Infrared thermography system on DIII-D

Six infrared cameras measure temperature changes on the protective graphite armor inside the DIII-D vacuum vessel. Simultaneous time dependent temperature measurements are made on armor tiles located on the centerpost and divertor regions, and on both outboard limiters. The nearly-complete poloidal coverage is useful in measuring both the plasma heat flux distributions inside the vessel and the plasma power balance. Spatial resolution of each camera system is {approx lt}1 cm, while the minimum resolvable time is 125 {mu}sec. Data from the IR TV systems is recorded on video tape, and is post-processed serially, using an image processor with an AT-compatible microcomputer. The processing system controls all VCRs, interprets DIII-D timing pulses, digitizes video data in the pre-determined regions of interest, averages digitized signals to reduce noise, and constructs data files which are then stored as part of the permanent shot record

Results from recent detachment experiments in alternative divertor configurations on TCV

Divertor detachment is explored on the TCV tokamak in alternative magnetic geometries. Starting from typical TCV single-null shapes, the poloidal flux expansion at the outer strikepoint is varied by a factor of 10 to investigate the X-divertor characteristics, and the total flux expansion is varied by 70% to study the properties of the super-X divertor. The effect of an additional X-point near the target is investigated in X-point target divertors. Detachment of the outer target is studied in these plasmas during Ohmic density ramps and with the ion ∇B drift away from the primary X-point. The detachment threshold, depth of detachment, and the stability of the radiation location are investigated using target measurements from the wall-embedded Langmuir probes and two-dimensional CIII line emissivity profiles across the divertor region, obtained from inverted, toroidally-integrated camera data. It is found that increasing poloidal flux expansion results in a deeper detachment for a given line-averaged density and a reduction in the radiation location sensitivity to core density, while no large effect on the detachment threshold is observed. The total flux expansion, contrary to expectations, does not show a significant influence on any detachment characteristics in these experiments. In X-point target geometries, no evidence is found for a reduced detachment threshold despite a 2-3 fold increase in connection length. A reduced radiation location sensitivity to core plasma density in the vicinity of the target X-point is suggested by the measurements

Mapping geographical inequalities in childhood diarrhoeal morbidity and mortality in low-income and middle-income countries, 2000–17 : analysis for the Global Burden of Disease Study 2017

Background Across low-income and middle-income countries (LMICs), one in ten deaths in children younger than 5 years is attributable to diarrhoea. The substantial between-country variation in both diarrhoea incidence and mortality is attributable to interventions that protect children, prevent infection, and treat disease. Identifying subnational regions with the highest burden and mapping associated risk factors can aid in reducing preventable childhood diarrhoea. Methods We used Bayesian model-based geostatistics and a geolocated dataset comprising 15 072 746 children younger than 5 years from 466 surveys in 94 LMICs, in combination with findings of the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2017, to estimate posterior distributions of diarrhoea prevalence, incidence, and mortality from 2000 to 2017. From these data, we estimated the burden of diarrhoea at varying subnational levels (termed units) by spatially aggregating draws, and we investigated the drivers of subnational patterns by creating aggregated risk factor estimates. Findings The greatest declines in diarrhoeal mortality were seen in south and southeast Asia and South America, where 54·0% (95% uncertainty interval [UI] 38·1–65·8), 17·4% (7·7–28·4), and 59·5% (34·2–86·9) of units, respectively, recorded decreases in deaths from diarrhoea greater than 10%. Although children in much of Africa remain at high risk of death due to diarrhoea, regions with the most deaths were outside Africa, with the highest mortality units located in Pakistan. Indonesia showed the greatest within-country geographical inequality; some regions had mortality rates nearly four times the average country rate. Reductions in mortality were correlated to improvements in water, sanitation, and hygiene (WASH) or reductions in child growth failure (CGF). Similarly, most high-risk areas had poor WASH, high CGF, or low oral rehydration therapy coverage. Interpretation By co-analysing geospatial trends in diarrhoeal burden and its key risk factors, we could assess candidate drivers of subnational death reduction. Further, by doing a counterfactual analysis of the remaining disease burden using key risk factors, we identified potential intervention strategies for vulnerable populations. In view of the demands for limited resources in LMICs, accurately quantifying the burden of diarrhoea and its drivers is important for precision public health

Risk profiles and one-year outcomes of patients with newly diagnosed atrial fibrillation in India: Insights from the GARFIELD-AF Registry.

BACKGROUND: The Global Anticoagulant Registry in the FIELD-Atrial Fibrillation (GARFIELD-AF) is an ongoing prospective noninterventional registry, which is providing important information on the baseline characteristics, treatment patterns, and 1-year outcomes in patients with newly diagnosed non-valvular atrial fibrillation (NVAF). This report describes data from Indian patients recruited in this registry. METHODS AND RESULTS: A total of 52,014 patients with newly diagnosed AF were enrolled globally; of these, 1388 patients were recruited from 26 sites within India (2012-2016). In India, the mean age was 65.8 years at diagnosis of NVAF. Hypertension was the most prevalent risk factor for AF, present in 68.5% of patients from India and in 76.3% of patients globally (P < 0.001). Diabetes and coronary artery disease (CAD) were prevalent in 36.2% and 28.1% of patients as compared with global prevalence of 22.2% and 21.6%, respectively (P < 0.001 for both). Antiplatelet therapy was the most common antithrombotic treatment in India. With increasing stroke risk, however, patients were more likely to receive oral anticoagulant therapy [mainly vitamin K antagonist (VKA)], but average international normalized ratio (INR) was lower among Indian patients [median INR value 1.6 (interquartile range {IQR}: 1.3-2.3) versus 2.3 (IQR 1.8-2.8) (P < 0.001)]. Compared with other countries, patients from India had markedly higher rates of all-cause mortality [7.68 per 100 person-years (95% confidence interval 6.32-9.35) vs 4.34 (4.16-4.53), P < 0.0001], while rates of stroke/systemic embolism and major bleeding were lower after 1 year of follow-up. CONCLUSION: Compared to previously published registries from India, the GARFIELD-AF registry describes clinical profiles and outcomes in Indian patients with AF of a different etiology. The registry data show that compared to the rest of the world, Indian AF patients are younger in age and have more diabetes and CAD. Patients with a higher stroke risk are more likely to receive anticoagulation therapy with VKA but are underdosed compared with the global average in the GARFIELD-AF. CLINICAL TRIAL REGISTRATION-URL: http://www.clinicaltrials.gov. Unique identifier: NCT01090362