Usefulness of an Intrapartum Ultrasound Simulator (IUSim™) for Midwife Training: Results from an RCT

Introduction: We conducted a randomized study to determine whether a training session on a dedicated simulator (IUSim™) would facilitate the midwives in learning the technique of transperineal intrapartum ultrasound. Methods: Following a 30-min multimedia presentation including images and videos on how to obtain and measure the angle of progression (AoP) and the head-perineum distance (HPD), 6 midwives with no prior experience in intrapartum ultrasound were randomly split into 2 groups: 3 of them were assigned to the "training group"and 3 to the "control group."The midwives belonging to the former group were taught to measure the 2 sonographic parameters during a 3-h practical session conducted on IUSim™ under the supervision of an expert obstetrician. In the following 3 months, all the 6 midwives were asked to independently perform transperineal ultrasound during their clinical practice and to measure on the acquired images either the AoP or the HPD. The sonographic images were examined in blind by the teaching obstetrician who assigned a 0-3 score to the image quality (IQS) and to the measurement quality (MQS). Results: A total of 48 ultrasound images (24 patients) from 5 midwives were acquired and included in the study analysis. A midwife of the "training group"declined participation after the practical session. Independently from the randomization group, the image quality score (IQS + MQS) was significantly higher for the HPD compared with the AoP (2.5 ± 0.66 vs. 1.79 ± 1.14; p = 0.01). In the training group, the MQS of either AoP (2.66 ± 0.5 vs.1.46 ± 1.45. p = 0.038) and the HPD (2.9 ± 0.33 vs. 1.87 ± 0.83 p = 0.002) was significantly higher in comparison with the control group, while the IQS of both measurements was comparable between the 2 groups (1.91 ± 1.24 vs. 2.25 ± 0.865; p = 0.28). Conclusion: The use of a dedicated simulator may facilitate the midwives in learning how to measure the AoP and the HPD on transperineal ultrasound images

Fast-neutron induced background in LaBr3:Ce detectors

The response of a scintillation detector with a cylindrical 1.5-inch LaBr3:Ce crystal to incident neutrons has been measured in the energy range En = 2-12 MeV. Neutrons were produced by proton irradiation of a Li target at Ep = 5-14.6 MeV with pulsed proton beams. Using the time-of-flight information between target and detector, energy spectra of the LaBr3:Ce detector resulting from fast neutron interactions have been obtained at 4 different neutron energies. Neutron-induced gamma rays emitted by the LaBr3:Ce crystal were also measured in a nearby Ge detector at the lowest proton beam energy. In addition, we obtained data for neutron irradiation of a large-volume high-purity Ge detector and of a NE-213 liquid scintillator detector, both serving as monitor detectors in the experiment. Monte-Carlo type simulations for neutron interactions in the liquid scintillator, the Ge and LaBr3:Ce crystals have been performed and compared with measured data. Good agreement being obtained with the data, we present the results of simulations to predict the response of LaBr3:Ce detectors for a range of crystal sizes to neutron irradiation in the energy range En = 0.5-10 MeVComment: 28 pages, 10 figures, 4 Table

Probing Nuclear forces beyond the drip-line using the mirror nuclei 16^{16}N and 16^{16}F

Radioactive beams of $^{14}$O and $^{15}$O were used to populate the resonant states 1/2$^+$, 5/2$^+$ and $0^-,1^-,2^-$ in the unbound $^{15}$F and $^{16}$F nuclei respectively by means of proton elastic scattering reactions in inverse kinematics. Based on their large proton spectroscopic factor values, the resonant states in $^{16}$F can be viewed as a core of $^{14}$O plus a proton in the 2s$_{1/2}$ or 1d$_{5/2}$ shell and a neutron in 1p$_{1/2}$. Experimental energies were used to derive the strength of the 2s$_{1/2}$-1p$_{1/2}$ and 1d$_{5/2}$-1p$_{1/2}$ proton-neutron interactions. It is found that the former changes by 40% compared with the mirror nucleus $^{16}$N, and the second by 10%. This apparent symmetry breaking of the nuclear force between mirror nuclei finds explanation in the role of the large coupling to the continuum for the states built on an $\ell=0$ proton configuration.Comment: 6 pages, 3 figures, 2 tables, accepted for publication as a regular article in Physical Review

New pathway to bypass the 15O waiting point

We propose the sequential reaction process $^{15}$O($p$,$\gamma)(\beta^{+}$)$^{16}$O as a new pathway to bypass of the $^{15}$O waiting point. This exotic reaction is found to have a surprisingly high cross section, approximately 10$^{10}$ times higher than the $^{15}$O($p$,$\beta^{+}$)$^{16}$O. These cross sections were calculated after precise measurements of energies and widths of the proton-unbound $^{16}$F low lying states, obtained using the H($^{15}$O,p)$^{15}$O reaction. The large $(p,\gamma)(\beta^{+})$ cross section can be understood to arise from the more efficient feeding of the low energy wing of the ground state resonance by the gamma decay. The implications of the new reaction in novae explosions and X-ray bursts are discussed.Comment: submitte

Gamma ray production cross sections in proton induced reactions on natural Mg, Si and Fe targets over the proton energy range 30 up to 66 MeV

Gamma-ray excitation functions have been measured for 30, 42, 54 and 66 MeV proton beams accelerated onto C + O (Mylar), Mg, Si, and Fe targets of astrophysical interest at the separate-sector cyclotron of iThemba LABS in Somerset West (Cape Town, South Africa). A large solid angle, high energy resolution detection system of the Eurogam type was used to record Gamma-ray energy spectra. Derived preliminary results of Gamma-ray line production cross sections for the Mg, Si and Fe target nuclei are reported and discussed. The current cross section data for known, intense Gamma-ray lines from these nuclei consistently extend to higher proton energies previous experimental data measured up to Ep ~ 25 MeV at the Orsay and Washington tandem accelerators. Data for new Gamma-ray lines observed for the first time in this work are also reported.Comment: 11 pages, 6 figures. IOP Institute of Physics Conference Nuclear Physics in Astrophysics VII, 28th EPF Nuclear Physics Divisional Conference, May 18-22 2015, York, U

Search for Superscreening effect in Superconductor

4 pages, 3 figures, Expérience au GANIL avec SPIRAL/EXOGAMThe decay of $^{19}$O($\beta^-$) and $^{19}$Ne($\beta^+$) implanted in niobium in its superconducting and metallic phase was measured using purified radioactive beams produced by the SPIRAL/GANIL facility. Half-lives and branching ratios measured in the two phases are consistent within one-sigma error bar. This measurement casts strong doubts on the predicted strong electron screening in superconductor, the so-called superscreening. The measured difference in screening potential energy is 110(90) eV for $^{19}$Ne and 400(320) eV for $^{19}$O. Precise determinations of the half-lives were obtained for $^{19}$O: 26.476(9)~s and $^{19}$Ne: 17.254(5)~s

Cast aluminium single crystals cross the threshold from bulk to size-dependent stochastic plasticity

Metals are known to exhibit mechanical behaviour at the nanoscale different to bulk samples. This transition typically initiates at the micrometre scale, yet existing techniques to produce micrometre-sized samples often introduce artefacts that can influence deformation mechanisms. Here, we demonstrate the casting of micrometre-scale aluminium single-crystal wires by infiltration of a salt mould. Samples have millimetre lengths, smooth surfaces, a range of crystallographic orientations, and a diameter D as small as 6 μm. The wires deform in bursts, at a stress that increases with decreasing D. Bursts greater than 200 nm account for roughly 50% of wire deformation and have exponentially distributed intensities. Dislocation dynamics simulations show that single-arm sources that produce large displacement bursts halted by stochastic cross-slip and lock formation explain microcast wire behaviour. This microcasting technique may be extended to several other metals or alloys and offers the possibility of exploring mechanical behaviour spanning the micrometre scale

Spectroscopy of 18^{18}Na: Bridging the two-proton radioactivity of 19^{19}Mg

The unbound nucleus $^{18}$Na, the intermediate nucleus in the two-proton radioactivity of $^{19}$Mg, was studied by the measurement of the resonant elastic scattering reaction $^{17}$Ne(p,$^{17}$Ne)p performed at 4 A.MeV. Spectroscopic properties of the low-lying states were obtained in a R-matrix analysis of the excitation function. Using these new results, we show that the lifetime of the $^{19}$Mg radioactivity can be understood assuming a sequential emission of two protons via low energy tails of $^{18}$Na resonances