Nuclear loads and nuclear shielding performance of EU DEMO divertor: A comparative neutronics evaluation of two interim design options

In a demonstrational fusion power plant (DEMO), divertor is supposed to protect vacuum vessel and superconducting magnets against neutron flux in the bottom region of the vessel. The vessel is subject to a strict design limit in irradiation damage dose and the magnets in nuclear heating power, respectively. Thus, the DEMO divertor must have the capability to protect sufficiently the vessel and the magnets against neutron flux being substantially stronger than in ITER.In this paper, a first systematic neutronics study for the European DEMO divertor is reported. Results of the extensive assessment of key nuclear loading features (nuclear heating, irradiation damage & helium production) are presented for two optional concepts, namely, dome and shielding liner including minor geometrical variants. The shielding performance of the two competing design options is discussed together with the case of a bare cassette (no shielding), particularly in terms of damage dose compared with the design limits specified for the European DEMO.It was found that both the dome and shielding liner were able to significantly reduce the nuclear loads in the cassette body and the vessel. The maximum damage dose at the end of the lifetime remained subcritical for the cassette body for both cases whereas it exceeded the limit for the vessel under the dome, but only locally on the surface underneath the pumping duct. But, the damage could be reduced below the limit for the vessel by increasing the size of the dome or by deploying the shielding liner. The most critical feature was the excessive damage occurring in the own body of the shielding components where the maximum damage dose in the steel heat sink of the dome and the shielding liner far exceeded the design limit at the end of the lifetime

Genomics knowledge and attitudes among European public health professionals. Results of a cross-sectional survey

Background The international public health (PH) community is debating the opportunity to incorporate genomic technologies into PH practice. A survey was conducted to assess attitudes of the European Public Health Association (EUPHA) members towards their role in the implementation of public health genomics (PHG), and their knowledge and attitudes towards genetic testing and the delivery of genetic services. Methods EUPHA members were invited via monthly newsletter and e-mail to take part in an online survey from February 2017 to January 2018. A descriptive analysis of knowledge and attitudes was conducted, along with a univariate and multivariate analysis of their determinants. Results Five hundred and two people completed the questionnaire, 17.9% were involved in PHG activities. Only 28.9% correctly identified all medical conditions for which there is (or not) evidence for implementing genetic testing; over 60% thought that investing in genomics may divert economic resources from social and environmental determinants of health. The majority agreed that PH professionals may play different roles in incorporating genomics into their activities. Better knowledge was associated with positive attitudes towards the use of genetic testing and the delivery of genetic services in PH (OR = 1.48; 95% CI 1.01–2.18). Conclusions Our study revealed quite positive attitudes, but also a need to increase awareness on genomics among European PH professionals. Those directly involved in PHG activities tend to have a more positive attitude and better knowledge; however, gaps are also evident in this group, suggesting the need to harmonize practice and encourage greater exchange of knowledge among professionals

Discovering middle ear anatomy by transcanal endoscopic ear surgery: A dissection manual

The middle ear is located in the center of the temporal bone and bears a highly complex anatomy. The recently introduced exclusively endoscopic transcanal approach to the middle ear is a minimally invasive technique sparing the bone and mucosa of the mastoid bone, since the middle ear is accessed through the external auditory canal. This emerging method has several advantages over the traditional (microscopic) approaches to the middle ear such as the panoramic wide-angle views of the anatomy, the possibility to approach and magnify tiny structures, and the possibility of looking around the corner using angled endoscopes. The cadaveric dissection method presented here consists of an overview on the technical requirements and a precise description of a step-by-step protocol to discover the anatomy of the middle ear. Each step and anatomical structure is carefully described in order to provide a comprehensive guide to endoscopic ear anatomy. In our opinion, this is particularly important to any novice in endoscopic ear surgery as it provides thorough anatomical knowledge and may improve surgical skills