Current status and future perspectives of EU ceramic breeder development

Biphasic ceramic pebbles, consisting of Li4SiO4 and Li2TiO3, are being developed as the EU reference tritium breeding material for ITER and DEMO. A modified melt-based process for the pebble fabrication was established and optimised with regard to the process stability and yield. In parallel, the properties of pebbles and pebble beds were evaluated in dedicated experiments. These include investigations into e.g. the long-term thermal stability of pebbles, the thermomechanical properties of pebble beds, as well as the compatibility between the ceramics and the structural material. The available data was recently summarised and issued as the Material Property Handbook on Advanced Ceramic Breeders. During the EU DEMO conceptual phase, two main issues are proposed to be pursued in view of ITER. Irradiation campaigns are planned to ensure that the advanced ceramic breeder material is adequately tested and an extensive process scale-up with an increased production rate is foreseen to secure the supply for the ITER test blanket modules

Monazite-Type SmPO4_{4} as Potential Nuclear Waste Form: Insights into Radiation Effects from Ion-Beam Irradiation and Atomistic Simulations

Single-phase monazite-type ceramics are considered as potential host matrices for the conditioning of separated plutonium and minor actinides. Sm-orthophosphates were synthesised and their behaviour under irradiation was investigated with respect to their long-term performance in the repository environment. Sintered SmPO$_{4}$ pellets and thin lamellae were irradiated with 1, 3.5, and 7 MeV Au ions, up to fluences of 5.1 × 10$^{14}$ ions cm$^{-2}$ to simulate ballistic effects of recoiling nuclei resulting from α-decay of incorporated actinides. Threshold displacement energies for monazite-type SmPO$_{4}$ subsequently used in SRIM/TRIM simulations were derived from atomistic simulations. Raman spectra obtained from irradiated lamellae revealed vast amorphisation at the highest fluence used, although local annealing effects were observed. The broadened, but still discernible, band of the symmetrical stretching vibration in SmPO4 and the negligible increase in P–O bond lengths suggest that amorphisation of monazite is mainly due to a breaking of Ln–O bonds. PO$_{4}$ groups show structural disorder in the local environment but seem to behave as tight units. Annealing effects observed during the irradiation experiment and the distinctively lower dose rates incurred in actinide bearing waste forms and potential α-radiation-induced annealing effects indicate that SmPO$_{4}$-based waste forms have a high potential for withstanding amorphisation

Infants with esophageal atresia and right aortic arch: Characteristics and outcomes from the Midwest Pediatric Surgery Consortium

Purpose Right sided aortic arch (RAA) is a rare anatomic finding in infants with esophageal atresia with or without tracheoesophageal fistula (EA/TEF). In the presence of RAA, significant controversy exists regarding optimal side for thoracotomy in repair of the EA/TEF. The purpose of this study was to characterize the incidence, demographics, surgical approach, and outcomes of patients with RAA and EA/TEF. Methods A multi-institutional, IRB approved, retrospective cohort study of infants with EA/TEF treated at 11 children's hospitals in the United States over a 5-year period (2009 to 2014) was performed. All patients had a minimum of one-year follow-up. Results In a cohort of 396 infants with esophageal atresia, 20 (5%) had RAA, with 18 having EA with a distal TEF and 2 with pure EA. Compared to infants with left sided arch (LAA), RAA infants had a lower median birth weight, (1.96 kg (IQR 1.54–2.65) vs. 2.57 kg (2.00–3.03), p = 0.01), earlier gestational age (34.5 weeks (IQR 32–37) vs. 37 weeks (35–39), p = 0.01), and a higher incidence of congenital heart disease (90% vs. 32%, p  0.29). Conclusion RAA in infants with EA/TEF is rare with an incidence of 5%. Compared to infants with EA/TEF and LAA, infants with EA/TEF and RAA are more severely ill with lower birth weight and higher rates of prematurity and complex congenital heart disease. In neonates with RAA, surgical repair of the EA/TEF is technically feasible via thoracotomy from either chest. A higher incidence of anastomotic strictures may occur with a right-sided approach

EFAS/EAN survey on the influence of the COVID-19 pandemic on European clinical autonomic education and research

© The Author(s) 2023. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.Purpose: To understand the influence of the coronavirus disease 2019 (COVID-19) pandemic on clinical autonomic education and research in Europe. Methods: We invited 84 European autonomic centers to complete an online survey, recorded the pre-pandemic-to-pandemic percentage of junior participants in the annual congresses of the European Federation of Autonomic Societies (EFAS) and European Academy of Neurology (EAN) and the pre-pandemic-to-pandemic number of PubMed publications on neurological disorders. Results: Forty-six centers answered the survey (55%). Twenty-nine centers were involved in clinical autonomic education and experienced pandemic-related didactic interruptions for 9 (5; 9) months. Ninety percent (n = 26/29) of autonomic educational centers reported a negative impact of the COVID-19 pandemic on education quality, and 93% (n = 27/29) established e-learning models. Both the 2020 joint EAN-EFAS virtual congress and the 2021 (virtual) and 2022 (hybrid) EFAS and EAN congresses marked higher percentages of junior participants than in 2019. Forty-one respondents (89%) were autonomic researchers, and 29 of them reported pandemic-related trial interruptions for 5 (2; 9) months. Since the pandemic begin, almost half of the respondents had less time for scientific writing. Likewise, the number of PubMed publications on autonomic topics showed the smallest increase compared with other neurological fields in 2020-2021 and the highest drop in 2022. Autonomic research centers that amended their trial protocols for telemedicine (38%, n = 16/41) maintained higher clinical caseloads during the first pandemic year. Conclusions: The COVID-19 pandemic had a substantial negative impact on European clinical autonomic education and research. At the same time, it promoted digitalization, favoring more equitable access to autonomic education and improved trial design.info:eu-repo/semantics/publishedVersio

Changing the Paradigm for Management of Pediatric Primary Spontaneous Pneumothorax: A Simple Aspiration Test Predicts Need for Operation

Purpose Chest tube (CT) management for pediatric primary spontaneous pneumothorax (PSP) is associated with long hospital stays and high recurrence rates. To streamline management, we explored simple aspiration as a test to predict need for surgery. Methods A multi-institution, prospective pilot study of patients with first presentation for PSP at 9 children’s hospitals was performed. Aspiration was performed through a pigtail catheter, followed by 6 h observation with CT clamped. If pneumothorax recurred during observation, the aspiration test failed and subsequent management was per surgeon discretion. Results Thirty-three patients were managed with simple aspiration. Aspiration was successful in 16 of 33 (48%), while 17 (52%) failed the aspiration test and required hospitalization. Twelve who failed aspiration underwent CT management, of which 10 (83%) failed CT management owing to either persistent air leak requiring VATS or subsequent PSP recurrence. Recurrence rate was significantly greater in the group that failed aspiration compared to the group that passed aspiration [10/12 (83%) vs 7/16 (44%), respectively, P = 0.028]. Conclusion Simple aspiration test upon presentation with PSP predicts chest tube failure with 83% positive predictive value. We recommend changing the PSP management algorithm to include an initial simple aspiration test, and if that fails, proceed directly to VATS

Understanding the Value of Tumor Markers in Pediatric Ovarian Neoplasms

Purpose The purpose of this study was to determine the diagnostic accuracy of tumor markers for malignancy in girls with ovarian neoplasms. Methods A retrospective review of girls 2–21 years who presented for surgical management of an ovarian neoplasm across 10 children's hospitals between 2010 and 2016 was performed. Patients who had at least one concerning feature on imaging and had tumor marker testing were included in the study. Sensitivity, specificity, and negative and positive predictive values (PPV) of tumor markers were calculated. Results Our cohort included 401 patients; 22.4% had a malignancy. Testing for tumor markers was inconsistent. AFP had high specificity (98%) and low sensitivity (42%) with a PPV of 86%. The sensitivity, specificity, and PPV of beta-hCG was 44%, 76%, and 32%, respectively. LDH had high sensitivity (95%) and Inhibin A and Inhibin B had high specificity (97% and 92%, respectively). Conclusions Tumor marker testing is helpful in preoperative risk stratification of ovarian neoplasms for malignancy. Given the variety of potential tumor types, no single marker provides enough reliability, and therefore a panel of tumor marker testing is recommended if there is concern for malignancy. Prospective studies may help further elucidate the predictive value of tumor markers in a pediatric ovarian neoplasm population

Monazite-Type SmPO4 as Potential Nuclear Waste Form: Insights into Radiation Effects from Ion-Beam Irradiation and Atomistic Simulations

Single-phase monazite-type ceramics are considered as potential host matrices for the conditioning of separated plutonium and minor actinides. Sm-orthophosphates were synthesised and their behaviour under irradiation was investigated with respect to their long-term performance in the repository environment. Sintered SmPO4 pellets and thin lamellae were irradiated with 1, 3.5, and 7 MeV Au ions, up to fluences of 5.1 × 1014 ions cm−2 to simulate ballistic effects of recoiling nuclei resulting from α-decay of incorporated actinides. Threshold displacement energies for monazite-type SmPO4 subsequently used in SRIM/TRIM simulations were derived from atomistic simulations. Raman spectra obtained from irradiated lamellae revealed vast amorphisation at the highest fluence used, although local annealing effects were observed. The broadened, but still discernible, band of the symmetrical stretching vibration in SmPO4 and the negligible increase in P–O bond lengths suggest that amorphisation of monazite is mainly due to a breaking of Ln–O bonds. PO4 groups show structural disorder in the local environment but seem to behave as tight units. Annealing effects observed during the irradiation experiment and the distinctively lower dose rates incurred in actinide bearing waste forms and potential α-radiation-induced annealing effects indicate that SmPO4-based waste forms have a high potential for withstanding amorphisation

Simulations of complex electron paramagnetic resonance spectra for radiation-induced defect centres in advanced ceramic breeder pebbles

Advanced ceramic breeder (ACB) pebbles consisting of lithium orthosilicate (Li4SiO4) and the strengthening phase lithium metatitanate (Li2TiO3) are accepted as the European Union’s reference solid-state material for tritium breeding in thermonuclear fusion reactors. Previously, the influence of various radiation types on Li4SiO4-based ceramic breeder materials has already been investigated and described by several groups of researchers. Electron paramagnetic resonance (EPR) spectroscopy is one of the most frequently used analytical and non-destructive techniques that can be selectively applied for qualitative and quantitative research of radiation-induced defect centres with paramagnetic properties (electron spin S ≠ 0). In the present work, individual signals of paramagnetic radiation-induced defect centres in the ACB pebbles after irradiation with X-rays were separated by EPR spectra simulations for the first time. Multiple signals of spin S = ½ systems with distinctive symmetries and g-factor (g) values were identified and characterised. Individual signal decay at room temperature was monitored and isochronal annealing of the irradiated ACB pebbles was performed in order to evaluate the stability of accumulated radiation-induced defect centres. Based on the obtained results, it was determined that radiation-induced defect centres with EPR signals in the g > 2.00 region are similar to irradiated single-phase Li4SiO4 ceramic materials, while additions of Li2TiO3 as the second phase in the ACB pebbles also stimulates the formation of several titanium-related electron centres with signals in the g < 2.00 region and different thermal properties

Monazite-type SmPO4 as potential nuclear waste form: Insights into radiation effects from ion-beam irradiation and atomistic simulations

Single-phase monazite-type ceramics are considered as potential host matrices for the conditioning of separated plutonium and minor actinides. Sm-orthophosphates were synthesised andtheir behaviour under irradiation was investigated with respect to their long-term performance in the repository environment. Sintered SmPO4 pellets and thin lamellae were irradiated with 1, 3.5,and 7 MeV Au ions, up to fluences of 5.1 × 1014 ions cm−2 to simulate ballistic effects of recoiling nuclei resulting from α-decay of incorporated actinides. Threshold displacement energies for monazite-type SmPO4 subsequently used in SRIM/TRIM simulations were derived from atomistic simulations. Raman spectra obtained from irradiated lamellae revealed vast amorphisation at the highestfluence used, although local annealing effects were observed. The broadened, but still discernible, band of the symmetrical stretching vibration in SmPO4 and the negligible increase in P–O bondlengths suggest that amorphisation of monazite is mainly due to a breaking of Ln–O bonds. PO4 groups show structural disorder in the local environment but seem to behave as tight units. Annealingeffects observed during the irradiation experiment and the distinctively lower dose rates incurred in actinide bearing waste forms and potential α-radiation-induced annealing effects indicatethat SmPO4-based waste forms have a high potential for withstanding amorphisation