Design, status and first operations of the spallation neutron source polyphase resonant converter modulator system

The Spallation Neutron Source (SNS) is a new 1.4 MW average power beam, 1 GeV accelerator being built at Oak Ridge National Laboratory. The accelerator requires 15 converter-modulator stations each providing between 9 and 11 MW pulses with up to a 1 .I MW average power. The converter-modulator can be described as a resonant 20 kHz polyphase boost inverter. Each converter modulator derives its buss voltage from a standard substation cast-core transformer. Each substation is followed by an SCR pre-regulator to accommodate voltage changes from no load to full load, in addition to providing a soft-start function. Energy storage is provided by self-clearing metallized hazy polypropylene traction capacitors. These capacitors do not fail short, but clear any internal anomaly. Three 'H-Bridge' IGBT transistor networks are used to generate the polyphase 20 kHz transformer primary drive waveforms. The 20 kHz drive waveforms are time-gated to generate the desired klystron pulse width. Pulse width modulation of the individual 20 lcHz pulses is utilized to provide regulated output waveforms with DSP based adaptive feedforward and feedback techniques. The boost transformer design utilizes nanocrystalline alloy that provides low core loss at design flux levels and switching frequencies. Capacitors are used on the transformer secondary networks to resonate the leakage inductance. The transformers are wound for a specific leakage inductance, not turns ratio. This design technique generates multiple secondary volts per turn as compared to the primary. With the appropriate tuning conditions, switching losses are minimized. The resonant topology has the added benefit of being deQed in a klystron fault condition, with little energy deposited in the arc. This obviates the need of crowbars or other related networks. A review of these design parameters, operational performance, production status, and OWL installation and performance to date will be presented

Delaying surgery for patients with a previous SARS-CoV-2 infection

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The impact of surgical delay on resectability of colorectal cancer: An international prospective cohort study

AimThe SARS-CoV-2 pandemic has provided a unique opportunity to explore the impact of surgical delays on cancer resectability. This study aimed to compare resectability for colorectal cancer patients undergoing delayed versus non-delayed surgery.MethodsThis was an international prospective cohort study of consecutive colorectal cancer patients with a decision for curative surgery (January-April 2020). Surgical delay was defined as an operation taking place more than 4 weeks after treatment decision, in a patient who did not receive neoadjuvant therapy. A subgroup analysis explored the effects of delay in elective patients only. The impact of longer delays was explored in a sensitivity analysis. The primary outcome was complete resection, defined as curative resection with an R0 margin.ResultsOverall, 5453 patients from 304 hospitals in 47 countries were included, of whom 6.6% (358/5453) did not receive their planned operation. Of the 4304 operated patients without neoadjuvant therapy, 40.5% (1744/4304) were delayed beyond 4 weeks. Delayed patients were more likely to be older, men, more comorbid, have higher body mass index and have rectal cancer and early stage disease. Delayed patients had higher unadjusted rates of complete resection (93.7% vs. 91.9%, P = 0.032) and lower rates of emergency surgery (4.5% vs. 22.5%, P ConclusionOne in 15 colorectal cancer patients did not receive their planned operation during the first wave of COVID-19. Surgical delay did not appear to compromise resectability, raising the hypothesis that any reduction in long-term survival attributable to delays is likely to be due to micro-metastatic disease