Electrostatic potential variations on stellarator magnetic surfaces in low collisionality regimes

The component of the neoclassical electrostatic potential that is non-constant on the magnetic surface, that we denote by $\tilde\varphi$, can affect radial transport of highly charged impurities, and this has motivated its inclusion in some modern neoclassical codes. The number of neoclassical simulations in which $\tilde\varphi$ is calculated is still scarce, partly because they are usually demanding in terms of computational resources, especially at low collisionality. In this paper the size, the scaling with collisionality and with aspect ratio, and the structure of $\tilde\varphi$ on the magnetic surface are analytically derived in the $1/\nu$, $\sqrt{\nu}$ and superbanana-plateau regimes of stellarators close to omnigeneity; i. e. stellarators that have been optimized for neoclassical transport. It is found that the largest $\tilde\varphi$ that the neoclassical equations admit scales linearly with the inverse aspect ratio and with the size of the deviation from omnigeneity. Using a model for a perturbed omnigeneous configuration, the analytical results are verified and illustrated with calculations by the code KNOSOS. The techniques, results and numerical tools employed in this paper can be applied to neoclassical transport problems in tokamaks with broken axisymmetry.Comment: 30 pages, 12 figures, 1 table. Published versio

Stellarator impurity flux driven by electric fields tangent to magnetic surfaces

The control of impurity accumulation is one of the main challenges for future stellarator fusion reactors. The standard argument to explain this accumulation relies on the, in principle, large inward pinch in the neoclassical impurity flux caused by the typically negative radial electric field in stellarators. This simplified interpretation was proven to be flawed by Helander et al. [Phys. Rev. Lett. 118, 155002 (2017)], who showed that in a relevant regime (low-collisionality main ions and collisional impurities) the radial electric field does not drive impurity transport. In that reference, the effect of the component of the electric field that is tangent to the magnetic surface was not included. In this Letter, an analytical calculation of the neoclassical radial impurity flux incorporating such effect is given, showing that it can be very strong for highly charged impurities and that, once it is taken into account, the dependence of the impurity flux on the radial electric field reappears. Realistic examples are provided in which the inclusion of the tangential electric field leads to impurity expulsion.Comment: 10 pages, 1 figure. Published versio

Care of peripheral intravenous catheters in three hospitals in Spain: Mapping clinical outcomes and implementation of clinical practice guidelines

BACKGROUND: Peripheral intravenous catheters (PIVCs) are the most widely used invasive devices worldwide. Up to 42% of PIVCs are prematurely removed during intravenous therapy due to failure. To date, there have been few systematic attempts in European hospitals to measure adherence to recommendations to mitigate PIVC failures. AIM: To analyse the clinical outcomes from clinical practice guideline recommendations for PIVC care on different hospital types and environments. METHODS: We conducted an observational study in three hospitals in Spain from December 2017 to April 2018. The adherence to recommendations was monitored via visual inspection in situ evaluations of all PIVCs inserted in adults admitted. Context and clinical characteristics were collected by an evaluation tool, analysing data descriptively. RESULTS: 646 PIVCs inserted in 624 patients were monitored, which only 52.7% knew about their PIVC. Regarding PIVC insertion, 3.4% (22/646) patients had at least 2 PIVCs simultaneously. The majority of PIVCs were 20G (319/646; 49.4%) and were secured with transparent polyurethane dressing (605/646; 93.7%). Most PIVCs (357/646; 55.3%) had a free insertion site during the visual inspection at first sight. We identified 342/646 (53%) transparent dressings in optimal conditions (clean, dry, and intact dressing). PIVC dressings in medical wards were much more likely to be in intact conditions than those in surgical wards (234/399, 58.7% vs. 108/247, 43.7%). We identified 55/646 (8.5%) PIVCs without infusion in the last 24 hours and 58/646 (9.0%) PIVCs without infusion for more than 24 hours. Regarding PIVC failure, 74 (11.5%) adverse events were identified, all of them reflecting clinical manifestation of phlebitis. CONCLUSIONS: Our findings indicate that the clinical outcome indicators from CPG for PIVC care were moderate, highlighting differences between hospital environments and types. Also, we observed that nearly 50% of patients did not know what a PIVC is

From the Editors: Making Intangible Capital a better review in its third year

Con este número, Intangible Capital inicia su tercer año. Es un buen momento para reflexionar sobre cómo podemos mejorar la revista en este tercer volumen, y de reconsiderar los objetivos marcados en el segundo volumen.With this issue, Intangible Capital reaches its third year. It is a good moment to reflect on how can we make this review better one along this year, and to asses if we have achieved the second year’s goal

Turbulent transport of impurities in 3D devices

A large diffusive turbulent contribution to the radial impurity transport in Wendelstein 7-X (W7-X) plasmas has been experimentally inferred during the first campaigns and numerically confirmed by means of gyrokinetic simulations with the code stella. In general, the absence of strong impurity accumulation during the initial W7-X campaigns is attributed to this diffusive term. In the present work the diffusive contribution is also calculated in other stellarator plasmas. In particular, the diffusion (D) and convection (V) coefficients of carbon and iron impurities produced by ion-temperature-gradient (ITG) turbulence are obtained for W7-X, LHD, TJ-II and NCSX. The results show that, although the size of D and V can differ across the four devices, inward convection is found for all of them. For W7-X, TJ-II and NCSX the two coefficients are comparable and the turbulent peaking factor is surprisingly similar. In LHD, appreciably weaker diffusive and convective impurity transport and significantly larger turbulent peaking factor are predicted. All this suggests that ITG turbulence, although not strongly, would lead to negative impurity density gradients in stellarators. Then, considering mixed ITG/Trapped Electron Mode (TEM) turbulence for the specific case of W7-X, it has been quantitatively assessed to what degree pellet fueled reduced turbulence scenarios feature reduced turbulent transport of impurities as well. The results for trace iron impurities show that, although their turbulent transport is not entirely suppressed, a significant reduction of V and a stronger decrease of D are found. Although the diffusion is still above neoclassical levels, the neoclassical convection would gain under such conditions a greater specific weight on the dynamics of impurities in comparison with standard ECRH scenarios.Comment: 16 pages, 8 figure

Turbulent impurity transport simulations in Wendelstein 7-X plasmas

A study of turbulent impurity transport by means of quasilinear and nonlinear gyrokinetic simulations is presented for Wendelstein 7-X (W7-X). The calculations have been carried out with the recently developed gyrokinetic code stella. Different impurity species are considered in the presence of various types of background instabilities: ITG, TEM and ETG modes for the quasilinear part of the work; ITG and TEM for the nonlinear results. While the quasilinear approach allows one to draw qualitative conclusions about the sign or relative importance of the various contributions to the flux, the nonlinear simulations quantitatively determine the size of the turbulent flux and check the extent to which the quasilinear conclusions hold. Although the bulk of the nonlinear simulations are performed at trace impurity concentration, nonlinear simulations are also carried out at realistic effective charge values, in order to know to what degree the conclusions based on the simulations performed for trace impurities can be extrapolated to realistic impurity concentrations. The presented results conclude that the turbulent radial impurity transport in W7-X is mainly dominated by ordinary diffusion, which is close to that measured during the recent W7-X experimental campaigns. It is also confirmed that thermo-diffusion adds a weak inward flux contribution and that, in the absence of impurity temperature and density gradients, ITG- and TEM-driven turbulence push the impurities inwards and outwards, respectively.Comment: 19 pages, 10 figures, 2 table