasting of 10-Gb/s differential phase-shift keying (DPSK) data in a highly-nonlinear fiber (HNLF) or a silicon waveguide, respectively. The OCS provides multiple spectrally equidistant pump waves leading to a multitude of FWM products after mixing with the signal. We achieve error-free operation with power penalties less than 5.7 dB for the HNLF and 4.2 dB for the silicon waveguide, respectively.

Compressive fluorescence imaging using a multi-core fiber and spatially dependent scattering.

We demonstrate imaging using a multi-core fiber with a scattering distal tip and compressed sensing signal acquisition. We illuminate objects with randomly structured speckle patterns generated by a coherent light source separately coupled through each fiber core to a ground glass diffuser at the distal end. Using the characterized speckle patterns and the total light collected from the object, we computationally recover pixelation-free object images with up to a seven times higher space-bandwidth product than the number of cores. The proposed imaging system is insensitive to bending of the fiber and extremely compact, making it suitable for minimally invasive endomicroscopy.

Single-pixel imaging using compressed sensing and wavelength-dependent scattering.

We demonstrate two-dimensional imaging using illumination via a single-mode fiber with a multiply scattering tip and compressed sensing acquisition. We illuminate objects with randomly structured, but deterministic, speckle patterns produced by a coherent light source propagating through a TiO2-coated fiber tip. The coating thickness is optimized to produce speckle patterns that are highly sensitive to laser wavelength, yet repeatable. Images of the object are reconstructed from the characterized wavelength dependence of the speckle patterns and the wavelength dependence of the total light collected from the object using a single photodetector. Our imaging device is mechanically scan-free and insensitive to bending of the fiber, making it suitable for micro-endoscopy.

High-speed all-optical NAND/AND logic gates using four-wave mixing Bragg scattering.

A high-speed all-optical NAND logic gate is proposed and experimentally demonstrated using four-wave mixing Bragg scattering in highly nonlinear fiber. NAND/AND logic functions are implemented at two wavelengths by encoding logic inputs on two pumps via on-off keying. A 15.2-dB depletion of the signal is obtained for NAND operation, and time domain measurements show 10-Gb/s NAND/AND logic operations with open eye diagrams. The approach can be readily extended to higher data rates and transferred to on-chip waveguide platforms.

Wavelength-agile near-IR optical parametric oscillator using a deposited silicon waveguide.

Using a deposited hydrogenated amorphous silicon (a-Si:H) waveguide, we demonstrate ultra-broad bandwidth (60 THz) parametric amplification via four-wave mixing (FWM), and subsequently achieve the first silicon optical parametric oscillator (OPO) at near-IR wavelengths. Utilization of the time-dispersion-tuned technique provides an optical source with active wavelength tuning over 42 THz with a fixed pump wave.

High-speed flow microscopy using compressed sensing with ultrafast laser pulses.

We demonstrate an imaging system employing continuous high-rate photonically-enabled compressed sensing (CHiRP-CS) to enable efficient microscopic imaging of rapidly moving objects with only a few percent of the samples traditionally required for Nyquist sampling. Ultrahigh-rate spectral shaping is achieved through chirp processing of broadband laser pulses and permits ultrafast structured illumination of the object flow. Image reconstructions of high-speed microscopic flows are demonstrated at effective rates up to 39.6 Gigapixel/sec from a 720-MHz sampling rate.

Ultrawideband compressed sensing of arbitrary multi-tone sparse radio frequencies using spectrally encoded ultrafast laser pulses.

We demonstrate a photonic system for pseudorandom sampling of multi-tone sparse radio-frequency (RF) signals in an 11.95-GHz bandwidth using <1% of the measurements required for Nyquist sampling. Pseudorandom binary sequence (PRBS) patterns are modulated onto highly chirped laser pulses, encoding the patterns onto the optical spectra. The pulses are partially compressed to increase the effective sampling rate by 2.07×, modulated with the RF signal, and fully compressed yielding optical integration of the PRBS-RF inner product prior to photodetection. This yields a 266× reduction in the required electronic sampling rate. We introduce a joint-sparsity-based matching-pursuit reconstruction via bagging to achieve accurate recovery of tones at arbitrary frequencies relative to the reconstruction basis.

Linearization of phase-modulated analog optical links using a four-wave mixing comb source.

We present a novel method for distortion elimination in phase-modulated analog optical links. A small part of the phase modulated signal seeds a four-wave mixing comb source, which generates lightwaves with integer multiples of the phase modulation of the original signal. These lightwaves are scaled and re-combined with the original phase-modulated signal to cancel the distortion generated in the interferometric phase-to-amplitude conversion process. Experimentally, we demonstrate full cancelation of the third-order distortion of the receiver and achieve a 19-dB improvement in the link's SFDR at a 1-Hz bandwidth. This approach is readily extendable to eliminate all relevant higher-order distortion products or synthesize arbitrary phase-to-amplitude transfer functions.

Multichannel photon-pair generation using hydrogenated amorphous silicon waveguides.

We demonstrate highly efficient photon-pair generation using an 8 mm long hydrogenated amorphous silicon (a-Si:H) waveguide in far-detuned multiple wavelength channels simultaneously, measuring a coincidence-to-accidental ratio as high as 400. We also characterize the contamination from Raman scattering and show it to be insignificant over a spectrum span of at least 5 THz. Our results highlight a-Si:H as a potential high-performance, CMOS-compatible platform for large-scale quantum applications, particularly those based on the use of multiplexed quantum signals.

Silicon-chip-based ultrafast optical oscilloscope.

With the realization of faster telecommunication data rates and an expanding interest in ultrafast chemical and physical phenomena, it has become important to develop techniques that enable simple measurements of optical waveforms with subpicosecond resolution. State-of-the-art oscilloscopes with high-speed photodetectors provide single-shot waveform measurement with 30-ps resolution. Although multiple-shot sampling techniques can achieve few-picosecond resolution, single-shot measurements are necessary to analyse events that are rapidly varying in time, asynchronous, or may occur only once. Further improvements in single-shot resolution are challenging, owing to microelectronic bandwidth limitations. To overcome these limitations, researchers have looked towards all-optical techniques because of the large processing bandwidths that photonics allow. This has generated an explosion of interest in the integration of photonics on standard electronics platforms, which has spawned the field of silicon photonics and promises to enable the next generation of computer processing units and advances in high-bandwidth communications. For the success of silicon photonics in these areas, on-chip optical signal-processing for optical performance monitoring will prove critical. Beyond next-generation communications, silicon-compatible ultrafast metrology would be of great utility to many fundamental research fields, as evident from the scientific impact that ultrafast measurement techniques continue to make. Here, using time-to-frequency conversion via the nonlinear process of four-wave mixing on a silicon chip, we demonstrate a waveform measurement technology within a silicon-photonic platform. We measure optical waveforms with 220-fs resolution over lengths greater than 100 ps, which represent the largest record-length-to-resolution ratio (>450) of any single-shot-capable picosecond waveform measurement technique. Our implementation allows for single-shot measurements and uses only highly developed electronic and optical materials of complementary metal-oxide-semiconductor (CMOS)-compatible silicon-on-insulator technology and single-mode optical fibre. The mature silicon-on-insulator platform and the ability to integrate electronics with these CMOS-compatible photonics offer great promise to extend this technology into commonplace bench-top and chip-scale instruments.

A systematic review of 2-strand versus multistrand core suture techniques and functional outcome after digital flexor tendon repair.

PURPOSE: To determine published evidence to evaluate the hypothesis that multistrand techniques result in a poorer outcome than 2-strand techniques for digital flexor tendon repairs. METHODS: A systematic review was undertaken to compare outcomes and rupture rates between 2-strand and multistrand core sutures in digital flexor zones 2 to 5. Outcome was measured by the American Society for Surgery of the Hand criteria, original or modified Strickland criteria, or Buck-Gramcko criteria. RESULTS: A total of 1,878 patients (2,585 digits; 3,749 tendons) were included from the selected studies. Thirty-three studies reported 2-strand repairs and 15 reported multistrand repairs. Of the total tendon injuries, 59% were flexor digitorum profundus, 38% were flexor digitorum superficialis, and 2% were flexor pollicis longus. The pooled rupture rate was 3.9 per 100 digits. No significant difference was detected between 2-strand and multistrand repairs for outcomes by all measures or rupture rate. CONCLUSIONS: Because of the wide variation in reporting of outcomes and study design on which this analysis was based, we cannot definitively confirm our hypothesis. We present the standards for outcomes as well as rupture rate for digital flexor tendon repair. TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic III.