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1. The Continuous Electron Beam Accelerator Facility at 12 GeV

Author

Adderley, P. A., Ahmed, S., Allison, T., Bachimanchi, R., Baggett, K., BastaniNejad, M., Bevins, B., Bevins, M., Bickley, M., Bodenstein, R. M., Bogacz, S. A., Bruker, M., Burrill, A., Cardman, L., Creel, J., Chao, Y. -C., Cheng, G., Ciovati, G., Chattopadhyay, S., Clark, J., Clemens, W. A., Croke, G., Daly, E., Davis, G. K., Delayen, J., De Silva, S. U., Dickson, R., Diaz, M., Drury, M., Doolittle, L., Douglas, D., Feldl, E., Fischer, J., Freyberger, A., Ganni, V., Geng, R. L., Ginsburg, C., Gomez, J., Grames, J., Gubeli, J., Guo, J., Hannon, F., Hansknecht, J., Harwood, L., Henry, J., Hernandez-Garcia, C., Higgins, S., Higinbotham, D., Hofler, A. S., Hiatt, T., Hogan, J., Hovater, C., Hutton, A., Jones, C., Jordan, K., Joyce, M., Kazimi, R., Keesee, M., Kelley, M. J., Keppel, C., Kimber, A., King, L., Kjeldsen, P., Kneisel, P., Koval, J., Krafft, G. A., Lahti, G., Larrieu, T., Lauze, R., Leemann, C., Legg, R., Li, R., Lin, F., Machie, D., Mammosser, J., Macha, K., Mahoney, K., Marhauser, F., Mastracci, B., Matalevich, J., McCarter, J., McCaughan, M., Merminga, L., Michaud, R., Morozov, V., Mounts, C., Musson, J., Nelson, R., Oren, W., Overton, R. B., Palacios-Serrano, G., Park, H. -K., Phillips, L., Philip, S., Pilat, F., Plawski, T., Poelker, M., Powers, P., Powers, T., Preble, J., Reilly, T., Rimmer, R., Reece, C., Robertson, H., Roblin, Y., Rode, C., Satogata, T., Seidman, D. J., Seryi, A., Shabalina, A., Shin, I., Slominski, R., Slominski, C., Spata, M., Spell, D., Spradlin, J., Stirbet, M., Stutzman, M. L., Suhring, S., Surles-Law, K., Suleiman, R., Tennant, C., Tian, H., Turner, D., Tiefenback, M., Trofimova, O., Valente, A. -M., Wang, H., Wang, Y., White, K., Whitlatch, C., Whitlatch, T., Wiseman, M., Wissman, M. J., Wu, G., Yang, S., Yunn, B., Zhang, S., and Zhang, Y.

Subjects
Physics - Accelerator Physics, Nuclear Experiment
Abstract

This review paper describes the energy-upgraded CEBAF accelerator. This superconducting linac has achieved 12 GeV beam energy by adding 11 new high-performance cryomodules containing eighty-eight superconducting cavities that have operated CW at an average accelerating gradient of 20 MV/m. After reviewing the attributes and performance of the previous 6 GeV CEBAF accelerator, we discuss the upgraded CEBAF accelerator system in detail with particular attention paid to the new beam acceleration systems. In addition to doubling the acceleration in each linac, the upgrade included improving the beam recirculation magnets, adding more helium cooling capacity to allow the newly installed modules to run cold, adding a new experimental hall, and improving numerous other accelerator components. We review several of the techniques deployed to operate and analyze the accelerator performance, and document system operating experience and performance. In the final portion of the document, we present much of the current planning regarding projects to improve accelerator performance and enhance operating margins, and our plans for ensuring CEBAF operates reliably into the future. For the benefit of potential users of CEBAF, the performance and quality measures for beam delivered to each of the experimental halls is summarized in the appendix., Comment: 66 pages, 73 figures, 21 tables

Published
2024
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2. A post-diagnosis information and support programme for dyads-People living with dementia or mild cognitive impairment and family carers: A feasibility study.

Author

Stockwell-Smith G, Moyle W, Grealish L, Comans T, Varghese P, Whitlatch C, and Orsulic-Jeras S

Subjects
Humans, Female, Male, Aged, Middle Aged, Aged, 80 and over, Social Support, Quality of Life psychology, Adult, Caregivers psychology, Caregivers education, Feasibility Studies, Cognitive Dysfunction nursing, Cognitive Dysfunction diagnosis, Dementia nursing, Dementia psychology
Abstract

Aim: The aim of the study was to establish the feasibility of delivering a structured post-diagnosis information and support program to dyads (persons living with dementia or mild cognitive impairment and family carers) in two primary care settings., Design: A two-phase explanatory mixed-method approach guided by the Bowen Feasibility Framework focused on acceptability, implementation, adaptation, integration and efficacy of a five-part programme. In phase 1, the quantitative impact of the programme on the dyadic programme recipients' self-efficacy, quality of life, dyadic relationship and volume of care was measured. In phase 2, inductive content analysis focused on nurse and dyad participant experiences of the programme. Quantitative and qualitative data were reviewed to conclude each element of feasibility., Methods: Four registered nurses working within the participating sites were recruited, trained as programme facilitators and supported to deliver the programme. Eligible dyads attending the respective primary health clinics were invited to participate in the programme and complete surveys at three time points: recruitment, post-programme and 3-month follow-up. Post-programme semi-structured interviews were conducted with dyads and programme facilitators., Results: Twenty-nine dyads completed the program; the majority were spousal dyads. The programme proved acceptable to the dyads with high retention and completion rates. Implementation and integration of the programme into usual practice were attributed to the motivation and capacity of the nurses as programme facilitators. Regarding programme efficacy, most dyads reported they were better prepared for the future and shared the plans they developed during the programme with family members., Conclusion: Implementing a structured information and support programme is feasible, but sustainability requires further adaptation or increased staff resources to maintain programme fidelity. Future research should consider selecting efficacy measures sensitive to the unique needs of people living with dementia and increasing follow-up time to 6 months., Impact: This study established the feasibility of registered nurses delivering a post-diagnosis information and support programme for people living with early-stage dementia or mild cognitive impairment and their informal carers in primary care settings. The motivation and capacity of nurses working as programme facilitators ensured the integration of the programme into usual work, but this was not considered sustainable over time. Family carer dyads reported tangible outcomes and gained confidence in sharing their diagnosis with family and friends and asking for assistance. Findings from this study can be used to provide direction for a clinical trial investigating the effectiveness of the structured information and support programme in the primary care setting., Reporting Method: The authors have adhered to the EQUATOR STROBE Statement., Patient or Public Contribution: A public hospital memory clinic and general medical practice participated in project design, study protocol development and supported implementation., (© 2024 The Authors. Journal of Advanced Nursing published by John Wiley & Sons Ltd.)

Published
2024
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