Dissemination of UTC(NIST) over 20 km of commercial optical fiber with active phase stabilization.

We demonstrate the transfer of a cesium frequency standard steered to UTC(NIST) over 20 km of dark telecom optical fiber. Our dissemination scheme uses an active stabilization technique with a phase-locked voltage-controlled oscillator. Out-of-loop characterization of the optical fiber link performance is done with dual-fiber and single-fiber transfer schemes. We observe a fractional frequency instability of 1.5 × 10-12 and 2 × 10-15 at averaging intervals of 1 s and 105 s, respectively, for the link. Both schemes are sufficient to transfer the cesium clock reference without degrading the signal, with nearly an order of magnitude lower fractional frequency instability than the cesium clocks over all time scales. The simplicity of the two-fiber technique may be useful in future long-distance applications where higher stability requirements are not paramount, as it avoids technical complications involved with the single-fiber scheme.

Statistics for quantifying aging in time transfer system delays.

Residual time delays in time transfer systems such as two-way satellite time and frequency transfer (TWSTFT), or GPS carrier phase (GPSCP) change over time. A double difference such as TWSTFT-GPSCP provides information on the changes in the relative time delays of the two systems. These changes are referred to as aging or time dispersion. A first difference statistic, RMS time interval error, TIERMS, provides the RMS time dispersion. The time deviation statistic (TDEV) or a variation on the Allan deviation (ADEV), referred to here as ADEVS, provide information on the nature of the random fluctuations in aging. This paper describes analytical and Monte Carlo techniques used to estimate the aging (time dispersion) from TDEV or ADEVS statistics, and finds that the aging can be more than a factor of four larger than TDEV or ADEVS. The use of ADEVS is recommended over TDEV since it is sensitive to time drift.

Atomic clock with 1×10(-18) room-temperature blackbody Stark uncertainty.

The Stark shift due to blackbody radiation (BBR) is the key factor limiting the performance of many atomic frequency standards, with the BBR environment inside the clock apparatus being difficult to characterize at a high level of precision. Here we demonstrate an in-vacuum radiation shield that furnishes a uniform, well-characterized BBR environment for the atoms in an ytterbium optical lattice clock. Operated at room temperature, this shield enables specification of the BBR environment to a corresponding fractional clock uncertainty contribution of 5.5×10(-19). Combined with uncertainty in the atomic response, the total uncertainty of the BBR Stark shift is now 1×10(-18). Further operation of the shield at elevated temperatures enables a direct measure of the BBR shift temperature dependence and demonstrates consistency between our evaluated BBR environment and the expected atomic response.

Experimental recovery of a qubit from partial collapse.

We describe and implement a method to restore the state of a single qubit, in principle perfectly, after it has partially collapsed. The method resembles the classical Hahn spin echo but works on a wider class of relaxation processes, in which the quantum state partially leaves the computational Hilbert space. It is not guaranteed to work every time, but successful outcomes are heralded. We demonstrate, using a single trapped ion, a better performance from this recovery method than can be obtained employing projection and postselection alone. The demonstration features a novel qubit implementation that permits both partial collapse and coherent manipulations with high fidelity.

High-accuracy measurement of atomic polarizability in an optical lattice clock.

Presently, the Stark effect contributes the largest source of uncertainty in a ytterbium optical atomic clock through blackbody radiation. By employing an ultracold, trapped atomic ensemble and high stability optical clock, we characterize the quadratic Stark effect with unprecedented precision. We report the ytterbium optical clock's sensitivity to electric fields (such as blackbody radiation) as the differential static polarizability of the ground and excited clock levels α(clock) = 36.2612(7) kHz (kV/cm)(-2). The clock's uncertainty due to room temperature blackbody radiation is reduced by an order of magnitude to 3×10(-17).

p-Wave cold collisions in an optical lattice clock.

We study ultracold collisions in fermionic ytterbium by precisely measuring the energy shifts they impart on the atoms' internal clock states. Exploiting Fermi statistics, we uncover p-wave collisions, in both weakly and strongly interacting regimes. With the higher density afforded by two-dimensional lattice confinement, we demonstrate that strong interactions can lead to a novel suppression of this collision shift. In addition to reducing the systematic errors of lattice clocks, this work has application to quantum information and quantum simulation with alkaline-earth atoms.

Plasminogen and plasmin activity in patients with coronary artery disease.

OBJECTIVE: While coronary artery disease (CAD) is associated with disturbances of the plasma fibrinolytic system, the nature of these disturbances is not fully defined. Fibrinolysis is regulated by plasmin, whose production is mediated by plasminogen activator conversion of plasminogen (Plg) to plasmin. The cascade is modulated by feedback loops that include Plg activator inhibitor 1 (PAI-1). Molecular interactions with Plg kringle domains play an important role in regulating plasmin production and its modulation of fibrinolysis. We hypothesized that interactions of tissue plasminogen activator (tPA) with Plg kringle domains regulates plasmin levels in patients with stable CAD. METHODS: Plasma was collected from patients (n = 33) with an angiographically significant CAD and controls (n = 18) with angiographically established normal or minimally diseased arteries. Plasmin activity, tPA activity, and plasma levels of Plg, PAI-1, uPA, and tPA were determined. RESULTS: CAD patients had 1.7-fold greater plasmin activity (P = 0.02) that correlated with 1.5-fold higher tPA activity when compared to controls. Epitope mapping of Plg domains showed Plg differences in epitope exposure between the two groups. Plasma from CAD patients had 50% less (P < 0.001) detectable kringle 4 and 48% less (P = 0.007) detectable kringles 1-3. CONCLUSIONS: Based on detectable differences in Plg, we conclude that in patients with stable CAD, Plg complexed with tPA exists in a conformation that enables increased tPA activity and Plg conversion to plasmin.

Enhanced diagnostic power of exercise testing for myocardial ischemia by addition of postexercise left ventricular ejection time.

To improve both the sensitivity and specificity of the multistage treadmill test, postexercise systolic time intervals were prospectively studied in 73 patients with angina-like chest pain and normal resting ST-T segments. The decision to perform coronary angiography was made independent of the exercise test. Twenty-three patients had normal coronary arteries and 50 had more than 50 percent reduction of luminal diameter of one or more major coronary arteries. The systolic time intervals were measured before and 2,4,6,8 and 10 minutes after exercise. Of all the systolic time intervals, the 4 minute postexercise left ventricular ejection time proved most discriminating between normal subjects and those with coronary artery disease. The deviations of this interval from the normal regression with heart rate both before and after exercise were used to calculate the net delta left ventricular ejection time after exercise. A net increase of more than 31 msec represented 2 standard deviations above normal. Twenty-three (46 percent) of the patients with coronary artery disease had an abnormal net delta ejection time after exercise. Twenty-five (50 percent) had a positive electrocardiographic response with a 9 percent false positive rate. Thirteen (26 percent) had only a positive postexercise net delta ejection time so that a total of 76 percent of patients with coronary artery disease were identified. Thus, measurement of the postexercise net delta ejection time a simple and useful adjunct to multistage treadmill testing.

Systolic time intervals in atrial fibrillation.

Forty patients with atrial fibrillation and 20 patients with congestive heart failure and sinus rhythm were studied. Patients were divided into two groups. Group A consisted of 20 patients with atrial fibrillation in whom systolic time intervals were measured. Twenty to 50 beats were analyzed. Five of the patients had high-fidelity measurements of left ventricular pressure simultaneous with determination of systolic time intervals. Analysis of the systolic time intervals for the entire group showed that the preejection period lengthened at faster heart rates and that the left ventricular ejection time was relatively constant at slower heart rates. This resulted in a progressive increase in the ratio of preejection period over left ventricular ejection time (PEP/LVET) as the heart rate increased. The rate of increase in PEP/LVET was minimal below a heart rate of 75 beats per minute. The increase in preejection period at faster heart rates is due to greater isovolumic developed pressure without a corresponding increase in left ventricular dp/dt. Group B consisted of 40 additional patients (20 with atrial fibrillation and 20 with sinus rhythm). In group B, the total electromechanical systole corrected for heart rate (QS2I) and the levels of digoxin in the blood were compared. The QS2I was significantly shorter in atrial fibrillation (497 +/- 5 msec vs 528 +/- 4 msec; P less than 0.01), while the levels of digoxin in the blood were identical (0.9 +/- 0.1 vs 1.0 +/- 0.1 ng/ml). The results of this study must be considered when systolic time intervals are to be employed in patients with atrial fibrillation.

Reducing disruptive behavior of a group-home resident with autism and mental retardation.

A treatment package consisting of a DRO procedure, token fines, and prompted relaxation was used to reduce the agitated-disruptive behavior of a person with autism and mental retardation living in a community group home. The agitated-disruptive behaviors (cursing, hitting, kicking, throwing objects, and verbal threats) were measured during three different activities in a group home. The baseline rates of the agitated-disruptive behavior during one of these activities was relatively low, during another was moderate, and during the third was high. DRO procedures were partially implemented by a peer with Down syndrome and mental retardation during a portion of the study. Effects of the DRO procedures were as follows: During each activity an initial reduction of agitated-disruptive behavior was dependent on choosing an appropriate DRO interval, with shorter DRO intervals required during activities in which the baseline rates of the agitated-disruptive behavior were higher. Once shorter DRO intervals had been used to reduce agitated-disruptive behavior, longer DRO intervals were effective in maintaining those reductions. Reductions were maintained for up to 6 months.

Accuracy of serum anticonvulsant measurements. A comparison of enzyme multiplied immunoassay technique and gas-liquid chromatography.

An enzyme multiplied immunoassay technique is compared with a gas-liquid chromatographic technique for the measurement in blood serum of the anticonvulsants phenytoin, carbamazepine, phenobarbitone, primidone, and ethosuximide. The correlation between results obtained by each method was excellent, and both systematic and random errors were well within acceptable limits.

Social evaluation of behaviors comprising three social skills and a comparison of the performance of people with and without mental retardation.

We evaluated whether behaviors commonly taught to persons with mental retardation as part of three important social skills (following instructions, accepting criticism, and negotiating to resolve conflicts) were responded to favorably by other people. People with mental retardation who lived in the community and other people from the community participated in videotaped role plays involving each of the social skills. The performances of participants were scored according to behavioral checklists. Participants with mental retardation scored as well as other participants on following instructions and accepting criticism but lower on negotiating. Community members were asked to evaluate how well the participants did in the videotaped role-play situations. There were high positive correlations between the scores derived from the behavioral checklists and the evaluations of community members for both groups of participants.

Some factors controlling preference between fixed-ratio and variable-ratio schedules of reinforcement.

A multiple schedule of food reinforcement for key-pecking was arranged which consisted of nine fixed-ratios, each of which operated in the presence of a different stimulus. Pigeons could complete a given fixed-ratio within the multiple schedule or, by pecking a second key, could switch from the fixed-ratio schedule to a variable-ratio schedule consisting of the same nine ratios. Stable switching behavior was established which did not maximize simple probability or rate of reinforcement. Instead, the subjects showed a stable preference for the variable-ratio schedule of food reinforcement. Increasing the number of responses required to switch, and removing the occasions on which reinforcement was delivered after a single response in the variable schedule, decreased the number of switches to the variable schedule. Periods of delay interposed between a completed switch and the availability of reinforcement after one response in the variable schedule also decreased switching to the variable schedule, particularly at long delay intervals.

Effects of a conditioned reinforcer upon accuracy of match-to-sample behavior in pigeons.

Three pigeons were trained to perform a two-key sequential match-to-sample task. During baseline conditions, food reinforcement was contingent upon the first match response to occur following 8-min periods, and orange illumination of both keys preceded the delivery of food by 0.5 sec. The baseline schedule of food reinforcement was in effect throughout the study. In some conditions, a 0.5-sec flash of orange keylight alone was presented contingent upon mismatch responses that followed variable time periods averaging 1 min. Rate of mismatch responses increased and accuracy of matching performances decreased as compared with baseline conditions. The ability of the 0.5-sec orange flash to reinforce mismatch responses was markedly reduced when it no longer immediately preceded the delivery of food.

Effects of choice and immediacy of reinforcement on single response and switching behavior of children.

Children responded on a single operandum to produce marbles or candy within a two-component multiple schedule and then were allowed to choose which component was in effect. Experiment I examined the effects of exchanging marbles after sessions for subject-selected or experimenter-selected candy. Rate of response to the single operandum was not affected. However, when the subjects could switch components, they spent the majority of time and responded at somewhat higher rates in a component where marbles were exchangable for subject-selected candy. Experiment II examined the effects of eliminating the immediate marble consequence for responses. Rate of response to the single operandum was not affected. However, when subjects could switch components they spent more time in a component where immediate marble consequences were available for responses, than where no immediate marble consequences were available.

The development of imitation by reinforcing behavioral similarity to a model.

This research demonstrated some of the conditions under which retarded children can be taught to imitate the actions of adults. Before the experiment, the subjects were without spontaneous imitative behavior, either vocal or motor. Each subject was taught, with food as reinforcement, a series of responses identical to responses demonstrated by an experimenter; i.e., each response was reinforced only if it was identical to a prior demonstration by an experimenter. Initially, intensive shaping was required to establish matching responses by the subjects. In the course of acquiring a variety of such responses, the subjects' probability of immediate imitation of each new demonstration, before direct training, greatly increased. Later in the study, certain new imitations, even though perfect, were never reinforced; yet as long as some imitative responses were reinforced, all remained at high strength. This imitativeness was then used to establish initial verbal repertoires in two subjects.

A rapidly expanding lesion in the neck: unusual presentation of Castleman's disease.

We report a painless but rapidly enlarging 9 cm x 4 cm lobulated hard neck mass. CT scanning suggested lymphoid tissue that was not confirmed by cytopathology. Histopathological analysis of the excision specimen detected Castleman's disease, extending to the resection margin. Postoperative radiotherapy was administered. The patient remains disease-free after 44 months.

The use of self-management procedures by people with developmental disabilities: a brief review.

Self-management procedures, such as self-monitoring, self-administering consequences, and self-instructing, are frequently taught to people with developmental disabilities. In this paper, research examining the use of self-management procedures is reviewed and critiqued. Areas for future investigation are discussed.

Teaching autistic and severely handicapped children to recruit praise: acquisition and generalization.

Autistic and severely handicapped children were taught to ask questions (e.g., "How did I do?") and make requests (e.g., "Check it out") to recruit or set the occasion for praise from an adult. Teaching occurred during structured sessions in a community-based group home. Generalization of the children's use of these behaviors was evaluated during other activities in the teaching area, with other staff members in different areas of the home, and at each child's academic classroom. The children learned the behaviors to cue or set the occasion for praise independently and used these behaviors in all of the generalization settings. In the generalizations settings, the children were frequently successful in recruiting praise.

Management of severe postnasal haemorrhage: the Kingsley splint revisited.

Postnasal haemorrhage accompanying severe craniofacial trauma may have catastrophic consequences if not arrested promptly. The airway has usually been secured and the cervical spine stabilized, but apart from fluid replacement, other attempts to control haemorrhage in the resuscitation room of the accident and emergency department may be to no avail. We wish to draw attention to a simple device that was introduced over 100 years ago and which may rapidly aid haemostasis and prevent the onset of hypovolaemic shock.