Recent progress of plasma exhaust concepts and divertor designs for tokamak DEMO reactors

The power exhaust concept and an appropriate divertor design are common critical issues for tokamak DEMO design activities which have been carried out in Europe, Japan, China, Korea and the USA. Conventional divertor concepts and power exhaust studies for recent DEMO designs (Pfusion = 1 – 2 GW, Rp = 7 – 9 m) are reviewed from the viewpoints of the plasma physics issues and the divertor engineering design. Radiative cooling is a common approach for the power fusion scenario. Requirements on the main plasma radiation fraction (frad main = Prad main/Pheat) and the plasma performance constrain the divertor design concept. Different challenges contribute to optimizing the future DEMO designs: for example, (i) increasing the main plasma radiation fraction for ITER level Psep/Rp designs and simplifying the divertor geometry, and (ii) extending ITER divertor geometry with increasing divertor radiation (Prad div) for larger Psep/Rp ≥ 25MWm− 1 designs. Power exhaust simulations with large Psep = 150 – 300 MW have been performed using integrated divertor codes considering an ITER-based divertor geometry with longer leg length (1.6 – 1.7 m), as in a common baseline design. Geometry effects (ITER like geometry or more open one without baffle) on the plasma detachment profile and the required divertor radiation fraction (frad div = Prad div/Psep) were key aspects of these studies. All simulations showed that the divertor plasma detachment were extended widely across the target plate with a reduction in the peak heat load of qtarget ≤ 10 MWm− 2 for the large frad div = 0.7 – 0.8, while the peak qtarget location and value were noticeably different in the partially detached divertor. Simulation results also demonstrated that radial diffusion coefficients of the heat and particle fluxes were critical parameters for DEMO divertor design, and that effects of plasma drifts on outboard enhanced asymmetry of the heat flux, suggested the need for longer divertor leg to ensure the existence of a detached divertor operation with qtarget ≤ 10 MWm− 2 . Integrated design of the water cooled divertor target, cassette body (CB) and cooling pipe routing has been developed for each DEMO concept, based on the ITER-like tungsten monoblock (W-MB) with Cu-alloy cooling pipes. Engineering design adequate under higher neutron irradiation condition was required. Therefore, inlet coolant temperature (Tcool) was increased. In current designs, it still shows a large potential variation between 70 ◦C and 200 ◦C. The influence of thermal softening on the Cu-alloy (CuCrZr) pipe was fostered near the strike point when the high qtarget of ~10 MWm− 2 was studied. Improved technologies for high heat flux components based on the ITER W-MB unit have been developed for EU-DEMO. Different coolant conditions (low- and high Tcool) were provided for Cu-alloy and reduced activation ferritic martensitic (RAFM) steel heat sink units, respectively. The high-Tcool coolant was also considered for the CB and supporting structures. Appropriate conditions for the high-Tcool coolant, i.e. 180 ◦C/ 5 MPa (EU-DEMO) and 290 ◦C/ 15 MPa (JA-DEMO, CFETR and K-DEMO), will be determined in the future optimizations of the divertor and DEMO design

Power exhaust concepts and divertor designs for Japanese and European DEMO fusion reactors

Concepts of the power exhaust and divertor design have been developed, with a high priority in the pre-conceptual design phase of the Japan-Europe broader approach DEMO design activity (BA DDA). Common critical issues are the large power exhaust and its fraction in the main plasma and divertor by the radiative cooling (P radtot/P heat 0.8). Different exhaust concepts in the main plasma and divertor have been developed for Japanese (JA) and European (EU) DEMOs. JA proposed a conventional closed divertor geometry to challenge large P sep/R p handling of 30-35 MW m-1 in order to maintain the radiation fraction in the main plasma at the ITER-level (f radmain = P radmain/P heat ∼ 0.4) and higher plasma performance. EU challenged both increasing f radmain to ∼0.65 and handling the ITER-level P sep/R p in the open divertor geometry. Power exhaust simulations have been performed by SONIC (JA) and SOLPS5.1 (EU) with corresponding P sep = 250-300 MW and 150-200 MW, respectively. Both results showed that large divertor radiation fraction (P raddiv/P sep 0.8) was required to reduce both peak q target (10 MW m-2) and T e,idiv. In addition, the JA divertor performance with EU-reference P sep of 150 MW showed benefit of the closed geometry to reduce the peak q target and T e,idiv near the separatrix, and to produce the partial detachment. Integrated designs of the water cooled divertor target, cassette and coolant pipe routing have been developed in both EU and JA, based on the tungsten (W) monoblock concept with Cu-alloy pipe. For year-long operation, DEMO-specific risks such as radiation embrittlement of Cu-interlayers and Cu-alloy cooling pipe were recognized, and both foresee higher water temperature (130 °C-200 °C) compared to that for ITER. At the same time, several improved technologies of high heat flux components have been developed in EU, and different heat sink design, i.e. Cu-alloy cooling pipes for targets and RAFM steel ones for the baffle, dome and cassette, was proposed in JA. The two approaches provide important case-studies of the DEMO divertor, and will significantly contribute to both DEMO designs

Predicting complete loss to follow-up after a health-education program: number of absences and face-to-face contact with a researcher

<p>Abstract</p> <p>Background</p> <p>Research on health-education programs requires longitudinal data. Loss to follow-up can lead to imprecision and bias, and <it>complete </it>loss to follow-up is particularly damaging. If that loss is predictable, then efforts to prevent it can be focused on those program participants who are at the highest risk. We identified predictors of complete loss to follow-up in a longitudinal cohort study.</p> <p>Methods</p> <p>Data were collected over 1 year in a study of adults with chronic illnesses who were in a program to learn self-management skills. Following baseline measurements, the program had one group-discussion session each week for six weeks. Follow-up questionnaires were sent 3, 6, and 12 months after the baseline measurement. A person was classified as completely lost to follow-up if none of those three follow-up questionnaires had been returned by two months after the last one was sent.</p> <p>We tested two hypotheses: that complete loss to follow-up was directly associated with the number of absences from the program sessions, and that it was less common among people who had had face-to-face contact with one of the researchers. We also tested predictors of data loss identified previously and examined associations with specific diagnoses.</p> <p>Using the unpaired t-test, the U test, Fisher's exact test, and logistic regression, we identified good predictors of complete loss to follow-up.</p> <p>Results</p> <p>The prevalence of complete loss to follow-up was 12.2% (50/409). Complete loss to follow-up was directly related to the number of absences (odds ratio; 95% confidence interval: 1.78; 1.49-2.12), and it was inversely related to age (0.97; 0.95-0.99). Complete loss to follow-up was less common among people who had met one of the researchers (0.51; 0.28-0.95) and among those with connective tissue disease (0.29; 0.09-0.98). For the multivariate logistic model the area under the ROC curve was 0.77.</p> <p>Conclusions</p> <p>Complete loss to follow-up after this health-education program can be predicted to some extent from data that are easy to collect (age, number of absences, and diagnosis). Also, face-to-face contact with a researcher deserves further study as a way of increasing participation in follow-up, and health-education programs should include it.</p

The impact of frailty on oral care behavior of older people: a qualitative study

BACKGROUND: Frailty has been demonstrated to negatively influence dental service-use and oral self-care behavior of older people. The aim of this study was to explore how the type and level of frailty affect the dental service-use and oral self-care behavior of frail older people. METHODS: We conducted a qualitative study through 51 open interviews with elders of varying frailty in the East-Netherlands, and used a thematic analysis to code transcripts, discussions and reviews of the attributes and meaning of the themes to the point of consensus among the researchers. RESULTS: Three major themes and five sub-themes emerged from our analyses. The major themes indicate that frail elders: A) favor long-established oral hygiene routines to sustain a sense of self-worth; B) discontinue oral hygiene routines when burdened by severe health complaints, in particular chronic pain, low morale and low energy; and C) experience psychological and social barriers to oral health care when institutionalized. The subthemes associated with the discontinuation of oral care suggest that the elders accept more oral pain or discomfort because they: B1) lack belief in the results of dental visits and tooth cleaning; B2) trivialize oral health and oral care in the general context of their impaired health and old age; and B3) consciously use their sparse energy for priorities other than oral healthcare. Institutionalized elderly often discontinue oral care because of C1) disorientation and C2) inconveniencing social supports. CONCLUSION: The level and type of frailty influences people’s perspectives on oral health and related behaviors. Frail elders associate oral hygiene with self-worth, but readily abandon visits to a dentist unless they feel that a dentist can relieve specific problems. When interpreted according to the Motivational Theory of Life Span Development, discontinuation of oral care by frail elderly could be viewed as a manifestation of adaptive development. Simple measures aimed at recognizing indicators for poor oral care behavior, and providing appropriate information and support, are discussed