The interaction of relativistically intense lasers with opaque targets represents a highly non-linear, multi-dimensional parameter space. This limits the utility of sequential 1D scanning of experimental parameters for the optimization of secondary radiation, although to-date this has been the accepted methodology due to low data acquisition rates. High repetition-rate (HRR) lasers augmented by machine learning present a valuable opportunity for efficient source optimization. Here, an automated, HRR-compatible system produced high-fidelity parameter scans, revealing the influence of laser intensity on target pre-heating and proton generation. A closed-loop Bayesian optimization of maximum proton energy, through control of the laser wavefront and target position, produced proton beams with equivalent maximum energy to manually optimized laser pulses but using only 60% of the laser energy. This demonstration of automated optimization of laser-driven proton beams is a crucial step towards deeper physical insight and the construction of future radiation sources.

We present the development and characterization of a high-stability, multi-material, multi-thickness tape-drive target for laser-driven acceleration at repetition rates of up to 100 Hz. The tape surface position was measured to be stable on the sub-micrometre scale, compatible with the high-numerical aperture focusing geometries required to achieve relativistic intensity interactions with the pulse energy available in current multi-Hz and near-future higher repetition-rate lasers ($>$kHz). Long-term drift was characterized at 100 Hz demonstrating suitability for operation over extended periods. The target was continuously operated at up to 5 Hz in a recent experiment for 70,000 shots without intervention by the experimental team, with the exception of tape replacement, producing the largest data-set of relativistically intense laser–solid foil measurements to date. This tape drive provides robust targetry for the generation and study of high-repetition-rate ion beams using next-generation high-power laser systems, also enabling wider applications of laser-driven proton sources.

A machine learning model was created to predict the electron spectrum generated by a GeV-class laser wakefield accelerator. The model was constructed from variational convolutional neural networks, which mapped the results of secondary laser and plasma diagnostics to the generated electron spectrum. An ensemble of trained networks was used to predict the electron spectrum and to provide an estimation of the uncertainty of that prediction. It is anticipated that this approach will be useful for inferring the electron spectrum prior to undergoing any process that can alter or destroy the beam. In addition, the model provides insight into the scaling of electron beam properties due to stochastic fluctuations in the laser energy and plasma electron density.

Humpback whales (Megaptera novaeangliae) exhibit maternally driven fidelity to feeding grounds, and yet occasionally occupy new areas. Humpback whale sightings and mortalities in the New York Bight apex (NYBA) have been increasing over the last decade, providing an opportunity to study this phenomenon in an urban habitat. Whales in this area overlap with human activities, including busy shipping traffic leading into the Port of New York and New Jersey. The site fidelity, population composition and demographics of individual whales were analysed to better inform management in this high-risk area. Whale watching and other opportunistic data collections were used to identify 101 individual humpback whales in the NYBA from spring through autumn, 2012–2018. Although mean occurrence was low (2.5 days), mean occupancy was 37.6 days, and 31.3% of whales returned from one year to the next. Individuals compared with other regional and ocean-basin-wide photo-identification catalogues (N = 52) were primarily resighted at other sites along the US East Coast, including the Gulf of Maine feeding ground. Sightings of mother-calf pairs were rare in the NYBA, suggesting that maternally directed fidelity may not be responsible for the presence of young whales in this area. Other factors including shifts in prey species distribution or changes in population structure more broadly should be investigated.

The distinct turbulence dynamics and transport modulated by a common seagrass species were investigated experimentally using a flexible surrogate canopy in a refractive-index-matching environment that enabled full optical access. The surrogate seagrass replicated the dynamic behaviour and morphological properties of its natural counterpart. The flows studied were subcritical with Froude numbers $Fr<0.26$ and concerned five Reynolds numbers $Re\in [3.4\times 10^{4}, 1.1\times 10^{5}]$ and Cauchy numbers $Ca\in [120, 1200]$. Complementary rigid canopy experiments were also included to aid comparative insight. The flow was quantified in wall-normal planes in a developed region using high-frame-rate particle image velocimetry. Results show that the deflection and coordinated waving motion of the blades redistributed the Reynolds stresses above and below the canopy top. Critically, in-canopy turbulence associated with the seagrass lacked periodic stem wake vortex shedding present in the rigid canopy, yet the flexible canopy induced vortex shedding from the blade tips. Inspection of spatial and temporal characteristics of coherent flow structures using spectral proper orthogonal decomposition reveals that Kelvin–Helmholtz-type vortices are the dominant flow structures associated with the waving motion of the seagrass and that modulated the local flow exchange in both rigid and flexible canopies. A barrier-like effect produced by the blade deflections blocked large-scale turbulence transport, thereby reducing vortex penetration into the canopy. In addition, we uncovered a transition from sweep-dominated to ejection-dominated behaviour in the surrogate seagrass. We hypothesise that the vortices created during the upward blade motion period play a major role in the sweep-to-ejection-dominated transition. Conditionally averaged quadrant analysis on the downward and upward blade motion supports this contention.

Typical enteropathogenic Escherichia coli (tEPEC) infection is a major cause of diarrhoea and contributor to mortality in children <5 years old in developing countries. Data were analysed from the Global Enteric Multicenter Study examining children <5 years old seeking care for moderate-to-severe diarrhoea (MSD) in Kenya. Stool specimens were tested for enteric pathogens, including by multiplex polymerase chain reaction for gene targets of tEPEC. Demographic, clinical and anthropometric data were collected at enrolment and ~60-days later; multivariable logistic regressions were constructed. Of 1778 MSD cases enrolled from 2008 to 2012, 135 (7.6%) children tested positive for tEPEC. In a case-to-case comparison among MSD cases, tEPEC was independently associated with presentation at enrolment with a loss of skin turgor (adjusted odds ratio (aOR) 2.08, 95% confidence interval (CI) 1.37–3.17), and convulsions (aOR 2.83, 95% CI 1.12–7.14). At follow-up, infants with tEPEC compared to those without were associated with being underweight (OR 2.2, 95% CI 1.3–3.6) and wasted (OR 2.5, 95% CI 1.3–4.6). Among MSD cases, tEPEC was associated with mortality (aOR 2.85, 95% CI 1.47–5.55). This study suggests that tEPEC contributes to morbidity and mortality in children. Interventions aimed at defining and reducing the burden of tEPEC and its sequelae should be urgently investigated, prioritised and implemented.

Background: Spinal muscular atrophy (SMA) is a children’s neuromuscular disorder. Although motor neuron loss is a major feature of the disease, we have identified fatty acid abnormalities in SMA patients and in preclinical animal models, suggesting metabolic perturbation is also an important component of SMA. Methods: Biochemical, histological, proteomic, and high resolution respirometry were used. Results: SMA patients are more susceptible to dyslipidemia than the average population as determined by a standard lipid profile in a cohort of 72 pediatric patients. As well, we observed a non-alcoholic liver disease phenotype in apreclinical mouse model. Denervation alone was not sufficient to induce liver steatosis, as a mouse model of ALS, did not develop fatty liver. Hyperglucagonemia in Smn2B/-mice could explain the hepatic steatosis by increasing plasma substrate availability via glycogen depletion and peripheral lipolysis. Proteomic analysis identified mitochondrion and lipid metabolism as major clusters. Alterations in mitochondrial function were revealed by high-resolution respirometry. Finally, low-fat diets led to increased survival in Smn2B/-mice. Conclusions: These results provide strong evidence for lipid metabolism defects in SMA. Further investigation will be required to establish the primary mechanism of these alterations and understand how they lead to additional co-morbidities in SMA patients.

Conventional approaches to evidence that prioritise randomised controlled trials appear increasingly inadequate for the evaluation of complex mental health interventions. By focusing on causal mechanisms and understanding the complex interactions between interventions, patients and contexts, realist approaches offer a productive alternative. Although the approaches might be combined, substantial barriers remain.

Work was undertaken in 1997 as part of a UK government programme to monitor air quality in the Cornish china clay area. These studies showed that concentrations of airborne particulate matter with an aerodynamic diameter <10 μm (PM10) did not exceed UK National Air Quality Strategy (NAQS, 1995) guidelines but were, however, greater than those normally associated with rural areas. Subsequently, in the summer of 2000, airborne dust sampling was conducted at three sites around the IMERYS (formerly ECCI) Kernick mica dam, a potential source of resuspended airborne particulates from china clay waste minerals. Analytical scanning electron microscopy examination of the collected material suggested that up to 61% of the airborne PM10 monitored next to the mica dam could be associated with china clay extraction compared with 46% 2 km to the south. Results showed the presence of substantial percentages of respirable kaolinite, muscovite and quartz; the major components of china clay waste. The health effects of the particular mineral dust emissions associated with china clay mining are reviewed.

The Prins Christians Sund rapakivi granite pluton in South Greenland is a member of the early Proterozoic ‘Rapakivi Suite’ and is emplaced into early Proterozoic Ketilidian migmatites. The pluton is composed predominantly of black or dark brown monzonites and quartz monzonites (collectively, rapakivi granites), although a localised white facies is developed adjacent to metasedimentary xenoliths. The back rapakivi granites are extremely fresh and have an anhydrous primary mafic mineralogy of olivine and orthopyroxene, with rare inverted pigeonite and clinopyroxene; minor amounts of biotite and amphibole occur in most fayalite-bearing rapakivi granites. Feldspars in these rocks are black and non-turbid. The white rapakivi granites have a wholly hydrous mafic silicate assemblage and turbid, white or cream-coloured feldspars. Electron microprobe analyses of the mafic silicates in the black rapakivi granites show that they are Fe-rich, comprising fayalite (Fa93−96.5), orthopyroxene (Fs77−81), ferro-pargasitic and ferro-edenitic hornblende (Fe/(Fe + Mg) = 0.72−0.93), and biotite (Fe/(Fe + Mg) = 0.77−0.88). Both biotite and amphibole crystallised subsolidus, and often adopt symplectic morphologies. Biotite has formed in response to a fayalite-consuming reaction at temperatures below 650–700°C and fO2 , of 10−16.5 to 10−17.5 bars, and continued to grow under reducing conditions below the QFM buffer to temperatures below 450–500°C. Orthopyroxene formed in response to a low-pressure fayalite-consuming reaction in the melt. The correlation of black, pristine feldspar with anhydrous mafic silicates, and of turbid feldspar with hydrous phases suggests either that the feldspars reflect the anhydrous nature of the parent magma, or more likely that the mafic mineralogy of the white rapakivi granites is secondary.

Introduction: In 2006, Alberta implemented an Electronic Health Record called the Alberta Netcare Portal (ANP). The ANP provides provincial read-only access to lab tests, diagnostic imaging, medication information and numerous text reports. There is no computerized order entry, and care is coordinated using a hybrid of paper charting and various electronic systems. Here, we quantify observed ANP use by physician participants providing care in four urban Emergency Departments (EDs) in Alberta. The results form part of a larger mixed methods research project aimed at detecting broader implications of ANP use for patient care. Methods: Between October 2014 and July 2015, ED physicians at four EDs (University of Alberta Hospital [UAH], Grey Nuns Community Hospital [GNCH], Foothills Medical Centre [FMC], Peter Lougheed Centre [PLC]) participated in structured clinical observations. Observations were purposively sampled during the first hours of shifts, when physicians orient themselves to the patients they will see during the rest of their shift, including reviewing available historic patient information. Observers used a tablet based tool to generate a time-stamped record of the information tools used alongside patient care. Information tools included permanent paper records, paper excluding permanent documentation, the ANP, clinical and other applications accessed via desktop computers, and mobile devices. Observers also recorded contextual data, including participant commentary, on paper field notes. Results: Across the 4 sites, 142 physicians participated in 376 sessions for a total of 566 observed physician-hours. Participants accessed information in different computerized applications and on paper (i.e., a ‘hybrid’ care environment). The highest proportion of observed physician time interacting with ANP was observed at the UAH (7.0%-8.1%, all values 95% Confidence Intervals). Physicians spent less time using ANP at GNCH (4.1%-4.8%), which was similar to the Calgary EDs (FMC: 4.4-5.3% and PLC: 5.2%-5.9%). Thematic analysis of field notes showed that ANP acceptance was very high. Patient safety concerns were recorded related to care provided alongside ‘hybrid’ patient records. Conclusion: We found high physician acceptance of ANP based on documented comments and observed usage. We posit a high potential for EHRs such as ANP to support improved care coordination which remains partly realized.