Recurrent severe anemia associated with a jejunal arteriovenous malformation in pregnancy: A case report.

Background: Small intestinal arteriovenous (AV) malformations may cause gastrointestinal hemorrhage, occasionally leading to anemia; however, they are rarely seen in pregnancy. This report presents a case of a pregnant woman who had recurrent severe anemia that was attributed to a small hemorrhagic intestinal arteriovenous malformation. Case Presentation: A 24-year-old pregnant woman (gravida 2, para 1) presented with a low hemoglobin concentration (3.6 g/dL) in her first pregnancy and underwent an emergency cesarean section at 36 weeks due to non-reassuring fetal status. In her second pregnancy, she was hospitalized at 30 weeks with epigastric pain and nausea. A low hemoglobin level (6.6 g/dL) and scant fecal occult blood were revealed upon examination. She was referred to the hospital for further evaluation and pregnancy management. Recurrent blood transfusions were required; however, neither hematemesis nor obvious fecal hemorrhage was observed. At 31 weeks, a cesarean section was performed owing to persistent anemia. Postoperative small intestinal capsule endoscopy and flexible fiberoptic proximal small intestinal endoscopy revealed a suspected bleeding small intestinal arteriovenous malformation. The patient underwent partial resection of the small intestine on hospitalization day 16. Histopathological examination confirmed a small intestinal arteriovenous malformation. The patient had a good postoperative course and was discharged on hospitalization day 24. Conclusions: Small intestinal arteriovenous malformations can bleed during pregnancy. They can go undetected if they spontaneously shrink postpartum. In severe anemia during pregnancy, hemorrhage from small intestinal arteriovenous malformations should be included in the differential diagnosis and promptly investigated even in the absence of gastrointestinal symptoms.

Ultrafast beam pattern modulation by superposition of chirped optical vortex pulses.

As an extension of pulse shaping techniques using the space-time coupling of ultrashort pulses or chirped pulses, we demonstrated the ultrafast beam pattern modulation by the superposition of chirped optical vortex pulses with orthogonal spatial modes. The stable and robust modulations with a modulation frequency of sub-THz were carried out by using the precise phase control technique of the constituent pulses in both the spatial and time/frequency domains. The performed modulations were ultrafast ring-shaped optical lattice modulation with 2, 4 and 6 petals, and beam pattern modulations in the radial direction. The simple linear fringe modulation was also demonstrated with chirped spatially Gaussian pulses. While the input pulse energy of the pulses to be modulated was 360 [Formula: see text]J, the output pulse energy of the modulated pulses was 115 [Formula: see text]J with the conversion efficiency of [Formula: see text] 32%. Demonstrating the superposition of orthogonal spatial modes in several ways, this ultrafast beam pattern modulation technique with high intensity can be applicable to the spatially coherent excitation of quasi-particles or collective excitation of charge and spin with dynamic degrees of freedom. Furthermore, we analyzed the Poynting vector and OAM of the composed chirped OV pulses. Although the ring-shaped optical lattice composed of OV pulse with topological charges of [Formula: see text] is rotated in a sub-THz frequency, the net orbital angular momentum (OAM) averaged over one optical period is found to be negligible. Hence, it is necessary to require careful attention to the application of the OAM transfer interaction with matter by employing such rotating ring-shaped optical lattices.

Dynamic calibration for enhancing the stability of a channeled spectropolarimeter.

Channeled spectropolarimeters are optical instruments that measure the spectral dependence of the polarization of light without any mechanically moving parts. An important factor in achieving stable and accurate measurements is the calibration process, especially in dynamic environments where temperature fluctuations or other factors affect the retardance of the components in the polarimeter. In previous research, a self-calibration algorithm that accounts for these variations was developed, without any additional reference measurements. In this paper, we identify an ambiguity in the self-calibration phase, which limits the allowed temperature changes to surprisingly small ranges. We show how to adaptively estimate and correct for the phase ambiguity using a polynomial curve-fitting algorithm, extending the temperature range to virtually all practical scenarios. Lastly, we demonstrate the ability of the modified self-calibration algorithm to provide stable reconstruction of the Stokes vector for a temperature range >40∘C, using an experimental channeled spectropolarimeter.

Sensitivity and specificity of passive immune-basophil activation test to detect allergic transfusion reactions.

BACKGROUND: The basophil activation test (BAT), performed with patient blood samples and supernatants from transfused blood, was developed to elucidate the mechanistic relationship between transfusion and the resultant allergic transfusion reactions (ATRs). This test cannot be performed on myelosuppressed patients and neonates because of the absence of basophils. Therefore, we devised the passive immune basophil activation test (pi-BAT) using patients' plasma and residual transfused blood as sources of immunoglobulin E and allergen, respectively, and the basophils of healthy volunteers served as a source of the responder cells. The sensitivity and specificity of the pi-BAT, however, remained largely unknown. STUDY DESIGN AND METHODS: In this study, the pi-BAT was performed on 31 patients with nonhemolytic transfusion reactions including nine non-ATR and 22 ATR (12 mild and 10 moderate-to-severe) cases to examine its sensitivity and specificity. RESULTS: Nine of the 10 cases with moderate-to-severe ATR tested positive, whereas all the non-ATR cases negative, strongly indicating immunoglobulin E and allergens are involved in the pathogenesis underlying the blood transfusion-triggered adverse effects. CONCLUSION: Thus, we propose that pi-BAT can be used to detect moderate-to-severe ATRs and their underlying mechanisms.

Comprehensive quantitative analysis of vector beam states based on vector field reconstruction.

We demonstrate a comprehensive quantitative analysis of vector beam states (VBSs) by using a vector field reconstruction (VFR) technique integrating interferometry and imaging polarimetry, where the analysis is given by a cylindrically polarized Laguerre-Gaussian (LG) mode expansion of VBSs. From test examples of cylindrically polarized LG mode beams, we obtain the complex amplitude distributions of VBSs and perform their quantitative evaluations both in radial and azimuthal directions. The results show that we generated (l, p) = (1, 0) LG radially polarized state with a high purity of 98%. We also argue that the cylindrically polarized LG modal decomposition is meaningful for the detail discussion of experimental results, such as analyses of mode purities and mode contaminations. Thus the VFR technique is significant for analyses of polarization structured beams generated by lasers and converters.

Generation of arbitrary axisymmetrically polarized pulses by using the combination of 4-f spatial light modulator and common-path optical system.

We proposed and constructed a system to realize broadband generation of arbitrary axisymmetrically polarized (AP) pulses with spatial complex amplitude modulation. This system employs the combination of a spatial light modulator in the 4-f configuration (4-f SLM), and a space variant wave plate as a common path interferometer. The 4-f SLM and the common path interferometer offer compensation for spatial dispersion with respect to wavelength and stability to perturbation, respectively. We experimentally demonstrated the various AP pulses generation by applying modulations of fundamental and higher-order Laguerre-Gauss modes, whose radial indices were, respectively, p = 0 and 1, with high purity, which showed that we were able to generate arbitral AP pulses with spatial complex amplitude modulation. This technique is expected to be applied in both classical and quantum communications with higher-order modes.

Full Quantitative Analysis of Arbitrary Cylindrically Polarized Pulses by Using Extended Stokes Parameters.

Cylindrically polarized (CP) modes are laser beam modes which have rotational symmetry of the polarization distribution around the beam axis. Considerable attention has been paid to CP modes for their various applications. In this paper, by using the extended Stokes parameters and the degree of polarization defined for the spatial distribution (DOP-SD), we fully-quantitatively characterize the spectrally-resolved polarization states of arbitrary CP (axisymmetrically polarized and higher-order cylindrically polarized) broadband pulses generated by coherent beam combining. All the generated pulse states were fully-quantitatively analyzed for the first time and proved to have high symmetry (DOP-SD ≳ 0.95) and low spectral dependence of polarization states. Moreover, we show the DOP-SD, which cannot be defined by the conventional higher-order and hybrid Stokes parameters, enables us to make a quantitative evaluation of small degradation of rotational symmetry of polarization distribution. This quantitative characterization with high precision is significant for applications of precise material processing, quantum information processing, magneto-optical storage and nonlinear spectroscopic polarimetry.

Nonlinear coupling between axisymmetrically-polarized ultrashort optical pulses in a uniaxial crystal.

Nonlinear propagation of focused axisymmetrically-polarized ultrashort optical pulses along the optic axis in a uniaxial crystal is investigated experimentally and theoretically. The energy transfer between an azimuthally-polarized pulse and a radially-polarized pulse is observed. To analyze the nonlinear propagation, a general paraxial equation with a third-order nonlinearity for axisymmetrically-polarized pulses in a uniaxial crystal is derived and the extended Stokes parameters (ESPs) based on cylindrical coordinates are newly-introduced. The simulation results by using this equation, providing the calculated ESPs, well explain our experimental observations: 1) the energy transfer is attributed to the four-wave-mixing effect, reflecting the overlapping between the axisymmetrically polarized modes, 2) the variations of the polarization defined from the ESPs are clarified to be affected by the self- and the cross-phase modulations, which make the effective propagation length long or short.

Stable and flexible ring-shaped optical-lattice generation by use of axially symmetric polarization elements.

To overcome a trade-off issue between stability and flexibility in the generation of ring-shaped optical lattices, we proposed and demonstrated a novel generation method by using axially symmetric polarization elements. While two optical vortices were coaxially generated, electrically controlled phase difference between them by an electro-optic modulator enabled a precise rotation of the lattice. Our method has the capability to fulfill the high stability and rapid rotation.

Design and laboratory demonstration of an achromatic vector vortex coronagraph.

A vector vortex coronagraph (VVC) is one of promising means for imaging extremely faint objects around bright stars such as exoplanets. We present a design of an achromatic VVC, in which an axially-symmetric half-wave plate (AHP) is placed between crossed polarization filters (circular polarizer and analyzer). The circular polarizer and the analyzer are both composed of a polarizer and a quarter-wave plate (QWP). We demonstrate, via Jones calculus and Fourier analysis, that the achromatic stellar elimination can theoretically be realized by optimal polarization filters, even when chromatic AHP and QWPs are used. We carried out laboratory demonstrations of the designed VVC using a photonic-crystal AHP. As a result, we observed achromatic coronagraphic performance, a light suppression level of 7 × 10(-5), over a wavelength from 543 nm to 633 nm.

Snapshot imaging Mueller matrix polarimeter using polarization gratings.

A snapshot imaging Mueller matrix polarimeter (SIMMP) is theoretically described and empirically demonstrated through simulation. Spatial polarization fringes are localized onto a sample by incorporating polarization gratings (PGs) into a polarization generator module. These fringes modulate the Mueller matrix (MM) components of the sample, which are subsequently isolated with PGs in an analyzer module. The MM components are amplitude modulated onto spatial carrier frequencies which, due to the PGs, maintain high visibility in spectrally broadband illumination. An interference model of the SIMMP is provided, followed by methods of reconstruction and calibration. Lastly, a numerical simulation is used to demonstrate the system's performance in the presence of noise.

White-light channeled imaging polarimeter using broadband polarization gratings.

A white-light snapshot channeled linear imaging (CLI) polarimeter is demonstrated by utilizing polarization gratings (PGs). The CLI polarimeter is capable of measuring the two-dimensional distribution of the linear Stokes polarization parameters by incorporating two identical PGs, in series, along the optical axis. In this configuration, the general optical shearing functionality of a uniaxial crystal-based Savart plate is realized. However, unlike a Savart plate, the diffractive nature of the PGs creates a linear dependence of the shear versus wavelength, thus providing broadband functionality. Consequently, by incorporating the PG-based Savart plate into a Savart plate channeled imaging polarimeter, white-light interference fringes can be generated. This enables polarimetric image data to be acquired at shorter exposure times in daylight conditions, making it more appealing over the quasi-monochromatic channeled imaging polarimeters previously described in the literature. Furthermore, the PG-based device offers significantly more compactness, field of view, optical simplicity, and vibration insensitivity than previously described white-light CLI polarimeters based on Sagnac interferometers. Included in this paper are theoretical descriptions of the linear (S(0), S(1), and S(2)) and complete (S(0), S(1), S(2), and S(3)) channeled Stokes imaging polarimeters. Additionally, descriptions of our calibration procedures and our experimental proof of concept CLI system are provided. These are followed by laboratory and outdoor polarimetric measurements of S(0), S(1), and S(2).

Channeled spectropolarimetry using a coherent white-light continuum.

We carry out polarization measurements using a coherent white-light continuum as a light source for channeled spectropolarimetry. The white-light continuum, whose spectrum ranges from the UV to the IR region, is generated in Kr gas by a terawatt femtosecond laser system. The complete set of Stokes parameters from 450-700 nm are reconstructed from one spectral measurement. Also, the effectiveness of channeled spectropolarimetry using a coherent white-light continuum is experimentally demonstrated with a highly attenuating sample whose transmittance is as low as 10(-6).

Error-reduced channeled spectroscopic ellipsometer with palm-size sensing head.

This paper describes a newly developed prototype system of the channeled spectroscopic ellipsometer (CSE). The new system has a feature that the major systematic and random error sources of the previous CSEs are effectively reduced or compensated for. In addition, the prototype preserves the advantageous features of the CSE in that it has a palm-size sensing head and that its acquisition time is as fast as 20 ms. Its performance is experimentally examined by use of 12 films whose thicknesses are ranging approximately from 3 to 4000 nm. The film thicknesses measured by the new CSE show good agreements with the ones by the rotating-compensator spectroscopic ellipsometer. The stability of the film-thickness measurement of the new CSE against the temperature change from 5 to 45 degrees C is less than 0.11 nm. The CSE can open up new applications of the spectroscopic ellipsometers in which the compactness, the simplicity, and the rapid response are important.

Supercontinuum optical vortex pulse generation without spatial or topological-charge dispersion.

A new achromatic method to generate the optical vortex was proposed and supercontinuum optical vortex generation ranging approximately 500 to approximately 800 nm was experimentally demonstrated without spatial nor topological-charge dispersions. In addition, polarization evolution in our system using Jones vectors and matrices was discussed and the condition of the polarizer to transfer polarizations was elucidated. This method is useful for the application to time-resolved nonlinear spectroscopy utilizing ultrabroadband optical vortex pulses in topological materials such as ring-shaped crystals or annular materials.

Snapshot polarimeter fundus camera.

A snapshot imaging polarimeter utilizing Savart plates is integrated into a fundus camera for retinal imaging. Acquired retinal images can be processed to reconstruct Stokes vector images, giving insight into the polarization properties of the retina. Results for images from a normal healthy retina and retinas with pathology are examined and compared.

Global evaluation of closed-loop electron dynamics in quasi-one-dimensional conductors using polarization vortices.

We evaluate the quasi-one-dimensional (1D) electron dynamics in a NbSe3 ring crystal using polarization vortex pulses with various azimuthal distributions. The single particle relaxation component reveals a large anisotropy on the crystal, indicating that the electrons in the ring maintain their 1D character. The results also suggest that the polarization vortex evaluates the global polarization property of the closed-loop electron that plays an important role in the quantum correlation phenomena such as the Aharonov-Bohm effect.

Compact and miniature snapshot imaging polarimeter.

We present and demonstrate a compact and miniature snapshot imaging polarimeter camera; it is anticipated that such a camera can be scaled down to less than 1.5 cm. Two Savart plates are used at the pupil plane to generate multiple fringes to encode the full Stokes vector in a single image. A geometric ray model is developed to explain the system. The numerical simulation based on this model is presented. Finally, the validity of the device is demonstrated by showing experimental results.

Snapshot Mueller matrix spectropolarimeter.

We present a new snapshot technique for performing spectrally resolved Mueller matrix polarimetry. The basic approach is an extension of the channeled spectropolarimetry technique, employing frequency-domain interferometry to encode polarization information into modulation of the spectrum.