Reduced-order particle-in-cell simulations of a high-power magnetically shielded Hall thruster

High-power magnetically shielded Hall thrusters have emerged in recent years to meet the needs of the next-generation on-orbit servicing and exploration missions. Even though a few such thrusters are currently undergoing their late-stage development and qualification campaigns, many unanswered questions yet exist concerning the behavior and evolution of the plasma in these large-size thrusters that feature an unconventional magnetic field topology. Noting the complex, multi-dimensional nature of plasma processes in Hall thrusters, high-fidelity particle-in-cell (PIC) simulations are optimal tools to study the intricate plasma behavior. Nonetheless, the significant computational cost of traditional multi-dimensional PIC schemes renders simulating the high-power thrusters without any physics-altering speed-up factors unfeasible. The novel reduced-order “quasi-2D” PIC scheme enables a significant reduction in the computational cost requirement of the PIC simulations. Thus, in this article, we demonstrate the applicability of the reduced-order PIC for a cost-efficient, self-consistent study of the physics in high-power Hall thrusters by performing simulations of a 20 kW-class magnetically shielded Hall thruster along the axial-azimuthal and radial-azimuthal coordinates. The axial-azimuthal quasi-2D simulations are performed for three operating conditions in a rather simplified representation of the thruster’s inherently 3D configuration. Nevertheless, we have resolved self-consistently an unprecedented 650 µs of the discharge evolution without any ad-hoc electron mobility model, capturing several breathing cycles and approximating the experimental performance parameters with an accuracy of 70 to 80 % across the operating conditions. The radial-azimuthal simulations, carried out at three cross-sections corresponding to different axial locations within the discharge channel, have casted further light on the evolution of the azimuthal instabilities and the resulting variations in the electrons’ cross-field mobility and the plasma-wall interactions. Particularly, we observed the development of a long-wavelength, relatively low-frequency wave mode near the exit plane of the thruster’s channel that induces a notable electron transport and a significant ion heating

Telemonitoring in chronic ventilatory failure: a new model of survellaince, a pilot study

Background and Aim. The efficiency of tele-monitoring or tele-assistance in patients with severe chronic ventilatory failure in home mechanical ventilation (HMV) is still being investigated. Our aim was to test the feasibility of a model which consisted in: 1) once a week nocturnal telemonitoring, supervised by a doctor in charge in a Respiratory Intensive Care Unit, who also provided a telephone-counselling (24/7) on demand; 2) a scheduled visit every two months. Methods. A 2-year observational study was carried out on 16 patients ventilated for at least 1 year and for ≥ 8 hours /day. Once a week patients underwent a nocturnal monitoring during HMV. The compliance was evaluated by regular transmission of data and regular follow-up, the level of satisfaction by a telephonequestionnaire. Results. The adherence to the protocol study was good in 9/16 (56%) and poor in 7/16 (44%) patients. For each patient, the mean number of connections was 46,12 ± 36.39 (70.7% of that expected), in those with good compliance it increased to 63.8 ± 32.7 (114% of that expected). The median hours of connection was 343 (138- 1019) and 89 (0-521) for patients with good and poor compliance respectively, p=0.038. The mean scheduled visits for patient with good compliance was 6.9 ± 4.14 (100% of that expected). Emergency visits were avoided in 62.5% of cases. The satisfaction score was higher in compliant versus non compliant patients (p=0.019). Conclusion. This pilot study showed that the telemonitoring system employed was feasible and effective in more compliant patients who claimed a high rate of satisfaction

Diabetic foot infections: a team-oriented review of medical and surgical management

As the domestic and international incidence of diabetes and metabolic syndrome continues to rise, health care providers need to continue improving management of the long-term complications of the disease. Emergency department visits and hospital admissions for diabetic foot infections are increasingly commonplace, and a like-minded multidisciplinary team approach is needed to optimize patient care. Early recognition of severe infections, medical stabilization, appropriate antibiotic selection, early surgical intervention, and strategic plans for delayed reconstruction are crucial components of managing diabetic foot infections. The authors review initial medical and surgical management and staged surgical reconstruction of diabetic foot infections in the inpatient setting