High-resolution MCP-TimePix3 imaging/timing detector for antimatter physics

We present a hybrid imaging/timing detector for force sensitive inertial measurements designed for measurements on positronium, the metastable bound state of an electron and a positron, but also suitable for applications involving other low intensity, low energy beams of neutral (antimatter)-atoms, such as antihydrogen. The performance of the prototype detector was evaluated with a tunable low energy positron beam, resulting in a spatial resolution of approximate t

Development of a detector for inertial sensing of positronium at AEgIS (CERN)

The primary goal of the AEgIS collaboration at CERN is to measure the gravitational acceleration on neutral antimatter. Positronium (Ps), the bound state of an electron and a positron, is a suitable candidate for a force-sensitive inertial measurement by means of deflectometry/interferometry. In order to conduct such an experiment, the impact position and time of arrival of Ps atoms at the detector must be detected simultaneously. The detection of a low-velocity Ps beam with a spatial resolution of (88 ± 5) μm was previously demonstrated [1]. Based on the methodology employed in [1] and [2], a hybrid imaging/timing detector with increased spatial resolution of about 10 μm was developed. The performance of a prototype was tested with a positron beam. The concept of the detector and first results are presented

Control system for ion Penning traps at the AEgIS experiment at CERN

The AEgIS experiment located at the Antiproton Decelerator at CERN aims to measure the gravitational fall of a cold antihydrogen pulsed beam. The precise observation of the antiatoms in the Earth gravitational field requires a controlled production and manipulation of antihydrogen. The neutral antimatter is obtained via a charge exchange reaction between a cold plasma of antiprotons from ELENA decelerator and a pulse of Rydberg positronium atoms. The current custom electronics designed to operate the 5 and 1 T Penning traps are going to be replaced by a control system based on the ARTIQ & Sinara open hardware and software ecosystem. This solution is present in many atomic, molecular and optical physics experiments and devices such as quantum computers. We report the status of the implementation as well as the main features of the new control system

Hybrid imaging and timing ps laser excitation diagnostics for pulsed antihydrogen production

open48siIn this work we present a hybrid detection method providing simultaneous imaging and timing information suitable for fully monitoring positronium (Ps) formation, its laser excitation, and its spatial propagation for the first trials of pulsed antihydrogen (H) production through a charge-exchange reaction with trapped antiprotons (p). This combined method, based on the synchronous acquisition of an EJ-200 scintillation detector and a microchannel plate (MCP) detector with a dual readout (phosphor screen image and electrical pick-up signal), allows all relevant events in the experiment to be accurately determined in time while allowing high resolution images of e+ from Ps laser photodissociations to be acquired. The timing calibration process of the two detectors discussed in details as well as the future perspectives opened by this method.openCaravita R.; Antonello M.; Belov A.; Bonomi G.; Brusa R.S.; Caccia M.; Camper A.; Castelli F.; Comparat D.; Consolati G.; Demetrio A.; Di Noto L.; Doser M.; Fani M.; Ferragut R.; Gerber S.; Giammarchi M.; Gligorova A.; Gloggler L.T.; Guatieri F.; Haider S.; Hinterberger A.; Khalidova O.; Krasnicky D.; Lagomarsino V.; Malbrunot C.; Mariazzi S.; Matveev V.; Muller S.R.; Nebbia G.; Nedelec P.; Oberthaler M.; Oswald E.; Pagano D.; Penasa L.; Petracek V.; Prelz F.; Rienacker B.; Rohne O.M.; Rotondi A.; Sandaker H.; Santoro R.; Testera G.; Tietje I.; Toso V.; Wolz T.; Zimmer C.; Zurlo N.Caravita, R.; Antonello, M.; Belov, A.; Bonomi, G.; Brusa, R. S.; Caccia, M.; Camper, A.; Castelli, F.; Comparat, D.; Consolati, G.; Demetrio, A.; Di Noto, L.; Doser, M.; Fani, M.; Ferragut, R.; Gerber, S.; Giammarchi, M.; Gligorova, A.; Gloggler, L. T.; Guatieri, F.; Haider, S.; Hinterberger, A.; Khalidova, O.; Krasnicky, D.; Lagomarsino, V.; Malbrunot, C.; Mariazzi, S.; Matveev, V.; Muller, S. R.; Nebbia, G.; Nedelec, P.; Oberthaler, M.; Oswald, E.; Pagano, D.; Penasa, L.; Petracek, V.; Prelz, F.; Rienacker, B.; Rohne, O. M.; Rotondi, A.; Sandaker, H.; Santoro, R.; Testera, G.; Tietje, I.; Toso, V.; Wolz, T.; Zimmer, C.; Zurlo, N

Progress from ASDEX Upgrade experiments in preparing the physics basis of ITER operation and DEMO scenario development

An overview of recent results obtained at the tokamak ASDEX Upgrade (AUG) is given. A work flow for predictive profile modelling of AUG discharges was established which is able to reproduce experimental H-mode plasma profiles based on engineering parameters only. In the plasma center, theoretical predictions on plasma current redistribution by a dynamo effect were confirmed experimentally. For core transport, the stabilizing effect of fast ion distributions on turbulent transport is shown to be important to explain the core isotope effect and improves the description of hollow low-Z impurity profiles. The L-H power threshold of hydrogen plasmas is not affected by small helium admixtures and it increases continuously from the deuterium to the hydrogen level when the hydrogen concentration is raised from 0 to 100%. One focus of recent campaigns was the search for a fusion relevant integrated plasma scenario without large edge localised modes (ELMs). Results from six different ELM-free confinement regimes are compared with respect to reactor relevance: ELM suppression by magnetic perturbation coils could be attributed to toroidally asymmetric turbulent fluctuations in the vicinity of the separatrix. Stable improved confinement mode plasma phases with a detached inner divertor were obtained using a feedback control of the plasma β. The enhanced D α H-mode regime was extended to higher heating power by feedback controlled radiative cooling with argon. The quasi-coherent exhaust regime was developed into an integrated scenario at high heating power and energy confinement, with a detached divertor and without large ELMs. Small ELMs close to the separatrix lead to peeling-ballooning stability and quasi continuous power exhaust. Helium beam density fluctuation measurements confirm that transport close to the separatrix is important to achieve the different ELM-free regimes. Based on separatrix plasma parameters and interchange-drift-Alfvén turbulence, an analytic model was derived that reproduces the experimentally found important operational boundaries of the density limit and between L- and H-mode confinement. Feedback control for the X-point radiator (XPR) position was established as an important element for divertor detachment control. Stable and detached ELM-free phases with H-mode confinement quality were obtained when the XPR was moved 10 cm above the X-point. Investigations of the plasma in the future flexible snow-flake divertor of AUG by means of first SOLPS-ITER simulations with drifts activated predict beneficial detachment properties and the activation of an additional strike point by the drifts

Impact of renal impairment on atrial fibrillation: ESC-EHRA EORP-AF Long-Term General Registry

Background: Atrial fibrillation (AF) and renal impairment share a bidirectional relationship with important pathophysiological interactions. We evaluated the impact of renal impairment in a contemporary cohort of patients with AF. Methods: We utilised the ESC-EHRA EORP-AF Long-Term General Registry. Outcomes were analysed according to renal function by CKD-EPI equation. The primary endpoint was a composite of thromboembolism, major bleeding, acute coronary syndrome and all-cause death. Secondary endpoints were each of these separately including ischaemic stroke, haemorrhagic event, intracranial haemorrhage, cardiovascular death and hospital admission. Results: A total of 9306 patients were included. The distribution of patients with no, mild, moderate and severe renal impairment at baseline were 16.9%, 49.3%, 30% and 3.8%, respectively. AF patients with impaired renal function were older, more likely to be females, had worse cardiac imaging parameters and multiple comorbidities. Among patients with an indication for anticoagulation, prescription of these agents was reduced in those with severe renal impairment, p <.001. Over 24 months, impaired renal function was associated with significantly greater incidence of the primary composite outcome and all secondary outcomes. Multivariable Cox regression analysis demonstrated an inverse relationship between eGFR and the primary outcome (HR 1.07 [95% CI, 1.01–1.14] per 10 ml/min/1.73 m2 decrease), that was most notable in patients with eGFR <30 ml/min/1.73 m2 (HR 2.21 [95% CI, 1.23–3.99] compared to eGFR ≥90 ml/min/1.73 m2). Conclusion: A significant proportion of patients with AF suffer from concomitant renal impairment which impacts their overall management. Furthermore, renal impairment is an independent predictor of major adverse events including thromboembolism, major bleeding, acute coronary syndrome and all-cause death in patients with AF

Shattered pellet injection experiments at JET in support of the ITER disruption mitigation system design

A series of experiments have been executed at JET to assess the efficacy of the newly installed shattered pellet injection (SPI) system in mitigating the effects of disruptions. Issues, important for the ITER disruption mitigation system, such as thermal load mitigation, avoidance of runaway electron (RE) formation, radiation asymmetries during thermal quench mitigation, electromagnetic load control and RE energy dissipation have been addressed over a large parameter range. The efficiency of the mitigation has been examined for the various SPI injection strategies. The paper summarises the results from these JET SPI experiments and discusses their implications for the ITER disruption mitigation scheme

New H-mode regimes with small ELMs and high thermal confinement in the Joint European Torus

New H-mode regimes with high confinement, low core impurity accumulation, and small edge-localized mode perturbations have been obtained in magnetically confined plasmas at the Joint European Torus tokamak. Such regimes are achieved by means of optimized particle fueling conditions at high input power, current, and magnetic field, which lead to a self-organized state with a strong increase in rotation and ion temperature and a decrease in the edge density. An interplay between core and edge plasma regions leads to reduced turbulence levels and outward impurity convection. These results pave the way to an attractive alternative to the standard plasmas considered for fusion energy generation in a tokamak with a metallic wall environment such as the ones expected in ITER.& nbsp;Published under an exclusive license by AIP Publishing

Clinical complexity and impact of the ABC (Atrial fibrillation Better Care) pathway in patients with atrial fibrillation: a report from the ESC-EHRA EURObservational Research Programme in AF General Long-Term Registry

Background: Clinical complexity is increasingly prevalent among patients with atrial fibrillation (AF). The ‘Atrial fibrillation Better Care’ (ABC) pathway approach has been proposed to streamline a more holistic and integrated approach to AF care; however, there are limited data on its usefulness among clinically complex patients. We aim to determine the impact of ABC pathway in a contemporary cohort of clinically complex AF patients. Methods: From the ESC-EHRA EORP-AF General Long-Term Registry, we analysed clinically complex AF patients, defined as the presence of frailty, multimorbidity and/or polypharmacy. A K-medoids cluster analysis was performed to identify different groups of clinical complexity. The impact of an ABC-adherent approach on major outcomes was analysed through Cox-regression analyses and delay of event (DoE) analyses. Results: Among 9966 AF patients included, 8289 (83.1%) were clinically complex. Adherence to the ABC pathway in the clinically complex group reduced the risk of all-cause death (adjusted HR [aHR]: 0.72, 95%CI 0.58–0.91), major adverse cardiovascular events (MACEs; aHR: 0.68, 95%CI 0.52–0.87) and composite outcome (aHR: 0.70, 95%CI: 0.58–0.85). Adherence to the ABC pathway was associated with a significant reduction in the risk of death (aHR: 0.74, 95%CI 0.56–0.98) and composite outcome (aHR: 0.76, 95%CI 0.60–0.96) also in the high-complexity cluster; similar trends were observed for MACEs. In DoE analyses, an ABC-adherent approach resulted in significant gains in event-free survival for all the outcomes investigated in clinically complex patients. Based on absolute risk reduction at 1 year of follow-up, the number needed to treat for ABC pathway adherence was 24 for all-cause death, 31 for MACEs and 20 for the composite outcome. Conclusions: An ABC-adherent approach reduces the risk of major outcomes in clinically complex AF patients. Ensuring adherence to the ABC pathway is essential to improve clinical outcomes among clinically complex AF patients

Overview of JET results for optimising ITER operation

The JET 2019–2020 scientific and technological programme exploited the results of years of concerted scientific and engineering work, including the ITER-like wall (ILW: Be wall and W divertor) installed in 2010, improved diagnostic capabilities now fully available, a major neutral beam injection upgrade providing record power in 2019–2020, and tested the technical and procedural preparation for safe operation with tritium. Research along three complementary axes yielded a wealth of new results. Firstly, the JET plasma programme delivered scenarios suitable for high fusion power and alpha particle (α) physics in the coming D–T campaign (DTE2), with record sustained neutron rates, as well as plasmas for clarifying the impact of isotope mass on plasma core, edge and plasma-wall interactions, and for ITER pre-fusion power operation. The efficacy of the newly installed shattered pellet injector for mitigating disruption forces and runaway electrons was demonstrated. Secondly, research on the consequences of long-term exposure to JET-ILW plasma was completed, with emphasis on wall damage and fuel retention, and with analyses of wall materials and dust particles that will help validate assumptions and codes for design and operation of ITER and DEMO. Thirdly, the nuclear technology programme aiming to deliver maximum technological return from operations in D, T and D–T benefited from the highest D–D neutron yield in years, securing results for validating radiation transport and activation codes, and nuclear data for ITER