Cathodoluminescence emission and electron energy loss absorption from a 2D transition metal dichalcogenide in van der Waals heterostructures

Nanoscale variations of optical properties in transition metal dichalcogenide (TMD) monolayers can be explored with cathodoluminescence (CL) and electron energy loss spectroscopy (EELS) using electron microscopes. To increase the CL emission intensity from TMD monolayers, the MoSe2flakes are encapsulated in hexagonal boron nitride (hBN), creating van der Waals (VdW) heterostructures. Until now, the studies have been exclusively focused on scanning transmission electron microscopy (STEM-CL) or scanning electron microscopy (SEM-CL), separately. Here, we present results, using both techniques on the same sample, thereby exploring a large acceleration voltage range. We correlate the CL measurements with STEM-EELS measurements acquired with different energy dispersions, to access both the low-loss region at ultra-high spectral resolution, and the core-loss region. This provides information about the weight of the various absorption phenomena including the direct TMD absorption, the hBN interband transitions, the hBN bulk plasmon, and the core losses of the atoms present in the heterostructure. The S(T)EM-CL measurements from the TMD monolayer only show emission from the A exciton. Combining the STEM-EELS and S(T)EM-CL measurements, we can reconstruct different decay pathways leading to the A exciton CL emission. The comparison with SEM-CL shows that this is also a good technique for TMD heterostructure characterization, where the reduced demands on sample preparation are appealing. To demonstrate the capabilities of SEM-CL imaging, we also measured on a SiO2/Si substrate, quintessential in the sample preparation of two-dimensional materials, which is electron-opaque and can only be measured in SEM-CL. The CL-emitting defects of SiO2make this substrate challenging to use, but we demonstrate that this background can be suppressed by using lower electron energy.

Modulation of Cathodoluminescence by Surface Plasmons in Silver Nanowires

The waveguide modes in chemically-grown silver nanowires on silicon nitride substrates are observed using spectrally- and spatially-resolved cathodoluminescence (CL) excited by high-energy electrons in a scanning electron microscope. The presence of a long-range, travelling surface plasmon mode modulates the coupling efficiency of the incident electron energy into the nanowires, which is observed as oscillations in the measured CL with the point of excitation by the focused electron beam. The experimental data are modeled using the theory of surface plasmon polariton modes in cylindrical metal waveguides, enabling the complex mode wavenumbers and excitation strength of the long-range surface plasmon mode to be extracted. The experiments yield insight into the energy transfer mechanisms between fast electrons and coherent oscillations in surface charge density in metal nanowires and the relative amplitudes of the radiative processes excited in the wire by the electron.

Photon Statistics of Incoherent Cathodoluminescence with Continuous and Pulsed Electron Beams

Photon bunching in incoherent cathodoluminescence (CL) spectroscopy originates from the fact that a single high-energy electron can generate multiple photons when interacting with a material, thus, revealing key properties of electron-matter excitation. Contrary to previous works based on Monte Carlo modeling, here we present a fully analytical model describing the amplitude and shape of the second order autocorrelation function (g ⁽²⁾(τ)) for continuous and pulsed electron beams. Moreover, we extend the analysis of photon bunching to ultrashort electron pulses, in which up to 500 electrons per pulse excite the sample within a few picoseconds. We obtain a simple equation relating the bunching strength (g ⁽²⁾(0)) to the electron beam current, emitter decay lifetime, pulse duration, in the case of pulsed electron beams, and electron excitation efficiency (γ), defined as the probability that an electron creates at least one interaction with the emitter. The analytical model shows good agreement with the experimental data obtained on InGaN/GaN quantum wells using continuous, ns-pulsed (using beam blanker) and ultrashort ps-pulsed (using photoemission) electron beams. We extract excitation efficiencies of 0.13 and 0.05 for 10 and 8 keV electron beams, respectively, and we observe that nonlinear effects play no compelling role, even after excitation with ultrashort and dense electron cascades in the quantum wells.

Correlative cathodoluminescence electron microscopy bioimaging: towards single protein labelling with ultrastructural context

The understanding of living systems and their building blocks relies heavily on the assessment of structure-function relationships at the nanoscale. Ever since the development of the first optical microscope, the reliance of scientists across disciplines on microscopy has increased. The development of the first electron microscope and with it the access to information at the nanoscale has prompted numerous disruptive discoveries. While fluorescence imaging allows identification of specific entities based on the labelling with fluorophores, the unlabelled constituents of the samples remain invisible. In electron microscopy on the other hand, structures can be comprehensively visualized based on their distinct electron density and geometry. Although electron microscopy is a powerful tool, it does not implicitly provide information on the location and activity of specific organic molecules. While correlative light and electron microscopy techniques have attempted to unify the two modalities, the resolution mismatch between the two data sets poses major challenges. Recent developments in optical super resolution microscopy enable high resolution correlative light and electron microscopy, however, with considerable constraints due to sample preparation requirements. Labelling of specific structures directly for electron microscopy using small gold nanoparticles (i.e. immunogold) has been used extensively. However, identification of specific entities solely based on electron contrast, and the differentiation from endogenous dense granules, remains challenging. Recently, the use of correlative cathodoluminescence electron microscopy (CCLEM) imaging based on luminescent inorganic nanocrystals has been proposed. While nanometric resolution can be reached for both the electron and the optical signal, high energy electron beams are potentially damaging to the sample. In this review, we discuss the opportunities of (volumetric) multi-color single protein labelling based on correlative cathodoluminescence electron microscopy, and its prospective impact on biomedical research in general. We elaborate on the potential challenges of correlative cathodoluminescence electron microscopy-based bioimaging and benchmark CCLEM against alternative high-resolution correlative imaging techniques.

Mapping Local Surface Plasmon Modes in a Nanoplasmonic Trimer Using Cathodoluminescence in the Scanning Electron Microscope

The excitability of local surface plasmon modes in radial trimers composed of gold nanorods was mapped using hyperspectral cathodoluminescence (CL) in the scanning electron microscope. In symmetric trimers, the local plasmon resonances could be excited most effectively at the ends of individual rods. Introducing asymmetry into the structure breaks the degeneracy of the dipole modes and changes the excitability of transverse dipole modes in different directions. CL in the scanning electron microscope has great potential to interrogate individual nanophotonic structures and is a complement to electron energy loss spectroscopy and optical microscopy.

Electron-Induced State Conversion in Diamond NV Centers Measured with Pump-Probe Cathodoluminescence Spectroscopy

Nitrogen-vacancy (NV) centers in diamond are reliable single-photon emitters, with applications in quantum technologies and metrology. Two charge states are known for NV centers, NV⁰ and NV^-, with the latter being mostly studied due to its long electron spin coherence time. Therefore, control over the charge state of the NV centers is essential. However, an understanding of the dynamics between the different states still remains challenging. Here, conversion from NV^- to NV⁰ due to electron-induced carrier generation is shown. Ultrafast pump-probe cathodoluminescence spectroscopy is presented for the first time, with electron pulses as pump and laser pulses as probe, to prepare and read out the NV states. The experimental data are explained with a model considering carrier dynamics (0.8 ns), NV⁰ spontaneous emission (20 ns), and NV⁰ → NV^- back transfer (500 ms). The results provide new insights into the NV^- → NV⁰ conversion dynamics and into the use of pump-probe cathodoluminescence as a nanoscale NV characterization tool.

Spatial Resolution of Coherent Cathodoluminescence Super-Resolution Microscopy

We investigate the nanoscale excitation of Ag nanocubes with coherent cathodoluminescence imaging spectroscopy (CL) to resolve the factors that determine the spatial resolution of CL as a deep-subwavelength imaging technique. The 10-30 keV electron beam coherently excites localized plasmons in 70 nm Ag cubes at 2.4 and 3.1 eV. The radiation from these plasmon modes is collected in the far-field together with the secondary electron intensity. CL line scans across the nanocubes show exponentially decaying tails away from the cube that reveal the evanescent coupling of the electron field to the resonant plasmon modes. The measured CL decay lengths range from 8 nm (10 keV) to 12 nm (30 keV) and differ from the calculated ones by only 1-3 nm. A statistical model of electron scattering inside the Ag nanocubes is developed to analyze the secondary electron images and compare them with the CL data. The Ag nanocube edges are derived from the CL line scans with a systematic error less than 3 nm. The data demonstrate that CL probes the electron-induced plasmon fields with nanometer accuracy.

Complementary cathodoluminescence lifetime imaging configurations in a scanning electron microscope

Cathodoluminescence (CL) spectroscopy provides a powerful way to characterize optical properties of materials with deep-subwavelength spatial resolution. While CL imaging to obtain optical spectra is a well-developed technology, imaging CL lifetimes with nanoscale resolution has only been explored in a few studies. In this paper we compare three different time-resolved CL techniques and compare their characteristics. Two configurations are based on the acquisition of CL decay traces using a pulsed electron beam that is generated either with an ultra-fast beam blanker, which is placed in the electron column, or by photoemission from a laser-driven electron cathode. The third configuration uses measurements of the autocorrelation function g⁽²⁾ of the CL signal using either a continuous or a pulsed electron beam. The three techniques are compared in terms of complexity of implementation, spatial and temporal resolution, and measurement accuracy as a function of electron dose. A single sample of InGaN/GaN quantum wells is investigated to enable a direct comparison of lifetime measurement characteristics of the three techniques. The g⁽²⁾-based method provides decay measurements at the best spatial resolution, as it leaves the electron column configuration unaffected. The pulsed-beam methods provide better detail on the temporal excitation and decay dynamics. The ultra-fast blanker configuration delivers electron pulses as short as 30 ps at 5 keV and 250 ps at 30 keV. The repetition rate can be chosen arbitrarily up to 80 MHz and requires a conjugate plane geometry in the electron column that reduces the spatial resolution in our microscope. The photoemission configuration, pumped with 250 fs 257 nm pulses at a repetition rate from 10 kHz to 25 MHz, allows creation of electron pulses down to a few ps, with some loss in spatial resolution.

Nanoscale Relative Emission Efficiency Mapping Using Cathodoluminescence g(2) Imaging

Cathodoluminescence (CL) imaging spectroscopy provides two-dimensional optical excitation images of photonic nanostructures with a deep-subwavelength spatial resolution. So far, CL imaging was unable to provide a direct measurement of the excitation and emission probabilities of photonic nanostructures in a spatially resolved manner. Here, we demonstrate that by mapping the cathodoluminescence autocorrelation function g⁽²⁾ together with the CL spectral distribution the excitation and emission rates can be disentangled at every excitation position. We use InGaN/GaN quantum wells in GaN nanowires with diameters in the range 200-500 nm as a model system to test our new g⁽²⁾ mapping methodology and find characteristic differences in excitation and emission rates both between wires and within wires. Strong differences in the average CL intensity between the wires are the result of differences in the emission efficiencies. At the highest spatial resolution, intensity variations observed within wires are the result of excitation rates that vary with the nanoscale geometry of the structures. The fact that strong spatial variations observed in the CL intensity are not only uniquely linked to variations in emission efficiency but also linked to excitation efficiency has profound implications for the interpretation of the CL data for nanostructured geometries in general.

Plasmonic Nanolenses: Electrostatic Self-Assembly of Hierarchical Nanoparticle Trimers and Their Response to Optical and Electron Beam Stimuli

Asymmetric nanoparticle trimers composed of particles with increasing diameter act as "plasmonic lenses" and have been predicted to exhibit ultrahigh confinement of electromagnetic energy in the space between the two smallest particles. Here we present an electrostatic self-assembly approach for creating gold nanoparticle trimers with an assembly yield of over 60%. We demonstrate that the trimer assembly leads to characteristic red-shifts and show the localization of the relevant plasmon modes by means of cathodoluminescence and electron energy loss spectroscopy. The results are analyzed in terms of surface plasmon hybridization.

Nanoscale Spatial Coherent Control over the Modal Excitation of a Coupled Plasmonic Resonator System

We demonstrate coherent control over the optical response of a coupled plasmonic resonator by high-energy electron beam excitation. We spatially control the position of an electron beam on a gold dolmen and record the cathodoluminescence and electron energy loss spectra. By selective coherent excitation of the dolmen elements in the near field, we are able to manipulate modal amplitudes of bonding and antibonding eigenmodes. We employ a combination of CL and EELS to gain detailed insight in the power dissipation of these modes at the nanoscale as CL selectively probes the radiative response and EELS probes the combined effect of Ohmic dissipation and radiation.

Robustness of plasmon phased array nanoantennas to disorder

We present cathodoluminescence experiments that quantify the response of plasmonic Yagi-Uda antennas fabricated on one-dimensional silicon nitride waveguides as function of electron beam excitation position and emission wavelength. At the near-infrared antenna design wavelength cathodoluminescence signal robustly is strongest when exciting the antenna at the reflector element. Yet at just slightly shorter wavelengths the signal is highly variable from antenna to antenna and wavelength to wavelength. Hypothesizing that fabrication randomness is at play, we analyze the resilience of plasmon Yagi-Uda antennas to variations in element size of just 5 nm. While in our calculations the appearance of directivity is robust, both the obtained highest directivity and the wavelength at which it occurs vary markedly between realizations. The calculated local density of states is invariably high at the reflector for the design wavelength, but varies dramatically in spatial distribution for shorter wavelengths, consistent with the cathodoluminescence experiments.

Nanoscale optical tomography with cathodoluminescence spectroscopy

Tomography has enabled the characterization of the Earth's interior, visualization of the inner workings of the human brain, and three-dimensional reconstruction of matter at the atomic scale. However, tomographic techniques that rely on optical excitation or detection are generally limited in their resolution by diffraction. Here, we introduce a tomographic technique--cathodoluminescence spectroscopic tomography--to probe optical properties in three dimensions with nanometre-scale spatial and spectral resolution. We first obtain two-dimensional cathodoluminescence maps of a three-dimensional nanostructure at various orientations. We then use the method of filtered back-projection to reconstruct the cathodoluminescence intensity at each wavelength. The resulting tomograms allow us to locate regions of efficient cathodoluminescence in three dimensions across visible and near-infrared wavelengths, with contributions from material luminescence and radiative decay of electromagnetic eigenmodes. The experimental signal can be further correlated with the radiative local density of optical states in particular regions of the reconstruction. We demonstrate how cathodoluminescence tomography can be used to achieve nanoscale three-dimensional visualization of light-matter interactions by reconstructing a three-dimensional metal-dielectric nanoresonator.

Gallium plasmonics: deep subwavelength spectroscopic imaging of single and interacting gallium nanoparticles

Gallium has recently been demonstrated as a phase-change plasmonic material offering UV tunability, facile synthesis, and a remarkable stability due to its thin, self-terminating native oxide. However, the dense irregular nanoparticle (NP) ensembles fabricated by molecular-beam epitaxy make optical measurements of individual particles challenging. Here we employ hyperspectral cathodoluminescence (CL) microscopy to characterize the response of single Ga NPs of various sizes within an irregular ensemble by spatially and spectrally resolving both in-plane and out-of-plane plasmonic modes. These modes, which include hybridized dipolar and higher-order terms due to phase retardation and substrate interactions, are correlated with finite difference time domain (FDTD) electrodynamics calculations that consider the Ga NP contact angle, substrate, and native Ga/Si surface oxidation. This study experimentally confirms previous theoretical predictions of plasmonic size-tunability in single Ga NPs and demonstrates that the plasmonic modes of interacting Ga nanoparticles can hybridize to produce strong hot spots in the ultraviolet. The controlled, robust UV plasmonic resonances of gallium nanoparticles are applicable to energy- and phase-specific applications such as optical memory, environmental remediation, and simultaneous fluorescence and surface-enhanced Raman spectroscopies.

Optical properties of single plasmonic holes probed with local electron beam excitation

Similar to nanoparticles, nanoscale holes form a basic building block in a wide array of nanophotonic devices. Here we study the spectral and angular cathodoluminescence response of individual nanoholes with diameters ranging from 50 to 180 nm. Taking advantage of the deep-subwavelength excitation resolution, we find that the holes can be excited efficiently at the edge of the hole and that the response becomes stronger in the near-infrared part of the spectrum for larger holes. Using finite-difference time-domain simulations, we characterize the resonant modes inside the holes. We measure the angle-resolved cathodoluminescence response and observe strong beaming toward the side of electron beam excitation, complementary to what was shown for nanoparticles. The angular response can be explained by assuming a coherent superposition of radiating dipole moments, where the contribution of in-plane magnetic and electric dipole components increases for larger diameters.

Resonant modes of single silicon nanocavities excited by electron irradiation

High-index dielectric or semiconductor nanoparticles support strong Mie-like geometrical resonances in the visible spectral range. We use 30 keV angle-resolved cathodoluminescence imaging spectroscopy to excite and detect these resonant modes in single silicon nanocylinders with diameters ranging from 60 to 350 nm. Resonances are observed with wavelengths in the range of 400-700 nm, with quality factors in the range Q = 9-77, and show a strong red shift with increasing cylinder diameter. The photonic wave function of all modes is determined at deep-subwavelength resolution and shows good correspondence with numerical simulations. An analytical model is developed that describes the resonant Mie-like optical eigenmodes in the silicon cylinders using an effective index of a slab waveguide mode. It shows good overall agreement with the experimental results and enables qualification of all resonances with azimuthal (m = 0-4) and radial (q = 1-4) quantum numbers. The single resonant Si nanocylinders show characteristic angular radiation distributions in agreement with the modal symmetry.

Experimental verification of n = 0 structures for visible light

We fabricate and characterize a metal-dielectric nanostructure with an effective refractive index n = 0 in the visible spectral range. Light is excited in the material at deep subwavelength resolution by a 30-keV electron beam. From the measured spatially and angle-resolved emission patterns, a vanishing phase advance, corresponding to an effective [Symbol: see text] = 0 and n = 0, is directly observed at the cutoff frequency. The wavelength at which this condition is observed can be tuned over the entire visible or near-infrared spectral range by varying the waveguide width. This n = 0 plasmonic nanostructure may serve as a new building block in nanoscale optical integrated circuits and to control spontaneous emission as experimentally demonstrated by the strongly enhanced radiative optical density of states over the entire n = 0 structure.

Dispersive ground plane core-shell type optical monopole antennas fabricated with electron beam induced deposition

We present the bottom-up fabrication of dispersive silica core, gold cladding ground plane optical nanoantennas. The structures are made by a combination of electron-beam induced deposition of silica and sputtering of gold. The antenna lengths range from 300 to 2100 nm with size aspect ratios as large as 20. The angular emission patterns of the nanoantennas are measured with angle-resolved cathodoluminescence spectroscopy and compared with finite-element methods. Good overall correspondence between the the measured and calculated trends is observed. The dispersive nature of these plasmonic monopole antennas makes their radiation profile highly tunable.

Deep-subwavelength imaging of the modal dispersion of light

Numerous optical technologies and quantum optical devices rely on the controlled coupling of a local emitter to its photonic environment, which is governed by the local density of optical states (LDOS). Although precise knowledge of the LDOS is crucial, classical optical techniques fail to measure it in all of its frequency and spatial components. Here, we use a scanning electron beam as a point source to probe the LDOS. Through angular and spectral detection of the electron-induced light emission, we spatially and spectrally resolve the light wave vector and determine the LDOS of Bloch modes in a photonic crystal membrane at an unprecedented deep-subwavelength resolution (30-40 nm) over a large spectral range. We present a first look inside photonic crystal cavities revealing subwavelength details of the resonant modes. Our results provide direct guidelines for the optimum location of emitters to control their emission, and key fundamental insights into light-matter coupling at the nanoscale.

Polarization-sensitive cathodoluminescence Fourier microscopy

Determining the emission polarization properties of sub-wavelength structures like optical nanoantennas, nanocavities and photonic crystals is important to understand their physical properties and to optimize their use in applications. Recently we have shown that angle-resolved cathodoluminescence imaging spectroscopy (ARCIS), which uses a 30 keV electron beam as an excitation source, is a useful technique to study the far-field properties of such structures. Here we extend the technique with polarization-sensitive angular detection. As proof-of-principle, we experimentally probe the emission polarization properties of three orthogonal dipolar emitters of which the polarization is well-known and find excellent agreement between experiment and theory. We access these dipole orientations by exciting an unstructured gold surface and a ridge nanoantenna with an in-plane dipolar plasmon resonance. The light emission is collected with an aluminum half paraboloid mirror. We show how to take the effect of the paraboloid mirror on the emission polarization into account and how to predict the polarization-filtered pattern if the emission polarization is known. Furthermore, we calculate that by introducing a slit in the beam path the polarization contrast in cathodoluminescence spectroscopy can be strongly enhanced. Finally, we reconstruct the emission polarization from the experimental data and show that from these field patterns we can infer the orientation of the induced dipole moment. The ability to measure the emission polarization, in combination with the sensitivity to the local density of optical states, broad spectral range and high excitation resolution, can be employed to study photonic nanostructures in great detail.

Deep subwavelength spatial characterization of angular emission from single-crystal Au plasmonic ridge nanoantennas

We use spatially and angle-resolved cathodoluminescence imaging spectroscopy to study, with deep subwavelength resolution, the radiation mechanism of single plasmonic ridge antennas with lengths ranging from 100 to 2000 nm. We measure the antenna's standing wave resonances up to the fifth order and measure the dispersion of the strongly confined guided plasmon mode. By directly detecting the emitted antenna radiation with a 2D CCD camera, we are able to measure the angular emission patterns associated with each individual antenna resonance. We demonstrate that the shortest ridges can be modeled as a single point-dipole emitter oriented either upward (m = 0) or in-plane (m = 1). The far-field emission pattern for longer antennas (m > 2) is well described by two interfering in-plane point dipoles at the end facets, giving rise to an angular fringe pattern, where the number of fringes increases as the antenna becomes longer. Taking advantage of the deep subwavelength excitation resolution of the cathodoluminescence technique, we are able to determine the antenna radiation pattern as a function of excitation position. By including the phase of the radiating dipoles into our simple dipole model, we completely reproduce this effect. This work demonstrates how angle-resolved cathodoluminescence spectroscopy can be used to fully determine the emission properties of subwavelength ridge antennas, which ultimately can be used for the design of more complex and efficient antenna structures.

Signature of a Fano resonance in a plasmonic metamolecule's local density of optical states

We present measurements on plasmonic metamolecules under local excitation using cathodoluminescence which show a spatial redistribution of the local density of optical states at the same frequency where a sharp spectral Fano feature in extinction has been observed. Our analytical model shows that both near- and far-field effects arise due to interference of the same two eigenmodes of the system. We present quantitative insights both in a bare state, and in a dressed state picture that describe Fano interference either as near-field amplitude transfer between coupled bare states, or as interference of uncoupled eigenmodes in the far field. We identify the same eigenmode causing a dip in extinction to strongly enhance the radiative local density of optical states, making it a promising candidate for spontaneous emission control.

Imaging the hidden modes of ultrathin plasmonic strip antennas by cathodoluminescence

We perform spectrally resolved cathodoluminescence (CL) imaging nanoscopy using a 30 keV electron beam to identify the resonant modes of an ultrathin (20 nm), laterally tapered plasmonic Ag nanostrip antenna. We resolve with deep-subwavelength resolution four antenna resonances (resonance orders m = 2-5) that are ascribed to surface plasmon polariton standing waves that are confined on the strip. We map the local density of states on the strip surface and show that it has contributions from symmetric and antisymmetric surface plasmon polariton modes, each with a very different mode index. This work illustrates the power of CL experiments that can visualize hidden modes that for symmetry reasons have been elusive in optical light scattering experiments.

Directional emission from plasmonic Yagi-Uda antennas probed by angle-resolved cathodoluminescence spectroscopy

Optical nanoantennas mediate optical coupling between single emitters and the far field, making both light emission and reception more effective. Probing the response of a nanoantenna as a function of position requires accurate positioning of a subwavelength sized emitter with known orientation. Here we present a novel experimental technique that uses a high-energy electron beam as broad band point dipole source of visible radiation, to study the emission properties of a Yagi-Uda antenna composed of a linear array of Au nanoparticles. We show angle-resolved emission spectra for different wavelengths and find evidence for directional emission of light that depends strongly on where the antenna is excited. We demonstrate that the experimental results can be explained by a coupled point dipole model which includes the effect of the dielectric substrate. This work establishes angle-resolved cathodoluminescence spectroscopy as a powerful technique tool to characterize single optical nanoantennas.

Late presentation of HIV infection: a consensus definition

OBJECTIVES

Across Europe, almost a third of individuals infected with HIV do not enter health care until late in the course of their infection. Surveillance to identify the extent to which late presentation occurs remains inadequate across Europe and is further complicated by the lack of a common clinical definition of late presentation. The objective of this article is to present a consensus definition of late presentation of HIV infection.

METHODS

Over the past year, two initiatives have moved towards a harmonized definition. In spring 2009, they joined efforts to identify a common definition of what is meant by a 'late-presenting' patient.

RESULTS

Two definitions were agreed upon, as follows. Late presentation: persons presenting for care with a CD4 count below 350 cells/μL or presenting with an AIDS-defining event, regardless of the CD4 cell count. Presentation with advanced HIV disease: persons presenting for care with a CD4 count below 200 cells/μL or presenting with an AIDS-defining event, regardless of the CD4 cell count.

CONCLUSION

The European Late Presenter Consensus working group believe it would be beneficial if all national health agencies, institutions, and researchers were able to implement this definition (either on its own or alongside their own preferred definition) when reporting surveillance or research data relating to late presentation of HIV infection.

Optimal HIV testing and earlier care: the way forward in Europe

The articles in this supplement were developed from a recent pan-European conference entitled 'HIV in Europe 2007: Working together for optimal testing and earlier care', which took place on 26-27 November in Brussels, Belgium. The conference, organized by a multidisciplinary group of experts representing advocacy, clinical and policy areas of the HIV field, was convened in an effort to gain a common understanding on the role of HIV testing and counselling in optimizing diagnosis and the need for earlier care. Key topics discussed at the conference and described in the following articles include: current barriers to HIV testing across Europe, trends in the epidemiology of HIV in the region, problems associated with undiagnosed infection and the psychosocial barriers impacting on testing. The supplement also provides a summary of the World Health Organization's recommendations for HIV testing in Europe and an outline of an indicator disease-guided approach to HIV testing proposed by a committee of experts from the European AIDS Clinical Society (EACS). We hope that consideration of the issues discussed in this supplement will help to shift the HIV field closer towards our ultimate goal: provision of optimal HIV testing and earlier care across the whole of the European region.

[HIV should not become a notifiable disease]

There is a need for effective strategies in HIV control. However, there is no evidence that making HIV a notifiable disease will contribute to more effective prevention. Making HIV a notifiable disease does not result in more HIV testing and it may even hamper the current proactive testing policy. Moreover, it does not contribute to better surveillance as the current HIV monitoring system provides excellent data on the state of the epidemic. In conclusion, making HIV a notifiable disease should not be introduced.

Prevalence of urogenital Chlamydia trachomatis infections in the Netherlands suggests selective screening approaches. Results from the PILOT CT Population Study

Chlamydia trachomatis screening is being considered in the Netherlands, but policy recommendations are hampered by the lack of population-based data. We studied the prevalence of chlamydia infection in 15-29-year-old women and men in a national representative sample of 21,000 inhabitants of rural and urban areas in the Netherlands. Of this sample, 41% responded by sending in urine and an answered questionnaire, while 11% returned a refusal card. The overall prevalence of chlamydia infection was 2.0% (CI: 1.7-2.3); 2.5% (CI: 2.0-3.0) in women and 1.5% (1.1-1.8) in men. Chlamydia prevalence was significantly greater in very highly urbanized areas (3.2%, CI: 2.4-4.0) compared to rural areas (0.6%, CI: 0.1-1.1). In very highly urbanized areas the greatest prevalence was found among 15-19-year-old women (4.3%) and among 25-29-year-old men (4.2%). A risk profile could be determined and a prediction rule was developed. These data suggest that nationwide systematic screening is not indicated in the Netherlands and that targeted approaches are a better option. Roll-out of selective screening is recommended.

A fast method to study the secretory activity of neuroendocrine cells at the ultrastructural level

Cryo field emission scanning electron microscopy (cryo-FE-SEM) is a versatile technique that allows the investigation of the three-dimensional organization of cells at the ultrastructural level over a wide range of magnifications. Unfortunately, cryopreparation of the specimens for this technique remains cumbersome, in particular because ice crystal formation must be prevented during freezing. Here we report that a light prefixation with glutaraldehyde and incubation in glycerol as cryoprotectant or a high-pressure freezing approach are both excellent procedures for cryopreparation of animal cells to be used in combination with cryo-FE-SEM. Using the proopiomelanocortin-producing intermediate pituitary melanotrope cells of Xenopus laevis as a physiologically inducible neuroendocrine system, we compared the ultrastructural characteristics of inactive and hyperactive neuroendocrine cells. The overall quality of the ultrastructural images was comparable for the two cryopreparation procedures, although some fine structures were better conserved using high-pressure freezing. Melanotrope cells in a secretory inactive state contained numerous storage granules and a poorly developed endoplasmic reticulum (ER), while large amounts of rough ER were present in hyperactive cells. Thus, the cryo-FE-SEM approach described here allows a fast ultrastructural study on the secretory activity of neuroendocrine cells.

Continued increase of sexually transmitted infections in the Netherlands

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[Health complaints in relation to quality of swimming water in participants of a triathlon]

Participants in a triathlon in Alphen aan den Rijn, the Netherlands, reported gastrointestinal symptoms to the local health authority. A study was performed to establish the number of complaints and the relation with the microbiological water quality at the surface water swimming site, which met current standards. An epidemiological survey was carried out with a questionnaire among 629 participants, with non-participating relatives as controls. Faecal samples of patients and water samples were investigated by conventional methods. 439 participants and 217 controls completed the questionnaire. 140 participants had at least one gastro-intestinal symptom and 28 (6.4%) had highly credible gastroenteritis. Participants had an odds ratio for gastro-enteritis of 14.7 (95% CI: 2.39-604.45). Electron microscopic examination in six of 12 patients showed viruses able to cause such symptoms. Water samples showed considerable faecal pollution at the time of the triathlon (geometric mean counts: thermotolerant coliforms 725/100 ml; faecal streptococci 23/100 ml). The most likely source is the effluent discharge of the nearby waste water treatment plant. A surface water swimming site meeting current standards does not exclude health complaints among tri-athletes.

Localization of messenger RNAs encoding crustacean hyperglycemic hormone and gonad inhibiting hormone in the X-organ sinus gland complex of the lobster Homarus americanus

The localization of messenger RNAs encoding the crustacean hyperglycemic hormone, involved in regulation of carbohydrate metabolism and the gonad inhibiting hormone, which inhibits vitellogenesis, was studied in the eyestalk of the lobster Homarus americanus using complementary RNA probes for in situ hybridization. For the detection of gonad inhibiting hormone messenger RNA, we cloned and sequenced a partial complementary DNA encoding lobster gonad inhibiting hormone and for crustacean hyperglycemic hormone messenger RNA detection an available complementary DNA was used. This approach reveals that there is a frequent but inconsistent cellular co-localization of the two neurohormones. Furthermore, our data show that male lobsters contain an equal number of neuroendocrine gonad inhibiting hormone cells as female lobsters. An additional study, involving the use of in situ hybridization in combination with immunocytochemistry, shows that the synthetic activity of the crustacean hyperglycemic hormone- and gonad inhibiting hormone-producing cells can be followed at the messenger RNA as well as the protein level. This reveals that when strong immunostaining is present, the messenger RNA staining is usually weak or absent and vice versa. In conclusion, the presence of cells, containing only gonad inhibiting hormone messenger RNA or only crustacean hyperglycemic hormone messenger RNA, indicates that lobster crustacean hyperglycemic hormone and gonad inhibiting hormone originate from two different precursors. Co-localization of the two neurohormone messenger RNAs confirms the co-localization at the peptidergic level found by immunocytochemistry and thus these findings were not due to cross-reactions between the two antisera.(ABSTRACT TRUNCATED AT 250 WORDS)

Detection of mRNA encoding crustacean hyperglycemic hormone (CHH) in the eyestalk of the crayfish Orconectes limosus using non-radioactive in situ hybridization

A non-radioactive in situ hybridization procedure for the localization of the mRNA encoding the crustacean hyperglycemic hormone (CHH) in the eyestalk of the crayfish Orconectes limosus has been developed. Based on the partial amino acid sequence of CHH, polymerase chain reactions were performed to generate complementary DNA (cDNA) clones encoding CHH. Non-radioactively labelled probes derived from the cDNA sequence were used to establish suitable conditions in terms of tissue fixation and pretreatment for detection of the CHH-encoding mRNA in combination with an immunocytochemical staining using a polyclonal antibody for CHH. Localization of the mRNA in the CHH perikarya was obtained with a complementary RNA probe in combination with pepsin/HCl treated Bouin-fixed eyestalks. The immunocytochemical staining confirmed that this cRNA probe specifically hybridized with mRNA of cell somata belonging to the CHH-producing cell system in the eyestalk of Orconectes limosus.