experimental investigation of functional performance of a vacuum vessel pressure suppression system of iter

Abstract Important challenges for fusion technology deal with the design of safety systems aimed to protect the Vacuum Vessel (VV) from pressurizing accidents like the Loss Of Coolant Accident (LOCA). To prevent or mitigate structural damages, the solution proposed is a safety system able to quickly condense released steam in cold water at sub-atmospheric conditions. This water suppression tank (VVPSS) is so aiming at limiting the maximum pressure in the VV to 0.2 MPa during in-vessel coolant leak events and at maintaining the VV long-term pressure below atmospheric pressure during air or incondensable gases ingress, through the Direct Contact Condensation (DCC). The novelty of this study resides especially in the working condition of VVPSS, which operates precisely to sub-atmospheric pressure: up to date no explicit experimental data or investigation of DCC are in fact available in literature. To overcome this lack an extensive experimental work has been done at DICI – University of Pisa, where numerous condensation tests (more than 300) were performed. The operation condition investigated took into account downstream pressure between 30 and 117 kPa and water pool temperature from 30 up to 85 °C. The experimental measurements allow to study the influence of steam mass flux, water temperature and pool pressure on the steam condensation phenomenon (and in turn, based on the stable condensation regime, correctly analyze the design parameter of VVPSS). The results obtained are presented and discussed. Innovative condensation regime maps are in addition provided

experimental investigation of steam condensation in water tank at sub atmospheric pressure

Abstract The International Thermonuclear Experimental Reactor (ITER) Vacuum Vessel Pressure Suppression System (VVPSS) limits the Vacuum Vessel (VV) internal pressure, in case of loss of coolant (LOCA) or other pressurizing accidents from the in-vessel components, to 150 kPa (abs). This is key safety function because a large internal pressure could lead to a breach of the primary confinement barrier. Safety is ensured by discharging the steam evolved during the accident event to the VVPSS suppression tanks where it is condensed. Steam condensation occurs at sub-atmospheric pressure condition. Moreover, being this latter not standard for traditional nuclear systems, this investigation is quite new (not studied in detail before) and deals with an experimental investigation of the direct contact condensation at VVPSS prototypical thermal-hydraulic conditions. To the purpose, a small-scale experimental rig was properly designed and built at Lab. B. Guerrini of DICI-University of Pisa as well as different temperature, pressure and steam mass (flow rate per hole) conditions and sparger patterns have been investigated. The experimental test matrix is also presented in this study. The obtained results show high efficiency of condensation for all examined conditions. The main condensation regimes at sub-atmospheric pressure conditions were identified. In addition, a comparison was done between the condensation regimes experimentally determined and those available in the literature, which were obtained at atmospheric pressure. Finally, results demonstrated to be representative of the real configuration at ITER reactor

Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London

Surgical site infection after gastrointestinal surgery in high-income, middle-income, and low-income countries: a prospective, international, multicentre cohort study

Background: Surgical site infection (SSI) is one of the most common infections associated with health care, but its importance as a global health priority is not fully understood. We quantified the burden of SSI after gastrointestinal surgery in countries in all parts of the world. Methods: This international, prospective, multicentre cohort study included consecutive patients undergoing elective or emergency gastrointestinal resection within 2-week time periods at any health-care facility in any country. Countries with participating centres were stratified into high-income, middle-income, and low-income groups according to the UN's Human Development Index (HDI). Data variables from the GlobalSurg 1 study and other studies that have been found to affect the likelihood of SSI were entered into risk adjustment models. The primary outcome measure was the 30-day SSI incidence (defined by US Centers for Disease Control and Prevention criteria for superficial and deep incisional SSI). Relationships with explanatory variables were examined using Bayesian multilevel logistic regression models. This trial is registered with ClinicalTrials.gov, number NCT02662231. Findings: Between Jan 4, 2016, and July 31, 2016, 13 265 records were submitted for analysis. 12 539 patients from 343 hospitals in 66 countries were included. 7339 (58·5%) patient were from high-HDI countries (193 hospitals in 30 countries), 3918 (31·2%) patients were from middle-HDI countries (82 hospitals in 18 countries), and 1282 (10·2%) patients were from low-HDI countries (68 hospitals in 18 countries). In total, 1538 (12·3%) patients had SSI within 30 days of surgery. The incidence of SSI varied between countries with high (691 [9·4%] of 7339 patients), middle (549 [14·0%] of 3918 patients), and low (298 [23·2%] of 1282) HDI (p < 0·001). The highest SSI incidence in each HDI group was after dirty surgery (102 [17·8%] of 574 patients in high-HDI countries; 74 [31·4%] of 236 patients in middle-HDI countries; 72 [39·8%] of 181 patients in low-HDI countries). Following risk factor adjustment, patients in low-HDI countries were at greatest risk of SSI (adjusted odds ratio 1·60, 95% credible interval 1·05–2·37; p=0·030). 132 (21·6%) of 610 patients with an SSI and a microbiology culture result had an infection that was resistant to the prophylactic antibiotic used. Resistant infections were detected in 49 (16·6%) of 295 patients in high-HDI countries, in 37 (19·8%) of 187 patients in middle-HDI countries, and in 46 (35·9%) of 128 patients in low-HDI countries (p < 0·001). Interpretation: Countries with a low HDI carry a disproportionately greater burden of SSI than countries with a middle or high HDI and might have higher rates of antibiotic resistance. In view of WHO recommendations on SSI prevention that highlight the absence of high-quality interventional research, urgent, pragmatic, randomised trials based in LMICs are needed to assess measures aiming to reduce this preventable complication

Indoor radon concentration in geothermal areas of central Italy

The indoor radon (222Rn) activity concentration was measured between January and June in the schools of two geothermal areas in Tuscany, central Italy. One of these areas (the Larderello area) is characterized by a large number of geothermal power plants, covering about 9% of the world’s geothermal power production. In contrast, the other area, Monte Pisano, has not any such facilities. About 250 measurements were made using track etch detectors. Only a slight difference in the concentrations between the two major sampling areas (98 Bq m3 for Larderello area and 43 Bq m3 for Monte Pisano area) was found, and this was related to different geological characteristics of the ground and not the presence of the geothermal plants. The measured radon concentrations were always well below the intervention levels in both areas, and health risks for students and personnel in the examined schools were excluded

Design parameters and technology optimization of 3He-filled proportional counters for thermal neutron detection and spectrometry applications

Technological aspects and key features related to the development and design optimization of 3He-filled proportional counters for thermal neutron detection and neutron spectrometry applications are presented in this article. Basic operation features are reviewed in details by focusing on their determinant impact upon the definition of the consistent design parameters. Previous Monte Carlo simulations, where both wall effect and electron attachment effects due to occlusive electronegative impurities were taken in consideration, were carried out in 3He-filled proportional counters for the study of the pulse height distribution and gamma rays influence. From interpretation of the main quantitative results, basic parameters for design optimization requirements were drawn-up. Some laboratory developed 3He-based proportional counter prototypes are then described. The characteristics of a set of gas composition fillings that were experimentally investigated are then compared to those obtained with a commercial specimen that was taken as a reference standard. Finally, a brief conclusion underlines some consistent insights toward the improvement of quality performances during future development tasks of helium-filled proportional counters intended for thermal neutron detection and neutron spectrometry applications