Asymmetries in Mars' Exosphere: Implications for X-ray and ENA Imaging

Observations and simulations show that Mars' atmosphere has large seasonal variations. Total atmospheric density can have an order of magnitude latitudinal variation at exobase heights. By numerical simulations we show that these latitude variations in exobase parameters induce asymmetries in the hydrogen exosphere that propagate to large distances from the planet. We show that these asymmetries in the exosphere produce asymmetries in the fluxes of energetic neutral atoms (ENAs) and soft X-rays produced by charge exchange between the solar wind and exospheric hydrogen. This could be an explanation for asymmetries that have been observed in ENA and X-ray fluxes at Mars.Comment: Submitted to Space Science Review. v2: Minor changes in text and figure

An Enhanced Nonlinear Critical Gradient for Electron Turbulent Transport due to Reversed Magnetic Shear

The first nonlinear gyrokinetic simulations of electron internal transport barriers (e-ITBs) in the National Spherical Torus Experiment show that reversed magnetic shear can suppress thermal transport by increasing the nonlinear critical gradient for electron-temperature-gradient-driven turbulence to three times its linear critical value. An interesting feature of this turbulence is nonlinearly driven off-midplane radial streamers. This work reinforces the experimental observation that magnetic shear is likely an effective way of triggering and sustaining e-ITBs in magnetic fusion devices.Comment: 4 pages, 5 figure

An Enhanced Nonlinear Critical Gradient for Electron Turbulent Transport due to Reversed Magnetic Shear

The first nonlinear gyrokinetic simulations of electron internal transport barriers (e-ITBs) in the National Spherical Torus Experiment show that reversed magnetic shear can suppress thermal transport by increasing the nonlinear critical gradient for electron-temperature-gradient-driven turbulence to three times its linear critical value. An interesting feature of this turbulence is nonlinearly driven off-midplane radial streamers. This work reinforces the experimental observation that magnetic shear is likely an effective way of triggering and sustaining e-ITBs in magnetic fusion devices.Comment: 4 pages, 5 figure

The Physical Health of Caregivers of Children With Life-Limiting Conditions: A Systematic Review

CONTEXT: Parental caregiving for a child with a life-limiting condition (LLC) is complex physical and mental work. The impact of this caregiving on parents' physical health is unknown. OBJECTIVES: (1) To review existing evidence on the physical health of parents caring for a child with a LLC and (2) to determine how physical health of parents is measured. DATA SOURCES: Medline, Embase, PsycINFO, and Cumulative Index of Nursing and Allied Health Literature were searched. STUDY SELECTION: Peer-reviewed articles were included if they reported primary data on the physical health of a caregiver of a child with a LLC. Studies were excluded if they described only the caregiver's mental health or if the caregivers were bereaved at the time of data collection. DATA EXTRACTION: Of 69 335 unique citations, 81 studies were included in the review. RESULTS: Caregiver health was negatively impacted in 84% of studies. Pain and sleep disturbance were the most common problems. Ways of measuring the physical health of caregiver varied widely. We found an absence of in-depth explorations of the social and economic contexts, which could potentially mitigate the impact of caregiving. Furthermore, we find health interventions tailored to this group remain largely unexplored. LIMITATIONS: Studies were heterogenous in methodology, making comparisons of results across studies difficult. CONCLUSIONS: These findings support the need for improving access to interventions aimed at improving physical health in this population. The rate of health-seeking behaviors, preventive health care access and screening for health conditions is understudied and represent important directions for further research

Higher Order Force Gradient Symplectic Algorithms

We show that a recently discovered fourth order symplectic algorithm, which requires one evaluation of force gradient in addition to three evaluations of the force, when iterated to higher order, yielded algorithms that are far superior to similarly iterated higher order algorithms based on the standard Forest-Ruth algorithm. We gauge the accuracy of each algorithm by comparing the step-size independent error functions associated with energy conservation and the rotation of the Laplace-Runge-Lenz vector when solving a highly eccentric Kepler problem. For orders 6, 8, 10 and 12, the new algorithms are approximately a factor of $10^3$, $10^4$, $10^4$ and $10^5$ better.Comment: 23 pages, 10 figure

Impurity transport, turbulence transitions and intrinsic rotation in Alcator C-Mod plasmas

Linear and nonlinear gyrokinetic simulations are used to probe turbulent impurity transport in intrinsically rotating tokamak plasmas. For this simulation-based study, experimental input parameters are taken from a pair of ICRF heated Alcator C-Mod discharges exhibiting a change in the sign of the normalized toroidal rotation gradient at mid-radius (i.e. a change from hollow to peaked intrinsic rotation profiles). The simulations show that there is no change in the peaking of the calcium impurity between the plasmas with peaked and hollow rotation profiles, suggesting that the impurity transport and the shape of the rotation do not always change together. Furthermore, near mid-radius, r/a = 0.5 (normalized midplane minor radius), the linear and nonlinear gyrokinetic simulations exhibit no evidence of a transition from ion temperature gradient (ITG) to trapped electron mode dominance when the intrinsic rotation profile changes from peaked to hollow. Extensive nonlinear sensitivity analysis is performed, and there is no change in the ITG critical gradient or in the stiffness of ion heat transport with the change in the intrinsic toroidal rotation profile shape, which suggests that the shape of the rotation profile is not dominated by the ITG onset in these cases.United States. Department of Energy (contract DE-FC02-99ER54512-CMOD)United States. Department of Energy (Fusion Energy Postdoctoral Research Program

Living with an Older Person Dying from Cancer, Lung Disease or Dementia: Health Outcomes from a General Practice Cohort Study

CONTEXT: Increasing numbers of people will die from chronic disease. Families contribute significantly to end-of-life care but their role may not be recognized. OBJECTIVES: To 1) establish the proportion of older cohabitees identified in primary care as "carers;" 2) describe demographic and lifestyle characteristics of cohabitees of people terminally ill with cancer, dementia, and chronic obstructive pulmonary disease (COPD); 3) describe their health a year before and after bereavement; and 5) compare health outcomes between cohabitees of people dying with cancer, COPD, or dementia. METHODS: Retrospective cohort study using a U.K. primary care database (The Health Improvement Network) of 13,693 bereaved cohabitees (a proxy marker for being a carer), aged 60 years or older of people dying from cancer, COPD, or dementia. Characteristics were described one year before and after bereavement. We compared cancer, COPD, and dementia cohabitee outcomes using incidence rate ratios one year before and after bereavement and calculated mortality risk post-bereavement. RESULTS: A total of 6.9% of cohabitees were recorded as carers. Health outcomes differed little between the three groups of cohabitees in the year prior to or after bereavement. The proportion of cohabitees with six or more consultations increased the year after bereavement (cancer cohabitees 16.0% to 18.8%, COPD cohabitees 17.8% to 20.4% and dementia cohabitees 15.5% to 17.5%). At post-bereavement (follow-up median 3 years, IQR 1.3-5.4), we found no mortality differences between the three groups. CONCLUSION: Recording of carers of terminally ill people was suboptimal. Cause of bereavement produced few differential effects on health outcomes or mortality

Direct multiscale coupling of a transport code to gyrokinetic turbulence codes

Direct coupling between a transport solver and local, nonlinear gyrokinetic calculations using the multiscale gyrokinetic code TRINITY [M. Barnes, Ph.D. thesis, arxiv:0901.2868] is described. The coupling of the microscopic and macroscopic physics is done within the framework of multiscale gyrokinetic theory, of which we present the assumptions and key results. An assumption of scale separation in space and time allows for the simulation of turbulence in small regions of the space-time grid, which are embedded in a coarse grid on which the transport equations are implicitly evolved. This leads to a reduction in computational expense of several orders of magnitude, making first-principles simulations of the full fusion device volume over the confinement time feasible on current computing resources. Numerical results from TRINITY simulations are presented and compared with experimental data from JET and ASDEX Upgrade plasmas.Comment: 12 pages, 13 figures, invited paper for 2009 APS-DPP meeting, submitted to Phys. Plasma

Magnetic stochasticity in gyrokinetic simulations of plasma microturbulence

Analysis of the magnetic field structure from electromagnetic simulations of tokamak ion temperature gradient turbulence demonstrates that the magnetic field can be stochastic even at very low plasma pressure. The degree of magnetic stochasticity is quantified by evaluating the magnetic diffusion coefficient. We find that the magnetic stochasticity fails to produce a dramatic increase in the electron heat conductivity because the magnetic diffusion coefficient remains small