463 research outputs found
Development and performance of the Fast Neutron Imaging Telescope for SNM detection
FNIT (the Fast Neutron Imaging Telescope), a detector with both imaging and energy measurement capabilities, sensitive to neutrons in the range 0.8-20 MeV, was initially conceived to study solar neutrons as a candidate design for the Inner Heliosphere Sentinel (IHS) spacecraft of NASA\u27s Solar Sentinels program and successively reconfigured to locate fission neutron sources. By accurately identifying the position of the source with imaging techniques and reconstructing the Watt spectrum of fission neutrons, FNIT can detect samples of special nuclear material (SNM), including heavily shielded and masked ones. The detection principle is based on multiple elastic neutron-proton scatterings in organic scintillators. By reconstructing n-p event locations and sequence and measuring the recoil proton energies, the direction and energy spectrum of the primary neutron flux can be determined and neutron sources identified. We describe the design of the FNIT prototype and present its energy reconstruction and imaging performance, assessed by exposing FNIT to a neutron beam and to a Pu fission neutron source
Viewpoint: filovirus haemorrhagic fever outbreaks: much ado about nothing?
The recent outbreak of Marburg haemorrhagic fever in the Democratic Republic of Congo has put the filovirus threat back on the international health agenda. This paper gives an overview of Marburg and Ebola outbreaks so far observed and puts them in a public health perspective. Damage on the local level has been devastating at times, but was marginal on the international level despite the considerable media attention these outbreaks received. The potential hazard of outbreaks, however, after export of filovirus from its natural environment into metropolitan areas, is argued to be considerable. Some avenues for future research and intervention are explored. Beyond the obvious need to find the reservoir and study the natural history, public health strategies for a more timely and efficient response are urgently needed
Organisation of Health Care During an Outbreak of Marburg Haemorrhagic Fever in the Democratic Republic of Congo, 1999.
Organising health care was one of the tasks of the International Scientific and Technical Committee during the 1998-1999 outbreak in Durba/Watsa, in the north-eastern province (Province Orientale), Democratic Republic of Congo. With the logistical support of Médecins sans Frontières (MSF), two isolation units were created: one at the Durba Reference Health Centre and the other at the Okimo Hospital in Watsa. Between May 6th, the day the isolation unit was installed and May 19th, 15 patients were admitted to the Durba Health Centre. In only four of them were the diagnosis of Marburg haemorrhagic fever (MHF) confirmed by laboratory examination. Protective equipment was distributed to health care workers and family members caring for patients. Information about MHF, modes of transmission and the use of barrier nursing techniques was provided to health care workers and sterilisation procedures were reviewed. In contrast to Ebola outbreaks, there was little panic among health care workers and the general public in Durba and all health services remained operational
Advanced characterization and simulation of SONNE: a fast neutron spectrometer for Solar Probe Plus
SONNE, the SOlar NeutroN Experiment proposed for Solar Probe Plus, is designed to measure solar neutrons from 1-20 MeV and solar gammas from 0.5-10 MeV. SONNE is a double scatter instrument that employs imaging to maximize its signal-to-noise ratio by rejecting neutral particles from non-solar directions. Under the assumption of quiescent or episodic small-flare activity, one can constrain the energy content and power dissipation by fast ions in the low corona. Although the spectrum of protons and ions produced by nanoflaring activity is unknown, we estimate the signal in neutrons and γ−rays that would be present within thirty solar radii, constrained by earlier measurements at 1 AU. Laboratory results and simulations will be presented illustrating the instrument sensitivity and resolving power
Design optimization and performance capabilities of the fast neutron imaging telescope (FNIT)
We describe the design optimization process and performance characterization of a next generation neutron telescope, with imaging and energy measurement capabilities, sensitive to neutrons in the 1-20 MeV energy range. The response of the Fast Neutron Imaging Telescope (FNIT), its efficiency in neutron detection, energy resolution and imaging capabilities were characterized through a combination of lab tests and Monte Carlo simulations. Monte Carlo simulations, together with experimental data, are also being used in the development and testing of the image reconstruction algorithm. FNIT was initially conceived to study solar neutrons as a candidate instrument for the Inner Heliosphere Sentinel (IHS) spacecraft. However, the design of this detector was eventually adapted to locate Special Nuclear Material (SNM) sources for homeland security purposes, by detecting fission neutrons. In either case, the detection principle is based on multiple elastic neutron-proton scatterings in organic scintillator. By reconstructing event locations and measuring the recoil proton energies, the direction and energy spectrum of the primary neutron flux can be determined and neutron sources identified. This paper presents the most recent results arising from our efforts and outlines the performance of the FNIT detector
Characterisation of the porous structure of Gilsocarbon graphite using pycnometry, cyclic porosimetry and void-network modeling
file: :C:/pdf/1-s2.0-S000862231400164X-main.pdf:pdfThe cores of the fourteen Advanced Gas-cooled nuclear Reactors (AGRs) within the UK comprise Gilsocarbon graphite, a manufactured material surrounded predominantly by CO2 at high pressure and temperature to provide heat exchange. The intense ionising radiation within the reactors causes radiolytic oxidation, and the resulting mass loss is a primary factor in determining reactor lifetime. The void structure of the porous Gilsocarbon graphite affects the permeability and diffusion of the carbon dioxide, and the sites of oxidation. To model this void structure, the porosities and densities of ten virgin Gilsocarbon graphite samples have been measured by powder and helium pycnometry. For comparison, results are also presented for highly ordered pyrolytic graphite (HOPG), and a fine-grained Ringsdorff graphite. Samples have been examined at a range of magnifications by electron microscopy. Total porosities and percolation characteristics have been measured by standard and cyclic mercury porosimetry up to an applied mercury pressure of 400MPa. Inverse modelling of the cyclic intrusion curves produces simulated void structures with characteristics which closely match those of experiment. Void size distributions of the structures are presented, together with much Supplementary Information. The simulated void networks provide the bases for future simulations of the radiolytic oxidation process itself
On-sky results of the adaptive optics MACAO for the new IR-spectrograph CRIRES at VLT
The adaptive optics MACAO has been implemented in 6 focii of the VLT
observatory, in three different flavors. We present in this paper the results
obtained during the commissioning of the last of these units, MACAO-CRIRES.
CRIRES is a high-resolution spectrograph, which efficiency will be improved by
a factor two at least for point-sources observations with a NGS brighter than
R=15. During the commissioning, Strehl exceeding 60% have been observed with
fair seeing conditions, and a general description of the performance of this
curvature adaptive optics system is done.Comment: SPIE conference 2006, Advances in adaptive optics, 12 pages, 11
figure
Pain management after elective craniotomy: A systematic review with procedure-specific postoperative pain management (PROSPECT) recommendations.
BACKGROUND
Pain after craniotomy can be intense and its management is often suboptimal.
OBJECTIVES
We aimed to evaluate the available literature and develop recommendations for optimal pain management after craniotomy.
DESIGN
A systematic review using procedure-specific postoperative pain management (PROSPECT) methodology was undertaken.
DATA SOURCES
Randomised controlled trials and systematic reviews published in English from 1 January 2010 to 30 June 2021 assessing pain after craniotomy using analgesic, anaesthetic or surgical interventions were identified from MEDLINE, Embase and Cochrane Databases.
ELIGIBILITY CRITERIA
Each randomised controlled trial (RCT) and systematic review was critically evaluated and included only if met the PROSPECT requirements. Included studies were evaluated for clinically relevant differences in pain scores, use of nonopioid analgesics, such as paracetamol and NSAIDs, and current clinical relevance.
RESULTS
Out of 126 eligible studies identified, 53 RCTs and seven systematic review or meta-analyses met the inclusion criteria. Pre-operative and intra-operative interventions that improved postoperative pain were paracetamol, NSAIDs, intravenous dexmedetomidine infusion, regional analgesia techniques, including incision-site infiltration, scalp nerve block and acupuncture. Limited evidence was found for flupirtine, intra-operative magnesium sulphate infusion, intra-operative lidocaine infusion, infiltration adjuvants (hyaluronidase, dexamethasone and α-adrenergic agonist added to local anaesthetic solution). No evidence was found for metamizole, postoperative subcutaneous sumatriptan, pre-operative oral vitamin D, bilateral maxillary block or superficial cervical plexus block.
CONCLUSIONS
The analgesic regimen for craniotomy should include paracetamol, NSAIDs, intravenous dexmedetomidine infusion and a regional analgesic technique (either incision-site infiltration or scalp nerve block), with opioids as rescue analgesics. Further RCTs are required to confirm the influence of the recommended analgesic regimen on postoperative pain relief
Marburg hemorrhagic fever in Durba and Watsa, Democratic Republic of the Congo: clinical documentation, features of illness, and treatment
The objective of the present study was to describe day of onset and duration of symptoms of Marburg hemorrhagic fever (MHF), to summarize the treatments applied, and to assess the quality of clinical documentation. Surveillance and clinical records of 77 patients with MHF cases were reviewed. Initial symptoms included fever, headache, general pain, nausea, vomiting, and anorexia (median day of onset, day 1-2), followed by hemorrhagic manifestations (day 5-8+), and terminal symptoms included confusion, agitation, coma, anuria, and shock. Treatment in isolation wards was acceptable, but the quality of clinical documentation was unsatisfactory. Improved clinical documentation is necessary for a basic evaluation of supportive treatment
- …