This paper focuses on utilizing several different optical diagnostics to experimentally characterize a pure helium atmospheric pressure plasma jet. Axial electric field measurements were carried out along the plasma plume through the use of a non-perturbing method based on polarization-dependent Stark spectroscopy of the helium $492.2$ nm line. The electric field is shown to increase with distance along the plume length, reaching values as high as $24.5$ kV cm$^{-1}$. The rate of increase of the electric field is dependent on the helium gas flow rate, with lower gas flows rising quicker with distance in comparison with larger flow rates, with the typical values remaining within the same range. This sensitivity is linked to gas mixing between the helium and surrounding ambient air. Schlieren imaging of the gas flow is included to support this. The addition of a target is shown to further increase the measured electric field in close range to the target, with the magnitude of this increase being strongly dependent on the distance between the tube exit and target. The relative increase in the electric field is shown to be on average greater for a conducting target of water in comparison with plastic. A minimal equipment optical configuration, which is here referred to as fast two-dimensional monochromatic imaging, is introduced as an approach for estimating excited state densities within the plasma. Densities of the upper helium states for transitions, $1s3s$ $^{3}S_{1}$ $\rightarrow$ $1s2p$ $^{3}P^{0}_{0,1,2}$ at $706.5$ nm and $1s3s$ $^{1}S_{0}$ $\rightarrow$ $1s2p$ $^{1}P^{0}_{1}$ at $728.1$ nm, were estimated using this approach and found to be of the order of $10^{10}$–$10^{11}$ cm$^{-3}$.

Gravitational waves from coalescing neutron stars encode information about nuclear matter at extreme densities, inaccessible by laboratory experiments. The late inspiral is influenced by the presence of tides, which depend on the neutron star equation of state. Neutron star mergers are expected to often produce rapidly rotating remnant neutron stars that emit gravitational waves. These will provide clues to the extremely hot post-merger environment. This signature of nuclear matter in gravitational waves contains most information in the 2–4 kHz frequency band, which is outside of the most sensitive band of current detectors. We present the design concept and science case for a Neutron Star Extreme Matter Observatory (NEMO): a gravitational-wave interferometer optimised to study nuclear physics with merging neutron stars. The concept uses high-circulating laser power, quantum squeezing, and a detector topology specifically designed to achieve the high-frequency sensitivity necessary to probe nuclear matter using gravitational waves. Above 1 kHz, the proposed strain sensitivity is comparable to full third-generation detectors at a fraction of the cost. Such sensitivity changes expected event rates for detection of post-merger remnants from approximately one per few decades with two A+ detectors to a few per year and potentially allow for the first gravitational-wave observations of supernovae, isolated neutron stars, and other exotica.

Fig. 1

[Improvement in daily accessible risk assessments]

We show enhanced patient safety through a quality improvement methodology project in an intensive psychiatric care unit of a psychiatric hospital in southwest of Scotland. This is a project as part of the national patient safety programme in mental health. The Scottish Patient Safety Programme for Mental Health aims to systematically reduce harm experienced by people using mental health services in Scotland, by supporting frontline staff to test, gather real-time data and reliably implement interventions, before spreading across their catchment area.

Multidisciplinary staff worked together in improving recording of daily electronic and paper based risk assessments from a baseline of 20% to nearly 100% over a sixth month period. We expect better quality risk management by readily accessible risk assessments and safe practise through enhanced safety perception by the patients as well as staff. Patient and staff safety perception tools were designed to measure impact of improvement in risk management. We have seen drop in the number of critical incidents and challenging situations requiring restraint following coordinated approach to risk assessment and easy access to key information. We have been successful as the frontline staff became part of the process of change and this has enabled sustained improvement.

Implementation of a novel experimental approach using a bright source of narrowband x-ray emission has enabled the production of a photoionized argon plasma of relevance to astrophysical modelling codes such as Cloudy. We present results showing that the photoionization parameter ζ = 4πF/ne generated using the VULCAN laser was ≈ 50 erg cm s−1, higher than those obtained previously with more powerful facilities. Comparison of our argon emission-line spectra in the 4.15 - 4.25 Å range at varying initial gas pressures with predictions from the Cloudy code and a simple time-dependent code are also presented. Finally we briefly discuss how this proof-of-principle experiment may be scaled to larger facilities such as ORION to produce the closest laboratory analogue to a photoionized plasma.

Clostridium difficile, the most common cause of hospital-associated diarrhoea in developed countries, presents major public health challenges. The high clinical and economic burden from C. difficile infection (CDI) relates to the high frequency of recurrent infections caused by either the same or different strains of C. difficile. An interval of 8 weeks after index infection is commonly used to classify recurrent CDI episodes. We assessed strains of C. difficile in a sample of patients with recurrent CDI in Western Australia from October 2011 to July 2017. The performance of different intervals between initial and subsequent episodes of CDI was investigated. Of 4612 patients with CDI, 1471 (32%) were identified with recurrence. PCR ribotyping data were available for initial and recurrent episodes for 551 patients. Relapse (recurrence with same ribotype (RT) as index episode) was found in 350 (64%) patients and reinfection (recurrence with new RT) in 201 (36%) patients. Our analysis indicates that 8- and 20-week intervals failed to adequately distinguish reinfection from relapse. In addition, living in a non-metropolitan area modified the effect of age on the risk of relapse. Where molecular epidemiological data are not available, we suggest that applying an 8-week interval to define recurrent CDI requires more consideration.

Objectives: Caregivers of youth with heavy prenatal alcohol exposure report impaired communication, which can significantly impact quality of life. Using data collected as part of the Collaborative Initiative on Fetal Alcohol Spectrum Disorders (CIFASD), we examined whether cognitive variables predict communication ability of youth with histories of heavy prenatal alcohol exposure. Methods: Subjects (ages 10–16 years) comprised two groups: adolescents with heavy prenatal alcohol exposure (AE) and non-exposed controls (CON). Selected measures of executive function (NEPSY, Delis-Kaplan Executive Function System), working memory (CANTAB), and language were tested in the child, while parents completed communication ratings (Vineland Adaptive Behavior Scales – Second Edition). Separate multiple regression analyses determined which cognitive domains predicted communication ability. A final, global model of communication comprised the three cognitive models. Results: Spatial Working Memory and Inhibition significantly contributed to communication ability across groups. Twenty Questions performance related to communication ability in the CON group only while Word Generation performance related to communication ability in the AE group only. Effects remained significant in the global model, with the exception of Spatial Working Memory. Conclusions: Both groups displayed a relation between communication and Spatial Working Memory and Inhibition. Stronger communication ability related to stronger verbal fluency in the AE group and Twenty Questions performance in the CON group. These findings suggest that alcohol-exposed adolescents may rely more heavily on learned verbal storage or fluency for daily communication while non-exposed adolescents may rely more heavily on abstract thinking and verbal efficiency. Interventions aimed at aspects of executive function may be most effective at improving communication ability of these individuals. (JINS, 2018, 24, 1026–1037)

The Rockeskyll complex in the north, central part of the Quaternary West Eifel volcanic field encapsulates an association of carbonatite, nephelinite and phonolite. The volcanic complex is dominated by three eruptive centres, which are distinct in their magma chemistry and their mode of emplacement. The Auf Dickel diatreme forms one centre and has erupted the only known carbonatite in the West Eifel, along with a broad range of alkaline rock types. Extrusive carbonatitic volcanism is represented by spheroidal autoliths, which preserve an equilibrium assemblage. The diatreme has also erupted xenoliths of calcite-bearing feldspathoidal syenite, phonolite and sanidine and clinopyroxene megacrysts, which are interpreted as fragments of a sub-volcanic complex. The carbonate phase of volcanism has several manifestations; extrusive lapilli, recrystallized ashes and calcite-bearing syenites, fragmented during diatreme emplacement.

A petrogenetic link between carbonatites and alkali mafic magmas is confirmed from Sr and Nd isotope systematics, and an upper mantle origin for the felsic rocks is suggested. The chemistry and mineralogy of mantle xenoliths erupted throughout the West Eifel indicate enrichment in those elements incompatible in the mantle. In addition, the evidence from trace element signatures and melts trapped as glasses support interaction between depleted mantle and small volume carbonate and felsic melts. This close association between carbonate and felsic melts in the mantle is mirrored in the surface eruptives of Auf Dickel and at numerous alkaline-carbonatite provinces worldwide.

Little is known about Clostridium difficile infection (CDI) in Asia. The aims of our study were to explore (i) the prevalence, risk factors and molecular epidemiology of CDI and colonization in a tertiary academic hospital in North-Eastern Peninsular Malaysia; (ii) the rate of carriage of C. difficile among the elderly in the region; (iii) the awareness level of this infection among the hospital staffs and students. For stool samples collected from hospital inpatients with diarrhea (n = 76) and healthy community members (n = 138), C. difficile antigen and toxins were tested by enzyme immunoassay. Stool samples were subsequently analyzed by culture and molecular detection of toxin genes, and PCR ribotyping of isolates. To examine awareness among hospital staff and students, participants were asked to complete a self-administered questionnaire. For the hospital and community studies, the prevalence of non-toxigenic C. difficile colonization was 16% and 2%, respectively. The prevalence of CDI among hospital inpatients with diarrhea was 13%. Out of 22 C. difficile strains from hospital inpatients, the toxigenic ribotypes 043 and 017 were most common (both 14%). In univariate analysis, C. difficile colonization in hospital inpatients was significantly associated with greater duration of hospitalization and use of penicillin (both P < 0·05). Absence of these factors was a possible reason for low colonization in the community. Only 3% of 154 respondents answered all questions correctly in the awareness survey. C. difficile colonization is prevalent in a Malaysian hospital setting but not in the elderly community with little or no contact with hospitals. Awareness of CDI is alarmingly poor.

Detached live oak (Quercus virginiana Mill.) leaves were immersed in aqueous solutions of 4-amino-3,5,6-trichloropicolinic acid (picloram) or (2,4,5-trichlorophenoxy)acetic acid (2,4,5-T) for periods up to 4 hr. Herbicide concentration ranged from 10−3 to 10−6M; solutions were adjusted to either pH 4, 6, 7, or 8. Absorption of picloram in the presence of equimolar concentrations of 2,4,5-T exceeded that noted for picloram alone. The presence of picloram in the treating solutions had no effect on absorption of 2,4,5-T. This technique allows evaluation of absorption and penetration characteristics of mixtures of herbicides, solvents, and adjuvants.

Notoedric mange, caused by obligately parasitic sarcoptiform Notoedres mites, is associated with potentially fatal dermatitis with secondary systemic disease in small mammals, felids and procyonids among others, as well as an occasional zoonosis. We describe clinical spectra in non-chiropteran hosts, review risk factors and summarize ecological and epidemiological studies. The genus is disproportionately represented on rodents. Disease in felids and procyonids ranges from very mild to death. Knowledge of the geographical distribution of the mites is highly inadequate, with focal hot spots known for Notoedres cati in domestic cats and bobcats. Predisposing genetic and immunological factors are not known, except that co-infection with other parasites and anticoagulant rodenticide toxicoses may contribute to severe disease. Treatment of individual animals is typically successful with macrocytic lactones such as selamectin, but herd or wildlife population treatment has not been undertaken. Transmission requires close contact and typically is within a host species. Notoedric mange can kill half all individuals in a population and regulate host population below non-diseased density for decades, consistent with frequency-dependent transmission or spillover from other hosts. Epidemics are increasingly identified in various hosts, suggesting global change in suitable environmental conditions or increased reporting bias.

We describe an outbreak of tuberculosis (TB) in the food preparation area of a hospital, which demonstrates that employees in healthcare settings may serve as potential risks for spread of TB even if they have no direct patient contact.

Infect Control Hosp Epidemiol 2016;37:1111–1113

Sedimentological data acquired by thin section petrography is a rich source of information to better understand and interpret depositional environments that are dominated by fine-grained deposits. This study provides an evaluation of the sedimentological and geochemical changes recorded over Upper Viséan to Lower Namurian successions preserved in a core section from a well drilled in the southern part of the Netherlands. Facies analysis and the recognition of microfacies associations allow detailed interpretations of depositional environments. Interpretation of additional geochemical data acquired by portable X-ray fluorescence analyses has resulted in a chemostratigraphic zonation for the core section. The zonation reflects stratigraphic changes in the mineralogy of the sedimentary successions. Integration of the microfacies associations and the chemostratigraphic zonation has led to the identification of three so-called depositional zones, which show the development of depositional settings from Late Viséan to Early Namurian times. Depositional Zone 1 consists of fine-grained turbiditic limestones and mudstones deposited in a distal carbonate ramp setting during Latest Viséan times. The overlying Depositional Zone 2 corresponds to the Geverik Member (Lower Namurian) and is particularly heterogeneous in geochemical and lithological terms: the zone reflects a complex interplay between different parameters such as sediment source, transport mechanisms and oxygen content that are assumed to be governed by fluctuating sea levels and changing depositional environments (from basinal to shallow marine settings). Sandy lenticular mudstones are predominant in the lower part of Depositional Zone 2 and show that sedimentation was via erosive bedload, whilst the common fossiliferous mudstones present within the upper part of the same zone yield evidence for increased endobenthic activity in dysoxic conditions. The successions assigned to Depositional Zone 3 ( = Epen Formation – Namurian) are the products of cyclic sedimentation of a terrestrial sourced delta.

Beef tenderness is critical in consumer satisfaction with beef steak products. Current fed cattle valuation systems do not differentiate carcasses based upon tenderness variation. However, considerable research indicates consumers are willing to pay more for tender relative to tough beef steak. This article develops a tenderness-augmentation to current fed cattle grid pricing systems. Using a large set of actual carcasses, we determine that a tenderness-augmented price grid would reorder fed cattle value by on average nearly $5.00/cwt dressed relative to current valuation methods. Substantial opportunity is present to improve beef tenderness through new price signals to producers.

We consider two-dimensional one-sided convection of a solute in a fluid-saturated porous medium, where the solute decays via a first-order reaction. Fully nonlinear convection is investigated using high-resolution numerical simulations and a low-order model that couples the dynamic boundary layer immediately beneath the distributed solute source to the slender vertical plumes that form beneath. A transient-growth analysis of the boundary layer is used to characterise its excitability. Three asymptotic regimes are investigated in the limit of high Rayleigh number $\mathit{Ra}$, in which the domain is considered deep, shallow or of intermediate depth, and for which the Damköhler number $\mathit{Da}$ is respectively large, small or of order unity. Scaling properties of the flow are identified numerically and rationalised via the analytic model. For fully established high-$\mathit{Ra}$ convection, analysis and simulation suggest that the time-averaged solute transfer rate scales with $\mathit{Ra}$ and the plume horizontal wavenumber with $\mathit{Ra}^{1/2}$, with coefficients modulated by $\mathit{Da}$ in each case. For large $\mathit{Da}$, the rapid reaction rate limits the plume depth and the boundary layer restricts the rate of solute transfer to the bulk, whereas for small $\mathit{Da}$ the average solute transfer rate is ultimately limited by the domain depth and the convection is correspondingly weaker.