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Making the transition from band 5 nurse to band 7 nurse endoscopist can be quite stressful. This has been made more difficult because of reduced or cancelled endoscopy lists, as well as redeployment of trainee and qualified endoscopists to other areas, due to the COVID-19 pandemic. A 2020 multinational survey study by Pawlek et al, spanning 63 countries, reported a reduction of endoscopy volume by up to 93.8%, with colonoscopy being affected the most. Electronic resources have been employed to fill this gap in training, including video recording, simulation labs and increasing involvement in low-risk procedures; however, not every endoscopy unit is equipped with these facilities. Due to the reduced numbers of patients on endoscopy lists and lists being populated with only the most urgent cases, this introduces further challenges for trainee nurse endoscopists. Trainee nurse endoscopists have been adversely affected through the pandemic, by a lack of availability of hands-on training and practice. The targets to be met for qualification remain the same, while the time taken to reach those targets will more than likely be extended due to uncontrollable factors.

In recent years, interest in expanding from 2D to 3D systems has grown in the magnetism community, from exploring new geometries to broadening the knowledge on the magnetic textures present in thick samples, and with this arise the need for new characterization techniques, in particular tomographic imaging. Here, we present a new tomographic technique based on Fourier transform holography, a lensless imaging technique that uses a known reference in the sample to retrieve the object of interest from its diffraction pattern in one single step of calculation, overcoming the phase problem inherent to reciprocal-space-based techniques. Moreover, by exploiting the phase contrast instead of the absorption contrast, thicker samples can be investigated. We obtain a 3D full-vectorial image of a 800 nm-thick extended Fe/Gd multilayer in a 5$\mu$m-diameter circular field of view with a resolution of approximately 80 nm. The 3D image reveals worm-like domains with magnetization pointing mostly out of plane near the surface of the sample but that falls in-plane near the substrate. Since the FTH setup is fairly simple, it allows modifying the sample environment. Therefore, this technique could enable in particular a 3D view of the magnetic configuration's response to an external magnetic field., Comment: 11 pages, 8 figures

The extension of artificial spin systems to the third dimension offers advances in functionalities and opportunities for technological applications. One of the main challenges facing their realization is the fabrication of three-dimensional geometries with nanoscale resolution. In this work, we combine two-photon lithography with deformation-free pyrolysis and a GdCo coating to create a three-dimensional (3D) tripod structure that represents a building block of an 3D artificial spin ice, surrounded by a two-dimensional magnetic film. We map the three-dimensional magnetic configuration of the structure and its surroundings using soft x-ray magnetic laminography. In this way, we determine the magnetic configuration of the tripod nanostructure to be in the low-energy two-in-one-out spin ice state, observed at the 2D vertex of a kagome ice and predicted for three-dimensional vertices of magnetic buckyball structures. In contrast to isolated vertices, the degeneracy of this state can be lifted by the surrounding film, which also offers a route toward the controlled injection of emergent charges. This demonstration of the building block of a 3D spin system represents the first step toward the realization and understanding of more complex 3D artificial spin systems., APL Materials, 10 (10), ISSN:2166-532X

Magneto-optical (MO) effects, viz. magnetically induced changes in light intensity or polarization upon reflection from or transmission through a magnetic sample, were discovered over a century and a half ago. Initially they played a crucially relevant role in unveiling the fundamentals of electromagnetism and quantum mechanics. A more broad-based relevance and wide-spread use of MO methods, however, remained quite limited until the 1960s due to a lack of suitable, reliable and easy-to-operate light sources. The advent of Laser technology and the availability of other novel light sources led to an enormous expansion of MO measurement techniques and applications that continues to this day (see section 1). The here-assembled roadmap article is intended to provide a meaningful survey over many of the most relevant recent developments, advances, and emerging research directions in a rather condensed form, so that readers can easily access a significant overview about this very dynamic research field. While light source technology and other experimental developments were crucial in the establishment of today's magneto-optics, progress also relies on an ever-increasing theoretical understanding of MO effects from a quantum mechanical perspective (see section 2), as well as using electromagnetic theory and modelling approaches (see section 3) to enable quantitatively reliable predictions for ever more complex materials, metamaterials, and device geometries. The latest advances in established MO methodologies and especially the utilization of the MO Kerr effect (MOKE) are presented in sections 4 (MOKE spectroscopy), 5 (higher order MOKE effects), 6 (MOKE microscopy), 8 (high sensitivity MOKE), 9 (generalized MO ellipsometry), and 20 (Cotton-Mouton effect in two-dimensional materials). In addition, MO effects are now being investigated and utilized in spectral ranges, to which they originally seemed completely foreign, as those of synchrotron radiation x-rays (see section 14 on three-dimensional magnetic characterization and section 16 on light beams carrying orbital angular momentum) and, very recently, the terahertz (THz) regime (see section 18 on THz MOKE and section 19 on THz ellipsometry for electron paramagnetic resonance detection). Magneto-optics also demonstrates its strength in a unique way when combined with femtosecond laser pulses (see section 10 on ultrafast MOKE and section 15 on magneto-optics using x-ray free electron lasers), facilitating the very active field of time-resolved MO spectroscopy that enables investigations of phenomena like spin relaxation of non-equilibrium photoexcited carriers, transient modifications of ferromagnetic order, and photo-induced dynamic phase transitions, to name a few. Recent progress in nanoscience and nanotechnology, which is intimately linked to the achieved impressive ability to reliably fabricate materials and functional structures at the nanoscale, now enables the exploitation of strongly enhanced MO effects induced by light-matter interaction at the nanoscale (see section 12 on magnetoplasmonics and section 13 on MO metasurfaces). MO effects are also at the very heart of powerful magnetic characterization techniques like Brillouin light scattering and time-resolved pump-probe measurements for the study of spin waves (see section 7), their interactions with acoustic waves (see section 11), and ultra-sensitive magnetic field sensing applications based on nitrogen-vacancy centres in diamond (see section 17)., Despite our best attempt to represent the field of magneto-optics accurately and do justice to all its novel developments and its diversity, the research area is so extensive and active that there remains great latitude in deciding what to include in an article of this sort, which in turn means that some areas might not be adequately represented here. However, we feel that the 20 sections that form this 2022 magneto-optics roadmap article, each written by experts in the field and addressing a specific subject on only two pages, provide an accurate snapshot of where this research field stands today. Correspondingly, it should act as a valuable reference point and guideline for emerging research directions in modern magneto-optics, as well as illustrate the directions this research field might take in the foreseeable future., Journal of Physics D: Applied Physics, 55 (46), ISSN:0022-3727, ISSN:1361-6463

Expanding nanomagnetism and spintronics into three dimensions (3D) offers great opportunities for both fundamental and technological studies. However, probing the influence of complex 3D geometries on magnetoelectrical phenomena poses important experimental and theoretical challenges. In this work, we investigate the magnetoelectrical signals of a ferromagnetic 3D nanodevice integrated into a microelectronic circuit using direct-write nanofabrication. Due to the 3D vectorial nature of both electrical current and magnetization, a complex superposition of several magnetoelectrical effects takes place. By performing electrical measurements under the application of 3D magnetic fields, in combination with macrospin simulations and finite element modelling, we disentangle the superimposed effects, finding how a 3D geometry leads to unusual angular dependences of well-known magnetotransport effects such as the anomalous Hall effect. Crucially, our analysis also reveals a strong role of the non-collinear demagnetizing fields intrinsic to 3D nanostructures, which results in an angular dependent magnon magnetoresistance contributing strongly to the total magnetoelectrical signal. These findings are key to the understanding of 3D spintronic systems and underpin further fundamental and device-based studies., Leverhulme Trust Isaac Newton Trust L’Oréal-UNESCO U.K. and Ireland Fellowship For Women In Science EPSRC Winton Program for Physics of Sustainability China Scholarship Council European Union’s Horizon 2020 research and innovation program Spanish AEI

Vortex rings are remarkably stable structures that occur in a large variety of systems, such as in turbulent gases (where they are at the origin of weather phenomena)1, fluids (with implications for biology)2, electromagnetic discharges3 and plasmas4. Although vortex rings have also been predicted to exist in ferromagnets5, they have not yet been observed. Using X-ray magnetic nanotomography6, we imaged three-dimensional structures forming closed vortex loops in a bulk micromagnet. The cross-section of these loops consists of a vortex–antivortex pair and, on the basis of magnetic vorticity (a quantity analogous to hydrodynamic vorticity), we identify these configurations as magnetic vortex rings. Although such structures have been predicted to exist as transient states in exchange ferromagnets5, the vortex rings we observe exist as static configurations, and we attribute their stability to the dipolar interaction. In addition, we observe stable vortex loops intersected by point singularities7 at which the magnetization within the vortex and antivortex cores reverses. We gain insight into the stability of these states through field and thermal equilibration protocols. The observation of stable magnetic vortex rings opens up possibilities for further studies of complex three-dimensional solitons in bulk magnets, enabling the development of applications based on three-dimensional magnetic structures. Three-dimensional structures of vortex loops in a bulk micromagnet GdCo2 have been observed using X-ray magnetic nanotomography. The cross-section of these loops consists of a vortex–antivortex pair stabilized by the dipolar interaction.

The imaging of magneto-dynamical processes has been, so far, mostly a two-dimensional business, also due to the constraints of the available experimental techniques. In this paper, building on the recent developments of soft X-ray magnetic laminography, we present an experimental setup where magneto-dynamical processes can be resolved in all three spatial dimensions and in time at arbitrary frequencies. We employ this setup to investigate two resonant dynamical modes of a CoFeB microstructure, namely, the fundamental vortex gyration mode and a magnetic field-induced domain wall excitation mode. For the former, we observe a large variation of the gyration dynamics across the thickness of the core, coexisting with a breathing mode of the vortex core. For the latter, we observe a uniform displacement of the domain walls across the thickness of the microstructure. The imaging of these two modes establishes the possibility to freely select the excitation frequency for soft X-ray time-resolved laminography, allowing for the investigation of resonant magneto-dynamical processes.

The fundamental limits currently faced by traditional computing devices necessitate the exploration of ways to store, compute, and transmit information going beyond the current CMOS-based technologies. Here, we propose a three-dimensional (3D) magnetic interconnector that exploits geometry-driven automotion of domain walls (DWs), for the transfer of magnetic information between functional magnetic planes. By combining state-of-the-art 3D nanoprinting and standard physical vapor deposition, we prototype 3D helical DW conduits. We observe the automotion of DWs by imaging their magnetic state under different field sequences using X-ray microscopy, observing a robust unidirectional motion of DWs from the bottom to the top of the spirals. From experiments and micromagnetic simulations, we determine that the large thickness gradients present in the structure are the main mechanism for 3D DW automotion. We obtain direct evidence of how this tailorable magnetic energy gradient is imprinted in the devices, and how it competes with pinning effects that are due to local changes in the energy landscape. Our work also predicts how this effect could lead to high DW velocities, reaching the Walker limit during automotion. This work demonstrates a possible mechanism for efficient transfer of magnetic information in three dimensions., This work was supported by the EPSRC Cambridge NanoDTC EP/L015978/1, the Winton Program for the Physics of Sustainability, the project CALIPSOplus (under Grant Agreement No. 730872 from the EU Framework Programme for Research and Innovation HORIZON 2020), and by the European Community (under the Horizon 2020 Program, Contract No. 101001290, 3DNANOMAG). L.S. acknowledges support from St. Johns College of the University of Cambridge. C.D. was supported by the Leverhulme Trust (No. ECF-2018-016), the Isaac Newton Trust (No. 18-08), and the L’Oréal-UNESCO UK and Ireland Fellowship For Women In Science. A.H.-R. acknowledges support from Spanish AEI, under Project Reference No. PID2019-104604RB/AEI/10.13039/501100011033. The authors acknowledge the University of Vienna research platform MMM Mathematics–Magnetism–Materials, the FWF (Project No. I 4917), and Aragon Government through the Project Q-MAD.

SPINTRONICS, The combination of optical lithography with a transfer technique based on a sacrificial substrate enables the creation of a 3D-racetrack memory made from state-of-the-art spintronic materials.

The design of complex, competing effects in magnetic systems-be it via the introduction of nonlinear interactions1-4, or the patterning of three-dimensional geometries5,6-is an emerging route to achieve new functionalities. In particular, through the design of three-dimensional geometries and curvature, intrastructure properties such as anisotropy and chirality, both geometry-induced and intrinsic, can be directly controlled, leading to a host of new physics and functionalities, such as three-dimensional chiral spin states7, ultrafast chiral domain wall dynamics8-10 and spin textures with new spin topologies7,11. Here, we advance beyond the control of intrastructure properties in three dimensions and tailor the magnetostatic coupling of neighbouring magnetic structures, an interstructure property that allows us to generate complex textures in the magnetic stray field. For this, we harness direct write nanofabrication techniques, creating intertwined nanomagnetic cobalt double helices, where curvature, torsion, chirality and magnetic coupling are jointly exploited. By reconstructing the three-dimensional vectorial magnetic state of the double helices with soft-X-ray magnetic laminography12,13, we identify the presence of a regular array of highly coupled locked domain wall pairs in neighbouring helices. Micromagnetic simulations reveal that the magnetization configuration leads to the formation of an array of complex textures in the magnetic induction, consisting of vortices in the magnetization and antivortices in free space, which together form an effective B field cross-tie wall14. The design and creation of complex three-dimensional magnetic field nanotextures opens new possibilities for smart materials15, unconventional computing2,16, particle trapping17,18 and magnetic imaging19., EPSRC Early Career Fellowship EP/M008517/1 Winton Program for the Physics of Sustainability Leverhulme Trust (ECF-2018-016) Isaac Newton Trust (18-08) L���Or��al-UNESCO UK and Ireland Fellowship For Women In Science 2019 European Union���s Horizon 2020 research and innovation program under Marie Sk��odowska-Curie grant ref. H2020-MSCA-IF-2016-746958 Spanish AEI under project reference PID2019���104604RB/AEI/10.13039/501100011033 German Ministerium f��r Bildung und Forschung (BMBF) through contracts 05K16WED and 05K19WE2 European Union���s Horizon 2020 research and innovation program under the Marie Sk��odowska-Curie grant agreement no. 701647 FWF project I 4917.

Manipulation of magnetic chirality is of outermost importance due to the great technological and scientific opportunities it unlocks. Over the last decade, this manipulation has been achieved through the harnessing of chiral spin interactions in non-centrosymmetric materials and thin film interfaces (DMI), allowing for the creation and tuning of topologically non-trivial chiral spin textures such as spin-spirals and Skyrmions, of great scientific and technological interest. Here we will discuss how state of the art 3D nano-printing can be employed to create 3D geometries that host complex chiral spin textures and how such geometries can be combined to create artificial interfaces where spin textures of different chirality are forced to match each other [1]. Characterization of the resulting spin states using magnetic X-ray microscopy will be presented. [1] Sanz-Hernandez, D., et al. arXiv:2001.07130 [cond-mat.mes-hall]

3D magnetic nanostructures are of great interest due to the possibility to design novel properties and the benefits for both technological applications such as high-density data storage, as well as more fundamental studies. One of the main challenges facing the realization of these three-dimensional systems is their fabrication, which includes the deposition of magnetic materials on 3D surfaces. In this work, the electroless deposition of Ni-Fe on a 3D-printed, non-conductive microstructure is presented. The deposited films exhibit low coercivity, with the saturation magnetization and composition corresponding to the archetypal soft magnetic material permalloy. For fundamental studies of 3D micromagnetism, this new development in fabrication offers the possibility to combine the flexibility of 3D nanofabrication techniques such as two-photon lithography for the fabrication of 3D scaffolds with a homogeneous soft ferromagnetic thin film, and thus represents an important step toward exploring the rich physics of complex 3D magnetic architectures with tailored properties and the development of advanced applications.

The driving force in materials to spontaneously form states with magnetic or electric order is of fundamental importance for basic research and device technology. The macroscopic properties and functionalities of these ferroics depend on the size, distribution and morphology of domains; that is, of regions across which such uniform order is maintained

X-ray tomography has become an indispensable tool for studying complex 3D interior structures with high spatial resolution. Three-dimensional imaging using soft X-rays offers powerful contrast mechanisms but has seen limited success with tomography due to the restrictions imposed by the much lower energy of the probe beam. The generalized geometry of laminography, characterized by a tilted axis of rotation, provides nm-scale 3D resolution for the investigation of extended (mm range) but thin (μm to nm) samples that are well suited to soft X-ray studies. This work reports on the implementation of soft X-ray laminography (SoXL) at the scanning transmission X-ray spectromicroscope of the PolLux beamline at the Swiss Light Source, Paul Scherrer Institut, which enables 3D imaging of extended specimens from 270 to 1500 eV. Soft X-ray imaging provides contrast mechanisms for both chemical sensitivity to molecular bonds and oxidation states and magnetic dichroism due to the much stronger attenuation of X-rays in this energy range. The presented examples of applications range from functionalized nanomaterials to biological photonic crystals and sophisticated nanoscaled magnetic domain patterns, thus illustrating the wide fields of research that can benefit from SoXL.

Chirality plays a major role in nature, from particle physics to DNA, and its control is much sought-after due to the scientific and technological opportunities it unlocks. For magnetic materials, chiral interactions between spins promote the formation of sophisticated swirling magnetic states such as skyrmions, with rich topological properties and great potential for future technologies. Currently, chiral magnetism requires either a restricted group of natural materials or synthetic thin-film systems that exploit interfacial effects. Here, using state-of-the-art nanofabrication and magnetic X-ray microscopy, we demonstrate the imprinting of complex chiral spin states via three-dimensional geometric effects at the nanoscale. By balancing dipolar and exchange interactions in an artificial ferromagnetic double-helix nanostructure, we create magnetic domains and domain walls with a well-defined spin chirality, determined solely by the chiral geometry. We further demonstrate the ability to create confined 3D spin textures and topological defects by locally interfacing geometries of opposite chirality. The ability to create chiral spin textures via 3D nanopatterning alone enables exquisite control over the properties and location of complex topological magnetic states, of great importance for the development of future metamaterials and devices in which chirality provides enhanced functionality., This work was funded by EPSRC Early Career Fellowship EP/M008517/1, the Winton Program for the Physics of Sustainability, and the EU CELINA COST action. D.S.-H. acknowledges a Girton College Pfeiffer scholarship and support from the EPSRC CDT in Nanoscience and Nanotechnology. A.H.-R. and S.M.V. acknowledge funding from the EU Horizon 2020 program through Marie Skłodowska-Curie Action H2020-MSCA-IF-2016-74695. C.D. acknowledges funding from Leverhulme Trust (ECF-2018-016), Isaac Newton Trust (18-08), and a L’Oréal-UNESCO UK and Ireland Fellowship for Women in Science 2019. Funding by the Spanish Ministry of Science is acknowledged, grants MAT2017-82970-C2-1-R, MAT2017-82970-C2-2-R and MAT2018-102627-T, and by Aragon Government (Construyendo Europa desde Aragón), grant E13_20R including European Social Fund. J.P.-N. acknowledges MINECO funding BES-2015-072950. S.M.V. appreciates support from EPSRC EP/M024423/1. P.F. was supported by the U.S. Department of Energy, Office of Science, Office of Basic Energy Sciences, Materials Sciences and Engineering Division, Contract No. DE-AC02-05-CH11231 (NEMM program MSMAG). These experiments were performed at MISTRAL beamline at ALBA Synchrotron with the collaboration of ALBA staff and CALIPSOplus (Grant 730872) funding.

Although ferromagnetism is known to be of enormous importance, the exploitation of materials with a compensated (for example, antiferromagnetic) arrangement of long-range ordered magnetic moments is still in its infancy. Antiferromagnetism is more robust against external perturbations, exhibits ultrafast responses of the spin system1 and is key to phenomena such as exchange bias2,3, magnetically induced ferroelectricity4 or certain magnetoresistance phenomena5. However, there is no conjugate field for the manipulation of antiferromagnetic order, hindering both its observation and direct manipulation. Only recently, direct poling of a particular antiferromagnet was achieved with spintronic approaches6. An interesting alternative to antiferromagnetism is ferrotoroidicity—a recently established fourth form of ferroic order7,8. This is defined as a vortex-like magnetic state with zero net magnetization, yet with a spontaneously occurring toroidal moment9. As a hallmark of ferroic order, there must be a conjugate field that can manipulate the order parameter. For ferrotoroidic materials, this is a toroidal field—a magnetic vortex field violating both space-inversion and time-reversal symmetry analogous to the toroidal moment10. However, the nature and generation of the toroidal field remain elusive for conventional crystalline systems. Here, we demonstrate the creation of an artificial crystal11,12 consisting of mesoscopic planar nanomagnets with a magneto-toroidal-ordered ground state. Effective toroidal fields of either sign are applied by scanning a magnetic tip over the crystal. Thus, we achieve local control over the orientation of the toroidal moment despite its zero net magnetization. The long-range magnetic order in an artificial crystal that exhibits emergent ferrotoroidicity on the mesoscale can be manipulated by an effective magnetic vortex field that is generated by a scanning process with a magnetic tip.

Dolutegravir (DTG) is the third HIV integrase inhibitor (INI) available for prescription in Belfast since July 2014. It has shown high virological efficacy in both treatment-naïve and -experienced patients. We carried out a retrospective case chart analysis of HIV-1-positive adults commenced on DTG between July 2014 and September 2015. Patients were identified from records as either treatment-naïve or antiretroviral therapy (ART) experienced. Outcomes included: (1) virological response (HIV-1 RNA viral load at 0, 4, 8 and 12 weeks), (2) immunological response (CD4+ cell count at 0, 4, 8 and 12 weeks) and (3) tolerability (side effects and discontinuation). The main exclusion criteria were patients transferring care already established on DTG from other treatment centres or inadequate follow-up information (defined as attendance at Q25−196,413Q75); 73% were virally undetectable (HIV-1 RNA VL Q25−43,467Q75]), 10 were detectable after four weeks. For those with a recordable viraemia, the median HIV-1 VL reduced to 376 (220Q25−1181Q75). At week 12, four patients were detectable with a median VL of 12,390 (567Q25−52,285Q75). Overall, 56 (35%) reported side effects; 40 (25%) reported either difficulty with low mood, anxiety or sleep disturbance. Sixteen (10%) discontinued DTG, with 13 (8%) due to intolerable side effects. DTG is a useful drug in naïve or switch patients. It has the potential to effectively suppress the viral load within the first four weeks of treatment and thus reduces infectiousness. Within the cohort, DTG was generally well tolerated but side effects such as low mood, anxiety and sleep disturbance were high, with 8% of patients discontinuing treatment.

The fabrication of three-dimensional (3D) nanostructures is of great interest to many areas of nanotechnology currently challenged by fundamental limitations of conventional lithography. One of the most promising direct-write methods for 3D nanofabrication is focused electron beam-induced deposition (FEBID), owing to its high spatial resolution and versatility. Here we extend FEBID to the growth of complex-shaped 3D nanostructures by combining the layer-by-layer approach of conventional macroscopic 3D printers and the proximity effect correction of electron beam lithography. This framework is based on the continuum FEBID model and is capable of adjusting for a wide range of effects present during deposition, including beam-induced heating, defocussing and gas flux anisotropies. We demonstrate the capabilities of our platform by fabricating free-standing nanowires, surfaces with varying curvatures and topologies, and general 3D objects, directly from standard stereolithography (STL) files and using different precursors. Real 3D nanoprinting as demonstrated here opens up exciting avenues for the study and exploitation of 3D nanoscale phenomena., Comment: 15 pages, 4 figures

With a specific stimulus, shape-memory materials can assume a temporary shape and subsequently recover their original shape, a functionality that renders them relevant for applications in fields such as biomedicine, aerospace, and wearable electronics. Shape-memory in polymers and composites is usually achieved by exploiting a thermal transition to program a temporary shape and subsequently recover the original shape. This may be problematic for heat-sensitive environments, and when rapid and uniform heating is required. In this work, a soft magnetic shape-memory composite is produced by encasing liquid droplets of magneto-rheological fluid into a poly(dimethylsiloxane) matrix. Under the influence of a magnetic field, this material undergoes an exceptional stiffening transition, with an almost 30-fold increase in shear modulus. Exploiting this transition, fast and fully reversible magnetic shape-memory is demonstrated in three ways, by embossing, by simple shear, and by unconstrained 3D deformation. Using advanced synchrotron X-ray tomography techniques, the internal structure of the material is revealed, which can be correlated with the composite stiffening and shape-memory mechanism. This material concept, based on a simple emulsion process, can be extended to different fluids and elastomers, and can be manufactured with a wide range of methods.

The ISSHR was commissioned by the Department of Health and Children and the Crisis Pregnancy Agency in response to a recommendation by the National AIDS Strategy Committee. It is the largest nationally representative study of sexual knowledge, attitudes and behaviour ever undertaken in Ireland. International evidence indicates that aspects of sexual health, such as contraception, crisis pregnancy and sexually transmitted infections, should be examined jointly. To this end, the Crisis Pregnancy Agency and the Department of Health and Children instigated the ISSHR. The ISSHR findings have been outlined in a suite of reports – the Main Report, the Summary Report and three sub-reports; the latter provide detailed information in defined areas of interest. This, the second sub-report, focuses on the area of sexual risk-taking and the use of relevant services. The Crisis Pregnancy Agency (CPA) and the sexual-health sector in general need robust evidence in order to develop sexual-health policies, to plan strategies and to inform the effective promotion of sexual-health messages. The ISSHR findings will be invaluable not only to the work of the CPA in preventing crisis pregnancy, but also to that of other organisations concerned with promoting sexual health , providing sexual-health services, preventing sexually transmitted infections, and providing sex education for young people.

We investigate the effect of curvature on the energy and stability of domain wall configurations in curved cylindrical nanotubes and nanowires. We use micromagnetic simulations to calculate the phase diagram for the transverse wall (TW) and vortex wall (VW) states in tubes, finding the ground state configuration and the metastability region where both types of walls can exist. The introduction of curvature shifts the range for which the TW is the ground state domain wall to higher diameters, and increases the range of metastability. We interpret this behavior to be primarily due to the curvature-induced effective Dzyaloshinskii-Moriya term in the exchange energy. Furthermore, we demonstrate qualitatively the same behavior in solid cylindrical nanowires. Comparing both tubes and wires, we observe how while in tubes curvature tends to suppress the transformation from the TW to VW, in wires it promotes the transformation of the VW containing the Bloch point into the TW. These findings have important implications in the fundamental understanding of domain walls in 3D geometries, and the design of future domain wall devices., This work was supported by the EPSRC Cambridge NanoDTC EP/L015978/1, and the Winton Program for the Physics of Sustainability. L. Skoric acknowledges support from St Johns College of the University of Cambridge. C. Donnelly was supported by the Leverhulme Trust (ECF-2018-016), the Isaac Newton Trust (18-08) and the L'Or\'eal-UNESCO UK and Ireland Fellowship For Women In Science. A. Hierro-Rodriguez acknowledges support from Spanish AEI under project reference PID2019–104604RB/AEI/10.13039/501100011033. The authors acknowledge the University of Vienna research platform MMM Mathematics - Magnetism - Materials, and the FWF project I 4917.

Recent progress in nanofabrication and additive manufacturing have facilitated the building of nanometer-scale three-dimensional (3D) structures, that promise to lead to an emergence of new functionalities within a number of fields, compared to state-of-the-art two dimensional systems. In magnetism, the move to 3D systems offers the possibility for novel magnetic properties not available in planar systems, as well as enhanced performance, both of which are key for the development of new technological applications. In this review paper we will focus our attention on 3D magnetic systems and how their magnetic configuration can be retrieved using x-ray magnetic nanotomography. We will start with an introduction to magnetic materials, and their relevance to our everyday life, along with the growing impact that they will have in the coming years in, for example, reducing energy consumption. We will then briefly introduce common methods used to study magnetic materials, such as electron holography, neutron and x-ray imaging. In particular, we will focus on x-ray magnetic circular dichroism (XMCD) and how it can be used to image magnetic moment configurations. As a next step we will introduce tomography for 3D imaging, and how it can be adapted to study magnetic materials. Particular attention will be given to explaining the reconstruction algorithms that can be used to retrieve the magnetic moment configuration from the experimental data, as these represent one of the main challenges so far, as well as the different experimental geometries that are available. Recent experimental results will be used as specific examples to guide the reader through each step in order to make sure that the paper will be accessible for those interested in the topic that do not have a specialized background on magnetic imaging. Finally, we will describe the future prospects of such studies, identifying the current challenges facing the field, and how these can be tackled. In particular we will highlight the exciting possibilities offered by the next generation of synchrotron sources which will deliver diffraction limited beams, as well as with the extension of well-established methodologies currently implemented for the study of two-dimensional magnetic materials to achieve higher dimensional investigations.

A large volume of the East Antarctic Ice Sheet drains through the Totten Glacier (TG) and is thought to be a potential source of substantial global sea-level rise over the coming centuries. We show that the surface velocity and height of the floating part of the TG, which buttresses the grounded component, have varied substantially over two decades (1989–2011), with variations in surface height strongly anti-correlated with simulated basal melt rates (r = 0.70, p < 0.05). Coupled glacier–ice shelf simulations confirm that ice flow and thickness respond to both basal melting of the ice shelf and grounding on bed obstacles. We conclude the observed variability of the TG is primarily ocean-driven. Ocean warming in this region will lead to enhanced ice-sheet dynamism and loss of upstream grounded ice.

Techniques exist for imaging the magnetization patterns of magnetic thin films and at the surfaces of magnets, but here hard-X-ray tomography is used to image the three-dimensional magnetic structure within a micrometre-sized magnet in the vicinity of Bloch points. Techniques have long existed for imaging the two-dimensional magnetization patterns of thin-film magnets, but the three-dimensional complexities of magnetization structure within the body of a magnet is not so amenable to direct investigation. Claire Donnelly et al. have made substantial progress in lifting this veil by harnessing hard-X-ray tomography to determine the inner magnetic structure of micrometre-sized magnets. The properties of current X-ray sources limit the spatial resolution to about 100 nanometres, but it is anticipated that future instrumental developments could greatly improve on this. In soft ferromagnetic materials, the smoothly varying magnetization leads to the formation of fundamental patterns such as domains, vortices and domain walls1. These have been studied extensively in thin films of thicknesses up to around 200 nanometres, in which the magnetization is accessible with current transmission imaging methods that make use of electrons or soft X-rays. In thicker samples, however, in which the magnetization structure varies throughout the thickness and is intrinsically three dimensional, determining the complex magnetic structure directly still represents a challenge1,3. We have developed hard-X-ray vector nanotomography with which to determine the three-dimensional magnetic configuration at the nanoscale within micrometre-sized samples. We imaged the structure of the magnetization within a soft magnetic pillar of diameter 5 micrometres with a spatial resolution of 100 nanometres and, within the bulk, observed a complex magnetic configuration that consists of vortices and antivortices that form cross-tie walls and vortex walls along intersecting planes. At the intersections of these structures, magnetic singularities—Bloch points—occur. These were predicted more than fifty years ago4 but have so far not been directly observed. Here we image the three-dimensional magnetic structure in the vicinity of the Bloch points, which until now has been accessible only through micromagnetic simulations, and identify two possible magnetization configurations: a circulating magnetization structure5 and a twisted state that appears to correspond to an ‘anti-Bloch point’. Our imaging method enables the nanoscale study of topological magnetic structures6 in systems with sizes of the order of tens of micrometres. Knowledge of internal nanomagnetic textures is critical for understanding macroscopic magnetic properties and for designing bulk magnets for technological applications7.

Imaging the magnetic structure of a material is essential to understanding the influence of the physical and chemical microstructure on its magnetic properties. Magnetic imaging techniques, however, have been unable to probe three-dimensional micrometer-size systems with nanoscale resolution. Here we present the imaging of the magnetic domain configuration of a micrometer-thick FeGd multilayer with hard x-ray dichroic ptychography at energies spanning both the Gd ${L}_{3}$ edge and the Fe $K$ edge, providing a high spatial resolution spectroscopic analysis of the complex x-ray magnetic circular dichroism. With a spatial resolution reaching $45\phantom{\rule{0.28em}{0ex}}\mathrm{nm}$, this advance in hard x-ray magnetic imaging is a first step towards the investigation of buried magnetic structures and extended three-dimensional magnetic systems at the nanoscale.

Wirbel und Wande – das Innere eines Magneten ist komplexer als es den Anschein hat. Mit Hilfe von Rontgenstrahlen ist es unserer Gruppe aus Forschern vom Paul Scherrer Institut, der ETH Zurich und der Universitat Glasgow gelungen, die magnetische Struktur mikrometergroser Proben mit bisher unerreichter Auflosung abzubilden.

Recent advances in fabrication techniques to create mesoscopic 3D structures have led to significant developments in a variety of fields including biology, photonics, and magnetism. Further progress in these areas benefits from their full quantitative and structural characterization. We present resonant ptychographic tomography, combining quantitative hard x-ray phase imaging and resonant elastic scattering to achieve ab initio element-specific 3D characterization of a cobalt-coated artificial buckyball polymer scaffold at the nanoscale. By performing ptychographic x-ray tomography at and far from the Co K edge, we are able to locate and quantify the Co layer in our sample to a 3D spatial resolution of 25 nm. With a quantitative determination of the electron density we can determine that the Co layer is oxidized, which is confirmed with microfluorescence experiments.

1 PEG was first described by Gauderer et al and is used for providing long-term feeding. Enteral feeding is indicated in patients with functional GI tracts unable to meet nutritional requirements orally. PEG tube placement has several indications, with the strongest evidence in patients with acute dysphagic stroke and oropharyngeal malignancy. PEG feeding is not suitable for alldfor example, in those with gastroparesis in whom post-gastric or jejunal feeding is required to maintain adequate nutrition. Recurrent aspiration has been reported in up to 30% of PEG-fed individuals, with some evidence that jejunal feeding decreases the aspiration risk. However, this is a contentious issue because other studies show no advantage to this approach. Establishing stable access to the small bowel can be difficult, and placement of a percutaneous endoscopic jejunostomy (PEJ) tube challenging. A PEG with jejunal extension (PEG-J) is an alternative technique for patients who do not tolerate gastric feeding. Many methods of PEG-J tube placement have been reported, but no consensus on the most effective technique exists. Conventional techniques are time consuming, technically demanding, and generally require sedation, oral intubation, and fluoroscopic guidance. Most methods involve passing a guidewire or jejunal tube through the PEG tube and catching this in the stomach with a standard endoscope and forceps. The

Background/introduction Mycobacterial spindle cell pseudotumour is a rare, benign lesion caused by local proliferation of histiocytes in response to mycobacterial infection. It most commonly occurs with mycobacterium avium intracellulare. Most cases affect lymph nodes, skin and brain. We present a case occurring in the lung of a patient with HIV. Methods A 38 year old Caucasian gentleman was admitted with 1 year history of weight loss, cough and diarrhoea. As a result of declining health and recent HIV diagnosis, he had returned to UK after living 8 years in Thailand. He had commenced anti-TB drugs 6 weeks previously; however no details were available regarding previous investigations. He was profoundly immunosuppressed, with CD4 count 3 . CT chest showed widespread cavitating lesions throughout both lung fields. Cultures from sputum and bronchial washings grew mycobacterium avium intracellulare and clarithromycin was added. Antiretroviral treatment was started 2 weeks later. Biopsies from bone marrow and bowel showed no evidence of granuloma or malignancy. He suffered frequent episodes of hypercalcaemia. As a result of this, and lack of radiological response to mycobacterial treatment and ARV, CT guided lung biopsy was carried out. This showed mycobacterial spindle cell pseudotumour. Clinically he continued to improve, with immune recovery. Anti-mycobacterial treatment was to continue for 12 months. Discussion/conclusion Mycobacterial spindle cell pseudotumour is a rare complication of mycobacterial infection. The majority of patients are immunocompromised, including those with advanced HIV. It may share some histological features with Kaposi Sarcoma, therefore correct identification is essential. Treatment depends on the mycobacterial species identified.

The British HIV Association (BHIVA) has published guidelines for immunization of HIV-infected adults. A chart review of 200 HIV-infected patients diagnosed was conducted to determine shortcomings in previous practice and determine which vaccines should routinely be given in specialist HIV clinics and which might be able to be delegated to primary care clinics. Data were collected on administration of three categories of vaccinations: (1) vaccines used in all individuals with chronic disease (pneumococcal, influenza, swine flu H1N1); (2) targeted vaccinations used in non-immune individuals with HIV who are at risk of exposure (hepatitis A and hepatitis B); (3) routine vaccines traditionally delivered to the whole population (measles/mumps/rubella [MMR], diphtheria/tetanus/pertussis and meningitis C/ACWY). Pneumococcal vaccine was delivered to 54% of eligible patients, 52% of eligible individuals completed a full hepatitis B programme of vaccination and 21% (42/200) were naturally immune; hepatitis A vaccine was delivered to 36% of eligible individuals. With increasing demands on resources, it seems likely that HIV services will have to harness resources of primary care in vaccine programmes in relation to routine vaccines. By improving communication between primary and secondary care mistakes with live vaccination decisions could be avoided; HIV services should continue to perform targeted and chronic disease vaccines, i.e. for category 1 and category 2 vaccines.

Modern nanofabrication techniques have opened the possibility to create novel functional materials, whose properties transcend those of their constituent elements. In particular, tuning the magnetostatic interactions in geometrically frustrated arrangements of nanoelements called artificial spin ice1, 2 can lead to specific collective behaviour3, including emergent magnetic monopoles4, 5, charge screening6, 7 and transport8, 9, as well as magnonic response10, 11, 12. Here, we demonstrate a spin-ice-based active material in which energy is converted into unidirectional dynamics. Using X-ray photoemission electron microscopy we show that the collective rotation of the average magnetization proceeds in a unique sense during thermal relaxation. Our simulations demonstrate that this emergent chiral behaviour is driven by the topology of the magnetostatic field at the edges of the nanomagnet array, resulting in an asymmetric energy landscape. In addition, a bias field can be used to modify the sense of rotation of the average magnetization. This opens the possibility of implementing a magnetic Brownian ratchet13, 14, which may find applications in novel nanoscale devices, such as magnetic nanomotors, actuators, sensors or memory cells.

The driving force in materials to spontaneously form states with magnetic or electric order is of fundamental importance for basic research and device technology. The macroscopic properties and functionalities of these ferroics depend on the size, distribution and morphology of domains; that is, of regions across which such uniform order is maintained1. Typically, extrinsic factors such as strain profiles, grain size or annealing procedures control the size and shape of the domains2,3,4,5, whereas intrinsic parameters are often difficult to extract due to the complexity of a processed material. Here, we achieve this separation by building artificial crystals of planar nanomagnets that are coupled by well-defined, tuneable and competing magnetic interactions6,7,8,9. Aside from analysing the domain configurations, we uncover fundamental intrinsic correlations between the microscopic interactions establishing magnetically compensated order and the macroscopic manifestations of these interactions in basic physical properties. Experiment and simulations reveal how competing interactions can be exploited to control ferroic hallmark properties such as the size and morphology of domains, topological properties of domain walls or their thermal mobility., Nature Nanotechnology, 15 (11), ISSN:1748-3387, ISSN:1748-3395

The ability to experimentally map the three-dimensional structure and dynamics in bulk and patterned three-dimensional ferromagnets is essential both for understanding fundamental micromagnetic processes, as well as for investigating technologically-relevant micromagnets whose functions are connected to the presence and dynamics of fundamental micromagnetic structures, such as domain walls and vortices. Here, we demonstrate time-resolved magnetic laminography, a technique which offers access to the temporal evolution of a complex three-dimensional magnetic structure with nanoscale resolution. We image the dynamics of the complex three-dimensional magnetization state in a two-phase bulk magnet with a lateral spatial resolution of 50 nm, mapping the transition between domain wall precession and the dynamics of a uniform magnetic domain that is attributed to variations in the magnetization state across the phase boundary. The capability to probe three-dimensional magnetic structures with temporal resolution paves the way for the experimental investigation of novel functionalities arising from dynamic phenomena in bulk and three-dimensional patterned nanomagnets.