Effects of Laser Bandwidth in Direct-Drive High-Performance DT-Layered Implosions on the OMEGA Laser.

In direct-drive inertial confinement fusion, the laser bandwidth reduces the laser imprinting seed of hydrodynamic instabilities. The impact of varying bandwidth on the performance of direct-drive DT-layered implosions was studied in targets with different hydrodynamic stability properties. The stability was controlled by changing the shell adiabat from (α_{F}≃5) (more stable) to (α_{F}≃3.5) (less stable). These experiments show that the performance of lower adiabat implosions improves considerably as the bandwidth is raised indicating that further bandwidth increases, beyond the current capabilities of OMEGA, would be greatly beneficial. These results suggest that the future generation of ultra-broadband lasers could enable achieving high convergence and possibly high gains in direct drive ICF.

Impact of the boundary's sharpness on temporal reflection in dispersive media.

We investigate the impact of the finite rise time of a spatiotemporal boundary inside a dispersive medium used for reflection and refraction of optical pulses. We develop a matrix approach in the frequency domain for analyzing such spatiotemporal boundaries and use it to show that the frequency range over which reflection can occur is reduced as the rise time increases. We also show that total internal reflection can occur even for boundaries with long rise times. This feature suggests that spatiotemporal waveguides can be realized through cross-phase modulation even when pump pulses have relatively long rise and fall times.

Inferred UV fluence focal-spot profiles from soft x-ray pinhole-camera measurements on OMEGA.

A method was developed with laser-irradiated Au planar foils to characterize the focal spot of UV laser beams on a target at full energy from soft x-ray emission. A pinhole camera with a back-thinned charge-coupled device detector and filtration with thin Be and Al foil filters provides images of the x-ray emission at photon energies <2 keV. This method requires a careful measurement of the relationship between the applied UV fluence and the x-ray signal, which can be described by a power-law dependence. The measured exponent γ ∼ 2 provides a dynamic range of ∼25 for the inferred UV fluence. UV fluence profiles of selected beams were measured for 100-ps and 1-ns laser pulses and were compared to directly measured profiles from an UV equivalent-target-plane diagnostic. The inferred spot size and super-Gaussian order from the x-ray technique agree within several percent with the values measured with the direct UV measurements.

Power balancing the multibeam OMEGA laser.

Multibeam lasers often require an output beam balance that specifies the degree of simultaneity of the laser output energy, instantaneous power, or instantaneous irradiance (power per unit area). This work describes the general problem of balancing a multibeam laser. Specific techniques used to balance the output power of the 60-beam pulsed OMEGA Laser System are discussed along with a measured reduction of beam-to-beam imbalance. In particular, the square-pulse distortion induced by a simple saturating amplifier operating with its output at some fraction of its saturation fluence is derived, and a method to exchange gain between saturated amplifiers in a single beam that have different saturation fluences to adjust balance is described.

A picosecond beam-timing system for the OMEGA laser.

A timing system is demonstrated for the OMEGA Laser System that guarantees all 60 beams will arrive on target simultaneously with a root mean square variability of 4 ps. The system relies on placing a scattering sphere at the target position to couple the ultraviolet light from each beam into a single photodetector.

What is the Temporal Analog of Reflection and Refraction of Optical Beams?

It is shown numerically and analytically that when an optical pulse approaches a moving temporal boundary across which the refractive index changes, it undergoes a temporal equivalent of reflection and refraction of optical beams at a spatial boundary. The main difference is that the role of angles is played by changes in the frequency. The frequency dependence of the dispersion of the material in which the pulse is propagating plays a fundamental role in determining the frequency shifts experienced by the reflected and refracted pulses. Our analytic expressions for these frequency shifts allow us to find the condition under which an analog of total internal reflection may occur at the temporal boundary.

Tackling the problem of blood culture contamination in the intensive care unit using an educational intervention.

Blood culture contamination (BCC) has been associated with unnecessary antibiotic use, additional laboratory tests and increased length of hospital stay thus incurring significant extra hospital costs. We set out to assess the impact of a staff educational intervention programme on decreasing intensive care unit (ICU) BCC rates to <3% (American Society for Microbiology standard). BCC rates during the pre-intervention period (January 2006-May 2011) were compared with the intervention period (June 2011-December 2012) using run chart and regression analysis. Monthly ICU BCC rates during the intervention period were reduced to a mean of 3.7%, compared to 9.5% during the baseline period (P < 0.001) with an estimated potential annual cost savings of about £250,100. The approach used was simple in design, flexible in delivery and efficient in outcomes, and may encourage its translation into clinical practice in different healthcare settings.

A single-shot, multiwavelength electro-optic data-acquisition system for inertial confinement fusion applications (invited).

Electro-optic data-acquisition systems encode the output from voltage-history diagnostics onto optical signals. The optical signals can propagate long distances over fiber-optic links without degrading the bandwidth of the encoded signal while protecting the recording electronics from overvoltage damage. The sinusoidal response and tolerance to high-input voltages of the Mach-Zehnder modulator used for the encoding leads to the additional advantage of a high dynamic range and a reduced need for manually swapping attenuators. We have demonstrated a single-shot, electro-optic data-acquisition system with a 600:1 dynamic range. This system provides optical isolation and a bandwidth of 6 GHz. The prototype system uses multiple optical wavelengths to allow for the multiplexing of up to eight signals onto one photodetector.

FASTER (Face, Arm, Speech, Time, Emergency Response): experience of Central Coast Stroke Services implementation of a pre-hospital notification system for expedient management of acute stroke.

Despite benefit in acute ischaemic stroke, less than 3% of patients receive tissue plasminogen activator (tPA) in Australia. The FASTER (Face, Arm, Speech, Time, Emergency Response) protocol was constructed to reduce pre-hospital and Emergency Department (ED) delays and improve access to thrombolysis. This study aimed to determine if introduction of the FASTER protocol increases use of tPA using a prospective pre- and post-intervention cohort design in a metropolitan hospital. A pre-hospital assessment tool was used by ambulance services to screen potential tPA candidates. The acute stroke team was contacted, hospital bypass allowed, triage and CT radiology alerted, and the patient rapidly assessed on arrival to ED. Data were collected prospectively during the first 6 months of the new pathway and compared to a 6-month period 12 months prior to protocol initiation. In the 6 months following protocol introduction, 115 patients presented within 24 hours of onset of an ischaemic stroke: 22 (19%) received thrombolysis, significantly greater than five (7%) of 67 patients over the control period, p=0.03. Overall, 42 patients were referred via the FASTER pathway, with 21 of these receiving tPA (50%). One inpatient stroke was also treated. Only two referrals (<5%) were stroke mimics. Introduction of the FASTER pathway also significantly reduced time to thrombolysis and time to admission to the stroke unit. Therefore, fast-track referral of potential tPA patients involving the ambulance services and streamlined hospital assessment is effective and efficient in improving patient access to thrombolysis.

The use of an i-gel supraglottic airway for the airway management of a patient with subglottic stenosis: a case report.

The airway management of patients with subglottic stenosis poses many challenges for the anesthesiologist. Although many anesthesiologists would prefer the use of a narrow endotracheal tube in this patient population, the use of laryngeal mask airways has also been described. We report the case of a patient who was managed using an i-gel supraglottic airway due to a difficulty with inserting an endotracheal tube during a previous procedure. A 47-year old woman with an ASA (American Society of Anesthesiologists) score of I was scheduled to undergo a laparoscopic cholecystectomy. An i-gel supraglottic airway was inserted without difficulty, provided a good seal, and allowed for controlled ventilation with acceptable peak pressures throughout the operation, including during pneumoperitoneum. Furthermore, the vocal cords were successfully visualized using a fiberscope, allowing the possibility of eventual fiberoptic intubation, if it had been necessary. The presence of subglottic stenosis was also confirmed using the fiberscope. Thus, the i-gel airway device has multiple features that makes it suitable for use in situations where a narrow endotracheal tube is inadvisable or too difficult to use.

A comparison of the I-gel supraglottic airway as a conduit for tracheal intubation with the intubating laryngeal mask airway: a manikin study.

BACKGROUND: Insertion of a supraglottic airway and tracheal intubation through it may be indicated in resuscitation scenarios where conventional laryngoscopy fails. Various supraglottic devices have been used as conduits for tracheal intubation, including the intubating laryngeal mask airway (ILMA), the Ctrach laryngeal mask and the I-gel supraglottic airway. METHODS: A prospective study with 25 participants evaluated the success rate of blind intubation (using a gum-elastic bougie, an Aintree intubating catheter (AIC) and designated tracheal tube) and fibrescope-guided tracheal intubation (through the intubating laryngeal mask airway and the I-gel supraglottic airway) on three different airway manikins. RESULTS: Twenty-five anaesthetists performed three intubations with each method on each of three manikins. The success rate of the fibrescope-guided technique was significantly higher than blind attempts (P<0.0001) with both devices. For fibreoptic techniques, there was no difference found between the ILMA and I-gel (P>0.05). All blind techniques were significantly more successful in the ILMA group compared to the I-gel (P<0.0001 for bougie, Aintree catheter and tracheal tube, respectively). CONCLUSIONS: The results of this study show that, in manikins, fibreoptic intubation through both ILMA and I-gel is a highly successful technique. Blind intubation through the I-gel showed a low success rate and should not be attempted.

Egg storage alters weight of supply and demand organs of broiler chicken embryos.

Storage of fertilized eggs for more than 10 d prior to incubation decreases embryonic viability. The hypothesis was tested that embryos may grow differently following egg storage. Eggs from which embryos survived following storage (ST) were compared to eggs from a second line that did not (NOST). Three identical, independent trials were conducted using fertile eggs from both lines at two ages (peak lay and > 53 wk). Eggs were stored for 1 or 14 d prior to setting in the incubator. At 3-d intervals during development, embryos were carefully removed from the eggs, the yolks were excised and carcasses were weighed. Beginning at 12 d of incubation whole body, heart, liver and thigh tissues were weighed to assess allometric growth of supply (heart and liver) and demand (thigh muscle) tissues. Storage of eggs from both lines and from hens of both ages decreased BW differently throughout incubation. Line, Age and Storage interacted to affect embryonic BW and organ weights. Embryo weights were consistently heavier in NOST line eggs from older breeder flocks stored for 14 d than those from ST line eggs. It was concluded that extended storage of fertile eggs prior to setting affects embryonic growth to enhance survival.

Incubation temperature affects plasma insulin-like growth factors in embryos from selected lines of turkeys.

An experiment was conducted to test the hypothesis that incubator temperature may affect circulating insulin-like growth factors (IGF-I and IGF-II). In prior studies, growth of turkey embryos was altered by increasing incubator temperatures. Interestingly, the embryonic growth of a growth-selected line (F) was reduced, whereas embryos from an egg-production-selected line (E) did not alter embryonic growth but altered organogenesis. Growth of the F and E lines was altered experimentally in the current study by increasing incubator temperature from 36.8 to 37.2 C during the last 3 d of incubation. Embryonic blood samples were taken and analyzed for glucose, glucagon, IGF-I, and IGF-II concentrations. Increased incubator temperature elevated embryonic plasma glucose concentrations of all treatments compared to controls, which was accompanied by increased plasma glucagon concentration only in the E line embryos. Line and treatment interacted to affect IGF-I and IGF-II concentrations of embryo and hatchlings. Line E embryos increased IGF-I in response to the higher temperature, but controls did not; F embryos altered IGF-II in response to treatment, but controls did not. Alterations in IGF-I in E corresponded to growth responses, whereas IGF-II in F corresponded to metabolic responses. We concluded that changes in turkey embryo growth rates to incubator temperature involved changes in IGF-I. Additionally, IGF-II and glucagon are involved in intermediary metabolism during higher temperature exposure.

Egg storage effects on plasma glucose and supply and demand tissue glycogen concentrations of broiler embryos.

The hypothesis was tested that enhanced embryonic carbohydrate metabolism may enable embryos to survive egg storage effects. As lines of broiler breeders age, some lines resist detrimental effects of egg storage on embryonic survival, whereas others do not. Fertile eggs were obtained from two lines differing in storage ability. Eggs from each line by age group were stored for 1 or 14 d prior to setting. Eggs were distributed randomly into a single machine and incubated under standard conditions. Beginning at 17 d of incubation, immediately prior to the plateau stage in oxygen consumption, embryos from each of the treatment groups were sampled for BW, organ growth, glycogen concentration, and plasma glucose concentrations. Sampling continued through hatching. Plasma glucose concentrations increased significantly, and hepatic glycogen concentrations declined as embryos approached hatching. The rate at which glycogen was accrued into muscle and heart tissue displayed a significant three-way interaction among line, age, and storage. Embryos from the line that resisted storage mortality maintained greater glycogen concentrations in muscle and heart tissues than those from the line and age with diminished survival rates. It was concluded that embryonic survival rates differ following egg storage because of the ability of the embryo to accrue and maintain adequate carbohydrate for growth and function of vital demand tissues.

Paternal influences on turkey embryonic growth in the absence of changes in egg weight and eggshell conductance.

The hypothesis was proposed that embryonic growth could be influenced paternally in the absence of changes in egg weight or eggshell conductance. Sire families were established by selecting 11 sires based on blood sampling of approximately 50 commercial turkey males. Southern blot analysis was used to identify the most distantly related individuals in the subpopulation. Five hen siblings or half-siblings of the males were randomly assigned to each male to randomize effects of egg size and eggshell conductance. Artificial inseminations were performed weekly for 17 wk, using each sire with the assigned hens. Fertilized eggs were collected and set in incubators at biweekly intervals. Offspring were observed at the time of hatching for sex, body weight, and blood glucose concentration. Significant differences among sires were observed at hatching for poult weights and blood glucose concentration, and a significant correlation between the BW and glucose concentration was noted. Progeny of sires with the highest and lowest BW and blood glucose concentrations were subsequently compared. Mean BW of poults from different sires differed by as much as 10 g, although they were hatched from eggs of the same weight. Elevated blood glucose was associated with heavier BW; heavier heart, liver, and muscle weights; a rapid utilization of glycogen at pipping; and increased gluconeogenesis as measured by plasma organic acids and glucose-6-phosphatase activity. We conclude that poult embryonic growth differs even when not mediated by egg size and functional characteristics.

Correlation of body weight with hatchling blood glucose concentration and its relationship to embryonic survival.

The negative correlation between selection for rapid growth and embryonic survival was investigated. Embryonic growth was assessed with hatchling weights of a closed population of commercial turkey breeders. Hatchling weights were highly significantly (P < 0.0001) and positively correlated with blood glucose concentrations at hatching. This relationship existed for both tom and hen poults. Significant differences among dams for hatchling blood glucose were observed. Further experiments examined dams selected for producing poults hatching with high (High) or low (Low) blood glucose concentrations. The High embryos were in larger-sized eggs with the same eggshell conductance but with significantly lower conductance constants than the Low embryos, suggesting that Low had longer incubation periods. High embryos grew faster than Low embryos with elevated organ glycogen concentrations. Organic acid analysis indicated elevated plasma alpha-ketoglutarate, urate, and beta-hydroxy butyrate concentrations, suggesting a greater reliance on gluconeogenesis for the High group. Posthatch growth was significantly positively correlated with hatchling blood glucose concentrations in toms but not in hens. Tom poults hatching with elevated glucose were heavier than low glucose hatch mates until 22 wk of age, but hen poults displayed no differences until 16 wk when High hens weighed less than Low hens. These data suggest that the negative correlation between rapid growth and embryonic survival is related to egg-shell conductance constants and embryonic energy metabolism.

Effect of supplemental oxygen on blood plasma organic acids within embryos from selected lines of turkeys.

The hypothesis was tested that increased oxygen tensions during the plateau stage of oxygen consumption (25 and 26 d of incubation) would cause different metabolic responses from embryos selected for increased egg production or growth. Embryos were exposed to 171 or 152 mm Hg partial pressure of oxygen from 25 to 28 d of incubation, a time when the oxygen conductance properties of the eggshell are exceeded by the embryonic tissue demands for oxygen. Carbohydrate and lipid metabolism were observed by measuring plasma organic acids in embryos from selected lines and randombred controls. (E was selected for increased egg production; RBC1 is the randombred line from which it was selected. F was selected for increased BW; RBC2 is the randombred line from which it was selected.) During the plateau stage in oxygen consumption, RBC2 embryos responded to added oxygen by utilizing fat rather than carbohydrate, whereas F embryos responded by using less fat as well as less carbohydrate from the liver and kidney. The response of F embryos to added oxygen is the opposite that might be expected for aerobic metabolism. The reason that selection for growth has resulted in such a metabolism is unknown. The E embryos displayed depressed lactate and beta-hydroxybutyrate levels, but plasma urates were elevated compared with RBC1, suggesting that the selection for egg production has also resulted in a unique metabolism. The embryonic processes described in the current study suggest that selected embryos are unable to respond to elevated partial pressure of oxygen by adjusting energy metabolism, which may result in increased embryonic mortality during this stage.

Supplemental oxygen affects plasma insulin-like growth factors in embryos from selected lines of turkeys.

Recent advances in our understanding of insulin-like growth factors (IGF) have improved our knowledge of the physiological roles of these peptide hormones during avian embryogenesis. However, little is known about changes in plasma IGF in response to changes in environmental factors. The objective of the studies reported herein was to examine the response of IGF-I and IGF-II in turkey embryos to changes in incubator gaseous conditions. Two experiments were conducted in which the fractional percentage of oxygen in the incubation atmosphere, a factor known to influence the energy metabolism of embryos, was investigated for its effects on circulating IGF-I and IGF-II in developing turkey embryos. Oxygenation during pipping and hatching is known to depress lactate, urates, and beta-hydroxybutyrate in growth-selected poult embryos, but elevate them in randombred control poult embryos. Plasma concentrations of IGF-II were similarly depressed in the growth-selected hatchlings. Circulating growth factor concentrations were influenced by oxygenation in lines of turkeys in which greater oxygen concentrations enhanced cardiac growth. Enhanced cardiac growth was inversely related to IGF-I concentrations in those genetic lines of turkeys. It was concluded that changes in poult embryo energy balance as well as changes in growth to adapt to environmental incubator conditions may involve changes in IGF-I and IGF-II. These changes appeared dependent on the genetics of embryos; embryos selected for growth show more fluctuation in response to environmental oxygen than embryos selected for egg production.