The Bi-O-edge wavefront sensor: How Foucault-knife-edge variants can boost eXtreme Adaptive Optics

Direct detection of exoplanets around nearby stars requires advanced Adaptive Optics (AO) systems. High order systems are needed to reach high Strehl Ratio (SR) in near infrared and optical wavelengths on future Giant Segmented Mirror Telescopes (GSMTs). Direct detection of faint exoplanets with the ESO ELT will require some tens of thousand of correction modes. Resolution and sensitivity of the wavefront sensor (WFS) are key requirements for this science case. We present a new class of WFSs, the Bi-Orthogonal Foucault-knife-edge Sensors (or Bi-O-edge), that is directly inspired by the Foucault knife edge test (Foucault 1859). The idea consists of using a beam-splitter producing two foci, each of which is sensed by an edge with orthogonal direction to the other. We describe two implementation concepts: The Bi-O-edge sensor can be realised with a sharp edge and a tip-tilt modulation device (sharp Bi-O-edge) or with a smooth gradual transmission over a grey edge (grey Bi-O-edge). A comparison between the Bi-O-edge concepts and the 4-sided classical Pyramid Wavefront Sensor (PWS) gives some important insights into the nature of the measurements.Our analysis shows that the sensitivity gain of the Bi-O edge with respect to the PWS depends on the system configuration. The gain is a function of the number of control modes and the modulation angle. We found that for the sharp Bi-O-edge, the gain in reduction of propagated photon noise variance approaches a theoretical factor of 2 for a large number of control modes and small modulation angle, meaning that the sharp Bi-O-edge only needs half of the photons of the PWS to reach similar measurement accuracy.Comment: Accepted for publication in Astronomy and Astrophysic

Coexistence of Superconductivity and Spin Density Wave orderings in the organic superconductor (TMTSF)_2PF_6

The phase diagram of the organic superconductor (TMTSF)_2PF_6 has been revisited using transport measurements with an improved control of the applied pressure. We have found a 0.8 kbar wide pressure domain below the critical point (9.43 kbar, 1.2 K) for the stabilisation of the superconducting ground state featuring a coexistence regime between spin density wave (SDW) and superconductivity (SC). The inhomogeneous character of the said pressure domain is supported by the analysis of the resistivity between T_SDW and T_SC and the superconducting critical current. The onset temperature T_SC is practically constant (1.20+-0.01 K) in this region where only the SC/SDW domain proportion below T_SC is increasing under pressure. An homogeneous superconducting state is recovered above the critical pressure with T_SC falling at increasing pressure. We propose a model comparing the free energy of a phase exhibiting a segregation between SDW and SC domains and the free energy of homogeneous phases which explains fairly well our experimental findings.Comment: 13 pages, 10 figures, revised v: fig.9 added, section 4.2 rewritten, accepted v: sections 4&5 improve

Novel Phases in the Field Induced Spin Density Wave State in (TMTSF)_2PF_6

Magnetoresistance measurements on the quasi one-dimensional organic conductor (TMTSF)_2PF_6 performed in magnetic fields B up to 16T, temperatures T down to 0.12K and under pressures P up to 14kbar have revealed new phases on its P-B-T phase diagram. We found a new boundary which subdivides the field induced spin density wave (FISDW) phase diagram into two regions. We showed that a low-temperature region of the FISDW diagram is characterized by a hysteresis behavior typical for the first order transitions, as observed in a number of studies. In contrast to the common believe, in high temperature region of the FISDW phase diagram, the hysteresis and, hence, the first order transitions were found to disappear. Nevertheless, sharp changes in the resistivity slope are observed both in the low and high temperature domains indicating that the cascade of transitions between different subphases exists over all range of the FISDW state. We also found that the temperature dependence of the resistance (at a constant B) changes sign at about the same boundary. We compare these results with recent theoretical models.Comment: LaTex, 4 pages, 4 figure

IMPLEmenting a clinical practice guideline for acute low back pain evidence-based manageMENT in general practice (IMPLEMENT) : cluster randomised controlled trial study protocol

Background: Evidence generated from reliable research is not frequently implemented into clinical practice. Evidence-based clinical practice guidelines are a potential vehicle to achieve this. A recent systematic review of implementation strategies of guideline dissemination concluded that there was a lack of evidence regarding effective strategies to promote the uptake of guidelines. Recommendations from this review, and other studies, have suggested the use of interventions that are theoretically based because these may be more effective than those that are not. An evidencebased clinical practice guideline for the management of acute low back pain was recently developed in Australia. This provides an opportunity to develop and test a theory-based implementation intervention for a condition which is common, has a high burden, and for which there is an evidence-practice gap in the primary care setting. Aim: This study aims to test the effectiveness of a theory-based intervention for implementing a clinical practice guideline for acute low back pain in general practice in Victoria, Australia. Specifically, our primary objectives are to establish if the intervention is effective in reducing the percentage of patients who are referred for a plain x-ray, and improving mean level of disability for patients three months post-consultation. Methods/Design: This study protocol describes the details of a cluster randomised controlled trial. Ninety-two general practices (clusters), which include at least one consenting general practitioner, will be randomised to an intervention or control arm using restricted randomisation. Patients aged 18 years or older who visit a participating practitioner for acute non-specific low back pain of less than three months duration will be eligible for inclusion. An average of twenty-five patients per general practice will be recruited, providing a total of 2,300 patient participants. General practitioners in the control arm will receive access to the guideline using the existing dissemination strategy. Practitioners in the intervention arm will be invited to participate in facilitated face-to-face workshops that have been underpinned by behavioural theory. Investigators (not involved in the delivery of the intervention), patients, outcome assessors and the study statistician will be blinded to group allocation. Trial registration: Australian New Zealand Clinical Trials Registry ACTRN012606000098538 (date registered 14/03/2006).The trial is funded by the NHMRC by way of a Primary Health Care Project Grant (334060). JF has 50% of her time funded by the Chief Scientist Office3/2006). of the Scottish Government Health Directorate and 50% by the University of Aberdeen. PK is supported by a NHMRC Health Professional Fellowship (384366) and RB by a NHMRC Practitioner Fellowship (334010). JG holds a Canada Research Chair in Health Knowledge Transfer and Uptake. All other authors are funded by their own institutions

Head Position in Stroke Trial (HeadPoST)- sitting-up vs lying-flat positioning of patients with acute stroke: study protocol for a cluster randomised controlled trial

Background Positioning a patient lying-flat in the acute phase of ischaemic stroke may improve recovery and reduce disability, but such a possibility has not been formally tested in a randomised trial. We therefore initiated the Head Position in Stroke Trial (HeadPoST) to determine the effects of lying-flat (0°) compared with sitting-up (≥30°) head positioning in the first 24 hours of hospital admission for patients with acute stroke. Methods/Design We plan to conduct an international, cluster randomised, crossover, open, blinded outcome-assessed clinical trial involving 140 study hospitals (clusters) with established acute stroke care programs. Each hospital will be randomly assigned to sequential policies of lying-flat (0°) or sitting-up (≥30°) head position as a ‘business as usual’ stroke care policy during the first 24 hours of admittance. Each hospital is required to recruit 60 consecutive patients with acute ischaemic stroke (AIS), and all patients with acute intracerebral haemorrhage (ICH) (an estimated average of 10), in the first randomised head position policy before crossing over to the second head position policy with a similar recruitment target. After collection of in-hospital clinical and management data and 7-day outcomes, central trained blinded assessors will conduct a telephone disability assessment with the modified Rankin Scale at 90 days. The primary outcome for analysis is a shift (defined as improvement) in death or disability on this scale. For a cluster size of 60 patients with AIS per intervention and with various assumptions including an intracluster correlation coefficient of 0.03, a sample size of 16,800 patients at 140 centres will provide 90 % power (α 0.05) to detect at least a 16 % relative improvement (shift) in an ordinal logistic regression analysis of the primary outcome. The treatment effect will also be assessed in all patients with ICH who are recruited during each treatment study period. Discussion HeadPoST is a large international clinical trial in which we will rigorously evaluate the effects of different head positioning in patients with acute stroke. Trial registration ClinicalTrials.gov identifier: NCT02162017 (date of registration: 27 April 2014); ANZCTR identifier: ACTRN12614000483651 (date of registration: 9 May 2014). Protocol version and date: version 2.2, 19 June 2014

A randomised controlled trial to prevent hospital readmissions and loss of functional ability in high risk older adults: a study protocol

Background Older people have higher rates of hospital admission than the general population and higher rates of readmission due to complications and falls. During hospitalisation, older people experience significant functional decline which impairs their future independence and quality of life. Acute hospital services comprise the largest section of health expenditure in Australia and prevention or delay of disease is known to produce more effective use of services. Current models of discharge planning and follow-up care, however, do not address the need to prevent deconditioning or functional decline. This paper describes the protocol of a randomised controlled trial which aims to evaluate innovative transitional care strategies to reduce unplanned readmissions and improve functional status, independence, and psycho-social well-being of community-based older people at risk of readmission. Methods/Design The study is a randomised controlled trial. Within 72 hours of hospital admission, a sample of older adults fitting the inclusion/exclusion criteria (aged 65 years and over, admitted with a medical diagnosis, able to walk independently for 3 meters, and at least one risk factor for readmission) are randomised into one of four groups: 1) the usual care control group, 2) the exercise and in-home/telephone follow-up intervention group, 3) the exercise only intervention group, or 4) the in-home/telephone follow-up only intervention group. The usual care control group receive usual discharge planning provided by the health service. In addition to usual care, the exercise and in-home/telephone follow-up intervention group receive an intervention consisting of a tailored exercise program, in-home visit and 24 week telephone follow-up by a gerontic nurse. The exercise only and in-home/telephone follow-up only intervention groups, in addition to usual care receive only the exercise or gerontic nurse components of the intervention respectively. Data collection is undertaken at baseline within 72 hours of hospital admission, 4 weeks following hospital discharge, 12 weeks following hospital discharge, and 24 weeks following hospital discharge. Outcome assessors are blinded to group allocation. Primary outcomes are emergency hospital readmissions and health service use, functional status, psychosocial well-being and cost effectiveness. Discussion The acute hospital sector comprises the largest component of health care system expenditure in developed countries, and older adults are the most frequent consumers. There are few trials to demonstrate effective models of transitional care to prevent emergency readmissions, loss of functional ability and independence in this population following an acute hospital admission. This study aims to address that gap and provide information for future health service planning which meets client needs and lowers the use of acute care services

Effective ion speeds at ~200–250 km from comet 67P/Churyumov–Gerasimenko near perihelion

In 2015 August, comet 67P/Churyumov–Gerasimenko, the target comet of the ESA Rosetta mission, reached its perihelion at ~1.24 au. Here, we estimate for a three-day period near perihelion, effective ion speeds at distances ~200–250 km from the nucleus. We utilize two different methods combining measurements from the Rosetta Plasma Consortium (RPC)/Mutual Impedance Probe with measurements either from the RPC/Langmuir Probe or from the Rosetta Orbiter Spectrometer for Ion and Neutral Analysis (ROSINA)/Comet Pressure Sensor (COPS) (the latter method can only be applied to estimate the effective ion drift speed). The obtained ion speeds, typically in the range 2–8 km s⁻¹, are markedly higher than the expected neutral outflow velocity of ~1 km s⁻¹. This indicates that the ions were de-coupled from the neutrals before reaching the spacecraft location and that they had undergone acceleration along electric fields, not necessarily limited to acceleration along ambipolar electric fields in the radial direction. For the limited time period studied, we see indications that at increasing distances from the nucleus, the fraction of the ions’ kinetic energy associated with radial drift motion is decreasing