105 research outputs found
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Measurement of the Beam's Trajectory using the Higher Order Modes It Generates in a Superconducting Accelerating Cavity
Synchronisation strategies in T2-weighted MR imaging for detection of liver lesions: Application on a nude mouse model
First Observation of Self-Amplified Spontaneous Emission in a Free-Electron Laser at 109 nm Wavelength
We present the first observation of Self-Amplified Spontaneous Emission
(SASE) in a free-electron laser (FEL) in the Vacuum Ultraviolet regime at 109
nm wavelength (11 eV). The observed free-electron laser gain (approx. 3000) and
the radiation characteristics, such as dependency on bunch charge, angular
distribution, spectral width and intensity fluctuations all corroborate the
existing models for SASE FELs.Comment: 6 pages including 6 figures; e-mail: [email protected]
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Using higher order modes in superconducting accelerating cavities for beam monitoring
Dipole modes have been shown to be successful diagnostics for the beam position in superconducting accelerating cavities at the Free Electron Laser in Hamburg (FLASH) facility at DESY. By help of downmixing electronics the signals from the two higher order mode (HOM) couplers mounted on each cavity are monitored. The calibration, based on sigular value decomposition, is more complicated than in standard position monitors. Position like signals based on this calibration are currently being in the process of being included in the control system. A second setup based on digitizing the spectrum from the HOM couplers has been used for monitoring monopole modes. The beam phase with respect to the RF has been thus monitored. The position calibration measurements and phase monitoring made at the FLASH are presented
High precision superconducting cavity diagnostics with higher order mode measurements
Experiments at the FLASH facility at DESY have demonstrated that the higher order modes induced in superconducting cavities can be used to provide a variety of beam and cavity diagnostics. The axes of the modes can be determined from the beam orbit that produces minimum power in the dipole HOM modes. The phase and amplitude of the dipole modes can be used to obtain high resolution beam position information, and the phase of the monopole modes to measure the beam phase relative to the accelerator rf. For most superconducting accelerators, the existing higher order mode couplers provide the necessary signals, and the downmix and digitizing electronics are straightforward, similar to those for a conventional beam position monitor
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Using Higher Order Modes in Superconducting Accelerating Cavities for Beam Monitoring
Dipole modes have been shown to be successful diagnostics for the beam position in superconducting accelerating cavities at the Free Electron Laser in Hamburg (FLASH) facility at DESY. By help of downmixing electronics the signals from the two higher order mode (HOM) couplers mounted on each cavity are monitored. The calibration, based on singular value decomposition, is more complicated than in standard position monitors. Position like signals based on this calibration are currently being in the process of being included in the control system. A second setup based on digitizing the spectrum from the HOM couplers has been used for monitoring monopole modes. The beam phase with respect to the RF has been thus monitored. The position calibration measurements and phase monitoring made at the FLASH are presented
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Beam Position Monitoring with Cavity Higher Order Modes in the Superconducting Linac FLASH
FLASH (Free Electron Laser in Hamburg) is a user facility for a high intensity VUV-light source [1]. The radiation wavelength is tunable in the range from about 40 to 13 nm by changing the electron beam energy from 450 to 700 MeV. The accelerator is also a test facility for the European XFEL (X-ray Free Electron Laser) to be built in Hamburg [2] and the project study ILC (International Linear Collider) [3]. The superconducting TESLA technology is tested at this facility, together with other accelerator components
Geoeconomic variations in epidemiology, ventilation management, and outcomes in invasively ventilated intensive care unit patients without acute respiratory distress syndrome: a pooled analysis of four observational studies
Background: Geoeconomic variations in epidemiology, the practice of ventilation, and outcome in invasively ventilated intensive care unit (ICU) patients without acute respiratory distress syndrome (ARDS) remain unexplored. In this analysis we aim to address these gaps using individual patient data of four large observational studies. Methods: In this pooled analysis we harmonised individual patient data from the ERICC, LUNG SAFE, PRoVENT, and PRoVENT-iMiC prospective observational studies, which were conducted from June, 2011, to December, 2018, in 534 ICUs in 54 countries. We used the 2016 World Bank classification to define two geoeconomic regions: middle-income countries (MICs) and high-income countries (HICs). ARDS was defined according to the Berlin criteria. Descriptive statistics were used to compare patients in MICs versus HICs. The primary outcome was the use of low tidal volume ventilation (LTVV) for the first 3 days of mechanical ventilation. Secondary outcomes were key ventilation parameters (tidal volume size, positive end-expiratory pressure, fraction of inspired oxygen, peak pressure, plateau pressure, driving pressure, and respiratory rate), patient characteristics, the risk for and actual development of acute respiratory distress syndrome after the first day of ventilation, duration of ventilation, ICU length of stay, and ICU mortality. Findings: Of the 7608 patients included in the original studies, this analysis included 3852 patients without ARDS, of whom 2345 were from MICs and 1507 were from HICs. Patients in MICs were younger, shorter and with a slightly lower body-mass index, more often had diabetes and active cancer, but less often chronic obstructive pulmonary disease and heart failure than patients from HICs. Sequential organ failure assessment scores were similar in MICs and HICs. Use of LTVV in MICs and HICs was comparable (42\ub74% vs 44\ub72%; absolute difference \u20131\ub769 [\u20139\ub758 to 6\ub711] p=0\ub767; data available in 3174 [82%] of 3852 patients). The median applied positive end expiratory pressure was lower in MICs than in HICs (5 [IQR 5\u20138] vs 6 [5\u20138] cm H2O; p=0\ub70011). ICU mortality was higher in MICs than in HICs (30\ub75% vs 19\ub79%; p=0\ub70004; adjusted effect 16\ub741% [95% CI 9\ub752\u201323\ub752]; p<0\ub70001) and was inversely associated with gross domestic product (adjusted odds ratio for a US$10 000 increase per capita 0\ub780 [95% CI 0\ub775\u20130\ub786]; p<0\ub70001). Interpretation: Despite similar disease severity and ventilation management, ICU mortality in patients without ARDS is higher in MICs than in HICs, with a strong association with country-level economic status. Funding: No funding
Spontaneous Breathing in Early Acute Respiratory Distress Syndrome: Insights From the Large Observational Study to UNderstand the Global Impact of Severe Acute Respiratory FailurE Study
OBJECTIVES: To describe the characteristics and outcomes of patients with acute respiratory distress syndrome with or without spontaneous breathing and to investigate whether the effects of spontaneous breathing on outcome depend on acute respiratory distress syndrome severity. DESIGN: Planned secondary analysis of a prospective, observational, multicentre cohort study. SETTING: International sample of 459 ICUs from 50 countries. PATIENTS: Patients with acute respiratory distress syndrome and at least 2 days of invasive mechanical ventilation and available data for the mode of mechanical ventilation and respiratory rate for the 2 first days. INTERVENTIONS: Analysis of patients with and without spontaneous breathing, defined by the mode of mechanical ventilation and by actual respiratory rate compared with set respiratory rate during the first 48 hours of mechanical ventilation. MEASUREMENTS AND MAIN RESULTS: Spontaneous breathing was present in 67% of patients with mild acute respiratory distress syndrome, 58% of patients with moderate acute respiratory distress syndrome, and 46% of patients with severe acute respiratory distress syndrome. Patients with spontaneous breathing were older and had lower acute respiratory distress syndrome severity, Sequential Organ Failure Assessment scores, ICU and hospital mortality, and were less likely to be diagnosed with acute respiratory distress syndrome by clinicians. In adjusted analysis, spontaneous breathing during the first 2 days was not associated with an effect on ICU or hospital mortality (33% vs 37%; odds ratio, 1.18 [0.92-1.51]; p = 0.19 and 37% vs 41%; odds ratio, 1.18 [0.93-1.50]; p = 0.196, respectively ). Spontaneous breathing was associated with increased ventilator-free days (13 [0-22] vs 8 [0-20]; p = 0.014) and shorter duration of ICU stay (11 [6-20] vs 12 [7-22]; p = 0.04). CONCLUSIONS: Spontaneous breathing is common in patients with acute respiratory distress syndrome during the first 48 hours of mechanical ventilation. Spontaneous breathing is not associated with worse outcomes and may hasten liberation from the ventilator and from ICU. Although these results support the use of spontaneous breathing in patients with acute respiratory distress syndrome independent of acute respiratory distress syndrome severity, the use of controlled ventilation indicates a bias toward use in patients with higher disease severity. In addition, because the lack of reliable data on inspiratory effort in our study, prospective studies incorporating the magnitude of inspiratory effort and adjusting for all potential severity confounders are required
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