Visualizing Pure Quantum Turbulence in Superfluid 3He: Andreev Reflection and its Spectral Properties.

Superfluid 3He-B in the zero-temperature limit offers a unique means of studying quantum turbulence by the Andreev reflection of quasiparticle excitations by the vortex flow fields. We validate the experimental visualization of turbulence in 3He-B by showing the relation between the vortex-line density and the Andreev reflectance of the vortex tangle in the first simulations of the Andreev reflectance by a realistic 3D vortex tangle, and comparing the results with the first experimental measurements able to probe quantum turbulence on length scales smaller than the intervortex separation.

Nanoscale real-time detection of quantum vortices at millikelvin temperatures.

Since we still lack a theory of classical turbulence, attention has focused on the conceptually simpler turbulence in quantum fluids. Reaching a better understanding of the quantum case may provide additional insight into the classical counterpart. That said, we have hitherto lacked detectors capable of the real-time, non-invasive probing of the wide range of length scales involved in quantum turbulence. Here we demonstrate the real-time detection of quantum vortices by a nanoscale resonant beam in superfluid 4He at 10 mK. Essentially, we trap a single vortex along the length of a nanobeam and observe the transitions as a vortex is either trapped or released, detected through the shift in the beam resonant frequency. By exciting a tuning fork, we control the ambient vortex density and follow its influence on the vortex capture and release rates demonstrating that these devices are capable of probing turbulence on the micron scale.

Magnetic phase transition in a nanonetwork of solid 3He in aerogel.

When immersed in liquid 3He, the nanometer strands of aerogel are coated with a thin layer of solid 3He, forming a network of irregular nanotubes. Owing to its high purity and weak interactions, this system is ideal for studying fundamental processes. We report the first experiments on solid 3He in aerogel at ultralow temperatures, cooled by direct adiabatic demagnetization. Simultaneous nuclear magnetic susceptibility and heat capacity measurements indicate a magnetic phase transition.

Fundamental dissipation due to bound fermions in the zero-temperature limit.

The ground state of a fermionic condensate is well protected against perturbations in the presence of an isotropic gap. Regions of gap suppression, surfaces and vortex cores which host Andreev-bound states, seemingly lift that strict protection. Here we show that in superfluid 3He the role of bound states is more subtle: when a macroscopic object moves in the superfluid at velocities exceeding the Landau critical velocity, little to no bulk pair breaking takes place, while the damping observed originates from the bound states covering the moving object. We identify two separate timescales that govern the bound state dynamics, one of them much longer than theoretically anticipated, and show that the bound states do not interact with bulk excitations.

LEGO® Block Structures as a Sub-Kelvin Thermal Insulator.

We report measurements of the thermal conductance of a structure made from commercial Acrylonitrile Butadiene Styrene (ABS) modules, known as LEGO® blocks, in the temperature range from 70 mK to 1.8 K. A power law for the sample's thermal conductivity κ = (8.7 ± 0.3) × 10-5 T 1.75±0.02 WK-1 m-1 was determined. We conclude that this ABS/void compound material provides better thermal isolation than well-known bulk insulator materials in the explored temperature range, whilst maintaining solid support. LEGO blocks represent a cheap and superlative alternative to materials such as Macor or Vespel. In our setup, <400 nW of power can heat an experimental area of 5 cm2 to over 1 K, without any significant change to the base temperature of the dilution refrigerator. This work suggests that custom-built modular materials with even better thermal performance could be readily and cheaply produced by 3D printing.

Choreathetoid movement as an unusual presentation of subdural haematoma.

Subdural haematomas can present with a wide variety of symptoms. An atypical presentation can be movement disorders. The key feature is that the history of onset is more rapid than with neurological conditions such as Parkinson's disease. The symptoms can also be an acute worsening of pre-existing disorder. The case discussed involved an 80 year old woman with bilateral choreathetoid movements attributed to a unilateral chronic subdural haematoma. The haematoma was surgically drained and the symptoms resolved. Sporadic reports of similar cases of movement disorders associated with subdural haematomas exist in the literature, but rarely do unilateral haematomas present with bilateral symptoms. Pressure effects, neurotransmitter abnormality and ischaemia have been postulated as reasons for this type of presentation. Unexplained and sudden movement disorders might warrant imaging to rule out a subdural haematoma as the cause.

Operating Nanobeams in a Quantum Fluid.

Microelectromechanical (MEMS) and nanoelectromechanical systems (NEMS) are ideal candidates for exploring quantum fluids, since they can be manufactured reproducibly, cover the frequency range from hundreds of kilohertz up to gigahertz and usually have very low power dissipation. Their small size offers the possibility of probing the superfluid on scales comparable to, and below, the coherence length. That said, there have been hitherto no successful measurements of NEMS resonators in the liquid phases of helium. Here we report the operation of doubly-clamped aluminium nanobeams in superfluid 4He at temperatures spanning the superfluid transition. The devices are shown to be very sensitive detectors of the superfluid density and the normal fluid damping. However, a further and very important outcome of this work is the knowledge that now we have demonstrated that these devices can be successfully operated in superfluid 4He, it is straightforward to apply them in superfluid 3He which can be routinely cooled to below 100 µK. This brings us into the regime where nanomechanical devices operating at a few MHz frequencies may enter their mechanical quantum ground state.

Prevention, declining mortality rates, and the cost of Medicare.

It is commonly assumed that with declining adult mortality rates, the elderly population will continue to increase and become a major fiscal problem for the Medicare program. However, this population, like other age groups, consists of a small number of frequent medical-care users and a large number of low-frequency users. If the decline in mortality rates occurs as a result of primary and secondary prevention efforts rather than tertiary interventions, a 26.4 percent increase in the population 65 years of age and older could result in only a 19.4 percent increase in gross Medicare expenditures and a slight decline in net Medicare expenditures.

Timeliness and use of antibiotic prophylaxis in selected inpatient surgical procedures. The Antibiotic Prophylaxis Study Group.

BACKGROUND: Twenty-five percent of all nosocomial infections are wound infections. Professional guidelines support the timely use of preoperative prophylaxis for prevention of postoperative wound infections. Barriers exist in implementing this practice. IPRO, the New York State peer review organization, as part of the Health Care Financing Administration's Health Care Quality Improvement Program, sought to determine the proportion of patients receiving timely antibiotic prophylaxis for aortic grafts, hip replacements and colon resections in 44 hospitals in New York State. METHODS: IPRO conducted a retrospective medical record review of 44 hospitals through out New York State stratified for teaching, nonteaching status. A sample was drawn of 2651 patients, 2256 from Medicare and 395 from Medicaid, undergoing either abdominal aortic aneurysm repair, partial or total hip replacement or large bowel resection. The study determined the proportion of patients who had documentation of receiving antibiotics and those who received antibiotics timely, that is less than or equal to 2 hours preoperatively. RESULTS: Eighty-six percent of patients had documentation of receiving an antibiotic. Forty-six percent of aneurysm repairs and 60% of hip replacements had evidence of receiving timely antibiotic prophylaxis, that is within 2 hours prior to surgery. For colon resections, 73% of cases had either oral prophylaxis or timely parenteral therapy. An increased proportion of patients had received parenteral antibiotics prematurely as the surgical start time occurred later in the day. A total of 44 different antibiotics were recorded for prophylaxis. CONCLUSIONS: Antibiotic prophylaxis was performed in 81% to 94% of cases, however, anywhere from 27% to 54% of all cases did not receive antibiotics in a timely fashion. By delegating implementation of ordered antibiotic prophylaxis to the anesthesia team, timing may be improved and the incidence of postoperative wound infections may decrease.

Bay Area Young Positives: a model of a youth-based approach to HIV/AIDS services.

Bay Area Positives, Inc. (BAY Positives), founded by and for youth living with human immunodeficiency virus (HIV), is a peer-run, peer-based organization including the board of directors, the executive director, staff, and volunteers, and was funded in part by the Special Projects of National Significance (SPNS) Program. It responds to the unique needs of HIV-positive adolescents and young people 26 years old and younger (n = 108) and targets gay and bisexual youth, youth of color, and young women. The organization has found that when young people are brought together to help one another and to mentor their peers, living with HIV becomes more manageable. It serves as an entry point into the HIV/acquired immunodeficiency syndrome (AIDS) service system, using member advocates (peer case managers) to guide members to youth-sensitive services and to help them through the delivery system. BAY Positives' goals are to provide emotional and other support to youth with HIV and to empower infected young people to get information about and access to the services they need. Its success also depends on the ability to provide as much support and development for staff as provided to members.

Introduction. Cosmology meets condensed matter.

At first sight, low-temperature condensed-matter physics and early Universe cosmology seem worlds apart. Yet, in the last few years a remarkable synergy has developed between the two. It has emerged that, in terms of their mathematical description, there are surprisingly close parallels between them. This interplay has been the subject of a very successful European Science Foundation (ESF) programme entitled COSLAB ('Cosmology in the Laboratory') that ran from 2001 to 2006, itself built on an earlier ESF network called TOPDEF ('Topological Defects: Non-equilibrium Field Theory in Particle Physics, Condensed Matter and Cosmology'). The articles presented in this issue of Philosophical Transactions A are based on talks given at the Royal Society Discussion Meeting 'Cosmology meets condensed matter', held on 28 and 29 January 2008. Many of the speakers had participated earlier in the COSLAB programme, but the strength of the field is illustrated by the presence also of quite a few new participants.

Fluctuations and Correlations of Pure Quantum Turbulence in Superfluid 3He-B.

We describe the first measurements of line-density fluctuations and spatial correlations of quantum turbulence in superfluid 3He-B. All of the measurements are performed in the low-temperature regime, where the normal-fluid density is negligible. The quantum turbulence is generated by a vibrating grid. The vortex-line density is found to have large length-scale correlations, indicating large-scale collective motion of vortices. Furthermore, we find that the power spectrum of fluctuations versus frequency obeys a -5/3 power law which verifies recent speculations that this behavior is a generic feature of fully developed quantum turbulence, reminiscent of the Kolmogorov spectrum for velocity fluctuations in classical turbulence.

Contrasting mechanical anisotropies of the superfluid 3He phases in aerogel.

There has been much recent interest in how impurity scattering may affect the phases of the p-wave superfluid 3He. Impurities may be added to the otherwise absolutely pure superfluid by immersing it in aerogel. Some predictions suggest that impurity scattering may destroy orientational order and force all of the superfluid phases to have an isotropic superfluid density. In contrast to this, we present experimental data showing that the response of the A-like phase to superfluid flow is highly anisotropic, revealing a texture that is easily modified by flow.

Decay of pure quantum turbulence in superfluid 3He-B.

We describe measurements of the decay of pure superfluid turbulence in superfluid 3He-B, in the low temperature regime where the normal fluid density is negligible. We follow the decay of the turbulence generated by a vibrating grid as detected by vibrating wire resonators. Despite the absence of any classical normal fluid dissipation processes, the decay is consistent with turbulence having the classical Kolmogorov energy spectrum and is remarkably similar to that measured in superfluid 4He at relatively high temperatures. Further, our results strongly suggest that the decay is governed by the superfluid circulation quantum rather than kinematic viscosity.

Emission of discrete vortex rings by a vibrating grid in superfluid 3He-B: a precursor to quantum turbulence.

We report a transition in the vorticity generated by a grid moving in the B phase of superfluid 3He at T<

Prevention in a free society.

While knowledge required for prevention can be derived from epidemiological studies, additional effort is needed from economists, behavioral scientists, and others to explore the costs of different health problems, the cost of intervention, and benefits, and the social acceptability of the activity. The tendency of health professionals is to apply medical techniques to prevention without exploring the efficacy, efficiency, or acceptability of nonmedical alternatives. The overall results of nationally sponsored prevention efforts have been disappointing. An attempt to align public prevention expenditures with objectively derived priorities provokes a question as to whether planning and priority setting for prevention can be done efficiently in the United States.

A comparison of retail dental center and traditional dental center patrons.

Retail dental centers have emerged as an alternative delivery system for dental care. Previous research examining retail dentistry has focused on patients of specific retail dental centers in limited geographic areas. The authors extend past efforts by comparing the perceptions and demographic and patronage characteristics of retail and traditional dental center patients in a nationwide survey.