EU-DEMO divertor: Cassette design and PFCs integration at pre-conceptual stage

The pre-conceptual design of the DEMO divertor cassette with a novelty, alternative path of the main cooling pipes inside cassette body is presented in this paper, focusing on cassette design and Plasma Facing Components (PFC) integration. The divertor cassette design is reviewed, considering recent updates in the DEMO configuration model as presented by the Programme Management Unit (PMU) in 2018. The new configuration requires the cooling pipes to be integrated inside the cassette body. The components affected by these changes and the impact on the divertor design are analyzed. The study focuses on a new integration system between cassette and cooling pipes. The paper describes the integration on the new cassette geometry and the divertor sub-systems. The design activities related to this system are discussed in detail in terms of CAD modeling and considerations with respect to manufacturing such as welding technologies and non-destructive testing

Insulated fixation system of plasma facing components to the divertor cassette in Eurofusion-DEMO

The design activities of an insulated Plasma Facing Components-Cassette Body (PFCs-CB) support has been carried out under the pre-conceptual design phase for Eurofusion-DEMO Work Package DIV-1 \u201cDivertor Cassette Design and Integration\u201d - Eurofusion Power Plant Physics & Technology (PPPT) program. The Eurofusion-DEMO divertor is a key in-vessel component with PFCs which directly interact with the plasma scrape-off layer. The PFCs have to cope with high heat loads, neutron irradiation and electromagnetic loads. The mechanical integrity of the PFCs and water cooling pipes can be jeopardized by high heat loads and by electromagnetic loads generated in a disruption event. In European-DEMO the possibility to estimate the heat load by measuring the relative thermocurrents is under investigation. In order to allow thermocurrents measurements, a divertor design option provides that PFCs are electrically insulated from CB. In this work authors aim to analyze the opportunity that the PFC-CB fixing system incorporates an electrical insulation system, thus acquiring also an important diagnostic role in the measurement of the thermocurrents and in the management of the current flows. The possible use of ceramic material (e.g. alumina) as the insulating layer between the support components is investigated

Postoperative Management of Zygomatic Arch Fractures: In-House Rapid Prototyping System for the Manufacture of Protective Facial Shields

Zygomatic fractures account for 10% to 15% of all facial fractures. The surgical management of isolated zygomatic arch fractures usually requires open reduction treatment without fixation through an intraoral access. Therefore, the main problem in the non-fixed treatment of zygomatic arch fractures is related to the difficulty in obtaining a stable reduction for a period long enough to guarantee the physiological bone healing process. We propose an innovative "in-house" rapid prototyping (RP) protocol for the 3D-zygoma mask manufacture of a patient-specific protective device to apply after zygomatic arch fracture reduction. Our study includes 16 consecutive patients who underwent surgical open reduction for an isolated zygoma fracture without fixation between January 2017 and February 2018. The patients received regular postoperative checks at weeks 1 and 2. Before the device was removed, a multiple choice questionnaire was administered to measure the degree of wearability of the mask. The estimated cost of the production is around &OV0556;5 per case and the construction time is around 90 minutes. Based on the encouraging results, obtained in our experience, we hope that other studies can be conducted to confirm our procedure and improve its functionality in the field of facial trauma

Eurofusion-DEMO Divertor - Cassette Design and Integration

The Eurofusion-DEMO design will complete the Pre Conceptual Design phase (PCD) with a PCD Gate, named G1, scheduled to take place in Q4 2020 that will focus on assessing the feasibility of the plant and its main components prior to entering into the Conceptual Design phase. In the paper first an overview is given of the Eurofusion-DEMO Divertor Assembly including design and interface description, systems and functional requirements, load specification, system classification, manufacturing procedures and cost estimate. Then critical issues are discussed and potential design solutions are proposed, e.g.: - Neutron material damage limits of the different (structural) materials present in the divertor assembly (as CuCrZr, Eurofer) and in the vacuum vessel (AISI 316 L(N)-IG); - Temperature hot spots in parts of the divertor assembly exposed to high nuclear heating and high heat radiation (from the plasma core or the separatrix) causing difficulties for active or passive cooling (e.g. cassette body structure, liner support structures, mechanical supports, divertor toroidal rails); - Arrangement and design of plasma-facing components and liner with pumping slot in the divertor cassette to enable pumping of exhaust gases from the lower port

Vascular risk factors in glaucoma: the results of a national survey

Background The role of vascular risk factors in glaucoma is still being debated. To assess the importance of vascular risk factors in patients with primary open-angle glaucoma (POAG), data from the medical history of 2,879 POAG patients and 973 age-matched controls were collected and analyzed. Methods Design: observational survey. Setting: 35 Italian academic centers. Study population: POAG patients and age-matched controls. In order to reduce bias consecutive patients were included. Observation procedures: data concerning vascular risk factors were collected for all patients with a detailed questionnaire. A complete ophthalmological examination with assessment of intraocular pressure (IOP), visual field, optic disc, and systemic blood pressure was performed. Main outcome measures: the ESH-ESC (European Society of Hypertension-European Society of Cardiology) guidelines were used to calculate the level of cardiovascular risk. Crude and adjusted estimates of the odds ratios (OR) were calculated for all cardiovascular risk factors in POAG and controls. Results The study included 2,879 POAG patients and 973 controls. POAG cases had a significantly higher systolic and diastolic blood pressure (p=0.001) and systolic perfusion pressure (p=0.02) as compared with controls. Also mean IOP was significantly higher in the POAG group (p=0.01), while diastolic perfusion pressure was not significantly different in the two groups. Myopia was more prevalent in the POAG group (23 vs 18%, p=0.005) as well as a positive family history for glaucoma (26 vs 12%, p= 0.004). POAG patients tended to have a higher cardiovascular risk than controls: 63% of glaucoma cases vs 55% of controls (OR: 1.38, p=0.005) had a “high” or “very high” cardiovascular risk. Conclusions The level of cardiovascular risk was significantly higher in glaucoma patients than in controls

Syngnathia: A rare case of maxillo-mandibular fusion in an adult patient

Syngnathia is a congenital bony fusion of the mandible to maxilla involving the pediatric age. it is a rare condition that may comprise soft tissue or hard tissues. according to the literature, to our knowledge, 29 cases have been reported during childhood. This clinical condition is usually discovered immediately after birth, since the child is not able to open the mouth, and is unable to feed himself adequately. generally the surgical treatment consists of multiple procedures to release bony fusion, or debride adhesions during the first few days of life. When the lock involves only the soft tissue, the treatment consists in removal the mucosal synechia, by performing an intraoral approach. To our knowledge, herein we describe the first case of unilateral syngnathia in adulthood. A 27-year-old African male was referred to our Department of Maxillo-Facial Surgery of the Federico ii university of Naples in January 2008. The patient reported to have been victim of a direct trauma to the face as a result of an assault when he was child, during the second civil war in Sudan. he was hit with a blunt instrument on the right maxillo-zygomatic region. in conclusion, as far as we know, this is the older patient affected by syngnathia with a suspicion of traumatic etiology, and none of the patients reported in the literature had a traumatic etiology

A rare case of blindness due to an odontogenic abscess

Orbital cellulitis can be caused by distant infective foci, local spread and surgical procedures. Typical symptoms and signs are conjunctival chemosis, pain, extraocular muscles dysfunction, proptosis and visual impairment; systemic symptoms are fever and general discomfort. Nowadays death is uncommon, due to prompt antimicrobial and surgical management, but loss of vision remains an important cause of morbidity. This article shows the case of a 50-years-old woman referred to the Department of Orbital Pathology of the hospital Polyclinic Federico ii (Naples) with a severe case of odontogenic orbital cellulitis. The orbital infection caused bulbar perforation and endophthalmitis. an evisceration surgery was indicated to avoid a risky sympathetic endophthalmitis. Surgical and medical prompt therapy lead to clinical improvement. Odontogenic orbital cellulitis is a rare, serious infection which can lead to endophthalmitis and visual loss. unfortunately, the dental origin of infection can be missed during the examination. For these reasons, it’s important for the practitioner to consider this source or infection. The management consists of prompt medical therapy, intensive monitoring, cultural exams, serial imaging and proper surgical intervention, if needed. Therefore, early hospitalization and multidisciplinary approach are mandatory