Shedding light on X17: community report

The workshop “Shedding light on X17” brings together scientists looking for the existence of a possible new light particle, often referred to as X17. This hypothetical particle can explain the resonant structure observed at ∼ 17 MeV in the invariant mass of electron-positron pairs, produced after excitation of nuclei such as 8Be and 4He by means of proton beams at the Atomki Laboratory in Debrecen. The purpose of the workshop is to discuss implications of this anomaly, in particular theoretical interpretations as well as present and future experiments aiming at confirming the result and/or at providing experimental evidence for its interpretation

High performing hospitals: a qualitative systematic review of associated factors and practical strategies for improvement.

BACKGROUND: High performing hospitals attain excellence across multiple measures of performance and multiple departments. Studying high performing hospitals can be valuable if factors associated with high performance can be identified and applied. Factors leading to high performance are complex and an exclusive quantitative approach may fail to identify richly descriptive or relevant contextual factors. The objective of this study was to undertake a systematic review of qualitative literature to identify methods used to identify high performing hospitals, the factors associated with high performers, and practical strategies for improvement. METHODS: Methods used to collect and summarise the evidence contributing to this review followed the 'enhancing transparency in reporting the synthesis of qualitative research' protocol. Peer reviewed studies were identified through Medline, Embase and Cinahl (Jan 2000-Feb 2014) using specified key words, subject terms, and medical subject headings. Eligible studies required the use of a quantitative method to identify high performing hospitals, and qualitative methods or tools to identify factors associated with high performing hospitals or hospital departments. Title, abstract, and full text screening was undertaken by four reviewers, and inter-rater reliability statistics were calculated for each review phase. Risk of bias was assessed. Following data extraction, thematic syntheses identified contextual factors important for explaining success. Practical strategies for achieving high performance were then mapped against the identified themes. RESULTS: A total of 19 studies from a possible 11,428 were included in the review. A range of process, output, outcome and other indicators were used to identify high performing hospitals. Seven themes representing factors associated with high performance (and 25 sub-themes) emerged from the thematic syntheses: positive organisational culture, senior management support, effective performance monitoring, building and maintaining a proficient workforce, effective leaders across the organisation, expertise-driven practice, and interdisciplinary teamwork. Fifty six practical strategies for achieving high performance were catalogued. CONCLUSIONS: This review provides insights into methods used to identify high performing hospitals, and yields ideas about the factors important for success. It highlights the need to advance approaches for understanding what constitutes high performance and how to harness factors associated with high performance

A realist analysis of hospital patient safety in Wales:Applied learning for alternative contexts from a multisite case study

Background: Hospital patient safety is a major social problem. In the UK, policy responses focus on the introduction of improvement programmes that seek to implement evidence-based clinical practices using the Model for Improvement, Plan-Do-Study-Act cycle. Empirical evidence that the outcomes of such programmes vary across hospitals demonstrates that the context of their implementation matters. However, the relationships between features of context and the implementation of safety programmes are both undertheorised and poorly understood in empirical terms. Objectives: This study is designed to address gaps in conceptual, methodological and empirical knowledge about the influence of context on the local implementation of patient safety programmes. Design: We used concepts from critical realism and institutional analysis to conduct a qualitative comparative-intensive case study involving 21 hospitals across all seven Welsh health boards. We focused on the local implementation of three focal interventions from the 1000 Lives+ patient safety programme: Improving Leadership for Quality Improvement, Reducing Surgical Complications and Reducing Health-care Associated Infection. Our main sources of data were 160 semistructured interviews, observation and 1700 health policy and organisational documents. These data were analysed using the realist approaches of abstraction, abduction and retroduction. Setting: Welsh Government and NHS Wales. Participants: Interviews were conducted with 160 participants including government policy leads, health managers and professionals, partner agencies with strategic oversight of patient safety, advocacy groups and academics with expertise in patient safety. Main outcome measures: Identification of the contextual factors pertinent to the local implementation of the 1000 Lives+ patient safety programme in Welsh NHS hospitals. Results: An innovative conceptual framework harnessing realist social theory and institutional theory was produced to address challenges identified within previous applications of realist inquiry in patient safety research. This involved the development and use of an explanatory intervention–context–mechanism–agency–outcome (I-CMAO) configuration to illustrate the processes behind implementation of a change programme. Our findings, illustrated by multiple nested I-CMAO configurations, show how local implementation of patient safety interventions are impacted and modified by particular aspects of context: specifically, isomorphism, by which an intervention becomes adapted to the environment in which it is implemented; institutional logics, the beliefs and values underpinning the intervention and its source, and their perceived legitimacy among different groups of health-care professionals; and the relational structure and power dynamics of the functional group, that is, those tasked with implementing the initiative. This dynamic interplay shapes and guides actions leading to the normalisation or the rejection of the patient safety programme. Conclusions: Heightened awareness of the influence of context on the local implementation of patient safety programmes is required to inform the design of such interventions and to ensure their effective implementation and operationalisation in the day-to-day practice of health-care teams. Future work is required to elaborate our conceptual model and findings in similar settings where different interventions are introduced, and in different settings where similar innovations are implemented. Funding: The National Institute for Health Research Health Services and Delivery Research programme

Towards a Large Calorimeter Based on Lyso Crystals for Future High Energy Physics

The state-of-the-art research at the intensity frontier of particle physics aims to find evidence for new physics beyond the Standard Model by searching for faint signals in a vast amount of background. To this end, detectors with excellent resolution in all kinematic variables are required. For future calorimeters, a very promising material is LYSO, due to its short radiation length, fast decay time and good light yield. In this article, the simulation of a calorimeter assembled from multiple large LYSO crystals is presented. Although there is still a long way to go before crystals of that size can be produced, the results suggest an energy resolution of 1%, a position resolution around 5 mm and a time resolution of about 30 ps for photons and positrons with an energy of 55 MeV. These results would put such a calorimeter at the technology forefront in precision particle physics

Towards a Large Calorimeter Based on Lyso Crystals for Future High Energy Physics

The state-of-the-art research at the intensity frontier of particle physics aims to find evidence for new physics beyond the Standard Model by searching for faint signals in a vast amount of background. To this end, detectors with excellent resolution in all kinematic variables are required. For future calorimeters, a very promising material is LYSO, due to its short radiation length, fast decay time and good light yield. In this article, the simulation of a calorimeter assembled from multiple large LYSO crystals is presented. Although there is still a long way to go before crystals of that size can be produced, the results suggest an energy resolution of 1%, a position resolution around 5 mm and a time resolution of about 30 ps for photons and positrons with an energy of 55 MeV. These results would put such a calorimeter at the technology forefront in precision particle physics

The Search for μ+ → e+γ with 10–14 Sensitivity: The Upgrade of the MEG Experiment

The MEG experiment took data at the Paul Scherrer Institute in the years 2009–2013 to test the violation of the lepton flavor conservation law, which originates from an accidental symmetry that the Standard Model of elementary particle physics has, and published the most stringent limit on the charged lepton flavor violating decay μ+→e+γ: BR(μ+→e+γ) <4.2×10−13 at 90% confidence level. The MEG detector has been upgraded in order to reach a sensitivity of 6×10−14. The basic principle of MEG II is to achieve the highest possible sensitivity using the full muon beam intensity at the Paul Scherrer Institute (7×107 muons/s) with an upgraded detector. The main improvements are better rate capability of all sub-detectors and improved resolutions while keeping the same detector concept. In this paper, we present the current status of the preparation, integration and commissioning of the MEG II detector in the recent engineering runs.ISSN:2073-899

Towards a New μ→eγ Search with the MEG II Experiment: From Design to Commissioning

The MEG experiment represents the state of the art in the search for the Charged Lepton Flavour Violating µ+ → e+γ decay. With its first phase of operations at the Paul Scherrer Institut (PSI), MEG set the most stringent upper limit on the BR(µ+ → e+γ) ≤ 4.2 × 10−13 at 90% confidence level, imposing one of the tightest constraints on models predicting LFV-enhancements through new physics beyond the Standard Model. An upgrade of the MEG experiment, MEG II, was designed and it is presently in the commissioning phase, aiming at a sensitivity level of 6 × 10−14 . The MEG II experiment relies on a series of upgrades, which include an improvement of the photon detector resolutions, brand new detectors on the positron side with better acceptance, efficiency and performances and new and optimized trigger and DAQ electronics to exploit a muon beam intensity twice as high as that of MEG (7 × 107 µ+/s). This paper presents a complete overview of the MEG II experimental apparatus and the current status of the detector commissioning in view of the physics data taking in the upcoming three years

High-Throughput Step Emulsification for the Production of Functional Materials Using a Glass Microfluidic Device

High-volume production of monodisperse droplets is of importance for industrial applications due to increased emulsion stability, precise control over droplet volumes, and the formation of periodic arranged structures. So far, parallelized microfluidic devices are limited by either their complicated channel geometry or by their chemically or thermally unstable embedding material. This study shows a scalable microfluidic step emulsification chip that enables production of monodisperse emulsions at a throughput of up to 25 mL h(-1) in a glass device with 364 linearly parallelized droplet makers. The chemical and thermal stability of such a glass device allows for the preparation of a broad variety of functional particles and microdroplets by using any desired solvent together with nanoparticles, polymers, and hydrogels. Moreover, the microfluidic device can be stringently cleaned for nearly unlimited use and permits the alternating production of oil-in-water and water-in-oil emulsions. The combined high throughput, chemical and thermal stability offered by our device enables production of monodisperse functional materials for large-scale applications

Shedding light on X17: community report

Abstract The workshop “Shedding light on X17” brings together scientists looking for the existence of a possible new light particle, often referred to as X17. This hypothetical particle can explain the resonant structure observed at $$\sim$$ ∼  17 MeV in the invariant mass of electron-positron pairs, produced after excitation of nuclei such as $$^8\hbox {Be}$$ 8 Be and $$^4\hbox {He}$$ 4 He by means of proton beams at the Atomki Laboratory in Debrecen. The purpose of the workshop is to discuss implications of this anomaly, in particular theoretical interpretations as well as present and future experiments aiming at confirming the result and/or at providing experimental evidence for its interpretation