Failure of non-vacuum steam sterilization processes for dental handpieces

Background: Dental handpieces are used in critical and semi-critical operative interventions. Although a number of dental professional bodies recommend that dental handpieces are sterilized between patient use there is a lack of clarity and understanding of the effectiveness of different steam sterilization processes. The internal mechanisms of dental handpieces contain narrow lumens (0·8-2·3mm) which can impede the removal of air and ingress of saturated steam required to achieve sterilization conditions. Aim: To identify the extent of sterilization failure in dental handpieces using a non-vacuum process. Methods: In-vitro and in-vivo investigations were conducted on commonly used UK benchtop steam sterilizers and three different types of dental handpieces. The sterilization process was monitored inside the lumens of dental handpieces using thermometric (TM) methods (dataloggers), chemical indicators (CI) and biological indicators (BI). Findings: All three methods of assessing achievement of sterility within dental handpieces that had been exposed to non-vacuum sterilization conditions demonstrated a significant number of failures (CI=8/3,024(fails/n tests); BI=15/3,024; TM=56/56) compared to vacuum sterilization conditions (CI=2/1,944; BI=0/1,944; TM=0/36). The dental handpiece most likely to fail sterilization in the non-vacuum process was the surgical handpiece. Non-vacuum sterilizers located in general dental practice had a higher rate of sterilization failure (CI=25/1,620; BI=32/1,620; TM=56/56) with no failures in vacuum process. Conclusion: Non-vacuum downward/gravity displacement, type-N steam sterilizers are an unreliable method for sterilization of dental handpieces in general dental practice. The handpiece most likely to fail sterilization is the type most frequently used for surgical interventions

Investigating steam penetration using thermometric methods in dental handpieces with narrow internal lumens during sterilizing processes with non-vacuum or vacuum processes

Background: Dental handpieces are required to be sterilized between patient use. Vacuum steam sterilization processes with fractionated pre/post-vacuum phases or unique cycles for specified medical devices, are required for hollow instruments with internal lumens to assure successful air removal. Entrapped air will compromise achievement of required sterilization conditions. Many countries and professional organisations still advocate non-vacuum sterilization processes for these devices. Aim: To investigate non-vacuum downward/gravity displacement, type-N steam sterilization of dental handpieces, using thermometric methods to measure time to achieve sterilization temperature at different handpiece locations. Methods: Measurements at different positions within air turbines were undertaken with thermocouples and dataloggers. Two examples of commonly used UK benchtop steam sterilizers were tested; a non-vacuum benchtop sterilizer (Little Sister 3, Eschmann, UK) and a vacuum benchtop sterilizer (Lisa, W&H, Austria). Each sterilizer cycle was completed with three handpieces and each cycle in triplicate. Findings: A total of 140 measurements inside dental handpiece lumens were recorded. We demonstrate that the non-vacuum process fails (time range 0-150 seconds) to reliably achieve sterilization temperatures within the time limit specified by the International standard (15 seconds equilibration time). The measurement point at the base of the handpiece failed in all test runs (n=9) to meet the standard. No failures were detected with the vacuum steam sterilization type B process with fractionated pre-vacuum and post-vacuum phases. Conclusion: Non-vacuum downward/gravity displacement, type-N steam sterilization processes are unreliable in achieving sterilization conditions inside dental handpieces and the base of the handpiece is the site most likely to fail

Growth rates of the Weibel and tearing mode instabilities in a relativistic pair plasma

We present an algorithm for solving the linear dispersion relation in an inhomogeneous, magnetised, relativistic plasma. The method is a generalisation of a previously reported algorithm that was limited to the homogeneous case. The extension involves projecting the spatial dependence of the perturbations onto a set of basis functions that satisfy the boundary conditions (spectral Galerkin method). To test this algorithm in the homogeneous case, we derive an analytical expression for the growth rate of the Weibel instability for a relativistic Maxwellian distribution and compare it with the numerical results. In the inhomogeneous case, we present solutions of the dispersion relation for the relativistic tearing mode, making no assumption about the thickness of the current sheet, and check the numerical method against the analytical expression.Comment: Accepted by PPC

Neutron Stars as Type-I Superconductors

In a recent paper by Link, it was pointed out that the standard picture of the neutron star core composed of a mixture of a neutron superfluid and a proton type-II superconductor is inconsistent with observations of a long period precession in isolated pulsars. In the following we will show that an appropriate treatment of the interacting two-component superfluid (made of neutron and proton Cooper pairs), when the structure of proton vortices is strongly modified, may dramatically change the standard picture, resulting in a type-I superconductor. In this case the magnetic field is expelled from the superconducting regions of the neutron star leading to the formation of the intermediate state when alternating domains of superconducting matter and normal matter coexist.Comment: 4 page

Optimising Spectroscopic and Photometric Galaxy Surveys: Efficient Target Selection and Survey Strategy

The next generation of spectroscopic surveys will have a wealth of photometric data available for use in target selection. Selecting the best targets is likely to be one of the most important hurdles in making these spectroscopic campaigns as successful as possible. Our ability to measure dark energy depends strongly on the types of targets that we are able to select with a given photometric data set. We show in this paper that we will be able to successfully select the targets needed for the next generation of spectroscopic surveys. We also investigate the details of this selection, including optimisation of instrument design and survey strategy in order to measure dark energy. We use color-color selection as well as neural networks to select the best possible emission line galaxies and luminous red galaxies for a cosmological survey. Using the Fisher matrix formalism we forecast the efficiency of each target selection scenario. We show how the dark energy figures of merit change in each target selection regime as a function of target type, survey time, survey density and other survey parameters. We outline the optimal target selection scenarios and survey strategy choices which will be available to the next generation of spectroscopic surveys.Comment: 16 pages, 22 figures, accepted to MNRAS in dec 201

Squeezing in the audio gravitational wave detection band

We demonstrate the generation of broad-band continuous-wave optical squeezing down to 200Hz using a below threshold optical parametric oscillator (OPO). The squeezed state phase was controlled using a noise locking technique. We show that low frequency noise sources, such as seed noise, pump noise and detuning fluctuations, present in optical parametric amplifiers have negligible effect on squeezing produced by a below threshold OPO. This low frequency squeezing is ideal for improving the sensitivity of audio frequency measuring devices such as gravitational wave detectors.Comment: 5 pages, 6 figure