Plasma-wall impurity experiments in ISX-A

The ISX-A was a tokamak designed for studying plasma-wall interactions and plasma impurities. It fulfilled this role quite well, producing reliable and reproducible plasmas which had currents up to 175 kA and energy containment times up to 30 msec. With discharge precleaning, Z/sub eff/ was as low as 1.6; with titanium evaporation, Z/sub eff/ approached 1.0. Values of Z/sub eff/ greater than or equal to 2.0 were found to be proportional to residual impurity gases in the vacuum system immediately following a discharge. However, there was no clear dependence of Z/sub eff/ on base pressure. Stainless steel limiters were used in most of the ISX-A experiments. When carbon limiters were introduced into the vacuum system, Z/sub eff/ increased to 5.6. After twelve days of cleanup with tokamak discharges, during which time Z/sub eff/ steadily decreased, the carbon limiters tended to give slightly higher values of Z/sub eff/ than stainless steel limiters. Injection of less than 10/sup 16/ atoms of tungsten into discharges caused the power incident on the wall to double and the electron temperature profile to become hollow

Approaches to Address Premature Death of Patients When Assessing Patterns of Use of Health Care Services after an Index Event

Background: Studies of the use of health care after the onset of disease are important for assessing quality of care, treatment disparities, and guideline compliance. Cohort definition and analysis method are important considerations for the generalizability and validity of study results. We compared different approaches for cohort definition (restriction by survival time vs. comorbidity score) and analysis method [Kaplan-Meier (KM) vs. competing risk] when assessing patterns of guideline adoption in elderly patients. Methods: Medicare beneficiaries aged 65-95 years old who had an acute myocardial infarction (AMI) in 2008 were eligible for this study. Beneficiaries with substantial frailty or an AMI in the prior year were excluded. We compared KM with competing risk estimates of guideline adoption during the first year post-AMI. Results: At 1-year post-AMI, 14.2% [95% confidence interval (CI), 14.0%-14.5%) of beneficiaries overall initiated cardiac rehabilitation when using competing risk analysis and 15.1% (95% CI, 14.8%-15.3%) from the KM analysis. Guideline medication adoption was estimated as 52.3% (95% CI, 52.0%-52.7%) and 53.4% (95% CI, 53.1%-53.8%) for competing risk and KM methods, respectively. Mortality was 17.0% (95%CI, 16.8%-17.3%) at 1 year post-AMI. The difference in cardiac rehabilitation initiation at 1-year post-AMI from the overall population was 0.1%, 1.7%, and 1.9% compared with 30-day survivor, 1-year survivor, and comorbidity-score restricted populations, respectively. Conclusions: In this study, the KM method consistently overestimated the competing risk method. Competing risk approaches avoid unrealistic mortality assumptions and lead to interpretations of estimates that are more meaningful

E-retailing ethics in Egypt and its effect on customer repurchase intention

The theoretical understanding of online shopping behaviour has received much attention. Less focus has been given to the formation of the ethical issues that result from online shopper interactions with e-retailers. The vast majority of earlier research on this area is conceptual in nature and limited in scope by focusing on consumers’ privacy issues. Therefore, the purpose of this paper is to propose a theoretical model explaining what factors contribute to online retailing ethics and its effect on customer repurchase intention. The data were analysed using variance-based structural equation modelling, employing partial least squares regression. Findings indicate that the five factors of the online retailing ethics (security, privacy, non- deception, fulfilment/reliability, and corporate social responsibility) are strongly predictive of online consumers’ repurchase intention. The results offer important implications for e-retailers and are likely to stimulate further research in the area of e-ethics from the consumers’ perspective