X-ray propagation through hollow channel: PolyCAD - a ray tracing code (1)

A new CAD program, PolyCAD, designed for X-ray photon tracing in polycapillary optics is described. To understand the PolyCAD code and its results, the theoretical basis of X-ray transmission by a single cylindrical channel (monocapillary) is discussed first. Then the simplest cases of cylindrically and conically shaped polycapillary optics are examined. PolyCAD allows any type of X-ray source to be used: an X-ray tube of finite beam dimensions or an astrophysical object can be simulated in combination with the polycapillary optics. The radiation distribution images formed on a screen located at various focal distances are discussed. The good agreement of some of the PolyCAD results with those reported in earlier papers validate the code. This is the first paper of a series dedicated to the development of an exhaustive CAD program, work is in progress to develop the code to include other polycapillary-optics shapes, such as semi-lenses and full-lenses.Comment: Submitted to Applied Optic

Temperature‐dependent orientation of diamond films on titanium and structural evolution of interfacial layers

X-ray diffraction analytical techniques have been used to investigate the influence of the deposition temperature (650–850 °C) on the composition and microstructure of the transition layers formed at the interface between titanium substrates and diamond thin films. The diamond coatings were produced by hot-filament chemical vapor deposition using a 1% methane/hydrogen mixture. X-ray diffraction analysis, performed both through θ–2θ scans and at grazing incidence, allowed investigation of the crystallographic properties and of the structural evolution of the various phases (TiC, TiH2, α-Ti) generated inside the intermediate reaction layers. The temperature-dependent orientation of diamond crystallites is discussed with reference to the complex structure of these interfacial layers

Consensus communication strategies to improve doctor-patient relationship in paediatric severe asthma

Background: Asthma is a chronic inflammatory disease that is very common among youth worldwide. The burden of this illness is very high not only considering financial costs but also on emotional and social functioning. Guidelines and many researches recommend to develop a good communication between physicians and children/caregiver and their parents. Nevertheless, a previous Italian project showed some criticalities in paediatric severe asthma management. The consensus gathered together experts in paediatric asthma management, experts in narrative medicine and patient associations with the aim of identify simple recommendation to improve communication strategies. Methods: Participants to the consensus received the results of the project and a selection of narratives two weeks before the meeting. The meeting was structured in plenary session and in three working groups discussing respectively about communication strategies with children, adolescents and parents. The task of each working group was to identify the most effective (DO) and least effective practices (DON' T) for 5 phases of the visit: welcome, comprehension of the context, emotions management, duration and end of the visit and endurance of the relationship. Results: Participants agreed that good relationships translate into positive outcomes and reached consensus on communication strategies to implement in the different phase of relationships. Conclusions: The future challenges identified by the participants are the dissemination of this Consensus document and the implementation of effective communication strategies to improve the management of pediatric asthma

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Challenging X-ray Fluorescence Applications for Environmental Studies at XLab Frascati

In this work, we will report applications of the total external X-ray fluorescence (TXRF) station, a prototype assembled at the XLab Frascati laboratory (XlabF) at the INFN National Laboratories of Frascati (INFN LNF). XlabF has been established as a facility to study, design and develop X-ray optics, in particular, polycapillary lenses, as well as to perform X-ray experiments for both elemental analysis and tomography. The combination of low-power conventional sources and policapillary optics allows assembling a prototype that can provide a quasi-parallel intense beam for detailed X-ray spectroscopic analysis of extremely low concentrated samples, down to ng/g. We present elemental analysis results of elements contained in tree rings and of dust stored in deep ice cores. In addition to performing challenging environmental research studies, other experiments aim to characterize novel optics and to evaluate original experimental schemes for X-ray diffraction (XRD), X-ray fluorescence (XRF and TXRF) and X-ray imaging

<title>Capillary optics as an x-ray condensing lens: an alignment procedure</title>

The procedure of capillary lens alignment is described in detail. The theoretical basis of capillary optics is given in the framework of a comparative analysis of monocapillary and polycapillary optics. The results of x-ray distribution scanning behind the capillary lens for various angle planes, together with the fitting results, are presented. A qualitative explanation is given for the discrepancy between the expected and observed divergences of x-ray beams transmitted by the capillary lens

Deposition of calcium carbonate in karst caves: role of bacteria in Stiffe\u27s Cave

Bacteria make a significant contribution to the accumulation of carbonate in severa! natural habitats where large amounts of carbonates are deposited. However, the role played by microbial communities in speleothem formation (stalactites, stalagmites etc.) in caves is still unclear. In bacteria carbonate is formed by autotrophic pathways, which deplete CO2 from the environment, and by heterotrophic pathways, leading to active or passive precipitation. We isolated cultivable heterotrophic microbial strains, able to induce CaCO3 precipitation in vitro, from samples taken from speleothems in the galleries of Stiffe’s cave, L’Aquila, Italy. We found a large number of bacteria in the calcite formations (1 x 104 to 5 x 109 cells g-1). Microscopic examination, in laboratory conditions at different temperatures, showed that most of the isolates were able to form calcium carbonate microcrystals. The most crystalline precipitates were observed at 32°C. No precipitation was detected in un-inoculated controls media or in media that had been inoculated with autoclaved bacterial cells. X-ray diffraction (XRD) analysis showed that most of the carbonate crystals produced were calcite. Bacillus strains were the most common calcifying isolates collected from Stiffe’s Cave. Analysis of carbonate-solubilization capability revealed that the non-calcifying bacteria were carbonate solubilizers