Supersonic plasma turbulence in the laboratory.

The properties of supersonic, compressible plasma turbulence determine the behavior of many terrestrial and astrophysical systems. In the interstellar medium and molecular clouds, compressible turbulence plays a vital role in star formation and the evolution of our galaxy. Observations of the density and velocity power spectra in the Orion B and Perseus molecular clouds show large deviations from those predicted for incompressible turbulence. Hydrodynamic simulations attribute this to the high Mach number in the interstellar medium (ISM), although the exact details of this dependence are not well understood. Here we investigate experimentally the statistical behavior of boundary-free supersonic turbulence created by the collision of two laser-driven high-velocity turbulent plasma jets. The Mach number dependence of the slopes of the density and velocity power spectra agree with astrophysical observations, and supports the notion that the turbulence transitions from being Kolmogorov-like at low Mach number to being more Burgers-like at higher Mach numbers.

Optimization of the blood culture pathway: a template for improved sepsis management and diagnostic antimicrobial stewardship.

Laboratory processing of blood cultures has remained static over the past 30 years, despite increasing antibiotic resistance and advances in analyser design. At the study hospital, siting the blood culture analyser in the blood sciences laboratory and optimizing the pre-analytical and analytic phases of blood culture management resulted in a reduction in the time taken to detect most blood culture isolates to <12h. Fifty percent of positive blood cultures containing Escherichia coli were definitively reported with antibiotic susceptibilities in <24h. More than 85% of blood cultures positive for E. coli had antibiotic susceptibilities reported within 36h of collection, compared with 66h at a comparator hospital.

An ultra-high gain and efficient amplifier based on Raman amplification in plasma.

Raman amplification arising from the excitation of a density echelon in plasma could lead to amplifiers that significantly exceed current power limits of conventional laser media. Here we show that 1-100 J pump pulses can amplify picojoule seed pulses to nearly joule level. The extremely high gain also leads to significant amplification of backscattered radiation from "noise", arising from stochastic plasma fluctuations that competes with externally injected seed pulses, which are amplified to similar levels at the highest pump energies. The pump energy is scattered into the seed at an oblique angle with 14 J sr-1, and net gains of more than eight orders of magnitude. The maximum gain coefficient, of 180 cm-1, exceeds high-power solid-state amplifying media by orders of magnitude. The observation of a minimum of 640 J sr-1 directly backscattered from noise, corresponding to ≈10% of the pump energy in the observation solid angle, implies potential overall efficiencies greater than 10%.

Experimental measurements of the collisional absorption of XUV radiation in warm dense aluminium.

The collisional (or free-free) absorption of soft x rays in warm dense aluminium remains an unsolved problem. Competing descriptions of the process exist, two of which we compare to our experimental data here. One of these is based on a weak scattering model, another uses a corrected classical approach. These two models show distinctly different behaviors with temperature. Here we describe experimental evidence for the absorption of 26-eV photons in solid density warm aluminium (T_{e}≈1 eV). Radiative x-ray heating from palladium-coated CH foils was used to create the warm dense aluminium samples and a laser-driven high-harmonic beam from an argon gas jet provided the probe. The results indicate little or no change in absorption upon heating. This behavior is in agreement with the prediction of the corrected classical approach, although there is not agreement in absolute absorption value. Verifying the correct absorption mechanism is decisive in providing a better understanding of the complex behavior of the warm dense state.

Male behaviour drives assortative reproduction during the initial stage of secondary contact.

Phenotypic divergence in allopatry can facilitate speciation by reducing the likelihood that individuals of different lineages hybridize during secondary contact. However, few studies have established the causes of reproductive isolation in the crucial early stages of secondary contact. Here, we establish behavioural causes of assortative reproduction between two phenotypically divergent lineages of the European wall lizard (Podarcis muralis), which have recently come into secondary contact. Parentage was highly assortative in experimental contact zones. However, despite pronounced divergence in male phenotypes, including chemical and visual sexual signals, there was no evidence that females discriminated between males of the two lineages in staged interactions or under naturalistic free-ranging conditions. Instead, assortative reproduction was driven by male mate preferences and, to a lesser extent, male-male competition. The effects were more pronounced when the habitat structure promoted high lizard densities. These results emphasize that assortative reproduction can occur in the absence of female choice and that male behaviour may play an important role in limiting hybridization during the initial stages of secondary contact.

Service innovation in glaucoma management: using a Web-based electronic patient record to facilitate virtual specialist supervision of a shared care glaucoma programme.

AIM: To assess the importance of specialist supervision in a new model of glaucoma service delivery. METHODS: An optometrist supported by three technicians managed each glaucoma clinic. Patients underwent testing and clinical examination before the optometrist triaged them into one of five groups: 'normal', 'stable', 'low risk', 'unstable' and 'high risk'. Patient data were uploaded to an electronic medical record to facilitate virtual review by a glaucoma specialist. RESULTS: 24 257 glaucoma reviews at three glaucoma clinics during a 31-month period were analysed. The clinic optometrists and glaucoma specialists had substantial agreement (κ 0.69). 13 patients were identified to be high risk by the glaucoma specialist that had not been identified as such by the optometrist. Glaucoma specialists amended 13% of the optometrists' interim decisions resulting in an overall reduction in review appointments by 2.4%. CONCLUSIONS: Employing technicians and optometrists to triage glaucoma patients into groups defined by risk of blindness allows higher risk patients to be directed to a glaucoma specialist. Virtual review allows the glaucoma specialist to remain in overall control while reducing the risk that patients are treated or followed-up unnecessarily. Demand for glaucoma appointments can be reduced allowing scarce medical resources to be directed to patients most in need.

Protein phosphatases regulate the growth of developing neurites.

The mechanisms underlying morphogenesis of axons and dendrites are critical for understanding both the structure and function of the nervous system. Since a number of kinases have a well-known effect on neurite outgrowth, we tested the hypothesis that specific phosphatases can also play a role in neurite extension and branching. Both protein phosphatase 1 (PP1) and 2A (PP2A) are present in growing processes and can regulate neuronal outgrowth. Loss-, gain- and recovery-of-function analyses in cultured hippocampal neurons tested the role of PP1 and PP2A in neurite growth. siRNA partially knocked down specific phosphatase isoforms and showed that reducing PP2A increased neurite length. Broad spectrum pharmacologic inhibition of PP1 caused the opposite effect from RNAi of specific phosphatases, indicating that two phosphatase pathways likely affect neurite morphogenesis. Over-expression of PP2A resulted in shorter neurites and decreased dendritic branching. Rescue analysis showed that PP2A homologs could restore the longer neurites caused by RNAi, to their normal size, indicating that both reagents target the same pathway. Thus, the well-known effects of specific kinases can be countered by the activity of phosphatases at different times and locations in the growing neurite. By working together, kinases and phosphatases can play a dynamic role in regulating neurite extension during development.

Magnetically guided fast electrons in cylindrically compressed matter.

Fast electrons produced by a 10 ps, 160 J laser pulse through laser-compressed plastic cylinders are studied experimentally and numerically in the context of fast ignition. K(α)-emission images reveal a collimated or scattered electron beam depending on the initial density and the compression timing. A numerical transport model shows that implosion-driven electrical resistivity gradients induce strong magnetic fields able to guide the electrons. The good agreement with measured beam sizes provides the first experimental evidence for fast-electron magnetic collimation in laser-compressed matter.

Barriers to the implementation of the SAFE strategy to combat hyperendemic trachoma in Australia.

OBJECTIVE: Australia is the only developed country in the world that still has endemic levels of blinding trachoma. The SAFE (Surgery, Antibiotics, Facial cleanliness, Environmental improvement) strategy is an effective public health intervention that has been successfully used to eliminate blinding trachoma in some of the poorest countries of the world. Yet the SAFE strategy has not been systematically implemented in Australia. We undertook semi-structured interviews to identify some of barriers to the implementation of the SAFE strategy within remote indigenous communities of Australia. METHODS: Health care professionals who were responsible for delivering trachoma control programs throughout the Northern Territory were asked to participate in a semi-structured interview. Quantitative analysis was performed using an existing strategic management framework. RESULTS: Fourteen individuals were interviewed. Responses were grouped into 19 categories; 12 from the existing strategic management framework and 7 additional categories that were created for ideas unique to the trachoma control program in Australia. CONCLUSIONS: A number of key themes emerged from the interview and are presented in a literary style. From these key themes critical success factors for the implementation of a sustainable trachoma control program were identified. With the election of the Rudd government there has been a renewed interest in "closing the gap" between the health of indigenous and non-indigenous Australians. A federal government funding package of $58 million over four years has just been announced to tackle trachoma. It is hoped that the findings of this research can assist in making sure that money achieves its goal.

Electron bunch length measurements from laser-accelerated electrons using single-shot THz time-domain interferometry.

Laser-plasma wakefield-based electron accelerators are expected to deliver ultrashort electron bunches with unprecedented peak currents. However, their actual pulse duration has never been directly measured in a single-shot experiment. We present measurements of the ultrashort duration of such electron bunches by means of THz time-domain interferometry. With data obtained using a 0.5 J, 45 fs, 800 nm laser and a ZnTe-based electro-optical setup, we demonstrate the duration of laser-accelerated, quasimonoenergetic electron bunches [best fit of 32 fs (FWHM) with a 90% upper confidence level of 38 fs] to be shorter than the drive laser pulse, but similar to the plasma period.

Ultrafast melting of carbon induced by intense proton beams.

Laser-produced proton beams have been used to achieve ultrafast volumetric heating of carbon samples at solid density. The isochoric melting of carbon was probed by a scattering of x rays from a secondary laser-produced plasma. From the scattering signal, we have deduced the fraction of the material that was melted by the inhomogeneous heating. The results are compared to different theoretical approaches for the equation of state which suggests modifications from standard models.

Effect of reentrant cone geometry on energy transport in intense laser-plasma interactions.

The energy transport in cone-guided low- Z targets has been studied for laser intensities on target of 2.5x10(20) W cm(-2). Extreme ultraviolet (XUV) imaging and transverse optical shadowgraphy of the rear surfaces of slab and cone-slab targets show that the cone geometry strongly influences the observed transport patterns. The XUV intensity showed an average spot size of 65+/-10 microm for slab targets. The cone slabs showed a reduced spot size of 44+/-10 microm. The shadowgraphy for the aforementioned shots demonstrate the same behavior. The transverse size of the expansion pattern was 357+/-32 microm for the slabs and reduced to 210+/-30 microm. A transport model was constructed which showed that the change in transport pattern is due to suppression of refluxing electrons in the material surrounding the cone.

Trachoma, cataracts and uncorrected refractive error are still important contributors to visual morbidity in two remote indigenous communities of the Northern Territory, Australia.

PURPOSE: To assess the contribution of trachoma, cataract and refractive error to visual morbidity among Indigenous adults living in two remote communities of the Northern Territory. DESIGN, SETTING AND PARTICIPANTS: Cross-sectional survey of all adults aged 40 and over within a desert and coastal community. MAIN OUTCOME MEASURES: Visual acuity, clinical signs of trachoma using the simplified WHO grading system and assessment of cataract through a non-dilated pupil. RESULTS: Two hundred and sixty individuals over the age of 40 years participated in the study. The prevalence of visual impairment (<6/12) was 17%. The prevalence of blindness (<3/60) was 2%, 40-fold higher than seen in an urban Australian population when adjusted for age. In total, 78% of adults who grew up in a desert community had trachomatous scarring compared with 26% of those who grew up in a coastal community (P < or = 0.001). In the desert community the prevalence of trachomatous trichiasis was 10% and corneal opacity was 6%. No trachomatous trichiasis or corneal opacity was seen in the coastal community. CONCLUSIONS: Trachoma, cataract and uncorrected refractive error remain significant contributors to visual morbidity in at least two remote indigenous communities. A wider survey is required to determine if these findings represent a more widespread pattern and existing eye care services may need to be re-assessed to determine the cause of this unmet need.

Characterization of high-intensity laser propagation in the relativistic transparent regime through measurements of energetic proton beams.

Experiments were performed to investigate the propagation of a high intensity (I approximately 10(21) W cm(-2)) laser in foam targets with densities ranging from 0.9n(c) to 30n(c). Proton acceleration was used to diagnose the interaction. An improvement in proton beam energy and efficiency is observed for the lowest density foam (n(e)=0.9n(c)), compared to higher density foams. Simulations show that the laser beam penetrates deeper into the target due to its relativistic propagation and results in greater collimation of the ensuing hot electrons. This results in the rear surface accelerating electric field being larger, increasing the efficiency of the acceleration. Enhanced collimation of the ions is seen to be due to the self-generated azimuthal magnetic and electric fields at the rear of the target.

Trachoma.

Trachoma is a keratoconjunctivitis caused by ocular infection with Chlamydia trachomatis. Repeated or persistent episodes lead to increasingly severe inflammation that can progress to scarring of the upper tarsal conjunctiva. Trichiasis develops when scarring distorts the upper eyelid sufficiently to cause one or more lashes to abrade the cornea, scarring it in turn and causing blindness. Active trachoma affects an estimated 84 million people; another 7.6 million have end-stage disease, of which about 1.3 million are blind. Trachoma should stand on the brink of extinction thanks to a 1998 initiative launched by WHO--the Global Elimination of Trachoma by 2020. This programme advocates control of trachoma at the community level with four inter-related population-health initiatives that form the SAFE strategy: surgery for trichiasis, antibiotics for active trachoma, facial cleanliness, and environmental improvement. Evidence supports the effectiveness of this approach, and if current world efforts continue, blinding trachoma will indeed be eliminated by 2020.

Observation of synchrotron radiation from electrons accelerated in a petawatt-laser-generated plasma cavity.

The dynamics of plasma electrons in the focus of a petawatt laser beam are studied via measurements of their x-ray synchrotron radiation. With increasing laser intensity, a forward directed beam of x rays extending to 50 keV is observed. The measured x rays are well described in the synchrotron asymptotic limit of electrons oscillating in a plasma channel. The critical energy of the measured synchrotron spectrum is found to scale as the Maxwellian temperature of the simultaneously measured electron spectra. At low laser intensity transverse oscillations are negligible as the electrons are predominantly accelerated axially by the laser generated wakefield. At high laser intensity, electrons are directly accelerated by the laser and enter a highly radiative regime with up to 5% of their energy converted into x rays.

Effect of laser intensity on fast-electron-beam divergence in solid-density plasmas.

Metal foil targets were irradiated with 1 mum wavelength (lambda) laser pulses of 5 ps duration and focused intensities (I) of up to 4x10;{19} W cm;{-2}, giving values of both Ilambda;{2} and pulse duration comparable to those required for fast ignition inertial fusion. The divergence of the electrons accelerated into the target was determined from spatially resolved measurements of x-ray K_{alpha} emission and from transverse probing of the plasma formed on the back of the foils. Comparison of the divergence with other published data shows that it increases with Ilambda;{2} and is independent of pulse duration. Two-dimensional particle-in-cell simulations reproduce these results, indicating that it is a fundamental property of the laser-plasma interaction.

Trachoma and poverty: unnecessary blindness further disadvantages the poorest people in the poorest countries.

Trachoma is the leading cause of infectious blindness worldwide. Many populations living in poverty are affected by trachoma. The infectious organism is provided with an ideal milieu for transmission, where markers of poverty are present. These include overcrowding, lack of adequate water resources, limited use of water for personal hygiene, inadequate waste disposal and other conditions that encourage the proliferation of flies. This review summarises treatment strategies that have been effectively instituted in many countries to reduce the prevalence of trachoma. The review promotes partnerships working towards achieving the Millennium Development Goals developed by the United Nations to address issues associated with poverty. These goals are in keeping with many of the strategies to reduce the burden of potentially blinding trachoma that afflicts some of the world's poorest citizens.

Minimization of the impact of a broad bandwidth high-gain nonlinear preamplifier to the amplified spontaneous emission pedestal of the Vulcan petawatt laser facility.

To generate petawatt pulses using the Vulcan Nd:glass laser requires a broad bandwidth high-gain preamplifier. The preamplifier used is an optical parametric amplifier that provides a total gain of 10(8) in three amplification stages. We report on a detailed investigation of the effect of the Vulcan optical parametric chirped pulse amplification (OPCPA) preamplifier on contrast caused by the amplified spontaneous emission (ASE) pedestal that extends up to 2 ns before the arrival of the main pulse. The contrast after compression is improved to 4x10(8) of the intensity of the main pulse using near-field apertures between the stages of the OPCPA preamplifier. Further reduction of the level of the ASE pedestal can be achieved at the cost of a reduction in amplified bandwidth by solely phosphate glass amplification after initial preamplification rather than a mixed glass amplification scheme.

Radiological characterisation of photon radiation from ultra-high-intensity laser-plasma and nuclear interactions.

With the increasing number of multi-terawatt (10(12) W) and petawatt (10(15) W) laser interaction facilities being built, the need for a detailed understanding of the potential radiological hazards is required and their impact on personnel is of major concern. Experiments at a number of facilities are being undertaken to achieve this aim. This paper describes the recent work completed on the Vulcan petawatt laser system at the CCLRC Rutherford Appleton Laboratory, where photon doses of up to 43 mSv at 1 m per shot have been measured during commissioning studies. It also overviews the shielding in place on the facility in order to comply with the Ionising Radiation Regulations 1999 (IRR99), maintaining a dose to personnel of less than 1 mSv yr(-1) and as low as reasonably practicable (ALARP).