| 1. |
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| 2. |
- Borges, A. H., et al.
(författare)
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Nonnucleoside Reverse-transcriptase Inhibitor- vs Ritonavir-boosted Protease Inhibitor-based Regimens for Initial Treatment of HIV Infection: A Systematic Review and Metaanalysis of Randomized Trials
- 2016
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Ingår i: Clinical Infectious Diseases. - : Oxford University Press (OUP). - 1058-4838 .- 1537-6591. ; 63:2, s. 268-280
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Tidskriftsartikel (refereegranskat)abstract
- Background. Previous studies suggest that nonnucleoside reverse-transcriptase inhibitors (NNRTIs) cause faster virologic suppression, while ritonavir-boosted protease inhibitors (PI/r) recover more CD4 cells. However, individual trials have not been powered to compare clinical outcomes. Methods. We searched databases to identify randomized trials that compared NNRTI-vs PI/r-based initial therapy. A meta-analysis calculated risk ratios (RRs) or mean differences (MDs), as appropriate. Primary outcome was death or progression to AIDS. Secondary outcomes were death, progression to AIDS, and treatment discontinuation. We calculated RR of virologic suppression and MD for an increase in CD4 cells at week 48. Results. We included 29 trials with 9047 participants. Death or progression to AIDS occurred in 226 participants in the NNRTI arm and in 221 in the PI/r arm (RR, 1.03; 95% confidence interval, .87-1.22; 12 trials; n = 3825), death in 205 participants in the NNRTI arm vs 198 in the PI/r arm (1.04; 0.86-1.25; 22 trials; n = 8311), and progression to AIDS in 140 participants in the NNRTI arm vs 144 in the PI/r arm (1.00; 0.80-1.25; 13 trials; n = 4740). Overall treatment discontinuation (1.12; 0.93-1.35; 24 trials; n = 8249) and from toxicity (1.21; 0.87-1.68; 21 trials; n = 6195) were comparable, but discontinuation due to virologic failure was more common with NNRTI (1.58; 0.91-2.74; 17 trials; n = 5371). At week 48, there was no difference between NNRTI and PI/r in virologic suppression (RR, 1.03; 0.98-1.09) or CD4(+) recovery (MD, -4.7 cells; -14.2 to 4.8). Conclusions. We found no difference in clinical and viro-immunologic outcomes between NNRTI-and PI/r-based therapy.
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| 3. |
- Hussein, A. E., et al.
(författare)
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Laser-wakefield accelerators for high-resolution X-ray imaging of complex microstructures
- 2019
-
Ingår i: Scientific Reports. - : Springer Science and Business Media LLC. - 2045-2322. ; 9:1
-
Tidskriftsartikel (refereegranskat)abstract
- Laser-wakefield accelerators (LWFAs) are high acceleration-gradient plasma-based particle accelerators capable of producing ultra-relativistic electron beams. Within the strong focusing fields of the wakefield, accelerated electrons undergo betatron oscillations, emitting a bright pulse of X-rays with a micrometer-scale source size that may be used for imaging applications. Non-destructive X-ray phase contrast imaging and tomography of heterogeneous materials can provide insight into their processing, structure, and performance. To demonstrate the imaging capability of X-rays from an LWFA we have examined an irregular eutectic in the aluminum-silicon (Al-Si) system. The lamellar spacing of the Al-Si eutectic microstructure is on the order of a few micrometers, thus requiring high spatial resolution. We present comparisons between the sharpness and spatial resolution in phase contrast images of this eutectic alloy obtained via X-ray phase contrast imaging at the Swiss Light Source (SLS) synchrotron and X-ray projection microscopy via an LWFA source. An upper bound on the resolving power of 2.7 ± 0.3 μm of the LWFA source in this experiment was measured. These results indicate that betatron X-rays from laser wakefield acceleration can provide an alternative to conventional synchrotron sources for high resolution imaging of eutectics and, more broadly, complex microstructures.
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| 4. |
- Maitrallain, A., et al.
(författare)
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Parametric study of high-energy ring-shaped electron beams from a laser wakefield accelerator
- 2022
-
Ingår i: New Journal of Physics. - : IOP Publishing. - 1367-2630. ; 24:1
-
Tidskriftsartikel (refereegranskat)abstract
- Laser wakefield accelerators commonly produce on-axis, low-divergence, high-energy electron beams. However, a high charge, annular shaped beam can be trapped outside the bubble and accelerated to high energies. Here we present a parametric study on the production of low-energy-spread, ultra-relativistic electron ring beams in a two-stage gas cell. Ring-shaped beams with energies higher than 750 MeV are observed simultaneously with on axis, continuously injected electrons. Often multiple ring shaped beams with different energies are produced and parametric studies to control the generation and properties of these structures were conducted. Particle tracking and particle-in-cell simulations are used to determine properties of these beams and investigate how they are formed and trapped outside the bubble by the wake produced by on-axis injected electrons. These unusual femtosecond duration, high-charge, high-energy, ring electron beams may find use in beam driven plasma wakefield accelerators and radiation sources.
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| 5. |
- McKenna, P., et al.
(författare)
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Effects of front surface plasma expansion on proton acceleration in ultraintense laser irradiation of foil targets
- 2008
-
Ingår i: Laser and Particle Beams. - 0263-0346. ; 26:4, s. 591-596
-
Tidskriftsartikel (refereegranskat)abstract
- The properties of beams of high energy protons accelerated during ultraintense, picosecond laser-irradiation of thin foil targets are investigated as a function of preplasma expansion at the target front surface. Significant enhancement in the maximum proton energy and laser-to-proton energy conversion efficiency is observed at optimum preplasma density gradients due, to self-focusing Of the incident laser pulse. For very long preplasma expansion, the propagating laser pulse is observed to filament, resulting in highly uniform proton beams, but with reduced flux and maximum energy.
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| 6. |
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| 7. |
- Spesyvtsev, R., et al.
(författare)
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Generation of electron high energy beams with a ring-like structure by a dual stage laser wakefield accelerator
- 2019
-
Ingår i: Relativistic Plasma Waves and Particle Beams as Coherent and Incoherent Radiation Sources III. - : SPIE. - 9781510627383 ; 11036
-
Konferensbidrag (refereegranskat)abstract
- The laser wake-field accelerator (LWFA) traditionally produces high brightness, quasi-monoenergetic electron beams with Gaussian-like spatial and angular distributions. In the present work we investigate the generation of ultra-relativistic beams with ring-like structures in the blowout regime of the LWFA using a dual stage accelerator. A density down-ramp triggers injection after the first stage and is used to produce ring-like electron spectra in the 300 - 600 MeV energy range. These well defined, annular beams are observed simultaneously with the on-axis, high energy electron beams, with a divergence of a few milliradians. The rings have quasi-monoenergetic energy spectra with an RMS spread estimated to be less than 5%. Particle-in-cell simulations confirm that off-axis injection provides the electrons with the initial transverse momentum necessary to undertake distinct betatron oscillations within the plasma bubble during their acceleration process.
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| 8. |
- Streeter, M. J.V., et al.
(författare)
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Characterization of laser wakefield acceleration efficiency with octave spanning near-IR spectrum measurements
- 2022
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Ingår i: Physical Review Accelerators and Beams. - 2469-9888. ; 25:10
-
Tidskriftsartikel (refereegranskat)abstract
- We report on experimental measurements of energy transfer efficiencies in a GeV-class laser wakefield accelerator. Both the transfer of energy from the laser to the plasma wakefield and from the plasma to the accelerated electron beam was diagnosed by simultaneous measurement of the deceleration of laser photons and the acceleration of electrons as a function of plasma length. The extraction efficiency, which we define as the ratio of the energy gained by the electron beam to the energy lost by the self-guided laser mode, was maximized at 19±3% by tuning the plasma density and length. The additional information provided by the octave-spanning laser spectrum measurement allows for independent optimization of the plasma efficiency terms, which is required for the key goal of improving the overall efficiency of laser wakefield accelerators.
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| 9. |
- Carroll, DC, et al.
(författare)
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Active manipulation of the spatial energy distribution of laser-accelerated proton beams
- 2007
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Ingår i: Physical Review E (Statistical, Nonlinear, and Soft Matter Physics). - 1539-3755. ; 76:065401(R), s. 1-065401
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Tidskriftsartikel (refereegranskat)abstract
- The spatial energy distributions of beams of protons accelerated by ultrahigh intensity (>10^19 W/cm2) picosecond laser pulse interactions with thin foil targets are investigated. Using separate, low intensity (<10^13 W/cm2) nanosecond laser pulses, focused onto the front surface of the target foil prior to the arrival of the high intensity pulse, it is demonstrated that the proton beam profile can be actively manipulated. In particular, results obtained with an annular intensity distribution at the focus of the low intensity beam are presented, showing smooth proton beams with a sharp circular boundary at all energies, which represents a significant improvement in the beam quality compared to irradiation with the picosecond beam alone.
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| 10. |
- Cassou, K., et al.
(författare)
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Optimization toward a high-average-brightness soft-x-ray laser pumped at grazing incidence
- 2007
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Ingår i: Optics Letters. - 0146-9592. ; 32:2, s. 139-141
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Tidskriftsartikel (refereegranskat)abstract
- We report the near-field imaging characterization of a 10 Hz Ni-like 18.9 nm molybdenum soft-x-ray laser pumped in a grazing incidence pumping (GRIP) geometry with a table-top laser driver. We investigate the effect of varying the GRIP angle on the spatial behavior of the soft-x-ray laser source. After multiparameter optimization, we were able to find conditions to generate routinely a high-repetition-rate soft-x-ray laser with an energy level of up to 3 mu J/pulse and to 6 x 10(17) photons/s/mm(2)/mrad(2)/(0.1% bandwidth) average brightness and 1 x 10(28) photons/s/mm(2)/mrad(2)/(0.1% bandwidth) peak brightness. (c) 2006 Optical Society of America.
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| 11. |
- Dickson, L. T., et al.
(författare)
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Mechanisms to control laser-plasma coupling in laser wakefield electron acceleration
- 2022
-
Ingår i: Physical Review Accelerators and Beams. - 2469-9888. ; 25:10
-
Tidskriftsartikel (refereegranskat)abstract
- Experimental results, supported by precise modeling, demonstrate optimization of a plasma-based injector with intermediate laser pulse energy (<1 J), corresponding to a normalized vector potential a0=2.15, using ionization injection in a tailored plasma density profile. An increase in electron bunch quality and energy is achieved experimentally with the extension of the density downramp at the plasma exit. Optimization of the focal position of the laser pulse in the tailored plasma density profile is shown to efficiently reduce electron bunch angular deviation, leading to a better alignment of the electron bunch with the laser axis. Single peak electron spectra are produced in a previously unexplored regime by combining an early focal position and adaptive optic control of the laser wavefront by optimizing the symmetry of the prefocal laser energy distribution. Experimental results have been validated through particle-in-cell simulations using realistic laser energy, phase distribution, and temporal envelope, allowing for accurate predictions of difficult to model parameters, such as total charge and spatial properties of the electron bunches, opening the way for more accurate modeling for the design of plasma-based accelerators.
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| 12. |
- Kazamias, S, et al.
(författare)
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Characterization of a transient collisional Ni-like molybdenum soft x-ray laser pumped in grazing incidence
- 2008
-
Ingår i: Physical Review A (Atomic, Molecular and Optical Physics). - 1050-2947. ; 77:3
-
Tidskriftsartikel (refereegranskat)abstract
- We present experimental results from an extensive investigation of a Ni-like Mo X-ray laser pumped in the transient regime and GRIP configuration (GRazing Incidence Pumping). The pump laser is a 10 Hz, 1 J, Ti:Sa laser system. The main diagnostic is a monochromatic near-field imaging system with a 1.7 micron spatial resolution that shows the soft x-ray laser source size and position relative to the target surface. Changes of those characteristics are observed for different GRIP angles, varied between 15◦ and 21◦, while keeping all other parameters constant. Intense lasing is observed routinely at 18.9 nm with up to 3 microjoule output energy and stable operation is demonstrated at 10 Hz. We have investigated the role of several pumping parameters, in particular the relative energy and delay between the long and short pulse. We show that this multi-parameter scan leads to a well-defined optimal regime of operation and better understanding of the GRIP configuration. Finally, as the GRIP scheme requires careful tailoring of the plasma conditions to the specific soft x-ray laser under investigation, we add a prepulse before the plasma producing long pulse to generate large-scale preplasmas. This increases the brightness of the soft x-ray beam and leads to an almost gaussian near-field spatial profile.
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| 13. |
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| 14. |
- Lindau, Filip, et al.
(författare)
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Quantitative study of 10 Hz operation of a soft x-ray laser-energy stability and target considerations
- 2007
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Ingår i: Optics Express. - 1094-4087. ; 15:15, s. 9486-9493
-
Tidskriftsartikel (refereegranskat)abstract
- A soft x- ray laser from Ni- like Mo, pumped in grazing incidence ( GRIP), is analyzed with regard to high repetition rate operation. Reliable lasing is obtained, but with significant energy fluctuations attributed mainly to beam pointing jitter from the pump laser. Two modes of operation are compared: continuously moving target and stationary target. With a moving target the soft X- ray output is constant on average, whereas the repeated use of the same target position leads to a pulse energy which increases for several tens of shots. This effect might be caused by improved guiding of the pump laser in the formed groove and the removal, through laser ablation, of the oxide layer on the target surface. (c) 2007 Optical Society of America.
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| 15. |
- McKenna, P., et al.
(författare)
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Lateral electron transport in high-intensity laser-irradiated foils diagnosed by ion emission
- 2007
-
Ingår i: Physical Review Letters. - 1079-7114. ; 98:14
-
Tidskriftsartikel (refereegranskat)abstract
- An experimental investigation of lateral electron transport in thin metallic foil targets irradiated by ultraintense (>= 10(19) W/cm(2)) laser pulses is reported. Two-dimensional spatially resolved ion emission measurements are used to quantify electric-field generation resulting from electron transport. The measurement of large electric fields (similar to 0.1 TV/m) millimeters from the laser focus reveals that lateral energy transport continues long after the laser pulse has decayed. Numerical simulations confirm a very strong enhancement of electron density and electric field at the edges of the target.
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| 16. |
- Nuernberg, F., et al.
(författare)
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Radiochromic film imaging spectroscopy of laser-accelerated proton beams
- 2009
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Ingår i: Review of Scientific Instruments. - : AIP Publishing. - 1089-7623 .- 0034-6748. ; 80:3
-
Tidskriftsartikel (refereegranskat)abstract
- This article reports on an experimental method to fully reconstruct laser-accelerated proton beam parameters called radiochromic film imaging spectroscopy (RIS). RIS allows for the characterization of proton beams concerning real and virtual source size, envelope- and microdivergence, normalized transverse emittance, phase space, and proton spectrum. This technique requires particular targets and a high resolution proton detector. Therefore thin gold foils with a microgrooved rear side were manufactured and characterized. Calibrated GafChromic radiochromic film (RCF) types MD-55, HS, and HD-810 in stack configuration were used as spatial and energy resolved film detectors. The principle of the RCF imaging spectroscopy was demonstrated at four different laser systems. This can be a method to characterize a laser system with respect to its proton-acceleration capability. In addition, an algorithm to calculate the spatial and energy resolved proton distribution has been developed and tested to get a better idea of laser-accelerated proton beams and their energy deposition with respect to further applications.
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| 17. |
- Batani, D., et al.
(författare)
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Effects of laser prepulse on proton generation
- 2010
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Ingår i: Nuclear Instruments and Methods in Physics Research Section A: Accelerators, Spectrometers, Detectors and Associated Equipment. - : Elsevier BV. - 0168-9002. ; 620:1, s. 76-82
-
Konferensbidrag (refereegranskat)abstract
- Low-intensity laser prepulse ( < 10(13) W/cm(2), ns duration) are a major issue in experiments on laser-generation of protons, often limiting the performances of proton sources produced by high-intensity lasers (approximate to 10(19) W/cm(2), ps or fs duration) Several effects are associated to the prepulse and are discussed in this contribution: i) Destruction of thin foil targets by the shock generated by the laser prepulse ii) Creation of preplasma on target front side affecting laser absorption iii) Deformation of target rear side iv) Whole displacement of thin foil targets affecting focusing condition In particular, we show that under oblique high-intensity irradiation and for low prepulse intensities, the proton beam is directed away from the target normal. Deviation is towards the laser forward direction, with an angle that increases with the level and duration of the ASE pedestal. Also, for a given laser pulse, beam deviation increases with proton energy. The observations are discussed in terms of Target Normal Sheath Acceleration, in combination with a laser-controllable shock wave locally deforming the target surface. (C) 2010 Elsevier B.V. All rights reserved.
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| 18. |
- Batani, D., et al.
(författare)
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Effects of laser prepulse on proton generation
- 2010
-
Ingår i: Radiation Effects and Defects in Solids. - : Informa UK Limited. - 1042-0150 .- 1029-4953. ; 165:6-10, s. 794-802
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Konferensbidrag (refereegranskat)abstract
- Prepulse is a major issue for laser generation of protons, often limiting the performances of laser sources. Here, we show the use of prepulse (1013W/cm2, ns duration) to actively manipulate the proton beam direction. Under oblique high-intensity irradiation (approximate to 1019W/cm2, ps duration) of the thin foil target, and for low prepulse intensities, the proton beam is directed away from the ounperturbedo target normal. Observations are discussed in terms of target normal sheath acceleration, in combination with a laser-controllable shock locally deforming the target surface.
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| 19. |
- Batani, D., et al.
(författare)
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Effects of laser prepulses on laser-induced proton generation
- 2010
-
Ingår i: New Journal of Physics. - : IOP Publishing. - 1367-2630. ; 12
-
Tidskriftsartikel (refereegranskat)abstract
- Low-intensity laser prepulses (<10(13) W cm(-2), nanosecond duration) are a major issue in experiments on laser-induced generation of protons, often limiting the performances of proton sources produced by high-intensity lasers (approximate to 10(19) W cm(-2), picosecond or femtosecond duration). Depending on the intensity regime, several effects may be associated with the prepulse, some of which are discussed in this paper: (i) destruction of thin foil targets by the shock generated by the laser prepulse; (ii) creation of preplasma on the target front side affecting laser absorption; (iii) deformation of the target rear side; and (iv) whole displacement of thin foil targets affecting the focusing condition. In particular, we show that under oblique high-intensity irradiation and for low prepulse intensities, the proton beam is directed away from the target normal. Deviation is towards the laser forward direction, with an angle that increases with the level and duration of the ASE pedestal. Also, for a given laser pulse, the beam deviation increases with proton energy. The observations are discussed in terms of target normal sheath acceleration, in combination with a laser-controllable shock wave locally deforming the target surface.
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| 20. |
- Carroll, D. C., et al.
(författare)
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A modified Thomson parabola spectrometer for high resolution multi-MeV ion measurements-Application to laser-driven ion acceleration
- 2010
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Ingår i: Nuclear Instruments and Methods in Physics Research Section A: Accelerators, Spectrometers, Detectors and Associated Equipment. - : Elsevier BV. - 0168-9002. ; 620:1, s. 23-27
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Konferensbidrag (refereegranskat)abstract
- A novel Thomson parabola ion spectrometer design is presented, in which a gradient electric field configuration is employed to enable a compact design capable of high resolution measurements of ion energy and charge-to-mass ratio. Practical issues relating to the use of the spectrometer for measurement of ion acceleration in high-power laser-plasma experiments are discussed. Example experimental results for ion acceleration from petawatt-class laser interactions with thin gold target foils are presented. (C) 2010 Elsevier B.V. All rights reserved.
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| 21. |
- Clarke, R. J., et al.
(författare)
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Detection of short lived radioisotopes as a fast diagnostic for intense laser-solid interactions
- 2006
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Ingår i: Applied Physics Letters. - : AIP Publishing. - 0003-6951 .- 1077-3118. ; 89:14
-
Tidskriftsartikel (refereegranskat)abstract
- As a diagnostic of high-intensity laser interactions (> 10(19) W cm(-2)), the detection of radioactive isotopes is regularly used for the characterization of proton, neutron, ion, and photon beams. This involves sample removal from the interaction chamber and time consuming post shot analysis using NaI coincidence counting or Ge detectors. This letter describes the use of in situ detectors to measure laser-driven (p,n) reactions in Al-27 as an almost real-time diagnostic for proton acceleration. The produced Si-27 isotope decays with a 4.16 s half-life by the predominantly beta+ emission, producing a strong 511 keV annihilation peak. (c) 2006 American Institute of Physics.
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| 22. |
- Kettle, B., et al.
(författare)
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Single-Shot Multi-keV X-Ray Absorption Spectroscopy Using an Ultrashort Laser-Wakefield Accelerator Source
- 2019
-
Ingår i: Physical Review Letters. - 0031-9007. ; 123:25
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Tidskriftsartikel (refereegranskat)abstract
- Single-shot absorption measurements have been performed using the multi-keV x rays generated by a laser-wakefield accelerator. A 200 TW laser was used to drive a laser-wakefield accelerator in a mode which produced broadband electron beams with a maximum energy above 1 GeV and a broad divergence of ≈15 mrad FWHM. Betatron oscillations of these electrons generated 1.2±0.2×106 photons/eV in the 5 keV region, with a signal-to-noise ratio of approximately 300 1. This was sufficient to allow high-resolution x-ray absorption near-edge structure measurements at the K edge of a titanium sample in a single shot. We demonstrate that this source is capable of single-shot, simultaneous measurements of both the electron and ion distributions in matter heated to eV temperatures by comparison with density functional theory simulations. The unique combination of a high-flux, large bandwidth, few femtosecond duration x-ray pulse synchronized to a high-power laser will enable key advances in the study of ultrafast energetic processes such as electron-ion equilibration.
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| 23. |
- Landegren, N, et al.
(författare)
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AIREing out autoimmunity
- 2015
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Ingår i: SCIENCE TRANSLATIONAL MEDICINE. - 1946-6234. ; 7:292
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)
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| 24. |
- McCartan, S., et al.
(författare)
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European boat design innovation group: The Marine Design Manifesto
- 2014
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Ingår i: RINA, Royal Institution of Naval Architects - Marine Design, Papers. - 9781909024298 ; , s. 1-29
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Konferensbidrag (refereegranskat)abstract
- A manifesto is a published verbal declaration of the intentions, motives, or views of an issue. It accepts a previously published opinion and promotes a new idea with prescriptive notions for carrying out changes that the authors believe should be made. Marine Design is presented as an interdisciplinary holistic approach to boat design, based on the methodologies of Industrial Design, which are informed by both Human Factors and Engineering. The authors as experts in their respective disciplines present the Marine Design Manifesto as a framework for innovation within the marine industry. In every professional field there are definitive texts, this paper provides advocacy for Marine Design, an interdisciplinary approach in its infancy. The authors review key Industrial Design manifestos in the context of Marine Design. They then present a contextualised Marine Design manifesto. © 2014: The Royal Institution of Naval Architects.
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| 25. |
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| 26. |
- Aurand, Bastian, et al.
(författare)
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A setup for studies of laser-driven proton acceleration at the Lund Laser Centre
- 2015
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Ingår i: Laser and Particle Beams. - 0263-0346. ; 33:1, s. 59-64
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Tidskriftsartikel (refereegranskat)abstract
- We report on a setup for the investigation of proton acceleration in the regime of target normal sheath acceleration. The main interest here is to focus on stable laser beam parameters as well as a reliable target setup and diagnostics in order to do extensive and systematic studies on the acceleration mechanism. A motorized target alignment system in combination with large target mounts allows for up to 340 shots with high repetition rate without breaking the vacuum. This performance is used to conduct experiments with a split mirror setup exploring the effect of spatial and temporal separation between the pulses on the acceleration mechanism and on the resulting proton beam.
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| 27. |
- Aurand, B., et al.
(författare)
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Manipulation of the spatial distribution of laser-accelerated proton beams by varying the laser intensity distribution
- 2016
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Ingår i: Physics of Plasmas. - : AIP Publishing. - 1089-7674 .- 1070-664X. ; 23:2
-
Tidskriftsartikel (refereegranskat)abstract
- We report on a study of the spatial profile of proton beams produced through target normal sheath acceleration using flat target foils and changing the laser intensity distribution on the target front surface. This is done by either defocusing a single laser pulse or by using a split-pulse setup and irradiating the target with two identical laser pulses with variable spatial separation. The resulting proton beam profile and the energy spectrum are recorded as functions of the focal spot size of the single laser pulse and of the separation between the two pulses. A shaping of the resulting proton beam profile, related to both an increase in flux of low-energy protons in the target normal direction and a decrease in their divergence, in one or two dimensions, is observed. The results are explained by simple modelling of rear surface sheath field expansion, ionization, and projection of the resulting proton beam.
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| 28. |
- Axelsson, K. F., et al.
(författare)
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Fracture Risk After Gastric Bypass Surgery : A Retrospective Cohort Study
- 2018
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Ingår i: Osteoporosis International. - : Springer London. - 0937-941X .- 1433-2965. ; 29:Suppl. 1, s. S491-S491
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- Objectives: Gastric bypass surgery constitutes the most common and effective bariatric surgery to treat obesity. Gastric bypass leads to bone oss but fracture risk following surgery has been insufficiently studied. Our objective was to investigate if gastric bypass surgery in obese patients, with and without diabetes, was associated with fracture risk, and if the fracture risk was associated with post-surgery weight loss or insufficient calcium and vitamin D supplementation.Methods: Using large databases, 38 971 obese patients undergoing gastric bypass were identified, 7758 with diabetes and 31 213 without. Through multivariable 1:1 propensity score matching, well-balanced controls were identified. The risk of fracture and fall injury was investigated using Cox proportional hazards and flexible parameter models. Fracture risk according to weight loss and degree of calcium and vitamin D supplementation one year post-surgery was investigated.Results: 77 942 patients had a median and total follow-up time of 3.1 (IQR 1.7-4.6) and 251 310 person-years, respectively. Gastric bypass was associated with increased risk of any fracture, in patients with diabetes and without diabetes using a multivariable Cox model (HR 1.26, 95%CI 1.05-1.53 and HR 1.32, 95%CI 1.18-1.47, respectively). The risk of fall injury without fracture was also increased after gastric bypass, both in patients with (HR 1.26 95%CI 1.04-1.52) and without diabetes (HR 1.24 95%CI 1.12-1.38). Weight loss or degree of calcium and vitamin D supplementation after gastric bypass were not associated with fracture risk.Conclusions: Gastric bypass was associated with an increased risk of fracture and fall injury. Weight loss or calcium and vitamin D supplementation following surgery were not associated with fracture risk. These findings indicate that gastric bypass increases fracture risk, which could at least partly be due to increased susceptibility to falls.
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| 29. |
- Bondesson, Johan, 1991, et al.
(författare)
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Automated Quantification of Diseased Thoracic Aortic Longitudinal Centerline and Surface Curvatures
- 2020
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Ingår i: Journal of Biomechanical Engineering-Transactions of the Asme. - : ASME International. - 0148-0731 .- 1528-8951. ; 142:4
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Tidskriftsartikel (refereegranskat)abstract
- Precise description of vascular morphometry is crucial to support medical device manufacturers and clinicians for improving device development and interventional outcomes. A compact and intuitive method is presented to automatically characterize the surface geometry of tubular anatomic structures and quantify surface curvatures starting from generic stereolithographic (STL) surfaces. The method was validated with software phantoms and used to quantify the longitudinal surface curvatures of 37 human thoracic aortas with aneurysm or dissection. The quantification of surface curvatures showed good agreement with analytic solutions from the software phantoms, and demonstrated better agreement as compared to estimation methods using only centerline geometry and cross-sectional radii. For the human thoracic aortas, longitudinal inner surface curvature was significantly higher than centerline curvature (0.33 +/- 0.06 versus 0.16 +/- 0.02cm(-1) for mean; 1.38 +/- 0.48 versus 0.45 +/- 0.11cm(-1) for peak; both p<0.001). These findings show the importance of quantifying surface curvatures in order to better describe the geometry and biomechanical behavior of the thoracic aorta, which can assist in treatment planning and supplying device manufactures with more precise boundary conditions for mechanical evaluation.
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| 30. |
- Bondesson, Johan, 1991, et al.
(författare)
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Definition of Tubular Anatomic Structures from Arbitrary Stereo Lithographic Surface
- 2017
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Ingår i: Initiative Seminar Engineering Health, 8-9 November 2017, Chalmers.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- An accurate description of anatomies and dynamics of vessels is crucial to understand their characteristics and improve surgical techniques, thus it is the basis, in addition to surgeon experience, on which stent design and operation procedures rely. The process of producing this description is user intensive, and recent improvement in image processing of medical3D imaging allows for a more automated workflow. However, there is a need to bridge the gap from a processed geometry to a robust mathematical computational grid. By sequentially segmenting a tubular anatomic structure, here defined by a stereo lithographic (STL) surface, an initial centerline is formed by connecting centroids of orthogonal cross-sectional contours along the length of the structure. Relying on the initial centerline, a set of non-overlapping 2D cross sectional contours are defined along the centerline, a centerline which is updated after the 2D contours are produced. After a second iteration of producing 2D contours and updating the centerline, a full description of the structure is created. Our method for describing vessel geometry shows good coherence to existing method. The main advantages of our method include the possibility of having arbitrary triangulated STL surface input, automated centerline definition, safety against intersecting cross-sectional contours and automatic clean-up of local kinks and wrinkles.
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| 31. |
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| 32. |
- Bondesson, Johan, 1991, et al.
(författare)
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Quantification of True Lumen Helical Morphology and Chirality in Type B Aortic Dissections
- 2021
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Ingår i: American Journal of Physiology - Heart and Circulatory Physiology. - : American Physiological Society. - 1522-1539 .- 0363-6135. ; 320:2, s. H901-H911
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Tidskriftsartikel (refereegranskat)abstract
- Chirality is a fundamental property in many biologic systems. Motivated by previous observations of helical aortic blood flow, aortic tissue fibers, and propagation of aortic dissections, we introduce methods to characterize helical morphology of aortic dissections. After validation on computer generated phantoms, the methods were applied to patients with type B dissection. For this cohort, there was a distinct bimodal distribution of helical propagation of the dissection with either achiral or exclusively right-handed chirality, with no intermediate cases or left-handed cases. This clear grouping indicates that dissection propagation favors these two modes, potentially due to the right-handedness of helical aortic blood flow and cell orientation. The characterization of dissection chirality and quantification of helical morphology advances our understanding of dissection pathology and lays a foundation for applications in clinical research and treatment practice. For example, the chirality and magnitude of helical metrics of dissections may indicate risk of dissection progression, help define treatment and surveillance strategies, and enable development of novel devices that account for various helical morphologies.
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| 33. |
- Bondesson, J., et al.
(författare)
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Quantification of true lumen helical morphology and chirality in type B aortic dissections
- 2021
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Ingår i: American Journal of Physiology-Heart and Circulatory Physiology. - : American Physiological Society. - 0363-6135 .- 1522-1539. ; 320:2
-
Tidskriftsartikel (refereegranskat)abstract
- Chirality is a fundamental property in many biological systems. Motivated by previous observations of helical aortic blood flow, aortic tissue fibers, and propagation of aortic dissections, we introduce methods to characterize helical morphology of aortic dissections. After validation on computer-generated phantoms, the methods were applied to patients with type B dissection. For this cohort, there was a distinct bimodal distribution of helical propagation of the dissection with either achiral or exclusively right-handed chirality, with no intermediate cases or left-handed cases. This clear grouping indicates that dissection propagation favors these two modes, which is potentially due to the right-handedness of helical aortic blood flow and cell orientation. The characterization of dissection chirality and quantification of helical morphology advances our understanding of dissection pathology and lays a foundation for applications in clinical research and treatment practice. For example, the chirality and magnitude of helical metrics of dissections may indicate risk of dissection progression, help define treatment and surveillance strategies, and enable development of novel devices that account for various helical morphologies. NEW & NOTEWORTHY A novel definition of helical propagation of type B aortic dissections reveals a distinct bimodality, with the true lumen being either achiral (nonhelical) or exclusively right-handed. This right-handed chirality is consistent with anatomic and physiological phenomena such as right-handed twist during left ventricle contraction, helical blood flow, and tissue fiber direction. The helical character of aortic dissections may be useful for pathology research, diagnostics, treatment selection, therapeutic durability prediction, and aortic device design.
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| 34. |
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| 35. |
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| 36. |
- Giuffrida, L., et al.
(författare)
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Manipulation of laser-accelerated proton beam profiles by nanostructured and microstructured targets
- 2017
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Ingår i: Physical Review Accelerators and Beams. - 2469-9888. ; 20:8, s. 081301-
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Tidskriftsartikel (refereegranskat)abstract
- Nanostructured and microstructured thin foils have been fabricated and used experimentally as targets to manipulate the spatial profile of proton bunches accelerated through the interaction with high intensity laser pulses (6 x 1019 W/cm(2)). Monolayers of polystyrene nanospheres were placed on the rear surfaces of thin plastic targets to improve the spatial homogeneity of the accelerated proton beams. Moreover, thin targets with grating structures of various configurations on their rear sides were used tomodify the proton beam divergence. Experimental results are presented, discussed, and supported by 3D particle-in-cell numerical simulations.
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| 37. |
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| 38. |
- Guénot, D., et al.
(författare)
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Simultaneous laser-driven x-ray and two-photon fluorescence imaging of atomizing sprays
- 2020
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Ingår i: Optica. - 2334-2536. ; 7:2, s. 131-134
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Tidskriftsartikel (refereegranskat)abstract
- In this Letter, we report for the first time, to the best of our knowledge, the possibility of visualizing an atomizing spray by simultaneously recording x-ray absorption and two-photon laser-induced fluorescence imaging. This unique illumination/detection scheme is made possible due to the use of soft x rays emitted from a laser-driven x-ray source. An 800 mJ laser pulse of 38 fs duration is used to generate an x-ray beam with up to 4 × 108 photons ranging from 1 to 10 keV, allowing projection radiography of water jets generated by an automotive port fuel injector. In addition, a fraction of the laser pulse (∼10mJ) is employed to form a light sheet and to induce two-photon fluorescence in a dye added to the water. The resulting high-contrast fluorescence images provide fine details of the spray structure, with reduced blur from multiple light scattering, while the integrated liquid mass is extracted from the x-ray radiography. In this proof of principle, we show that the combination of these two highly complementary techniques, in both the visible and soft x-ray regimes, is very promising for future characterization of challenging spray, as well as for further understanding of the physics of liquid atomization.
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| 39. |
- Jackson, A D, et al.
(författare)
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Phase diagram of a rotating Bose-Einstein condensate with anharmonic confinement
- 2004
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Ingår i: Physical Review A. Atomic, Molecular, and Optical Physics. - 1050-2947 .- 1094-1622. ; 69:5, s. 053619-
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Tidskriftsartikel (refereegranskat)abstract
- We examine the phase diagram of an effectively repulsive Bose-Einstein condensate of atoms that rotates in a quadratic-plus-quartic potential. With use of a variational method we identify the three possible phases of the system as a function of the rotational frequency of the trap and of the coupling constant. The derived phase diagram is shown to be universal and partly exact in the limit of weak interactions and small anharmonicity. The variational results are found to be consistent with numerical solutions of the Gross-Pitaevskii equation.
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| 40. |
- Jackson, A D, et al.
(författare)
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Stability of the solutions of the Gross-Pitaevskii equation
- 2005
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Ingår i: Physical Review A. Atomic, Molecular, and Optical Physics. - 1050-2947 .- 1094-1622. ; 72:5, s. 053617-
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Tidskriftsartikel (refereegranskat)abstract
- We examine the static and dynamic stability of the solutions of the Gross-Pitaevskii equation and demonstrate the intimate connection between them. All salient features related to dynamic stability are reflected systematically in static properties. We find, for example, the obvious result that static stability always implies dynamic stability and present a simple explanation of the fact that dynamic stability can exist even in the presence of static instability.
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| 41. |
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| 42. |
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| 43. |
- Kar, S., et al.
(författare)
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Guiding of Relativistic Electron Beams in Solid Targets by Resistively Controlled Magnetic Fields
- 2009
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Ingår i: Physical Review Letters. - 1079-7114. ; 102:5
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Tidskriftsartikel (refereegranskat)abstract
- Guided transport of a relativistic electron beam in solid is achieved experimentally by exploiting the strong magnetic fields created at the interface of two metals of different electrical resistivities. This is of substantial relevance to the Fast Ignitor approach to fusion energy production [M. Tabak et al., Phys. Plasmas 12, 057305 (2005)], since it allows the electron deposition to be spatially tailored-thus adding substantial design flexibility and preventing inefficiencies due to electron beam spreading. In the experiment, optical transition radiation and thermal emission from the target rear surface provide a clear signature of the electron confinement within a high resistivity tin layer sandwiched transversely between two low resistivity aluminum slabs. The experimental data are found to agree well with numerical simulations.
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| 44. |
- Lidstrom, D, et al.
(författare)
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Agent based match racing simulations : Starting practice
- 2022
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Ingår i: SNAME 24th Chesapeake Sailing Yacht Symposium, CSYS 2022. - : Society of Naval Architects and Marine Engineers.
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Konferensbidrag (refereegranskat)abstract
- Match racing starts in sailing are strategically complex and of great importance for the outcome of a race. With the return of the America's Cup to upwind starts and the World Match Racing Tour attracting young and development sailors, the tactical skills necessary to master the starts could be trained and learned by means of computer simulations to assess a large range of approaches to the starting box. This project used game theory to model the start of a match race, intending to develop and study strategies using Monte-Carlo tree search to estimate the utility of a player's potential moves throughout a race. Strategies that utilised the utility estimated in different ways were defined and tested against each other through means of simulation and with an expert advice on match racing start strategy from a sailor's perspective. The results show that the strategies that put greater emphasis on what the opponent might do, perform better than those that did not. It is concluded that Monte-Carlo tree search can provide a basis for decision making in match races and that it has potential for further use.
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| 45. |
- Lindau, Filip, et al.
(författare)
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Laser-accelerated protons with energy dependent beam direction
- 2005
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Ingår i: Physical Review Letters. - 1079-7114. ; 95:175002, s. 1-175002
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Tidskriftsartikel (refereegranskat)abstract
- The spatial distribution of protons, accelerated by intense femtosecond laser pulses interacting with thin target foils under oblique irradiation are investigated. Under certain conditions, the proton beams are directed away from the target normal. This deviation is towards the laser forward direction, with an angle that increases with the level and duration of the amplified spontaneous emission pedestal before the main laser pulse. In addition, for a given laser pulse, this beam deviation increases with proton energy. The observations are discussed in terms of different electron acceleration mechanisms and target normal sheath acceleration, in combination with a laser-controllable shock wave locally deforming the target rear surface.
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| 46. |
- Liu, Y., et al.
(författare)
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Side Reactions Do Not Completely Disrupt Linear Self-Replicating Chemical Reaction Systems
- 2020
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Ingår i: Artificial Life. - : MIT Press - Journals. - 1064-5462 .- 1530-9185. ; 26:3, s. 327-337
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Tidskriftsartikel (refereegranskat)abstract
- A crucial question within the fields of origins of life and metabolic networks is whether or not a self-replicating chemical reaction system is able to persist in the presence of side reactions. Due to the strong nonlinear effects involved in such systems, they are often difficult to study analytically. There are however certain conditions that allow for a wide range of these reaction systems to be well described by a set of linear ordinary differential equations. In this article, we elucidate these conditions and present a method to construct and solve such equations. For those linear self-replicating systems, we quantitatively find that the growth rate of the system is simply proportional to the sum of all the rate constants of the reactions that constitute the system (but is nontrivially determined by the relative values). We also give quantitative descriptions of how strongly side reactions need to be coupled with the system in order to completely disrupt the system.
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| 47. |
- Lundh, Marie Høyer, 1982-
(författare)
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Health-Related Quality of Life and Return to Work following Breast Cancer
- 2014
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Aim: The overall aim of this thesis was to study health-related quality of life (HRQoL) and return to work in the first 3 years following a breast cancer diagnosis, and to identify clinical and contextual factors associated with these outcomes.Method: The four studies were part of a population-based cohort study including women identified in the Breast Cancer Quality Register in central Sweden. Of 1,573 women asked to participate, 69% (n=1,093) responded to a baseline questionnaire, 62% (n=977) responded at the 1st follow-up and 54% (n=856) participated at the 2nd follow-up (mean time 4, 16 and 38 months post-diagnosis, respectively). Studies II and IV only included women aged <63 years at diagnosis. In Study IV, each woman was individually matched to five breast-cancer-free controls. Questionnaire data on HRQoL, socio-demographics and work-related variables were combined with clinical register, normative and social insurance data.Main findings: Study I: Women with breast cancer, particularly women aged <50 years, experienced poorer HRQoL at baseline than normative data. Chemotherapy, lack of social support, sick leave and a poor financial situation were associated with poorer HRQoL. Study II: Compared with pre-diagnosis working time, 72% of participating women reported no change, 2% had increased their working time, 15% reported a decrease in working time and 11% did not work at the 1st follow-up. Chemotherapy, cancer-related work limitations and less value attached to work increased the odds of job discontinuation/decreased working time. Study III: During the 3 years post-diagnosis, HRQoL generally improved. Less consistent improvements were found among women on sick leave/disability pension pre-diagnosis and women reporting job discontinuation/decreased working time post-diagnosis. Study IV: The proportion of women with breast cancer on sick leave steadily decreased during the 3 years post-diagnosis, but they were more likely to be on sick leave than the controls. Chemotherapy, fatigue and pre-diagnosis sick days predicted sickness absence during the 2nd and 3rd year post-diagnosis.Conclusions: Most women with breast cancer gradually recover, but there are subgroups of women who may be particularly vulnerable. In a clinical setting, increased attention should be directed towards women undergoing chemotherapy, young women, women on sick leave/disability pension pre-diagnosis and women who do not return to work to the same extent as pre-diagnosis.
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| 48. |
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| 49. |
- Lundh, Olle, et al.
(författare)
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Influence of shock waves on laser-driven proton acceleration
- 2007
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Ingår i: Physical Review E (Statistical, Nonlinear, and Soft Matter Physics). - 1539-3755. ; 76:2
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Tidskriftsartikel (refereegranskat)abstract
- The influence of shock waves, driven by amplified spontaneous emission (ASE), on laser-accelerated proton beams is investigated. A local deformation, produced by a cold shock wave launched by the ablation pressure of the ASE pedestal, can under oblique laser irradiation significantly direct the proton beam toward the laser axis. This can be understood in the frame of target normal sheath acceleration as proton emission from an area of the target where the local target normal is shifted toward the laser axis. Hydrodynamic simulations and experimental data show that there exists a window in laser and target parameter space where the target can be significantly deformed and yet facilitate efficient proton acceleration. The dependence of the magnitude of the deflection on target material, foil thickness, and ASE pedestal intensity and duration is experimentally investigated. The deflection angle is found to increase with increasing ASE intensity and duration and decrease with increasing target thickness. In a comparison between aluminum and copper target foils, aluminum is found to yield a larger proton beam deflection. An analytic model is successfully used to predict the proton emission direction.
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| 50. |
- Lundh Snis, Ulrika, 1970-, et al.
(författare)
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Different Approaches to Evaluation of Information Systems
- 2002
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Ingår i: Proceedings ECIS 2002.
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Konferensbidrag (refereegranskat)abstract
- Outsourcing has been one of the most influential factors contributing to changes in information systems development in the last decade. The paper presents findings from an action research project of information systems development in an outsourcing context at a large university hospital in Denmark. The research, and general findings in the literature, indicates that the intended positive effects of outsourcing are hard to achieve without negative bi-products. Decision frameworks to guide the decision-making in this respect are evaluated based on the empirical findings. It is illustrated that the issues of flexibility and controllability are among the most important when an IT-department determines its outsourcing policies. Continuity issues are also important in understanding the relationship between buyer and seller in IS-acquisition as being more complex than in a simple market model.
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